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Question:

I take hydrochlorothiazide 25mg, metoprolol tartrate 25mg, levothyroxine
175mg, prevacid, vitamins such as multi vitamin, b12 complete, calcium and vitamin d.

My question is does any of these medicine infer with the other one and when
should I take each one together. thank you!!


ANGELA

Answer:

Dear ANGELA,

Take hydrochlorothiazide by mouth with or without food, usually once daily.

The dosage is based on your medical condition and response to therapy.

It is best to avoid taking this medication within 4 hours of your bedtime to avoid having to get up to urinate.

Cholestyramine and colestipol can decrease the absorption of hydrochlorothiazide.

Patients allergic to sulfa may also be allergic to hydrochlorothiazide because of a similarity in the chemical
structure of the medications.

Hydrochlorothiazide can aggravate kidney dysfunction, and is used with caution in patients with kidney disease.

Hydrochlorothiazide can cause lowering of blood potassium, sodium, and magnesium levels.

Potassium supplementation is common during hydrochlorothiazide treatment.

Blood uric acid levels can increase during hydrochlorothiazide treatment, but precipitation of acute gout is rare.

Hydrochlorothiazide reduces the kidney excretion of lithium and can lead to lithium toxicity.

Blood sugar levels can be elevated, necessitating adjustment in the doses of oral diabetic medications and insulin.

Periodic blood tests are performed to monitor kidney function and electrolytes during treatment with hydrochlorothiazide.

Safe use in children has not been established

Hydrochlorothiazide should not be used with the following medications because very serious interactions may occur:

Cisapride, dofetilide., cholestyramine, colestipol, corticosteroids (e.g., prednisone), diazoxide, digoxin, lithium, nonsteroidal anti-inflammatory drugs (e.g., ibuprofen, indomethacin).

Check the labels on all your medicines (e.g., cough-and-cold products, diet aids)
because they may contain ingredients that could increase your blood pressure.

Some medicines may interact with Metoprolol Tartrate , especially any of the following:
Barbiturates (eg, phenobarbital), indomethacin, or phenylpropanolamine because they may decrease Metoprolol Tartrate 's effectiveness ,amiodarone, cimetidine, digoxin, disopyramide, flecainide, hormonal contraceptives (eg, birth control pills), hydralazine, ketanserin, mefloquine, mibefradil, quinazolines (eg, imatinib), quinidine, thiamines (eg, propylthiouracil), and verapamil because serious side effects, such as very slow heart rate and very low blood pressure, may occur

Taking bupivacaine, disopyramide, flecainide, hydralazine, ketanserin, or lidocaine the risk of their side effects may be increased by Metoprolol Tartrate

This may not be a complete list of all interactions that may occur.

Metoprolol tartrate (Lopressor) should be taken with food or immediately after you have eaten.

Try not to miss any doses. If this medication is not taken regularly, your condition may worsen.
--If you miss a dose...
If it is within 4 hours of your next dose, skip the one you missed and go back to your regular schedule.
Never take 2 doses at the same time.

Consumption of certain foods may affect levothyroxine absorption thereby necessitating adjustments in dosing.

Soybean flour (infant formula), cotton seed meal, walnuts, and dietary fiber may bind and decrease the absorption of levothyroxine sodium from the GI tract.

The following drugs may cause medical problems if you use them with levothyroxine: lithium, amiodarone, or antidepressants.

Certain medicines can be continued, but they may make levothyroxine less effective if taken at the same time. If you use any of the following drugs, use them at least 4 hours before or 4 hours after you take levothyroxine: calcium carbonate (Caltrate, Citracal, Oystercal, and others); ferrous sulfate iron supplement; sucralfate (Carafate); sodium polystyrene sulfonate (Kayexalate, Kionex, and others);
antacids that contain aluminum (Amphojel, Gaviscon, Maalox, Mylanta, Riopan, Rulox, Tums, and others); and cholesterol-lowering drugs cholestyramine (Questran) and colestipol (Colestid).

Simultaneous ingestion of some calcium formulations with levothyroxine has been reported to reduce the effectiveness of levothyroxine. For example, 1,200 mg per day of calcium as calcium carbonate, taken along with levothyroxine, significantly reduced absorption of the thyroid hormone. Iron supplements may decrease absorption of thyroid hormone medications.

It is very important to take levothyroxine with a full glass (8 ounces) of water. The levothyroxine tablet can dissolve very quickly and swell in the throat, possibly causing choking or gagging. Take this medicine on an empty stomach, 30 minutes before eating. Levothyroxine is usually taken in the morning.

Drugs that can interact with Prevacid are the following drugs: atazanavir (Reyataz), theophylline (such as Elixophyllin, Respbid, Slo-Bid, Theobid, Theoclear, Theo-Dur, Uniphyl); digoxin (Lanoxin, Lanoxicaps); ampicillin (Omnipen, Principen); ketoconazole (Nizoral); iron (Feosol, Mol-Iron, Fergon, Femiron, others); or a blood thinner such as warfarin (Coumadin).

This list is not complete and there may be other drugs that can interact with Prevacid

Try these helpful products which may be beneficial if taken with this medicine
prevacid (Lansoprazole):

Beta-carotene
To avoid possible depletion of beta-carotene, eat more dark green and orange-yellow vegetables and consider supplementing with 25,000 IU per day

Vitamin B12 and folic acid

To avoid depleting these nutrients, which might lead to anemia and high homocysteine blood levels, take 1,000 mcg of vitamin B12 and 400 mcg of folate daily

Cranberry juice

Drinking cranberry juice may help prevent vitamin B12 deficiency as it increases the body's ability to absorb this nutrient from food in people taking this medicine

Take each dose with a full glass (8 ounces) of water. Prevacid should be taken before eating. Do not crush or open a delayed-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.

If you are unable to swallow a delayed-release capsule whole: Open the capsule and sprinkle the medicine into a spoonful of pudding, applesauce, yogurt, cottage cheese, strained pears, or a nutritional drink such as Ensure. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

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