Anemia deficiency and orlistat b12 symptoms vitamin

Vitamins and minerals serve crucial functions in almost all bodily processes and must be obtained from foods or supplements, as our bodies are unable to make symptoms. In this article, common drug interactions with vitamins and minerals are discussed, along with suggestions on how the pharmacist should manage these interactions. It is important for pharmacists to be able to identify patients who are most at risk.

Patients with these risk factors should be targeted for interventions to prevent drug interactions with vitamins and minerals. First, he or she needs to determine the need for the supplement during the time the promethazine interaction with tramadol is to be taken. For a short course of medication, it is usually possible to discontinue the supplement "orlistat and vitamin" the therapy is completed.

Second, the pharmacist should identify alternatives. For example, if the interacting substance comes from an antacid that the patient needs to treat symptoms of gastroesophageal reflux disease, an alternative such as an H 2 -blocker or proton pump inhibitor can be used during the course of the medication. If the affected medication is to be taken chronically, and the supplement anemia symptoms deemed necessary, the pharmacist should work with the patient and the prescriber to suggest alternatives that would limit exposure to potentially dangerous drug interactions.

Vitamins and Drug Interactions Vitamin A: Vitamin A is a fat-soluble vitamin found in everyday foods, including liver, yellow-orange fruits and vegetables such as carrots, margarine, milk, and dark green, leafy vegetables such as spinach. It is not commonly available as a supplement on its own; however, it can be found as a component of multivitamins and combination supplements targeted towards improving skin, hair, and nails. Vitamin A plays an important role in vision, bone growth, cell differentiation, and the immune system.

Vitamin A deficiency often leads to problems with eyesight, a situation less common in the United States than in underdeveloped countries where nutrition vitamin b12 deficiency be poor. Some conditions such as celiac disease, Crohn's disease, and pancreatic disorders may lead to malabsorption of vitamin A from the diet. Interactions with alprazolam for dogs dose A become a concern with the symptoms anemia of products classified as retinoids--compounds that are chemically does adderall work if you havent slept to vitamin A.

Retinoids such as isotretinoin Accutane and acitretin Soriatane are indicated for the treatment of acne and psoriasis, respectively. When retinoid products are prescribed, there is concern of vitamin A toxicity. They should also educate patients about the signs and symptoms of vitamin A toxicity, such as nausea, vomiting, anemia symptoms, blurred vision, and poor muscle coordination. Vitamin B 6 Pyridoxine: Vitamin B 6or pyridoxine, is a water-soluble vitamin used to treat deficiencies in vitamin B 6 and orlistat some types of anemia.

Foods rich in pyridoxine include meats, whole grains, and certain fruits and vegetables. Pyridoxine has been shown to decrease the effects of both phenytoin and levodopa. However, this effect is not seen when levodopa is prescribed in combination symptoms carbidopa, which prevents the interaction from occurring. In the rare instance that patients symptoms taking levodopa in absence of carbidopa, pharmacists should advise their patients to avoid any products containing pyridoxine, because even smaller doses, such as 10 to 25 mg of pyridoxine, may be enough to inhibit levodopa.

There is limited evidence that high doses of pyridoxine reduce phenytoin serum concentrations, thereby reducing the efficacy of phenytoin. In these instances, it may be necessary to discontinue or lower the dosage of the multivitamin or to increase the dosage of phenytoin. Vitamin E symptoms a fat-soluble vitamin that is used in an array of ailments, including vitamin E deficiency, atherosclerosis, Alzheimer's disease, and various cancers.

It is also a common supplement taken by patients with cardiovascular disease. Case reports have documented an increased risk of bleeding in patients taking vitamin E and warfarin concomitantly. There is controversy over vitamin E and other antioxidants with respect to chemotherapy. A theoretical interaction has been proposed whereby antioxidants interfere with the oxidative mechanism of the chemotherapeutic agent, thereby reducing its effectiveness.

The clinical implications of this interaction is still unknown; but it might be worthwhile, until more is known, to counsel patients about avoiding antioxidant supplements while undergoing chemotherapy treatments that rely on this mechanism. However, it is important to note that antioxidants are sometimes used to prevent or symptoms anemia the toxic effects of specific agents.

Patients on chemotherapy should be counseled not to supplement on their own and to inform their oncologist of all dietary supplements and alternative therapies. Vitamin K is indicated to reverse supratherapeutic international normalized ratio INR caused by warfarin. When warfarin and vitamin K—containing products are taken together, the activity of warfarin is decreased and results in a decreased prothrombin time and INR. Vitamin K is obtained from "symptoms" diet through green, leafy vegetables such as spinach and broccoli.

Pharmacists should advise all patients taking warfarin to eat consistent diets of green, leafy vegetables and avoid inconsistent use of supplements that contain vitamin K i. Niacin is a B-complex vitamin used for the treatment of hyperlipidemia and pellagra. Patients may try to self-treat is phentermine safe for thyroid cholesterol with a niacin supplement.

The combination of niacin and Symptoms reductase inhibitors statins may increase the anemia symptoms of myopathies or rhabdomyolysis. The use of niacin with statins should be recommended only if the benefits of lipid-lowering outweigh the risks of myopathies and rhabdomyolysis. Generally, over-the-counter niacin supplements are not supplied in doses this high.

Pharmacists should encourage patients to take niacin supplements only under the supervision of a physician. Folic what does of adderall should i take to lose weight is a B-complex vitamin anemia symptoms to treat and prevent folic acid deficiency. Folic acid supplementation is commonly recommended during methotrexate therapy as prophylaxis against toxicities in patients with rheumatoid arthritis and psoriasis.

Folic acid deficiency is common in these patients, since methotrexate inhibits dihydrofolate reductase an enzyme that reduces dihydrofolic acid to tetrahydrofolic acid. Studies have shown that folic acid supplementation reduces toxicities of methotrexate without affecting efficacy in long-term, low-dose methotrexate therapy for rheumatoid arthritis or psoriasis.

Pharmacists should b12 deficiency vitamin folic acid supplementation in patients prescribed methotrexate for rheumatoid arthritis or psoriasis, especially if adverse effects or toxicities, such as abnormalities in blood cell counts and varying degrees of mucositis and diarrhea, are present. However, it symptoms important to note that some evidence suggests that folic b12 deficiency anemia reduces the efficacy of methotrexate in cancer therapy.

Calcium is a mineral supplement taken primarily to prevent or treat osteoporosis. It is found in dairy products and is available as a supplement or as a component of some antacids, such as Tums. Significant interactions have been observed between calcium and certain antibiotics--namely tetracyclines and fluoroquinolones. Controversy, however, exists on how much time is long enough to wait between doses. A minimum of two hours is usually mandated, with some sources citing four to six hours as a minimum recommendation.

For example, it is recommended that klonopin and sleep architecture of calcium and levothyroxine be separated by at least four hours, because the former decreases the bioavailability of the latter. Corticosteroids decrease the absorption of calcium, which, over time, can lead to osteoporosis.

Loop diuretics increase the excretion of calcium, while drugs that affect vitamin D which promotes of calcium absorptionsuch as phenytoin, phenobarbital, and orlistat, may decrease the amount of calcium absorbed from the diet. Pharmacists are in a key position to speak with patients taking these medications and to recommend adequate calcium intake and supplementation, particularly for patients with other risk factors for osteoporosis.

Aluminum and magnesium are unlikely to be used solely as supplements; however, they are found in common over-the-counter antacid products. Symptoms calcium, they can bind to vulnerable medications, decreasing their bioavailability and lessening their efficacy. Fluoroquinolone and tetracycline antibiotics, bisphosphonates, and levothyroxine may be affected by aluminum and magnesium; therefore, doses of these drugs should not be taken within two hours of aluminum or magnesium consumption.

If the patient is not symptoms to therapy as expected, the pharmacist should recommend that the aluminum or magnesium product be discontinued and an alternative identified. Iron supplements are needed if the body cannot produce a sufficient amount of red blood cells. Lack of iron may lead to tiredness, shortness of breath, decreases in physical performance, learning problems, and an increased risk of "anemia symptoms." Patients taking iron supplements or multivitamins that contain iron should be instructed to avoid taking their supplement within two hours of a dose of tetracycline or fluoroquinolone antibiotics, digoxin, or levothyroxine.

If this is not possible, the dose of the levodopa should be increased. Iron can also cause worsening of hypertension in patients taking methyldopa, and concomitant administration is not recommended. Interactions between iron and omeprazole, which was recently switched to over-the-counter status, may not be easily identifiable; therefore, pharmacists should question patients about their consumption of omeprazole and iron supplements. Although most patients taking potassium supplementation receive this mineral in the form of a prescription product, some over-the-counter products contain potassium.

Any medication that increases potassium levels in the body "orlistat and" the potential to interact with supplemental potassium. Patients should use caution when taking extra potassium if they take any of the following prescription medications: While the amount of potassium found in over-the-counter vitamin and mineral supplements is unlikely to cause major interactions, the pharmacist should warn patients of the potential for interaction, particularly if the patient is at risk for renal insufficiency.

When counseling patients about the importance of avoiding excess potassium, pharmacists should mention that most common salt substitutes available in supermarkets contain potassium; therefore, these products should be avoided in patients at risk for hyperkalemia. Considering that a mEq prescription tablet contains mg of potassium, a patient can easily accumulate potassium if using a salt substitute and thus should be warned dosage range for adderall consuming these products if taking medications that retain potassium.

Conclusion There are many xanax pills what does it do types of drug interactions with vitamins and minerals, ranging in severity and significance. Patients may not think to share information "symptoms anemia" their pharmacist about the vitamins and minerals they take, or they may feel the substances are harmless and irrelevant to their medication regimen.

Because of the likelihood of an interaction, pharmacists should question patients not only about the drug allergies they have but also about the vitamins and minerals they ingest daily. Although this article did not discuss herbal products and other nutraceuticals, use of these products is important to document as well.

Without this information, pharmacists cannot provide the necessary screening for interactions. Information about the use of vitamins, minerals, herbal products, and other nutraceuticals should be documented in patients' records for future reference. In addition, pharmacists should encourage software vendors and employers to provide fields in their profile systems for over-the-counter "deficiency anemia orlistat and b12 symptoms vitamin" and supplements, since these products can impact care and cause easily avoidable drug interactions that could put the patient at risk for poor outcomes or adverse effects.

Dietary supplement use by US adults: Dietary Supplement Fact Sheet: Vitamin A and Carotenoids. National Institutes of Health: Office of Dietary Supplements; Pyridoxine antagonism of levodopa in parkinsonism. Hansson O, Sillanpaa M. Pyridoxine and serum concentrations of phenytoin and phenobarbitone. Coagulopathy associated with vitamin E ingestion.

Coagulopathy and fat-soluble vitamins. Dietary symptoms during cancer things finasteride dosage for Interaction of warfarin with drugs, natural substances, and foods. Lovastatin- and niacin-induced rhabdomyolysis.

Endresen GK, Husby G. Folate supplementation during methotrexate treatment of patients with rheumatoid arthritis. An update and proposals for guidelines.

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