Both prescriptions and over-the-counter meds may pose a risk.
In light of these dangers, these bacteria-fighters—including Levaquin , Cipro , or essentially any that ends in -floxacin—are no longer frequently prescribed. There are often other options that work just as well. But their effects often linger, sometimes for years after a short course. Miller has taken to asking any patients he sees with tendon issues whether they’ve taken this drug in the past. “It’s almost shocking” how many have, and how few were aware of the danger, he says.
Another reason to be wary: Fluoroquinolones exacerbate another heart rhythm problem that’s often hidden and frequently fatal in young people, called long Q-T syndrome, Muhlestein says. If you’re taking these drugs, he advises getting an electrocardiogram before running to make sure you’re in the clear.
“If you go out and exercise, you already are shunting a little bit of blood from the kidneys to the exercising muscles,” Smith says. NSAIDs pose a double whammy. “Addon top of it and you have a risk of really damaging your kidney acutely or even leading to chronic kidney damage.” For all these reasons, especially the kidney risks, she advises her athletes to use acetaminophen—that’s the active ingredient in Tylenol—for pain. And, she warns them it’s typically a bad idea to medicate so they can continue running through worsening injuries; rest or treatments like physical therapy would probably be better alternatives.
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