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Pharmacy/Questions

SubjectDate AskedExpert
Synthroid and Levothroxine3/30/2007Nigel Simmons
  Q: I read online that Levothroxine is the generic for Synthroid. Does this mean that they are the same ...
  A: Connie Yes they are exactly the same drug. Synthroid is a brand name product, whilst Levothyoxine ...
Microgynon 30 and Benadryl3/30/2007Dr. Tara Kompare, Pharm.D.
  Q: I have just started taking the pill (Microgynon 30) for the first time, and I wondered if taking ...
  A: Benadryl should not affect the efficacy of your B.C. pills. I commend you for asking though. The ...
Cytoxan3/30/2007Dr. Tatiana Yatsenko, PharmD
  Q: My question is regarding the drug cytoxan and its metobolites. I am wondering how long this drug ...
  A: Sue, I did find some stability data regarding Cytoxan that could be helpful to you. Cytoxan vials ...
propranolol3/30/2007Barbara Judge
  Q: I'm taking propranolol for high blood pressure im 21 years old and i have an irregular heart beat ...
  A: Since both MDMA and methamphetamine can cause extreme increases in blood pressure and you have ...
Levaquin3/30/2007Eric Brandt
  Q: My husband will be taking the antibiotic, Levaquin 500 mg for 10 days after a prostrate seed ...
  A: Levaquin is an effective antibiotic for urinary tract infections. It is expensive and may not be ...
xanax withdrawal with vestibular migraine3/30/2007Dr Alan Galbraith
  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 ...
Blood Pressure3/29/2007Dr. Tatiana Yatsenko, PharmD
  Q: What happens to blood pressure following a bout of endurance exercises? How long does this effect ...
  A: Good question. I will start out by explaining blood pressure (BP). Blood pressure is the pressure ...
medicine3/29/2007Dr. Tara Kompare, Pharm.D.
  Q: Respected Doctor, For the last three months I,am suffering from a low back pain the correct cause is ...
  A: I was able to find out information about all of your medications except the Orafer. If you can email ...
Codeine and Coloscreen diet3/29/2007Eric Brandt
  Q: I am a 28 year old female. I am on a restricted diet this week because I need to do a test for ...
  A: Acetaminophen with codeine will not affect the result of test for fecal occult blood. Sulfa drugs ...
Paxil CR Withdrawls3/29/2007Nigel Simmons
  Q: - Good afternoon, I recently tapered off of Paxil CR after a few months on it. While tapering ...
  A: Robert It's difficult to say how long such effects will continue as they are very much dependent on ...
pill id3/29/2007Eric Brandt
  Q: i have 2 red and yellow gel capsules no markings do you know what this is. thanks frank
  A: There are several possiblities for this description. Without more information I am not able to ...
Taking Phentermine3/28/2007Eric Brandt
  Q: I just went off my bc pills and am trying to get pregnant. I have been taking Phenermine HCL 30mg ...
  A: The sooner you get off phentermine and the longer you wait after discontinuing it before you get ...
Prevacid and calcium deficiency in infant3/28/2007Dr. Tara Kompare, Pharm.D.
  Q: We have a 2 month baby that has been on both Zantac and Prevacid for gastro problems. What is this ...
  A: I understand your concerns. It is hard to see your newborn baby having to take medication that many ...
good n natural water pill with potasium3/28/2007Barbara Judge
  Q: i have just started taking these water pills in an attempt to kick start weight i have put on due to ...
  A: Most over the counter water pills are very weak diuretics as you have seen. That specific ...
Pharmacy Technician Counseling3/28/2007Dr. Tara Kompare, Pharm.D.
  Q: Counseling? No! I fully realize Pharmacy Techs cannot counsel due to federal legal ramifications. ...
  A: Many techs do provide minimal patient counseling but usually only do so after consulting, at some ...
nitroglycerin3/28/2007Dr. Tatiana Yatsenko, PharmD
  Q: Is there such a thing called Nitroglycerin 5mg patches?
  A: Let me start by explaining a little bit about nitroglycerin. NITROGLYCERIN (Transderm-Nitro®, ...
amoxicillan3/28/2007Nigel Simmons
  Q: will amoxicillan give you a positive urine screen for cocaine
  A: Marco I am not aware of any reason why amoxicillin would give a false positive for cocaine or other ...
Ibuprofin and propranolol3/28/2007Dr Alan Galbraith
  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 ...
benzocine and amoxicillan3/27/2007Dr. Tatiana Yatsenko, PharmD
  Q: will benzocaine or amoxicillan give u a positive urine test for cocaine
  A: First of all, let me explain what metabolite of cocaine is screened for in a urine test. Cocaine is ...
Depot Lupron3/27/2007Eric Brandt
  Q: I am considering taking Lupron for treatment of Endometriosis. I have read a lot about the drug and ...
  A: My only experiences with Lupron are in males where it is used to treat prostate cancer. I have also ...
Cytoxan3/27/2007Dr. Tatiana Yatsenko, PharmD
  Q: My question is regarding the drug cytoxan and its metobolites. I am wondering how long this drug ...
  A: Very good question. Cyclophosphamide(Cytoxan) is a type of chemotherapy for treating various types ...
MiracleBurn & Ortho Tri-Cyclen Lo3/27/2007Barbara Judge
  Q: I am currently taking the Birth Control Ortho Tri-Cyclen Lo, and would like to take the supplement ...
  A: There are no documented drug interactions between Ortho TriCyclen Lo and Miracle Burn. There ...
methadone and pregnancy3/27/2007Dr. Tara Kompare, Pharm.D.
  Q: Up until about 5 weeks ago I had been attending a methadone treatment center (i hurt my back 5 years ...
  A: First let me say congratulations on your pregnancy! Now, to your important questions and ...
beicar, coreg & Nifedical XL3/26/2007Dr Alan Galbraith
  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 Claritin3/26/2007Dr. Tara Kompare, Pharm.D.
  Q: My son and I take generic claritin, loratadine, I may be spelling that wrong. My question is, you ...
  A: Kudos to you for being so conscientious!As long as you are taking your Claritin about every 24 hours ...
Generic Claritin3/26/2007Dr Alan Galbraith
  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 ...
low sex drive3/26/2007Dr. Tatiana Yatsenko, PharmD
  Q: Is there anything for women who have low sex drive? I have been strugling with this for a while. Any ...
  A: Keep in mind that there are many factors that may play a role in sexual dysfunction in ...
Pain relief3/26/2007Dr. Tara Kompare, Pharm.D.
  Q: Can I take darvocet and Ibrufen at the same time
  A: Great question. You should not take both together but should separate them by about 4 hours. The ...
cold medications and parkinsons3/25/2007Eric Brandt
  Q: I have recently been diagnosed with Parkinson. I have a terrible head cold but notice on all cold ...
  A: For dry cough dextromethorphan is effective and will not affect PD. For productive cough guaifenesin ...
Prilosec3/25/2007Nigel Simmons
  Q: I have been diagnosed with gastritis. (no h pylori) I tried protonix and aciphex but had side ...
  A: Marissa Urticaria / itching in the slin is described as an uncommon side effect of Ompeprazole, so ...
wart and duct tape3/25/2007Dr. Tatiana Yatsenko, PharmD
  Q: Dr Yatsenko, What do you know about duct tape use on warts?
  A: Fortunately, duct tape has a reputation as the all-purpose fixer. It's been used for everything from ...
expired supplements3/24/2007Nigel Simmons
  Q: what are the side effects of taking an iron supplement that is expired since 6/06?
  A: Shauna Whilst it cannot be recommended to take any medicine beyond its expiry date, there is ...
headaches3/24/2007Dr. Tatiana Yatsenko, PharmD
  Q: can u tell me a litte about fioricet the doctor gave it to me headaches i have them everyday and ...
  A: No problem. I'm sorry to hear that you suffer from headaches daily. Are they migraines? What type of ...
panic attacks3/24/2007Dr. Tatiana Yatsenko, PharmD
  Q: what is the differs in xantac and klonoplin .i was taking xantac and it work well and the doctor ...
  A: I believe you mean xanax (alprazolam) and not zantac (ranitidine, which decreases stomach acid). All ...
viagra3/24/2007Dr. Tatiana Yatsenko, PharmD
  Q: Dr Yatsenko, I have heard that viagra can decrease ability to smell. Is this true?
  A: Recently, there has been some research that suggests Viagra may cause a reduced sense of smell. ...
sex and drug allergy3/23/2007Dr. Tatiana Yatsenko, PharmD
  Q: My wife is extrememly allergic to penicillin, I just received a prescription for it. Can we still ...
  A: Drugs do have the capability of showing up in body secretions and fluids such as breast milk and ...
Combining pain medications3/23/2007Barbara Judge
  Q: I am taking Lyrica 150 mg tid, and Cymbalta 60 mg qhs. I've been taking the Lyrica for almost 1 ...
  A: Lyrica is not metabolized by the liver, so it would not required special lab work. Cymbalta, ...
Lexipro/Generic?3/23/2007Nigel Simmons
  Q: My wife is currently taking lexipro.We would like to know if there is a generic brand for lexipro?My ...
  A: Steve A mix of bad and hopefully good news on this question. There is no generic form of Lexapro ...
topical medications over tattoos3/23/2007Dr. Tara Kompare, Pharm.D.
  Q: Do tattoos have any impact on the absorption of topical medications? I'm thinking Fentanyl, ...
  A: I would avoid the the application of any medicated patches directly over tattoos--especially new ...
sleep problem3/23/2007Dr. Tatiana Yatsenko, PharmD
  Q: Dr Tatiana, What can i do to help me sleep better?
  A: Tisha, Thank you for your question. Since the causes of insomnia (difficulty sleeping) may be ...

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Nigel Simmons

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Expertise

I am happy to answer general questions on medicines and hospital care. If possible, please use approved / chemical names rather than brands which are not internationally recognised. Like all health professionals I am bound by a duty of care which prevents me giving detailed information about medication or treatment of people other than the questioner. I will endeavour to help wherever possible or point towards more appropriate advice. If however your question crosses too far into patient confidentiality, I hope you will understand why I cannot answer your question. Consider.. would you want me to discuss your care with a friend or relative without your knowledge?

Experience

Registered as a UK pharmacist in 1982 and have worked in a number of hospital and health management posts around the UK. Formerly Chief Pharmacist for a 440 bed general hospital in Cambridgeshire.
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Previously Sysop on CompuServe UK Professionals forum.

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