By: Joe Graedon July 1, 2019 0 Comments
    Reversing the Admonition to Avoid Vitamin K with…

    I was taught decades ago that if patients were taking the anticoagulant warfarin (Coumadin), they would need to avoid green leafy vegetables! That’s because greens are great sources of vitamin K. By…

    By: Joe Graedon June 13, 2019 5 Comments
    Warfarin and Green Leafy Vegetables Can Be OK

    For decades, patients taking the anticoagulant warfarin, known by the brand name Coumadin, have been admonished to be very careful about consuming foods rich in vitamin K. That’s because too much vi…

    By: Terry Graedon May 29, 2019 6 Comments
    Cranberry Compounds Help Prevent Antibiotic Resi…

    As bacteria develop resistance to an increasing number of antibiotics, doctors have been searching for a way to counter antibiotic resistance and increase the power of antimicrobial agents. This is a …

    By: Joe Graedon April 18, 2019 8 Comments
    Medical Marijuana Users May Require More Anesthe…

    Millions of people are now using cannabis regularly. Some smoke marijuana. Others eat marijuana gummies, brownies, chocolate bars, truffles and chocolate chip cookies. Then there is medical marijuana.…

    By: Terry Graedon April 15, 2019 7 Comments
    What Is the Story on Grapefruit Juice and Meds?

    What do you know about the story on grapefruit juice and drug interactions? Some people have heard that it is risky to combine juice but not fruit with certain medications; others insist that the inte…

    By: Joe Graedon April 15, 2019 11 Comments
    Polypharmacy and Premature Deaths Especially in …

    Have you been to a doctor’s office or a clinic lately? Chances are very good that a med tech weighed you, measured your blood pressure and took your temperature. This information was entered into a …

    By: Joe Graedon March 11, 2019 14 Comments
    Taking Lisinopril | Avoid POTASSIUM but ZINC Cou…

    Lisinopril is about the most popular drug in the pharmacy. This ACE (angiotensin converting enzyme) inhibitor is swallowed by over 20 million hypertensive Americans every day. Over 110,000,000 bo…

    By: Terry Graedon February 20, 2019 2 Comments
    Improving Patient Safety by Reducing Alert Fatig…

    Drug interactions are a serious hazard in hospitals and in the community. If patients receive prescriptions for incompatible medications, they can experience severe side effects that may even be life …

    By: Terry Graedon February 7, 2019 38 Comments
    What Is the Other Drug Epidemic?

    Much has been written about the epidemic of opioid drug misuse, overdose and death. With more than 130 people dying every day in this country as a result of opioid overdose, we all have a right to be …

    By: Terry Graedon February 4, 2019 3 Comments
    Do Antibiotics Interact with Oral Contraceptives…

    Should women using oral contraceptives to prevent pregnancy be warned to take extra precautions if they need to take an antibiotic? There is surprisingly little agreement on this in the medical commun…

    By: Terry Graedon January 21, 2019 9 Comments
    Will Pain Reliever Interact with Anticoagulant?

    Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most popular pills in the drugstore. People can buy them without a prescription and use them to treat nearly any type of pain. Although the …

    By: Terry Graedon January 7, 2019 23 Comments
    Taking Synthroid in the Middle of the Night

    An underactive thyroid gland is a surprisingly common condition, affecting up to 5 percent of adult Americans. More people experience subclinical hypothyroidism than overt hypothyroidism. Nonetheless,…

    By: Joe Graedon December 24, 2018 6 Comments
    Cough Remedy Plus Antidepressant Spark Scary Ser…

    Chances are good that you’ve heard of serotonin. It is a neurotransmitter in the brain that has been linked to mood. Fluoxetine (Prozac) and its antidepressant chemical cousins (citalopram or Celexa…

    By: Joe Graedon December 17, 2018 0 Comments
    Why the Holidays Hold Hidden Medication Risks!

    This is a dangerous time of the year for tens of millions of people. That’s because nondrinkers frequently find themselves in situations where they are expected to have a drink. It might be at a nei…

    By: Joe Graedon November 19, 2018 8 Comments
    Is it Risky to Take Atorvastatin with Grapefruit…

    Physicians and pharmacists are super busy these days. Some pharmacists have confided to us that they feel like they are in an I love Lucy skit like this one where Lucy and Ethel wrap chocolates. Patie…

    By: Terry Graedon October 22, 2018 8 Comments
    Should You Be Taking Vitamin Supplements?

    There is growing consensus among health professionals that most people should not be taking vitamin supplements. Their view is that this is a waste of money that will do no more than lead to expensive…

    By: Terry Graedon October 15, 2018 3 Comments
    Should You Worry About Pomegranate Juice Interac…

    Have you ever wondered whether something you are eating or drinking could affect your medication? It's not a crazy idea. For more than 20 years, we have known that grapefruit juice can increase blood …

    By: Terry Graedon September 27, 2018 20 Comments
    Show 1136: Do You Really Need That Pill?

    Americans take a lot of medications. We appear to have adopted the advertising-based attitude that there is a pill for every ill. But while some medicines may be helpful or even essential in some circ…

    By: Terry Graedon August 30, 2018 0 Comments
    Will Your Child Suffer a Dangerous Drug Interact…

    Years ago, children were unlikely to take medication for more than a short period of time such as during an ear infection. That has changed dramatically in recent years, according to a study published…

    By: Joe Graedon August 30, 2018 3 Comments
    Vraylar (Cariprazine) Side Effects, Interactions…

    Have you seen a Vraylar commercial? A woman is having a manic episode. She has Post-it Notes everywhere and as the camera pulls back we see that she is working in an office that is supported by a giga…

    By: Karen Berger, PharmD, RPh August 2, 2018 33 Comments
    Why We Can’t Just Slap a Label on It

    “Don’t you just have to slap a label on it?” Pharmacists around the country hear the same thing, all day, every day. I know this because I am in several pharmacist groups on Facebook, each with …

    By: Joe Graedon July 16, 2018 24 Comments
    Antibiotic plus BP medicine Led to Deadly Drug I…

    We have been writing about the dangers of drug interactions for over 40 years. We assumed that when computers entered the scene doctors would check for dangerous drug combinations before prescribing a…

    By: Terry Graedon April 9, 2018 3 Comments
    If You’re on Simvastatin, Can You Eat Grap…

    Do you know whether there are some foods you should avoid while you are taking your medicine? The classic example is grapefruit. When its ability to interact with medications was first discovered, man…

    By: Joe Graedon March 5, 2018 10 Comments
    Is Acetaminophen (Tylenol) and Warfarin A Scary …

    People who have to take a blood thinner like warfarin (Coumadin) are caught in a terrible double bind. If they have pain, they have surprisingly few options. That's because NSAIDs like ibuprofen (Advi…

    By: Terry Graedon January 10, 2018 2 Comments
    Beta Blockers Boost Benefits from Cancer Immunot…

    Beta blocker heart medicines have been available for decades. Drugs like propranolol are prescribed to treat the pain of angina, lower high blood pressure and prevent migraine headaches. Might they al…

    By: Joe Graedon January 8, 2018 4 Comments
    Serotonin Syndrome From Lexapro Plus Robitussin …

    Millions of people take antidepressant medications like escitalopram (Lexapro), citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft). These are known as SSRIs (selective…

    By: Joe Graedon January 1, 2018 24 Comments
    Beware Amiodarone Side Effects and Interactions

    According to the FDA, "Amiodarone is intended for use only in patients with the indicated life-threatening arrhythmias because its use is accompanied by substantial toxicity." The FDA goes on to state…

    By: Joe Graedon November 27, 2017 6 Comments
    Tramadol Plus Sertraline Could be Deadly Cocktai…

    Serotonin is a crucial neurotransmitter. It is found in the brain as well as the digestive tract. Serotonin is also found in blood cells called platelets. It plays a crucial role in regulating mood. T…

    By: Terry Graedon October 22, 2017 10 Comments
    Thyroid Medicine You Can Take with Breakfast

    Many people don't realize that coffee and several other foods may partially block absorption of the thyroid medicine Synthroid (Benvenga et al, Thyroid, March 2008). Over-the-counter medicines such as…

    By: Terry Graedon October 12, 2017 6 Comments
    Are Older People Taking the Wrong Medicines?

    Many senior citizens may be taking the wrong medicines. Those who can least defend themselves-those with cognitive difficulties or dementia-may be running the greatest risk. Are People with Dementia B…

    By: Terry Graedon September 27, 2017 36 Comments
    Why Are So Many Pharmacists Disillusioned?

    Most pharmacists receive a nice paycheck, so any claim that they are disillusioned is unlikely to garner much sympathy. But understanding the reasons why pharmacists are disillusioned may help you to …

    By: Terry Graedon September 25, 2017 10 Comments
    Are Soy Products a Problem for People on Synthro…

    Levothyroxine (Synthroid) is one of the most commonly prescribed medications in the country. Approximately 20 million Americans have a thyroid condition, so perhaps we shouldn't be surprised that synt…

    By: Terry Graedon September 17, 2017 12 Comments
    Are There Foods That Affect Xarelto?

    People at risk for dangerous blood clots frequently need to take anticoagulant medication to prevent clots from forming. Perhaps the best-known of these is warfarin. It is inexpensive, and its side ef…

    By: Joe Graedon July 17, 2017 11 Comments
    Medical Mistakes and Deadly Drug Interactions

    No one likes to make mistakes. It is a humbling experience. Even when lives are not at stake, errors can open you up to ridicule or sanctions. That's why many people try to deny or cover up their erro…

    By: Terry Graedon July 2, 2017 36 Comments
    How Bad Is Coffee with Levothyroxine?

    Levothyroxine (Levoxyl, Synthroid) was prescribed more than any other medication in the US last year. Wouldn't you think people would be eager to learn the best way to take it? Yet there is surprising…

    By: Joe Graedon June 19, 2017 10 Comments
    How Did Grapefruit Lower Blood Pressure So Fast?

    Grapefruit has a reputation for having lots of health benefits. It has been promoted for its ability to help people lose weight. One study reported that a grapefruit extract reduced weight gain in obe…

    By: Terry Graedon May 22, 2017 8 Comments
    Can You Safely Take Fish Oil with Blood Thinners…

    Many of us make a clear distinction between the drugs we take and the vitamins or supplements we use. It seems logical enough for our brains, but our bodies don't recognize categories like that. An…

    By: Terry Graedon April 10, 2017 72 Comments
    Drinking Coffee with Synthroid Means the Morning…

    How do you take your Synthroid, the levothyroxine medication used to treat an underactive thyroid gland? Usually, people are urged to take it first thing in the morning. Ideally, it is taken at least …

    By: Terry Graedon February 16, 2017 3 Comments
    How to Save Money by Taking Zytiga with Breakfas…

    Food and drug interactions are often unpredictable. That is why people taking warfarin are counseled to avoid leafy vegetables that could reverse the effects of this anticoagulant. People with high ch…

    By: Joe Graedon February 13, 2017 9 Comments
    Food and Drug Interactions Are Important! Levoth…

    The next time you get a prescription from your physician that says "take once a day," stop! Do not accept such a vague instruction. Ask the prescriber what precisely that means and follow up with the…