Conflicting meds

Please can anyone help me with the correct time to take meds that conflict with each other? I take 100mcg Levothyroxine immediately on getting up and wait an hour before food etc. However, I have now been prescribed Omeprazole for acid reflux and that also has to be taken before meals but NOT with the levo!! I am on Citalopram that I take at bedtime. It seems that all these drugs conflict with each other and apart from not eating all day so that I can take them before food but not with each other, then I am stumped! Any advice greatfully received. Thank you x x

13 Replies

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  • I cannot answer you question but if you cursor down to Helvella's comment aboutomeprazole on this link

    thyroiduk.healthunlocked.co...

    Someone will answer the other points.

    Are you on enough medication? as depression is a symptom of hypothyroidism. If you search depression you will see a few previous articles. Has your GP tested your T3?

  • shaws,

    Afraid I cannot access that! Even when logged in to MSN/Hotmail/Live mail.

  • Don't know where I got that. Hopefully this is it:-

    thyroiduk.healthunlocked.co...

  • These things happen! :-)

  • I used to take my citalopram around 7pm (along with my other meds) and then take my levo right before going to bed (around 10pm). I then took my other tablets in the morning. If you did the same, you would then be able to take your omeprazole without conflict, I think. Of course, taking levo at night doesn't suit everyone.

  • Thank you for your replies - I have taken my levo at night in the past and it hasn't done for me. My other thought was to take my Levo about 5am - for some reason I usually wake about then - and then take the Omeprazol when I get up. In reply to your query Shaws, I have had every test under the sun done including T3 and that has been ok. The reason I am on Citalopram is that I suffer from SAD anyway, but as I have a myriad of other conditions too, I have been rather depressed and anxious. They seem to do the trick though!! Thanks again everyone x x

  • That sounds like a good plan :)

    Incidentally, this is the first year that I haven't suffered from SAD and I can't help thinking it's at least partly because of the improvement in my thyroid treatment.

    I hope you start feeling better soon. Roll on April!

    Carolyn x

  • I am sorry you have additional problems as well as a thyroid one.

    Hope you can work out things.

  • Many thanks Carolyn and Shaws for your good wishes. I think, in common with many people with thyroid condtiions, I seem to have a plethora of others!! I have just made a list of various diagnoses and meds that I am on for when I see my (new) consultant neurologist later this month. He has previously seen me to give a second opinion, but now I am to be totally transferred to his care and his previous diagnosis was small fibre neuropathy. That along with hypoT, migraine, acid reflux, low Vit D and B12, poor balance, menopausal symptoms and trouble in the downstairs female department surely makes me eligible to trade in this old body of mine and get a (healthy, trouble-free) new one!!! Happy days! Thanks again x x

  • Guess I better get myself on down to the pharmacist as I just keep getting mediations added and no advice on what to take when!

    I take Levothyroxine (1 a day) Citalopram (1 a day) Omeprazole (1 a day) Ibuprofen (3 a day) and Ferrous Fumerate (3 a day)! I know that Levothyroxine is 1 hour from food and 4 hours from Ferrous Fumerate but nothing else!

    Thank you for highlighting that there may be other possible contraindications.

    I hope you sort your meds out

    Alison

  • Hi Alison - the Levo and Omeprazole are not contradindicated in a dangerous (poisonous) way - just that the two together stops the proper absorption of the Levo - which could be dangerous I suppose!! I also need to take Tramadol but that has had to be put on hold for 2 weeks while the Omepazole kicks in. It is defo worth asking the pharmacist for his advice. Good luck with it all x x

  • I'm on lanzaprazole I take that on waking then my thyroxine an hour later before I ad my breakfast, it works for meand my endo says it was ok to do thins.

  • Hi Deb - thank you for your message - I think that I will try it that way too - if I don't wake at stupid o'clock to take my thyroxine first!! Just to muddy the waters, I spoke to a pharmacist today and he says that there is no problem taking the two together!! I'll see if my consultant has any other ideas when I see him in a couple of weeks. The more opinions the better! Hope your drugs are working ok for you and thanks again for your reply x x

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