herbs and supplements that can interact with prescription drugs

October 2000

There's a growing list of herbs and supplements that can interact with prescription drugs.

Luvox (fluvoxamine) can increase melatonin levels...possibly by inhibiting CYP1A2/2C19 metabolism.

Warn patients on Luvox that melatonin might cause excessive drowsiness, headache, dizziness, or fatigue.

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Table of Contents

Disease management by pharmacists
Asthma Pulmicort Respules, the first corticosteroid solution for nebulizers
Asthma Most kids with asthma DON'T get a flu shot
Obesity & Weight Loss metformin for weight loss
new uses for the atypical antipsychotics
Inversine (mecamylamine) for Tourette's and other neurological disorders
Thyroid Disorders new brand of levothyroxine called Unithroid
how long they have to avoid grapefruit juice if they take certain drugs
Coenzyme Q10 is often recommended for patients on statins
herbs and supplements that can interact with prescription drugs
Breast Cancer Arimidex (anastrozole) is now approved as FIRST-LINE therapy of advanced or metastatic breast cancer
Infectious Diseases Levaquin (levofloxacin) will come in a new 750 mg strength
Infectious Diseases new HIV med called Kaletra
Cardiology watch for drug interactions with the new antiarrhythmic, Tikosyn (dofetilide)
soy and isoflavone supplements
Dermatology stronger restrictions on giving Accutane (isotretinoin) to women
new uses for the atypical antipsychotics
Women's Health Mifeprex (mifepristone, RU-486) will be available next month
Infectious Diseases SINGLE DOSE of Zithromax (azithromycin) for acute otitis media