Drug and food interactions
Hello, I would like to ask which foods may interact with the following medications: Bokey (Aspirin) 100 mg, Famotidine 20 mg, Sandoz (Amlodipine) 5 mg, and Anxolipo (Lipid-lowering agent) 10 mg.
Additionally, many people say that fish oil can easily cause interactions; does eating fish every day also have an impact? I apologize for the trouble, thank you.
Wazai, 30~39 year old female. Ask Date: 2022/05/01
Dr. Huang Huiqing reply Pharmacology
Dear Sir/Madam,
First, I would like to explain that the interactions between medications and food depend on the quantity consumed, which are generally less obvious or harder to predict.
Below are reminders regarding the medications you listed:
1.
Telmisartan: If you are using this medication long-term, please consult your physician before consuming a diet high in potassium (such as low-sodium salt, bananas, and potassium-rich citrus fruits).
2.
Amlodipine: Avoid consuming grapefruit products (such as pomelo, grapefruit, and grapefruit juice) one hour before or two hours after taking the medication.
Additionally, avoid taking it with high-fat foods, alcohol, and grapefruit juice.
3.
Atorvastatin: The high fiber content in oats can decrease the absorption rate of the medication in the gastrointestinal tract.
For example, you can continue your usual breakfast with oats, but consider taking the medication after dinner or before bedtime to minimize the overlap between the two.
Grapefruit can affect the enzymes that metabolize medications in the liver when taken together.
Generally, fish oil is consumed to supplement omega-3 unsaturated fatty acids, which are primarily found in certain cold-water fish.
Other types of fish do not contain significant amounts of these fatty acids, so eating fish daily mainly serves to provide protein without much impact.
I hope this answers your questions.
Reply Date: 2022/05/01
More Info
Understanding drug-food interactions is crucial for ensuring the effectiveness of medications and minimizing potential side effects. When taking medications such as Bokey (Aspirin), Famotidine, Amlobin (Amlodipine), and Anxolipo (Atorvastatin), it is essential to be aware of how certain foods can affect their absorption and efficacy.
1. Bokey (Aspirin): Aspirin is commonly used as an anti-inflammatory and antiplatelet medication. While there are no significant food interactions reported with aspirin, it is advisable to take it with food to minimize gastrointestinal irritation. Alcohol should be avoided as it can increase the risk of stomach bleeding when combined with aspirin.
2. Famotidine: Famotidine is an H2 receptor antagonist used to reduce stomach acid. It is generally well-tolerated with food, but it is important to note that certain foods can affect its absorption. For instance, high-fat meals may delay the absorption of famotidine. Therefore, it is recommended to take famotidine either before meals or at least one hour after eating.
3. Amlobin (Amlodipine): Amlodipine is a calcium channel blocker used to treat high blood pressure and angina. Grapefruit and grapefruit juice should be avoided while taking amlodipine, as they can increase the drug's concentration in the bloodstream, potentially leading to adverse effects such as low blood pressure or increased heart rate. It is also advisable to avoid high-fat meals, as they can affect the drug's absorption.
4. Anxolipo (Atorvastatin): Atorvastatin is a statin used to lower cholesterol levels. While atorvastatin can be taken with or without food, it is important to avoid consuming large amounts of grapefruit or grapefruit juice, as they can interfere with the liver enzymes that metabolize the drug, leading to increased levels of atorvastatin in the blood and a higher risk of side effects.
Regarding fish oil, it is often taken as a supplement for its omega-3 fatty acids, which are beneficial for heart health. Generally, consuming fish or fish oil does not pose significant interactions with the medications mentioned above. However, it is important to be cautious with the dosage of fish oil, as high doses can increase the risk of bleeding, especially when taken with anticoagulants like aspirin.
In summary, while the medications you are taking do not have major food interactions, it is essential to be mindful of specific foods that can affect their absorption and efficacy. Here are some general tips to avoid potential interactions:
- Timing: Take medications at the recommended times, either before or after meals, as advised.
- Grapefruit: Avoid grapefruit and grapefruit juice when taking amlodipine and atorvastatin.
- Alcohol: Limit alcohol intake, especially with aspirin, to reduce the risk of gastrointestinal issues.
- High-fat meals: Be cautious with high-fat meals when taking famotidine and amlodipine, as they can affect absorption.
Always consult with your healthcare provider or pharmacist for personalized advice regarding your medications and any potential food interactions. They can provide you with the most accurate information based on your specific health needs and medication regimen.
Similar Q&A
Understanding Drug and Food Interactions: A Guide for Heart Patients
Hello, I would like to inquire about potential interactions between medications and food, as well as between different medications. Currently, I am taking three common heart disease medications daily: 1. Mevalotin Protect 40 mg/tab (Pravastatin Sodium) 2. Bokey EM cap 100 mg/tab ...
Dr. Liao Lingmei reply Pharmacology
Dear: After reviewing relevant literature databases, the following information is provided for reference: Drug and food interactions: Berkey enteric-coated microparticle capsules should be taken with a 12-hour interval from alcohol; Drug and fruit interactions: There are no relat...[Read More] Understanding Drug and Food Interactions: A Guide for Heart Patients
Understanding Drug Interactions: Risks and Effects on Treatment Efficacy
Hello, Doctor. I have a few questions: 1. If I switch medications, is there a risk of ineffectiveness or decreased efficacy? I am currently switching from Odefsey® film-coated tablets to Biktarvy 50/25/200mg tablets. 2. Will consuming food such as milk, soy milk, sausage, and...
Dr. Hong Yuanbin reply Internal Medicine
Hello, 1. The risks or effects should be determined based on your medical condition. In theory, your physician should adjust your medication according to your physical status and other medications you are taking, selecting the most suitable medication for you. 2. Regarding foo...[Read More] Understanding Drug Interactions: Risks and Effects on Treatment Efficacy
Understanding Drug Interactions: A Guide for Sleep and Digestive Health
Hello, pharmacist. I am currently experiencing long-term insomnia and gastrointestinal discomfort, for which I am taking the following medications: - Mirtazapine (at bedtime) - Clonazepam (at bedtime) - Midazolam (at bedtime) - Nitrazepam (at bedtime) - Famotidine (in the morni...
Dr. Hou Fangmin reply Pharmacology
Hello Mr. Liu: You are currently taking four different sedatives, and being so young, it is advisable to limit the use of sedatives. Please be aware of the potential interactions that may lead to central nervous system (CNS) depression. 1. Concurrent use of MIRTAZAPINE and clonaz...[Read More] Understanding Drug Interactions: A Guide for Sleep and Digestive Health
Understanding Drug Interactions and Safety with Antibiotics
1. Do the antibiotics "Cefuroxime Axetil," "Wilprafen," and "Amoxicillin" interact with foods such as soybeans, eggs, black fungus, milk, yogurt, and vinegar? 2. Antibiotics can disrupt the balance of gut microbiota; can taking probiotics help impr...
Dr. Hou Fangmin reply Pharmacology
Hello Mr. A-Lung: 1. It is best to take the three antibiotics mentioned above at least 2 hours apart from food to avoid any potential interactions. However, they should not be taken concurrently with anticoagulants, antiepileptic drugs, or lipid-lowering medications due to possi...[Read More] Understanding Drug Interactions and Safety with Antibiotics
Related FAQ
(Pharmacology)
Drug Interactions(Internal Medicine)
Drug Interactions(Gastroenterology and Hepatology)
Drug Interactions(Family Medicine)
Drug Interactions(Cardiology)
Drug Interactions(Psychiatry)
Medication Safety(Pharmacology)
Drug Interactions(Traditional Chinese Medicine)
Dietary Supplements(Pharmacology)
Regulations(Pharmacology)