tara narula for us tonight. thank you, doctor. coming up, a hawaiian island grows with the flow. isn't it time to let the real you shine through? introducing otezla (apremilast). otezla is not an injection or a cream. it's a pill that treats plaque psoriasis differently. with otezla, 75% clearer skin is achievable after just 4 months, with reduced redness, thickness, and scaliness of plaques. and the otezla prescribing information has no requirement for routine lab monitoring. don't take otezla if you are allergic to any of its ingredients. otezla may increase the risk of depression. tell your doctor if you have a history of depression or suicidal thoughts, or if these feelings develop. some people taking otezla reported weight loss. your doctor should monitor your weight and may stop treatment. side effects may include diarrhea, nausea, upper respiratory tract infection, and headache. tell your doctor about all the medicines you take, and if you're pregnant or planning to be. ask your dermatologist about otezla today. otezla. sho

lapook and tara narula. >>> the american heart association warns that many common ly used medicationsl cause or worsen heart failure for those with a condition. what kind of medication? >> it's an importa anthony, for doctors and pati t patients with living with heart failu failure. it outlines the prescription medications, over-the-counter medications and supplements that might exacerbate heart failure. this is a delicaicate balance. they're on multiple medications. many up to seven prescription meds. they see multiple providers have and lots of conditions. it's wonderful we have the guide out there now. some of these medications they exacerbate heart failure in different ways. some do by actual affecting the maillot cardial cells. some cause retention of sodium. other ones affect how well the heart beats or contracts. another one affects the ability of the patient's own heart failure medications to work effectively. >> herbal supplements and over-the-counter. i feel like we're trained to think these are the okay ones. i spoke to dr. robert paige who is the lead authority of the stat

tara narula. >> 33-year-old tattoo artist bobby and his wife margaret struggled to get pregnant.ded to try over-the-counter, testosterone supplements. >> i was bloated. blood pressure was high. >> within weeks, he wound up in the emergency room. doctors said the supplements were the likely culprit. >> i had no idea they were side effects. thought it was like vit minz. >> reporter: one of the 200 million americans taking dietary supplements. today consumer reports identified, 15 commonly used supplement ingredients that could be harmful. some examples. red yeast rice to lower cholesterol may cause kidney, liver problems. green tea extract powder for weight loss may elevate blood pressure and cause liver damage. kava may exacerbate depression. one area of concern is supplement dutz not undergo the rigorous regulatory scrutiny aplayed to prescription drugs and other over-the-counter medicines. dr. peter co-en of harvard medical school. >> the problem is supplements look just like the drugs on store shelves. but the requirements to get a supment la to t supplement to the store shelf

tara narula. up, florida is investigating a second suspected case of mosquitoes. >> if confirmed this is the first cases in the u.s. and comes as the cdc is raising the possibility that zika can be spread from one adult to another without sexual contact. here is jon with more. >> reporter: last month, an elderly man died in utah after contracting zika outside the unitedta a son who helped care for him became infected, despite having no recent travel to an area with active zika and no sexual contact with an infected person. utah officials say the mosquitoes that spread the virus have not yet been found in utah. so far, zika has been shown to be spread by mosquitoes, sexual contact, and from mother to fetus where it can cause devastating birth defects. dr. denise jamison of the cdc says health officials are concerned with the possibility that infection was spread by close contact with body fluids. >> it's very important that people who are caring for critically ill patients avoid body fluids and car

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tara narula allows more procedure so doctors don't have to work around existing extents. >>> a driver guardrail at a pennsylvania turnpike. it came had a report on a deadly tesla crash. >>> the megajackpot has jumped again. friday's jackpot will be worth an estimated $508 million. that is the third largest leg jackpot ever. odds of hitting the jackpot are 1 in 259 million. >>> new york's "daily news" says the government is investigating the parent company of hookup site ashley madison. they don't know the focus of the probe. the extramarital dating site was hit last year by hackers who posted users' personal information online. the site is being used by users to impersonate women in online chats. >>> "the washington post" reports on prestigious honor for motown singer smokey robinson. >> songs will be archived in national registry. >> you can dance. >> no, i cannot! trust me! i'm horrible. >>> the williams sister could meet in the wimbledon finals. serena williams is the defending champion. 36-year-old sister venus reached the semis with a victory. she is slowed the last few years by