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জেনে নিন কোন ড্রাগের সাথে কোন ড্রাগ নেয়া ঠিক না
Don`t give
Azithromycin
With…
Antihistamines
Because:
Severe chest pain, prolong QT interval
Don`t give
Ondansetron (Anti-emetic)
With…
Tramadol
Because:
Ondansetron decrease the Analgesic effect of tramadol
Don`t give
Tetracycline
With…
Penicillin
Because:
Tetracycline are bacteriostatic and Inhibit the growth of bacteria and Penicillin work only on actively dividing organisms
Don`t give
Anti-acid or anti-ulcer medication
With…
Iron in pt. With IDA
Because:
Iron need acidic media to be absorbed.
Don`t give
Metronidazole
With…
Warfarin
Because:
Metronidazole inhibits the metabolism of warfarin by blocking (CYP-2C9) may lead to fatal bleeding
Don`t give
Furosemide (Lasix)
With…
Gentamycin
Because:
Maybe lead to hearing loss
Don`t give
Non Dihydropyridine (Verapamil & diltiazem)
With…
Beta blocker
Because:
Both of them cause severe bradycardia & heart block
Don`t give
Sildenafil (Viagra)
With…
Sublingual Nitroglycerin
Because:
both of them cause vasodilation—> Severe hypotension & may be death
Don`t give
Nifedipine or any drug end with “dipine”
With…
Nitrate
Because:
Both of them cause vasodilation & Severe hypotension
Don`t give
Omega 3
With…
Anti-platelet or Anti-coagulant
Because:
cause bleeding
Don`t give
Statin
With…
Gemfibrozil
Because:
increase the risk of the myopathy
Don`t give
Ciprofloxacin, Clarithromycin, Cimetidine, Fluvoxamine & Erythromycin
With…
Theophylline
Because:
These drugs are Cyp450 inhibitors lead to Inc. in the theophylline level in blood lead to death
Don`t give
Warfarin
With….
NSAIDS
Because:
Increase the risk of the GIT bleeding.
Don`t give
K_ sparing diuretics (Amyloid & Spironolactone)
With….
ACEI (captopril)
Because:
Lead to hyperkalemia
Don`t give
Omeprazole
With….
Clopidogrel (Anti-platelet)
Because :
Omeprazole decrease effect of
The Clopidogrel by affecting hepatic enzyme CYP2C19 metabolism
Ondansetron (Zofran) is the safest and the most effective anti-emetic in children.
Fluconazole (antifungal) must be taken with fatty meal to increase its absorption.
All breast feeding babies should be received vitamin D Supplementation until the age of 1 year!
