Drug interactions, Gastroenterology and Hepatology FAQ

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Understanding Drug Interactions: Managing GERD with Multiple Medications

Medication consultation I have gastroesophageal reflux disease and am taking Nexium. I am also on psychiatric medications Easyfor (an SNRI) and Sulpiride. I previously felt that Nexium was effective, but recently I feel that it is not working well. I wonder if there are any inter...


Dr. Chen Shidian Reply:
There is no research that would affect this; it is necessary to discuss further with a physician and pay attention to diet, avoiding acidic, sweet, and irritating foods.

[Read More] Understanding Drug Interactions: Managing GERD with Multiple Medications


Can Pain Relief Medications Worsen Acid Reflux Symptoms?

Can pain relief medications potentially exacerbate gastroesophageal reflux disease (GERD)? Due to a diagnosis of mild gastroesophageal reflux disease (GERD) and a previous duodenal ulcer, I am currently taking gastrointestinal medications including Pantoprazole and Domperidone. A...


Dr. Hu Guozheng Reply:
If there are concerns about potential drug interactions, it is advisable to consult a pharmacist or the prescribing physician. The medication bag should contain relevant contact information. Thank you.

[Read More] Can Pain Relief Medications Worsen Acid Reflux Symptoms?


Understanding Mild Gastric Ulcers: Symptoms, Treatment Duration, and Medication Safety

Mild peptic ulcer-related issues? Hello, Doctor. I had an endoscopy two weeks ago due to stomach discomfort, and the doctor mentioned that I have a mild gastric ulcer. The doctor prescribed several medications including "Heliobacter pylori eradication therapy, Sucralfate, Om...


Dr. Chen Shidian Reply:
Improvement can be expected within a few days, and it can be combined with anxiety medication.

[Read More] Understanding Mild Gastric Ulcers: Symptoms, Treatment Duration, and Medication Safety


Understanding Esophageal Polyps: Concerns and Treatment Options

Pyloric polyp? Two weeks ago, I underwent an upper gastrointestinal endoscopy at the clinic, where I was diagnosed with a gastric ulcer and gastroesophageal reflux disease (GERD). During the procedure, a 1 cm polyp was removed from the fundus of my stomach, but the doctor mention...


Dr. Hu Guozheng Reply:
Dear Grace, there are many types of gastric polyps, and most of them are benign. The decision to perform a biopsy or removal typically relies on the judgment of the endoscopist. Since a significant number of small benign gastric polyps have an extremely low risk of malignant tran...

[Read More] Understanding Esophageal Polyps: Concerns and Treatment Options


Pain-Reduced Gastroscopy: Is Medication Safe Before the Procedure?

Pain-free gastroscopy and medication? Hello: I regularly take Jing An Ning. I would like to ask if it is appropriate to take this medication before undergoing a "pain-reducing" gastroscopy.


Dr. Yang Zhichao Reply:
Hello Ms. Jess, if you are using Jing'an Ning as a sleep aid, it can be taken the night before the examination. If you have concerns about potential drug interactions, you should directly contact the facility conducting the examination for clarification. Thank you for your i...

[Read More] Pain-Reduced Gastroscopy: Is Medication Safe Before the Procedure?


Understanding the Impact of TCA Antidepressants on GERD Symptoms

Psychiatric medications / Gastroesophageal reflux disease (GERD) Hello, doctor. I have not had any issues with gastroesophageal reflux disease (GERD) until I started taking the antidepressant TCA, and now I've been experiencing symptoms for almost three weeks, including bloa...


Dr. Chen Shidian Reply:
It may be related to medication, aside from acid-reducing drugs, but it is also necessary to control sweets and coffee intake. It can also be combined with prokinetic agents like metoclopramide. The duration of medication will vary depending on individual circumstances.

[Read More] Understanding the Impact of TCA Antidepressants on GERD Symptoms


Consultation on GERD Medication: Rabeprazole and Drug Interactions

Gastroesophageal reflux disease (GERD) medication consultation? Hello Doctor, I recently sought medical attention for gastroesophageal reflux disease, and the doctor prescribed me Rabeprazole. However, I am also taking a medication for chronic prostatitis called Levofloxacin. Bot...


Dr. Chen Shidian Reply:
No aluminum... rest assured.

[Read More] Consultation on GERD Medication: Rabeprazole and Drug Interactions


Understanding Milk Thistle in Liver Health: Benefits and Concerns

Regarding the ingredients of Silymarin liver protection capsules: Milk Thistle? Hello, doctor. I have some questions regarding Silymarin liver protection capsules. Question 1: I have hepatitis B and would like to know if this product containing milk thistle can be taken long-te...


Dr. Lin Minghui Reply:
Hello, Hepatitis B is a viral hepatitis, and it is important to protect the liver by avoiding staying up late, not taking medications indiscriminately, and undergoing regular follow-ups. Currently, there are oral antiviral medications and long-acting interferon injections avail...

[Read More] Understanding Milk Thistle in Liver Health: Benefits and Concerns


Managing Digestive Motility Issues: Natural Solutions and Probiotics

Digestive motility issues My stomach seems to not function daily; it only works when I exercise. What medications for gastrointestinal motility have fewer side effects? If I don't take medication, I experience indigestion, lack of appetite, bloating, and a bitter taste in my...


Dr. Lin Minghui Reply:
Hello, in addition to ruling out organic issues for indigestion, it is important to pay attention to dietary habits, such as eating regularly, not eating too quickly, and avoiding greasy, hard-to-digest foods. If gastrointestinal motility is poor, a physician may prescribe prokin...

[Read More] Managing Digestive Motility Issues: Natural Solutions and Probiotics


Understanding Helicobacter Pylori and Duodenal Ulcer Treatment Options

Treatment of Helicobacter pylori and Duodenal Ulcers Hello, last week I underwent an upper gastrointestinal endoscopy, and the results showed several areas of gastric erosion, chronic duodenal ulcer with deformity of the bulb, and a positive reaction for Helicobacter pylori. The ...


Dr. Cai Anshun Reply:
Hello: (1) Treatment can begin at the start or after medication; however, it is not advisable to treat during acute bleeding. (2) The treatment duration is 3-4 months. Please consult a physician to confirm whether medication is necessary. (3) There will be no drug interactions. Y...

[Read More] Understanding Helicobacter Pylori and Duodenal Ulcer Treatment Options


Can Hair Loss Treatments Like Finasteride Affect My Hepatitis B?

Hepatitis B and medications for treating male pattern baldness? Hello, doctor. I have hepatitis B and am currently under regular follow-up at a provincial hospital. My current condition includes fatty liver, but everything else is normal. I would like to ask if it is appropriate ...


Dr. Lin Minghui Reply:
Hello Linus, regarding medications like Linopirdine and Boscalid, literature reports associated side effects include impacts on sexual function, effects on PSA (Prostate-Specific Antigen) levels, and cases of elevated liver enzymes, particularly in patients who consume alcohol, a...

[Read More] Can Hair Loss Treatments Like Finasteride Affect My Hepatitis B?