Medications

megestrol acetate

Appetite stimulant

marinol

Appetite stimulant

dextroamphetamine (Adderall)

Appetite suppressant; anorexia; nausea; weight loss

Orlistat

Lowers fat absorption by binding lipase; vitamin/mineral supp.

methylphenidate (Ritalin)

Anorexia; weight loss; nausea

statins

Avoid grapefruit juice; decreased LDL, TG; increase HDL

chemotherapy

Malabsorption

mineral oil, cholestyramine

Decrease absorption of fat, fat-soluble vitamins

glucocorticoids, antibiotics

Protein deficits

oral contraceptives

Decrease folate, B6, C

loop diuretics

Wasting of: potassium, magnesium, sodium, chloride, calcium

thiazide diuretic

Wasting of: potassium & Mg; but NOT Ca wasting

potassium-sparing diuretic

Wasting of: sodium, chloride, calcium; NOT potassium

antibiotics

Decrease vitamin K

corticosteroids

hyperglycemia, thin skin, hypertension, bone fracture

methotrexate

decrease folate

lithium carbonate (antidepressant)

Increased appetite, weight gain; maintain consistent sodium & caffeine intake to stabilize levels. if restricted, lithium excretion decreases leading to toxicity

anticoagulant (warfarin sodium)

Antagonizes vitamin K; avoid Ginkgo biloba extract (GBE), garlic, ginger, high dose vitamin A & E

propofol

Given via oil; consider fat calories; check TG (1.1 calls/cc)

phenobarbital

Decreased folic acid, vitamin B12, B6, D, K

cyclosporine (immunosuppressant)

Hyperlipidemia, hyperglycemia, hyperkalemia, hypertension

Isoniazid (INH)

Treats TB; depletes pyridoxine; peripheral neuropathy; avoid all food interferes with vitamin D, calcium & phosphorus

Elavil (antidepressant)

Sedative effect, weight gain, increased appetite

vitamin B6 & protein

Decrease effectiveness of L-dopa (levodopa) which controls symptoms of Parkinson’s disease. Take drug in morning with limited protein (competes with drug for absorption sites)

calcium

Binds tetracycline

tyramine

Hypertension if taken with MAOI (monoamine oxidase inhibitor) by releasing norepinephrine elevating BP