Foods that Interfere with Your Medication
While most of us read food labels closely, there's often little attention paid to the labels on prescription medications. Almost 70% of all adults regularly take medications. A recent study showed that nearly half of the patients studied misunderstood the labels - which can be a toxic mistake. Those package inserts, and little labels on the side - "do not crush", "take with plenty of water", "do not drink alcohol", "take with food", "avoid dairy products" - are not optional suggestions. These are all important in making sure that the medications - like foods - are properly broken down and absorbed by our bodies.
So, taking a drug correctly requires three easy steps: (1) understanding your prescription; (2) knowing what foods or dietary supplements to avoid; and (3) asking for help from your doctor or pharmacist.
Information starts at your doctor's office. Make sure you know the name of the medicine, the dosage, and what it's for (write it down, if you take more than one drug). At the pharmacy, check the bottle for medication name and dosage, to make sure it matches up. There are many "sound alike" medicines, with very different actions, so beware.
Read the information pamphlet about the "how tos" of the medicine, and ask the pharmacist if you're confused. Terms like "take two tablets twice daily" can be interpreted differently - does it mean at 12 hour intervals? Breakfast and dinner? Take both tablets at once? Better to check then assume it doesn't matter.
Pay attention to the terms "take with water" or "take with food". A 6-8 ounce glass of water is fine - no need to feel like you're floating away. And, "take with food" means a lot of different things to people. If you're taking it with a regularly scheduled meal, that's great, and a no-brainer. But what about other times? A good rule of thumb is about 100 calories - your choice, whether it's a piece of fruit, small bowl of cereal, or a few slices of lean turkey.
If there's one thing you take away from today's blog it's the idea that MANY FOODS AND MEDICINE DO NOT MIX. Here's a list of some major medicines and foods that should not be combined. Check with your doctor or pharmacist for more specific information.
Avoid:
Grapefruit Juice — If you take some types of cholesterol lowering drugs, heart medications, immune system drugs, and allergy medicines, grapefruit juice interferes with the metabolism of these drugs (not all citrus does this, and orange juice can be substituted).
Dark Green Vegetables — Vitamin K rich foods like broccoli, spinach, asparagus and red leaf lettuce interfere with the blood thinning medicines like coumadin (Warfarin). Coumadin prevent blood clotting, while Vitamin K promotes blood clotting - counteracting the effect.
Dairy Products — If you take iron supplements or certain antibiotics, the calcium in dairy products can block some of the absorption of these compounds, giving less active ingredient of the medicine.
Alcohol — If you take medicines affecting the brain, including antidepressants, sleeping pills, sedatives, antihistamines, and some antibiotics, you should cut out alcohol.
Caffeine — If you take asthma medicines or anti-anxiety drugs, avoid caffeine.
Red Wine and Hard Cheese — If you take certain antidepressants, red wine and hard cheese contain a compound called "tyramine" that increase the effect of the medicine.
High Fiber Foods — If you take penicillin or some other antibiotics, fiber slows the rate of stomach emptying, and slows the release of the medicine into your system.
And don't forget to check for interactions with dietary supplements. While not FDA-approved, many have biological activity, and can interfere with the action of many medications.
One last thing, check for the expiration date - and toss the bottle if it's out of date. Some medicines can lose potency over time. And avoid storing your bottles in a steamy bathroom - like we all do! A kitchen counter or drawer is a better place to avoid big changes in temperature and humidity that occur regularly in your bathroom cabinets.
When it comes to taking medicine, take control, and be an informed consumer. Your health is worth it.
Comments
how do we find out which antidepressants don't mix with hard cheeses?
I have been taking calcium supplements to aid in gastric reflux and am alarmed that it's effectiveness is diminished by dairy products. What about taking TUMS if needed? I know they contain calcium. Should I avoid the calcium I take in the morning and at bedtime?
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