Drug interactions, Pharmacology FAQ

Understanding Medication Side Effects: Sleep Issues and Heart Rate Concerns

Drug side effects Hello, Doctor. Recently, I have been taking a medication called Mindray (思維佳). Although I am also on a medication for "heart rhythm," I have been experiencing noticeable and rapid heartbeats before falling asleep, which makes it difficult for me to set...

Dr. Liao Lingmei Reply:
Hello: Patients taking MindPro may experience palpitations as a side effect in over 16% of cases. If this side effect negatively impacts your quality of life, please return to your doctor for advice on how to manage it. This will ensure you receive professional guidance and avoid...

Understanding Drug Interactions: Valdoxan and Remeron at Bedtime

Medication consultation for Fan Duo Shan and Le Huo You? Is there a potential interaction when taking two antidepressants, Valdoxan 25mg and Remeron 30mg, at the same time before bed?

Dr. Liu Huiya Reply:
Currently, there is no evidence to suggest that there are drug interactions between the two medications. Taking them together before bedtime can also promote sleep. If any other discomforting symptoms persist, please return to the clinic and inform your physician.

Understanding Drug Interactions: Aprazo, An-An, and Sketa Capsules

Drug interactions Hello, I would like to ask if Aprazo 0.5mg and An-An will interact with Sketa Capsules "Patron." I forgot to bring my medications to the hospital today. Thank you for your response, doctor.

Dr. Liao Huiling Reply:
1. An-An and Sketa have similar ingredients, both being pain relievers combined with muscle relaxants, so they should not be taken together. 2. The muscle relaxants contained in both may enhance the sedative effects of Aprazo; if drowsiness occurs, driving or operating hazardous ...

Drug Interactions with Sulphasalazine: Safety Concerns with Cold Medications and Herbal Remedies

Drug interactions, medication consultation, Sulphasalazine? Hello, I have been taking Sulphasalazine 1g twice daily for ankylosing spondylitis. I would like to know if this medication has any interactions with common cold medications, vitamin C, or Fangfeng Tongsheng San. Additio...

Dr. Chen Yuemei Reply:
Hello: 1. Regarding drug interactions with Sulfasalazine, literature indicates that it may interact with NSAIDs commonly found in cold medications (which serve to reduce fever, relieve pain, and provide anti-inflammatory effects), potentially increasing the risk of gastrointest...

Consultation on Drug Interactions for Stomach Ulcer Treatment

Consultation on Drug Interactions for Peptic Ulcer Medications Hello, I was recently diagnosed with a gastric ulcer and gastroesophageal reflux disease (GERD). I am currently taking one tablet of Pantoprazole daily and have not yet started treatment for Helicobacter pylori. A few...

Dr. Hou Fangmin Reply:
Hello: The medications you are taking are antibiotics for inflammation, pain relief, stomach medications, and enzymes. Having a simple medication for a runny nose is fine for short-term use and should not cause a gastric ulcer. Antibiotics should be taken for at least 7 days. I a...

Understanding Drug-Food Interactions: Safety Tips for Common Medications

Drug-food interactions inquiry? Hello, I would like to inquire about the following information from other hospitals. Due to concerns for life safety, could you please help confirm if this is accurate? Thank you. Currently, I am taking Plavix (clopidogrel), Crestor (rosuvastatin),...

Dr. Liao Lingmei Reply:
Hello: Certain components in food can indeed interfere with drug metabolism. For example, the concomitant use of Clopidogrel (Plavix) and grapefruit can reduce the active metabolite of Plavix, leading to decreased efficacy and potentially increasing the risk of thrombosis. Regard...

Understanding Drug Interactions: Your Questions Answered

Medication Consultation 1. On July 20, I underwent surgery on my toe and took Panadol 500 mg (for 3 days). 2. On July 24, feeling a foreign body sensation in my throat, I visited a nearby clinic where the doctor prescribed me medication for post-nasal drip (for 3 days): Voltaren...

Dr. Liao Lingmei Reply:
Hello: If you have been following the doctor's instructions regarding medication, you should have completed the course of Panadol, and there should be no concerns about drug interactions with other medications. Voltaren SR is an anti-inflammatory pain reliever, Cabidrin is u...

Understanding Drug Interactions: Safety Concerns with Multiple Medications

Drug interactions inquiry? Hello: I have been taking Clopidogrel, Aspirin, and Atorvastatin for over three months due to a stent. Later, I developed gastric mucosal injury (could it be caused by Aspirin?). I was prescribed a PPI for my stomach. Recently, due to stress, I have bee...

Dr. Gu Zhenting Reply:
1. Without specific medication names and dosages, we cannot determine if there are any drug interaction issues. 2. If there are interaction concerns, simply staggering the administration times can help mitigate the effects of the interactions. 3. It is recommended to return t...

Managing Side Effects of Medications: Hydroxychloroquine and More

Medetomidine and other medications? I would like to ask, I am currently taking Hydroxychloroquine 200 mg/tab at 1 tab/day, Prednisolone 5 mg/tab at 3 tabs/day, Azathioprine 50 mg/tab at 1 tab/day, and I have just finished taking Medroxyprogesterone acetate 5 mg. I have been feeli...

Dr. Hou Fangmin Reply:
Hello: The three medications you are taking are for immune-related diseases: 1. Hydroxychloroquine: used for systemic lupus erythematosus, chronic polymorphous light eruption, and chronic rheumatoid arthritis. Side effects include mild and transient headaches and gastrointestinal...

Concerns About Medication: Sleep Issues and Side Effects Explained

Medication Issues Hello, Pharmacist Hou. I apologize for bothering you. I have recently changed my medication and have been taking Jingde and Keqianping tablets at 0.5 mg before bed. I have been on this insomnia medication for almost four months, and recently I have experienced s...

Dr. Hou Fangmin Reply:
Hello Mr. Tsai: Side effects of Clonazepam include fatigue, daytime drowsiness, and lassitude. When taken with grapefruit or grapefruit juice, be aware of potential drug interactions, so it is advised not to consume grapefruit juice. There should be no side effects on the eyes....

Understanding Heart Medication: Concerns About Myocardial Ischemia and Side Effects

Could you please provide more details about the medication? Dear pharmacist, I went to Chang Gung Hospital last November for a cardiac ultrasound and a stress electrocardiogram. The report indicated that the doctor suspected I might have myocardial infarction, but the doctor at C...

Dr. Hou Fangmin Reply:
Hello Mr. Tsai: 1. The primary pharmacological action of Apresoline (Isosorbide dinitrate) is its active metabolite, which relaxes the smooth muscle of blood vessels, resulting in vasodilation of both arteries and veins. This medication is used to prevent angina attacks. Regard...

Understanding Drug Interactions: Sleep Aids, Antidepressants, and Vitamins

I would like to inquire about sleeping pills, antidepressants, and vitamins? Hello Doctor, I am currently taking the following medications and would like to ask if there are any potential interactions or precautions I should be aware of: 1. Stinous Extended Release Tablet 6.25mg ...

Dr. Liao Lingmei Reply:
Hello: The two medications provided above do not have any interactions with each other. However, there are some important points to note: 1. Food decreases the blood concentration of Stinose extended-release tablets; 2. Food delays the peak time of Mirtazapine tablets; 3. Smoking...

Do Birth Control Pills Interact with OCD Medications?

Do premedication and forced antidepressants have any interactions? I would like to ask if there will be any interactions between the contraceptive pill I am about to start taking, which is Alesse, and the medication I take for obsessive-compulsive disorder. The contraceptive pill...

Dr. Chen Yuemei Reply:
Hello: According to the literature review, the contraceptive pill Esdian (Cyproterone Acetate 2mg / Ethinyl Estradiol 0.035mg) has no drug interactions with the medications you are taking, which include Surin 200mg (Sulpiride), Melux tablets 500mg (Mephenoxalone), Clonopam 0.5mg ...

Do Herbal Supplements Affect the Efficacy of Birth Control Pills?

Emergency contraceptive pill Hello, I have been taking the oral contraceptive pill (Alesse) for nearly six months, and I am considering taking a dietary supplement, Kobayashi Pharmaceutical's "Mother's Life - Blue Bottle." The ingredients I found online includ...

Dr. Hou Fangmin Reply:
Hello, Miss Qiao: 1. The oral contraceptive Diane contains two hormones: cyproterone acetate 2mg (a progestin with anti-androgenic properties) and ethinylestradiol 35μg (an estrogen), which are similar to the natural hormones secreted by the female ovaries, making it suitable fo...

Can You Take Yojiko and B-Complex Supplements Together?

Medication inquiries Can I use Yojikoh and B-complex supplements together?

Dr. Chen Yuemei Reply:
Hello: After reviewing the medication information, it has been confirmed that there are no drug interactions between Yuezhi (active ingredients: drospirenone and ethinylestradiol) and Ke Bu B Group (active ingredients: vitamin B1, vitamin B2, vitamin B6, vitamin B12, vitamin C, v...

Understanding Drug Interactions: Safety of Antibiotics with TB Medications

Drug interactions Hello, I have been taking anti-tuberculosis medication for 6 months and am currently on EMB (Ethambutol) and RFN (Rifampin). Recently, I visited a nearby clinic due to a cold and cough, and the prescribed medications include 1. Medicon-A (cough suppressant) 2. I...

Dr. Lin Peiyu Reply:
Hello: 1. There's no need to worry; there are no significant or clinically meaningful interactions between these medications. This means that the antibiotics prescribed by the clinic will not affect the absorption of the anti-tuberculosis drugs! Therefore, if you have no oth...

Understanding Drug Interactions: Is Your Medication Affecting Your Erection?

Drug interactions Hello, I have been taking Ustec and I feel that achieving an erection has become more difficult. Is this related to the medication? Is there any interaction between this medication and Cialis?

Dr. Chen Yuemei Reply:
Hello: Regarding the medication Fluoxetine that you are taking, literature data indicates that only 1%-7% of users may experience erectile dysfunction as a side effect. Additionally, a review of drug interaction databases shows that Fluoxetine does not have any drug interactions ...

Do Antidepressants Affect Birth Control Effectiveness?

Drug interactions Hello, Pharmacist Chen. Last time I asked a question, and this time my doctor has switched me to a different antidepressant. I would like to know if this new antidepressant will interact with my oral contraceptive, potentially reducing its effectiveness or causi...

Dr. Chen Yuemei Reply:
Hello: According to the literature, the antidepressant medication Fluoxetine prescribed by your doctor does not have any drug interactions with the contraceptive pill you are taking and will not affect the effectiveness of the contraceptive.

Do Birth Control Pills Interact with Antidepressants?

Do oral contraceptives and antidepressants interact with each other? I have been taking a long-term contraceptive pill containing: ethinyl estradiol 0.035 mg and cyproterone acetate 2 mg. Recently, I visited a psychiatrist who prescribed me an antidepressant with the active ingre...

Dr. Chen Yuemei Reply:
Hello: Is your antidepressant Parole time 20mg/tab the same as Paroxe 20mg (generic name Paroxetine)? According to the literature, there are no drug interactions between the contraceptive you are taking and Paroxe 20mg, and they will not affect each other.

Essential Dietary Supplements for Heart and Vascular Health

Regarding vascular health supplements? Ms. Liao is currently taking aspirin capsules, Concor 1.25, Kadyx extended-release tablets, Lipitor, Gastrogel, and Crestor. She takes Lipitor twice a day, while the others are taken once in the morning. To improve her health, she has also b...

Dr. Liao Lingmei Reply:
Hello: 1. The best methods for maintaining vascular and cardiac health include avoiding high-cholesterol dietary habits and increasing cardiovascular exercise. Therefore, diet and exercise remain the optimal approaches. 2. Concerns have been raised regarding specific classes ...

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