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Doctor insights on: Niacin 500mg

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What vitamin supplements should one avoid when taking 75 mg plavix, two 81mg aspirin and 40mg crestor (rosuvastatin) daily?

What vitamin supplements should one avoid when taking 75 mg plavix, two 81mg aspirin and 40mg crestor (rosuvastatin) daily?

High dose E BUT...: Vitamins are by definition essential for health so I'm wary of any drug that makes it necessary to avoid vitamins. The only vit. that interacts with these is Vit E, which in high doses thins blood so may increase risk of bleeding with Plavix (clopidogrel) & aspirin.However, this potential risk pales in comparison with the known hazards of combining Plavix (clopidogrel) & aspirin. Please see http://bit.ly/VHiLuH & my comment: ...Read more

Dr. Scott Keith
196 doctors shared insights

Niaspan (Definition)

Niaspan is a cholesterol/lipid lowering agent which is a ...Read more


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Will taking 600mg neurotin, 50mg topamax, 2mg intuniv, 5mg Abilify (aripiprazole) and 2mg Xanax be extremely bad?

Will taking 600mg neurotin, 50mg topamax, 2mg intuniv, 5mg Abilify (aripiprazole) and 2mg Xanax be extremely bad?

Combination: Of these meds does require medical supervision and follow up to minimize bad side effects. ...Read more

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Drug interactions with niacin atenolol vit c magnesium iron Zoloft (sertraline) melatonin and armour ?

Drug interactions with niacin  atenolol vit c magnesium iron Zoloft (sertraline) melatonin and  armour  ?

Epocrates check: A quick check on my trusty med database program reveals 3 main negative interactions with those meds listed. Two of them are with armour. The armour interacts with both the iron and magnesium making the thyroid med less absorbed, so separate these vitamins from your armour by at least 4 hrs. The other major interaction is atenolol and niacin. Less cholesterol lowering effect and overlowering of bp. ...Read more

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Effexor (venlafaxine) 225mg hs, Neurontin 200mg bid, lisinopril 5mg ac, Prilosec 20mg ac, hydroxyzine 50mg hs, ativan .5 mg prn, too many rx's daily- liver damage?

Effexor (venlafaxine) 225mg hs, Neurontin 200mg bid, lisinopril 5mg ac, Prilosec 20mg ac, hydroxyzine 50mg hs, ativan .5 mg prn, too many rx's daily- liver damage?

Probably Not: Especially for someone who is young. Neurontin (gabapentin) doesn't even get metabolized by the liver. That being said, it makes sense to monitor you liver w/regular lab-work & to ask yourself if exercise, nutrition, & meditation can help your symptoms & reduce your pill burden. ...Read more

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Any interactions?:ashwagandha, magnesium l threonate,taurate,glycinate, fish oil, cdp choline,acetyl l carnitine,alpha lipoic acid, vitamin d,prilosec

Any interactions?:ashwagandha, magnesium l threonate,taurate,glycinate, fish oil, cdp choline,acetyl l carnitine,alpha lipoic acid, vitamin d,prilosec

Why Supplements?: Since you're 17 years old, I am concerned that you are spending time and money wasting it on the supplements that you listed. While some of the substances are present in a healthy diet, there is actually no reason you should be taking them in the form of a supplement. You should be getting all the vitamin D you need in a healthy diet, and the other things, except Prilosec, are unproven. ...Read more

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Can a niacin supplement replace vytorin (ezetimibe and simvastatin)?

Can a niacin supplement replace vytorin (ezetimibe and simvastatin)?

Niacin.: Supplementing with 2000-3000mg of flush free Niacin daily can help to control your cholesterol levels quite nicely, even increasing your HDL and converting your LDL to a less harmful subtype. As a negative, Niacin can cause facial flushing and redness so get the flush free variety. And have your liver enzyme values monitored, as they can be affected by Niacin use. Could replace Vytorin (ezetimibe and simvastatin). ...Read more

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16years old, T cholestrol-370mgh/dl, Tg-1.5, HDL 1.16, LDL 294, Ratio 7.91..taking Vytorin (ezetimibe and simvastatin) 10/20mg daily,can take one table spoon of flax seed also?

16years old, T cholestrol-370mgh/dl, Tg-1.5, HDL 1.16, LDL 294, Ratio 7.91..taking Vytorin (ezetimibe and simvastatin) 10/20mg daily,can  take one table spoon of flax seed also?

Sure: This s very serious. I wonder whether you have familial hypercholesterolemia. It kills people who use it, often at your age or a little later. Flax seed is unlikely to help more than a little bit. Best wishes. ...Read more

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Deplin, acetyl l carnitine, magnesium and alpha lipoic acid. Interactions? Concerns?

Deplin, acetyl l carnitine, magnesium and alpha lipoic acid. Interactions? Concerns?

Your review is wise: There are no noted interactions between these substances and each other but each may have interactions with other substances. If you are on or plan to be on other substances or medications, advise doctor and pharmacist so interactions may be reviewed. Best regards for your health and well-being. ...Read more

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I'm taking 1mg of Folate, (folic acid) 1000mg Omega3, 800mg Vitex, 500mg Maca, 175mg Probiotics and TCM herbs everyday, am i taking too much supplements?

I'm taking 1mg of Folate, (folic acid) 1000mg Omega3, 800mg Vitex, 500mg Maca, 175mg Probiotics and TCM herbs everyday, am i taking too much supplements?

Supplements: there isn't a shred of evidence to suggest any benefit to these supplements in the setting of a normal balanced diet without malabsorbptoin ...Read more

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M58, May I take vitamin b complex with zinc, vit E, C , folic acid and B12 500mcg with Norvasc 10mg and zocor (simvastatin) 10mg per day.thanks?

M58, May I take vitamin b complex with zinc, vit E, C , folic acid and B12 500mcg with Norvasc 10mg and zocor (simvastatin) 10mg per day.thanks?

Yes: That is your business. It is wise to supplement with B12 if and only if you are a vegetarian. Ask your physician whether the other supplements are appropriate for your diet and lifestyle. ...Read more

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Does fish oil, alpha lipoic acid, acetl l carnitine, cdp choline, and ashwagandha interact with 40 mg Prilosec per day?

Does fish oil, alpha lipoic acid, acetl l carnitine, cdp choline, and ashwagandha interact with  40 mg Prilosec per day?

Herbal/nutritionals: Your question is unanswerable as the data doesnt exist,take at your own risk ...Read more

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Will taking 600mg of NAC daily effect liver enzyme tests?

Will taking 600mg of NAC daily effect liver enzyme tests?

Depends.: It has been reported to affect liver enzymes in a patient with cystic fibrosis. As with any supplements, benefit is iffy, depending on what you are using it for. If not prescribed or recommended by doc, be leery of wasting your money. Many supplements have not been studied in sufficient detail for a long enough time to know for sure if they are safe. See http://tinyurl.com/ng3ajr4 ...Read more

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Sorry doctor,I take 10mg Lipitor, (atorvastatin)100mg aspirin , 5mg ace inhibitor, 10mg lexapro, 150mg coq10, 4000mg fish oil, + multivitamin. ?

Sorry doctor,I take 10mg Lipitor, (atorvastatin)100mg aspirin , 5mg ace inhibitor, 10mg lexapro, 150mg coq10, 4000mg fish oil, + multivitamin.


?

Drugs: you are certainly taking a lot of stuff, but you don't say what information you'd like, why not ask the doc associated with your stress test and cath? ...Read more

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Low vit d levels, already taking 1500mg msm glucosamine, 1000mg omega-3 fish oil tablet a day, adding 1000ui vit D3 tablet more would be ok ? Effects?

Low vit d levels, already taking 1500mg msm glucosamine, 1000mg omega-3 fish oil tablet a day, adding 1000ui vit D3 tablet more would be ok ? Effects?

Vitamin D level: Can be checked by your doc and that will determine how much you need. Many people take 5k ius daily but you would need to check w/doc. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Are there drug/herb interactions taking 30mg escitalopram, 300 mg modafinil and 400mg rhodiola rosea?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Are there drug/herb interactions taking 30mg escitalopram, 300 mg modafinil and 400mg rhodiola rosea?

Rhodeola Rosea: I would not recommend the combination, since it has MAO (mono amine oxidase) inhibiting properties, which contraindicates combining it with serotonergic agents such as lexapro, (escitalopram) due to potential for serotonin syndrome. Also, no enough scientific evidence to suggest its use to supplement mood elevation. ...Read more

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Multivitamin and 50mg zinc daily, safe?

Multivitamin and 50mg zinc daily, safe?

Yes: They are generally considered safe, since they do not work and usually do not harm you. However, in certain individual, multivitamins and/or zinc can be dangerous for your health. Why don't you try a nice exercise program, eat healthy, stop multivitamins, and save your money? ...Read more

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Lipemic blood total cholesterol abv 500 triglycerides abv 800. Which one better atorva 80mg or rosavel 40mg. Also taking lipicard 200 and ecosprin d?

Lipemic blood total cholesterol abv 500 triglycerides abv 800. Which one better atorva 80mg or rosavel 40mg.  Also taking lipicard 200 and ecosprin d?

Maybe....: You have familial hypertriglyceridemia. Atorvastatin mono therapy might be the best in terms of safety. The combo of fenofibrate and statins raises your risk of side effects perhaps more than the benefit of lowering your TRIG. If atorva 80 keeps your TRIG below 1000 I would be pretty happy. ...Read more

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Found sis took 2400mg trazodone, 300mg doxylamine, 15mg lorazepam, 10mg anti-emetic, 1250mg aglomelatine over 30h. Low symptoms. Out of danger?

Found sis took 2400mg trazodone, 300mg doxylamine, 15mg lorazepam, 10mg anti-emetic, 1250mg aglomelatine over 30h. Low symptoms. Out of danger?

ER: I'd strongly suggest going to the ER ... It's clear that your sister needs psychiatric care and that would be the best place for her right now. Also, she may have organ damage. She's no where near out of danger. ...Read more

Dr. Al Hegab
172 doctors shared insights

Niacor (Definition)

Niacor is a cholesterol/lipid lowering agent which is a ...Read more