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Pharmacy/Questions Answered by Expert Joe Haynes, R.Ph., MBA
| Subject | Date Asked |
| Toprol XL 25 mg | 6/4/2010 |
| Q: My husband used to be on Lopressor 50 mg twice daily but due to occ. episodes of severe sweating and ... A: Maria- It sounds like you have a good plan. It is possible that he had an episode of orthostatic ... | |
| saw palmetto | 5/30/2010 |
| Q: I have asked previous questions regarding male inherited balding. I know the most effective medicine ... A: josh- Based on the mechanism of action, it should have the same effect as Propecia (finasteride) ... | |
| adverse reaction to cefdinir | 5/28/2010 |
| Q: My special needs daughter was given a prescription for 300 mg of cefdinir to treat a sinus ... A: Kelly- Although it is common to have diarrhea (and sometimes vomiting) with antibiotic use, it will ... | |
| gabitril with restoril | 5/23/2010 |
| Q: i am currentlt taking gabitril for sleep with resteril.the doctor reccomended this combo.i see on ... A: Howard- I have the text of the interaction from www.drugs.com listed below. The main problem is that ... | |
| marijuana and cipralex | 5/21/2010 |
| Q: My question is regarding first of all to wether or not 20 mg is a bit much to be going to in less ... A: Heimen- It is common to start antidepressants at a low dose then titrate upward. This is so any ... | |
| remeron | 5/18/2010 |
| Q: would ypou say remeron is tolerated same as sleeping pills with side effects no worse then sleep;ing ... A: Pretty much. Remeron works on a different chemical in the brain that do traditional sleeping pills ... | |
| gabitril | 5/17/2010 |
| Q: i am non-epilectic taking gabitril and restoril for sleep.do you see any problems with this combo?i ... A: Larry- Not a problem using these two together. Over time you may want to decrease your use of ... | |
| hypertension - glaucoma | 4/12/2010 |
| Q: I am 73 y.o. and have been taking Diovan and Hctz for hypertension for the past year. (Also take ... A: Mary- Ativan and Prevacid and aggravate glaucoma. It is a side effect of the drug classes that they ... | |
| resoril | 4/2/2010 |
| Q: i have been taking orhe past 8 monhs restoril 30mg.i am over 65655ob my doctor sad she haspatients ... A: As long as there is no underlying physical or emotional reason why you can't sleep. If there is, ... | |
| Questions about certain drugs. | 3/31/2010 |
| Q: I had been complaining about chest pain the other day, so i went to see the doctor. The doctor ... A: Alvin- The reaction is probably to the Anarex which is a muscle relaxant. It would not be uncommon ... | |
| medication | 3/10/2010 |
| Q: not sure this is in your expertise, but I had a mild case of pneumonia. And was prescribed ... A: Jan- Thanks for the question. It's not out of the question that you can develop some diarrhea ... | |
| About your job... | 3/9/2010 |
| Q: I am a high school student interested in the field of Pharmacy. I am doing a term paper on my ... A: Selena- I answered a similar set of questions a few weeks back. I am going to copy and past my ... | |
| gabitril and remeron | 3/7/2010 |
| Q: i am non-epiletic and for 3 months have been taking gabitril for sleep with xanax to help relax ... A: James- I would recommend that if you are having good experience with Gabitril to stay with it. ... | |
| Amoxicillin 400 mg/5ml | 3/6/2010 |
| Q: My partner picked up my antibiotic on Tuesday night. When I saw the bottle it was powder inside. ... A: Alejandra- Yes you will be ok. Just be aware that if you get something like this in the future to ... | |
| azithromycin | 3/3/2010 |
| Q: I guess to begin this, I don't take medications. I haven't had to take an antibiotic in almost 30 ... A: Jan- There is nothing specific that happens when the antibiotic is completed. Most people start ... | |
| Arthritis Meds | 3/2/2010 |
| Q: I was diagnosed with Rheumatoid Arthritis over 25 years ago (when I was just a child). I've been on ... A: Chris- The closest thing would be regular aspirin. For juvenile RA, the dosing is 90-130mg/kg per ... | |
| azithromycin | 3/1/2010 |
| Q: I guess to begin this, I don't take medications. I haven't had to take an antibiotic in almost 30 ... A: Jan- It is not uncommon to experience diarrhea with most antibiotics because the drug kills off the ... | |
| remeron | 2/25/2010 |
| Q: i nbhave severe problem to fall asleep.after i have been taking 10mg ambien and 8mg gabitril .it ... A: Mickey- Usually Gabitril is used to treat seizure disorders and not just for sleep. The way Gabitril ... | |
| too much med ? | 2/25/2010 |
| Q: my wife is taking 30mg 2x a day cymbalta / 300 mg neurontin 3 x a day /tramadal 50 mg 3 x a day / ... A: Jim- It may seem excessive on the surface but I do not know your wifes' level of pain or the nature ... | |
| cipro and Loestrin | 2/23/2010 |
| Q: Can taking Cipro while taking Loestrin lessen the effectiveness of the birth control Loestrin 24? A: Lor- Most antibiotics (including Cipro) can alter the effects of birth control. While you are ... | |
| remeron or ambien | 2/22/2010 |
| Q: taking into account the side effects and safety which medicine is better overall for sleep ambien or ... A: Mike- Depends on the nature of the insomnia. If you have depressive symptoms that are causing ... | |
| email interview | 2/20/2010 |
| Q: I am a high school student at granite hills. I have a research project to complete for english, we ... A: You're welcome Blake. Glad to help. 1. I was originally a pre-med student and wanted to get some ... | |
| Biaxin XL shelf life | 2/19/2010 |
| Q: I suspect I have some infection and that it stems from either my ears or a bad tooth. Just today, I ... A: Dawn- Probably not a good idea. Since you do not know how long it has been there and given the ... | |
| Drug Misidentification | 2/17/2010 |
| Q: I am on xanax, .5mg twice daily and atenolol 25mg three times daily. Is there a possibility of a ... A: Touching other medication would not cause you to absorb it(except in some rare cases like oral ... | |
| gabitril and remeron | 2/16/2010 |
| Q: in order to get off sleeping pills my doctor said try gabitril.it says in insert that people who ... A: Michael- I would avoid Gabitril unless you in fact have partial seizures. Gabitril works by ... | |
| Drug Misidentification | 2/15/2010 |
| Q: I am on xanax, .5mg twice daily and atenolol 25mg three times daily. Is there a possibility of a ... A: Ray- Not likely unless the test only looks at benzodiazepines as a class. But alprazolam (Xanax) ... | |
| what is the worse thing that could happen | 2/13/2010 |
| Q: what is worse thing that could happen quitting cold turkey when you go off antidepressiants called ... A: Lisa- The answer below is from www.drugs.com: Abrupt discontinuation or dose reduction of ... | |
| nyquil | 1/10/2010 |
| Q: does nyquil make you test dirty in a drug test A: I could not find anything that would suggest it would. The cough suppressant ingredient has some ... | |
| Vanos (Fluocinonide Topical) | 1/6/2010 |
| Q: I, recently, developed Granuloma Annulare. I'm 60 years old and in excellent health, jogging 5 miles ... A: As long as it is being applied in a thin layer to intact skin, that is ok. You can keep applying ... | |
| dayquil and seroguel | 1/3/2010 |
| Q: Is it ok to take dayquil or nyquil for a cold if I take 25mg of seroquel per day? A: Jacky- That's not a problem. Just stay within the dosing recommendations for Dayquil. Depending on ... | |
| Piracetam | 3/7/2009 |
| Q: Will piracetam cause a false positive on a workplace drug test? A: I cannot locate any information regarding piracetam and lab tests. Judging by its chemical ... | |
| painkillers | 3/7/2009 |
| Q: which painkillers can i take whilst on ramipril 1.25mg A: David- Aspirin, Tylenol even ibuprofen would be ok but be aware that drugs like aspirin or ... | |
| OTC Glycerin Otic | 3/5/2009 |
| Q: working with a contract manufacturing company to make an ear drying product for water clogged ears. ... A: Yes, most proprietary products contain ingredients other than the active ingredients to help with ... | |
| Hydroxycut and Tramadol, neurontin | 3/4/2009 |
| Q: I am on tramadol and neurontin and need to know if it would be safe to take hydroxycut with either ... A: Michelle- I use the interaction checker at www.drugs.com as one source. There is an interaction ... | |
| OTC Glycerin Otic | 3/4/2009 |
| Q: working with a contract manufacturing company to make an ear drying product for water clogged ears. ... A: Wow, that's a tough one. I did a general Google search under the general topics topics of medicinal ... | |
| Ear inf | 3/3/2009 |
| Q: What is a low cost ear solution to treat a bacterial ear infection. a middle ear inf. A: Mary- Nothing over-the-counter unfortunately. Most upper respiratory and inner ear infections are ... | |
| Interview | 1/22/2009 |
| Q: My name is Tony Chen. I am doing the “Spotlight a Science Career” project about pharmacists. I would ... A: Answers are below in the order of the questions. I wil answer the questions based on my work ... | |
| morphine sulf sr 30 mg | 1/21/2009 |
| Q: I was using mor ir and the powers that be think the sr is better for me. Over the last few weeks I ... A: Ed- Best check with your prescriber and discuss your pain needs. Sustained release (SR) morphine ... | |
| diuretics | 1/10/2009 |
| Q: My Dr. prescribed a potassium-sparing and thiazide diuretic combination to treat my high blood ... A: Angela- Diuretics work by increasing the excretion of sodium from your body. We learned a saying in ... | |
| ssri's | 1/10/2009 |
| Q: Have you personnally seen any of the ssri's cause or be suspected as the cause of hairloss A: Lorraine- Other than rash, itching, and maybe some excessive sweating I have not encountered hair ... | |
Pharmacy
Answers by Expert:
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)
University of Florida Doctor of Pharmacy Candidate- 2012
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