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Pharmacy/Worried what will happen to my Liver

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Question
Dear Ms. Khosrowshahi ,

How should I know if Methacarbamol 500mg or 750mg that I take almost always regularly isn't bad for the Liver ?

For example Acetaminophen (Paracetamol) is bad for the liver. I have never taken it.

Reason I take Methacarbamol is that I really have to as it is relaxing for me when I take it, OTHERWISE I'll suffer from sever heart problems  where as Clonazepam is addictive !!

I have very bad psychotic problems.


I take Clomipramine only once a week

Baclofen  10mg  4 times a week

Trihexiphenidyl  1mg once every two weeks

Metoprolol 3 times a week

Olanzapine occasionally


Upon seizure I take Methocarbamol+ Metoprolol+ Chlordiazepoxide


Sincerely

Anonymous1685 user

Answer
Hi,

 It is difficult to tell if a medication that you take regularly isn't bad for the liver.  Lab tests can be ordered to check your liver enzymes.  If the enzymes are elevated, then the drug may need to be discontinued as the elevation may be a sign of toxicity.    Certain medications affect the liver more than others due to how the body gets rid of the drug and for other reasons (ie side effects, drug-drug interactions).  Acetaminophen is bad for the liver if taken in excessive doses or in excess frequency or in those with liver issues (ie hepatitis) or those who consume 3 or more alcoholic drinks daily.  However, it is a commonly prescribed drug that can be safely taken without definitely damaging every patient's liver. If you are taking methocarbamol for relaxation, I would talk to your doctor about this.  It is meant for muscle pain and not as an anxiety reliever.  I am not sure why you are on methocarbamol and baclofen at the same time. Perhaps your physician can increase the daily frequency of the baclofen and omit the methocarbamol.

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Nanaz Khosrowshahi

Expertise

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.

Experience

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.

Organizations
American Pharmacists Association 2007

Education/Credentials
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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