A member asked:

Can you take gnc ripped vitapak for women if you are on bystolic (nebivolol) and digoxin? it has niacin and water pill in it.

A doctor has provided 1 answer
Dr. Joseph Girone answered

Specializes in Internal Medicine

Not a good idea!: This product has a compendium of some useful ingredients, but mostly at ineffective doses. Heart over stimulation is possible from the "thermogenic blend" that has 200 mg caffeine and may have other harmful heart effects. No diuretic rx is included, but a diuretic effect from caffeine dose would be expected. The added Niacin is at an insignificant dose and not interactive. There are better otc's.

Answered 6/30/2014

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