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I have asked my personal pharmacist as well as my doctors but would really like someone to review my drug list for interactions. My pharmacist looks and shakes his head and my doctors tell me we have to try things. I have MS, Spinal Stenosis, Barrett's Esophagus, and bowel disorder. I realize I am a convoluted mess but I think some medications may also be interacting with one another badly. Here is my list any feedback would be appreciated. Thank You. Copaxone-1x daily Gabapentin/Neurontin 600MG 2 Caplets 3xs a day cyclobenzapr/Flexiril 10MG tabs 3x a day Meclizine 25MG 1 tab every 6 to 8 hours as needed Lasix 20MG tabs 1x a day Dexilant 60MG 2x a day Claritin 10MG tabs 1x a day Ampyra 10MG tabs 2x a day Murilax 1 dose 3x a day Benicar 40MG tabs 1x a day Simvastatin 20MG tabs 1x a day Topamax 50mg 1 Tab bedtime Wellbutrin 300MG XL1 @ bedtime Lactulose 10GM 2Tbls 2x a day Linzess 290mcg 1x a day Stool softener exlaxative 2x a day Magnesium Citrate 1bottle every 3 days as needed TRAMADOL 50mg tab every 6 hrs. Walgreens Sleep Aid Arbaclofen 20mg 2xs daily (Drug Study) B-12 2000 mcg 1x a day Biotin 10000 Mcg 1x a day Aspirin 81m 1x a day Vitamin D 5000 iu 2x a day Vitamin B-12 Fast Dissolve 5000MCG 1 a day Conzyme B Complex 1 a day Co Q10 50mg 1 a day Calcium w/ Vit. D 600mg 2 a day Nexium 40 mg 2 a day

Are all of your physicians aware of what the others are prescribing for you? Has your pharmacist discussed your medication regimen with your physicians?

There are many possible drug to drug interactions among all of these medications. I will discuss only a few of the most problematic.

The Wellbutrin (bupropion) has major interaction possibilities with several of the others. I realize that you may not be taking the Neurontin (gabapentin) or Topamax (topiramate) for seizures or as an anticonvulsant, but it needs to be taken with caution. Do not drive or operate machinery until you know how these drugs affect you. Notify your doctor if you experience confusion, dizziness, falls, mood changes, or other side effects. In addition, the anticonvulsant drugs can reduce the effectiveness of Wellbutrin.

Avoid taking Wellbutrin with Ultram (tramadol) unless no other alternative is better. Wellbutrin may increase the blood levels of tramadol, which may lead to serious side effects. There is an increased risk of seizure taking these two drugs together.

Neurontin should not be taken at the same time as the calcium product. The calcium can block the absorption of the Neurontin. Take the Neurontin at least 2 hours after taking any calcium product.

Normally one would not take diphenhydramine (Benadryl, Walgreen's Sleep Aid) with the meclizine (Antivert). These are both antihistamines and taking both can increase the side effects including dizziness, drowsiness, constipation, dry mouth and eyes, confusion and changes in heart rate.

Many of these medications can cause drowsiness.

Baclofen (Lioresal) can reduce blood pressure. Taking additional blood pressure medications may make you dizzy and prone to falls.

Do not take multiple laxatives in the same day without direction of the physician. The laxatives may interfere with the actions of the Lactulose.

It sounds like you are being proactive on your medication therapy and have a good relationship with your local pharmacist. This is wonderful. Any time your doctors add or subtract from your medications, please discuss with your pharmacist.

I have asked my personal pharmacist as well as my doctors but would really like someone to review my drug list for interactions. My pharmacist looks and shakes his head and my doctors tell me we have to try things. I have MS, Spinal Stenosis, Barrett's Esophagus, and bowel disorder. I realize I am a convoluted mess but I think some medications may also be interacting with one another badly. Here is my list any feedback would be appreciated. Thank You. Copaxone-1x daily Gabapentin/Neurontin 600MG 2 Caplets 3xs a day cyclobenzapr/Flexiril 10MG tabs 3x a day Meclizine 25MG 1 tab every 6 to 8 hours as needed Lasix 20MG tabs 1x a day Dexilant 60MG 2x a day Claritin 10MG tabs 1x a day Ampyra 10MG tabs 2x a day Murilax 1 dose 3x a day Benicar 40MG tabs 1x a day Simvastatin 20MG tabs 1x a day Topamax 50mg 1 Tab bedtime Wellbutrin 300MG XL1 @ bedtime Lactulose 10GM 2Tbls 2x a day Linzess 290mcg 1x a day Stool softener exlaxative 2x a day Magnesium Citrate 1bottle every 3 days as needed TRAMADOL 50mg tab every 6 hrs. Walgreens Sleep Aid Arbaclofen 20mg 2xs daily (Drug Study) B-12 2000 mcg 1x a day Biotin 10000 Mcg 1x a day Aspirin 81m 1x a day Vitamin D 5000 iu 2x a day Vitamin B-12 Fast Dissolve 5000MCG 1 a day Conzyme B Complex 1 a day Co Q10 50mg 1 a day Calcium w/ Vit. D 600mg 2 a day Nexium 40 mg 2 a day

Are all of your physicians aware of what the others are prescribing for you? Has your pharmacist discussed your medication regimen with your physicians?

There are many possible drug to drug interactions among all of these medications. I will discuss only a few of the most problematic.

The Wellbutrin (bupropion) has major interaction possibilities with several of the others. I realize that you may not be taking the Neurontin (gabapentin) or Topamax (topiramate) for seizures or as an anticonvulsant, but it needs to be taken with caution. Do not drive or operate machinery until you know how these drugs affect you. Notify your doctor if you experience confusion, dizziness, falls, mood changes, or other side effects. In addition, the anticonvulsant drugs can reduce the effectiveness of Wellbutrin.

Avoid taking Wellbutrin with Ultram (tramadol) unless no other alternative is better. Wellbutrin may increase the blood levels of tramadol, which may lead to serious side effects. There is an increased risk of seizure taking these two drugs together.

Neurontin should not be taken at the same time as the calcium product. The calcium can block the absorption of the Neurontin. Take the Neurontin at least 2 hours after taking any calcium product.

Normally one would not take diphenhydramine (Benadryl, Walgreen's Sleep Aid) with the meclizine (Antivert). These are both antihistamines and taking both can increase the side effects including dizziness, drowsiness, constipation, dry mouth and eyes, confusion and changes in heart rate.

Many of these medications can cause drowsiness.

Baclofen (Lioresal) can reduce blood pressure. Taking additional blood pressure medications may make you dizzy and prone to falls.

Do not take multiple laxatives in the same day without direction of the physician. The laxatives may interfere with the actions of the Lactulose.

It sounds like you are being proactive on your medication therapy and have a good relationship with your local pharmacist. This is wonderful. Any time your doctors add or subtract from your medications, please discuss with your pharmacist.

I have asked my personal pharmacist as well as my doctors but would really like someone to review my drug list for interactions. My pharmacist looks and shakes his head and my doctors tell me we have to try things. I have MS, Spinal Stenosis, Barrett's Esophagus, and bowel disorder. I realize I am a convoluted mess but I think some medications may also be interacting with one another badly. Here is my list any feedback would be appreciated. Thank You. Copaxone-1x daily Gabapentin/Neurontin 600MG 2 Caplets 3xs a day cyclobenzapr/Flexiril 10MG tabs 3x a day Meclizine 25MG 1 tab every 6 to 8 hours as needed Lasix 20MG tabs 1x a day Dexilant 60MG 2x a day Claritin 10MG tabs 1x a day Ampyra 10MG tabs 2x a day Murilax 1 dose 3x a day Benicar 40MG tabs 1x a day Simvastatin 20MG tabs 1x a day Topamax 50mg 1 Tab bedtime Wellbutrin 300MG XL1 @ bedtime Lactulose 10GM 2Tbls 2x a day Linzess 290mcg 1x a day Stool softener exlaxative 2x a day Magnesium Citrate 1bottle every 3 days as needed TRAMADOL 50mg tab every 6 hrs. Walgreens Sleep Aid Arbaclofen 20mg 2xs daily (Drug Study) B-12 2000 mcg 1x a day Biotin 10000 Mcg 1x a day Aspirin 81m 1x a day Vitamin D 5000 iu 2x a day Vitamin B-12 Fast Dissolve 5000MCG 1 a day Conzyme B Complex 1 a day Co Q10 50mg 1 a day Calcium w/ Vit. D 600mg 2 a day Nexium 40 mg 2 a day

Are all of your physicians aware of what the others are prescribing for you? Has your pharmacist discussed your medication regimen with your physicians?

There are many possible drug to drug interactions among all of these medications. I will discuss only a few of the most problematic.

The Wellbutrin (bupropion) has major interaction possibilities with several of the others. I realize that you may not be taking the Neurontin (gabapentin) or Topamax (topiramate) for seizures or as an anticonvulsant, but it needs to be taken with caution. Do not drive or operate machinery until you know how these drugs affect you. Notify your doctor if you experience confusion, dizziness, falls, mood changes, or other side effects. In addition, the anticonvulsant drugs can reduce the effectiveness of Wellbutrin.

Avoid taking Wellbutrin with Ultram (tramadol) unless no other alternative is better. Wellbutrin may increase the blood levels of tramadol, which may lead to serious side effects. There is an increased risk of seizure taking these two drugs together.

Neurontin should not be taken at the same time as the calcium product. The calcium can block the absorption of the Neurontin. Take the Neurontin at least 2 hours after taking any calcium product.

Normally one would not take diphenhydramine (Benadryl, Walgreen's Sleep Aid) with the meclizine (Antivert). These are both antihistamines and taking both can increase the side effects including dizziness, drowsiness, constipation, dry mouth and eyes, confusion and changes in heart rate.

Many of these medications can cause drowsiness.

Baclofen (Lioresal) can reduce blood pressure. Taking additional blood pressure medications may make you dizzy and prone to falls.

Do not take multiple laxatives in the same day without direction of the physician. The laxatives may interfere with the actions of the Lactulose.

It sounds like you are being proactive on your medication therapy and have a good relationship with your local pharmacist. This is wonderful. Any time your doctors add or subtract from your medications, please discuss with your pharmacist.

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