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What may increase your risk for problems from heat-related symptoms?

Healthwise
By Jan Nissl, RN, BS

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Many conditions, lifestyle choices, medications, and diseases interfere with your ability to heal or fight infection. You may be at risk for a more serious problem from your symptoms if you have any of the following. Be sure to tell your health professional.

Conditions

  • Younger than age 5
  • Older than age 65
  • Obesity
  • Previous heat-related illness
  • An illness that causes dehydration (for example, an illness with vomiting or diarrhea)
  • Recent burns, including sunburns

Lifestyle choices

  • Alcohol abuse or withdrawal
  • Drug abuse or withdrawal. Illegal drugs, such as methamphetamines, amphetamines, cocaine, heroin, PCP (phencyclidine hydrochloride), and LSD (lysergic acid diethylamide), also affect your ability to sense dehydration or heat-related symptoms. These substances also reduce your judgment about whether treatment is needed for a heat-related illness.
  • Smoking or other tobacco use

Medications

  • Anticholinergics, such as atropine and scopolamine
  • Antidepressants
  • Antihistamines, such as Benadryl and nonprescription cold remedies
  • Benztropine mesylate
  • Blood-thinning medicines, such as warfarin, heparin, and aspirin
  • Cardiac drugs, such as beta-blockers and calcium channel blockers
  • Corticosteroids, such as prednisone and dexamethasone
  • Diuretics, such as Lasix and hydrochlorothiazide
  • Phenothiazines
  • Medications to prevent organ transplant rejection
  • Medications used to treat cancer (chemotherapy)
  • Medications used to treat Parkinson's disease
  • Radiation therapy
  • Sedatives, such as Haloperidol
  • Thyroid hormones

Diseases

  • Cancer
  • Cystic fibrosis
  • Diabetes
  • Heart disease
  • Hemophilia
  • Human immunodeficiency virus (HIV) infection
  • Hyperthyroidism
  • Idiopathic thrombocytopenic purpura (ITP)
  • Kidney disease
  • Lupus
  • Malnutrition or an eating disorder such as anorexia nervosa or bulimia nervosa
  • Multiple sclerosis
  • Parkinson's disease
  • Peripheral arterial disease
  • Pheochromocytoma (endocrine abnormality)
  • Skin diseases, such as psoriasis, scleroderma, or eczema
  • Stroke

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer William M. Green, MD - Emergency Medicine
Specialist Medical Reviewer H. Michael O'Connor, MD - Emergency Medicine
Last Updated October 7, 2008
Last Updated: 10/07/2008