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About Nigel Simmons
(Top Expert on this page)

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.
Past/Present clients
Previously Sysop on CompuServe UK Professionals forum.

   

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

SubjectDate AskedExpert

lowering cholesterol/statins4/28/2007Dr. Ravindra Bhaskar Ghooi
  Q: I am a 31 year old mother of 2 boys (4 years and 6 months old). I have an LDL of 200 and HDL of 56. ...
  A: What you have not informed me is your total cholesterol level, though LDL of 200 does sound a bit ...
a v block medicine treatment only4/28/2007Eric Brandt
  Q: sir pl inform only medicine treatment for a v block for my mother age 71
  A: AV block can have many causes. There is no one specific treatment. You need to treat the cause. I ...
a v block medicine treatment only4/28/2007Dr. Tara Kompare, Pharm.D.
  Q: sir pl inform only medicine treatment for a v block for my mother age 71
  A: The primary treatment for most patients with chronic AV block is the insertion of a pacemaker. ...
pill identification4/28/2007Dr. Tara Kompare, Pharm.D.
  Q: I'm a PA in the Army, stationed in Afganistan. I found a tablet that I cannot ID. Perhaps it's a ...
  A: I hope you are faring well and my heart and prayers are with all the troops in Afghanistan and ...
Need help!!!4/27/2007Dr. Ravindra Bhaskar Ghooi
  Q: This is Vidya. I am 21 yrs old. I had a hyperthyroid surgery in Nov and currently on a dosage of ...
  A: I think your dosage has not been titrated properly. If the dose is well titrated then you will ...
Lidocaine and Prilocaine cream, 2.5%/2.5%4/27/2007Nigel Simmons
  Q: I am 18 and I think I have had tennis elbow for around 3 to 4 months now from playing racquetball. ...
  A: Nate EMLA is now widely used to ease pain at injection sites. Visit the children's ward of any ...
RE: Microgynon 30 birth control pill4/27/2007Dr. Tara Kompare, Pharm.D.
  Q: I started on Microgynon 30 three weeks ago on the first day of my period - to regulate my period ...
  A: Some women will spot periodically while on birth control pills. If this happens after a couple of ...
Norvasc4/27/2007Eric Brandt
  Q: My cat might be perscribed this for high blood pressure. I am pregnant. Is there any danger in ...
  A: I think the amount of dermal absorption is extremely low unless you have open sores through which ...
False positive in urine screen for Benzo4/27/2007Nigel Simmons
  Q: Can the drug Benzocaine give a positive urine screen for the class of drugs in the Benzo family ...
  A: Stephen Benzocaine is not a benzodiazepine like Xanax and Valium so it should not be detectable in ...
Iron Tablets4/27/2007Nigel Simmons
  Q: CAN I USE IRON TABLETS THAT HAVE EXPIRED ON 02/2007
  A: Rumana Although manufacturers will have a margin for safety in the setting of expiry of a product, ...
novo-venlafaxine xr4/27/2007Dr. Ravindra Bhaskar Ghooi
  Q: I am taking 225 mg of novo-venlafaxine xr a day. I feel much better on it but I was wonderinf what ...
  A: If you take alcohol while on venlafaxne, the effects you will have are immediate if any, not long ...
DEXAMETHASONE4/27/2007Dr. Tatiana Yatsenko, PharmD
  Q: I was on "Dex" for 6 months & have gained 20 pounds. I'm no longer on the medication and would like ...
  A: First of all, I'm happy for you that they myeloma is barely detectable! Good Luck! Now to the ...
xanax4/26/2007Nigel Simmons
  Q: I just wanted to know if I take xanax twice (on tablet only each time) in the same week, will it ...
  A: Dan It really depends what the test is looking for. Even simple urine dip tests are quite specific ...
drug test4/26/2007Nigel Simmons
  Q: will cymbalta cause any type of false positive(for illict drugs)to appear in urine drug screen?
  A: Jonathan If the test is looking only for opiates, amphetamines and cocaine, then Cymbalta should ...
metaxalone4/26/2007Nigel Simmons
  Q: Is is alright to take ibuprofen while taking metaxalone for a muscle spasm in the lower back? The ...
  A: Jo The manufacturers recommend that anyone who experiences persistent headaches should see their ...
Cefzil dose doubled halfway thru 10 day course4/26/2007Eric Brandt
  Q: Is it common (and safe) to double the dose of Cefzil halfway through the 10 day course? Have been ...
  A: The dose of Cefzil is between 250 mg twice a day to 500 mg twice a day depending on the severity of ...
help4/26/2007Barbara Judge
  Q: I'm not sure if I have the right person, but my question is, I'm 19 year old, and very short, I'm ...
  A: There is really no such thing as a pill that will help you gain height. Height is determined ...
help4/26/2007Nigel Simmons
  Q: I'm not sure if I have the right person, but my question is, I'm 19 year old, and very short, I'm ...
  A: Jack I fear that at 19 there is little that can be done to increase your height. Most people attain ...
help4/26/2007Dr. Tatiana Yatsenko, PharmD
  Q: I'm not sure if I have the right person, but my question is, I'm 19 year old, and very short, I'm ...
  A: There are other reasons why teens may have growth problems. Growth is controlled by the hormones the ...
constipation drug4/25/2007Nigel Simmons
  Q: I am anxious to find in America a German drug I have used for constipation. it is called BECUNIS. ...
  A: Gordana I think the product you are referring to is also called Bekunis (my German and Dutch aren't ...
loss of appetite4/25/2007Mary E Scott, RPh, CGP
  Q: My husband had a stroke that only effected some speech, he says that everything I now cook for him ...
  A: Pam! Spironolactone can cause loss of appetite, as can warfarin. He may want to check with his ...
qualifications to become a drug wholesaler4/25/2007Dr. Tara Kompare, Pharm.D.
  Q: Do you have to be a pharmacist, to be a drug wholesaler?
  A: No, you do not have to be a pharmacist to become a drug wholesaler. Each company has different ...
what is the difference between a registered pharmacy tech. and a certified pharmacy tech.4/25/2007Mary E Scott, RPh, CGP
  Q: my name is Tanisha and I am interested in becoming a pharmacy tech. I was wondering if you could ...
  A: Tanisha! A certified pharmacy tech is a tech that has taken and passed the national pharmacy tech ...
Salicylic Acid4/24/2007Eric Brandt
  Q: a few years, i found a topical product i really liked. I believe it's out of production now and ...
  A: I expect it would mix with oils also. Ointments are oily mixtures and if it mixes in an ointment it ...
Megacolon4/24/2007Nigel Simmons
  Q: My 2 year old has been having abdominal distention for about 8 months. She was just in the emergency ...
  A: Xiomara I am not a doctor and only have limited detailed knowledge of many medical problems ...
Neosporin and pregnancy4/24/2007Dr. Tara Kompare, Pharm.D.
  Q: I am getting conflicting info about using neosporin during pregnancy. I have seen it on "safe ...
  A: A little neosporin should not hurt anyone--unless, you are like me and highly allergic to it! So, ...
fluoxetine with phentermine4/24/2007Eric Brandt
  Q: I had been taking phentermine for a yr and lost 35 lbs. I quit taking it to start lexapro, now have ...
  A: I am not in a position to make that kind of medical decision. Medical decisions are reserved for ...
Levaquin4/24/2007Eric Brandt
  Q: Eric, Have been checking online regarding side effects to Levaquin. It's late at night and I think ...
  A: Cardiovascular effects with Levaqun are reported to have occured in less than 0.3% of people taking ...
DEXAMETHASONE4/23/2007Dr. Tatiana Yatsenko, PharmD
  Q: I was on "Dex" for 6 months & have gained 20 pounds. I'm no longer on the medication and would like ...
  A: It is apparent you lead a very healthy lifestyle. Do you have any other health condition? ...
Birth Control4/23/2007Barbara Judge
  Q: I've been taking TriNessa for about 2 months now. I recently got out my third pack and noticed one ...
  A: The side effects you have experienced have not been previously documented as having been ...
interactions/contraindications4/23/2007Nigel Simmons
  Q: Can a teenager already on accutane (has one month left to finish) take an antimalarial drug such as ...
  A: Diane I am not aware of any problems, though admittedly use of antimalarials is not a usual ...
celebrex4/22/2007Nigel Simmons
  Q: If a Celebrex (celecoxib) is ingested will it show up on a drug test? If so what will it show up as?
  A: Steven I'm assuming you are referring to a drug test for illicit products such as heroin or ...
Expired Zyrtec4/21/2007Barbara Judge
  Q: I have some Zyrtec tablets (cetirizine HCL) which says EXP Jan 2007. It is now April 2007 and I was ...
  A: The potency of medications can not be assured beyond the labeled expiration date. No one can ...
When I'm finished my degree,what do i do next?4/21/2007Dr. Tara Kompare, Pharm.D.
  Q: I recently asked you a question concering pharmacy and I found your reply very helpful,so I have ...
  A: I am glad I was able to help you! Your question is a very good one. You will need to contact your ...
Bactrim... trimethoprim sulfamethoxazole4/20/2007Eric Brandt
  Q: Well, here I am back again. Several hospitals give trimethoprim sulfamethoxazole to prevent ...
  A: It is wise to inform the physician of any adverse reactions to other drugs. It may influence the ...
Drug interaction4/19/2007Eric Brandt
  Q: Is taking Statins for Cholestrol OK when on Hydrea for Thrombocytosis?
  A: There is not a lot of information egarding drug interactions with Hydrea. I can only extrapolate ...
serequel4/18/2007Mary E Scott, RPh, CGP
  Q: I found serequel In my uncles bathroom and I was wondering what it does for your body. and how can ...
  A: Kaitlyne, Seroquel is an antipsychotic medication used for many conditions, from dementia with ...
zetia and ibuprofin and acetaminophen4/18/2007Barbara Judge
  Q: I am taking zetia. Which of the above two over the counter medications can I take for pain relief ...
  A: There are no documented drug interactions between Zetia and ibuprofen or acetaminophen. As ...
Ultraset4/18/2007Nigel Simmons
  Q: .. I took one pill on two seperate occassions and both time about or even six hours after taking got ...
  A: Jeanne Although the literature cites gastro-intestinal problems as rare, I think the problems you ...
Interaction4/18/2007Dr Alan Galbraith
  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 ...

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Questions by
Active Experts:
Joe Haynes, R.Ph., MBANigel SimmonsBarbara Judge
Sudesh SamuelEric BrandtDr. Ravindra Bhaskar Ghooi
Mary E Scott, RPh, CGPDr Alan GalbraithCody D. Freeze
   

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