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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

lexapro / ultram/ adivan interactions?8/22/2007Mary E Scott, RPh, CGP
  Q: My mother, age 89, is in a rehab facility, and was just told that she needs to stay in the nursing ...
  A: Jayne! Before you add another medication to her drug regimen, it may be wise to look to other ...
Tramadol and Hydrocodone8/22/2007Dr. Ravindra Bhaskar Ghooi
  Q: Ghooi: I take Tramadol (Ultram) and Hydrocodone (Vicodin) for back pain and occasional severe ...
  A: I am afrad you have developed a lot of tolerance to the opiate's sedative action. This often ...
novo-venlafaxine xr8/22/2007Nigel Simmons
  Q: i was switched meds, and was put on venlafaxine 150 mg for a little over a month. note ( i have ...
  A: Bobbi It sounds very much as though you are exhibiting symptoms of withdrawal from venlafaxine. As ...
Effexor XR8/22/2007Dr. Tara Kompare, Pharm.D.
  Q: Dr. Kompare, I have been on Effexor Xr 75mg for a year and recently my doctor recommended that I ...
  A: What a great question. I have never heard about the MAOI-like compounds in cigarettes but it ...
Lexapro8/22/2007Layla Yeganeh
  Q: I was wondering if Lexapro can effect athletes. I am a cyclist and sometimes feel tired or like I ...
  A: Yes, this medication can cause fatigue. On the PI sheet it says it occurred in 7 percent of patients ...
ADHD Drugs/Effects8/22/2007Layla Yeganeh
  Q: my son was diagnosed at age 4 with ADHD. He has tried Concerta, Metadate CD, Adderall XR, and ...
  A: ADHD,,,dx at 4. That is very young. Do you believe that DX is accurate? At 10 tourettes, throat ...
Anxiety and depression8/21/2007Dr. Tara Kompare, Pharm.D.
  Q: I am suffering from anxiety and depression is it safe to takes xanax or ativan with an ...
  A: Since it takes an average of 4 to 5 weeks for the effects of anitdepressants such as wellbutrin or ...
How long do I need to wait?8/21/2007Eric Brandt
  Q: I am taking ortho tricyclen lo once a day religiously, and up until about 2 and 1/2 weeks ago, have ...
  A: Amoxcillin is completely eliminated from te body in approx 8 hours after the last dose. To prevent ...
New pink generic Adderall?8/21/2007Nigel Simmons
  Q: I recently moved states and went to refil my adderall prescription, I have always gotten the generic ...
  A: Carmen Unfortunately generic products do not always match the colours of the original brand, but ...
Taking Toprol XL and very tired (A-Fib)8/21/2007Barbara Judge
  Q: I am experiencing tiredness/drowsiness -started taking TOPROL XL about 2 weeks ago based on ...
  A: Most people do adjust to the fatigue and drowsiness that they experience when starting a new ...
Getting off of lexapro8/21/2007Eric Brandt
  Q: I have been taking 10 mg lexapro for almost a year now and I do not feel that I need them anymore. I ...
  A: I am not in a position to recommend stopping a medication without medical advice. Seek local social ...
Diabete8/20/2007Nigel Simmons
  Q: Can Atlantis insulin and 70/30 be mixed together in the same syringe? We have been giving my mother ...
  A: Larry I'm afraid I don't recognise and cannot find any insulin product under the Atlantis brand ...
Lexopro problems8/20/2007Dr. Ravindra Bhaskar Ghooi
  Q: Lexopro works very well for me except at nite I have such long, vivid dreams. I take the medication ...
  A: We really do not know much abot dreams and their relation to medication. In my opinion the ...
Propranolol and weight8/20/2007Barbara Judge
  Q: I take propranolol for migraines. I am a competitive gymnast and it's very important that I don't ...
  A: I can find no credible reports linking propranolol to weight gain. It is not listed as a side ...
How long does it take for a pill to be digested?8/20/2007Dr. Ravindra Bhaskar Ghooi
  Q: I was recently diagnosed with breast cancer. My breast cancer was Estrogen receptor positive, and ...
  A: am really sorry to hear about your diagnosis. There is a thumb rule about disintegration and ...
Nexium and Pregnancy8/20/2007Dr. Ravindra Bhaskar Ghooi
  Q: I have just discovered that I am expecting my first child and as a precaution have immediately ...
  A: Yes you do have a problem. Nexum is not safe for use during pregnancy, it is in category B. I would ...
health question8/19/2007Nigel Simmons
  Q: I am 55 and have constipation problems - for years. I have had a colonoscopy and have increased ...
  A: Lauren Faecal softeners should not have any negative impact on the risk of developing a bowel ...
health question8/19/2007Nigel Simmons
  Q: I am 55 and have constipation problems - for years. I have had a colonoscopy and have increased ...
  A: Lauren Regular use of a stool softener is required for it to be effective, and it is preferable in ...
taking antidepressants8/19/2007Dr. Tara Kompare, Pharm.D.
  Q: after taking peroxatine for about 6 years i asked my GP could he change my medication as i felt that ...
  A: It sounds like you are doing the right thing by gradually decreasing the paroxetine dose and then ...
cephalexin8/19/2007Barbara Judge
  Q: is cephalexin a prescription that can be come toxic after expiration
  A: Anything can become toxic if you keep it long enough. It would depend on how long you have ...
tramadol8/18/2007Dr. Tara Kompare, Pharm.D.
  Q: Can you tell me if tramadol is excreted through breast milk?
  A: Tramadol (Ultram) is excreted through breast milk in small amounts but it is considered "moderately ...
MONISTAT8/17/2007Barbara Judge
  Q: WHEN USING MONISTAT 3 DAY DOES THAT CARRY ANY OF THE DRUGS THAT A PERSON HAS BEEN TAKING OR DOES IT ...
  A: Monistat 3 vaginal cream has primarily local effects as long as it is used properly. That means it ...
Temazepam8/17/2007Mary E Scott, RPh, CGP
  Q: Im 24 yrs. old with 3 children, and I've been going through severe depression and cannot sleep. ...
  A: Ruby, It's not a good idea to be on a sleeping medication if you are not already on an ...
False Positives for PCP8/16/2007Barbara Judge
  Q: I am in a program which entails me to be drug tested at least once a week. I have been in the ...
  A: I can find no information which would lead me to believe that any substance is known to cause a ...
lexapro / ultram/ adivan interactions?8/16/2007Mary E Scott, RPh, CGP
  Q: My mother, age 89, is in a rehab facility, and was just told that she needs to stay in the nursing ...
  A: Jayne, There is no drug interaction with Lexapro,Ultram,or Ativan that would cause anger and/or ...
novo-venlafaxine8/15/2007Nigel Simmons
  Q: i recently got precribed novo-venlafaxine xr 75mg to treat my anxiety disorder. A lot, but not all ...
  A: Rob From the research I have been able to do there appears to be no formal research to determine ...
Amoxicillin8/15/2007Dr. Ravindra Bhaskar Ghooi
  Q: I have been prescribed amoxicillin in the past with no problem. Now I feel like It is giving me ...
  A: Allergic reactions to amoxicillin are pretty rare and in any case they should normally cause skin ...
a little orange pill8/13/2007Nigel Simmons
  Q: I know there painkillers and anti inflammatory pills i just wanna know the name of it so i can read ...
  A: I'm afraid I can find no trace of the markings you describe in any of my usual reference sources and ...
reductil8/13/2007Layla Yeganeh
  Q: Ive just started a course of reductil- its my 3rd day after being on duromine for 2 months (1st mnth ...
  A: Sorry to hear about all this mayhem with the drugs you went through, its good that you are being ...
expiration date on questran powder8/13/2007Dr. Tara Kompare, Pharm.D.
  Q: I have several packets of questran powder with an expiration date of sept 2006 left. I have been ...
  A: Sept 2006 is a little too old! You, unfortunately, will need to get a new prescription. There is no ...
Tetralysal 300 (Lymecycline)8/13/2007Nigel Simmons
  Q: Having read a few of the other questions people have asked you about similar medication i am hopeing ...
  A: Emma While it's not appropriate to recommend taking alcohol with any medication, I can confirm that ...
vicodin effects on stomach and liver8/13/2007Nigel Simmons
  Q: I have a question about the effects of vicodin. If you take 5 750 mg vicodin a day for over a month ...
  A: Jennifer Vicodin is a mix of Acetaminophen and a synthetic opiate Hydrocodone. This means that it ...
Pharmacy Career8/13/2007Barbara Judge
  Q: Dr. Judge, I am considering a change in career from Computer Programming to Pharmacist. Would you ...
  A: Working as a Pharmacist involves a lot of direct patient contact when working in retail ...
fear enducing halucinogen8/13/2007Layla Yeganeh
  Q: you seem confident in your knowledge. a while ago someone told me that the halucinogenic drug ...
  A: Tom, Bat man begins,,, hmmm I think I remember seeing that movie. But I am not a guy, seems like ...
Cefalexin(keflex)8/13/2007Dr. Ravindra Bhaskar Ghooi
  Q: I was given Cefalexin (keflex) by my doctor to treat a urine infection. my period is 1week late, ...
  A: As I understand the period was only delayed not missed, right? This can happen due to cephalexin or ...
drug interactions/ side effects8/12/2007Layla Yeganeh
  Q: i am currently taking 50 mgs per day of methadone. I wanted to start taking Trimspa (a dietary ...
  A: Erin, Unfortunately there is really no way to know. But I would venture to say yes. I dont think ...
Insapamide SR 1.5 and 2.58/12/2007Dr. Ravindra Bhaskar Ghooi
  Q: Respected Sir, I have 2 questions for my guidance from U 1. In India, Natrilix SR 1.5 I Indapamide ...
  A: For quite some time I do not have much relation with the Indian Market, because now I am ...
Pediatric8/12/2007Dr. Tara Kompare, Pharm.D.
  Q: I have a 9 week old baby. We have changes his formula 3 times. He is currently on Similac alimentum. ...
  A: It sounds like he may be suffering from reflux but only his Dr. can determine if that is the cause ...
tramadol8/12/2007Dr. Ravindra Bhaskar Ghooi
  Q: In relation to my previous question about tramadol showing on my drug screen? I have old presription ...
  A: No percocet is of a different class, and I would not inform them. However if you are tested I would ...
Ostomy Patient taking Toprol XL8/11/2007Dr. Tara Kompare, Pharm.D.
  Q: Kompare, I am 66 years old, have had an ileostomy 25 years. I have high blood pressure and BPH. I ...
  A: Yes, there are many other options. Some can cause tiredness for the first few days or so but you and ...

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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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