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Lexapro (B)
AI: Escitalopram (G)
Class: SSRI
Treatment: Depression & anxiety disorders
Avoid: grapefruit, caffeine, NSAIDs, SSRIs, MAOIs, St. John’s Wort, diuretic
Oxycodone Hydrochloride Immediate Release
AI: oxycodone (G)
Class: Opioid analgesic
treats moderate to severe pain
B: OxyIR, OxyFast, OxyNorm, Oxaydo
Avoid: grapefruit, CNS depressants, MAOIs, St. John’s Wort, diuretics
Prinivil Qbrelis Zestril (B)
AI: Lisinopril (G)
Class: ACE Inhibitor; liquid oral formulation
used to treat high blood pressure, heart attacks, and heart failure.
Avoid: high potassium foods, NSAIDs, diuretics
Zocor (B)
AI: Simvastatin (G)
Class: Statin
treatment for high cholesterol and triglycerides.
Avoid: grapefruit, high fat foods, CYP3A4 inhibitors, St. John’s Wort
Synthroid (B)
AI: Levothyroxine (G)
Class: Thyroid hormone replacement
treatment for hypothyroidism & thyroid cancer
Avoid: soy food, calcium food/pills, grapefruit, walnuts, iron pills, antacids
Amoxil Trimox (B)
AI: Amoxicillin (G)
Class: Antibacterial Drug
Treatment for various bacterial infections.
Avoid: vaccines, gassy food, dairy, spicy food, warfarin (Blood thinners), allopurinol, probenecid
Zithromax (B)
AI: Azithromycin (G)
Class: Macrolide antibacterial
Treatment: bacterial infections including respiratory infections and sexually transmitted diseases.
Avoid: antacids, blood thinners, statins, heart issue meds
Microzide AquaZide H (B)
AI: Hydrochlorothiazide (G)
Class: Thiazide Diuretic
Treatment: hypertension and edema. (high blood pressure & fluid retention)
Avoid: grapefruit, high sodium food, high potassium food, dried fruits, NSAIDs, increase blood pressure meds, caffeine, herbal pills
Norvasc (B)
AI: Amlodipine (G)
Class: Calcium Channel Blocker
Treatment: hypertension and angina pectoris. & coronary heart disease
Avoid: grapefruit, salt, blood pressure meds, sildenafil, simvastatin, immunosuppressants,
Xanax (B)
AI: Alprazolam (G)
Class: Benzodiazepine
Treatment: anxiety disorders & panic disorders
Avoid: grapefruit, CNS depressants, antifungals, antidepressants, antivirals
Glucophage Fortamet (B)
AI: Metformin
(G): metformin hydrochloride
Class: oral antidiabetic drug
Treatment: high glucose levels & Type 2 diabetes
Avoid: added sugar, saturated fats, simple carbs, corticosteroids, diuretics, diabetes & heart meds
Lipitor (B)
AI: Atorvastatin (G)
Class: Statin
Treatment: high cholesterol & reduces risk of heart disease & cardiovascular events
Avoid: cholesterol meds, HIV meds, grapefruit
Prilosec (B)
AI: Omeprazole (G)
Class: proton-pump inhibitor
Treatment: conditions related to excess stomach acid
Avoid: acidic food, greasy food, spicy food, tobacco, St, John’s Wort
Cipro Proquin (B) (Proquin XR)
AI: Ciprofloxacin (G)
Class: Fluoroquinolone
Treatment: bacterial infections & more specifically UTIs
Avoid: dairy, calcium, caffeine, antacids, blood thinners, NSAIDs, heart meds, oral diabetes meds,
Zofran (B)
AI: Ondansetron (G)
Class: Antiemetic drug
Treatment: Nausea & vomitting
Avoid: grapefruit, apomorphine, 5-HT3 receptor antagonists, antibiotics, serotongeric drugs
Clozaril (B)
AI: Clozapine (G)
Class: Antipsychotic drug
Treatment: schizophrenia
Avoid: grapefruit, tobacco, cannabis, antacids, antidepressants, antibiotics, hormone birth control, St. John’s Wort, ritonavir
Lasix (B)
AI: Furosemide (G)
Class: Loop diuretic
Treatment: edema (fluid retention) by increasing urine production
Avoid: sodium, caffeine, NSAIDs, licorice, herbal meds
Levitra (B)
AI: Vardenafil (G)
Class: PDE5 inhibitor
Treatment: erectile dysfunction
Avoid: grapefruit, heart meds, alpha-blockers, nitrates, HIV meds, antibiotics
Sumycin Ala-Tet Brodspec (B)
AI: tetracycline (G)
Class: antibacterial drug
Treatment: bacterial infections
Avoid: dairy, calcium, iron, grapefruit, antacids, laxatives, blood thinners, penicillin, oral vaccines, oral retinoids
Heparin Sodium (G)
AI: Heparin
(B): Liquaemin or Vasceze
Class: anticoagulant drug
Treatment: prevents blood clots
Avoid: NSAIDs, anticoagulants, antiplatelets, vitamin K, herbal meds
Valcyte (B)
AI: Valganciclovir (G) hydrochloride
Class: antiviral drug
Treatment: cytomegalovirus diseases
Avoid: ganciclovir, cancer meds, HIV meds, other meds
Lamictal (B)
AI: lamotrigine (G)
Class: anticonvulsant drug
Treatment: epilepsy & bipolar disorder
Avoid: grapefruit, fatty foods, starfruit, ketogenic diet, sugar, aspartame, caffeine
Diflucan (B)
AI: fluconazole (G)
Class: antifungal drug
Treatment: fungal & yeast infections
Avoid: grapefruit, caffeine, anticoagulants, statin, antiarrythmics, antidepressants, antibiotics, antipsychotics
Tenormin (B)
AI: atenolol (G)
Class: beta-blocker
Treatment: hypertension, angina, & post-myocardial infarction
Avoid: fruit juices, grapefruit, sodium, caffeine, multivitamins w minerals, calcium channel blockers, insulin, antiarrythmics, digoxin, clonidine
Singulair (B)
AI: montelukast (G)
Class: leukotriene inhibitor
Treatment: prevent asthma attacks & allergy symptoms
Avoid: seizure meds, NSAIDs, aspirin, antihistamines, phenylalanine, rifampin, gemfibrozil
Flonase Nasal Spray (B)
AI: fluticasone propionate (G)
Class: corticosteriod
Treatment: relieves allergy symptoms, hay fever, nonallergic rhinitis, & chronic rhinosinusitis
Avoid: grapefruit, CYP3A4 inhibitors, steroid meds, ketoconazole pills
Zyloprim (B)
AI: allopurinal (G)
Class: anti-gout drug
Treatment: conditions related to high levels of uric acid (gout & kidney stones)
Avoid: purine foods, oxalate foods, calcium foods, blood thinners, penicillin, ACE inhibitors, thiazide diuretics
Fosamax (B)
AI: alendronate (G)
Class: bisphosphonate
Treatment: bone weakening (osteoporosis)
Avoid: any drinks besides water, calcium, iron, magnesium, antacids, NSAIDs
Pepcid (B)
AI: famotidine (G)
Class: H2 antagonist
Treatment: excessive stomach acid
Avoid: grapefruit, spicy food, garlic, onions, BASICALLY EVERYTHING, chocolate, acid foods, carbonated drinks, mint, acid reducers, antacids, NSAIDs, blood thinners, bsaicallt all meds
Omnicef (B)
AI: cefdinir (G)
Class: cephalosporin
Treatment: bacterial infections
Avoid: dairy, antacids, aluminum, magnesium, iron
Yaz (B)
AI: ethinyl estradiol (G) drospirenone
Class: birth control medicine
Treatment: prevent pregnancy & treat PMDD
Avoid: grapefruit, potassium, seizure meds, antibiotics, St. John’s Wort, acetaminophen, hepatitis C meds
Apresoline (B)
AI: hydralazine (G)
Class: antihypertensive drug
Treatment: high blood pressure
Avoid: MAOIs, diazoxide, ACE inhibitors, ARBs, beta blockers, calcium channel blockers, diuretics, nitrates, CNS agents
Cogentin (B)
AI: benztropine (G)
Class: antiparkinsonian drug
Treatment: Parkinson’s disease & extrapyramidal disorders
Avoid: dry salty food, spicy greasy food, sleep inducing meds, anticholinergics, antidepressants, potassium
Aller-Chlor (B)
AI: chlorpheniramine (G)
Class: antihistamine
Treatment: allergy symptoms, hay fever symptoms, & cold symptoms
Avoid: sleep inducing meds, cough cold meds
Paxil (B)
AI: paroxetine hydrochloride (G)
Class: SSRI
Treatment: mental health conditions that affect serotonin levels, anxiety disorders
Avoid: MAOIs, serotonin meds, blood thinners, st johns worts, pimozide, thioridazine, grapefruit, tyramine foods
Ativan (B)
AI: lorazepam (G)
Class: benzodiazepine
Treatment: anxiety disorders & insomnia
Avoid: CNS depressants, herb meds, grapefruit, antihistamines
Pyridium (B)
AI: phenazopyridine (G)
Class: analgesic
Treatment: UTIs & other urinary issues
Avoid: dapsone, topical benzocaine, lidocaine, prilocaine
Plaquenil (B)
AI: hydroxychloroquine (G)
Class: anti-malarial drug
Treatment: malaria & autoimmune diseases
Avoid: grapefruit, antiacids, cimetidine, mefloquine, methotrexate, meds that prolong QT interval
Lidoderm (B)
AI: lidocaine patch 5% (G)
Class: local anesthetic
Treatment: pain from post-herpetic neuralgia
Avoid: anesthetics, antiarrythmatics, nitrates/nitrites, antineoplastic agents, antimalarials, acetaminophen, anticonvulsants, metaclopramide, sulfasalazine, heat
Cataflam Voltaren (B)
AI: diclofenac (G)
Class: NSAIDs
Treatment: pain & inflammation conditions
Avoid: NSAIDs, blood thinners, ACE inhibitors, beta’blockers, corticosteroids, antidepressants, topical meds, heat, sun
Rayos Deltasone (B)
AI: prednisone (G)
Class: corticosteroid
Treatment: inflammation & suppresses immune system
Avoid: sodium fatty foods, sugary foods, grapefruit, caffeine
Zetia (B)
AI: ezetimibe (G)
Class: antihyperlipidemic
Treatment: high cholesterol
Avoid: fatty foods, grapefruit, bile acid sequestrants
Evista (B)
AI: raloxifene hydrochloride (G)
Class: estrogen modulator
Treatment: osteoporosis & breast cancer in postmenopausal women
Avoid: cholestryramine, estrogen products, blood thinners, high protein meds, milk thistle,
Dilantin (B)
AI: phenytoin (G)
Class: anticonvulsant drug
Treatment: seizures
Avoid: HIV meds, antacids, antidepressants (SSRI), proton pump inhibitors, st john worts, vitamin D, folic acid,
Lovaza (B)
AI: omega 3-fatty acids (G)
Class: anti-triglyceride drug
Treatment: hypertriglyceridemia (high levels of triglyceride)
Avoid: fatty foods, blood thinners, herbal meds,
Zanaflex (B)
AI: tizanidine (G) hydrochloride
Class: muscle relaxant
Treatment: muscle spasms, cramping, & tightness
Avoid: CYP1A2 inhibitors, CNS depressants, alpha 2 adrenergic agonists, antihypertensive meds, abruptly stopping meds
Tezruly Hytrin (B)
AI: terazosin (G)
Class: alpha-1 blocker
Treatment: hypertension & benign prostatic hyperplasia
Avoid: alpha blockers, erectile dysfunction meds, cough cold meds, NSAIDs, yohimbe
Dyrenium (B)
AI: triamterene (G)
Class: potassium-sparing diuretic
Treatment: edema without potassium loss
Avoid: potassium, sodium, NSAIDs, diabetes meds, blood pressure meds, ACE inhibitors, sun, ARBs, drospirenone, lithium, cyclosporine, dofetillide, tacrolimus
Altace (B)
AI: ramipril (G)
Class: ACE inhibitor
Treatment: high blood pressure, heart failure, reduce risk of cardiovascular events
Avoid: potassium, sodium, grapefruit, diuretics, lithium, gold injections, NSAIDs
Pravachol (B)
AI: pravastatin (G)
Class: statin
Treatment: high cholesterol & triglycerides
Avoid: fatty foods, cholestyramine, antibiotics, HIV meds, hepatitis C meds, blood thinners, colchicine, cyclosporine, gemfibrozil, fenofibric acid, fenofibrate, niacin
Risperdal (B)
AI: Risperidone (G)
Class: Antipsychotic drug
Treatment: schizophrenia, bipolar I disorder, autism spectrum disorder
Avoid: Cola, Tea, blood pressure meds, sleeping meds, SSRIs, CYP3A4 inhibitors, prolactin levels, levodopa & dopamine agonists
Lunesta (B)
AI: Eszopiclone (G)
Class: Z-drug/hypnotic
Treatment: insomnia
Avoid: grapefruit, pain meds, cold meds, sleeping meds, anything that depresses CNS, st john worts
Celebrex (B)
AI: Celecobix (G)
Class: COX inhibitor/NSAIDs
Treatment: pain/swelling from osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, primary dysmenorrhea
Avoid: NSAIDs, blood thinners, antidepressants, corticosteroids, blood pressure meds, digoxin, lithium, methotrexate, garlic, ginger, potassium
Premarin (B)
AI: conjugated estrogens (G)
Class: estrogen replacement
Treatment: menopause symptoms, osteoporosis, vaginal atrophy, low estrogen levels, prostate cancer
Avoid: grapefruit, st johns wort, anticonvulsant drugs, ritonavir, pregnancy, breastfeeding, liver issues
Avelox Vigamox (B)
AI: Moxifloxacin (G)
Class: fluoroquinolone (eye drop formulation)
Treatment: bacterial infections, bacterial conjuctivitis,
NOTE: avelox is used as a last resort orally when vigamox is not available for eyes
Avoid: antacids, iron, zinc, calcium, dairy, fluoroquinolone antibiotics, antiarrythmic drugs, NSAIDs, corticosteroids, blood thinners, diabetic meds, sun
Aricept (B)
AI: donepezil (G)
Class: acetylcholinesterase inhibitor
Treatment: dementia & Alzheimer’s disease
Avoid: grapefruit, st john worts, antihistamine, antidepressants, beta blockers, NSAIDs, anticholingernics
Macrobid Macrodantin (B)
AI: Nitrofurantoin (G) macrocrystals
Class: antibacterial drug
Treatment: UTIs
Avoid: antacids with magnesium trisilicate, acidic & spicy foods, live vaccines, probenecid, sulfinpyrazone, methotrexate
Duragesic Skin Patch (B)
AI: fentanyl (G) transdermal
Class: opioid narcotic
Treatment: patients who are opioid tolerant
Avoid: CNS depressants, grapefruit, heat,
Imdur (B)
AI: isosorbide mononitrate (G)
Class: nitrate
Treatment: angina from coronary heart disease, tight blood flow
Avoid: erectile dysfunction meds, pulmonary hypertension meds, NSAIDs, potassium & sodium
Prozac Sarafem (B)
AI: Fluoxetine (G) hydrochloride
Class: SSRI
Treatment: prozac = bulimia nervosa, depressive disorder, obsessive compulsive disorder, PMDD, panic disorder
sarafem = PMDD
Avoid: MAOIs, serotonergic meds, aspirin, NSAIDs, blood thinners, pimozide, thioridazine, cough cold meds, grapefruit
Aristocort
AI: triamcinolone
Class: corticosteroid
Treatment: inflammation in and out of the body, allergic reactions, rheumatic disorders
Suboxone
AI: buprenorphine naloxone
Class: narcotic opioid blocker
Treatment: opioid addiction/opioid use disorder
Vyvanse
AI: lisdexamfetamine
Class: CNS stimulant
Treatment: ADHD & binge eating disorder
Pamelor
AI: nortriptyline
Class: tricyclic antidepressant
Treatment: depression, nerve pain, anxiety, migraines, insomnia, PTSD
HumaLOG
AI: insulin lispro
Class: rapid-acting insulin
Treatment: low & high blood sugar levels
Depacon (IV) Depakote (orally)
AI: valproate sodium
Class: anticonvulsant drug (antiepileptic drug)
Treatment: seizure disorders, bipolar disorders, migraines
BetaSept ChloraPrep
AI: chlorhexidine gluconate & isopropyl alcohol
Class: disinfectant/antiseptic
Treatment: surgery preparation, injection preparation, skin injuries, hand hygiene
Dibent Bentyl (B)
AI: dicyclomine (G)
Class: anti-spasmodic drug
Treatment: irritable bowel syndrome, bloating, diarrhea, abdominal pain
Imitrex (B)
AI: sumatriptan (G)
Class: anti-migraine drug
Treatment: acute migraine attackss
Protonix
AI: pantoprazole
Class: proton pump inhibitor
Treatment: excess stomach acid (GERD, erosive esophagitis)