Medication Timing: Can You Take Allegra, Duasma, and Supplements Together? - Pharmacology

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Medication Timing


You are currently taking Allegra (fexofenadine), Duasma HFA (budesonide 200), and Hexoline tablets (0.5 mg) twice daily.
Additionally, you are taking two iron supplements daily, containing 10 mg of iron, 1 μg of vitamin B12, and 70 μg of folic acid.
You are inquiring whether you should stop any of these medications and if you can resume taking lutein supplements, which you have only taken occasionally in the past.
Please advise on what can be continued, what should be stopped, and the timing for taking these medications.
Thank you.

Niming, 30~39 year old female. Ask Date: 2017/03/31

Dr. Hou Fangmin reply Pharmacology


Hello: The medications you are taking for allergies, runny nose, bronchodilation, and asthma do not interact with the iron, folic acid, and lutein you plan to take, so there is no concern.
However, please pay special attention to the following when using asthma medications: 1.
Be particularly cautious with β-adrenergic antagonists (including eye drops).
2.
Concurrent use of asthma medications with the following drugs—Quinidine, Disopyramide, Procainamide, Phenothiazines, Terfenadine, MAO inhibitors, and TCAs—that may prolong the QT interval could lead to ventricular arrhythmias.
3.
When using other medications, please consult your physician to check your current medications through the health insurance cloud system to avoid interactions.
It is also advisable to avoid grapefruit juice.
Is this explanation clear for you? Wishing you good health.

Reply Date: 2017/03/31

More Info


When it comes to managing multiple medications and supplements, it is essential to understand their interactions, timing, and potential side effects. In your case, you are taking Allegra (fexofenadine), Duasma HFA (budesonide), and Hexoline (likely a reference to a medication containing a specific active ingredient) regularly, along with iron supplements, vitamin B12, folic acid, and occasionally lutein.


Medication Overview
1. Allegra (Fexofenadine): This is an antihistamine used to relieve allergy symptoms such as sneezing, runny nose, and itchy eyes. It is generally well-tolerated and does not cause significant sedation.

2. Duasma HFA (Budesonide): This is a corticosteroid used primarily for asthma and chronic obstructive pulmonary disease (COPD). It helps reduce inflammation in the airways, making breathing easier.

3. Hexoline: Without specific details, it is assumed to be a medication for respiratory issues or allergies. It’s important to check the active ingredients and their effects.

4. Iron Supplements: These are essential for preventing or treating iron deficiency anemia. The dosage you mentioned (10 mg) is relatively low and generally safe.

5. Vitamin B12 and Folic Acid: Both are crucial for red blood cell formation and overall health. They can be taken together without issues.

6. Lutein: This is a supplement often taken for eye health. It is generally safe to take occasionally.


Timing and Interactions
- Allegra: It is best taken on an empty stomach, at least one hour before or two hours after meals. This ensures optimal absorption.


- Duasma HFA: This medication is typically used as needed for asthma control and can be taken at any time. However, it’s often recommended to use it after a bronchodilator if prescribed.

- Hexoline: Depending on its active ingredients, it may have specific timing recommendations. Always follow your healthcare provider's instructions.

- Iron Supplements: Iron is best absorbed on an empty stomach, but it can cause gastrointestinal discomfort. If you experience this, you can take it with a small amount of food. Avoid taking it with calcium-rich foods or supplements, as calcium can inhibit iron absorption.

- Vitamin B12 and Folic Acid: These can be taken at any time of the day, but if you take them with iron, it’s best to space them out by at least two hours.

- Lutein: This can be taken at any time, but it’s often recommended to take it with a meal that contains fat for better absorption.


Recommendations
1. Continue Taking Allegra and Duasma: These medications are essential for managing your allergy and respiratory symptoms.
2. Iron, Vitamin B12, and Folic Acid: You can continue taking these supplements. Just ensure to space them appropriately from your iron intake.

3. Lutein: You can resume taking lutein as it does not interact negatively with your current medications.


Suggested Schedule
- Morning:
- Take Duasma HFA as needed.

- Take your iron supplement with a small amount of food if needed.

- Take Vitamin B12 and Folic Acid.

- Afternoon:
- If you take Allegra, do so at least one hour before or two hours after lunch.

- Evening:
- Take Allegra if you missed it in the afternoon.

- Take lutein with dinner.


Conclusion
It is crucial to maintain open communication with your healthcare provider regarding your medications and supplements. They can provide personalized advice based on your health status and any other medications you may be taking. Always monitor for any unusual side effects or interactions and report them to your healthcare provider promptly.

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