Trabeculectomy and MIGS are the two main glaucoma surgeries today. Trabeculectomy lowers pressure more but carries higher risks. MIGS is safer and faster, ideal for early to moderate cases. Learn what each procedure does, how they compare, and who benefits most.
Read MoreMIGS: What It Is, Why It Matters, and What You Need to Know
When you take more than one medication, you’re playing a game of chemical chess—and MIGS, a practical system for identifying and managing medication interactions. Also known as Medication Interaction Guidance System, it’s not just a checklist—it’s a safety net designed to stop harmful overlaps before they hurt you. Think of MIGS as the quiet voice in the pharmacy that asks, "Wait, are you taking this with that?" It’s the reason your pharmacist pauses when you hand over a new prescription. And it’s not just for seniors on ten pills a day. Even healthy people taking an OTC painkiller with an antidepressant or a supplement with blood pressure medicine can trip into danger without knowing it.
MIGS doesn’t just flag obvious clashes like warfarin and garlic. It digs deeper. It connects the dots between liver enzymes, the body’s chemical processors that break down drugs. Also known as CYP450 system, they’re why milk thistle can mess with statins, or why green coffee extract plays havoc with Adderall. It tracks how prior authorization, the insurance hurdle that delays or blocks generic drugs. Also known as formulary restrictions, it creates gaps in treatment that push people toward risky substitutions. And it doesn’t ignore the quiet killers—like how smoking lowers eplerenone’s effectiveness, or how kidney disease changes how your body handles oral hygiene products that contain sodium phosphate. These aren’t edge cases. They’re daily realities for millions.
What you’ll find in these posts isn’t theory. It’s real-world guidance pulled from the front lines: how to spot red flags in drug combinations, how to push back when insurance blocks your generic, how to store pills so they don’t lose potency, and when to ask your doctor to cut back. You’ll see how MIGS principles show up in everything from asthma inhalers to erectile dysfunction meds to antidepressants that cause weight gain. No fluff. No marketing. Just what works—and what could kill you if you don’t know better. This isn’t about being scared of your meds. It’s about being smart with them.