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About Mary E Scott, RPh, CGP
Expertise
I am a certified geriatric pharmacist with over 23 years experience as a long-term care consultant to nursing homes. I also do community-based consulting on an individual basis. My facility-based monthly newsletter on pharmacy topics is read by nurses in over 200 long-term care facilities in 5 states.

Experience
I received a BS in Pharmacy in 1980 with post-graduate work in public health. I have had a Consultant Pharmacist license since 1984.

Organizations
American Society of Consultant Pharmacists
.I received certification in geriatric pharmacy in 1998.
 
   

You are here:  Experts > Health/Fitness > Pharmacology > Pharmacy > taking meds together

Topic: Pharmacy



Expert: Mary E Scott, RPh, CGP
Date: 11/29/2007
Subject: taking meds together

Question
My mother takes Synthroid (once q a.m.) and Nexium (a.m. & p.m.).  She was told she has to take the Synthroid 4 hours before or after the Nexium.  She is getting up at 3 a.m. to take it.  Is this correct?

Answer
Hi,Ann!
She should NOT have to get up at 3AM to take the Synthroid!
It is important to take the Nexium 1 hour before eating breakfast. Food will inhibit its absorption so that it won't work effectively.
Synthroid also works better on an empty stomach,but she can take this anytime. The important thing is to take it AT THE SAME TIME DAILY to maintain consistant blood levels.
If she gets up at 7A,she can take the Nexium then, eat breakfast an hour later at  8A, then wait an hour or two and take the Synthroid (9 or 10A).It is not necessary to wait 4 hours. Of course, if she is on other medication, that may make a difference. Let me know if she is on anything else. Hope this helps, Mary

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