KLINIK AMANATUL

UMMAH
MAYOR & MODERATE INTERACTIONS
MAYOR
ketoconazole methylprednisolone

 Applies to: ketoconazole, Predacorten (methylprednisolone)

 Ketoconazole may significantly increase the blood levels of
methylPREDNISolone. You may be more likely to experience side effects such as
swelling, weight gain, high blood pressure, high blood glucose, muscle
weakness, depression, acne, thinning skin, stretch marks, easy bruising, bone
density loss, cataracts, menstrual irregularities, excessive growth of facial or
body hair, and abnormal distribution of body fat, especially in the face, neck,
back, and waist. Talk to your doctor if you have any questions or concerns. Your
doctor may be able to prescribe alternatives that do not interact, or you may
need a dose adjustment or more frequent monitoring by your doctor to safely
use both medications. Other side effects that may occur include decreased
ability to fight infections, increased risk of developing infections, and
inadequate response to stress such as infection, surgery, trauma, or a severe
asthma attack. Children may experience a reduced growth rate due to
excessive effects of methylPREDNISolone. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
ciprofloxacin theophylline

 Applies to: Cipro (ciprofloxacin), Theo-24 (theophylline)

 Ciprofloxacin may significantly increase the blood levels of theophylline,
which may lead to potentially serious and life-threatening side effects. Talk
to your doctor if you have any questions or concerns. Your doctor may be
able to prescribe alternatives that do not interact, or you may need a dose
adjustment or more frequent monitoring by your doctor to safely use both
medications. Contact your doctor if you develop nausea, vomiting,
diarrhea, loss of appetite, headache, tremor, confusion, restlessness,
insomnia, seizures, heart palpitations, and/or irregular heartbeat, as these
may be signs and symptoms of excessive theophylline levels. It is important
to tell your doctor about all other medications you use, including vitamins
and herbs. Do not stop using any medications without first talking to your
doctor.
ciprofloxacin methylprednisolone

 Applies to: Cipro (ciprofloxacin), Predacorten (methylprednisolone)

 Ciprofloxacin and other medications in its class can cause tendinitis and tendon
rupture, and the risk may be increased when combined with a steroid such as
methylPREDNISolone. Older adults over 60 years of age and those who have
received a kidney, heart, and/or lung transplant may be particularly
susceptible. Tendon rupture can occur during or up to several months after
finishing ciprofloxacin treatment and may require surgery or result in prolonged
disability. Talk to your doctor if you have any questions or concerns. Your doctor
may be able to prescribe alternatives that do not interact, or you may need a
dose adjustment or more frequent monitoring to safely use both medications.
Stop taking ciprofloxacin and call your doctor immediately if you experience
pain, swelling, or inflammation of a tendon area such as the back of the ankle,
shoulder, biceps, hand, or thumb. You should also avoid exercise or use of the
affected area until further instruction from your doctor. It is important to tell your
doctor about all other medications you use, including vitamins and herbs. Do
not stop using any medications without first talking to your doctor.
metoclopramide promethazine

 Applies to: metoclopramide, Phenergan with Dextromethorphan (dextromethorphan /

promethazine)
 Using metoclopramide together with promethazine is not recommended. Treatment with
either medication alone can cause Parkinson-like symptoms and abnormal muscle
movements, and combining them may increase that risk. The most serious of the
movement disorders associated with the use of these medications is a condition known as
tardive dyskinesia (TD). TD mostly involves muscles in the face, but may also involve those
in the limbs. You cannot control these movements, and they may not go away even after
stopping the medications. There is no treatment for TD, but symptoms may lessen or
disappear over time after stopping the medications. You may be more likely to develop TD
if you are elderly, especially if you are a woman, or if you have diabetes. Your risk also
increases the longer you take these medications and the more of each you take. As such,
treatment with metoclopramide should generally be limited to 12 weeks. Let your doctor
know promptly if you experience muscle spasm or movements that you can't stop or
control, such as lip smacking, chewing, puckering, frowning or scowling, tongue thrusting,
teeth clenching, jaw twitching, blinking, eye rolling, shaking or jerking of arms and legs,
tremor, jitteriness, restlessness, pacing, and foot tapping. It is important to tell your doctor
about all other medications you use, including vitamins and herbs. Do not stop using any
medications without first talking to your doctor.
ketoconazole loperamide

 Applies to: ketoconazole, loperamide

 Ketoconazole may significantly increase the blood levels of loperamide. This can lead to
serious and potentially fatal complications such as irregular heart rhythm and cardiac
arrest, especially if you use more than the recommended doses of loperamide. You may
also be more susceptible if you have a heart condition called congenital long QT
syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances
(for example, magnesium or potassium loss due to severe or prolonged diarrhea or
vomiting). Do not exceed the dose and frequency or duration of use of loperamide
recommended on the product label or prescribed by your doctor. Talk to your doctor if
you have any questions or concerns. Your doctor may be able to prescribe alternatives
that do not interact, or you may need a dose adjustment or more frequent monitoring to
safely use both medications. You should seek immediate medical attention if you develop
sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during
treatment with these medications. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
ranitidine loperamide

 Applies to: ranitidine, loperamide

 RaNITIdine may significantly increase the blood levels of loperamide. This can lead to
serious and potentially fatal complications such as irregular heart rhythm and cardiac
arrest, especially if you use more than the recommended doses of loperamide. You may
also be more susceptible if you have a heart condition called congenital long QT
syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances
(for example, magnesium or potassium loss due to severe or prolonged diarrhea or
vomiting). Do not exceed the dose and frequency or duration of use of loperamide
recommended on the product label or prescribed by your doctor. Talk to your doctor if
you have any questions or concerns. Your doctor may be able to prescribe alternatives
that do not interact, or you may need a dose adjustment or more frequent monitoring to
safely use both medications. You should seek immediate medical attention if you develop
sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during
treatment with these medications. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
ciprofloxacin dexamethasone

 Applies to: Cipro (ciprofloxacin), Dexasone (dexamethasone)

 Ciprofloxacin and other medications in its class can cause tendinitis and tendon
rupture, and the risk may be increased when combined with a steroid such as
dexamethasone. Older adults over 60 years of age and those who have
received a kidney, heart, and/or lung transplant may be particularly
susceptible. Tendon rupture can occur during or up to several months after
finishing ciprofloxacin treatment and may require surgery or result in prolonged
disability. Talk to your doctor if you have any questions or concerns. Your doctor
may be able to prescribe alternatives that do not interact, or you may need a
dose adjustment or more frequent monitoring to safely use both medications.
Stop taking ciprofloxacin and call your doctor immediately if you experience
pain, swelling, or inflammation of a tendon area such as the back of the ankle,
shoulder, biceps, hand, or thumb. You should also avoid exercise or use of the
affected area until further instruction from your doctor. It is important to tell your
doctor about all other medications you use, including vitamins and herbs. Do
not stop using any medications without first talking to your doctor.
MODERATE INTERACTION
albuterol promethazine

 Applies to: albuterol, Phenergan with Dextromethorphan (dextromethorphan /

promethazine)
 Using albuterol together with promethazine can increase the risk of an irregular heart
rhythm that may be serious and potentially life-threatening, although it is a rare side effect.
You may be more susceptible if you have a heart condition called congenital long QT
syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances
(for example, magnesium or potassium loss due to severe or prolonged diarrhea or
vomiting). The risk may exist even when albuterol or similar medications are given by oral
inhalation directly into the lungs, and more so if these products are overused. Do not
exceed the dose and frequency of use recommended on the product label or prescribed
by your doctor. Talk to your doctor if you have any questions or concerns. Your doctor may
already be aware of the risks, but has determined that this is the best course of treatment
for you and has taken appropriate precautions and is monitoring you closely for any
potential complications. You should seek immediate medical attention if you develop
sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during
treatment with these medications. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
phenylpropanolamine promethazine

 Applies to: phenylpropanolamine, Phenergan with Dextromethorphan

(dextromethorphan / promethazine)
 Ask your doctor before using promethazine together with
phenylpropanolamine. Using these medications together may cause either
drug to be less effective. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any
medications without first talking to your doctor.
dextromethorphan promethazine

 Applies to: DexAlone (dextromethorphan), Phenergan with

Dextromethorphan (dextromethorphan / promethazine)
 Using dextromethorphan together with promethazine may increase side
effects such as dizziness, drowsiness, confusion, and difficulty
concentrating. Some people, especially the elderly, may also experience
impairment in thinking, judgment, and motor coordination. You should
avoid or limit the use of alcohol while being treated with these medications.
Also avoid activities requiring mental alertness such as driving or operating
hazardous machinery until you know how the medications affect you. Talk
to your doctor if you have any questions or concerns. It is important to tell
your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.
loperamide cetirizine

 Applies to: loperamide, Cetiri D (cetirizine / pseudoephedrine)

 Using cetirizine together with loperamide may increase side effects such as
dizziness, drowsiness, and difficulty concentrating. Some people, especially
the elderly, may also experience impairment in thinking, judgment, and
motor coordination. You should avoid or limit the use of alcohol while being
treated with these medications. Also avoid activities requiring mental
alertness such as driving or operating hazardous machinery until you know
how the medications affect you. Talk to your doctor if you have any
questions or concerns. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any
medications without first talking to your doctor.
ketoconazole promethazine

 Applies to: ketoconazole, Phenergan with Dextromethorphan

(dextromethorphan / promethazine)
 Using ketoconazole together with promethazine can increase the risk of an
irregular heart rhythm that may be serious and potentially life-threatening,
although it is a relatively rare side effect. You may be more susceptible if you
have a heart condition called congenital long QT syndrome, other cardiac
diseases, conduction abnormalities, or electrolyte disturbances (for example,
magnesium or potassium loss due to severe or prolonged diarrhea or vomiting).
Talk to your doctor if you have any questions or concerns. You should seek
immediate medical attention if you develop sudden dizziness, lightheadedness,
fainting, shortness of breath, or heart palpitations during treatment with these
medications, whether together or alone. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
ciprofloxacin albuterol

 Applies to: Cipro (ciprofloxacin), albuterol

 Using albuterol together with ciprofloxacin can increase the risk of an irregular heart
rhythm that may be serious and potentially life-threatening, although it is a rare side effect.
You may be more susceptible if you have a heart condition called congenital long QT
syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances
(for example, magnesium or potassium loss due to severe or prolonged diarrhea or
vomiting). The risk may exist even when albuterol or similar medications are given by oral
inhalation directly into the lungs, and more so if these products are overused. Do not
exceed the dose and frequency of use recommended on the product label or prescribed
by your doctor. Talk to your doctor if you have any questions or concerns. Your doctor may
already be aware of the risks, but has determined that this is the best course of treatment
for you and has taken appropriate precautions and is monitoring you closely for any
potential complications. You should seek immediate medical attention if you develop
sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during
treatment with these medications. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
ketoconazole albuterol

 Applies to: ketoconazole, albuterol

 Using albuterol together with ketoconazole can increase the risk of an irregular heart
rhythm that may be serious and potentially life-threatening, although it is a rare side effect.
You may be more susceptible if you have a heart condition called congenital long QT
syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances
(for example, magnesium or potassium loss due to severe or prolonged diarrhea or
vomiting). The risk may exist even when albuterol or similar medications are given by oral
inhalation directly into the lungs, and more so if these products are overused. Do not
exceed the dose and frequency of use recommended on the product label or prescribed
by your doctor. Talk to your doctor if you have any questions or concerns. Your doctor may
already be aware of the risks, but has determined that this is the best course of treatment
for you and has taken appropriate precautions and is monitoring you closely for any
potential complications. You should seek immediate medical attention if you develop
sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during
treatment with these medications. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
chlorpheniramine promethazine

 Applies to: Chlor-Trimeton (chlorpheniramine), Phenergan with

Dextromethorphan (dextromethorphan / promethazine)
 Using chlorpheniramine together with promethazine may increase side
effects such as drowsiness, blurred vision, dry mouth, heat intolerance,
flushing, decreased sweating, difficulty urinating, abdominal cramping,
constipation, irregular heartbeat, confusion, and memory problems. Side
effects may be more likely to occur in the elderly or those with a
debilitating condition. You should avoid or limit the use of alcohol while
being treated with these medications. Also avoid activities requiring mental
alertness such as driving or operating hazardous machinery until you know
how the medications affect you. Talk to your doctor if you have any
questions or concerns. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any
medications without first talking to your doctor.
theophylline albuterol

 Applies to: Theo-24 (theophylline), albuterol

 Using theophylline together with albuterol may increase cardiovascular side effects such
as heart palpitations, increased heart and pulse rates, and blood pressure elevations.
Combining these medications may also increase the risk of developing hypokalemia, or
low blood potassium. Although the hypokalemia associated with these drugs is generally
mild and does not cause problems, severe cases can occasionally lead to muscle
weakness, paralysis, breathing and swallowing difficulties (due to muscle paralysis), and
irregular heart rhythm. Side effects may be more likely if you are receiving albuterol or
similar medications in the nebulized, oral, or injectable form. In addition, these medications
given orally or by injection may sometimes reduce the blood levels and effects of
theophylline. You may need a dose adjustment or more frequent monitoring by your
doctor to safely use both medications. Let your doctor know if your breathing worsens or
you experience nausea, vomiting, constipation, abdominal cramping, confusion, dizziness,
lightheadedness, fainting, muscle weakness, muscle cramps, numbness, tingling, rapid
heartbeat, chest pain, and/or swelling in the legs or feet, as these may be symptoms of
hypokalemia. It is important to tell your doctor about all other medications you use,
including vitamins and herbs. Do not stop using any medications without first talking to your
doctor.
albuterol phenylpropanolamine

 Applies to: albuterol, phenylpropanolamine

 Both albuterol and phenylpropanolamine can increase blood pressure and
heart rate, and combining them may enhance these effects. Talk to your
doctor before using these medications, especially if you have a history of
high blood pressure or heart disease. You may need a dose adjustment or
more frequent monitoring by your doctor to safely use both medications.
Contact your doctor if your condition changes or you experience
increased side effects. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any
medications without first talking to your doctor.
albuterol pseudoephedrine

 Applies to: albuterol, Cetiri D (cetirizine / pseudoephedrine)

 Using albuterol together with pseudoephedrine may increase
cardiovascular side effects such as elevations in heart rate and blood
pressure or irregular heart rhythm. Talk to your doctor if you have any
questions or concerns, particularly if you have a history of high blood
pressure, arrhythmia, or heart disease. Your doctor may be able to
prescribe alternatives that do not interact, or you may need a dose
adjustment or more frequent monitoring to safely use both medications. It is
important to tell your doctor about all other medications you use, including
vitamins and herbs. Do not stop using any medications without first talking
to your doctor.
phenylpropanolamine pseudoephedri
ne
 Applies to: phenylpropanolamine, Cetiri D (cetirizine / pseudoephedrine)
 Both phenylpropanolamine and pseudoephedrine can increase blood
pressure and heart rate, and combining them may enhance these effects.
Talk to your doctor before using these medications, especially if you have a
history of high blood pressure or heart disease. You may need a dose
adjustment or more frequent monitoring by your doctor to safely use both
medications. Contact your doctor if your condition changes or you
experience increased side effects. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop
using any medications without first talking to your doctor.
ciprofloxacin promethazine

 Applies to: Cipro (ciprofloxacin), Phenergan with Dextromethorphan

(dextromethorphan / promethazine)
 Using ciprofloxacin together with promethazine can increase the risk of an
irregular heart rhythm that may be serious and potentially life-threatening,
although it is a relatively rare side effect. You may be more susceptible if you
have a heart condition called congenital long QT syndrome, other cardiac
diseases, conduction abnormalities, or electrolyte disturbances (for example,
magnesium or potassium loss due to severe or prolonged diarrhea or vomiting).
Talk to your doctor if you have any questions or concerns. You should seek
immediate medical attention if you develop sudden dizziness, lightheadedness,
fainting, shortness of breath, or heart palpitations during treatment with these
medications, whether together or alone. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
ciprofloxacin diclofenac

 Applies to: Cipro (ciprofloxacin), diclofenac

 Ciprofloxacin may rarely cause central nervous system side effects such as
tremors, involuntary muscle movements, anxiety, confusion, depression,
hallucinations or seizures, and combining it with other medications that can
also affect the central nervous system such as diclofenac may increase
that risk. Talk to your doctor if you have any questions or concerns. Your
doctor may be able to prescribe alternatives that do not interact, or you
may need a dose adjustment or more frequent monitoring by your doctor
to safely use both medications. It is important to tell your doctor about all
other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
dexamethasone diclofenac

 Applies to: Dexasone (dexamethasone), diclofenac

 Using dexamethasone together with diclofenac may increase the risk of side effects in the
gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely, perforation.
Gastrointestinal perforation is a potentially fatal condition and medical emergency where
a hole forms all the way through the stomach or intestine. You should take these
medications with food to lessen the risk. Talk to your doctor if you have any questions or
concerns. Your doctor may be able to prescribe alternatives that do not interact, or you
may need a dose adjustment or more frequent monitoring to safely use both medications.
Your doctor may also be able to recommend medications to help protect the stomach
and intestine if you are at high risk for developing serious gastrointestinal complications.
You should seek immediate medical attention if you experience any unusual bleeding or
bruising, or have other signs and symptoms of bleeding such as dizziness; lightheadedness;
red or black, tarry stools; coughing up or vomiting fresh or dried blood that looks like coffee
grounds; severe headache; and weakness. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
promethazine cetirizine

 Applies to: Phenergan with Dextromethorphan (dextromethorphan /

promethazine), Cetiri D (cetirizine / pseudoephedrine)
 Using cetirizine together with promethazine may increase side effects such
as dizziness, drowsiness, and difficulty concentrating. Some people,
especially the elderly, may also experience impairment in thinking,
judgment, and motor coordination. You should avoid or limit the use of
alcohol while being treated with these medications. Also avoid activities
requiring mental alertness such as driving or operating hazardous
machinery until you know how the medications affect you. Talk to your
doctor if you have any questions or concerns. It is important to tell your
doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor.
metoclopramide cetirizine

 Applies to: metoclopramide, Cetiri D (cetirizine / pseudoephedrine)

 Using cetirizine together with metoclopramide may increase side effects
such as dizziness, drowsiness, and difficulty concentrating. Some people,
especially the elderly, may also experience impairment in thinking,
judgment, and motor coordination. You should avoid or limit the use of
alcohol while being treated with these medications. Also avoid activities
requiring mental alertness such as driving or operating hazardous
machinery until you know how the medications affect you. Talk to your
doctor if you have any questions or concerns. It is important to tell your
doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor.
chlorpheniramine cetirizine

 Applies to: Chlor-Trimeton (chlorpheniramine), Cetiri D (cetirizine /

pseudoephedrine)
 Using cetirizine together with chlorpheniramine may increase side effects
such as dizziness, drowsiness, and difficulty concentrating. Some people,
especially the elderly, may also experience impairment in thinking,
judgment, and motor coordination. You should avoid or limit the use of
alcohol while being treated with these medications. Also avoid activities
requiring mental alertness such as driving or operating hazardous
machinery until you know how the medications affect you. Talk to your
doctor if you have any questions or concerns. It is important to tell your
doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor.
ketoconazole magnesium oxide

 Applies to: ketoconazole, Mag-Ox 400 (magnesium oxide)

 Using ketoconazole together with magnesium oxide can decrease the
effects of ketoconazole. Talk with your doctor before using ketoconazole
while you are using magnesium oxide. Separation of doses by two or more
hours is recommended. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any
medications without first talking to your doctor.
doxycycline magnesium oxide

 Applies to: doxycycline, Mag-Ox 400 (magnesium oxide)

 Using magnesium oxide together with doxycycline may decrease the
effects of doxycycline. Administration of doxycycline and magnesium oxide
should be separated by two to three hours. If your doctor does prescribe
these medications together, you may need a dose adjustment or special
test to safely use both medications. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop
using any medications without first talking to your doctor.
ciprofloxacin magnesium oxide

 Applies to: Cipro (ciprofloxacin), Mag-Ox 400 (magnesium oxide)

 Ciprofloxacin and magnesium oxide should not be taken orally at the same
time. Products that contain magnesium, aluminum, calcium, iron, and/or
other minerals may interfere with the absorption of ciprofloxacin into the
bloodstream and reduce its effectiveness. If possible, it may be best to
avoid taking magnesium oxide while your are being treated with
ciprofloxacin. Otherwise, you should take ciprofloxacin either 2 to 4 hours
before or 4 to 6 hours after the magnesium oxide dose. Talk to a healthcare
professional if you are not sure whether a product contains something that
could potentially interact with your medication or if you have questions on
how to take this or other medications you are prescribed. It is important to
tell your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.
clindamycin attapulgite

 Applies to: clindamycin, attapulgite

 Ask your doctor before using clindamycin together with attapulgite. Using
these medications together may cause clindamycin to be less effective.
Contact your doctor immediately if your condition or infection worsens. You
may need a dose adjustment or special test if you use both medications. It
is important to tell your doctor about all other medications you use,
including vitamins and herbs. Do not stop using any medications without
first talking to your doctor.
doxycycline attapulgite

 Applies to: doxycycline, attapulgite

 Using attapulgite together with doxycycline may decrease the effects of
doxycycline. Administration of doxycycline and attapulgite should be
separated by two to three hours. If your doctor does prescribe these
medications together, you may need a dose adjustment or special test to
safely use both medications. It is important to tell your doctor about all
other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
allopurinol attapulgite

 Applies to: allopurinol, attapulgite

 Using attapulgite together with allopurinol may decrease the effects of
allopurinol. Allopurinol should be administered at least one hour before or
two hours after attapulgite. If your doctor does prescribe these medications
together, you may need a dose adjustment or special test to safely use
both medications. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any
medications without first talking to your doctor.
ciprofloxacin attapulgite

 Applies to: Cipro (ciprofloxacin), attapulgite

 Ciprofloxacin and attapulgite should not be taken orally at the same time.
Products that contain magnesium, aluminum, calcium, iron, and/or other
minerals may interfere with the absorption of ciprofloxacin into the
bloodstream and reduce its effectiveness. If possible, it may be best to
avoid taking attapulgite while your are being treated with ciprofloxacin.
Otherwise, you should take ciprofloxacin either 2 to 4 hours before or 4 to 6
hours after the attapulgite dose. Talk to a healthcare professional if you are
not sure whether a product contains something that could potentially
interact with your medication or if you have questions on how to take this or
other medications you are prescribed. It is important to tell your doctor
about all other medications you use, including vitamins and herbs. Do not
stop using any medications without first talking to your doctor
promethazine loperamide

 Applies to: Phenergan with Dextromethorphan (dextromethorphan /

promethazine), loperamide
 Using loperamide together with promethazine may increase side effects
such as dizziness, drowsiness, and difficulty concentrating. You should avoid
or limit the use of alcohol while being treated with these medications. Also
avoid activities requiring mental alertness such as driving or operating
hazardous machinery until you know how the medications affect you.
Promethazine may also increase the effects of loperamide on your
intestines. Contact your doctor if you experience abdominal cramping or
bloating during treatment with these medications. It is important to tell your
doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor.
albuterol loperamide

 Applies to: albuterol, loperamide

 Using excessive doses of loperamide can cause serious and potentially fatal
complications such as irregular heart rhythm and cardiac arrest, and the risk
may be increased when combined with other medications that can also cause
cardiac problems such as albuterol. You may also be more susceptible if you
have a heart condition called congenital long QT syndrome, other cardiac
diseases, conduction abnormalities, or electrolyte disturbances (for example,
magnesium or potassium loss due to severe or prolonged diarrhea or vomiting).
Do not exceed the dose and frequency or duration of use of loperamide
recommended on the product label or prescribed by your doctor. Talk to your
doctor if you have any questions or concerns. You should seek immediate
medical attention if you develop sudden dizziness, lightheadedness, fainting,
shortness of breath, or heart palpitations during treatment with these
medications, whether together or alone. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
chlorpheniramine loperamide

 Applies to: Chlor-Trimeton (chlorpheniramine), loperamide

 Using loperamide together with chlorpheniramine may increase side effects
such as dizziness, drowsiness, and difficulty concentrating. You should avoid
or limit the use of alcohol while being treated with these medications. Also
avoid activities requiring mental alertness such as driving or operating
hazardous machinery until you know how the medications affect you.
Chlorpheniramine may also increase the effects of loperamide on your
intestines. Contact your doctor if you experience abdominal cramping or
bloating during treatment with these medications. It is important to tell your
doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor.
ciprofloxacin loperamide

 Applies to: Cipro (ciprofloxacin), loperamide

 Using excessive doses of loperamide can cause serious and potentially fatal
complications such as irregular heart rhythm and cardiac arrest, and the risk
may be increased when combined with other medications that can also cause
cardiac problems such as ciprofloxacin. You may also be more susceptible if
you have a heart condition called congenital long QT syndrome, other cardiac
diseases, conduction abnormalities, or electrolyte disturbances (for example,
magnesium or potassium loss due to severe or prolonged diarrhea or vomiting).
Do not exceed the dose and frequency or duration of use of loperamide
recommended on the product label or prescribed by your doctor. Talk to your
doctor if you have any questions or concerns. You should seek immediate
medical attention if you develop sudden dizziness, lightheadedness, fainting,
shortness of breath, or heart palpitations during treatment with these
medications, whether together or alone. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
methylprednisolone diclofenac

 Applies to: Predacorten (methylprednisolone), diclofenac

 Using methylPREDNISolone together with diclofenac may increase the risk of side effects in
the gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely,
perforation. Gastrointestinal perforation is a potentially fatal condition and medical
emergency where a hole forms all the way through the stomach or intestine. You should
take these medications with food to lessen the risk. Talk to your doctor if you have any
questions or concerns. Your doctor may be able to prescribe alternatives that do not
interact, or you may need a dose adjustment or more frequent monitoring to safely use
both medications. Your doctor may also be able to recommend medications to help
protect the stomach and intestine if you are at high risk for developing serious
gastrointestinal complications. You should seek immediate medical attention if you
experience any unusual bleeding or bruising, or have other signs and symptoms of
bleeding such as dizziness; lightheadedness; red or black, tarry stools; coughing up or
vomiting fresh or dried blood that looks like coffee grounds; severe headache; and
weakness. It is important to tell your doctor about all other medications you use, including
vitamins and herbs. Do not stop using any medications without first talking to your doctor.
methylprednisolone piroxicam

 Applies to: Predacorten (methylprednisolone), piroxicam

 Using methylPREDNISolone together with piroxicam may increase the risk of side effects in
the gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely,
perforation. Gastrointestinal perforation is a potentially fatal condition and medical
emergency where a hole forms all the way through the stomach or intestine. You should
take these medications with food to lessen the risk. Talk to your doctor if you have any
questions or concerns. Your doctor may be able to prescribe alternatives that do not
interact, or you may need a dose adjustment or more frequent monitoring to safely use
both medications. Your doctor may also be able to recommend medications to help
protect the stomach and intestine if you are at high risk for developing serious
gastrointestinal complications. You should seek immediate medical attention if you
experience any unusual bleeding or bruising, or have other signs and symptoms of
bleeding such as dizziness; lightheadedness; red or black, tarry stools; coughing up or
vomiting fresh or dried blood that looks like coffee grounds; severe headache; and
weakness. It is important to tell your doctor about all other medications you use, including
vitamins and herbs. Do not stop using any medications without first talking to your doctor.
dexamethasone piroxicam

 Applies to: Dexasone (dexamethasone), piroxicam

 Using dexamethasone together with piroxicam may increase the risk of side effects in the
gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely, perforation.
Gastrointestinal perforation is a potentially fatal condition and medical emergency where
a hole forms all the way through the stomach or intestine. You should take these
medications with food to lessen the risk. Talk to your doctor if you have any questions or
concerns. Your doctor may be able to prescribe alternatives that do not interact, or you
may need a dose adjustment or more frequent monitoring to safely use both medications.
Your doctor may also be able to recommend medications to help protect the stomach
and intestine if you are at high risk for developing serious gastrointestinal complications.
You should seek immediate medical attention if you experience any unusual bleeding or
bruising, or have other signs and symptoms of bleeding such as dizziness; lightheadedness;
red or black, tarry stools; coughing up or vomiting fresh or dried blood that looks like coffee
grounds; severe headache; and weakness. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
mefenamic acid methylprednisolone

 Applies to: mefenamic acid, Predacorten (methylprednisolone)

 Using methylPREDNISolone together with mefenamic acid may increase the risk of side
effects in the gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely,
perforation. Gastrointestinal perforation is a potentially fatal condition and medical
emergency where a hole forms all the way through the stomach or intestine. You should
take these medications with food to lessen the risk. Talk to your doctor if you have any
questions or concerns. Your doctor may be able to prescribe alternatives that do not
interact, or you may need a dose adjustment or more frequent monitoring to safely use
both medications. Your doctor may also be able to recommend medications to help
protect the stomach and intestine if you are at high risk for developing serious
gastrointestinal complications. You should seek immediate medical attention if you
experience any unusual bleeding or bruising, or have other signs and symptoms of
bleeding such as dizziness; lightheadedness; red or black, tarry stools; coughing up or
vomiting fresh or dried blood that looks like coffee grounds; severe headache; and
weakness. It is important to tell your doctor about all other medications you use, including
vitamins and herbs. Do not stop using any medications without first talking to your doctor.
dexamethasone mefenamic acid

 Applies to: Dexasone (dexamethasone), mefenamic acid

 Using dexamethasone together with mefenamic acid may increase the risk of side effects
in the gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely,
perforation. Gastrointestinal perforation is a potentially fatal condition and medical
emergency where a hole forms all the way through the stomach or intestine. You should
take these medications with food to lessen the risk. Talk to your doctor if you have any
questions or concerns. Your doctor may be able to prescribe alternatives that do not
interact, or you may need a dose adjustment or more frequent monitoring to safely use
both medications. Your doctor may also be able to recommend medications to help
protect the stomach and intestine if you are at high risk for developing serious
gastrointestinal complications. You should seek immediate medical attention if you
experience any unusual bleeding or bruising, or have other signs and symptoms of
bleeding such as dizziness; lightheadedness; red or black, tarry stools; coughing up or
vomiting fresh or dried blood that looks like coffee grounds; severe headache; and
weakness. It is important to tell your doctor about all other medications you use, including
vitamins and herbs. Do not stop using any medications without first talking to your doctor.
ciprofloxacin mefenamic acid

 Applies to: Cipro (ciprofloxacin), mefenamic acid

 Ciprofloxacin may rarely cause central nervous system side effects such as
tremors, involuntary muscle movements, anxiety, confusion, depression,
hallucinations or seizures, and combining it with other medications that can
also affect the central nervous system such as mefenamic acid may
increase that risk. Talk to your doctor if you have any questions or concerns.
Your doctor may be able to prescribe alternatives that do not interact, or
you may need a dose adjustment or more frequent monitoring by your
doctor to safely use both medications. It is important to tell your doctor
about all other medications you use, including vitamins and herbs. Do not
stop using any medications without first talking to your doctor.
chlorpheniramine dextromethorphan

 Applies to: Chlor-Trimeton (chlorpheniramine), Phenergan with

Dextromethorphan (dextromethorphan / promethazine), DexAlone
(dextromethorphan)
 Using chlorpheniramine together with dextromethorphan may increase side
effects such as dizziness, drowsiness, confusion, and difficulty
concentrating. Some people, especially the elderly, may also experience
impairment in thinking, judgment, and motor coordination. You should
avoid or limit the use of alcohol while being treated with these medications.
Also avoid activities requiring mental alertness such as driving or operating
hazardous machinery until you know how the medications affect you. Talk
to your doctor if you have any questions or concerns. It is important to tell
your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.
chloramphenicol cefadroxil

 Applies to: Chloromycetin (chloramphenicol), cefadroxil

 Chloramphenicol may diminish the effects of cefadroxil in the treatment of
certain infections. Talk to your doctor if you have any questions or
concerns. Your doctor may be able to prescribe alternatives that do not
interact, or you may need a dose adjustment or more frequent monitoring
by your doctor to safely use both medications. It is important to tell your
doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor.
ketoconazole dexamethasone

 Applies to: ketoconazole, Dexasone (dexamethasone)

 Ketoconazole may increase the blood levels of dexamethasone. You may be
more likely to experience side effects such as swelling, weight gain, high blood
pressure, high blood glucose, muscle weakness, depression, acne, thinning skin,
stretch marks, easy bruising, bone density loss, cataracts, menstrual irregularities,
excessive growth of facial or body hair, and abnormal distribution of body fat,
especially in the face, neck, back, and waist. Talk to your doctor if you have
any questions or concerns. Your doctor may be able to prescribe alternatives
that do not interact, or you may need a dose adjustment or more frequent
monitoring by your doctor to safely use both medications. Other side effects
that may occur include decreased ability to fight infections, increased risk of
developing infections, and inadequate response to stress such as infection,
surgery, trauma, or a severe asthma attack. Children may experience a
reduced growth rate due to excessive effects of dexamethasone. It is important
to tell your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.
ibuprofen dexamethasone

 Applies to: IBU (ibuprofen), Dexasone (dexamethasone)

 Using dexamethasone together with ibuprofen may increase the risk of side effects in the
gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely, perforation.
Gastrointestinal perforation is a potentially fatal condition and medical emergency where
a hole forms all the way through the stomach or intestine. You should take these
medications with food to lessen the risk. Talk to your doctor if you have any questions or
concerns. Your doctor may be able to prescribe alternatives that do not interact, or you
may need a dose adjustment or more frequent monitoring to safely use both medications.
Your doctor may also be able to recommend medications to help protect the stomach
and intestine if you are at high risk for developing serious gastrointestinal complications.
You should seek immediate medical attention if you experience any unusual bleeding or
bruising, or have other signs and symptoms of bleeding such as dizziness; lightheadedness;
red or black, tarry stools; coughing up or vomiting fresh or dried blood that looks like coffee
grounds; severe headache; and weakness. It is important to tell your doctor about all other
medications you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
ciprofloxacin ibuprofen

 Applies to: Cipro (ciprofloxacin), IBU (ibuprofen)

 Ciprofloxacin may rarely cause central nervous system side effects such as
tremors, involuntary muscle movements, anxiety, confusion, depression,
hallucinations or seizures, and combining it with other medications that can
also affect the central nervous system such as ibuprofen may increase that
risk. Talk to your doctor if you have any questions or concerns. Your doctor
may be able to prescribe alternatives that do not interact, or you may
need a dose adjustment or more frequent monitoring by your doctor to
safely use both medications. It is important to tell your doctor about all
other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
doxycycline theophylline

 Applies to: doxycycline, Theo-24 (theophylline)

 Using doxycycline together with theophylline may increase the effects of
theophylline. You should contact your doctor if you experience nausea,
vomiting, diarrhea, headache, restlessness, insomnia, seizures, or an
irregular heartbeat. You may need a dose adjustment or special test to
safely use both medications. It is important to tell your doctor about all
other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
ranitidine theophylline

 Applies to: ranitidine, Theo-24 (theophylline)

 Using theophylline together with raNITIdine may increase the effects of
theophylline. Contact your doctor if you experience nausea, vomiting,
insomnia, tremors, restlessness, uneven heartbeats, and seizure
(convulsions). If your doctor does prescribe these medications together,
you may need a dose adjustment or special test to safely use both
medications. It is important to tell your doctor about all other medications
you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
doxycycline amoxicillin

 Applies to: doxycycline, Amoxil (amoxicillin)

 Talk to your doctor before using doxycycline together with amoxicillin.
Combining these medications may reduce the effectiveness of amoxicillin.
Your doctor may be able to prescribe alternatives that do not interact. It is
important to tell your doctor about all other medications you use, including
vitamins and herbs. Do not stop using any medications without first talking
to your doctor.
ciprofloxacin ketoconazole

 Applies to: Cipro (ciprofloxacin), ketoconazole

 Using ciprofloxacin together with ketoconazole can increase the risk of an
irregular heart rhythm that may be serious and potentially life-threatening,
although it is a relatively rare side effect. You may be more susceptible if
you have a heart condition called congenital long QT syndrome, other
cardiac diseases, conduction abnormalities, or electrolyte disturbances (for
example, magnesium or potassium loss due to severe or prolonged
diarrhea or vomiting). Talk to your doctor if you have any questions or
concerns. You should seek immediate medical attention if you develop
sudden dizziness, lightheadedness, fainting, shortness of breath, or heart
palpitations during treatment with these medications, whether together or
alone. It is important to tell your doctor about all other medications you use,
including vitamins and herbs. Do not stop using any medications without
first talking to your doctor.
theophylline dexamethasone

 Applies to: Theo-24 (theophylline), Dexasone (dexamethasone)

 Using theophylline together with dexamethasone may cause hypokalemia
(low blood potassium) and increased theophylline levels. Contact your
doctor if you experience weakness, listlessness, confusion, tingling of the
extremities, or feelings of heaviness in the legs. Signs and symptoms of too
much theophylline include nausea, vomiting, diarrhea, headache,
restlessness, insomnia, and irregular heartbeat. If your doctor does prescribe
these medications together, you may need a dose adjustment or special
test to safely use both medications. It is important to tell your doctor about
all other medications you use, including vitamins and herbs. Do not stop
using any medications without first talking to your doctor.
ibuprofen methylprednisolone

 Applies to: IBU (ibuprofen), Predacorten (methylprednisolone)

 Using methylPREDNISolone together with ibuprofen may increase the risk of side effects in
the gastrointestinal tract such as inflammation, bleeding, ulceration, and rarely,
perforation. Gastrointestinal perforation is a potentially fatal condition and medical
emergency where a hole forms all the way through the stomach or intestine. You should
take these medications with food to lessen the risk. Talk to your doctor if you have any
questions or concerns. Your doctor may be able to prescribe alternatives that do not
interact, or you may need a dose adjustment or more frequent monitoring to safely use
both medications. Your doctor may also be able to recommend medications to help
protect the stomach and intestine if you are at high risk for developing serious
gastrointestinal complications. You should seek immediate medical attention if you
experience any unusual bleeding or bruising, or have other signs and symptoms of
bleeding such as dizziness; lightheadedness; red or black, tarry stools; coughing up or
vomiting fresh or dried blood that looks like coffee grounds; severe headache; and
weakness. It is important to tell your doctor about all other medications you use, including
vitamins and herbs. Do not stop using any medications without first talking to your doctor.
ranitidine ketoconazole

 Applies to: ranitidine, ketoconazole

 Ask your doctor before using ketoconazole together with raNITIdine. Using
these medications together can make ketoconazole less effective. Let your
doctor know if your condition worsens. It is important to tell your doctor
about all other medications you use, including vitamins and herbs. Do not
stop using any medications without first talking to your doctor.
ciprofloxacin piroxicam

 Applies to: Cipro (ciprofloxacin), piroxicam

 Ciprofloxacin may rarely cause central nervous system side effects such as
tremors, involuntary muscle movements, anxiety, confusion, depression,
hallucinations or seizures, and combining it with other medications that can
also affect the central nervous system such as piroxicam may increase that
risk. Talk to your doctor if you have any questions or concerns. Your doctor
may be able to prescribe alternatives that do not interact, or you may
need a dose adjustment or more frequent monitoring by your doctor to
safely use both medications. It is important to tell your doctor about all
other medications you use, including vitamins and herbs. Do not stop using
any medications without first talking to your doctor.
theophylline omeprazole

 Applies to: Theo-24 (theophylline), omeprazole

 Using theophylline together with omeprazole may increase the effects of
theophylline. Contact your doctor if you experience nausea, vomiting,
insomnia, tremors, restlessness, uneven heartbeats, and seizure
(convulsions). If your doctor does prescribe these medications together,
you may need a dose adjustment or special test to safely use both
medications. It is important to tell your doctor about all other medications
you use, including vitamins and herbs. Do not stop using any medications
without first talking to your doctor.
ketoconazole omeprazole

 Applies to: ketoconazole, omeprazole

 Talk to your doctor before using ketoconazole together with omeprazole.
Combining these medications may interfere with the absorption of
ketoconazole and reduce its effectiveness. Your doctor may be able to
prescribe alternative medications that do not interact, or you may need a
dose adjustment to safely use both medications. Taking ketoconazole with
a cola beverage may also help by increasing stomach acid. Contact your
doctor if your infection does not improve or gets worse. It is important to tell
your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.
dextromethorphan metoclopramide

 Applies to: Phenergan with Dextromethorphan (dextromethorphan /

promethazine), DexAlone (dextromethorphan), metoclopramide
 Using dextromethorphan together with metoclopramide may increase side
effects such as dizziness, drowsiness, confusion, and difficulty
concentrating. Some people, especially the elderly, may also experience
impairment in thinking, judgment, and motor coordination. You should
avoid or limit the use of alcohol while being treated with these medications.
Also avoid activities requiring mental alertness such as driving or operating
hazardous machinery until you know how the medications affect you. Talk
to your doctor if you have any questions or concerns. It is important to tell
your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.
chlorpheniramine metoclopramide

 Applies to: Chlor-Trimeton (chlorpheniramine), metoclopramide

 Using chlorpheniramine together with metoclopramide may increase side
effects such as dizziness, drowsiness, confusion, and difficulty
concentrating. Some people, especially the elderly, may also experience
impairment in thinking, judgment, and motor coordination. You should
avoid or limit the use of alcohol while being treated with these medications.
Also avoid activities requiring mental alertness such as driving or operating
hazardous machinery until you know how the medications affect you. Talk
to your doctor if you have any questions or concerns. It is important to tell
your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.
chloramphenicol cefixime

 Applies to: Chloromycetin (chloramphenicol), cefixime

 Chloramphenicol may diminish the effects of cefixime in the treatment of
certain infections. Talk to your doctor if you have any questions or
concerns. Your doctor may be able to prescribe alternatives that do not
interact, or you may need a dose adjustment or more frequent monitoring
by your doctor to safely use both medications. It is important to tell your
doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor.
theophylline methylprednisolone

 Applies to: Theo-24 (theophylline), Predacorten (methylprednisolone)

 Using theophylline together with methylPREDNISolone may cause
hypokalemia (low blood potassium) and increased theophylline levels.
Contact your doctor if you experience weakness, listlessness, confusion,
tingling of the extremities, or feelings of heaviness in the legs. Signs and
symptoms of too much theophylline include nausea, vomiting, diarrhea,
headache, restlessness, insomnia, and irregular heartbeat. If your doctor
does prescribe these medications together, you may need a dose
adjustment or special test to safely use both medications. It is important to
tell your doctor about all other medications you use, including vitamins and
herbs. Do not stop using any medications without first talking to your doctor.