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Drug Interactions between Alka-Seltzer Extra Strength and Nephro-Vite with Fe

This report displays the potential drug interactions for the following 2 drugs:

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Interactions between your drugs

Moderate

aspirin sodium bicarbonate

Applies to: Alka-Seltzer Extra Strength (aspirin/citric acid/sodium bicarbonate) and Alka-Seltzer Extra Strength (aspirin/citric acid/sodium bicarbonate)

Using sodium bicarbonate together with aspirin may decrease the effects of aspirin. Contact your doctor if your condition changes. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. 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

sodium bicarbonate multivitamin with iron

Applies to: Alka-Seltzer Extra Strength (aspirin/citric acid/sodium bicarbonate) and Nephro-Vite with Fe (multivitamin with iron)

By reducing the acidity level in the stomach, medications like sodium bicarbonate may interfere with the absorption of multivitamin with iron into the bloodstream and reduce its effectiveness. If you require treatment with both medications, it is recommended that you take multivitamin with iron at least 2 hours before or 2 hours after sodium bicarbonate to help minimize the impact of the interaction. Talk to your doctor or pharmacist if you have any questions or concerns. 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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Drug and food interactions

Moderate

multivitamin with iron food

Applies to: Nephro-Vite with Fe (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

aspirin food

Applies to: Alka-Seltzer Extra Strength (aspirin/citric acid/sodium bicarbonate)

Ask your doctor before using aspirin together with ethanol. Do not drink alcohol while taking aspirin. Alcohol can increase your risk of stomach bleeding caused by aspirin. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds. 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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Minor

aspirin food

Applies to: Alka-Seltzer Extra Strength (aspirin/citric acid/sodium bicarbonate)

Information for this minor interaction is available on the professional version.

Therapeutic duplication warnings

No warnings were found for your selected drugs.

Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.


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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.

Further information

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