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About Dr Alan Galbraith
(Top Expert on this page)

Expertise
I can answer most questions on drugs, both medical and "recreational". Answers can be given in either technical or layperson terminology. My main areas of interest are psychiatric, gastrointestinal and cardiovascular drugs.

Experience
I have been a university lecturer/head of department for almost thirty years, but am now retired. My research interests were alcohol, smoking and cardiovascular disease.<BR><BR><b>Organizations</b><BR>Institute of Biology, London.<BR> <BR><BR><B>Publications</B><BR>Principal author of "Fundamentals of Pharmacology" 4th Edition published in November 2003 by Pearson Education, Australia.<BR><BR><B>Education/Credentials</B><BR>BSc(Hons);MSc;PhD;MIBiol; Cert Biol; HECert<BR>
   

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

Questions Answered By Expert  Dr Alan Galbraith 
In Category  Pharmacy

SubjectDate Asked

using Taking effexor xr & anafranil & rivotril concomitantly5/11/2008
  Q: Dr. Galbraith: I am from MONTREAL, QUEBEC, CANADA I suffer from OCD, depression and feel a lot of ...
  A: Even though Anafranil is an older antidepressant it is excellent for OCD and combined with the ...
Imipramine5/9/2008
  Q: I have been diagnosed with Dysthymia/Major Depression. In your opinion would Imipramine be an ...
  A: I was under the impression that you preferred to change to another class of antidepressants because ...
Effects of Nandralone5/9/2008
  Q: could you tell me about the risks of taking Nandralone? My spinal muscles have gone to nothing from ...
  A: Nandrolone is an anabolic steroid and can be used to increase muscle mass along with an exercise ...
Imipramine5/9/2008
  Q: I have been diagnosed with Dysthymia/Major Depression. In your opinion would Imipramine be an ...
  A: Imipramine is suitable for dysthymic depression but is best combined with some form of psychotherapy ...
adding wellbutrin to prozac5/8/2008
  Q: I've been taking Prozac for about 10yrs but it has stopped working for me. I've tried other AD but ...
  A: Yes, alone. I am not aware of the older tricyclics (amitriptyline, imipramine etc) being used with ...
Prozac5/7/2008
  Q: I recently started taking Prozac and have broken out in an eczema-type rash. I am wondering if ...
  A: Prozac is completely unrelated to the sulphonamides so would think that you are also allergic to ...
adding wellbutrin to prozac5/7/2008
  Q: I've been taking Prozac for about 10yrs but it has stopped working for me. I've tried other AD but ...
  A: There are good grounds for combining Wellbutrin with Prozac and I do not think that your occasional ...
Hydrocodone5/7/2008
  Q: I have a problem and I have two questions regarding it. First, I would like to give you my ...
  A: It is quite normal to need an increase in dose of opiates or to need more than the average person. I ...
Pain Medication5/6/2008
  Q: I am taking medication for Heart desease, i.e., Coreg 6.25 mg twice daily, Coumadin 4mg ...
  A: Have you tried the newer types of NSAIDs such as celecoxib (Celebrex)? The use of these drugs in ...
drug testing false positive5/6/2008
  Q: I tested positive for THC I do not smoke marijuana I was on paxil cr 20mg 4 month ago when i tested ...
  A: Paxil should not cause a false positive for THC. False positives seem to be relatively common. You ...
Pills I takeand any interaction with Allegra?5/5/2008
  Q: I take Zantaac and Metoformin with the Allegra in te Morning and the Evenin Itake Junuava,Simvastin ...
  A: Yes, there are alternatives to metformin but you would need to see your diabetologist regarding any ...
passing a drug test for benzos5/5/2008
  Q: I am taking a drug test on tues afternoon, today is sunday. I took 9 0.5mg klonopins between friday ...
  A: Clonazepam lasts a long time in the body and with the dose you took could be detected up to a week ...
Norvasc and dehydration when running5/4/2008
  Q: Dr. Galbraith: I am a 53 year old male. I run for exercise and run one marathon per year in addition ...
  A: I cannot find any reference that points to Norvasc being implicated in muscle pain or cramps. ...
Running intolerance with hypertensive medication5/2/2008
  Q: I am a 60 year-old, reasonably fit male. I've been a runner all my life (2h27 marathon). However, ...
  A: Strange to take Atacand and Zestril together as they both have similar modes of action. Anyway, the ...
Pills I takeand any interaction with Allegra?5/1/2008
  Q: I take Zantaac and Metoformin with the Allegra in te Morning and the Evenin Itake Junuava,Simvastin ...
  A: Now that you have given me the symptoms I would say that this is not a drug-drug interaction but an ...
Mirtazapine and xanax5/1/2008
  Q: are there any adverse effects to taking xanax (alprazolam) while on avanza (mirtazapine)? how does ...
  A: There is no recorded interaction between Xanax and mirtazapine but that does not say that there is. ...
Social Anxiety4/30/2008
  Q: My fiance has severe social anxiety. He was on Klonopin 6mg daily for about 12 years. He decided ...
  A: I am assuming that he tried the antidepressants mentioned at for a month to see if there was any ...
Social Anxiety4/30/2008
  Q: My fiance has severe social anxiety. He was on Klonopin 6mg daily for about 12 years. He decided ...
  A: I am not sure exactly what the diagnosis of your fiancé’s condition. Without a name it is difficult ...
Pills I takeand any interaction with Allegra?4/29/2008
  Q: I take Zantaac and Metoformin with the Allegra in te Morning and the Evenin Itake Junuava,Simvastin ...
  A: There atre no reported interactions between any of these drugs. You can therefore take them as you ...
Indapamide SR4/25/2008
  Q: Sir, There are 2 types of Indapamide available. One is Indapamide SR 1.5 and another one is ...
  A: SR stands for Slow or Sustained Release and it has been shown that this preparation is as good at ...
Alcohol and drug interactions4/25/2008
  Q: I reside in the USA and am currently taking 20 mg of prozac (generic, 25 mg of cytomel and 50 mg of ...
  A: It is unlikely that the interaction is with the Prozac, more likely the Topamax. This type of ...
paxil lexapro4/21/2008
  Q: Sir, Is paxil, sertraline lexapro similar in efficacy as far as PE is concerned. will be obliged to ...
  A: I have appended the recommended details of both drugs in the treatment of PE. You should be able to ...
Maxalt & Lexapro - please help me4/19/2008
  Q: Almost Killed me!! Last week I was experiencing severe migraines. I went to the Doctor, and he ...
  A: It is possible to prescribe Maxalt with Lexapro as serotonergic syndrome is uncommon with this ...
pregnant and fentanyl withdrawals4/17/2008
  Q: For the last year and a half I have been prescribed fentanyl patches for a spinal cord problem I ...
  A: I am very surprised that your prescribers have offered very little help to you. There is no reason ...
mixing paroxetine and hydroxycut4/16/2008
  Q: I am currently taking 20mg per day of paroxetine and am going to start taking 2 hydroxycut pill per ...
  A: There should be no problem with this combination but nobody can 100% guarantee that an interaction ...
genetic polymorphism4/14/2008
  Q: which other isozymes of cytochrome P450 exhibit genetic polymorphism? for each case give an example ...
  A: 1. Main ones are CYP2D6 and CYP2C9. Secondary one is CYP2C19 2. CYP2D6 - over 100 drugs eg SSRIs ...
genetic polymorphism4/14/2008
  Q: using CYP2C19 as an example, explain what is meant by genetic polymorphism of drug metabolising ...
  A: As explained yesterday I am not prepared to do all your work although I do not mind helping you ...
pregnant and fentanyl withdrawals4/14/2008
  Q: For the last year and a half I have been prescribed fentanyl patches for a spinal cord problem I ...
  A: The symptoms you describe are typical withdrawal events from fentanyl and other morphine like drugs. ...
suxamethonium4/13/2008
  Q: suxamethonium causes prolonged paralysis in about 1 in 3000 patients. why is the half life increased ...
  A: There is a drug idiosyncrasy with suxamethonium due to lack of pseudocholinesterases and other ...
suxamethonium4/13/2008
  Q: why has suxamethonium a short duration of action of around 2-3 minutes in most patients? (5 marks) ...
  A: Difficult to be more specific but I'll give you a bit more detail and feel there is nothing much ...
suxamethonium4/12/2008
  Q: why has suxamethonium a short duration of action of around 2-3 minutes in most patients? (5 marks) ...
  A: Quite simple. This drug is metabolised by the enzyme pseudocholinesterase, naturally present in the ...
pharmacology4/12/2008
  Q: Why are there are number of different formulations of glyceryl trinitrate? Compare the onset and ...
  A: The two main preparations of GTN are for skin absorption (ointment and patches) and sublingual ...
does these medicines clash4/11/2008
  Q: I am a 64 yo male with controlled hypertension and diabetes. I have been taking Benicar hct and ...
  A: Amlodipine is certainly sometimes (not unfrequently) associated with swollen ankles although this is ...
prazocin4/10/2008
  Q: Respected Sir, I am male-50 on Tenochlor-100 ( Atenolol-100 + HCTZ 25)Losar-A( Losartan-100 ...
  A: As you say, your systolic is the one that is off most concern (but not seriously so)although the ...
wellbutrin question4/3/2008
  Q: i am presently going to a very good dr.,...he has me taking wellbutrin and lexapro for depression. ...
  A: I agree with you doctor that Adderall would be very inappropriate as it is addictive and also can ...
mixing depression pills with slimming pills4/3/2008
  Q: i have been taking serotax for years,iv now started taking the slimming pill phentermine,is ther any ...
  A: It is not a good idea to take phentermine with Serotax exactly because of what you are saying. If ...
doxycycline 100 mg capsule3/15/2008
  Q: I'm prescribed with my family doctor with this antibiotic. I've already taken 30 capsule last month ...
  A: It sounds very like that you have an allergy to doxycycline and possibly to all tetracycline like ...
Decilone Forte3/15/2008
  Q: I am from Philippines. Is Decilone Forte a steroid? I have herpes and varicella right now. Is it ...
  A: Decilone is a corticosteroid ie it mimics some of the hormones from the adrenal cortex gland, ...
hydrocorone vs codeine3/13/2008
  Q: In an answer in 2006 you mentioned a percentage of people who are unable to hepatically convert ...
  A: I suppose that a liver biopsy and subsequent analysis would be the only way to test for this ...
Taking meds at the same time3/13/2008
  Q: My mother took her darvocet and lotrel together and afterwards she felt weak and dizzy. Can darvocet ...
  A: All of these drugs (Lotrel is a combination of two drugs)can cause the symptoms you describe but ...
Atenolol or metoprolol3/12/2008
  Q: Respected Sir, I shall never forget the timely response and guidance your goodself has provided to ...
  A: I do not fully agree with your internist on any of these points. in my opinion if your BP is ...
Atenolol or metoprolol3/11/2008
  Q: Respected Sir, I shall never forget the timely response and guidance your goodself has provided to ...
  A: I can see no reason from what you tell me why you should switch betablockers if your BP is under ...
Homocystein3/11/2008
  Q: Respected, Hello sir after a long time from India. I have query. I have Homocystein around 20. What ...
  A: The best homocysteine levels are still vague but in general you do not want it above 20 as you have ...
Lexapro and Hydroxycut3/9/2008
  Q: I am currently on lexapro 10mg, and I want to take Hysroxycut for weight loss. I read the label, ...
  A: A search of drug drug interactions show none with these two substances. This means that they are ...
toxic alcohol interaction with medication3/7/2008
  Q: My age is 63 and consider myself to be in excellent physical condition. I have been taking 10 mg of ...
  A: I'll try to answer each of your questions separately. Re the lorazepam, it is addictive if taken ...
metoprolol L and Levothyroxine sodium3/4/2008
  Q: Iam newly diagnosed with hypothyroidism. TSH 8. I was put on Synthroid 0.075. Six weeks later TSH ...
  A: Eltroxin can certainly cause these effects and I would not think it was a drug interaction rather it ...
need guidance3/3/2008
  Q: Is taking lycopeneis good as antioxidant ? Secondly I want to know the role of calcium patothenate ...
  A: Yes, lycopene (found in tomatoes) is a very good and apparently safe antioxidant. I doubt very ...
Morphine Sulfate3/3/2008
  Q: I am concerned about my mother-in-law, 50 year old diagnosed with RA(Rheumatoid arthritis). She is ...
  A: This seems a huge dose of morphine (and together with the Percocet and Valium I am not surprised ...
novo-venlafaxine xr3/3/2008
  Q: I am experiencing slight changes in my vision with this drug. I have been taking the product for ...
  A: This type of adverse effect can occur with several drugs that affect the brain but I am not aware ...
Acetazolamide safe with Gabapentin3/2/2008
  Q: If I am taking Gabapentin, 800 - 1200 mg, 2-3 times a day, is it safe to take start taking ...
  A: There are no reported interactions between these two drugs so the chances are they are alright to ...
ethex 2083/1/2008
  Q: I need to know what this pill is. It is white and about the size of a vicoden. on 1 side it says ...
  A: It is a compounded preparation of pseudoephedrine (a nasal decongestant) and guaifenesin a harmless ...
Drug Treatment for Alcoholism2/29/2008
  Q: I read that Antalarmin is a Corticotropin Releasing Hormone (CRH) receptor antagonist. It is used in ...
  A: Antalarmin has been shown experimentally to moderate cocaine, opiates and equivocally alcohol use in ...
Drug Test2/28/2008
  Q: I've recently undergone pre-employment drug testing. The drug testing facility first administers an ...
  A: Sorry for the delay but the site has been down for some time. Marijuana compounds can be detected up ...
novo- venlafaxine xr 75mg2/28/2008
  Q: my friend in the east coast of canada was using this med and has run out of it. This question is for ...
  A: Sorry for the delay but the site has been down for some time. Stopping this drug can cause ...
Effexor XR and "Rapid Slim SX"2/26/2008
  Q: Dr. Galbraith, I am taking 125mg of effexor XR daily and was wondering if I could take this weight ...
  A: Sear Alicia I see no reason why Hoodia or Rapid Slim SX (which contains Hoodia)should not be taken ...
Psoriasis2/26/2008
  Q: IOhave been using betamethasone Dipropionate 45 g in my elbow for couple of months, couple of times ...
  A: You obviously need a change from betamethasone and it is not unusual that it stops being all that ...
warfarin problem2/23/2008
  Q: About 2 yrs ago I had a mechanical valve replacement and 1 bypass. Until 2 months ago my inr was ...
  A: Something must be causing these fluctuations and there are so many things that can do this with ...
warfarin problem2/23/2008
  Q: About 2 yrs ago I had a mechanical valve replacement and 1 bypass. Until 2 months ago my inr was ...
  A: Alcohol, especially with the amount you are taking should not affect your INR whilst on warfarin so ...
Lexapro vs Celexa2/21/2008
  Q: I have been taking antidepressants for awhile now and recently moved to a new state - thus needing a ...
  A: These drugs are very similar to each other and I agree there probably is not a generic for ...
Calcium question2/20/2008
  Q: I see all these advertisements for Calcium supplements and I am just curious. If the body cannot ...
  A: The problem with calcium is that we are not very good at absorbing it from the gut and thus need a ...
Lexapro / Tinnitus2/19/2008
  Q: I was prescribed lexapro for GAD. I took it for 5 weeks with no side effects. I stopped taking it ...
  A: None of these drugs have been reported as causing tinnitus but this condition is so common as one ...
UA test positive2/17/2008
  Q: Daughter was given prednisone, percocet and benadryl while in ER and told to continue those for a ...
  A: I presume you mean methamphetamine (I am not completely familiar with all street names). None of ...
psy medicine which do not affect weight gain and diabetes2/17/2008
  Q: SIR AGE 48 MALE WEIGHT 100 KG HEIGHT 5.7 DIABETIC TAKING METFORMIN 500 MG 3 TIMES AND LISINOPRIL 2.5 ...
  A: I need a little more information re your condition. Oppressive is not usually a word used to ...
antibuse2/17/2008
  Q: My husband is an alcoholic and is in on detox in a phyciatric hospital at the momemnt. He was ...
  A: Yes, it can cause heart failure especially when taken with lots of alcohol. However, this is not ...
abilify2/16/2008
  Q: My daughter is on several meds for Bi-polar1. Lexapro 5mg, Abilify 5mg, Concerta 18mg, Lamictal ...
  A: This is an adverse effect of most likely the Abilify. I recommend that she see her prescriber as ...
beta blockers2/9/2008
  Q: My doctor has put me on metoprolol succTa23.7mg for migranes.I'm already taking accuretic10mg for ...
  A: It is unusual to treat infrequent migraine with continuous betablockers but I can see why your ...
Lexapro2/8/2008
  Q: I am a 43 year old male and I have been on several antidepressent medications for about 5 years. My ...
  A: The only other drugs that are used for ADD are the stimulants such as dexamphetamine or ...
?drug interaction2/7/2008
  Q: I am taking wellbutrin sr 150 twice daily, synthroid 50mcg qd, Valium 5mg prn, allegra, flonase. I ...
  A: The only known interaction with your drug regime (I've omitted the Zomig) is a decrease in seizure ...
PROZAC2/5/2008
  Q: My doctor gave me prozac for OCD I've read that it is ototoxic - and that its not ototoxic Do you ...
  A: First of all I am very dubious about the article you referred me to as ototoxicity and tinnitus are ...
pre-employment drug testing2/3/2008
  Q: After 23 years with the same company, I am changing jobs and going to work for a hospital. I will ...
  A: Non of the drugs should pose any problem in a drug screen. I am not an expert on tuberculin tests ...
Blood pressure spike2/3/2008
  Q: I recently had three surgeries. Two on my knee, one on my shoulder. I was put on Percocet for ...
  A: I do not really believe that anxiety can cause hypertension so would discount this as as cause. You ...
Pains after CABG operation in AUG-20062/3/2008
  Q: I have undergone CABG in Aug-2006. Since then I am taking one tablet each of SALOKEN XL-25 ...
  A: It is difficult for me to give a definitive answer but I would suspect it is the Ecosprin that could ...
Benzo's2/2/2008
  Q: I have been on a methadone program for 5 1/2 years. My urine is tested every month for drug abuse. ...
  A: I appreciate your problem and like you think scenario number 3 is the only one possible from your ...
My new prescription2/1/2008
  Q: I used to take Zoloft, Depakote, and Seroquil. Now I take Prozac, Mellaril, and Trazadone. Is it ...
  A: It can be problematic if Melleril and Prozac are taken concurrently as it has the potential to ...
hydroxycut & Doxycycline1/31/2008
  Q: Is it safe to or are their any dangers in taking Hydroxycut & acne Doxycycline together? I am ...
  A: There is no easy way of losing weight and whatever method one takes, willpower is always the most ...
Effexor and serepax1/31/2008
  Q: My son's GP has prescribed both of these medications ahead of an appointment with a specialist after ...
  A: The Effexor is usually for the treatment of depression and/or panic attacks. It takes some time ...
decilone forte1/30/2008
  Q: what is decilone forte & whats the effect into my body & whats the side effect ?
  A: Here is the patient handout for dexamethasone (aka Decilone) given in Australia. This should answer ...
Prozac/Wellbutrin/Trazadone/Ativan1/24/2008
  Q: I have suffered from depression for most of my life but have been on medication for 13 years. For ...
  A: You seem to be doing fine with this drug regime and I see no reason to stop any of the drugs. The ...
Stool Color1/24/2008
  Q: This is the second time I have taken Aciphex and both times into the second week of taking it my ...
  A: The colour could come and go. i take it you are not getting any pain from above the umbilicus or in ...
Stool Color1/24/2008
  Q: This is the second time I have taken Aciphex and both times into the second week of taking it my ...
  A: It is not known how Aciphex can cause this, in fact most adverse effects of drugs are of unknown ...
Stool Color1/23/2008
  Q: This is the second time I have taken Aciphex and both times into the second week of taking it my ...
  A: This is very probably due to the Aciphex. I suggest you see your doctor to get tests done to see if ...
aderrall1/23/2008
  Q: The question that I've tried to respond in reference to was about a woman whose health was excellent ...
  A: Caffeine sensitisation can occur later on on in life and I do not think it it is due to the ...
Nardil1/22/2008
  Q: About two months ago I had told you that nardil was not working as well as it did before. Since then ...
  A: I know of no other antidepressant that can be used in combination with Nardil. The only other drug ...
cronic diahrrea1/21/2008
  Q: I am a 21 year old femal. i began haveing sever diarreah when i was sixteen. during the prosses of ...
  A: You'd be better asking this question to an someone based in the US. I am in Australia where a ...
cronic diahrrea1/20/2008
  Q: I am a 21 year old femal. i began haveing sever diarreah when i was sixteen. during the prosses of ...
  A: A general practitioner should be able to help you. I find it hard to believe that neither of your ...
cronic diahrrea1/20/2008
  Q: I am a 21 year old femal. i began haveing sever diarreah when i was sixteen. during the prosses of ...
  A: Methadone can be used to treat chronic diarrhoea but it must be taken under a doctor's supervision. ...
drug interaction/side effects1/20/2008
  Q: I have MS and take Avonex,an interferon. I also take Wellbutrin xr 150mg. I have been on both ...
  A: There are no reported interactions between Avonex and Wellbutrin but that does not necessarily mean ...
Infection1/17/2008
  Q: About 7 months ago i was experimenting with Ketamin. I was told you can inject it intramuscular. I ...
  A: This is almost certainly a sterile abscess. It is not uncommon with ketamine, hence the statement ...
Gaba for my son....1/17/2008
  Q: I am a mother of two children who are like night and day. My son has had concerns since he has been ...
  A: In general drugs that modify GABA release in the brain are contraindicated in children. This would ...
I FOUND A PILL1/16/2008
  Q: I FOUND THIS PILL THAT MY PUPPY WAS CHEWING ON AND i WONDERED IF U COULD HELP ME FIND OUT WHAT IT IS ...
  A: It is a combination of the narcotic, hydrocodone and the antiinflammatory/analgesic ibuprofen. I ...
diet pill interaction1/14/2008
  Q: Galbraith, I have been taking 225 MG Effexor XR for approximately 6 months and am also taking ...
  A: There should be no interaction between Metabolife and Effexor. I do not know what you are taking ...
Adderall side effects and supplements.1/14/2008
  Q: Dr. Galbraith, I have recently been prescribed d-amphetamine salt combo 20mg bid to treat ADD. I ...
  A: I would have a medical examination to check on your well-being. As you are saying the symptoms are ...
lansoprazole1/8/2008
  Q: I am taking Lanzoprazole 30mg ( capsule form). This generic version is produced by Cipla drug co of ...
  A: Some dyes can be absorbed from the gut and others either pass out unchanged or are metabolised ...
leptopril drug screen1/7/2008
  Q: I am going to start taking leptopril for weight and want to know if it will show up in a drug screen ...
  A: I doubt very much that Leptopril will interfere or cause false posives in a drug screen. I will ...
methadone&fentyal patch1/6/2008
  Q: Dr.alan I have been on percocet 10/650 for about 2 years,it did work foe me when i first started to ...
  A: The only contraindication as far as weight is concerned is in teenagers who weigh less than 50Kg ...
urin test1/5/2008
  Q: this all spawns from my probation officer ,when i got hospitalized for severe lung failure, do to ...
  A: You certainly have been on a multitude of drugs and I hope you were not on all at the same time!! ...
tramadol / ultram1/4/2008
  Q: I was in a car accident last year and have had cronic pain as a result. I have been taking ...
  A: Tramadol may cause the following symptoms on but they do not always occur and if they do happen are ...
Methadone and the dentist12/23/2007
  Q: I have been on methadone as part of my recovery for addiciton. I dose currently at 130mg per day and ...
  A: I am always saying it is not good to be slave to a drug but when lecturing I was always telling my ...
No period after stopping to take the pill12/22/2007
  Q: I have taken Yasmin for three months now but will have to take a two month "break" due to a move to ...
  A: Over the counter pregnancy tests are not very accurate before about a month after a period is due. ...
No period after stopping to take the pill12/21/2007
  Q: I have taken Yasmin for three months now but will have to take a two month "break" due to a move to ...
  A: It is relatively common for delayed menstruation after taking the pill but you must always bear in ...
Novo Venlafaxine12/20/2007
  Q: Canada: My wife has been taking anti depressants for about 8 years now. For 85% of the time she has ...
  A: It is not at all unusual for 150mg of venlafaxine to be used in depression but not in anxiety ...
frequent urination/ sometimes slight burning12/17/2007
  Q: i live in the usa and would like to know your thoughts on two drugs; avodart and amiltripolyne. i ...
  A: I have appended the patient handout for Avodart in which you should find your answers for that drug ...
Hypertension medication12/14/2007
  Q: All too often I forget to take my hypertension medication. I usually take it in the morning but ...
  A: Most antihypertensives can be taken at night. The only ones that are better taken in the morning are ...
addiction12/11/2007
  Q: Iam addicted to codeine phosphate syrup from five years,so tell me how harmful is this?
  A: The main problem with codeine addiction is severe constipation which can be treated with laxatives. ...
warfarin12/10/2007
  Q: what side affects does it have
  A: I have appended the notice given to patients on Marevan (warfarin) in Australia. It is a life saving ...
paxil and paxil cr12/5/2007
  Q: I would really appreciate if you can please answer this question for me. I have been taking paxil ...
  A: There should be no difference in adverse effects between both forms of Paxil. I would just stick ...
TAKING TWO DIFFERENT DRUGS TOGETHER12/4/2007
  Q: CAN YOU TAKE METRONIDAZOLE 400MG AND TRAMADOL 50MG TOGETHER? my husband has been prescribed ...
  A: I would suspect that it is the carbamazepine or the tramadol that is making your husband sleepy. It ...
Celiac Sprue11/29/2007
  Q: I have been diagnosed from both lab tests and biopsy to have Celiac Sprue. Although on the gluten ...
  A: As far as I know, there should be no problems taking these two drugs, in fact, they are sometimes ...
use of esomaprazole with AMORYN and pr11/29/2007
  Q: I take pramepaxole for restless legs and esomaprazole for reflux oesophagitus. I have been looking ...
  A: Amoryn does have many drug-drug interactions but it appears to be OK with esomprazole. Whether it ...
gaba supplement for anxiety hypothyroid and medications11/28/2007
  Q: I am suffering from anxiety for years and sometimes panic attacks. I also suffered from years of ...
  A: The theanine should be OK but since Valium works through GABA receptors in the brain I would not be ...
Drug interaction11/26/2007
  Q: Is is safe to take Hydroxycut and Citalopram (20mg)?
  A: There should be no problem with this combination although I will say that there is no real evidence ...
decilone forte11/22/2007
  Q: I currently taking a Decilone forte for my allergies for two months now. I started with a 4 mg. a ...
  A: I do not know of any way of avoiding this side effect of decilone. It is not common and you are just ...
decilone forte11/22/2007
  Q: I currently taking a Decilone forte for my allergies for two months now. I started with a 4 mg. a ...
  A: The eye problems caused by the decilone are not all that uncommon and I would be inclined to cease ...
Ativan, Prozac and Wellbutrin11/21/2007
  Q: My wife has been on Prozac off and on for the past 15 years. Each time she weenied herself off she ...
  A: The combination of Prozac and Wellbutrin is fine in my opinion but I am not too happy about the ...
Metronidazole11/20/2007
  Q: I am wanting to become pregnant, however I am using Metronidazole to treat a bacterial infection. ...
  A: Metronidazole is classified as B2 for use in pregnancy. This means that it belongs to a group of ...
Nardil11/15/2007
  Q: I have had great results taking nardil in the past but now it is not working as well I read that ...
  A: You may need a bigger dose now or maybe a change to another antidepressant is needed. As Nardil and ...
BC Powders and Claritan D11/13/2007
  Q: I have taken 1 dose of 24 hour Claritan D and 1 dose of BC Powder. I feel nervousness and nausea and ...
  A: I do not think that the medicines are causing this but there is a slight possibility that it is the ...
Effexor11/12/2007
  Q: I have been on meds for depression for several years now. Lithium, welbutrin and effexor are the ...
  A: i would decrease the Wellbutrin first to one a day for a week then cease. Then start on the Effexor ...
Effexor11/11/2007
  Q: I have been on meds for depression for several years now. Lithium, welbutrin and effexor are the ...
  A: You should not come off these drugs abruptly but gradually wean yourself of them. Without knowing ...
Anti Malaria pills, which ones?11/9/2007
  Q: Alan! I am traveling around the world, and at this moment in canada. I will be in Cambodja and Laos ...
  A: You'll need a prescription for these drugs in Australia and probably in Singapore but both should be ...
lexapro interation with Birth control11/7/2007
  Q: I have been taking lexapro for about 6 months as well as mu normal birth control... is it ok to take ...
  A: No problems with any contraceptive and Lexapro. Alcohol will not do any more harm with Lexapro than ...
false positive for benzodiazapine11/7/2007
  Q: My daughter 35yo has taken a drug test--she is scheduled for back surgery in 4 weeks and is ...
  A: This really needs a toxicologist to answer. However, I would hazard a guess that Lyrica could be ...
Lunesta11/6/2007
  Q: I am taking Lunesta 3 mg and I cannot sleep without it, I went for years taking benadryl to aid in ...
  A: This sounds like tolerance and there is nothing much one can do about it, except cease the drug for ...
need some help11/4/2007
  Q: my friend has been taking pills and i don't know what they are he is schizophrenic and flipped out ...
  A: The tablet is prochlorperazine (5mg) and is usually used to treat nausea/vomiting. It is related to ...
non flush niacin Spelling corrected version!!10/30/2007
  Q: My aunt had a bad reaction to the statin drugs and is taking non flush niacin herself, she is taking ...
  A: Firstly let me say that flush free niacin is not very effective in lowering blood lipids and that ...
paroxetine in urine or blood?10/22/2007
  Q: I take half a 20mg tablet of paroxetine for anxiety, however I have a pre employment test in 2 days ...
  A: I doubt that they will be looking for paroxetine as it is not a drug that is normally abused but ...
Anaphranil/ Clomipramine10/20/2007
  Q: I have been taking Clomipramine for 12 years (since I was 11) and worry about its long-term effects. ...
  A: The clomipramine almost certainly did not cause the hypothyroidism which can cause all the symptoms ...
Serapax10/19/2007
  Q: My grandmother has been on Serapax for the last 20 years and her doctor has recently taken her off ...
  A: She should have been weaned off the Serepax over about 2-3 weeks. After 20 years withdrawal effects ...
anti depressant medications10/18/2007
  Q: My daughter is taking three anti depressant medications for schizophrenia and she is just not the ...
  A: The only one that may have permanent effects is Risperdal with what are called extrapyramidal ...
starting the contraceptive pill on the wrong day10/17/2007
  Q: The doctor told me to start taking the pill the very next day from the start of the pack, three ...
  A: Sorry, Rebecca but this is your best option. The quicker you are regularised the better. Dear ...
anti depressant medications10/17/2007
  Q: My daughter is taking three anti depressant medications for schizophrenia and she is just not the ...
  A: None of these drugs are antidepressants. The Cogentin is taken to counteract some of the adverse ...
chronic halitosis10/16/2007
  Q: iwould like to know what is the treatment of chronic halitosis and is it related to g.e.r.d
  A: GERD can lead to halitosis but the commonest cause is bacteria in the mouth - teeth and tongue. A ...
Half-Lifes10/13/2007
  Q: Galbraith. You have helped me in the past! Can you tell me the half-lives of Niaspan and also ...
  A: Nicotinic acid (Niaspan) has plasma half life of 20-60 minutes. This is for the free but as Niaspan ...
antibiotic - Cefuroxime10/12/2007
  Q: 250 mg tablet Cefuroxime antibiotic - effective for peritonitis/intestinal infection/constipation ? ...
  A: Peritonitis usually needs surgical intervention to treat the infection. It is OK for many bacterial ...
alcohol withdrawal symptoms in elderly10/9/2007
  Q: Galbraith, My dad who is 82 consumes approx. 3 mixed drinks daily. He had his hip replaced a week ...
  A: Alcohol withdrawal symptoms can go on for months but with less frequency. You have noticed this ...
xanax/ADHD10/9/2007
  Q: well, i have ADHD. im supposed to take 35mg Adderall xr once daily. i hate it, and only took it for ...
  A: Xanax normally causes forgetfulness and even amnesia on occasion. However, many people have what are ...
morphine/chloral hydrate10/7/2007
  Q: Dr. Galbraith, My daughter (weight 5.28 kg), was administered 150mg of chloral hyrate at 5:00 am, ...
  A: The dose of chloral hydrate for infants can be as high as 50mg /Kg therefore this is well within the ...
thyroxine dose too high or just menopause?10/5/2007
  Q: I'm on 150 mcg thyroxine for underactive thyroid and now at age 50 every few weeks I feel feel on ...
  A: You are hitting the nail on the head in saying that your perimenopausal symptoms are compounding the ...
NITRO PILLS10/5/2007
  Q: MY HUSBAND JUST RECEIVED A PRESCRIPTION OF ISOSORBIDE DINITRATE 30 MGS AND ISOSORBIDE MONONITRATE 30 ...
  A: Are they slow release tablets? If they are it is OK otherwise smaller dose tablets are better taken ...
overmedicated10/4/2007
  Q: My husband is 46 years old with several medical problems ranging from crohns to atrial fib to a ...
  A: It looks initially to me like a case of what is called polypharmacy ie too many drugs. The more ...
Lamotrigine and thyroxine9/28/2007
  Q: Is it OK to take Lamotrigine and thyroxine (Armour) at the same time? Both drugs cause insomnia for ...
  A: They can be taken together and your timing is good. The adverse effects of lamotrigine usually wear ...
Pharmacologists9/22/2007
  Q: I want to know if you are a pharmacologist are you qualified to open your own pharmacy?
  A: In some circumstances yes. Pharmacy involves the preparation of drugs, knowing the laws of selling ...
Sexual side effects of Darvocet9/14/2007
  Q: I have had what I believe to be a side effect from taking Darvocet and possibly Percocet or ...
  A: Delay in ejaculation is not a generally reported adverse effects of drugs related to morphine but it ...
Viagra..9/12/2007
  Q: What is the effect on a young male who takes low doses (25mgs) of Viagra? Is it dangerous?
  A: For a healthy young male there should be no problems. I have appended the contraindications for ...
accutane9/11/2007
  Q: I am a past accutane user from 1984. It was one of the best choices I ever made and have had no ill ...
  A: The risks of one course of Accutane use is very, very unlikely to cause developmental changes in ...
Acetaminophen9/6/2007
  Q: I would like to ask if it is normal to have colic pain and loose stool the next day after taking ...
  A: This has not been reported for acetaminophen but is possible with it in syrup form in some cases. If ...
Mixing Adderall with Herbal Supplements.9/5/2007
  Q: I am prescribed 3 30mg tabs of adderall per day. In addition, I also take garlic pills, fish oil, ...
  A: I would foresee no problem at all with these supplements, but take the fibre tablets well before or ...
Alternative for Wellbutrin9/1/2007
  Q: I started taking Wellbutrin SL 150 in DEC 2006 and it has worked to control my depression. Only ...
  A: There should not be a problem her. As there are many antidepressants completely unrelated to ...
G.A.D. and P.T.S.D.6/25/2007
  Q: I'm a 48 yof, that has been on paxil 40mg,valium 5mg, and recently was taken off the paxil due to ...
  A: You really need someone very familiar with your case to treat you appropriately, and a psychiatrist ...
Fibromyalgia6/23/2007
  Q: I work with a woman suffering from Fibromyalgia.She also has a pronounced allergy to ...
  A: Unfortunately, pregabalin although it shows promise is still not generally available for ...
zantac and prilosec6/21/2007
  Q: I currently take zantac 150mg am and pm to help control hives. I also take allegra in the am and ...
  A: Sorry for the confusion and I did make one error in not realising Allegra is another name for ...
Efexor - XR6/18/2007
  Q: Can you tell me if Efexor will show up in an upcoming medical exam I have. Unfortunatley I do not ...
  A: I doubt very much that they will be looking for venlafaxine in a routine drug test but cannot ...
Tennis elbow6/17/2007
  Q: I had a cortisone injection a month or so ago and with in a couple of weeks i noiced the skin in the ...
  A: I urge you to see your doctor ASAP. Not that it is a major problem but it could be one of two ...
pharmacology6/12/2007
  Q: I am a third year medical student and have been preparing a presentation on HAZARDS OF INJECTING ...
  A: Sounds like you got the wrong article. It is entitled " Printer-Friendly Email This Discuss This ...
Niacin6/11/2007
  Q: My doctor has prescribed very high doses (3000 mg/day) of niacin to help combat cholesterol ...
  A: The hexanicotinate is not as effective as straight niacin no matter what the labels and adverts say. ...
pharmacology6/9/2007
  Q: I am a third year medical student and have been preparing a presentation on HAZARDS OF INJECTING ...
  A: Funny you should ask this as there was an article on this last week in Medscape General Medicine. ...
antidepressents6/8/2007
  Q: i was taking 40 mg of paxil and my doctor changed my medication to 10 mg of prozac. my weight has ...
  A: These symptoms could be withdrawal symptoms from the paroxetine but equally could be adverse effects ...
omeprazole6/6/2007
  Q: I have been on omeprazole for 5 months and before that prilosec. Lately, I have been getting rapid ...
  A: Omeprazole is generally a very safe drug with few side effects and although the pabic attacks and ...
drug interactions6/3/2007
  Q: My FIL has been taking Toprol XL (CHF) and Zetia for several years. His doctor prescribed ...
  A: There are recorded interaction between these three drugs. However, I am very puzzled about an ...
darvon5/31/2007
  Q: I am a 51 y.o. white female, dx. SLE.I was in a MVA approx. 4 years ago. prior to the MVA I took ...
  A: I agree wih does not th your doctor regarding problems. You do sound if you ae addicted to the ...
drug interactions Adderal Wellbutrin Alcohol5/26/2007
  Q: I've been diagnosed with depression and ADHD (I'm 30 yrs old) finally after a 6 hour pshyc test. I ...
  A: I doubt that your liver will have been damaged at all and if so only slightly after only a year of ...
anti-physcotic medicine5/24/2007
  Q: i am taking the drug halidol (haloperidol) and am wondering if it is a strong narcotic and should i ...
  A: Haloperidol is not an narcotic but a very potent drug used in psychotic disorders and is not ...
cipralex5/21/2007
  Q: I am a habitual marijuana smoker and have been for about 10 years. My doctor recently prescribed me ...
  A: The problem is always going to rely on the marijuana and not a combined effect. Long term can induce ...
NHS UK gave Amoxicillin past expiry date5/17/2007
  Q: My wife was given Amoxicillin 250 few days ago to treat the UTI, she had been taking it 3 times a ...
  A: This could have been a serious error with some drugs but with amoxycillin not dangerous in anyway ...
A question about an answer you gave to someone.5/15/2007
  Q: I would like to know why you prefer fentanyl patches and long acting morphine over methadone as an ...
  A: Patient complience is the mean reason plus fentanyl has a much better analgesic activity Fentanyl ...
My father has changed, I I think it might be as a result of his depression medication.5/12/2007
  Q: I've noticed for the past year that my father's behaviour has changed. He seems slower. He takes ...
  A: Your father definitely needs reassement of his medication. venlaxine is more likely than many of the ...
Interaction4/18/2007
  Q: I am currently taking 60mg of Cymbalta daily and on rare occassions I take .5mg of Clonazepam if ...
  A: Pentermine and Cymbalta together may increase insomnia dramatically but in my opinion there are ...
L-Tryptophan & Meds4/17/2007
  Q: Alan Galbraith, Is Pharmaceutical grade L-Tryptophan safe to use with the following meds:? 1) ...
  A: The use of tryptophan as an antidepressant especially with other antidepressants (imipramine and ...
drug interactions question4/13/2007
  Q: I am currently taking 37.5 mg of Effexor (novo-venlafaxine XR) every couple of nights or every ...
  A: There is slight evidence that green tea may increase the effect of vela but unless you drink heaps ...
ephedrine4/10/2007
  Q: could you please tell me what you know about ephedrine? My friends are all taking a pill called ...
  A: Ephedrine is a potent stimulant and usually a prescription is needed in most countries. It can cause ...
Benzodiazepine potencies4/3/2007
  Q: Galbraith: Do you know of a reliable website where I can compare the potencies of different ...
  A: Good to hear from you again. This question has not got a definitive answer as it depends on what ...
Injecting Liquid Syrup Dilaudid4/2/2007
  Q: I have been suffering from severe abdominal pain for about 5 years now following a surgery that was ...
  A: This practice is only used by addicts to Dilaudid and other drugs and is a desperate measure. The ...
xanax withdrawal with vestibular migraine3/30/2007
  Q: My husband has had severe oscillopsia (thing appear to move) that is debilitating and has been ...
  A: Benzodiazepine withdrawal can cause hosts of problems and I have appended a list below, but be ...
Ibuprofin and propranolol3/28/2007
  Q: I take 20mg of propranolol twice a day for migranes and I was wondering if you could tell me whether ...
  A: There can be a problem here when propranolol is used for high blood pressure in that it does not ...
beicar, coreg & Nifedical XL3/26/2007
  Q: I've had High BP for many years, and lately, my readings have been really high- 159/103 - 150-97... ...
  A: It is OK to take Ca channel blockers with betablockers as long as the BP is monitored closely. ...
Generic Claritin3/26/2007
  Q: My son and I take generic claritin, loratadine, I may be spelling that wrong. My question is, you ...
  A: With yourself it will almost certainly be OK to just start to take it immediately tomorrow morning ...
? about a drug test3/21/2007
  Q: i have a issue i have a drug test on monday in 6 days and i have taken 2 1 mg xanax and i wanted to ...
  A: Xanax can last a long time in the body and depening on the person can be detected up to two weeks ...
irbesartan and query3/18/2007
  Q: My friend is on cozaar 100 and his intern was suggesting to either introduce irbesartan 300 or ...
  A: Please excuse my faux pas. I have ansered so many questions on statins and sartans that I am ...
gabapentin3/16/2007
  Q: We have one drug combination recently prescribed to my colleague male/54 years for hot feeling on ...
  A: Yes, the normal use of gabapentin but for some time now it and many of the drugs used to control ...
escitolopream3/15/2007
  Q: My friend male/55 years is on Feliz S ( Indian br)escitolopram 10 mg for panic disorder and anxiety. ...
  A: It is not unusual for weight gain to occur during escitalopram therapy. If your friend cannot modify ...
Effexor xr3/13/2007
  Q: I am on 150 mg a day but due to losing my insurance, my doctor gace me samples of 75 mg. He is now ...
  A: It is a toss up really whether to take two at once or one twice a day. As people tend to remember ...
Effexor XR and liver functions3/8/2007
  Q: I am taking 300mg of Effxor XR daily for Body Dysthemic Disorder (BDD) for last 6 weeks. I do not ...
  A: Efexor can cause abnormal liver function tests as can many, many drugs. The significance of this is ...
generic3/2/2007
  Q: are there any differences b/t generic and brand name drugs? to be more specific: duloxetine vs. ...
  A: Theoretically there should be no real difference by sometimes there is. The problem arises in what ...
Ditropan/hyperhidrosis3/2/2007
  Q: Due to an unexpected side effect from a neurosurgery procedure I am now a chronic sufferer of ...
  A: Until an anticholinergic is found that can specifically affect sweating, you are stuck with Ditropan ...
psoriasis and Vit A3/1/2007
  Q: I have psoriasis ut under control. I have a dry skin also. Whenever I go to dermatologist say once ...
  A: You need Vit A but too much can be problematic and even dangerous. The amount used for psoriasis is ...
Nardil, Vicoden, Resistant Depression3/1/2007
  Q: My brother has been on heavy duty meds for years and on and off Nardil (since after awhile it loses ...
  A: A find it difficult to believe a doctor would prescribe Vicodin for recreational use as it is ...
Expired Med2/28/2007
  Q: I use propranolol 20mg per day for palpitations. After using a recent batch for 3 months I started ...
  A: It would appear that the propranolol could be responsible for this but I have not the slightest ...
mixing of synthroid/wellbutrin/estrogin/lunesta2/28/2007
  Q: I have been on synthroid for well over 10 years/thyroidectomy..take estrogen 2mg/hysterectomy..and ...
  A: Best time is in the am on an empty stomach then it will not affect your sleep so much. Lunesta is ...
hep c with alcoholism dependence2/26/2007
  Q: could u tell me what help is out ther far alcholisn he would like a inplant naltrexone or somthing ...
  A: With hepatitis and perhaps some cirrhosis drugs are always a problem as is alcohol another drug. ...
mixing meds2/23/2007
  Q: I have a niece that want to take adderall for her adult add and xanex to sleep and wake up refreshed ...
  A: It is not dangerous but long term it is inadvisable. Xanax will help her sleep but can be addictive ...
pain relief2/22/2007
  Q: I had broken back in jan of 2006 ..rods and screws l5-s1 3 months later i ripped the muscles off my ...
  A: You seem to be allergic top drugs related to morphine eg Dilaudid and react badly to fentanyl (which ...
mesalamine2/21/2007
  Q: should i take asacol(mesalamine) for ulcerative colitis in february 2007, when it expired september ...
  A: Mwsalamine is sensitive to moisture but if it has been kept perfectly dry and not exposed to high ...
Medication and fat burners( cardio)2/19/2007
  Q: im 20 yrs. old I've been on zoloft 50 mg & abilify 2mg 4yrs and i 've been getting them ...
  A: You can take these no problem but whether they will be beneficial is questionable. Most of these ...
Proton Pump Inhibitors for Children2/19/2007
  Q: I was wondering if you could help me identify a few proton pump inhibitors that are used for ...
  A: Lansoprazole or omeprazole can be used in children. The others eg esomeprazole and pantoprazole are ...
metolazone2/12/2007
  Q: My brother in law has been prescribed metolazone 2.5 mg.for high BP. what is the drug and its side ...
  A: It is a diuretic and the following are the potential adverse effects although most are not common. ...
anabolic steroids2/11/2007
  Q: your profile says you can answer most questions so i'll take a shot. I am 22 years old and I know ...
  A: I do not want to sound negative but this dose of testosterone is high and although you do not ...
co enzyme q-102/10/2007
  Q: Sir, our family doctor was telling that the co enzyme q 10 is good for post MI patient. In India, we ...
  A: There is no hard and fast evidence that CoQ does harm or much good either so it is up to you whether ...
Drug Test after Klonapin & Xanax2/10/2007
  Q: I just went off of Klonapin & Xanax yesterday 2/9/07 & I have a DOT Physical & Pre-Employment Drug ...
  A: The Xanax will probably not show-up after 6-7 days in a urine test but Klonopin can hang about in ...
nicorandil2/8/2007
  Q: my husband was put on nicorandil on 22/01/07 5 days later he developed a very bad headache after 11 ...
  A: Nicoranfdil very frequently causes headaches which can sometimes be severe. With time they tend to ...
side effects2/8/2007
  Q: My son is 6 months old and he is taking propanolol and digoxin because when he was born he had svt ...
  A: All drugs have adverse effects but there propitious use always outweighs these. In your child's case ...
Toxicology2/6/2007
  Q: I am an attorney in a mock trials case and I need information concerning the toxicology of cocaine. ...
  A: A toxicologist is the best person to ask here. My primitive knowledge would say it depends on the ...
levo-thyroxine2/5/2007
  Q: My relative aged 70 suddenly high TSH which >100 and she was prscribed ELTROXIN containing ...
  A: Eltroxin acts on the pituirtary gland to inhibit the release of TSH. Without knowing the cause of ...
exetimibe2/5/2007
  Q: My mother a lady aged 75 years is a heart patient and hypertensive also. Her lipid profile is normal ...
  A: Yes. Ezetimibe works hands in hand with atorvastatin to reduce cholesterol and LDL levels. It ...
pill, i found in my car2/1/2007
  Q: can u tell what pill this is? little white round pill. writing is : 524 with small triangle with ...
  A: I think it is a mixture of two drugs pseudoeophedrine, a decongestant and acetaminophen, a mild pain ...
side effects1/30/2007
  Q: Did you ever find a survey on the side effects of prescription drugs? Thank you very much. Al ...
  A: My problem is finding suitable keywords to do a Medline search. As soon as you use adverse effects ...
unidentified pills1/30/2007
  Q: I found a few loose unidentified capsules in my home and am a bit worried about not knowing what ...
  A: They are indomethacin (Indosin) capsules slow release. This is a fairly strong ...
multivitamin1/29/2007
  Q: Respected sir, soory for misspelt word. The word is dieting. Her food intake is very limited and ...
  A: The vitamin A is of no concern and vegetarians do not go deficient. Vitamin D comes mainly from ...
Expired liquid amoxicillan1/28/2007
  Q: My son has some expired amoxicillan. Date is 12/16/06 a month old. Would this medicine still be ...
  A: Amoxycillin in liquid form deteriorates very quickly even when refrigerated. Please throw it down ...
anti depressants1/28/2007
  Q: .hope you can help! i know someone who is taking wellbutrin 150 mg/day for seasonal depression; ...
  A: Wellbutrin can commonly cause insomnia whereas Cymbalta is not usually associated with this but ...
pill id1/26/2007
  Q: I found a green capsule with the markings NVR D15 on the floor of my classroom. oUr nurse cannot id ...
  A: I cannot be certain but Ritalin , a drug used in ADD and ADHD comes in green capsules with NVR but I ...
atenolol and tachcardia1/26/2007
  Q: Respected sir, I am extremely sorry for the inconvenience. In fct,name ofthe drug is Saloken XL 100 ...
  A: It is common to use more than one antihypertensive in HBP such as amlodipine and losaratan but today ...
vk antibiotics and my pill1/24/2007
  Q: I have been taking my vk tablets for 5 days following a wisdom tooth infection, i have finished the ...
  A: Penicillin V does not affect the OC pill very much if at all, it is the broad spectrum ones that can ...
Ambien CR (USA)1/23/2007
  Q: quick question regarding Ambien CR and alcohol. I know that you are not supposed to mix the two but ...
  A: I would have to say it is OK. It is normally not recommended to take alcohol with other CNS ...
A case of my brither- Foolow UP1/22/2007
  Q: I quote below my earlier question and your answer. Rightly, your answer was a very systematic ...
  A: I do not want to get too involved with diuretics and their pros and cons in too much detail as it ...
Drug Interaction1/21/2007
  Q: I have a question regarding drug interactions. I am currently on 50 mgs of Toprol XL for high blood ...
  A: Only the Toprol will slow the heart rate whilst the Procardia may increase heart rate. This affect ...
Started birth control on wrong day1/21/2007
  Q: When I first started the pack I was told to take the SUNDAY pill if my period was to start on Sunday ...
  A: I doubt if your mistake would make it not work as an effective contraceptive but cannot guarantee it ...
metaxalone1/20/2007
  Q: I want to know about Metaxalone which has been prescribed to mu uncle for shoulder pain, stiff neck ...
  A: Metaxolone is a skeletal muscle relaxant ie it causes relaxation of muscles when spasms are ...
my question1/19/2007
  Q: Sir, My mother is patient of IHD HBP. She takes Isosorbide Mononitrate 20 mg twice daily. Is there ...
  A: I would recommend that you mother take the Imdur 60 at one a day. This is more convenient than the ...
side effects1/18/2007
  Q: Can you tell me if any research has ever been done to determine which are the most common side ...
  A: It would be relatively easy to do this but time consuming. All one would have to do would be to look ...
Androgel1/16/2007
  Q: Is it an acceptable practice or should it be an acceptable practice for a male patient using a high ...
  A: There is no pharmacological reason why finesteride should not be used with Androgel even though the ...
query from a pharmacy student1/15/2007
  Q: what is the difference between isosrbide mononitrate and isosrbide 5 mononitrate ?
  A: A follow-up. It just occurred to me that the when the dinitrate is used as a drug the nitrate groups ...
methadone for pain management1/15/2007
  Q: I hope not to get too lengthy in the background, but my wife is 42 and suffers from ...
  A: Your wife has and is certainly having a hard time and her case needs investigation by a competent ...
Bactin anticiotic for UT infection1/13/2007
  Q: I took Macrobid and had spasms in my colon and made me nauseated so bad that I quit. I have ...
  A: Nausea is fairly common with Macrobid as is flatulence which could be worse with diverticulosis or ...
LIPITOR1/13/2007
  Q: Dr Galbraith Hi, my mom is taking Lipitor and is getting a burning tongue. I understand there are ...
  A: This effect may not be due to Lipitor as it is not on the list of common to rare adverse effects. ...
A Case of my eldest brother12/15/2006
  Q: Respected Sir, Hello once again sir, This is with regard to my eldest brother who is 67 years old ...
  A: As he has been changed drugs today I will not say much more about his recent regime except it is not ...
celexa v. lexapro12/14/2006
  Q: I am currently on Lexapro and have been advised that I can switch safely to Celexa and save a lot of ...
  A: These drugs are not identical (although nearly so) and some people respond better to one than the ...
Reflux disease12/13/2006
  Q: I have duodenitis and mild gastral so much so that even when my stomach is empty with no ...
  A: It differs not a lot between the four PPIs mentioned although the esomprazole may be the best. ...
help12/13/2006
  Q: sir,i'm 27 yr old female.i got married 1 /2 yr back.now i'm 3 months pregant.withour knowing that i ...
  A: Hyponidd is an Ayurvedic medication which has not been studied in pregnancy in detail but there is ...
gain weight12/12/2006
  Q: My appetite is good. I dont have any health problem in general. But i am very slim and i want to ...
  A: Yes, you are underweight and the addition of a few kilogrammes will not be amiss. The first thing is ...
gain weight12/11/2006
  Q: My appetite is good. I dont have any health problem in general. But i am very slim and i want to ...
  A: Pleae before I attempt to answer give me your weight and height as this could strongly affect my ...
Effexor XR question12/11/2006
  Q: Galbraith: Does Effexor XR has any effect on norepinephrine reuptake inhibition at a dose of 75 mg? ...
  A: It is a long time since I have heard from you and this is a very easy question from you. The answer ...
calcium in menopausal wouman12/9/2006
  Q: Respected Sir, Inspired by your previous answer which was very specific and clearcut, I ask the ...
  A: Re the calcium, yes I would definitely recommend it for your wife. the evidence is pretty strong ...
Celebrex12/8/2006
  Q: I have been taking Celebrex for a supposed arthritic condition in my hip. I had one hip replaced ...
  A: If it osteoarthritis and just a torn labrum acetaminophen (paracetamol) may be as good as Celebrex ...
Indapamide12/8/2006
  Q: Respected Sir, I happened to browse the answers given by you. They were very specific and highly ...
  A: Your question is relatively easy to answer. One cannot really say whether indapamide is better than ...
concentration12/4/2006
  Q: I am researching the use of "Dilution" or "Concentration" in the administration of IV medications. ...
  A: It all depends on the drug, how potent it is and how long it lasts for in the body. eg epinephrine ...
antabuse12/3/2006
  Q: My son who is now 28 is a alcholic, he single and he says he doesn't want to drink anymore but ...
  A: Apart from Antabuse the only other drug is one called acamprosate which in some persons works ...
medication12/3/2006
  Q: I wanted to know if it was ok to take this medicine with a two week old that is nursing nitrofur ...
  A: It is not advisable unless your doctor thinks so (the risk of causing blood problems in a baby of ...
Provigil12/1/2006
  Q: I am prescribed 400 mgs of Provigil per day, plus Concerta. My problem is, I tested positive for ...
  A: If the test used is specific for cocaine there should be no false positives. Remember Provigil is an ...
wellbutrin & sex drive12/1/2006
  Q: doc you stated to amber that increase sex drive might not be related. but my sex drive is off the ...
  A: Note I said "might not" not "not". Anyway, wearing sunglasses is not the problem and there is no ...
Phytosterol Supplements11/29/2006
  Q: The hot flashes are not too severe so I will not quit taking the phytosterol supplement. You asked ...
  A: The muscle pain is the most significant thing in my opinion and needs investigation much more so ...
Phytosterol Supplements11/29/2006
  Q: I recently started taking GNC's Cholesterol Formula of 800 mg phytosterols with DHA & EPA. I am 53 ...
  A: Remember that phytosterols are plant sterols but there overall effect on cholesterol levels should ...
Lexapro side effects11/28/2006
  Q: To start with, let me thank you providing your services. I'm an investigator and a friend an had ...
  A: Lexapro should not theoretically affect BACs in any way but it can affect ie increase the toxic and ...
abilify ,lexapro and seroquel11/27/2006
  Q: My son is taking all these medications.He has gained 30 pounds in 3 months and is becoming addicted ...
  A: Weight gain would not be uncommon with these drugs and Topamax could be the answer. However, taking ...
False Positives.11/22/2006
  Q: I took a drugscreen and gave a urine sample and I tested positive for Benzo's. I have not used any ...
  A: Neither ibuprofen or amoxycillin will cause false positives for benzos. False positives and false ...
Statins11/21/2006
  Q: I've been taking simvastatin 20mg with very good results. Now, lovastatin and pravastatin have ...
  A: Most statins have similar efficacy (except for atorvastatin which may be superior in resistant ...
how is Pemoline (Cylert) differ from amphetamines?11/16/2006
  Q: Alan Balbraith, I am a pharmacy technician student. I was hoping you could tell me what are the ...
  A: I cannot find much on pemoline at all that is all that helpful. It is chemically unrelated to the ...
alcohol withdrawal symptoms11/15/2006
  Q: Dr. Galbraith, In what ways can a complete withdrawal from alcohol be dangerous, and what ...
  A: I think you can count yourself as very fortunate and you can be now relieved. The first two major ...
alcohol withdrawal symptoms11/14/2006
  Q: Dr. Galbraith, In what ways can a complete withdrawal from alcohol be dangerous, and what ...
  A: I will not bother about the milder and easily resolved symptoms which include occasionally seizures. ...
otc pain meds & RX anxiety meds?11/13/2006
  Q: i am on RX Alprazolam .5 (sub for Xanax) that i take at night. i have fear of dying in ...
  A: Say hello to Texas for me - I lived in Dallas for a year doing research in Parkland Hospital. Six ...
anxiety induced hypertension11/12/2006
  Q: Dr. Please help me understand something. I have been treated for hypertension for about 10 years ...
  A: Echocardiograms in the right hands are very accurate to answer the last part first. A heart rate of ...
mirtazapine and xanax11/10/2006
  Q: My doc prescribed mirtazapine and on my 30 day f/up with her I told her I was waking up a night, ...
  A: Luckily I keep all my answers as I did not remember making such a statement and wondered why I did? ...
GRD11/8/2006
  Q: I have been taking Zantac 150-300 mg a day for about a week or so. I stopped taking about two days ...
  A: The stopping of the Zantac could cause the stomach pain a perhaps even the cramps so maybe you ...
pill i.d.11/8/2006
  Q: I have a small round white pill with "rdy" on one side and 230 on the other. I got these as my ...
  A: It could be oxycodone, a narcotic analgesic but I cannot determine if I this is 100% correct. The ...
Pharmacy Tech. Student Question11/7/2006
  Q: Can you please tell me what a " Grandfathered" pharmacy means? Please and thank you!
  A: Out of curiosity I had to find out what this word meant in pharmacy. It is obviously a word mainly ...
Estrogen, Synthroid, Effexor11/6/2006
  Q: Are there drug interactions among Estrogen replacement pills, synthroid, and effexor? I also take ...
  A: There is only one reported potential interaction with these drugs and it is probably not worth ...
your response11/4/2006
  Q: Dr. Galbraith, why did you respond to my letter in such a rude manner? Was that really necessary? ...
  A: This time I am apologising as I now remember who you are and the questions you used to ask which ...
Acid Reflux and Larynx Reflux11/3/2006
  Q: I have been suffering from acid reflux for years and have been on and off of different kinds of ...
  A: I am not going to be of much help with this throat clearing and lump in the throat sensationas I ...
Anxiety Medications11/2/2006
  Q: My husband 50 yrs old has taken klonipin for 5 years and is tapering off onto valium, it has been 2 ...
  A: 5 years is a long time to being on Klonapin and it is addictive and more potent than Valium. He will ...
Wellbutrin XL and alcohol11/2/2006
  Q: After years of smoking and many failed attempts, I finally quit smoking several years ago. Then, ...
  A: I completely agree with your doctor and do not agree at all with all the alcohol warnings you are ...
diabetes, antidepressants & hypochondriacs10/31/2006
  Q: My grandmother is 86 years old and has diabetes mellitus, and she is currently taking a blood ...
  A: I would be slightly hesitant before advising any antidepressant at this age and when patients are on ...
drug interaction-too many?10/30/2006
  Q: My boyfriend has his 18 year old son on Lexapro, Wellbutrin, Dexedrine and Genotropin - And the boy ...
  A: Although not contraindicated, I am not too happy about Dexedrine being given with the Lexapro and ...
problems absorbing pain and other medication10/30/2006
  Q: I am a female aged 49 years young (separated and destined to stay single), living with my 21 yr old ...
  A: I hope you do get some relief. Has your pain specialist ever suggested the morphine infusion into ...
expired10/27/2006
  Q: I have a sinus infection and cant afford to go to the doctor but I have some Omnicef 300mg left from ...
  A: They probably would not do you any good or harm. Get a new prescription. Most drugs keep well beyond ...
Pharmacology10/25/2006
  Q: I am a 3rd year pharmacology but have been told this may be more of a medicinal chemistry question. ...
  A: I'll try to answer this in words since I do not know the exact structure of diphenhydramine in my ...
esahagus10/24/2006
  Q: on 10/11, I exercised in my pool and woke with a pain in my right shoulder. Thinking I pulled a ...
  A: Sounds very like an attack of cholecystititis (a gall stone or infection of the bile duct). It ...
Effectiveness of viagra10/23/2006
  Q: Some time back, I took viagra as was having trouble maintaining an erection. It had absolutely no ...
  A: Viagra can cause diarrhoea but this is all that common and it does cause headache more commonly. You ...
narcotic withdrawl10/21/2006
  Q: i am 18 years old and addicted to narcotics. but the other thing is, im six months pregnant. i ...
  A: Narcotic withdrawal withdrawal without medical help is very difficult although the withdrawal ...
problems absorbing pain and other medication10/21/2006
  Q: I am a female aged 49 years young (separated and destined to stay single), living with my 21 yr old ...
  A: I really cannot think of much more especially when a pain management centre has difficulty in ...
pharmacology10/17/2006
  Q: I am trying to find out the difference between a pharmacological agent and medication. I have a ...
  A: Really there is no difference. A pharmacological agent is a drug, medication, medicine etc (or vice ...
urinalasis drug screens and false positives10/16/2006
  Q: --i am on methadone maintence program and i also take antideprents. i had a urine drug screen that ...
  A: 90% of the population convert some codeine to morphine in the body so this will explain why you ...
urinalasis drug screens and false positives10/16/2006
  Q: I had a drug screen have a false positive. This test was done with my urine. I do take medications: ...
  A: I am not quite with you - you say a false positive - but you were taking methadone, which is a drug ...
aschmidt83@hotmail.com10/14/2006
  Q: I am an alcoholic and have abused my wellbutrine in the past. I am currently in recovery and ...
  A: Wellbutrin and Lamictal are OK together. The problem with most antidepressants is that individual ...
Allergic reaction10/13/2006
  Q: Doctor,I always read the inserts that come with new prescriptions. Many commonly state that rash or ...
  A: This is not a simple question to answer fully but i'll try to to at in simple language. You ...
MEDICATIONS / GASTROL10/12/2006
  Q: Dr. Galbraith My Mom has severe Gerd very bad at night, she is taking the following: SULFATE 1 GM ...
  A: It c ould be that the sucralfate (I am presuming that this is what you mean by sulphate)could be ...
How to skip a period?10/12/2006
  Q: Hey! Im about to attend a very important conference but my periods begin right in a middle! Is there ...
  A: The way recognised way is to use the contraceptive pill. If you are taking a 21 day packet keep ...
Prescription Medication*10/12/2006
  Q: I don't have a doctor, but from time to time I need prescription medication, is it safe to order ...
  A: This can be risky if ordering from countries outside USA or Canada. Even from these two countries ...
Depakote and TSH10/10/2006
  Q: My wife has been taking Depakote for epilepsy since last November. Her current daily dose is ...
  A: As far as I can ascertain Depakote has no effect on TSH secretion. This may be a completely ...
Tegretol10/7/2006
  Q: Can you tell me what 300 mg of Topamax (Topiramate) would be equivalent to when using Tegretol ...
  A: They are almost the same as far as dosing is concerned ie 300 mg topiramate is about the same ...
Phentermine lexapro wellbutrin alcohole cocaine10/5/2006
  Q: I just started Lexapro, but over the past three years, with my mom dying, switching colleges and ...
  A: You are partially correct regarding my response – to add cocaine to phentermine could be fatal ...
Methadone10/5/2006
  Q: I understand and thank you. However, in my docs notes, it says that it doesnt show for narcotics. ...
  A: Methadone will show up on a urine test but only if they are looking for narcotics, which they ...
Methadone10/5/2006
  Q: I take 45 mgs of Methadone a day, 20 in the AM and 25 in the PM. I requested a copy of my doctors ...
  A: Methadone would definitely show up on most drug screening programmes. However, as you are taking it ...
Switching Antidepressants10/4/2006
  Q: I'm about to switch from fluoxetine 20mg to mirtazapine 15mg. Do I need to wean myself from the ...
  A: Sop far there has been no reports regarding having a washout period from fluoxetine to mirtazapine. ...
Drug Interactions-Lexapro-Wellbutrin-Adderall-Alcohol10/4/2006
  Q: I value and respect your opinion. But how can you explain that I feel so good on the adderol and I ...
  A: I would agree with your statements in that you will feel more confident and more together but this ...
Drug Interactions-Lexapro-Wellbutrin-Adderall-Alcohol10/3/2006
  Q: I'm a college student and not brave enough to ask my doctor about the implications of taking the ...
  A: Firstly, Adderal may mislead you into thinking that it helps you study. I have several times in my ...
Zoloft and Wellbutrin combination10/2/2006
  Q: You did not provide an answer to my question and you did not previously respond, as this is the ...
  A: I do not know what happened but here is my answer as written on 1st October, but spelling now ...
antidepressant advice9/28/2006
  Q: I have been taking antidepressants off and on for about 8-9 yrs. Back in 1998 I took Serzone, and ...
  A: I am assuming Serzone has been withdrawn in the country you live in as it has moist other places ...
Decilone Forte9/27/2006
  Q: What is the adverse side effect of taking Decilone Forte
  A: I have attached the information given to all patients prescribed Decilone Forte (dexamethasone)in ...
Nicotinamide for MS9/27/2006
  Q: Some new research suggests that nicotinamide may mitigate progessive forms of MS. The oral doses ...
  A: I'll have to do some research on this and will get back to you in about 12 hours. Anyway, unlike the ...
Nardil9/26/2006
  Q: Nardil is typically said to require a washout period prior to replacement by another antidepressant. ...
  A: I have heard of this practice too and think it is very risky. I have known people dying when taken ...
Inderal LA9/24/2006
  Q: I have been diagnosed with Hyperthyroidism. My endocrinolgist has put me on Inderal LA 80 mg. My ...
  A: Sometimes hyperthyroidism produces an abnormal beat (a dysrhythmia) in the heart which is not ...
progesterone9/22/2006
  Q: Doctor, With my improving Spanish I was able to fully decipher from a local pharmacist in my new ...
  A: Progesterone taken in this amount in men usually increases libido rather than the opposite so am ...
celexa vs. lexapro9/22/2006
  Q: I currently take 20mg of Lexapro for anxiety disorder with underlying depression. The Lexapro ...
  A: Cemically speaking these two drugs are almost identical but different people respond better to to ...
vicodin use9/21/2006
  Q: I have been prescribed ES vicodin for pain for the past 6 years. I am worried about the effects on ...
  A: The hydrocodone in Vicodin will do nothing adverse on the liver even after indefinite use. The ...
Nexium and Trimspa9/19/2006
  Q: I currently take Nexium, once/day in the mornings per prescription. Are there any known risks for ...
  A: I have examined the many ingredients of Trimspa and would very much doubt that there would be any ...
Expired Medication9/16/2006
  Q: I am currently taking Amphet/Salt combo tablets in 10mg, I recently came across some tablets that ...
  A: As long as they have not been exposed to moisture or extreme heat they should still be OK and ...
indetifying a pill9/13/2006
  Q: I found a little round light yellow pill with a capital Letter L in black printed on it. Please ...
  A: In the US there are at least 12 drugs as described which makes it more or less impossible to ...
antibuse9/6/2006
  Q: When I take antibuse my breath is horrible, as if I digested large quantities of garlic powder, so ...
  A: This effect of Antabuse is common and normally it will go in time, usually in two weeks or less. ...
chrones9/6/2006
  Q: My name is ruby and i am 13 yrs old. i have had chrones disease since i was 8 yrs old. i has been ...
  A: I am appending several web site addresses which should give you all the information you need. ...
Chronic daily headaches9/5/2006
  Q: I have a 14 year old daughter, who after MANY trips to MANY Dr's was diagnosed with Chonic Daily ...
  A: Long term amitryptiline should not be a problem as long as adequate oral hygeine is maintained as it ...
Plateau effect with Prozac?9/5/2006
  Q: My new Physician switched me recently from Prozac to Lexapro. I had taken Prozac for over 10 years ...
  A: I tend to side with you. You were doing fine with Prozac and why change? A little strees and anxiety ...
pharmacology9/4/2006
  Q: sir, my question is if there is any condition in which our acid and enzyme will digest our stomach ...
  A: Our stomach enzymes and acid can digest the stomach wall itself and this is a common cause of ...
helo9/4/2006
  Q: helo. i am jst wondering about the diffrence between pharmD and bs in pharmacy. is thyr dfnrnt ...
  A: I can only partially answer this question as I am not a pharmacist but a pharmacologist. A ...
drug interactions9/4/2006
  Q: My brother was given two drugs to take together for depression and sleep: Celexa (Citalopram) and ...
  A: Neither of these drugs have any MAOI properties but the action of each may be potentiated if given ...
Birth Control9/2/2006
  Q: I am dating a new girlfriend and she dislikes birth control. She has tried different types but finds ...
  A: I presume you are referring to oral contraceptives, to which many women have adverse ef