Doctor insights on:
Olanzapine With Antibiotics
I was prescribed metronidazole with levofloxacin for h pylori. Dr switched metronidazole to clarithromycin due to side effects. Is the combination ok?
Yes: Cipro (ciprofloxacin) and Flagyl are not listed among medications that interact negatively with adipex. However, Adipex does interact with many medications that are available over the counter for common cold symptoms - and can have a negative interaction when taken with commonly ingested drinks that contain caffeine and/or alcohol. Take care in using this medication. ...Read more
This 4 medicines were prescribed to my son with squizofrenia:haloperidol, benztrapine, sertraline and zyprexa (olanzapine). Are they ok the together?
Interactions always: The combination of 3 or more medications (especially any which are considered to be active within the brain) is almost always going to result in risk in some side effect that people may not like. However, your doctor should already considered this fact and decided that the benefits outweigh the risks. Nonetheless, speaking to either the pharmacist or physician before starting the plan can't hurt. ...Read more
Not likely . . .: 1st things 1st. Always ask your pharmacist & prescribing phyysician about side effects & interactions. Also check out interaction checkers available at online.Epocrates.Com & drugs.Com. Neither mention any interactions btwn Augmentin (amoxicillin and clavulanate) & lexapro. But to be sure, always make sure prescribing doctor knows everything you're taking, otc & prescribed. Consider using same pharmacy so they'll know all re u. ...Read more
Yes: Yes you can.Get a more detailed answer ›
Is it safe to take Zoloft (sertraline) with four other medications: Doxycycline, Rifampin, Zithromax, and Malarone?
Should a patient take imodium (loperamide) ad in conjunction with antibiotics, while being diagnosed with c. Difficile?
Can a person with an ear infection taking amoxicillin PO meds be given 1 shot of azithromax and let her continue amoxicillin afterwards?
Prevents Resistance: Rifampin is used alone sometimes to prevent Meningitis in those who have been exposed to it it But in other instances when you are treating any infection it should not be used alone as bacterial resistance to rifampin develop easily.Thats why it is always used with other antibiotics It is also used alone for Cholistatic Pruritis a non infectious condition. ...Read more
How appropriate is a regimen of augmentin (amoxicillin and clavulanate) and azithro for rx of nosocomial pneumonia in elderly male not responding to moxifloxacin?
Not- if right dx: I would first step back and ask how the diagnosis of nosocomial pneumoina was made? There is specific criteria for the diagnosis since it implies the presence of multidrug-resisistant bacteria, for which amoxicillin-clavulanate and azithro is less effective. The combination stated seems more appropriate for coverage of community acquired/aspiration/atypical pneumonia ...Read more
Been prescribed bactrim (sulfamethoxazole and trimethoprim) for cellulitis w/ abscess. Is this safe to take with elevated liver function?
Below: Follow your DR's advice, they know your full medical history. ...Read more
Doctor prescribed de-noltab with beatacycline to treat h.pylori.can they be taken together as beatacycline is tetracycline antibiotics?
Yes: Yes and when you have completed the course you need to have a test of cure so that you are sure the hpylori is gone ...Read more
Antipsychotic: So-called atypical antipsychotic, originally sold by lilly pharmaceuticals as zyprexa (olanzapine) but ow available as generic. Quite effective for psychosis, severe depression and mood swings- but at the price of altering appetite and possibly altering glycemic control in susceptible individuals. Comes ina variety of formulations including orally disintegrating tablets and injectables. ...Read moreSee 2 more doctor answers
Several things: Approved uses our schizophrenia and bipolar disorder. Off label uses are for the stabilization of certain types of personality disorders, intermittent explosive disorder, and sometimes as an appetite stimulant in severe forms of anorexia nervosa. It can occasionally be prescribed for autistic spectrum disorders and an augmentation strategy for intractable depressive disorders when all else has failed.Hope this helps. Best wishes. ...Read more
20-40 ng/ml: Is cited, however Olanzapine blood levels are not routinely done in clinical practice as it does not have a widely accepted therapeutic level. On label dosing is up to 20 mgs daily, but dosing is frequently higher and there have been studies in treatment resistant schizophrenia using 50 mg daily. ...Read more
Pain and antipsychot: There is not much in the literature on this that was one interesting article that maybe reference to your pain. olanzapine may be useful for the treatment of morphine-induced emesis and as an adjunct for the treatment of neuropathic pain associated with sleep disturbance. Torigoe, K et al 2012. This drugs carries a very high risk for weight gain and a potential metabolic syndrome. ...Read more
So it is written: It is written that olanzapine off label can be used in the secondary role for treatment of neuropathic pain primarily treated with opioids. It has also been shown to be useful in cancer patients. I have not found it to be consistently efficacious in my use of the drug over the years. Write me at if you have more questions at www.healthtap.com/drsaghafi ...Read more
Yes: Yes , however you do not give any info about dose, frequency of dosing, and other health parameters. See your dr. Do not do it yourself! ...Read more
Overkill?: Zyprexa (olanzapine) is a potent medication that has some potentially serious side effects in long term use (diabetes, weight gain, among others) so i would wonder if this is really the right medication. But of course i don't know the details of other things tried, other conditions (like bipolar) that might make insomnia more worrisome, etcetera. ...Read moreSee 1 more doctor answer
Low incidence: Antipsychotic agents can result i'm photo sensitivity but with low incidence, around 2-3%. ...Read more
Depends: The treatment for a zyprexa (olanzapine) overdose will vary. If the zyprexa (olanzapine) overdose was recent, may give certain medicines or place a tube into the stomach to "pump the stomach." however, once zyprexa (olanzapine) has been absorbed into the body, there is no treatment that can remove it quickly. Therefore, in these cases, treatment involves supportive care, which consists of treating the symptoms. ...Read moreSee 2 more doctor answers
Yes but: They are two meds of the same class but can feel very different. Abilify (aripiprazole) tends to cause insomnia while Olanzapine is very sedating. Raising the dose of Abilify (aripiprazole) may cause sedation at or above 20mg, reducing the need for olanzapine. Olanzapine has a lot of wt gain and problems with blood sugars and is usually reserved for patients who haven't responded to other agents. ...Read more
It depends: If the patient is having lots of trouble with agitation and insomnia, along with paranoia and anxiety, Olanzapine could be a helpful medicine. There may be other indicators of need also -- would need to know more about the patient. Would also inform about possible side effects of weight gain and sedation. ...Read more
Yes.: Actually, the best time to take Olanzapine and Lorazepam is at bedtime because they are sedating. Some people take the Olanzapine after supper and the Lorazepam right at bedtime because it is faster acting. If the Olanzapine by itself controls your anxiety and puts you to sleep, you may skip the Ativan (lorazepam) all together and just take it as needed for breakthrough anxiety. ...Read moreSee 1 more doctor answer
Depends: Usually an individuals thoughts will be more clear on zyprexa (olanzapine) assuming it is being effective in addressing the condition it is being prescribed to treat. Initially for some the medication can cause sedation, but this is usually transient. It should not damage the mind, if this is the concern. ...Read more
A Few Tips: Here are a few "tips" that i find helpful when a patient of mine struggles with the sedating side effect of zyprexa (generic olanzapine). If you have just started treatment be patient and the sedation may resolve on its own. Try different dosing times to see if the sedation can occur while asleep. Split the dose taking half in am & half in pm. Always check with your md before making any changes. ...Read more
Chk prescribing info: Accurate but dense information on drugs can be downloaded from the manufacturer: search for "Package Insert" or "Prescribing Information" and the drug name. These documents are US FDA reviewed summaries of all the features of the product; you can then do a side-by-side comparison of the efficacy/benefits and the side effect profiles. Your prescribing physician can help interpret the information. ...Read more