Chief Pharmacist πŸ†‡ Profile picture
Sep 24, 2020 β€’ 12 tweets β€’ 4 min read β€’ Read on X
YOUR MEDICATIONS AND DRINKS

One of the most common questions patients ask me πŸ‘‡
"Pharm, can I take my Medications with SOFT DRINKS ?"

#ANSWER : it's NOT advisable to take your medications with Soft drinks UNLESS recommended by your Pharmacist.

LET ME EXPLAIN πŸ‘‡

A Thread Image
( 1.) Soft drinks are Carbonated water (carbonic #ACID + water).

- The ACID can render the drug "in or Less active" leading to sub-optimal clinical outcome.

- Soft drinks doesn't REALLY cause Ulcer but for can cause some ERODING effects on Ulcer patients & those with history
of Ulcer due to the Phosphoric acid & Carbonic acids present.

The ACID can also worsen the symptoms of Ulcer (such as bloating, stomach fullness, stomach irritation).

Taking Such Drinks with AntiUlcer medications can make such drugs abit less effective.
( 2.) Most Soft drinks contain #SUGAR and some drugs SIDE EFFECTS can lead to hyperglycemia (High sugar level in the blood).

- Combination of both can exacerbate such effect and can be detrimental to the patient.

- Can also render Antidiabetics medications less effective.
- The Sugar in Soft Drink can be Inflammatory to Body tissues & organs. This isn't a go combo with Anti-inflammatory (NSAIDs, steriods) & Antioxidants*, etc.
.................

(3.) Most Soft drinks also contain #CAFFEINE.

SIDE EFFECTS OF CAFFEINE & IT EFFECTS ON DRUGS πŸ‘‡
- Caffeine can cause INSOMNIA (because it helps us feel alert). Taking Sedatives or Hypnotics together with Soft drinks can actually disrupt the sleep process, making the drug less effective.

- Caffeine can cause ANXIETY (nervousness & restlessness), taking it with Anxiolytics
can also render the drugs less active.

- Caffeine can cause alot of DIGESTIVE PROBLEM (such as stomach irritation, nausea and vomiting).
Taking it with medication with Digestive disturbance side effects can POTENTIATE those side effects.
- Caffeine can increased Heart rate and BLOOD PRESSURE.
Taking Caffeine containing drinks together with Antihypertensives can render the medications less effective.

- Caffeine can cause Muscle Breakdown (Rhabdomyolysis) hence taking it with Certain medications (such as
Fluroquinolones, Muscle Relaxants) can aggrevate those side effects.

- Caffeine is Addictive. So taking it with certain prescription medicines like TM for pains, can elicit such effects.

- Caffeine can cause Frequent Urination and Urgency.Taking it with some Meds with similar
effects like Diuretics can increase Dehydration.
.........

ALCOHOL & certain FRUIT JUICE like Grape ❌❌❌ (already discussed yesterday)
..........

ALWAYS CONSULT YOUR PHARMACIST TO CLEARIFY THE TYPE OF DRINK TO USE WITH YOUR MEDICATIONS.
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More from @ChiefPharmacst

Dec 19
Relationship between HbA1c & Fasting Blood Sugar (FBS) Level
(Conversion of Fasting Blood Glucose to HbA1c)

1. What's the full Meaning of HbA1c?
HaemogloBin Airman First Class

2. What's HbA1c test?
HbA1c test is a blood test used to diagnose diabetes

A Thread (1/8) #ChiefRx Image
& monitor the progress of treatment plan.

The test reflects the average blood sugar levels in the past 90 days/3 months (I will explain why later in the thread).

HbA1c is a type of Glycated Haemoglobin (ie glucose binding to Haemoglobin in your Red blood cells).

[2/8]
Hence ↑ in blood glucose Levels will result in more glucose binding to Haemoglobin which will result in High Hb A1c

Once a Haemoglobin is glycated, it remains that way in the blood until RBC carrying it, is removed from the body (b/c the average RBC lifespan is 3-4 months)

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Oct 8, 2022
- Squirt is simply urine.
- A woman can get pregnant for 2 different men at a time.
- A woman can get pregnant immediately she stop menstruating.
- A woman can get pregnant 7days after sex.
- Using Viagra while on BP meds can kill you.
6. A woman can get pregnant while pregnant. Image
1. SQUIRTING is essentially the involuntary emission of URINE during sexual activity, although a marginal contribution of skene's glands secretions to the emitted fluid often exists.
2. Superfecundation:
When a woman has intercourse with 2 different men in a short period of time while ovulating, it's possible for both men to impregnate her separately.
In this case, 2 different sperm impregnate 2 different eggs.
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Oct 7, 2022
Just last month, a Woman came to the pharmacy with a prescription to get "Chlorpromazine (CPZ) 100mg BID", for her hiccups.

Told her the dosage was pretty too high but she objected.

Fast forward 1 week later, a Man (her husband) came to the Pharmacy to get some drugs..

1/cont.
(Lyrica, Neurovite Forte, Tegretol & Diazepam) for his wife.

During the consultation with him, I found out it was the same woman that came a few ago to get CPZ.

He told me that, she was having muscle spams, uncontrollable movements of her body, agitation, restlessness
2/
and that atimes she won't recognize him or the Kids.

Ask him if she's still on the medication (CPZ), he said Yes (since the prescription said for 2 weeks).

Told him not to get the drugs prescribed, because she's only having side effects of the Drug
3/
Read 10 tweets
Oct 5, 2022
SOME WAYS TO CALM YOURSELF WHEN LlFE IS GETTlNG TOUGH

1. Walk: Walking helps clear
your mind. It offers you a
different perspective.

2. Indulge: Take a day off to
spend a whole day doing
exactly what you want.

1/cont...
3. Be Generous: Give something
to o total stranger. Acts of
giving make us feel warm and
fuzzy inside.

4. Sit in o coffee shop or a busy
street and soak up your
surroundings. You don't have to
talk to people.
5. Educate yourself: Research
what it is you are experiencing.
Arm yourself with knowledge
and the resources to tackle the
problems head-on.

6. Preparation: Write the day's
to-do list the evening before.
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Oct 4, 2022
PolyCystic Ovarian Syndrome is a hormonal disorder. Basically it is a group of symptoms resulting from hormonal imbalance in body. Now what are hormones? Hormones are different chemicals produced in different parts of body that regulate normal physiological functions of body.
1/c
Symptoms :-

IRREGULAR PERIODS
WEIGHT GAIN
HIRSUTISM
ACNE
Bloating
Anxiety
DEPRESSION
HAIR FALL
Post meal cravings
Daytime TIREDNESS
Difficulty to FALL ASLEEP
INFERTILITY
It is very important to know what type of PCOS you have, as type of PCOS left untreated can trigger another type of PCOS within same patient.

1. Inflammatory type PCOS
2. Insulin resistance type PCOS
3. Adrenal fatigue type PCOS
4. Hypothyroidism type PCOS
Read 14 tweets
Oct 4, 2022
With PCOS, it's perfectly normal & fine to hv worries about things, esp. bcos a lot of PCOS is unknown & as humans, we like certainty.

We like knowing & understanding what's going on. With PCOS, this is often not the case

Here are some of the common worries our Healthy PCOS
1/c
community are having;

🀷 β€œWill I ever be able to have children?”

🀷 β€œWill I ever actually be in control of my own body?”

🀷 β€œWill my hair ever be as thick and full as it used to be?”

🀷 β€œWill I ever be able to not have to stress about my beard being visible?”

2/c
🀷 β€œWill anybody ever understand because I feel totally alone”

🀷 β€œWill I ever be able to eat normally without putting on weight?”

🀷 β€œWill I ever be able to love myself?”

🀷 β€œWill I ever get over this constant fatigue? I’m tired of being tired all the time”

3/c
Read 4 tweets

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