Drug interactions, Neurology FAQ

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Understanding Side Effects of Rydan Tablets in Elderly Patients

Medication Issue - Rydapt (Midostaurin) My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures. Since she has a long-standing issue with hand tremors, we took her to the hospital for an examinat...


Dr. Peng Shiwei Reply:
Hello, there are many medications available for treating tremors and Parkinson's disease. Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management. Tha...

[Read More] Understanding Side Effects of Rydan Tablets in Elderly Patients


Medication Consultation for Autonomic Nervous System Disorders

Medication Consultation Hello, Doctor: I would like to inquire about the use of medications for autonomic nervous system disorders. I have been taking Xanax and Mirtazapine for about a month. I take Xanax at least 1 to 3 times a day during panic attacks, and I take half a tablet ...


Dr. Cai Zongzhang Reply:
Hello: The side effects of Clomipramine may not occur in every patient taking the medication, so it is advisable to discuss this further with your physician.

[Read More] Medication Consultation for Autonomic Nervous System Disorders


Concerns About Drug Interactions: Lyrica and Circulating Medications

Please provide information regarding the drug interactions between medications used for fibromyalgia and cyclobenzaprine? Hello, Dr. Tsai. I would like to ask about my fibromyalgia issue. My doctor prescribed me Lyrica to take one capsule every night, but my family is concerned a...


Dr. Cai Zongzhang Reply:
Hello, Ms. Kuo: Circulin is a medication for peripheral circulation. It is essential to have a physician evaluate and confirm that the underlying cause is due to circulatory disorders before taking this medication. Please do not self-medicate.

[Read More] Concerns About Drug Interactions: Lyrica and Circulating Medications


Managing Epilepsy in Autistic Children: Medication Concerns and Solutions

Antiepileptic drugs Dear Dr. Tsai, I have a child with autism who suffers from epilepsy. He has been taking Apo-Divalproex (250mg & 500mg) for two years and seven months without any recurrence of seizures. However, since starting this medication, he has changed significantly...


Dr. Cai Zongzhang Reply:
Hello Mr. Yeh: It is recommended to discuss medication with the prescribing physician and not to discontinue the medication on your own.

[Read More] Managing Epilepsy in Autistic Children: Medication Concerns and Solutions


Can I Take Anxiety and Depression Medications with Brain Relaxants at Night?

Can sedative medications be taken with antidepressants before bedtime? Due to my autonomic nervous system disorder, the neurologist prescribed me anxiety medication, antidepressants, and a brain relaxant to be taken together before bedtime. What effects might this cause? Today is...


Dr. Hong Weibin Reply:
Hello: Taking them together should not cause any drug interactions, so it is safe to use. However, if the effects are too strong and you experience general weakness, you may reduce the dosage.

[Read More] Can I Take Anxiety and Depression Medications with Brain Relaxants at Night?


Managing UTI Prevention with Cranberry After Stroke Medication

Medication and Cranberry Use After Stroke After my mother had a stroke, she has been taking aspirin and clopidogrel. Recently, she has been experiencing frequent urinary tract infections and has seen a doctor for medication during these episodes. I would like to know if she can t...


Dr. Hong Weibin Reply:
Hello Ms. Yang, 1. Currently, there are no reported drug interactions between cranberry and aspirin (antiplatelet medication) or statins (lipid-lowering medications). Therefore, it is feasible to take them separately. However, when cranberry is taken with other anticoagulants (s...

[Read More] Managing UTI Prevention with Cranberry After Stroke Medication


Safe Supplements for Mild Stroke Survivors: What to Consider?

Are there any dietary supplements suitable for individuals who have experienced a mild stroke? Hello, my boyfriend's father experienced some health issues last year and after a hospital examination, the doctor diagnosed him with a mild stroke. He is currently taking anticoag...


Dr. Jiang Junyi Reply:
Hello: Regarding health supplements, those that may prevent cerebrovascular diseases often have effects similar to medications, such as ginkgo for preventing thrombosis and red yeast rice for lowering blood lipids. For patients who are already undergoing treatment, these suppleme...

[Read More] Safe Supplements for Mild Stroke Survivors: What to Consider?


Managing Muscle Pain After Stroke: Can Aspirin Help?

Muscle pain after a stroke? Hello, I am currently taking the following medications, but I have been experiencing unusual muscle pain for the past two days. Can I take aspirin or other pain relievers? Thank you. 1. Loratadine (fiNSKa) 10mg/tab 2. Ambroxol HCl (Mubroxol) 30mg/tab ...


Dr. Jiang Junyi Reply:
Hello: I would like to know how long you have been using the cholesterol-lowering medication Lipitor. The main side effect of this type of medication is muscle pain. You are also taking Aggrenox 200/25mg, where the 25mg refers to Aspirin. Since you are on multiple medications, it...

[Read More] Managing Muscle Pain After Stroke: Can Aspirin Help?


Understanding Weakness in Older Adults: Causes and Solutions

Generalized weakness in the elderly? Dear Doctor, Hello. My mother is 54 years old and has recently been experiencing frequent generalized weakness, particularly in her left arm, which feels limp and has almost no sensation. She sometimes appears disoriented. She has a history o...


Dr. Jiang Junyi Reply:
Hello, your mother is 54 years old, which falls into the middle-aged category. If there are issues with multiple medication usage, it is advisable to find a nearby hospital with an emergency department to manage her medications. Hospitals with emergency services typically have a ...

[Read More] Understanding Weakness in Older Adults: Causes and Solutions


Understanding Childhood Epilepsy: Causes, Treatment, and Concerns

Pediatric epilepsy Hello Doctor, my child is currently 7 months old. After birth, he was suspected to have a stroke in the right hemisphere due to placental obstruction of cerebral blood vessels, resulting in reduced mobility on the left side of his body. At that time, the doctor...


Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of epilepsy is brain injury. Certain medications may trigger seizures. Currently, you mentioned that Keppra is a medication with fewer drug interactions. If a new type of seizure occurs, it is important to rule out any new c...

[Read More] Understanding Childhood Epilepsy: Causes, Treatment, and Concerns


Understanding Persistent Dizziness, Nausea, and Head Pain in Seniors

Headache, dizziness, nausea, and warm feet? Hello Doctor, I would like to ask about my grandmother. She often experiences dizziness, and a few days ago while cooking in the kitchen, she suddenly felt lightheaded. Sometimes at night, she feels a tightness in her stomach and wants ...


Dr. Jiang Junyi Reply:
Hello, based on your description, your grandmother has many symptoms. First, we should consider Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting u...

[Read More] Understanding Persistent Dizziness, Nausea, and Head Pain in Seniors