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DISEASE/ CONDITION
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MEDICATIONS
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ALERT
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Heart Failure
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Disopyramide (Norpace®, Norpace CR®)
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May weaken the pumping of the heart and may worsen heart failure.
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medications with high salt (sodium) content
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May lead to water retention, which may worsen heart failure.
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Diabetes
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beta blockers (Tenormin®, Inderal®, Lopressor®)
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May block symptoms of low blood sugar in diabetics on treatment with insulin or an oral diabetes medication.
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Corticosteroids (prednisone)
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May worsen diabetic control.
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Hypertension/high blood pressure
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diet pills; amphetamines
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May increase blood pressure.
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Respiratory or lung diseases, such as asthma, emphysema
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beta blockers (Tenormin®, Inderal®, Lopressor®)
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May worsen breathing function in persons with respiratory or lung diseases, such as asthma, emphysema, or bronchitis.
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sedative/hypnotics (Halcion®, Ambien®, Dalmane®)
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May slow breathing in persons with respiratory or lung diseases, such as asthma, emphysema, or bronchitis.
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Ulcers
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non-steroidal anti-inflammatory medications (ibuprofen, Motrin®, Aleve®)
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May worsen ulcer disease and GERD (reflux disease).
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Aspirin in doses
above 325 MG
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May worsen ulcer disease and GERD (reflux disease).
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potassium supplements (all)
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May cause stomach irritation with symptoms similar to ulcer disease.
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| Seizures/Epilepsy
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clozapine (Clozaril®)
chlorpromazine (Thorazine®)
thioridazine (Mellaril®)
chlorprothixene (Taractan®)
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Make seizures more likely.
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| Circulation Problems |
beta blockers (Tenormin®, Inderal®, Lopressor®) |
May worsen blood flow through small arteries and cause circulation problems |
| metoclopramide (Reglan®) |
May worsen blood flow through small arteries and cause circulation problems. |
Blood Clotting Disorders
(Only those on blood thinners/anticoagulant therapy) |
Aspirin
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May cause bleeding in those using blood thinners/anticoagulants.
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non-steroidal anti-inflammatory medications (ibuprofen, Motrin®, Aleve®)
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May cause bleeding in those using blood thinners/anticoagulants.
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dipyridamole (Persantine®)
Ticlopidine (Ticlid®)
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May cause bleeding in those using blood thinners/anticoagulants.
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Prostate Disease/Benign Prostatic Hyperplasia (BPH)
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Antihistamines
chlorpheniramine (Chlor-Trimeton®)
diphenhydramine (Benadryl®)
hydroxyzine (Vistaril®, Atarax®)
cyproheptadine (Periactin®)
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May impair urination and cause obstruction in persons with BPH.
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stomach and intestinal antispasmodics
dicyclomine (Bentyl®)
hyoscyamine (Levsin®, Levsinex®)
propantheline (Pro-Banthine®)
belladonna alkaloids (Donnatal®)
clidinium/chlordiazepoxide (Librax®)
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May impair urination and cause obstruction in persons with BPH.
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muscle relaxants
cyclobenzaprine (Flexeril®)
methocarbamol (Robaxin®)
carisoprodol (Soma®)
oxybutynin (Ditropan®);
chlorzoxazone (Paraflex®);
metaxalone (Skelaxin®)
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May impair urination and cause obstruction in persons with BPH.
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narcotics
propoxyphene and combination products
(Darvon®, Darvocet N-100®)
meperidine (Demerol®)
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May impair urination and cause obstruction in persons with BPH.
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oxybutynin (Ditropan®)
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May impair the ability to urinate in persons with BPH.
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urecholine (Bethanechol®)
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May impair the ability to urinate in persons with BPH.
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certain antidepressants
amitriptyline (Elavil®)
chlordiazepoxide/amitriptyline (Limbitrol®)
perphenazine/amitriptyline
(Triavil®)
doxepin (Sinequan®)
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May impair the ability to urinate in persons with BPH.
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Incontinence
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alpha blockers
Doxazosin (Cardura®)
Prazosin (Minipress®)
Terazosin (Hytrin®)
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May cause incontinence by relaxing the bladder.
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Constipation
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Narcotic pain relievers
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Will cause or worsen constipation.
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Certain antidepressants
amitriptyline (Elavil®)
chlordiazepoxide/amitriptyline (Limbitrol®)
perphenazine/amitriptyline
(Triavil®)
doxepin (Sinequan®)
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May worsen constipation.
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Iron products
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Will cause or worsen constipation.
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Dizziness/Lightheadedness or Falls
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beta blockers
(Tenormin®, Inderal®, Lopressor®)
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May slow the heart and weakens the pumping action of the heart. May cause dizziness/lightheadedness or falls.
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Antianxiety medications
diazepam (Valium®)
flurazepam (Dalmane®)
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May contribute to falls due to sleepiness, confusion, and other side effects.
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Abnormal heart rhythms/Arrhythmias
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tricyclic antidepressants
amitriptyline (Elavil®)
chlordiazepoxide/amitriptyline (Limbitrol®)
perphenazine/amitriptyline
(Triavil®)
doxepin (Sinequan®)
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May induce abnormal heart rhythm.
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Insomnia
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Decongestants (Sudafed®)
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May cause or worsen insomnia.
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Theophylline (Theodur®)
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May cause or worsen insomnia.
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Certain antidepressants (Desipramine, SSRIs, MAO Inhibitors)
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May cause or worsen insomnia.
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beta agonists
albuterol (Proventil®, Ventolin®)
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May cause or worsen insomnia.
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