Comparing Pantoprazole and Dexlansoprazole Effects on Clopidogrel Efficacy
Concerns about the inhibition of Clopidogrel by gastric medications? While taking the dual antiplatelet therapy of Aspirin and Clopidogrel, I experienced gastrointestinal discomfort and underwent an endoscopy. Since some proton pump inhibitors (PPIs) can inhibit the activity of C...
Dr. Hou Fangmin Reply:
Dear Ms. Lee, 1. The combination of Clopidogrel with Omeprazole or Esomeprazole does indeed reduce the levels of active metabolites of Clopidogrel in the bloodstream, leading to an increased risk of cardiovascular events. The U.S. FDA directly recommends avoiding this combinatio...[Read More] Comparing Pantoprazole and Dexlansoprazole Effects on Clopidogrel Efficacy
Can Clopidogrel and Finasteride Be Taken Together Safely?
Cardiac drug interactions Clopidogrel is an antiplatelet medication used to prevent blood clots, while finasteride is primarily used to treat conditions like benign prostatic hyperplasia and male pattern baldness. There are no known significant drug interactions between clopidogr...
Dr. Hong Kunyi Reply:
Hello, sir: 1. The indication for Clopidogrel (Plavix) is to reduce the occurrence of atherothrombotic events (such as myocardial infarction, stroke, or other vascular-related deaths) in patients with atherosclerotic disease who are at high risk for recent stroke, myocardial in...[Read More] Can Clopidogrel and Finasteride Be Taken Together Safely?
Is Weight Gain Normal After Switching to Yuekang Medication?
The functions of Yuekang? I am currently taking two tablets of Yuankang every night before bed. Since switching from Ubiqin to this medication last year, I lost 6 kilograms due to decreased appetite while on Ubiqin, but now my appetite has returned to normal and I have gained 10 ...
Dr. Liao Lingmei Reply:
Hello: Upon review, the ingredient in "Youbiqing" is Sertraline, which may occasionally cause weight loss in patients. The ingredient in "Yuekang" is Venlafaxine, and its side effects include endocrine effects, with a weight loss incidence rate of up to 47%. I...[Read More] Is Weight Gain Normal After Switching to Yuekang Medication?
Do Clopidogrel, Finasteride, and Doxycycline Interact?
Is there any interaction between Clopidogrel 75mg, Finasteride 5mg, and Doxycycline 100mg? I am taking Clopidogrel 75 mg, but I visited a dermatologist who prescribed Finasteride 5 mg and Doxycycline 100 mg. Can these three medications be taken together, or should they be taken a...
Dr. Liao Huiling Reply:
Clopidogrel 75mg, finasteride 5mg, and doxycycline 100mg do not have any drug interaction issues and can be taken together.[Read More] Do Clopidogrel, Finasteride, and Doxycycline Interact?
Understanding Vitamin K in Foods for Anticoagulant Users
Taking anticoagulant medications? My family member is taking anticoagulant medication, and the doctor advised that foods containing vitamin K should be limited to 0.5 bowls per day, and certain herbal medicines should be avoided. I would like to ask the pharmacist if there is a m...
Dr. Liao Huiling Reply:
1. For information regarding food composition, please refer to the Taiwan Food Nutritional Components Database provided by the Ministry of Health and Welfare's Food and Drug Administration at https://consumer.fda.gov.tw/Food/TFND.aspx?nodeID=1782. Individuals taking the anti...[Read More] Understanding Vitamin K in Foods for Anticoagulant Users
Understanding Drug Interactions: Bisoprolol and Escitalopram Effects
Drug interactions Hello, I would like to inquire whether there are any interactions between taking Bisoprolol Hemifumarate 2.5 mg and Escitalopram 2.5 mg daily. Will using them alone or in combination raise blood sugar levels? Although I do not have diabetes, I would like to be c...
Dr. Hong Kunyi Reply:
Hello: 1. After reviewing the literature, no significant interactions between the medications were found. 2. BISOPROLOL may potentially enhance the effects of insulin or oral hypoglycemic agents, so it should be used cautiously under a physician's guidance. Additionally, dia...[Read More] Understanding Drug Interactions: Bisoprolol and Escitalopram Effects
Essential Tips for Proper Medication Storage and Usage
Medication Storage Consultation Hello, the weather is getting hot and mosquitoes are becoming more numerous, so I found some anti-itch lotion to apply. I would like to ask the pharmacist a few questions: 1. I have kept the bottle under the desk lamp for about 2 to 3 months, sto...
Dr. Liao Huiling Reply:
Do medications need to be stored away from light? It depends on the stability of each medication's components in relation to light. Typically, light-sensitive medications are packaged in amber or opaque containers to protect them from light exposure. Therefore, your medicati...[Read More] Essential Tips for Proper Medication Storage and Usage
Do Birth Control Pills Interact with Sleep Medications?
Birth control pills and sleeping pills? Is there any interaction between taking the contraceptive pill containing Cyproterone Acetate 2 mg and Ethinyl Estradiol 0.035 mg and the sleep medication Zolpidem 10 mg? Will it affect the effectiveness of the contraceptive pill? Thank you...
Dr. Hong Kunyi Reply:
Hello, Miss: After reviewing the literature, no significant interactions between the medications were found. However, it is particularly important to note that contraceptives should not be taken with coffee, as this can enhance central nervous system effects. Additionally, the sl...[Read More] Do Birth Control Pills Interact with Sleep Medications?
Pregnancy and Nail Fungus Treatment: Is Topical Medication Safe?
Pregnancy Medications - Nail Fungus (Onychomycosis) Hello, Doctor. I would like to inquire about my plans for pregnancy. Currently, I am undergoing treatment for onychomycosis and using the topical medication Efinaconazole. I have consulted with a dermatologist who said it is saf...
Dr. Liao Huiling Reply:
The active ingredient of this medication, Sulconazole, is classified as Category C for use during pregnancy, indicating that its safety for the fetus is not established, but there is no evidence showing teratogenic effects. Additionally, topical medications containing this ingred...[Read More] Pregnancy and Nail Fungus Treatment: Is Topical Medication Safe?
Do Cefixmycin and Cialis Interact? Understanding Drug Interactions
Drug interactions Is there any interaction between Cefixmycin and Cialis?
Dr. Hou Fangmin Reply:
Hello Mr. AAA: You asked whether Cefixmycin interacts with Cialis. After checking, there are no known interactions between these medications; however, it is advisable not to use them together with grapefruit juice, as it may increase the bioavailability of Cialis. Please be cauti...[Read More] Do Cefixmycin and Cialis Interact? Understanding Drug Interactions
Alternatives to Muscle Relaxants for Treating TMJ Disorders
Regarding muscle relaxants? Hello, doctor. I have temporomandibular joint disorder and haven't seen a doctor yet. I've heard that muscle relaxants can help alleviate the symptoms, but I have panic disorder and am very fearful of taking medications, especially those with...
Dr. Liao Lingmei Reply:
Hello: Muscle relaxants are prescription medications, and your physician should have assessed your treatment options before prescribing them. As a pharmacist, I recommend that you follow your doctor's guidance to treat and improve your condition. Not every patient taking mus...[Read More] Alternatives to Muscle Relaxants for Treating TMJ Disorders
Does Long-Term Medication Affect Future Pregnancy Chances?
Does medication affect future pregnancies? Hello doctor, I have been diagnosed with ankylosing spondylitis and I am currently taking Baolingmei Bone Health Tablets 15mg (one tablet after dinner). I would like to inquire whether this medication will affect my future pregnancy, as ...
Dr. Chen Yuemei Reply:
Hello: Baoling Meigujian tablets (ingredient: meloxicam) belong to the class of non-steroidal anti-inflammatory drugs (NSAIDs) and are used for pain relief. They do not affect future pregnancies, and literature indicates that this medication should only be avoided after 30 weeks ...[Read More] Does Long-Term Medication Affect Future Pregnancy Chances?
Can I Take Viagra or Cialis with Urethritis Medications?
Urethritis and Viagra A few days ago, I was diagnosed with urethritis, and the doctor prescribed me the following medications: Doxycycline Enteric, Uroprin coated tablets, Suxen film-coated tablets, and a stomach medication. Can I still take Viagra or Cialis? If not, how long sho...
Dr. Chen Yuemei Reply:
Hello: According to the literature review, there are no drug interactions between the medication for urethritis and Viagra or Cialis, so they can be taken together.[Read More] Can I Take Viagra or Cialis with Urethritis Medications?
Is 18 mg of Zinc Daily Too Much? Recommended Intake for Vitamins C and E
Zinc dosage If you are consuming health supplements and taking two different types that both contain zinc, resulting in a total intake of 18 mg of zinc per day, this amount is considered to be within the tolerable upper intake level for adults, which is 40 mg per day. Therefore, ...
Dr. Hou Fangmin Reply:
Hello, Mr. Xiao Shi: 1. The recommended daily zinc intake for adult males should be between 15 to 35 milligrams. Zinc deficiency can lead to growth retardation, affecting height and weight. It can also result in slow wound healing, hair loss or slow hair growth, and the appearan...[Read More] Is 18 mg of Zinc Daily Too Much? Recommended Intake for Vitamins C and E
Can ENT and Urology Medications Be Taken Together Safely?
Can medications from the otolaryngology and urology departments be taken simultaneously? Hello: Due to tonsillitis, the ENT specialist prescribed CURAM 1000MG FILM-COATED TABLETS, IBUPROFEN F.C. TABLETS, AMBROXOL TABLETS, and TIDO TABLETS. Can these medications be taken simultane...
Dr. Hou Fangmin Reply:
Hello Mr. Li: Viagra may interact with antihypertensive medications that contain nitrates and antifungal drugs. The cold medications you are currently taking (anti-inflammatory pain relievers, antibiotics, expectorants, and gastrointestinal medications) do not have interactions w...[Read More] Can ENT and Urology Medications Be Taken Together Safely?
Do Sleep Medications Affect the Efficacy of Emergency Contraceptives?
Drug interactions between emergency contraception and sedatives? Taking emergency contraception (levonorgestrel, 1.5 mg) 24 to 48 hours after administration, followed by the use of a sleep aid (the specific ingredients are currently unknown, prescribed during treatment for depres...
Dr. Chen Yuemei Reply:
Hello: After checking, there are no drug interactions between Yuting tablets (active ingredient: levonorgestrel) and the sleep medications that the physician may prescribe, and it will not affect the contraceptive efficacy.[Read More] Do Sleep Medications Affect the Efficacy of Emergency Contraceptives?
Can I Safely Combine Medications for Sleep and Anxiety?
Drug interactions Due to long-term stress and sleep disturbances, I have been relying on drinking alcohol before bed to fall asleep. Recently, I have noticed that the effects of alcohol on my body have become increasingly significant, so I sought medical attention. The doctor adv...
Dr. Liao Lingmei Reply:
Hello: Currently, sleep aids or sedative medications are generally divided into benzodiazepines (BZD) and non-benzodiazepines (non-BZD). The four medications "Eszopiclone, Midazolam, Diazepam, and Zolpidem" are classified as intermediate-acting benzodiazepines. Self-med...[Read More] Can I Safely Combine Medications for Sleep and Anxiety?
Drug Interactions: Can Accutane and Erythromycin Be Taken Together?
Medication Consultation: Drug Interactions and Issues Related to Retinoids? Hello, doctor. I would like to ask if there are any medications that should not be taken together with oral isotretinoin. Currently, I am taking isotretinoin and erythromycin. Can these two medications be...
Dr. Hou Fangmin Reply:
Hello Mr. Black: Drug Interactions: 1. The use of isotretinoin can increase serum triglyceride levels by 50% to 70%, and liver enzymes such as SGOT, SGPT, and alkaline phosphatase may rise. 2. There are drug interactions with carbamazepine (an anticonvulsant), tetracycline/mi...[Read More] Drug Interactions: Can Accutane and Erythromycin Be Taken Together?
Understanding the Use of Emergency Contraceptive Pills: FAQs and Concerns
28-tablet oral contraceptive pill Your girlfriend's menstrual period started on the evening of November 30 and ended around December 5. She purchased a 28-day oral contraceptive pill pack and took the first pill on the evening of December 10 at 10:30 PM, continuing to take t...
Dr. Hong Kunyi Reply:
Hello, sir: After discussing with Dr. Li from the Department of Obstetrics and Gynecology, I would like to provide the following advice. Response to Question 1: The timing for taking the first pill of different brands of contraceptive pills varies, generally ranging from 1 to 5...[Read More] Understanding the Use of Emergency Contraceptive Pills: FAQs and Concerns
Interactions Between Birth Control Pills and Common Mental Health Medications
Interactions between emergency contraceptive pills and antidepressants, as well as sleeping medications? Hello, doctor. I have been taking antidepressants prescribed by my psychiatrist, including "Royal" Propra Tablets 10 mg (Propranolol), "Royal" Bupropion 15...
Dr. Liao Lingmei Reply:
Hello: There is no interaction data between Mucins and Diane-35. However, smoking should be avoided while taking Propranolol, and alcohol consumption should be avoided while taking Bupropion, Bromazepam, and Propranolol. Wishing you health and happiness![Read More] Interactions Between Birth Control Pills and Common Mental Health Medications