Side effects of taking steroids during pregnancy

Iron supplements are frequently used to prevent and treat iron-deficiency anemia, notes WebMD. Sometimes they are used to treat depression, fatigue or Crohn's disease. Although iron supplements are generally safe when taken as recommended by a physician, they are not for everyone. Patients with stomach ulcers or ulcerative colitis may find that iron supplements make their symptoms worse. Those who have hemoglobin diseases such as thalassemia should not take iron unless directed to do so by a physician, since iron supplements can lead to iron overload in these patients. The usual dose for treating iron deficiency is 50 to 100 milligrams of iron three times per day. Patients should not exceed this dose unless instructed to do so by a doctor. Pregnant or breastfeeding women who have an iron deficiency should not take more than 45 milligrams of elemental iron per day, as higher doses are likely unsafe. Although controversial, some studies show that high iron intake may be a contributing factor in heart disease.

The concomitant use of Cymbalta with MAOIs intended to treat psychiatric disorders is contraindicated. Cymbalta should also not be started in a patient who is being treated with MAOIs such as linezolid or intravenous methylene blue. All reports with methylene blue that provided information on the route of administration involved intravenous administration in the dose range of 1 mg/kg to 8 mg/kg. No reports involved the administration of methylene blue by other routes (such as oral tablets or local tissue injection) or at lower doses. There may be circumstances when it is necessary to initiate treatment with an MAOI such as linezolid or intravenous methylene blue in a patient taking Cymbalta. Cymbalta should be discontinued before initiating treatment with the MAOI [see Dosage and Administration ( , ), and Contraindications ( 4 )].

Thank you Dr. Lynch, This discussion is very helpful about when to back off, and how to prepare the body to respond the best before adding methylfolate. My son could not tolerate much methylfolate to begin with, so we backed off, added some of your optimal turmeric and optimal start for about 3 weeks, and then proceeded to start with the methylfolate and add slowly from there. He is on about to 3mgs currently. We would love to able to recommend to him a multivitamin, but I am concerned about giving him your multi because it combines niacin and methylfolate. Doesn’t that pose a problem together? Won’t the niacin cancel out the methylfolate in the vitamin as well as the excess methylfolate he already takes? What are your thoughts about this, and can you recommend what to do? Obviously, our son is getting niacin in his diet already, as well, but he really needs a multi. Thanks

While atazanavir/ritonavir does reduce the lamotrigine plasma concentration, no adjustments to the recommended dose-escalation guidelines for LAMICTAL should be necessary solely based on the use of atazanavir/ritonavir. Dose escalation should follow the recommended guidelines for initiating adjunctive therapy with LAMICTAL based on concomitant AED or other concomitant medications (see Tables 1, 2, and 5). In patients already taking maintenance doses of LAMICTAL and not taking glucuronidation inducers, the dose of LAMICTAL may need to be increased if atazanavir/ritonavir is added, or decreased if atazanavir/ritonavir is discontinued [see CLINICAL PHARMACOLOGY ].

Side effects of taking steroids during pregnancy

side effects of taking steroids during pregnancy

While atazanavir/ritonavir does reduce the lamotrigine plasma concentration, no adjustments to the recommended dose-escalation guidelines for LAMICTAL should be necessary solely based on the use of atazanavir/ritonavir. Dose escalation should follow the recommended guidelines for initiating adjunctive therapy with LAMICTAL based on concomitant AED or other concomitant medications (see Tables 1, 2, and 5). In patients already taking maintenance doses of LAMICTAL and not taking glucuronidation inducers, the dose of LAMICTAL may need to be increased if atazanavir/ritonavir is added, or decreased if atazanavir/ritonavir is discontinued [see CLINICAL PHARMACOLOGY ].

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