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Can I take Zicam nasal gel and Alka Seltzer cold with levothyroxine, generic Lexapro and irbasartan for blood pressure?

The only interaction there with these medications is between the levothyroxine (Synthroid) and Alka Seltzer Cold product. Take the thyroid drug at least four hours before or after the Alka Seltzer.

The Zicam (zinc), Lexapro (escitalopram) and irbasartan (Avapro) are okay to take with each other. Try to take the levothyroxine early in the morning before breakfast. It works better and then there are no concerns for drug interactions.

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