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Megestrol acetate
Appetite Stimulant
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Orlistat
Decreases fat absorption by binding lipase
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Marinol
Appetite Stimulant
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Statins (HMG CoA reductase inhibitors)
Decrease LDL, TG; increase HDL
-
Chemotherapy
Malabsorption
-
Mineral oil, cholestyramine
Decrease absorption of fat, fat-soluble vitamins
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Glucocorticoids, antibiotics
Protein deficits
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Oral contraceptives
Decrease folate, B6, C
-
Loop diuretics
Deplete potassium, magnesium, Ca, Na, Cl
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Thiazide diuretics
Decrease potassium and magnesium, absorb Ca
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Antibiotcs
Decrease Vit K
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Steroids
Decrease bone growth, CHO intolerance
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Methotrexate
decrease folate
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Lithium carbonate (antidepressant
Increased appetite, weight gain; maintain consistent sodium and caffeine intake to stabilize levels. If sodium or caffeine are restricted, lithium excretion decreases, leading to toxicity.
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Anticoagulant (warfarin)
Antagonizes Vit K (consistent intake essential); avoid ginko biloba extract, garlic, ginger; avoid high dose vit A, E
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Propofol
Administered in oil, consider fat calories
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Phenobarbital
decreased folic acid, vitamins B12, D, K, B6
-
Cyclosporine (immunosuppressant)
hyperlipidemia, hyperglycemia, hyperkalemia, HTN
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Isoniazid (treats TB)
Depletes pyridoxine, peripheral neuropathy, don't take with food, interferes with vit D
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Elavil (antidepressant)
Sedative effect, weight gain, increased appetite.
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Vitamin B6 and Protein
Decrease effectiveness of L-dopa (levodopa) which controls symptoms of Parkinson's disease
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Calcium
Binds tetracycline
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Tyramine
- HTN if taken with MAOI
- 1. Eliminate dopamine and restrict tyramine. Normally, these are oxidized by MAO. If on an MAOI, interaction releases norepinephrine which elevates blood pressure
- 2, Restrict aged, fermented, dried, pickled, smoked, spoiled foods.
- 3. Avoid hard, aged cheese, sauerkraut, some sausages, luncheon meats, tofu, miso, chianti wine.
- 4. OK: cot chz, crm chz, ricotta chz, farmers chz
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