FOOD AND DRUG INTERACTIONS
A Dietary Precautions Guide for Medications
Interactions exist between some foods and the medications you may take. This pamphlet(from my hospital) is provided as an educational resource. Not all medications or possible interactions have been listed./> If you still have questions concerning interactions please contact your pharmacist or physician. Please Circle all medications your are actively taking.
Brand | Generic | Directions |
Actonel | Risedronate Alendronate Ibandronate | -Take this medication first thing in the morning with a full 6-8 OZ glass of plain water at least 30 minutes before anything else(food,drink,or other medications) -Stay sitting or standing upright for at least 30 minutes after taking this medication and until you eat or drink. Do Not lie down. |
Cordarone | Amiodarone | -Always take with food or without food, do not go back and forth -Do not drink large amounts of grapefruit juice while on this medication. |
| Lanoxin | Digoxin | -Do not take at the same time with fiber-rich foods, fiber supplements, or pectin- containing foods (apple, pears) |
Lipitor Crestor Zocor Pravachol Lescol Mevacor Tegretol Buspar Halcion Prograf Coreg Norvasc Plendil Cardene Procardia Sular Calan Cardizem,Cartia, Tiazac,Taztia | Atorvastatin Rosuvastatin Simvastatin Pravastatin Fluvastatin Lovaststin Carbamazapine Buspirone Triazolam Tacrolimus Carvedilol Amlodipine Felodipine Nicardipine Nifedipine Nisoldipine Verapamil Diltiazem | -Do not drink grapefruit juice while on these medications |
| Cipro levaquin | Ciprofloxacin Levofloxacin | -Do not take these medications at the same time with any products containing calcium, iron, magnesium or zinc such as dairy products, antacids, multivitamins, calcium-fortified juices,etc. -Cipro- Take drug 2 hours before or 2 hours after these products -Levaquin- Take drug 2 hours before or 2 hours after these products |
| Grifulvin V, Gris-Peg | Griseofulvin | -Always take this medication with a fatty meal. |
| Flagyl Amaryl Glucotrol Diabiness Orinase | Metronidazole Glimepiride Glipizide Chlorpropamide Tolbutamide | -Avoid any alcohol containing products(beverages,cough/cold medications,mouth wash,etc.)while taking these medications and for 3 days after finishing medication |
| Trexall, Rheumatrex | Methotrexate | -Take on an empty stomach, 1 hour before or 2 hours after eating -Avoid alcohol while taking this medication |
| Xeloda | Capecitabine | -Take this medication with water 30 minutes after a meal |
| Mepron | Atovaquone | -Take this medication with a fatty meal |
| Zyvox Marplan Nardil Pamate | Linazolid Isocarboxazide Phenelzine Tranylcypromine | -Avoid foods and beverages high in tyramine*See food list below |
| Nydrazid, Tubizid | Isoniazid, INH | -Avoid foods and beverages high in tyramine*See food list below -Avoid any alcohol containing products(beverages,cough/cold medications,mouth wash,etc.)while taking these medications and for 3 days after finishing medication -Take on an empty stomach, 1 hour before or 2 hours after eating |
| Matulane | Procarbazine | -Avoid foods and beverages high in tyramine*See food list below -Avoid any alcohol containing products(beverages,cough/cold medications,mouth wash,etc.)while taking these medications and for 3 days after finishing medication |
| Sumycin | Tetracycline | -Take on an empty stomach, 1 hour before or 2 hours after eating -Take 4 hours before or 4 hours after any products containing calcium, iron, magnesium or zinc such as dairy produts, antacids, multivitamins, calcium-fortified juices,etc. |
| Glucophage, Fortamet,Riomet | Metformin | -Do not take at the same time with fiber-rich foods, fiber supplements |
| Neoral, Gengraf, Sandimmune | Cyclosporine | -Always take with food or without food, do not go back and forth -Do not drink grapefruit juice while on these medications |
| Videx | Didanosine/ddi | -Take on an empty stomach, at least 1 hour before or 2 hours after eating |
| Crixivan | Indinavir | -Take on an empty stomach, 1 hour before or 2 hours after eating, or with a low fat, light meal |
| Norvir Viracept | Ritonavir Nelfinavir | -Take with food |
| Invirase | Saquinavir | -Take within 2 hours after eating -May take with grapefruit juice if discussed with your doctor, tell your doctor if you have any side effects |
| Ferro-Sequels, Slow Fe Fergon | Ferrous sulfate FerrousGluconate | -Take on an empty stomach, 1 hour before or 2 hours after eating -If you experience stomach upset, take with food |
| Theo-Dur, Theo-24, Theo-Bid, Slo Bid | Theophylline | -Avoid any caffeine containing products (beverages, tablets, etc.)while taking this medication -Always take with food or without food, do not go back and forth -Do not drink alcoholic beverages while on this medication |
| Dilantin | Phenytoin | -Always take with food or without food, do not go back and forth -Take 2 hours before or 2 hours after antacids -Do not drink alcoholic beverages while on this medication |
| Synthroid, Levoxyl, Levothroid | Levothyroxine | -Take on an empty stomach before breakfast -Do not take at the same time with fiber-rich foods, fiber supplements |
| Lithobid Eskahth | LithiumCarbonate | -Keep meals consistent and regular & drink plenty of fluids -Limit sodium and caffeine intake |
| Coumadin Jantoven | Warfarin | -Keep meals consistent and regular , especially with Vitamin K containing foods -Refer to the patient education booklet "Understanding your Coumadin Therapy" for additional information or speak with your healthcare provider |
Foods high in tyramine*: beer, wine, yeast, bean curd, legumes(beans, peas, lentils), soy beans, soy sauce, tofu, aged cheeses, yogurt, sour cream, smoked/fermented/pickled fish, liver, aged meats(sausage, pepperoni, salami), bouillon cubes, herring, caviar, tuna, salmon, anchovies, dried fish, dried beef, sauerkraut, misosoup, chocolate, coffee, raisins, bananas, figs, red plums, raspberries, mushrooms, eggplants, peanuts, peanut butter.
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