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Medications which
should be taken on an EMPTY stomach |
Alendronate
(Fosamax) |
Ampicillin |
Astemizole |
Bethanechol |
| Bisacodyl |
Captopril
(Take 1 hour before
meals) |
Cefibuten
(Cedax) |
Cilostazol
(Pletal) |
| Demeclocycline |
Dicloxacillin |
Didanosine
(Videx) |
Etidronate
(Didronel) |
Felodipine
(Plendil) |
Indinavir
(Crixivan) |
Lansoprazole
(take before eating) |
Levothyroxine |
loratadine
(Claritin) |
loracarbef
(Lorabid) |
Methotrexate |
Moexipril
(Univasc) |
Mycophenolate
(Cellcept) |
Omeprazole
Take before eating |
Oxacillin |
Penicillamine |
Perindopril
(Aceon) |
Repaglinide
(Prandin) |
Rifampin |
Rifabutin
(Mycobutin) |
Riluzole
(Rilutek) |
Roxithromycin
(take at least 15
minutes before or after a meal) |
Sucralfate
(Carafate) |
Sulfamethoxazole
- trimethoprim (Bactrim) |
| Sulfadiazine |
Tetracycline
(Do not take with
milk or other dairy products) |
Tolcapone
(Tasmar) |
Zafirlukast
(Accolate) |
Zalcitabine
(Hivid) |
|
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|
|
Medications which
should be
Taken with FOOD |
Allopurinol
(take after meal) |
Atovaquone
(Mepron) |
Augmentin |
Aspirin |
Amiodarone
(Cordarone) |
Baclofen
(Lioresal) |
Bromocriptine
(Parlodel) |
clofazimine
(Lamprene) |
Carvedilol
(Coreg) |
Carbamazepine
(Tegretol) |
Chloroquine |
Cimetidine
(Tagamet) |
Cefpodoxime
(Vantin) |
Diclofenac
(Voltaren_ |
Divalproex
sodium
(Depakote) |
Doxycycline |
Felbamate
(Felbatol) |
fenofibrate
(TriCor) |
Fiorinal |
Fludrocortisone |
| fenoprofen |
Griseofulvin |
glyburide
(take with breakfast) |
Hydrocortisone |
Hydroxychloroquine
(Plaquenil) |
Indomethacin |
Iron
preparations (Take between meals--if GI upset occurs take with food) |
Itraconazole
capsules |
| Ketorolac |
Lithium |
Metronidazole |
Misoprostol
(Cytotec) |
| methanamine |
mebendazole |
methylprednisolone |
naltrexone |
| Naproxen |
Nelfinavir
(Viracept) |
Nitrofurantoin |
Niacin |
| Olsalazine |
Perphenazine |
Pentoxifylline |
Pergolide |
| Piroxicam |
Potassium
salts |
Prednisone |
Procainamide |
Ritonavir
(Norvir) |
Salsalate |
Saquinavir |
Sevelamer
(Renagel) |
| Spironolactone |
Sulfasalazine |
Sulfinpyrazone |
Sulindac |
| Ticlopidine |
Tolmetin |
Trazodone |
Troglitazone |
| Valproic
acid |
|
|
|
|
Drug
- grapefruit interactions: Drugs which may exhibit increased serum
concentrations based on this interaction |
| amiodarone |
astemizole |
alprazolam
|
atorvastatin
|
| benzodiazepines |
buspirone
|
carbamazepine
|
carvedilol
|
| cerivastatin
|
cilostazol
|
clarithromycin |
Clomipramine |
| codeine
|
cyclosporine |
dapsone |
dextromethorphan |
| diazepam
|
diltiazem
|
estrogens |
erythromycin |
| felodipine
|
fentanyl |
finasteride |
haloperidol
|
| indinavir |
lercanidipine |
lidocaine |
lovastatin
|
| midazolam
|
methadone |
nelfinavir
|
nifedipine |
|
nicardipine
|
nimodipine |
nisoldipine |
nitrendipine |
| ondansetron
|
paclitaxel |
progestins |
progesterone |
|
quinidine
|
ritonavir |
salmeterol |
saquinavir |
| simvastatin
|
tacrolimus |
trazodone |
triazolam |
|
vincristine
|
zaleplon |
zolpidem |
|
|
Note:
there may be omissions on this list. Absence of a drug
does not necessarily indicate that the drug lacks this potential
interaction.
|
| Warfarin
- food Interactions |
|
Web
site link |
Management of Dietary Interactions and Vitamin K: dietary consistency is the key to maintaining a sustained, stable response during warfarin therapy. Patients should be aware of vitamin K content in common foods, particularly foods high in vitamin K (green leafy
vegetables (broccoli, Brussel sprouts, turnip greens, kale, spinach, beet
greens), Cauliflower , legumes, mayonnaise, canola and soybean oils), and should maintain a consistent amount of these foods in their diet.
The following foods should be avoided or limited, since they also can effect
warfarin therapy: caffeinated beverages (cola, coffee, tea, hot chocolate, chocolate
milk). |
| Alcohol intake greater than 3 drinks daily can increase the effect of
Coumadin. As long as
alcohol intake does not exceed 3 drinks daily, clotting times should not be affected. This
amount of alcohol is present in 12 ounces of table wine or three 12
ounce beers. (Acute binges can raise INR. Chronic alcohol ingestion may decrease
INR. ) |
Herbal supplements can affect bleeding time.
Coenzyme Q10 is an herbal supplement whose chemical structure is similar to vitamin K, so it has the potential to affect
bleeding time. Herbal teas: green tea, buckeye, horsechestnut,
tonka, bean, meliot, and woodruff.
Other examples include: feverfew, garlic, and ginseng. Herbal medications should either be avoided or used consistently while on warfarin therapy.
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