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Suggest Treatment For Fibromyalgia And COPD While On Oxycontin, Tamsulosin And Cymbalta

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Posted on Fri, 27 Oct 2017
Question: I have fibromyalgia, BPH, COPD and I have a Pacemaker implant. My prescribed medications are Oxycontin, Carvedilol, Tamsulosin, Avodart, Cymbalta, and Lyrica amongst others. Do you believe that adding Ciprofloxacin HCL 500mg for ten (10) days poses any contraindications or other risks?
My email address is YYYY@YYYY .
Thank you for your assistance.
doctor
Answered by Dr. Ilir Sharka (58 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that Ciprofloxacine interacts with some of the drugs which you are currently taking.

It interacts with Carvedilol, by increasing its effects, through decreasing its hepatic metabolisms. So, you may experience a lower heart rate, related to the increase of Carvedilol effects.

It interacts with Cymbalta by increasing its effects (the same mechanism as Carvedilol). So, you may experience some adverse effects related to increased levels of Cymbalta (nausea, flushing, diarrhea,etc.).

So, it may be necessary reducing the dose of Carvedilol and Cymbalta, while taking Ciprofloxacine.

Regarding the other drugs, present in your current therapy, it is safe to take them concomitantly with Ciprofloxacine as there are no interactions between them.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (35 hours later)
Thank you Doctor Sharka. The information which you provided was clear, concise, and exactly what I was hoping to find.
Best regards, XXXXXXX
doctor
Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
You are welcome!

Detailed Answer:
Dear Angelo!

I am glad to have been helpful to you!

Wishing good health,

Dr. Iliri

p.s.: Please don't forget to rate my answer!
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Suggest Treatment For Fibromyalgia And COPD While On Oxycontin, Tamsulosin And Cymbalta

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that Ciprofloxacine interacts with some of the drugs which you are currently taking. It interacts with Carvedilol, by increasing its effects, through decreasing its hepatic metabolisms. So, you may experience a lower heart rate, related to the increase of Carvedilol effects. It interacts with Cymbalta by increasing its effects (the same mechanism as Carvedilol). So, you may experience some adverse effects related to increased levels of Cymbalta (nausea, flushing, diarrhea,etc.). So, it may be necessary reducing the dose of Carvedilol and Cymbalta, while taking Ciprofloxacine. Regarding the other drugs, present in your current therapy, it is safe to take them concomitantly with Ciprofloxacine as there are no interactions between them. Hope you will find this answer helpful! Kind regards, Dr. Iliri