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Drug Interaction Report

This report displays the potential drug interactions for the following 9 drugs:

  • calcium carbonate
  • citalopram
  • folic acid
  • inositol
  • magnesium citrate
  • Fish Oil (omega-3 polyunsaturated fatty acids)
  • PABA (paraaminobenzoic acid)
  • Vitamin B12 (cyanocobalamin)
  • Vitamin B6 (pyridoxine)

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Interactions between your drugs

Moderate

magnesium citrate citalopram

Applies to: magnesium citrate, citalopram

Citalopram can cause an irregular heart rhythm that may be serious and potentially life-threatening, although it is a relatively rare side effect. The risk is increased if you have low blood levels of magnesium or potassium, which can occur with bowel cleansing preparations or excessive use of medications that have a laxative effect. Do not exceed the dose and duration of use of magnesium citrate recommended on the product label or prescribed by your doctor. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications. In addition, you should let your doctor know if you experience signs and symptoms of low magnesium or potassium blood level such as weakness, tiredness, drowsiness, dizziness, confusion, tingling, numbness, muscle pain, cramps, nausea, or vomiting. 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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No other interactions were found between your selected drugs. This does not necessarily mean no other interactions exist. Always consult your healthcare provider.

Drug and food interactions

Moderate

calcium carbonate food

Applies to: calcium carbonate

Calcium absorption may be increased by taking it with food. However, foods high in oxalic acid (spinach or rhubarb), or phytic acid (bran and whole grains) may decrease calcium absorption. Calcium may be taken with food to increase absorption. Consider spacing calcium administration for at least 2 hours before or after consuming foods high in oxalic acid or phytic acid. Talk to your doctor 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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Moderate

citalopram food

Applies to: citalopram

Alcohol can increase the nervous system side effects of citalopram such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with citalopram. Do not use more than the recommended dose of citalopram, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns.

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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 seven medicines belonging to the 'nutritionals' category:

  • calcium carbonate
  • folic acid
  • inositol
  • Fish Oil (omega-3 polyunsaturated fatty acids)
  • PABA (paraaminobenzoic acid)
  • Vitamin B12 (cyanocobalamin)
  • Vitamin B6 (pyridoxine)

Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed.

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:

  • calcium carbonate
  • folic acid
  • PABA (paraaminobenzoic acid)
  • Vitamin B12 (cyanocobalamin)
  • Vitamin B6 (pyridoxine)

Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed.

Duplication

Vitamins

Therapeutic duplication

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

  • folic acid
  • PABA (paraaminobenzoic acid)
  • Vitamin B12 (cyanocobalamin)
  • Vitamin B6 (pyridoxine)

Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed.

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.

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