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M I S C E L L A N E O U S

RAlbuterol(Proventil, Ventolin)

RAlendronate(Fosamax)

RAlprazolam(Xanax)

RAntidepressantsAmitriptylline (Elavil)Citalopram (Celexa)Fluoxetine (Prozac)Paroxetine (Paxil)Sertraline (Zoloft),and other antidepressants

RAntihistamines(Benadryl)

RBarbiturates(Phenobarbital)

RCarbidopa/Levodopa(Sinemet)

RCorticosteroidsPrednisone (Deltasone)Prednisolone (Delta-Cortef)Hydrocortisone (Cortef)

RLithium(Lithane, Eskalith)

RMeclizine(Antivert, Bonine)

RPhenytoin(Dilantin)

RTheophylline(TheoDur, Slo-bid, etc.)

May cause stomach upset.Take with milk or food.

Take 1/2 hour before meals with a fullglass of water.

Take with milk or food. Avoid alcoholicbeverages.

Avoid alcoholic beverages.Avoid the herbal product St. John's Wort.

May cause stomach upset. Take withmilk or food. Often causes drowsiness.Avoid alcoholic beverages.

May cause drowsiness. Do not take withalcoholic beverages or medicines withantihistamines. Avoid the followingherbal products: Wormwood, sage,evening primrose oil.

May cause stomach upset. Take withfood.

May cause stomach upset. Take withmilk or food.

May cause drowsiness. Avoid alcoholicbeverages. Take after mea ls or wi th milkor food. Mainta in consistent salt andfluid intake. Check with your Doctor.

May cause drowsiness. Avoid alcoholicbeverages.

Take with food to increase absorptionand reduce stomach irritation. Avoidalcoholic beverages.Avoid the followingherbal products: Wormwood, sage, GLA(evening primrose oil), shankapulshpi,

ephedra / Ma huang.

May cause stomach upset. Take withfood and water. Side effects areincreased by caffeinated foods such ascoffee, tea, cocoa, cola, and chocolate.Avoid the following herbal products:ephedra / Ma huang, guarana, kola,yohimbe.

F O O D I N F O R M A T I O N L I S T

This list is not entirely inclusive. For more information, please consultwith your dietitian or doctor.

F O O D H I G H I N V I T A M I N K

A sparag us C au li fl ow er Green B eans Soy bean o ilBroccoli Dark Lettuce Green tea SpinachCabbage Garbanzo beans Liver Turnip greens

F O O D H I G H I N P O T A S S I U M

F r u i t s

Apricots (dried) Dried Fruit Nectarine PomegranateBanana Figs Oranges (juice) Prunes (juice)Cantaloupe Honeydew Papaya RaisinsDates Kiwi PearsV e g e t a b l e s

Artichokes Beans (dried) Peas Sweet potatoesAsparagus Brussels sprouts Potatoes Tomatoes (juice)Avocado Carrots Spinach (boiled)Bamboo shoots Parsnips SquashO t h e r

Bran cereal Milk Salt substituteChocolate Molasses Swiss chard

F O O D S H I G H I N T Y R A M I N E

Aged cheese Broad beans Pickled herring Smoked fishAged meat Caffeine (limit) Raisins (limit) Sour cream(limit)Anchovies Chocolate (limit) Raspberries (limit) Soy sauce(limit)

Avocado(limit) Canned figs (limit) Sauerkraut Yeast extractButtermilk(limit) Liver Sausages Yogurt (limit)B e v e r a g e s

Alcohol-free beer Cola drinksBeer and ale Wine (Chianti and Shery)

D R U G S A F F E C T E D B Y G R A P E F R U I T J U I C E

Recent medical research has shown that grapefruit juice may interact with somedrugs. For further information, please consult with your doctor or pharmacist.Consider avoiding grapefruit juice with the following medicines:Alprazolam Amlodipine Atorvastatin BuspironeCaffeine Carbamazepine Caredilol ClomipramineCyclosporine Diazepam Diltiazem DofetilideErythromycin Estrogens Felodipine FexofenadineItraconazole Losartan LovastatinMethylprednisone Midazolam NicardipineNifedipine Nimodipine Nisoldipine Quinidine

Saquinavir Simvastatin Tacrolimus TerfenadineTriazolam Verapamil

D R U G S A F F E C T E D B Y H E R B E L S U P P L E M E N T S

Many herbal supplements / alternative medicines can interact withmedicines you may already be taking. Inform your doctor or pharmacist ifyou are taking or plan to take any herbal, natural or alternativemedicines, including any vitamin &/or mineral supplements.

ADF 07/06 PSHP 399 / 65-52000

Food & DrInteractionThis pamphlet has been prepared for you by

Valley Hospital's Medical Nutrition TherapServices and Pharmacy Services. It contain

about common interactions that may occur

food and drugs that you take. It does not c

possible food-drug reaction, nor does it list drug-drug interactions. For information ab

drug interactions, talk to your Pharmacist o

For more specific information on your diet

prescriptions, please contact Medical Nutri

Department, the Pharmacy Department, or

Poudre Valley Hospital Pharmacy Departm

Poudre Valley Hospital MNT Department 4Mountain Crest Hospital Pharmacy 207-480

Family Medicine Center 495-8800

Harmony Urgent Care Center 297-6250

P O U D R E VA L L E Y H O S P

www.pvhs.org

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A N A L G E S I C S

Aspir in and Nonsteroidal Anti - Inf lammatory Drugs (NSAIDs)RAspirin, other salicylates

(Trilisate, Disalcid, Dolobid)

RIbuprofen(Advil, Motrin, Nuprin,and various other brands)

RKetoprofen (Orudis KT)RNaproxen (Aleve,

Naprosyn, Anaprox)

ROther NSAIDs (Indocin,Clinoril, Daypro, Feldene,Lodine, Relafen, ToradolVoltaren, ect.)

RCox-II InhibitorsRofecoxib (Vioxx),Celecoxib (Celebrex),Valdecoxib (Bextra)

Narcotic AnalgesicsRMorphine, Codeine,

Meperidine (Demerol)

RPercocet, Percodan, Tylox,Vicodin, other narcotics

RPhenazopyridine(Pyridium)

A N T I B I O T I C SRCephalosporins (Ceclor,

Ceftin, Keflex, Velosef)

RErythromycins(E-mycin, Erytab, EryC,Biaxin, Zithromax)

RMetronidazole(Flagyl)

RNitrofurantoin(Macrodantin)

RPenicillins(PenG, Pentids, Ampicillin)

RAmoxicillin, Pen VK,Augmentin

RLinezolid (Zyvox)

These medicines may cause stomach upsetand should be taken with milk or food.Do nottake these drugs in combination,and do not take with anticoagulantssuch as Coumadin without discussingrisks with your doctor or pharmacist.Gastrointestinal bleeding may resultfrom improper or excess use.

May take with or without food.

Cause Drowsiness.Avoid alcoholicbeverages . May cause constipation andstomach upset. Take with milk or food.

Take 1/2 hour before meals with a fullglass of water. May change color of urine.

For best results, take on an empty stom-ach (1 hour before meals or 2 hours aftermeals). If stomach irritation occurs, takewith milk or light snack, i.e. crackers.

May take with food if stomach upsetoccurs. Avoid taking with citrus food,citrus juices, and carbonated drinks.

May cause stomach upset. Take withfood. Avoid alcoholic beverages, asnausea and vomiting may occur.

May cause stomach upset. For bestresults, take with milk or food. Maychange color of urine.

Take on an empty stomach (1 hour before

meals or 2 hours after meals). Take with a fullglass of water. Avoid taking with citrus foodsor citrus juices and carbonated beverages.

Absorption unaffected by food.

Avoid food high in tyramine (see FoodsHigh in Tyramine Chart).

RQuinolones(Levaquin, Cipro, Floxin,Noroxin)

RTetracycline

A N T I C O A G U L A N T S

RWarfarin(Coumadin, Dicoumarol)

C A R D I O V A S C U L A R D R U G S

RACE InhibitorsRNitrates

(Isordil, Imdur, Sorbitrate)

RDigoxin(Lanoxin)

RDipyridamole(Persantine)

RQuinidine(Quinaglute, Quinora)

RDiltiazem(Cardizem)

D I U R E T I C S

(See Chart of Foods High in Potassium).

Potassium Depleting

RBumetanide (Bumex)RFurosemide (Lasix)RThiazides (Diuril,

Hydrodiuril, othervarious brands)

Potassium Sparing

RSpironolactone (Aldactone)RDyazide, Maxzide

Avoidantacids 2 hours before and 3 oursafter taking medication. Take with a fullglass of water.

Avoid iron and calcium supplements,antacids, and milk and milk products. For

best results, take on an empty stomach (1hour before meals or 2 hours after meals.)

Avoid alcoholic beverages, aspirin,aspirin-like products and nonsteroidalanti-inflammatory medicines (NSAIDs)

such as Advil, Motrin, Aleve, unless youhave checked with your doctor.

Avoidthe following herbal products: CinnabarRoot, Chlorella, Ginger, Garlic, Ginkgo Biloba,Guar Gum, Dong Quai, Feverfew, Ginseng.

Maintain a consistent diet of foodscontaining Vitamin K. See Foods Highin Vitamin K Chart.

Take on an empty stomach. Avoid theherbal product St. John's Wort.

Avoid alcoholic beverages. Take on anempty stomach (1 hour before or 2 hoursafter meals).

Take oral dose after morning meal. Avoidantacids, cough, cold, and allergy productsand appetite suppressants.Avoid theherbal products St. John's Wort, Foxglove.

Take 1 hour before meals with a full glassof water.

May cause stomach upset. Take with food.

Take before meals. Avoid the herbalproduct St. John's Wort.

Include high potassium foods in diet.

May cause stomach upset.

Take with milk or food.Include high potassium foods in diet.

May cause stomach upset.Take with milk or food.May need to limit high potassium foods.Check with your doctor.

GASTROINTESTINAL PREPAR

RDiphenoxylate(Lomotil)

RMetoclopramide(Reglan)

RCimetidine(Tagamet)

RFamotidine (Pepcid)RNizatidine (Axid)RRanitidine (Zantac)RPantoprazole (Protenox)ROmeprazole (Prilosec)RLansoprazole (Prevacid)RRabeprazole (Aciphex)RLaxatives (Colace, Metamucil)MONOAMINE OXIDASE INHI

Patients on this medicine should receive further instruction befo

RPhenylzine (Nardil)RTranylcypromine (Parnate)M I N E R A L S

RIron(Fergon, Feosol,Ferrous sulfate,

other various brands)

RPotassium Chloride(Micro-K, K-Dur)

H Y P O G L Y E M I C A G E N T S

RInsulinRChlorpropamide

(Diabinese)

RGlipizide (Glucotrol)RNateglinide (Starlix)RGlyburide (Diabeta,

Micronase)

Metformin (Glucophage)Glimepiride (Amaryl)

RAcarbose (Precose)RRosiglitazone (Avandia)

Pioglitizone (Actos)

Avoid alcohol or other detranquilizers or sedatives

Take 1/2 hour before meaMay cause drowsiness.Avoid alcoholic beverage

Take before meals.Stagger doses of antacids

Absorption unaffected by

Take before any meal.

Take with 8 ounces of wa

Avoid foods high in tyramHigh in Tryamine Chart).Aproduct St. Johns Wort.

Take after meals or with fwith tetracycline or antac

May cause stomach upsetor with food and a full gl

Consult with your dietitiadiet and exercise.

May cause stomach upseor food. Avoid alcoholic

Take 1/2 hour before mea

Take 1/2 hour before mea

Take with meals.

Take with the first bite of

May take with or withou