Dr. Grace Akoh-Arrey

Pharmacy 18 years experience

Up to ~50 hours: The action of Clonazepam may persist in the system for up to 12 hours and final elimination may take up to 50 hours in adults. Since Clonazepam is met... Read More

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5.5k viewsReviewed >2 years ago

6 thanks

A member asked:

What kind of of disease would make my clitorous hurt?

Pharmacy 18 years experience

Various reasons: Clitoral pain may be due to many reasons, trauma, other disease states( like diabetes) or unknown. If you are sexually active , vigorous sexual activi... Read More

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5.5k viewsReviewed >2 years ago

A 29-year-old male asked:

Does arimidex (anastrozole) cause fatigue and weakness !

Pharmacy 18 years experience

Yes: Arimidex (anastrozole) is used to treat some types of breast cancer. Fatigue, weakness , tiredness are some common side effects seen with use of this ... Read More

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5.3k viewsAnswered >2 years ago

A 47-year-old male asked:

Can i take cefuroxime (500 mg) with ranitidine?

Pharmacy 18 years experience

Reduce effectiveness: Ranitidine has been show to reduce the Cefuroxime levels when taken together.This may result in antibiotic failure. If you must use ranitidine, take... Read More

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5.4k viewsAnswered >2 years ago

A 45-year-old male asked:

I accidentally took a double dose of my buspar (buspirone). normal is 15mg x 3 and i took 30 at once. is this safe?

Pharmacy 18 years experience

Yes : You should be fine. Drink lots of water just watch for drowsiness/ lightheartedness. Take buspar(buspirone) with or without food. If this was the 2nd ... Read More

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5.5k viewsReviewed >2 years ago

Dr. Pamela Pappas and another doctor agree2 doctors agree

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A 33-year-old female asked:

Can you use metrogel a few hours after intercourse?

Pharmacy 18 years experience

Start Therapy: Yes you can use Metrogel a few hours after intercourse, but then its advisable to abstain till therapy is completed ( 5 days course). Common side eff... Read More

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5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A member asked:

Can i take aleve-d cold and sinus with tussin dm?

Pharmacy 18 years experience

Yes- what symptoms?: Aleve (naproxen) d cold/sinus contains Naproxen (for pain/fever), Pseudoephedrine (nasal/sinus decongestant) limit 2 tablets/day.Swallow whole. Tussi... Read More

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5.6k viewsReviewed >2 years ago

Dr. Larry Lutwick agrees1 doctor agrees

5 thanks

A 59-year-old male asked:

Generally, would someone need to slowly titrate down from 200 to 100 mg. toprol (metoprolol) xl?

Pharmacy 18 years experience

Yes: It is generally advisable to reduce doses gradually over 1 - 2 weeks before discontinuing to reduce/avoid rebound hypertension/ heart problems. Please... Read More

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5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 26-year-old male asked:

Please dr. what can i do to stop my wife from blending after miscourage(lose baby)?

Pharmacy 18 years experience

See her doctor: Please take her to her doctor for re-evaluation and proper care. Continuous bleeding post miscarriage should not be managed at home. Its very importan... Read More

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5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 29-year-old female asked:

Can micronor (norethindrone) cause headaches and migraines ?

Pharmacy 18 years experience

Yes: Micronor (norethindrone progestin -only medication) common sides effects include headaches, dizziness, nausea, breast tenderness. If headaches persist... Read More

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5.2k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 21-year-old female asked:

Im on yaz, (drospirenone and ethinyl estradiol) if blood comes before i start taking the last 4 white pills, what does it mean?

Pharmacy 18 years experience

Chances in menses: No issues. Its common to have irregular periods while on birth control( hormones). Just keep taking Yaz (drospirenone and ethinyl estradiol) daily to ... Read More

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4.7k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 60-year-old male asked:

What are the prescriptions that can possibly lower a higher heart rate?

Pharmacy 18 years experience

Various: Some medications include beta- blockers ( atenolol, metoprolol, bisoprolol), calcium channel blockers ( verapamil, amlodipine, diltiazem) could all r... Read More

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4.8k viewsReviewed >2 years ago

Dr. David Sneid and another doctor agree2 doctors agree

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A 28-year-old female asked:

Can levofloxacin and citalopram be taken together?

Pharmacy 18 years experience

Drug interaction: An increase risk of life-threatening cardiac arrhythmias, (torsades de pointes) has be reported when citalopram and Levofloxacin are taken together.Th... Read More

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4.8k viewsReviewed >2 years ago

Dr. Holly Maes and 2 doctors agree3 doctors agree

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A 22-year-old female asked:

Had sex the sat night and i took the 1st postinor 2 pill sunday @ 12:00 then i took the 2nd pill 22 hrs later will i get pregnant, what r the chances?

Pharmacy 18 years experience

Low : Postinor 2 is most effective when the first tablet is taken within 72 hours after intercourse and the second tablet exactly 12 hours after the first... Read More

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4.8k viewsReviewed >2 years ago

Dr. Holly Maes and 2 doctors agree3 doctors agree

A 29-year-old female asked:

Diane-35 pills should be taken every when?should it be on the first day of the period or after?and there must be 7days rest before the next pack, ryt?

Pharmacy 18 years experience

For Diane -35 -Yes: Diane-35(birth control) take 1 tablet at the same time everyday. Start a new pack on the sunday after the first day of your period, take all 21 tablet... Read More

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4.8k viewsAnswered >2 years ago

A member asked:

I have been on the depo-provera shot for 2 years or so. i was late taking my last shot by almost a month. is pregnancy possible after unprotected sex?

Pharmacy 18 years experience

Probably not : Take your shot as soon as possible. If you go > 13 weeks past scheduled dose, then the risk of pregnancy high. Depo stays in the system for~ 50 days ... Read More

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5.4k viewsAnswered >2 years ago

A 25-year-old female asked:

Is it ok to take colpermin and paracetamol together?

Pharmacy 18 years experience

Watch abdominal pain: Colpermin ( peppermint) advertised for managing irritable bowel syndrome (ibs) paracetamol (acetaminophen (tylenol)) for pain/fever relief.These can b... Read More

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5.4k viewsAnswered >2 years ago

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A 29-year-old female asked:

I had implanon removed 3wks ago.had period every other month while on it. no period yet but want to conceive. could i be pregnant or what should i do?

Pharmacy 18 years experience

Its possible.: In clinical trials, the level of hormone in the blood decreased within 1 week after removal of the implant. Meaning, pregnancy could occur as early as... Read More

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4.8k viewsAnswered >2 years ago

A 68-year-old male asked:

Is there a substitute for. bystolic (nebivolol) that is a generic?

Pharmacy 18 years experience

Beta-Adrenergic Bloc: Bystolic (nebivolol) is in a class of drugs called beta-adrenergic blocking agents.Some drugs in this class are atenolol, metoprolol, Acebutolol which... Read More

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4.8k viewsReviewed >2 years ago

Dr. Donald Jacobson agrees1 doctor agrees

10 thanks

A 28-year-old female asked:

Im taking 500 mg amoxicillan as prescribed by my doctor and i forgot i took my dosage early and took another pill 3 hours later. will i be ok?

Pharmacy 18 years experience

You are fine: Do not worry , you should be fine. Just watch for some abdominal discomfort. Drink plenty of water and return to your normal dosing schedule next day.... Read More

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5.1k viewsAnswered >2 years ago

A 32-year-old female asked:

I have a uti i got nitrofurantoin on sunday but i feel it has not gone yet and i only have two days of tablets left what else can i do?

Pharmacy 18 years experience

See your doctor: If taking the medication as prescribed, that is no missed doses, then we expect some improvement. But be sure to complete the therapy and please call ... Read More

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4.9k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 18-year-old female asked:

I have the mirena (levonorgestrel) and it has fallen and about a week ago i had unprotected sex and he came i'm me should i be worried?

Pharmacy 18 years experience

Risk of pregnancy: Yes, there is an increase risk of pregnancy as soon as Mirena (levonorgestrel) falls out..Do a pregnancy test/ see your doctor as soon as possible. I... Read More

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5.1k viewsAnswered >2 years ago

A 16-year-old female asked:

I have irregular menses, sometimes after 2 months or also after 3 months so, what is the reason of this?

Pharmacy 18 years experience

See your doctor: Hormonal changes can result in irregular periods. At 16 years your body is undergoing lots of changes which is very natural. These irregular periods c... Read More

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5k viewsAnswered >2 years ago

A 16-year-old female asked:

Due to a condition with my lungs i am coughing to the point of tears, i take xanax (alprazolam) for insomnia and anxiety. can i take cough medicine with my xanax (alprazolam)?

Pharmacy 18 years experience

Try Delsym (dextromethorphan): Try delsym (dextromethorphan polistirex), take 2 teaspoonful (10 ml or cc) every 12 hours and if cough gets worse or does not resolve in about 1 week ... Read More

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4.8k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 26-year-old female asked:

My doctor prescribe sprintec and i have irregular period but me and my husband are looking to get pregnant how does this affect us

Pharmacy 18 years experience

Birth control: Sprintec is a birth control and can also be used for treating irregular periods. Please discuss your intention of getting pregnant with your doctor. C... Read More

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4.8k viewsReviewed >2 years ago

A 23-year-old female asked:

Im taking a contraceptive pills for my irregular menstruation but suddenly after a 1month my vagina turned into fishy odor. help?

Pharmacy 18 years experience

See your doctor: Your birth control pills have nothing to do with the fishy odor you are describing. You may have a bacterial infection , so please see your doctor for... Read More

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4.8k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 17-year-old female asked:

I had sex for the first time and i have a piece of my hymen hanging from my vagina that is still attached. can my gyn remove it for me?

Pharmacy 18 years experience

See a gynecologist: Yes it advisable to see your gynecologist for evaluation, care. Also a discussion of what birth control may be appropriate for you will be good at thi... Read More

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5k viewsReviewed >2 years ago

A 24-year-old female asked:

Can i take 65 mg iron pill three times a day?... i recently lost a lot of blood and my rbc level and hgb level are very low rite now.

Pharmacy 18 years experience

Yes: For iron deficiency/ dietary supplement its fine to take 65 mg elemental iron 2 to 3 times daily. Remember your doctor will be the best to counsel/dos... Read More

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5k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

A 27-year-old female asked:

I missed 3 pills of my birth control in week 1 and again in week 2. i am having early pregnancy symptoms but no + test. should i stop my bc?

Pharmacy 18 years experience

Yes/see your doctor: There is an increase risk of pregnancy with these many missed pills.See your doctor for evaluation/other bc form.The rule is if you are a sunday start... Read More

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5k viewsAnswered >2 years ago

A 19-year-old member asked:

I am on the depo-provera shot, i had unprotected sex this week. i have never bled while on the depo-provera and around 8 days after unprotected sex i started spotting? could i be pregnant ?

Pharmacy 18 years experience

Probably not : Irregular bleeding pattern or irregular periods is common with Depo-Provera shot. If you have not missed any scheduled dose/started your first shot 5 ... Read More

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5.4k viewsReviewed >2 years ago

Dr. Gutti Rao agrees1 doctor agrees

A member asked:

How long does flexrile stay in your system. the muscle relaxant?

Pharmacy 18 years experience

Ranges 8-37 hours: Flexeril (cyclobenzaprine hcl) (cyclobenzaprine) is extensively metabolized in liver to inactive form and excreted in urine. Some amount also excret... Read More

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5.4k viewsAnswered >2 years ago

A 31-year-old female asked:

Does suboxone contain iodine? i have to have a test done & cannot have iodine

Pharmacy 18 years experience

No: Suboxone contains 2 drugs and the individual medications Naloxone and Buprenorphine do not contain any iodine. The sublingual tablets contain povido... Read More

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5.6k viewsAnswered >2 years ago

A 18-year-old female asked:

Is it normal to bleed after takeing the plan b pill and then getting my period 2 week later for only 3 days ?

Pharmacy 18 years experience

Yes it is possible: Some side effects of Plan B (levonorgestrel) may include spotting, breakthrough bleeding, scanty bleeding and irregular period. It is advisable to co... Read More

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5.6k viewsAnswered >2 years ago

A 45-year-old female asked:

Could my low thyroid problem be caused by taking cetirizine hcl 10 mg every night?

Pharmacy 18 years experience

Not necessarily: Cetirizine (zyrtec) is not associated with causing low thyriod. It may cause some symptoms that are also be associated with low thyriod like fatigue, ... Read More

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5.6k viewsReviewed >2 years ago

Dr. Jack Mutnick agrees1 doctor agrees

A 69-year-old male asked:

Finasteride and levocarnitine - any issue if taken together ?

Pharmacy 18 years experience

No drug Interaction: Finasteride and levocarnitine can be taken together. Side effect for Finasteride is related to sexual function but its generally mild and transient. S... Read More

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5.5k viewsAnswered >2 years ago

A 52-year-old male asked:

How long before tapazole (methimazole) kicks in?

Pharmacy 18 years experience

About 4-6 weeks: Tapazole(methimazole) has a slow onset of action. With initiation/change of dose, it may take ~4-6 weeks before symptomatic improvement is noticed (th... Read More

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5.5k viewsAnswered >2 years ago

A 40-year-old male asked:

What's the highest dose of baclofen that can be taken. i take 100 mg a day now for spasticity.?

Pharmacy 18 years experience

Up to 150mg seen: The manufacturer's recommended maximum daily dose for Baclofen oral dose is 80mg. How long have you been on the 100mg dose? It could take ~ 1-2 months... Read More

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5.5k viewsReviewed >2 years ago

Dr. John Baker agrees1 doctor agrees

A 27-year-old female asked:

Can you take clairton d and zyrtec (cetirizine) together?

Pharmacy 18 years experience

Not recommended.: Claritin (loratadine) and zyrtec have similar action and taking them together will result in duplication and additives side effects( headache, drowsin... Read More

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5.5k viewsReviewed >2 years ago

Dr. Barbara Stark Baxter agrees1 doctor agrees

A 20-year-old female asked:

I am diagnosed with gastritis after having symptoms like giddiness, nausea, bloated upp. abdomen. after taking antacids, i had diarrhea. is it normal?

Pharmacy 18 years experience

Yes depends on type: Some common antacids contain aluminum hydroxide/magnesium hydroxide/simethicone and this can cause diarrhea.If the diarrhea becomes bothersome talk w... Read More

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5.3k viewsReviewed >2 years ago

Dr. Martin Raff agrees1 doctor agrees

A 48-year-old female asked:

Would zithromax react with methodone or or predni zone and make you feel sedated?

Pharmacy 18 years experience

Not sedation : Interaction between Azithromycin and methadone(at > 200mg/day) may result in cardiac complication not sedation. Report any fainting/feeling of faintin... Read More

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5.5k viewsReviewed >2 years ago

A 19-year-old female asked:

I starded a medium bleeding 3 days after taking a plan b and i have slight cramping. are those the side effects?

Pharmacy 18 years experience

Yes : Some common side effects of Plan B (levonorgestrel) include changes in menstrual flow (heavy to light), abdominal pain, dizziness, headaches, fatigue... Read More

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5.4k viewsAnswered >2 years ago

A 39-year-old female asked:

What is the difference between promethazine and guaifenesin?

Pharmacy 18 years experience

Rx Vs OTC : Promethazine is an antihistamine may be used to treat allergic reactions and treat/prevent nausea/vomiting. Promethazine is by prescription only/shoul... Read More

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5.4k viewsAnswered >2 years ago

19 thanks

A member asked:

Is it okay to take birth control and a herbal estrogen hormone supplement together?

Pharmacy 18 years experience

Notadvisable: Your birth control contains estrogens/progestin and adding the herbal estrogen product increases the amount of estrogen/ side effects with probably ... Read More

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5.3k viewsReviewed >2 years ago

Dr. Reid Blackwelder agrees1 doctor agrees

A 30-year-old female asked:

Im i suppose to bleed after drinking plan b , if i didn't what could that mean?

Pharmacy 18 years experience

Pregnancy test: How long after unprotected sex did you take the plan b? Plan b is most effective if taken within 72 hours of unprotected sex. A pregnancy test should... Read More

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5.3k viewsAnswered >2 years ago

A 44-year-old member asked:

What are the side effects of taking sulfa-based drugs like bactrim (sulfamethoxazole and trimethoprim) ds during pregnancy?

Pharmacy 18 years experience

Jaundice near term: Sulfonamides readily cross placenta to fetus and concentrations in fetus could range for 70% -90 % that of the mother. Bactrim (sulfamethoxazole and t... Read More

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5.5k viewsAnswered >2 years ago

A 27-year-old member asked:

What shouldi do if the drug i need is on the unsafe list?

Pharmacy 18 years experience

Talk with yourDoctor: Medications do have side effects and talking with your doctor will help address the risks and benefits of any chosen therapy for you. Every individual... Read More

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5.5k viewsReviewed >2 years ago

Dr. Yash Khanna and 2 doctors agree3 doctors agree

A 20-year-old female asked:

I got my 10th depo-provera shot on feb1 and started taking my antibiotics 3 days later and had unprotected sex 1week after finishing them, could i b pregnant?

Pharmacy 18 years experience

NO--Risk very low: Since you have been getting your injections on time and have not missed any doses, then the risk of pregnancy is very low. Depo shots are highly effec... Read More

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5.2k viewsAnswered >2 years ago

A 20-year-old female asked:

I have a marks in my waist i don't know what is this...how can i make it disappeared?

Pharmacy 18 years experience

See your Doctor: This is difficult to assess. Certain marks may indicate risk of certain medical problems, (polycystic ovary syndrome, diabete, skin issues etc). You s... Read More

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5.2k viewsAnswered >2 years ago

A 32-year-old female asked:

Is it safe to take contraceptive pills and iron at the same time?

Pharmacy 18 years experience

Yes: Some birth control common combined with iron. Take iron with food to reduce stomach upset and increase fiber (fruits/veggies) intake to reduced consti... Read More

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5.2k viewsReviewed >2 years ago

Dr. Richard Williams agrees1 doctor agrees

A 18-year-old female asked:

We didn't use a condom we did the pull out method he did not ejacute in me took plan b what are the chances i'm pregnant? i already had bleeding

Pharmacy 18 years experience

Very low/Not : If you took Plan B within 72 hours of unprotected sex, then the probability of pregnancy is low. It is advisable to discuss appropriate birth control ... Read More

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5.2k viewsAnswered >2 years ago