Pharmacology Q&A - Page 47

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Understanding the Dosage of Paxil: Is 0.25 mg Safe for Anxiety?

Prozac The dosage of 0.25 tablets of "Bai You Jie" (Fluoxetine) taken before bedtime is considered a low dose. The reason for this prescription is that you often feel on the verge of a panic attack, although it is primarily due to your thoughts. You experience symptoms ...


Dr. Liu Huiya Reply:
Hello: Using 0.25 tablets of Paxil (Paroxetine) before bedtime is a very low dose; the generally recommended therapeutic dose ranges from 20mg (1 tablet) to 60mg. This class of medication is not addictive, so long-term use does not pose issues of addiction or withdrawal. If you a...

[Read More] Understanding the Dosage of Paxil: Is 0.25 mg Safe for Anxiety?


Does Taking Too Much L-Glutamine Cause Constipation?

L-Glutamine I would like to ask if taking too much L-glutamine can cause constipation?


Dr. Liao Lingmei Reply:
Dear: L-Glutamine is used abroad for therapeutic purposes and may have several gastrointestinal side effects, such as abdominal pain, nausea, or vomiting. In Taiwan, it is commonly used as a dietary supplement, and many people utilize it to help alleviate cancer symptoms. In such...

[Read More] Does Taking Too Much L-Glutamine Cause Constipation?


Comparing Birth Control Pills: Cost, Effectiveness, and Health Benefits

Regarding contraceptive pills? Hello! My girlfriend and I have been using both condoms and birth control pills as contraceptive measures. She has been taking Yaz for over six months now, and she hasn't experienced any side effects, and the contraceptive effect has been quite...


Dr. Xu Yiyuan Reply:
Hello, regarding your question about "birth control pills," we cannot guarantee that our answer is 100% accurate since we are unsure which brand of birth control pills you received at the health center or gynecology clinic. We appreciate your understanding in this matte...

[Read More] Comparing Birth Control Pills: Cost, Effectiveness, and Health Benefits


Best Motion Sickness Medications for Mountain Climbing Adventures

Is motion sickness medication suitable for mountain climbing? I plan to go hiking, but I need to take a tour bus up the mountain, and I tend to get motion sickness. However, I'm also concerned about feeling drowsy during the hike. What can I do to address this, or what medic...


Dr. Xu Yiyuan Reply:
Hello, regarding your inquiry about "motion sickness medication," in medical terms, we refer to it as medication for "motion sickness." Most medications related to motion sickness tend to have drowsiness as a side effect, so manufacturers often add caffeine to...

[Read More] Best Motion Sickness Medications for Mountain Climbing Adventures


Can Taking Wakamoto Digestive Tablets Affect My Grandmother's Medications?

Medication concerns? I would like to ask: My grandmother is experiencing constipation, so we purchased Wakamoto intestinal tablets for her to take, hoping to improve her gut environment to aid in bowel movements. However, she has chronic conditions such as hypertension and hyperg...


Dr. Lin Zhenjun Reply:
Hello, Miss Hsiao-Hui. Thank you very much for raising such a good question. I believe you are quite concerned about your grandmother's health! Regarding the Wakamoto intestinal tablets, which contain a combination of "digestion," "intestinal regulation,"...

[Read More] Can Taking Wakamoto Digestive Tablets Affect My Grandmother's Medications?


Why Should You Take Lafuzo XL 10mg Tablet Right After Dinner?

Medication Consultation Lafuzo XL 10mg tablets should be taken immediately after dinner because taking it with food can enhance its absorption and effectiveness. Additionally, taking it in the evening may help to minimize potential side effects, such as drowsiness, which can occu...


Dr. Wu Zhengfen Reply:
Hello: This medication requires a prescription from a physician. The usual dosage is one tablet per day, to be taken immediately after dinner. Please swallow the tablet whole; do not crush it. To avoid the occurrence of initial symptoms such as orthostatic hypotension, palpitatio...

[Read More] Why Should You Take Lafuzo XL 10mg Tablet Right After Dinner?


Safe Cold Medications During Pregnancy: What You Need to Know

Cold medications during pregnancy? Hello: I am currently over 12 weeks pregnant, but I have a cold. The doctor prescribed Sconmelt, Panadol, Sutussi syrup, Bricanyl, and Fynadin F.C. Are these medications safe to use? Can I take them now? I am feeling very uncomfortable due to th...


Dr. Chen Shuzi Reply:
Hello: In clinical practice, the safety of medication use during pregnancy should prioritize Category A and B drugs, followed by Category C medications. Category D drugs should only be considered if the pregnant woman absolutely requires the treatment to avoid life-threatening si...

[Read More] Safe Cold Medications During Pregnancy: What You Need to Know


Does Mestinon Affect Blood Pressure in Patients with Hypertension?

Mestinon I have hypertension. Will taking this medication cause fluctuations in my blood pressure? Medication: Mestinon. Thank you!


Dr. Xie Weigong Reply:
Mestinon is clinically used to treat myasthenia gravis, but there are also studies suggesting its use for treating orthostatic hypotension. Therefore, it is recommended to discuss the cautious use of this medication with your primary care physician if you have high blood pressure...

[Read More] Does Mestinon Affect Blood Pressure in Patients with Hypertension?


Vitamin C Dosage Recommendations for Patients with Favism

The dosage of vitamin C for individuals with G6PD deficiency (Favism) should be approached with caution. It is important to consult a healthcare professional for personalized recommendations, as excessive vitamin C intake may lead to oxidative stress and hemolytic anemia in susce...


Dr. Liao Lingmei Reply:
Dear: Vitamin C is classified as a low-risk medication on the "safe (or unsafe) medication list" for patients with G6PD deficiency. Since G6PD deficiency is categorized by severity, it can be safely taken in cases of class II or III (unless in high doses). However, ther...

[Read More] Vitamin C Dosage Recommendations for Patients with Favism


Managing Pain with Ketorolac in Patients on Warfarin: Risks and Alternatives

Issues related to the use of ketorolac? My father is taking warfarin and recently suffered a rib fracture in a car accident. If he receives ketorolac injection for pain relief in the hospital, will there be any side effects? If he only receives one injection, will there be any in...


Dr. Hou Fangmin Reply:
Hello: Warfarin is a vitamin K antagonist that inhibits the hepatic synthesis of functional clotting factors II, VII, IX, and X. This medication takes effect within 2 to 7 days and, unlike heparin, has no anticoagulant effect in vitro. It can cross the placenta but does not pass ...

[Read More] Managing Pain with Ketorolac in Patients on Warfarin: Risks and Alternatives


Managing Bloating and Acid Reflux During Pregnancy: Safe Remedies

Pregnancy-related bloating? Hello, I would like to ask if it is safe to use baby gas relief ointment at 14 weeks pregnant, considering that I have a history of gastrointestinal issues and am experiencing bloating and gastroesophageal reflux. Thank you.


Dr. Chen Shuzi Reply:
Hello: There are many brands of gas relief ointments available on the market, and their ingredients can vary significantly. It is recommended to provide the ingredient list to your physician or pharmacist for further evaluation before use, to ensure its safety.

[Read More] Managing Bloating and Acid Reflux During Pregnancy: Safe Remedies


Understanding Merislon: Effects on Dizziness and Blood Pressure Concerns

Medication Use Merislon is a medication commonly used to treat dizziness and vertigo. It contains the active ingredient meclizine, which helps to reduce symptoms associated with motion sickness and balance disorders. Regarding blood pressure, Merislon is not typically known to ca...


Dr. Hou Fangmin Reply:
Hello Shuzhen, The medication Merislon is an antiemetic. Its indications include dizziness and hearing impairment caused by Meniere's disease. Possible side effects include gastrointestinal discomfort, nausea, vomiting, headache, drowsiness, and urticaria, among others. R...

[Read More] Understanding Merislon: Effects on Dizziness and Blood Pressure Concerns


Managing Dizziness Medications: Safety and Diabetes Considerations

Medications for dizziness? I have been experiencing dizziness for over a month and visited a neurologist at the hospital. After conducting tests, everything came back normal. The doctor prescribed Diphenidol 25 mg, to be taken one tablet twice daily, and Melitracen 10 mg, to be t...


Dr. Huang Shenggang Reply:
Hello, Amei. First, let me explain these two medications: According to the Ministry of Health and Welfare website, Diphenidol is indicated for vertigo caused by inner ear disorders (including vertigo due to cerebrovascular disorders and sequelae from head and neck trauma) and Men...

[Read More] Managing Dizziness Medications: Safety and Diabetes Considerations


Can You Take B Vitamins with Escitalopram? A Pharmacist's Advice

Vitamin B complex and Western medicine? Hello, pharmacist. I take Escitalopram 10mg every morning regularly. Is it safe to take it together with B vitamins?


Dr. Weng Yiji Reply:
Hello: After reviewing relevant books and literature, there are no interactions between Liyou and B-complex vitamins, so you can safely take them together. Additionally, if you are taking B-complex vitamins due to fatigue, it is recommended to consume more fruits, as many fruits ...

[Read More] Can You Take B Vitamins with Escitalopram? A Pharmacist's Advice


Is L-Glutamine Sensitive to Stomach Acid: Powder vs. Capsule?

L-Glutamine L-glutamine is available in both powder and capsule forms on the market. I would like to ask if L-glutamine is easily destroyed by stomach acid. If so, would it be better to choose capsules, although I feel that the purity of the powder form is higher?


Dr. Liao Lingmei Reply:
Dear: 1. Is L-Glutamine easily destroyed by stomach acid? When supplementing with L-Glutamine, is there a significant difference in effectiveness between injection and oral administration? 2. Currently, there are no comparative studies on the absorption differences between ca...

[Read More] Is L-Glutamine Sensitive to Stomach Acid: Powder vs. Capsule?


Understanding the Risks of Long-Term Sleep Aid Abuse and Misuse

Concerns about medication safety? Hello, I would like to ask about a situation. I have been taking 5-6 sleeping pills daily, experiencing hallucinations, yet I feel as if I am not. The key point is that this has been the same every day for a year, totaling around 1,825 sleeping p...


Dr. Gu Zhenting Reply:
Sedative-hypnotic medications should ideally not be used long-term. From a medical perspective, they are intended for "symptomatic treatment," meaning they address the symptoms rather than the underlying causes. Except for a few cases of primary insomnia, most insomnia ...

[Read More] Understanding the Risks of Long-Term Sleep Aid Abuse and Misuse


Understanding the Long-Term Side Effects of Stinose and Prescription Requirements

Regarding Stenosis What are the long-term side effects of this medication, and is it possible to have someone else pick up the medication on my behalf? Is a prescription required? Thank you, and if convenient, could you please reply to my email?


Dr. Liu Huiya Reply:
Hello: Stinose has the potential for long-term dependence, and a small number of individuals have reported experiencing sleepwalking after taking it, so it should be used with caution. This medication must be prescribed by a physician for the purpose of aiding sleep. Since Stinos...

[Read More] Understanding the Long-Term Side Effects of Stinose and Prescription Requirements


Is Diamicron MR and Glucophage Safe for Diabetes Management?

How serious is diabetes? Taking Diamicron MR 30 mg once in the morning and once at night on an empty stomach, along with 850 mg of Glucophage (metformin) after meals, and administering insulin, is generally considered safe for the liver and kidneys. Is this regimen better?


Dr. Liao Lingmei Reply:
Dear: 1. Subject of the inquiry: How serious is diabetes? Response: Diabetes is a chronic disease, and if blood sugar levels are poorly controlled over a long period, it can lead to various complications affecting both large and small blood vessels (such as cardiovascular, cere...

[Read More] Is Diamicron MR and Glucophage Safe for Diabetes Management?


Can I Fill My Chronic Medication Prescription from Chang Gung at NTU Hsinchu?

Continuous prescription Can I pick up a chronic disease continuous prescription issued by Chang Gung Memorial Hospital at National Taiwan University Hospital in Hsinchu?


Dr. Liao Huiling Reply:
1. Chronic disease continuous prescriptions issued by hospitals can be filled at community pharmacies or the original hospital where the patient was treated. 2. The pharmacy departments within hospitals are not independent profit-making entities, so they can only dispense prescri...

[Read More] Can I Fill My Chronic Medication Prescription from Chang Gung at NTU Hsinchu?


Hypertension Medications and Breastfeeding: What New Moms Need to Know

Medications for hypertension and breastfeeding? Hello, I am a new mom who just had a cesarean section about two weeks ago. Due to preeclampsia, my baby was born early, and the doctor suspects that I have chronic hypertension, so they prescribed antihypertensive medication for me....


Dr. Chen Shuzi Reply:
Hello, Xiao Ting: Regarding the current medication issues: 1. According to the literature, the use of Hydralazine HCl (Apresoline) during breastfeeding is considered appropriate. However, Nifedipine can be secreted into breast milk, and although it is still uncertain whether it a...

[Read More] Hypertension Medications and Breastfeeding: What New Moms Need to Know




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