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About Joe Haynes, R.Ph., MBA
(Top Expert on this page)

Expertise
I can answer pharmacy/pharmacology questions as they relate to both pediatric and adult therapies. Please note that since I practice in Florida that I may not be able to answer specific questions regarding pharmacy practice in your state. As a disclaimer, I have no financial interest in recommending or failing to recommend any drug product. My goal is to give you the best answer to your questions regardless of product.

Experience
I have 24 years experience in pharmacy practice including pediatric and adult hospital, home-infusion, and long-term care (nursing home/ALF). I enjoy assisting with pediatric dosing and medication questions since children respond differently and are dosed differently than adults. I can help you determine if the dose you want to administer to your child is appropriate. I am currently director of pharmacy for a small community hospital in St. Petersburg, FL.

Organizations
Florida Society of Health-Systems Pharmacists American Society of Health-Systems Pharmacists Florida Pharmacy Association

Education/Credentials
BS in Microbiology from Auburn University (1989) BS in Pharmacy from Northeastern University (1994) MBA (generalist) from St. Leo University (2005)

   

You are here:  Experts > Health/Fitness > Pharmacology > Pharmacology

Questions Answered By Expert  Joe Haynes, R.Ph., MBA 
In Category  Pharmacology

SubjectDate Asked

Medication dosing schedule6/25/2008
  Q: I have been taking Effexor XR 37.5mg for 2 months and I love it. The only problem is that I take it ...
  A: Beverly- Most antidepressants will cause some sleep disruption because they increase the amount of ...
Toporal Side Effect?6/16/2008
  Q: My mom is 89 years old, and is having a lot of lethargy and dizziness. She has a slight arrythmia, ...
  A: Dory- Usually blood pressure medication is adjusted based on blood pressure more so than body weight ...
Shingles6/16/2008
  Q: My wife suffers from shingles. She’s 57 years old. So far it’s been 8 weeks. What causes it… ...
  A: Larry- My apologies for being tardy in answering your inquiry. Shingles is caused by the same virus ...
Vitamin A5/24/2008
  Q: As an M.D. I have used 50,000 IU vitamin orally for one month in treatment of skin keratosis with ...
  A: Acute toxicity does not manifest itself until approximately 1 million units/dose which you are well ...
Tourette's5/23/2008
  Q: My nine yr old son has Tourette's Syndrome. He is on Prozac, Clonidine and Tenax. Last week he had ...
  A: My only guess would be since opiates are central nervous system depressants (sleep,somnolence, ...
filled prescriptions5/14/2008
  Q: When a doctor writes a paper prescription for someone, is the doctor able to know whether or not the ...
  A: Jenna- Once you leave the doctor's office, there is no way for them to know whether you got it ...
timolol maleate5/12/2008
  Q: Can timolol maleate reduce pressure from 54 hh mg to 15 hh mg in 2.5 days? Thank you! ANSWER: ...
  A: Lauren- That seems reasonable to wait and I agree- why risk the side effects of the drug if there is ...
Allergic to most pain meds5/6/2008
  Q: I will be having oral surgery in a few days and need some advice on pain medications. I am allergic ...
  A: Adrian- Not much left. There is Ultram (tramadol) or Ultracet (tramdol and Tylenol) which may work ...
Taking Zantac in less and more frequent doses?5/5/2008
  Q: Our 7-week old son has been taking Zantac for reflux for two weeks. The prescription from our ped ...
  A: Since the total daily dose you are giving is less than prescribed, there will not be an overdose the ...
Vaccinations and Autism5/1/2008
  Q: The rate of autism 40 years ago was 1 and 10,000. Now it's 1 in 150. Being I just had a son I ...
  A: Having no scientific proof that vaccines do not cause autism does not automatically mean you have ...
insomnia after benzo4/23/2008
  Q: I took clonopin 1-2mg for 4yrs only at night to sleep and 1mg of xanax for 6 months. Of course they ...
  A: You have at least two other drug options. One is Ambien which is a non-benzo but acts at the same ...
Infant Zantac Dosage4/16/2008
  Q: Our pediatrician prescribed Zantac syrup for our nearly 2 month old for reflux. He weighs approx. ...
  A: Chris- Usual dose for Zantac is 2mg/kilogram of weight twice daily. Your baby weighs about 4.4 kilos ...
medication interaction4/14/2008
  Q: My 22-year old son takes a low dose(10mg)of Adderol once a day as needed to function at school. He ...
  A: Donna- Any decongestant is going to work with the Adderall to raise blood pressure because ...
Xanax hair drug test4/10/2008
  Q: I took one .25mg pill of Xanax in early April to help me sleep. It was the first and only time I ...
  A: Most drug tests are for classes of drugs like opiates or benzos in general. Xanax has a half life of ...
Nexium expiration4/10/2008
  Q: I have some nexium with an expiration date of 12/25/07 E/09. My prescription calls for me to take ...
  A: Without seeing the prescription label or the bottle, I'm not sure what E/09 is. But as far as the ...
switching antidepressants3/30/2008
  Q: Dr. Haynes - My mother is 76, she has suffered chronic depression for many years, and has been on ...
  A: Russell- Sorry for the delayed response. I have been on vacation. You are correct, cross tapering ...
azathioprine & prednisolone3/29/2008
  Q: prednisolone and azathioprine have been used for sclerosing peritonitis. Is this a recognised ...
  A: Sorry for the delay in response as I have been on vacation. I am not familiar with this particular ...
drug interactions3/28/2008
  Q: I have been told to avoid Vitamin c supplementation as I take low-dose Vytorin. Is this tru, and if ...
  A: I use www.drugs.com to check for interactions and there were no documented interactions between ...
Xanax Drug testing3/25/2008
  Q: How long does xanax stay in your system for urine testing, I weigh 140 lbs. I am 42 years old, and ...
  A: Larry- Xanax has a half-life of 6.3-27 hours which means it can take that amount of time for one ...
breathing difficulties relating to medication3/23/2008
  Q: Any medication i take appears to depress my respiratory system and gives me very bad breathing ...
  A: David- If you could be more specific regarding the medications you are taking and for what ...
Zovirax 400mg3/16/2008
  Q: I'm Melojane from Philippines. My mother had been exposed to varicella for 3 days now. The doctor ...
  A: There are no cures for viral infections- only treatments that will lessen the symptoms and reduce ...
viagra/cialis3/4/2008
  Q: What are the effects of viagra/cialis on a young healthy male not needing them? Lots of people today ...
  A: Well other than the obvious, most common side effects are lowered blood pressure, painful erections ...
Vyvase2/20/2008
  Q: My 10 year old son has been taking Vyvase for about 3 full months. Aside from appetite suppression ...
  A: It is a possibility as all amphetamines increase the amount of epinephrine in the brain. The package ...
difference?2/13/2008
  Q: What is the difference between Lorazepam and oxazepam?? Thank you very much for your time and help. ...
  A: Keep the questions coming. That's what we are here for. Half-life refers to how long it takes for a ...
difference?2/13/2008
  Q: What is the difference between Lorazepam and oxazepam?? Thank you very much for your time and help. ...
  A: Not a problem. Keep asking until you get the answer you need. You are correct- Serax has a longer ...
difference?2/13/2008
  Q: What is the difference between Lorazepam and oxazepam?? Thank you very much for your time and help. ...
  A: Yona- Both are benzodiazepines use for anxiety or to help facilitate sleep. The main difference ...
zantac overdose2/7/2008
  Q: My daughter who is 7 years old (40 pounds) has been in a steroid therapy. To prevent a side effect ...
  A: JP-- Let's take your concerns in order. I apologize for being long-winded: 1. Pediatric dosing for ...
diaphenhydramine1/28/2008
  Q: A person I love is addicted to diaphenhydramine and has asked me to support her in an effort to ...
  A: Adam- She obviously is not suffering the overt signs of overdose, however, signs like increased ...
Amoxicilin1/28/2008
  Q: How long does this drug stay in the system after completeing a 7 day course? Thank you.
  A: The half-life (the time it takes for your body to eliminate 1/2 of the ingested dose) for ...
Wellbutrin/Paxil.......1/22/2008
  Q: I've been taking Wellbutrin for about 8 years, and my doctor and I have come to the conclusion that ...
  A: Dave- Switching between classes of antidepressants should be done gradually. While tapering off of ...
flexeril vs soma1/22/2008
  Q: Please discuss if you can, known differences between flexeril and soma. when i do a web search on ...
  A: TK- The differences are based on their chemistry and mechanisms of action. Soma (carisoprodol) is ...
Can Kenalog in Orabase c1/21/2008
  Q: "Dear Dr.I am 28 year old, relatively healthy male I recently finished a five day treatment of ...
  A: Eric- Kenalog can cause some localized reactions although they tend to be rare (see table below). It ...
Reaction or all in my head?1/7/2008
  Q: In the past I have had some itching after taking antibiotics so I have stopped them, I was recently ...
  A: It's not uncommon to be confused about potential allergic reactions. Let's start with what a ...
Treatment of prostatitis1/7/2008
  Q: About 1.5 years ago i was treated with 1g IM Ceftriaxone once a day for 4 consective days followed ...
  A: Mike- The use of IV or IM Rocephin (ceftriaxone)for the first 4 days is to achieve rapid prostatic ...
Trileptal1/3/2008
  Q: Happy New Year. I know that Lamictil causes short term memory loss. How does trileptal compare for ...
  A: Just from my brief search on this topic, I gather that memory loss is also a result of the seizure ...
drug interactions12/28/2007
  Q: I have a question about a possible drug interaction between propranolol and fluoxetine. I ...
  A: Sounds like you have a good handle on this one. I cannot find anything specific between fluoxetine ...
diabetic and smoking12/27/2007
  Q: patches gum and everything you can think of I think that smoking increases blood sugar levels can ...
  A: There was a study back in 2002 by the Joslin Diabetes Center (an affiliate of Harvard University) ...
medicine12/16/2007
  Q: I'm 56 years old and have had chronic constipation since about 21. Usually I just ignore it (after ...
  A: Sorry this is late;have been out for a while. Hyperosmolar just means the laxative draws water into ...
medicine12/16/2007
  Q: I'm 56 years old and have had chronic constipation since about 21. Usually I just ignore it (after ...
  A: Miralax is also a bulk forming laxative. Like Citrucel, it requires a lot of water in order to ...
medicine12/15/2007
  Q: I'm 56 years old and have had chronic constipation since about 21. Usually I just ignore it (after ...
  A: Constipation can be a chronic health problem related to possible food allergies, chronic use of ...

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