I have anxiety, depression and ADD. My psychiatrist prescribed me the list below. Is this an odd course or treatment? Will it be effective or will any of these drugs counteract each other?

Wellbutrin XL 150mg 1x per day Propranolol 10mg 2x per day Hydroxyzine Pamoate 25mg in the afternoon 70mg Vyvanse in the morning

I recently started Butrans patches for crps pain. The first week I put it on my upper arm and had no issues. Second week I put it on my chest and got a horrible rash, blisters and itching that Benadryl barely filled. Third week, upper arm on other side and no issues. Is it possible to just be allergic to what I assume is the adhesive in certain areas and not others? Going to ask my pain doctor at my appt in a couple weeks but curious. Thanks in advance!

Ive been taking 1 spray in each nostril of flonase a day for months now and starting taking 300mg bupropion for a little over a month. Now after looking it up i can see different things about an interaction between them but not anything specific. Should i be stopping the flonase? I really dont want to as it helped my allergies a lot but i also dont want a seizure if it majory increases the chance.

I'm using the 75mg version for back pain and I have a migraine creeping up. How soon before I can take something else such as Ibuprofen?

Hi, I'm aware that nicotine can help alleviate OCD symptoms. My only concern with nicotine is the increased risk of cancer. So I'm wondering if there are any pharmaceutical drugs that work similarly which could be prescribed to treat OCD (even off-label) and don't come with the cancer risk. I'm not interested in antidepressants due to the sexual side effects. Any help is much appreciated! Cheers

I called the pharmacy about this today and was told I’d receive a call back later. The delay makes me think that they are unwilling to correct the error, so I’d like to understand whether this is just obstinance or is required to comply with the regulatory requirements.

I take a Schedule II drug (instant release) and my physician had me trialing an alternative regime with one extended release dose of the drug and one instant release per day. The trial did not go well. After my initial follow up, I was going to try a higher extended release dosage, but I purposely did not pick up that prescription once it became clear that it was a bad time to be changing my medications. My physician agreed at a second follow up visit and sent in a new prescription for the instant release only.

The pharmacy filled the previous prescription rather than the latest one, and because I picked up a couple others at the time and didn’t check the labels, I didn’t release that I had been dispensed the extended release pills (and a much smaller order of the instant release I actually intended to pick up). I’d like to return the extended release pills and proceed with the updated treatment plan my doctor and I discussed. Is that an option, or will I have to grin and bear it for another 2 weeks because of the pharmacy’s error?

I have been on a particular sleep medication for over 15 years, and it has very specific and consistent effects. I always notice a feeling in my stomach first, then drowsiness and sleep. 4 days ago I refilled, generic as usual, looks correct. I have taken it now 3 times and each time.....nothing. No sleepiness, none of they physical feelings that come when it's starting to kick in. Each night I lay in bed, awake, and get very little sleep.

So last night I wondered, and went and took the last one from my old prescription and it behaved exactly as expected and I slept well. Then tonight I again took one from the new batch and it's like I took nothing. I think it sounds paranoid and crazy to suggest that the pills aren't real, but I know this medication well. It has a very consistent and predictable effect and the only thing I can think of is that something is wrong with this RX. What can I do? Is there any chance the pharmacy will take me seriously?

So I’ve been taking 100mg of b6 cause I’m pregnant and it helps with nausea, yesterday I noticed I had accidentally left the bottle slightly ajar, the cap was on but not sealed. I think it was like that for a few hours at most. I have anxiety and emetophobia and I’m really worried that they may make me sick or something cause I took them again today. Can anyone help? Please and thanks!

Question for a pharmacist...have y’all ever heard of someone getting a rash from a Butrans patch in one location but it being ok in another? I had one on my arm last week and it was fine however the one on my chest has been miserable and itchy. My doctor told me the four sites to use but I don’t think I can use the two in my chest. Any suggestions?

Also have you ever heard of a patient having issues where it doesn’t last 7 days? Mine seems to only last 5ish days.

Thanks! First time on a patch so learning as I go.

Hi all,

I've been taking Zoloft and then generic sertraline for over 10 years. Within the past couple of years, I can no longer take my sertraline on an empty stomach because I get excruciating heartburn/indigestion. My tablets have always been blue (50mg), but I'm wondering if the manufacturer has changed.

I'm thinking I may have been taking sertraline manufactured by Lupin, and it's now by Cipla USA (says on the bottle). I've looked up the inactive ingredients, but I don't know what they do, side effects they could cause, etc.

Would any of the inactive ingredients in the Cipla USA brand cause heart burn? I would love to be able to take my meds pain free again.

Hello! I've been taking clindamycin since yesterday afternoon... Infection is already feeling better, however... My mouth has been dry and there's an odd flavor. Is this common or should I be concerned? I read a list of side effects, this one was listed under "contact your prover immediately" if you experience it. Is this correct?

I would really appreciate any answers. Thank you in advance!

Whether the average customer, or maybe a well-intended insurance rep like myself?

Common misunderstandings?

Things you find yourself repeating constantly?

Even just things that aren't well known.

I'd love to be enlightened!

I am currently on 50 mg of lamotragine and 30mg paxil.

Now through a number of miscommunications I am currently out of lamotragine and the pharmacy is saying I have to get in touch with my doctor in order for the refill to go through, the problem is she is out till Monday and I haven't had a lamotragine dose since Wednesday and I'm not feeling the greatest is there a way I can convince the pharmacy to prescribe enough meds till Monday or Tuesday when I can sort this out? Or will I have to tough it out

Compounding pharmacies make it. Is the tablet form readily absorbed through the skin once dissolved in a liquid or suspended in gel?

I'm taking a prescription for Tamsulosin, 0.4 mg daily, for the usual reasons. The instructions for taking it are the most specific of any prescription I've ever had. "Take one-half hour following the same meal each day."

I have no mistrust for the instructions, so that's not my issue. I'm simply curious by nature, and would like to know what's behind them. I've asked my pharmacist and a couple of doctors, but they don't have anything especially informative to say.

So, what's the reason? I understand the reasons for "same time each day", but what is it about this medicine, and the behavior of the human digestive tract, or whatever other factors are in play, that makes this the best way to take it?

I have a reasonable amount of scientific training, so a little technical language would be fine.

If one was given .125mgs of Clonazepam once, when would it be safe to mix other elements with it?

For example, other medication. Or even drinking alcohol.

Thank you for your time.

Hey all, thanks very much for this subreddit! I rescue, care for and re-release wild animals and i’m constantly struggling with calculating dosages. Are there any good subreddits to help people calculate dosage amounts for medicines? My math is a little ordinary and i’d like to skill up in that domain. Some of the packaging is downright confusing as heck though and i’m constantly needing to extra check my calculations. Any advice is appreciate!

Is Clindamycin a good alternative to take for strep throat if I am not able to take penicillin or zpack?

25M Caucasian 5’10 175lb

Duration of concern: 3 days

Existing medical conditions: -

No current medications, drug or tobacco use.

I have a very important job interview (Software Engineering, hence brain intensive) on the 13th of February, and want to be as well rested as I possibly can. However, I am currently having trouble sleeping for the past three days (slept on average two hours). Further, I will need to wake up at 03h00 to catch a plane on the 12th of February and will arrive with a jet lag of about 2 hours.

My usual sleep cycle is from 00h00 to 08h00.

I have read that melatonin, when used correctly, can help with shift work, insomnia and jet lag. What is the dosage that I should be taking for my particular use case, and when?

Thank you /r/AskPharmacist

I'm 20 years old. Suffer from panic disorder, IBS, and congeital spinal stenosis.

I've been on .5 mg of Klonopin for 13 months, daily. I also take 1 mg of Ativan and Donnatal (contains Phenobarbital) 3x a day. I also have medical marijuana to help ease my back pain but it isnt the most effective. For my back my pain doc scripted 5/325 percocets. Is it safe to take all of these in one day?

Hello,

Last night was my first night taking this prescription. It made me feel from what people say “dopeamax”. Will this feeling go away as i progressively take it nightly or can i cut it in half and work my way up? I had read online it may taste bitter or the other half may not even work?

TIA and I appreciate taking your time out to help me.

Is it safe for an adult to take concerta 36 in the morning and then a methylphenidate 20 mg immediate release Tablet (or lesser strength) in the after noon ?

Hoping this is the right sub for this kind of question. I'm not looking for legalities, more how to approach on a conversational, interpersonal level.

I was wondering if I could get some perspective on how to handle family health and medication history in cases where the medication or the condition it treats has a stigma. My question here is regarding my parents (53F and 58M), both of whom have medical issues but have sound mind for the purposes of medical privacy. I have a good relationship with both of my parents and speak with them regularly.

The hypothetical I worry about is if one or both of my parents has an emergency situation, ends up in the hospital, and the doctors/pharmacists/whoever need to know what meds they take. I had been making my own list for my parents in case I was the one who had an emergency; I've already told them casually about all the meds I take and why, I just want something written down with actual dosages and such. Then I realized I wouldn't know what to do if the situation was reversed.

If I asked my mom and dad for a list of meds they take for things like blood pressure, they'd have no problem at all providing that. However, there have been two occasions where I accidentally discovered prescribed medications for one of my parents where the med and the condition it treats could be seen as embarrassing or stigmatizing. The only thing I saw for each prescription was the name of the med and who it was prescribed to; I didn't want to pry when I came across them by accident rather than it being on my parents' terms. Without being too specific since this is the internet, one was hormone-related and one was mental health-related, both of which are topics my parents are tight-lipped about.

However, I actually know quite a lot about the mental health medication because I take the same drug for likely the same reason, so I know it would absolutely be vital for someone giving treatment in an emergency to know about it. I've been open with them about taking it and why.

Pharmacists: what would be your advice on how to handle this, either through your personal or professional experience? Should I tell them about the prescriptions I came across? I'm sure there are apps that deal with this kind of thing, but are they actually secure enough that they could trust that data not to leak out unless it was genuinely needed?

I took a lorazepam to go to bed with last night, I have taken them before and was talking 3, 1.4g tablets a day for weeks at one point (GP prescribed)

I took one to help me sleep and literally it’s 9am and can’t open my eyes. So drowsy and no motivan, mum keeps coming I to my room to wake me and I hardly could register her. I was supposed to start work an hour ago.

How long will this last and what did I do wrong

If I receive a prescription and it allows one refill but states above a future date and time does that mean I cannot refill it until that date or does that mean I cannot refill it after that date?

Is this correct? I live in IL and got my first injection at an IL CVS in early December. Now I'm visiting FL for an extended period and thought nothing of going in to a CVS here for my 2nd shot, due in a couple of days.

A lot of CVS's I called are completely out of it, but when I found one that had it, they said I couldn't get it because I'm over 27. Is this correct? Will anyone make an exception because I'm looking to stay on schedule with boosters, not start with shot #1. I have all the paperwork and pharm receipts from the first shot.

One pharmacists recommended calling the local county health department, and a friend suggested trying an urgent care place.

Any suggestions? Really trying to avoid flying back home just to get a shot. Thanks in advance.

I am on

Methyphenidate 54 mg and 5 mg (ADHD)

Zoloft 150 mg Depression/ GAD

Zyprexa 2.5 depession/ insomnia

and now I will be on buspirone 7.5 mg for GAD

I get highly anxious and I have urges to self harm, I didn't tell my dr about the self harm part though. Yes, I had a panic attack today, so yay and I did not even start my work....

Hi! I have a question about drug interactions that I can’t find a solid answer on anywhere. I just got my wisdom teeth taken out (all 4) plus a tooth I was having issues with, and I’m only on day one and so far have gotten through the pain with purely extra strength Tylenol. However, I’ve heard the second day is the worst and I’m still hurting pretty bad, even with the Tylenol. I was prescribed hydrocodone, but I’m pretty scared to take it because I’m on 25 mg of zoloft daily & I read in a few places that combining the two can increase my risk of serotonin syndrome. I tried to ask my dentist about it today, but he had just put Xanax in my IV so I wasn’t coherent. Basically, if the pain gets too bad to handle, can I take the hydrocodone? Or is it too big of a risk? Also, maybe important to note, I’m allergic to NSAIDs so those aren’t an option for me. Thanks in advance!!!

My psychiatrist is very prescription-forward. I have borderline personality disorder, severe depression and ADHD. Here’s what she has me on:

300mg Lamotrigine (Lamactil) 2mg Aripiprazole (Abilify) 50mg Hydroxyzine 50mg Vyvanse And 20mg Adderall for a “pick me up” if I feel my vyvanse starting to lose effects early in the day.

My first day picking up my set of prescriptions after she added adderall to the mix, the pharmacist came to me kind of confused because he has never filled a script with both adderall and vyvanse and questioned if she was supposed to drop the other. What’s your opinion? You won’t dictate my decision. I’m the only one who can choose what to take and what not to take.

I'm currently taking 15mg of Ritalin but it causes my BP to go up to about 150. My doc first tried prescribing me non stimulant alternatives for the ADHD (But they suck ass). So she prescribed me Lisinopril (ACE inhibitor). I've read warnings about combining the two medications since one lowers and one heightens blood pressure.

Both my doctor and pharmacist said it was fine but couldn't exactly tell me why, I'm just trying to understand what the potential concern is here