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Drug Interactions                                                                                                   Exercise - Problem Solving with Medication

                       Drug interactions may make your drug less effective, cause unexpected side effects, or                 What would you do if you had a question about your medication? Read the
                       increase the action of a particular drug. Some drug interactions can even be harmful to                following situations and decide who you would contact, what questions you would
                       you.                                                                                                   ask, and what you would do.
                       Read the label every time you use a nonprescription or prescription drug          1.  I’ve been taking the new medication for two days and I’m suddenly sick. I’m throwing up and have hives.
                       Drug interactions fall into three broad categories:                                Who would you contact?       What are your questions?      What action would you take?


              „ Drug-drug interactions occur when two or more drugs react with each other. This drug-drug
              interaction may cause you to experience an unexpected side effect. For example, mixing a drug you
              take to help you sleep (a sedative) and a drug you take for allergies (an antihistamine) can slow your
              reactions and make driving a car or operating machinery dangerous.                         2. I have concerns about this medication now that I’m home from the doctor’s office.
              „ Drug-food/beverage interactions result from drugs reacting with foods or beverages. For example,   Who would you contact?  What are your questions?  What action would you take?
              mixing alcohol with some drugs may cause you to feel tired or slow your reactions.
              „ Drug-condition interactions may occur when an existing medical condition makes certain drugs
              potentially harmful. For example, if you have high blood pressure you could experience an unwanted
              reaction if you take a nasal decongestant.
                                                                                                         3. It’s the third day of my new medication, and nothing seems to be happening.
                                                                                                          Who would you contact?       What are your questions?      What action would you take?
                                  Don’t Mix These Substances!

         Don’t Mix             With                    What Can Happen
         Antibiotic –          Antacid                 Decreases effectiveness of antibiotic
         taken for an infection  Alcohol               Low blood pressure, vomiting, confusion, rapid    4. I didn’t tell the doctor I was on these other medications. I think I should talk to someone.
                                                       heart beat                                         Who would you contact?       What are your questions?      What action would you take?
                               Iron                    Antibiotic- not as effective
                               Calcium (dairy products)  Reduces absorption of antibiotic
         Antidepressants       Over-the-counter cold   Rapid heart beat, light-headedness, headache,
                               medicines               elevation in blood pressure
                               Alcohol                 Rapid heart beat, light-headedness, headache,     5. I’ve been on this medication for several years. Occasionally I forget to take it. I’ve changed my vitamins
                                                       elevation in blood pressure, dizziness            and I’m just not feeling well.
         Heart medication      Antacids                Decreased absorption                               Who would you contact?       What are your questions?      What action would you take?
         Hormonal drugs        Tobacco                 Increase risk of stroke, heart attack, blood clots
                               Antibiotics             Increased risk of pregnancy
         Pain relievers        Alcohol                 Irritated stomach

         Tranquilizers         Alcohol                 Dizziness, drowsiness, impaired reactions
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