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Most of us just grab ibuprofen for a headache or paracetamol for a fever without giving it a second thought. Painkillers like these are pantry staples, safe enough to purchase over the counter and reliable for generations but emerging research indicates they could be unwittingly driving one of the world's most urgent health challenges: antibiotic resistance.
A ground-breaking University of South Australia study has discovered that paracetamol and ibuprofen not only lead to bacterial resistance by themselves but can enhance it when combined especially when taken with antibiotics. That discovery overturns long-established beliefs about resistance formation and provokes question marks over how commonly used medicines are rewriting the rules for how bacteria adapt.
The World Health Organization (WHO) has designated antimicrobial resistance as one of the greatest threats to health, food security, and development worldwide. In 2019, bacterial resistance was a direct cause of 1.27 million deaths across the globe. These "superbugs" occur when bacteria evolve in such manners that antibiotics are no longer useful, transforming once-treatable infections into potentially lethal ones.
The finger of blame has long been pointed at the overuse and misuse of antibiotics prescribing them when they are not necessary, not finishing a course, or using them as pesticides. But now this new study puts a sinister spin on things, even non-antibiotic drugs could be contributing to helping bacteria get one over on advanced medicine.
The South Australia researchers studied how ubiquitous non-antibiotic drugs interact with ciprofloxacin, an antibiotic used to treat infections of the gut, urinary tract, and skin. The researchers emphasized Escherichia coli (E. coli), a bacterium that often results in these infections.
When E. coli was given ciprofloxacin alone, mutations happened as anticipated. But when ciprofloxacin was given in combination with ibuprofen and paracetamol, mutations went through the roof. The bacteria not only developed resistance against ciprofloxacin but also demonstrated resistance against several other antibiotics belonging to various categories.
Both paracetamol and ibuprofen seemed to trigger bacterial defense mechanisms that flush out antibiotics, rendering them much less potent. In effect, the medications were preparing bacteria to be resistant to treatment.
One of the most disturbing implications of the results is for vulnerable populations, particularly for older adults in long-term care. Residents in aged care homes are often prescribed several medications painkillers, blood pressure medications, sleep medication, cholesterol-lowering drugs, and others. This "polypharmacy" presents the ideal condition for gut bacteria to be exposed to drug combinations that fuel resistance.
As lead researcher for the study, Associate Professor Rietie Venter said, "Antibiotics have been used for decades to treat infectious illnesses, yet overuse and misuse across the globe have fueled a worldwide increase in antibiotic-resistant bacteria. This research indicates that the issue is greater and more profound than antibiotics alone."
The research did not end at paracetamol and ibuprofen. Scientists also experimented on nine widely prescribed drugs, such as diclofenac for arthritis, furosemide for blood pressure, metformin for diabetes, atorvastatin for cholesterol, tramadol for pain after surgery, temazepam for insomnia, and pseudoephedrine for nasal congestion.
While not every drug caused the same degree of alarm, the findings added to a larger message: antibiotic resistance is no longer just an issue of antibiotics alone. Common medications the ones you have in bathroom cabinets and bedside tables around the globe could be part of the solution to resistance.
It's easy to think of antibiotic resistance as an intangible problem something that happens in hospitals or somewhere far away in the world. But it's already impacting lives around the world. Resistant bacteria complicate simple infections, increase healthcare costs, and pose a risk of complications and death.
If over-the-counter medications such as ibuprofen and paracetamol are fueling resistance, then millions of individuals unknowingly might be part of the issue simply by controlling a fever or arthritis. This is not to say these drugs are bad or should be stopped they work and are vital for many sicknesses. But it does indicate that we require a better understanding of how they work with antibiotics and bacteria.
The University of South Australia group is appealing for further research on how various combinations of drugs affect resistance, especially in long-term drug regimen populations. Such information could assist prescribing clinicians in making better-informed choices regarding prescribing and managing medications.

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US President Donald Trump recently claimed he had taken an “IQ test,” seemingly mistaking it for a dementia screening exam. Boasting that he achieved a perfect score, he also challenged Democratic representatives Jasmine Crockett and Alexandria Ocasio-Cortez (AOC) to attempt the same test.
Speaking aboard Air Force One, the 79-year-old described the exam as “very hard,” while mocking his opponents as “low IQ” individuals. This mix-up has once again drawn scrutiny to his cognitive health, with experts suggesting the confusion could be a possible sign of dementia.
On Monday (October 27), Trump told reporters that he had aced an intelligence test at Walter Reed Army Medical Center in Washington D.C. According to The New Republic, the test he referred to is likely the Montreal Cognitive Assessment (MoCA), a short 10-minute screening tool designed to detect early signs of dementia or Alzheimer’s disease. Despite this, Trump appeared to treat it as an intelligence measure rather than a diagnostic tool.
During his remarks, the Republican challenged Crockett, 44, and Ocasio-Cortez, 36, to take what he called the “IQ test.” “Let Jasmine go against Trump,” he said. “The first couple of questions are easy: a tiger, an elephant, a giraffe, you know. But when you get up to about five or six, and then 10, 20, 25—they couldn’t answer any of them,” he added.
This is not the first time Donald Trump has spoken about the MoCA test in exaggerated terms or made verbal missteps. Back in 2020, he told Fox News that he was asked “30 to 35 questions” of varying difficulty. “They always show you the first one, like a giraffe, a tiger, or a whale—‘Which one is the whale?’ OK. And then it gets harder and harder,” he said at the time, insisting that others had struggled where he had not.
Observers have long noted that Trump’s speeches often include rambling detours and non-sequiturs. “His speeches are full of non sequiturs,” said historian Kristin Kobes Du Mez of Calvin College, who has compared the speaking styles of Trump and Hillary Clinton. “It’s a completely different style from nearly any other politician you normally see on a big stage.”
Clinical psychologists Dr. Harry Segal and Dr. John Gartner have expressed concern about the president’s psychomotor performance, suggesting that he may be displaying early indicators of dementia. Speaking in a recent episode of their program Shrinking Trump, Dr. Gartner said, “We’ve been observing a clear decline in his motor performance, which aligns with dementia, as it typically involves deterioration across all faculties and functions.”
He added that Trump’s public demeanor, language, and verbal disorganization have become more apparent signs of cognitive changes. According to The Mirror, Trump has also been seen attempting to conceal his hands in public, prompting further speculation about his health.
The recent mix-up between the Montreal Cognitive Assessment and an IQ test, some experts say, could further reinforce these concerns. To better understand this, we spoke with Dr. Neetu Tiwari, MBBS, MD (Psychiatry), Senior Resident at NIIMS Medical College & Hospital.
She explained, “Confusing the nature of the test could be something worth noting. In itself, a single instance of confusion does not amount to a diagnosis of Frontotemporal Dementia (FTD) or any other dementia type. But if this kind of misunderstanding is part of a wider pattern—repeated confusion, new behavioural changes, personality shifts, language difficulties, or problems managing daily tasks—it would justify a full cognitive and neurological assessment. Early detection often relies on observing clusters of symptoms that persist or worsen over time.”
Summing up her view, Dr. Tiwari added that while it is possible for such mislabelling to be a small indicator, it is not strong evidence on its own. “Context matters,” she said. “Age, baseline cognitive ability, education, emotional state, stress, and fatigue all influence mental performance. The responsible next step is to monitor whether other changes are taking place, and if so, to seek a detailed evaluation from a neurologist or neuropsychologist.”

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The NHS has made the morning-after pill available for free in pharmacies across England, aiming to eliminate the “postcode lottery” that limited access to emergency contraception. Nearly 10,000 pharmacies can now provide the pill without charge, meaning women no longer need to visit a GP or book an appointment at a sexual health clinic to access it. Previously, some pharmacies charged up to £30 for the emergency pill.
Thousands of women in England can now access the morning-after pill for free from local pharmacies under the government’s NHS reforms, which are designed to make healthcare services more accessible without requiring GP appointments.
Research suggests that one in five women aged 18 to 35 will need emergency contraception each year. The pill can be taken up to five days after unprotected sex to prevent pregnancy.
Before this change, women had to buy the pill over the counter for as much as £30 or seek it free from GPs and sexual health clinics. However, both options often came with barriers such as appointment delays or reduced clinic availability due to funding cuts. With the pill being most effective when taken soon after unprotected sex, the NHS move has been welcomed by health advocates as a timely and practical step.
As reported by The Independent, around 10,000 pharmacies in England, including major chains like Boots and Superdrug, as well as independent outlets, are now offering the morning-after pill free of charge.
Claire Nevinson, Superintendent Pharmacist at Boots, said that pharmacists can also provide confidential advice on contraception choices. “Expanding the NHS Pharmacy Contraception Service to include access to emergency hormonal contraception is a significant step forward in helping women get timely healthcare,” she explained.
“Women can visit their local Boots pharmacy for free contraception advice, support, and medication—without needing a GP or clinic appointment.”
Until this rollout, women often had to make an appointment at a clinic or contact their GP to obtain emergency contraception, which sometimes led to delays, especially over weekends or in rural areas. Under the new plan, women of reproductive age can now walk into any participating pharmacy and speak directly with a trained pharmacist. Consultations are private, and the pill is dispensed immediately if appropriate.
This initiative adds to a growing list of NHS pharmacy services, which now include starting or continuing regular birth control, getting advice after beginning antidepressants, and receiving blood pressure checks and vaccinations. The goal is to make local pharmacies a convenient first stop for everyday healthcare needs.
The new scheme represents a broader effort to expand women’s healthcare access across the country. By making emergency contraception free and widely available, the NHS hopes to remove financial and logistical barriers that previously prevented timely use.
Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice or diagnosis. Always seek the guidance of your doctor or another qualified healthcare professional regarding any medical questions or concerns.

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Blood pressure medication recall: More than half a million bottles of blood pressure medicine have been recalled due to the presence of a potential cancer-causing chemical, according to the U.S. Food and Drug Administration (FDA). Teva Pharmaceuticals USA, headquartered in Parsippany, New Jersey, issued a voluntary recall on October 7, 2025, for certain batches of prazosin hydrochloride capsules.
The FDA later classified the situation as a Class II risk on October 24, 2025, which means that use or exposure could cause temporary or medically reversible health issues, though the chance of serious harm is considered low.
Teva Pharmaceuticals announced the voluntary recall after the FDA identified a potential impurity in some batches of prazosin hydrochloride. A Class II classification indicates that exposure to the affected medication could cause short-term or reversible health problems, but the likelihood of severe consequences is low.
Prazosin hydrochloride is an FDA-approved medication for treating high blood pressure, but it is also prescribed off-label to help people with post-traumatic stress disorder (PTSD) manage nightmares and sleep disturbances. The drug works by relaxing blood vessels, which helps lower blood pressure and improve blood flow.
The recall applies to three different dosage strengths that were distributed across the United States. The affected capsules were found to contain elevated levels of N-nitroso prazosin impurity, a nitrosamine compound that may increase the risk of cancer with prolonged exposure.
The FDA has stated that nitrosamine impurities like N-nitroso Prazosin impurity C can be harmful over time. However, because the recall falls under the Class II category, the potential for serious or long-term effects is low. In total, more than 580,000 bottles of prazosin hydrochloride are included in the recall. Patients currently taking the medicine for blood pressure or other conditions are advised to check their bottles, contact their pharmacist, and safely dispose of any affected medication.
According to USA Today, the recall involves the following:
Although neither Teva nor the FDA has issued specific instructions for patients, GoodRx advises those affected to verify their medication’s lot number, contact their pharmacist and prescribing doctor, and dispose of the recalled product safely.
Teva has started notifying customers by mail, and the recall process is ongoing. Patients with questions are encouraged to speak with their healthcare provider or pharmacist to confirm whether their prescription is part of the recall and discuss suitable alternatives if needed.
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