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Stomach/GI Distress

Can you take Mylanta or similar product with hydrochlorothiazide to ease the stomach?

There are no direct drug interactions between hydrochlorothiazide (HCTZ , Esidrix) and Mylanta or Maalox (aluminum hydroxide, magnesium hydroxide and simethicone). They may be taken together if needed. The antacid products that contain calcium carbonate or any other form of calcium, can be a problem for people taking thiazide diuretics like hydrochlorothiazide. Using these drugs together may increase the calcium levels in your blood. Too much calcium in the blood can cause side effects like constipation, headache, irritability, dry mouth and thirst, loss of appetite, and unusual tiredness or weakness.

My father is taking 60mg morphine instant release tabs. Would it be OK for him to take Imodium to settle his tummy?
Imodium (loperamide) is used to stop diarrhea, not to help an upset stomach. The morphine the he takes is likely to constipate and cause drowsiness. Taking these together will increase these side effects. If he is having diarrhea, the Imodium would be a good choice to use. I would be more concerned about the likelihood of constipation.

Can you take Imodium the pill and drink antacid, or will it make my stomach worse?
Most of the common antacids contain some or all of the following: aluminum hydroxide, magnesium hydroxide and simethicone. Imodium (loperamide) does not interact with any of these other medications. I would suggest that these products will not make
your stomach "worse."  Take these medications only as needed and follow the instructions on the packages. Always include these types of products on your medication list for your health care providers.

Ondansetron 4mg/5ml, 2mg every eight hours as needed. That is the liquid form. What would be the tablet mg of this if it was promethazine?
Talk to your doctor about which medication would be best for you. These are two different antinausea medications that both require a prescription. Ondansetron (Zofran) blocks serotonin and was first indicated for prevention of nausea with chemotherapy treatments and now is used for all causes of severe nausea. Promethazine (Phenergan) is an older phenothiazine product that was first used as a neuroleptic tranquilizing drug. This can cause severe drowsiness. You cannot compare the strengths of these two drugs. Its like comparing apples and oranges -- both are fruit, but different types. Ondansetron dosing at 2mg is on the low end of the dose spectrum. Promethazine dosing starts with 6.25mg/teaspoon in the liquid and 12.5mg in tablet form.

Can I take a GI cocktail, Phenergan and Prilosec over-the-counter together?
The term GI cocktail can mean different things to different health care providers. The formula we use in our hospital is Maalox (aluminum and magnesium hydroxide with simethicone) and lidocaine in simple syrup. The only chance of an interaction is between this and the Phenergan (promethazine). Although an interaction is possible, these drugs are often used together. Antacids containing aluminum hydroxide may decrease the absorption of Phenergan from your stomach if taken at the same time. To solve this situation, just take Phenergan at least 1 hour before or 2 hours after you take the antacids. There are no problems with Prilosec (omeprazole) and the other medications.

Are there any side effects from taking a GI cocktail? Can this medication increase your heart rate?
There are several different formulas for GI Cocktail. Side effects vary with the ingredients. With the formula we use at our hospital, there would not be anything to increase the heart rate. Please speak to your pharmacy and find out what formula is used for you and ask about possible side effects. The issue of side effects should always be explained by both the physician who prescribes a medication and the pharmacist that fills the prescription. This is one of the important questions you should always ask when you receive a prescription.

What is a GI cocktail?
A GI cocktail is a mixture of ingredients to calm an upset stomach. Usually the major ingredient is a Maalox-type antacid. One study compared GI cocktails to a regular over-the-counter antacid and found that after a double-blind study, there was no added benefit to the extra ingredients.

Is it safe to take the GI cocktail every day if I have no symptoms?
There is no reason to take a GI cocktail if it is not needed. Talk with your physician about when and how to take this drug.

Can I make a GI cocktail using over-the-counter products?
Only two of the three ingredients are available over-the-counter. I would not recommend trying to make your own. You would be better off taking a Pepcid AC (famotidine), a dose of Mylanta and Lactinex. Contact your internist or GI specialist.

What are the effects of taking GI cocktail medicine three times in a month?
Your stomach will be less irritated, more calm and feel better for at least three days that month. There are several different formulas of GI cocktail in use. This can be indicated for several GI conditions.


What is the correct combination for a GI cocktail?
There are many different formulas that fall into the category of "GI cocktail." Most have an antacid, antihistamine and anesthetic, sometimes with antispasmodics and anticholinergics thrown in for added actions. Each doctor or facility has its own favorite formula. If you have this prescribed for you, be sure to get the exact ingredients from your doctor to add to your active drug list that you should be keeping.

What is the best time for me to take an over-the-counter antacid?
Whatever antacid you take, talk with your physician to ensure there are no interactions with your other medications. The term antacid can be very broad and all-encompassing. If you mean a product like Pepcid AC (famotidine), Zantac OTC (ranitidine) or Tagamet OTC (cimetidine), generally you take these 30 minutes or so before a meal. Pepcid is usually taken once daily. Most doctors suggest taking this at bedtime. Tagamet/Zantac can be taken once or twice daily prior to meals. If you mean Tums (calcium carbonate), Maalox (simethicone), Mylanta (simethicone) or similar products, take it after the offending food, meal or when pain starts. If you need this antacid for GERD, you may want to sleep on a slanted bed, head higher than feet. This might prevent some of the back flow of the acid secretions.

Is Ervostal good for stomachaches?
No. Ervostal is for migraine headaches. It could irritate the stomach.

What can one do after eating something bad if one is pregnant and these stomachaches are severe?
If the problem is like gas build-up, simethicone works well and is safe in pregnancy. Or try calcium carbonate, an antacid that has been studied extensively in pregnancy. An updated meta-analysis concluded that calcium supplementation during pregnancy was safe and that it did reduce the incidence of pre-eclampsia and serious complications, particularly in high-risk women. So this may be the best choice. This is the ingredient in the regular Tums product.

Is it convenient for a person suffering from acid stomach to take aspirin?
Anyone with stomach or GI problems should avoid aspirin and NSAIDs (nonsteroidal anti-inflammatory drugs -- like Motrin). For pain, take Tylenol (acetaminophen) only. Drink plenty of fluids.

Is Z-max (the newer version) less likely to cause stomach upset than the older Zithromax formulation? Is the newer formulation considered milder on the stomach?
The side effect profile of the new formulation is the same as the older one. One advantage is the extended release of the drug, so there could be less drug at one time to irritate the GI tract. You should avoid antacids that contain aluminum or magnesium. Take the antibiotic until compete.

What is Clidinium typically prescribed for? Are there side effects? Can a dependency be developed to this drug?
This drug is used for almost any GI problem that involves motility, bloating or nervous stomach. Drowsiness is the most common side effect, then dry mouth. The DEA does not consider this to have addictive properties.

Is there anything safer and better to take than Clidinium?
Talk to your physician about other products. Ask about Reglan (metoclopramide) and Zelnorm (tegaserod maleate).

What does Clidinium do for stomach cramps or Librax do for IBS?
Clidinium is an old pharmaceutical in the classification of anticholinergic. It lessens the amount of acid formed in the stomach, and helps relieve abdominal or stomach spasms or cramps. It is indicated as adjunctive therapy in treating peptic ulcer disease. However, clidinium as a sole agent has not been effective in promoting healing of ulcers, decreasing the recurrence of ulcers or preventing complications.

What are the side effects of pantoprazole?
The main side effect is diarrhea, along with other GI problems.

How strong can stomach gas be, and how much of an effect can it have over one's health? How can it be cured?
Intestinal and stomach gas can be extremely painful in some people. Simethicone is most commonly prescribed to break up the gas. Follow the directions on the package. If this is an ongoing problem, see a gastric specialist.

What can I take for a bloated stomach?
For temporary bloating caused by gas build-up, simethicone works best. It comes in many different products. If the bloating is intestinal, Phazyme is enteric-coated to work in the bowel. If you cannot get relief in two or three days, see your doctor.

Can I take Synthroid/levothyroxine(175mg) with Colonix, Toxinout or any other colon cleanser?
Take the Synthroid early in the morning before breakfast and the colon cleanser products later in the day.

I take 145mg Tricor a day. Should it make your stomach bloated? Is this all there is to take?
Tricor (fenofibrate) is a fibric acid drug used to treat hyperlipidemia. The main side effects involve the GI tract. Gas and flatulence are the most common. Try one of the over-the-counter antigas products and see if this helps.

Can reflux come up during the day while one is standing or sitting, or does it only occur at night?
Acid reflux is caused when the pressure in the stomach is more than the muscles controlling the valve between the esophagus and stomach can keep out. The acid can "bubble" up and cause irritation at any time.

I understand how Librax can help someone with irritable bowel syndrome and diarrhea, but can it also help someone suffering from IBS and constipation?
Yes. Librax is indicated for any person with IBS, no matter what the secondary symptoms include.

What does Librax do?
Librax is for irritable stomach symptoms.

For GI upset, can I use Maalox, Mylanta and Benadryl?
No. Although Maalox, Mylanta and Benadryl have all been used for GI upset, you cannot take them all together. You always need to watch for the same ingredients. Maalox and Mylanta would not be taken together, because they both use simethicone as the main ingredient. You can take the Benadryl with either Maalox or Mylanta, but not with both of them.

Does Librax cause weight gain? Lady on a Scale
Librax (clidinium and chlordiazepoxide) is used for several stomach and digestive tract conditions. Because this product could slow down intestinal motility (it has been shown to increase lactation and milk production in pregnant women), the possibility of weight gain exists. I found nothing in the literature regarding weight gain, but it makes sense that if motility is slowed, more of the food will be digested, thus increasing fat/protein/energy to be used or stored in the body. Talk to you physician or a dietitian about your side effects. Many factors can contribute to weight gain, so be sure to review your meals and snacks, portions, and your exercise regimen.

Does Librax cause weight loss?
On its own, Librax (clidinium and chlordiazepoxide) will not cause weight loss. Two side effects that may be noted for this drug are dry mouth and loss of taste sensation. If food doesn't taste good, a person may not eat as much and hence, weight loss could be noted.


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