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Drug Interaction Report

8 potential interactions and/or warnings found for the following 6 drugs:

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Interactions between your drugs

No drug ⬌ drug interactions were found between the drugs in your list. However, this does not necessarily mean no drug interactions exist. Always consult your healthcare provider.

Drug and food interactions

Moderate

multivitamin with iron food

Applies to: multivitamin with iron

Food may reduce the absorption and blood levels of multivitamin with iron. In addition, some oral medications can also interfere with multivitamin with iron absorption into the bloodstream, which may make the medication less effective in treating your condition. Likewise, multivitamin with iron may interfere with the absorption of other orally administered medications. You should take multivitamin with iron on an empty stomach at least one hour before or two hours after a meal. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications. Talk to your doctor or pharmacist if you have questions about how to take this or other medications you are prescribed. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

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Moderate

multivitamin, prenatal food

Applies to: multivitamin, prenatal

Food may reduce the absorption and blood levels of multivitamin, prenatal. In addition, some oral medications can also interfere with multivitamin, prenatal absorption into the bloodstream, which may make the medication less effective in treating your condition. Likewise, multivitamin, prenatal may interfere with the absorption of other orally administered medications. You should take multivitamin, prenatal on an empty stomach at least one hour before or two hours after a meal. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications. Talk to your doctor or pharmacist if you have questions about how to take this or other medications you are prescribed. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

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Moderate

multivitamin with iron and fluoride food

Applies to: multivitamin with iron and fluoride

Food may reduce the absorption and blood levels of multivitamin with iron and fluoride. In addition, some oral medications can also interfere with multivitamin with iron and fluoride absorption into the bloodstream, which may make the medication less effective in treating your condition. Likewise, multivitamin with iron and fluoride may interfere with the absorption of other orally administered medications. You should take multivitamin with iron and fluoride on an empty stomach at least one hour before or two hours after a meal. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications. Talk to your doctor or pharmacist if you have questions about how to take this or other medications you are prescribed. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

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Moderate

DULoxetine food

Applies to: Cymbalta (duloxetine)

DULoxetine may cause liver damage, and taking it with alcohol may increase that risk. You should avoid or limit the use of alcohol while being treated with DULoxetine. Call your doctor immediately if you have fever, chills, joint pain or swelling, excessive tiredness or weakness, unusual bleeding or bruising, skin rash or itching, loss of appetite, nausea, vomiting, dark colored urine, or yellowing of the skin or the whites of your eyes, as these may be symptoms of liver damage. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

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Therapeutic duplication warnings

Therapeutic duplication is the use of more than one medicine from the same drug category or therapeutic class to treat the same condition. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor, or had prescriptions filled at more than one pharmacy, and can have potentially adverse consequences.

Duplication

Nutritionals

Therapeutic duplication

The recommended maximum number of medicines in the 'nutritionals' category to be taken concurrently is usually three. Your list includes five medicines belonging to the 'nutritionals' category:

  • multivitamin
  • multivitamin with iron
  • multivitamin with iron and fluoride
  • multivitamin with minerals
  • multivitamin, prenatal

Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.

Duplication

Iron preparations

Therapeutic duplication

The recommended maximum number of medicines in the 'iron preparations' category to be taken concurrently is usually one. Your list includes four medicines belonging to the 'iron preparations' category:

  • multivitamin with iron
  • multivitamin with iron and fluoride
  • multivitamin with minerals
  • multivitamin, prenatal

Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.

Duplication

Vitamins and minerals

Therapeutic duplication

The recommended maximum number of medicines in the 'vitamins and minerals' category to be taken concurrently is usually three. Your list includes five medicines belonging to the 'vitamins and minerals' category:

  • multivitamin
  • multivitamin with iron
  • multivitamin with iron and fluoride
  • multivitamin with minerals
  • multivitamin, prenatal

Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.

Duplication

Vitamins

Therapeutic duplication

The recommended maximum number of medicines in the 'vitamins' category to be taken concurrently is usually three. Your list includes five medicines belonging to the 'vitamins' category:

  • multivitamin
  • multivitamin with iron
  • multivitamin with iron and fluoride
  • multivitamin with minerals
  • multivitamin, prenatal

Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.


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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.