QUESTION: according to renal impairment guidelines on cetirizine those with creatinine clearence of 11-31 should take 05 mg of creatinine clearence is it safe to take 05 of cetirizine daily for long term without damaging kidney or prostate?


The recommended dose of cetirizine is 10mg for patients with a creatinine clearance of 50.   If you are 77 years old or older, then take 5mg.  You can take 5mg if your symptoms are not that severe; either dose should not most likely cause damage to the kidneys or prostrate.

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QUESTION: hi,i take 1mgxanax along with 2mg of lunesta.the lunesta without xanax wont work.i take ambien without xanax to fall the 15mg ambien to take just as safe as the xanax and lunesta together?


I am uncertain what your question is.  Taking ambien by itself is safe.  If you are asking if it is safe to take ambien with xanax or ambien with lunesta or all three together, you need to check with your doctor first to avoid respiratory sedation.

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QUESTION: im sorry perhaps i phrased question it safe to take 15mg of ambien by itself.currently i take 1mg xanax along with 2 mg lunesta

Taking ambien 15 mg WiTHOUT Xanax and/or lunesta is ok.  However, taking two or three medications at a time needs to be checked by your doctor.  I am uncertain why would you be taking all 3.   Please do not stop taking any medication without checking with your doctor first.


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Nanaz Khosrowshahi


Being a pharmacist, I can answer questions on medications. This includes how drugs work in the body, drug interactions, drug side effects, warnings and precautions to take when using certain medications, dosage forms and strengths, management of overdosing, storage of medications, drug administration, contraindications, and drug indications. I am able to guide them on lab work that needs to be drawn and monitored while on certain medications. I am able to help patients save money when purchasing medications by directing them to cost-effective therapies. I am able to answer questions on federal laws governing pharmacy practice in the United States. I am unable to answer questions legally as if I am diagnosing the patient's disease or illness. For example, if a patient stated he had upper flank pain, I am unable to say he definitely has a urinary tract infection. However, I am able to direct the patient to the correct next step, which is to call his physician with such a side effect.


I have been a licensed pharmacist since 2007, holding licenses in CT and MA. I have a PHARM.D from an accelerated pharmacy school program. Currently, I work at the Hebrew Home and Hospital in West Hartford, CT as a pharmacist. I am a well-rounded pharmacist, with experience in long-term care, IV home infusion, retail, hospital, and hospice. I serve as the pharmacy unit coordinator for Mass Dispensing Area #31 in CT, where I am called upon as a volunteer pharmacist in case of public emergencies, such as anthrax threats. I helped run the swine flu vaccine clinic in 2009. I am on the Editorial Advisory Board for Pharmacy Today, a publication of the American Pharmacists Association. My position on the board runs for three years. Every month I make suggestions and offer ideas that would help improve the magazine. I have undergone extra training to administer vaccines to patients, which is training that only a certain percentage of registered pharmacists in the country have.

American Pharmacists Association 2007

Massachusetts College of Pharmacy and Health Sciences, Worcester, MA- PHARM.D 2007 University of California, Irvine- BA psychology 2001 cum laude

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