Drug interactions - multiple drugs - multiple conditions. Advice?
Question posted by JenAndM on 8 Sep 2021
Last updated on 17 September 2021 by ethanboyle71
I take several medications for the following conditions: bipolar disorder, ADHD, hypothyroidism, GERD, and migraine headaches.
My current medications are: Lithium Carbonate ER - total daily mg = 600 Adderall - total daily mg = 45 mirtazapine - total daily mg = 45 famotidine - total daily mg = 40 sumatriptan - total daily as needed mg = 100 levothyroxine - total daily mcg = 150 clonazepam - total daily as needed mg = 2
I experience facial flushing, but sometimes just a heat sensation on and about the nose and cheeks. This is a daily occurrence. I will also experience flushing of one or both ears. The ears will get very red and hot. Sometimes I will suddenly be itchy without apparent cause. I also experience bouts of dizziness daily.
I cannot be certain but it seems that these issues have worsened or appeared after I started back on lithium about three months ago. I had been on it years ago with a different combination of medications, but I do not recall the heat or dizziness issues. I know that there are multiple possible interactions at play, but I would like to get some input about the subject. I have two providers (one for my psychiatric conditions and a PCP) and they are both aware of my full medication list
Here are my answers which apply to some and others not applicable (N/A)
Lithium Carbonate ER - total daily mg = 600 (N/A) Adderall - total daily mg = 45 I take 2x 30mg a day feel great mirtazapine - total daily mg = 45 I literally stopped this med today 9/17/2021 I went down from 45mg, to 30mg , to 15mg, to 7.5mg and no Longer. famotidine - total daily mg = 40 ((N/A) sumatriptan - total daily as needed mg = 100 (N/A) levothyroxine - total daily mcg = 150 (N/A) clonazepam - total daily as needed mg = 2 (Woah high dosage I'm taking 0.75mg daily)
My answers directly to side effects: 1.) Adderall 2x 30mg (pill b/974) amazing by Teva no later than 7pm (if you can) Eat, I always eat and the funny thing, I don't force myself. I just eat. If I don't eat I get headaches 2.) KLONOPIN I'm at 0.75mg - aiming at 0.25mg by Jan 17, 2022 3.) Mirtazapine took me almost 5 years to stop it. (no BS today I literally NO MORE) 4.) Ambien 10mg 1x per day. I can only sleep 4 hrs on this pill. This is going away in 2022 as well.