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Old 04-29-2005, 07:19 PM   #1 (permalink)
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Default Met & Benedryl

Hi -

My gynecologist prescribed metformin for me, along with provera to induce AF, but can I take those along with benedryl at night? I have pretty bad allergies, but I've never talked to my doc about a prescription for them. I usually take 2-3 before bed at night which helps stop any possible attacks for the next day. Is it ok to take it while on the met though, or will it interfere in any way?

Thanks,
Kim
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Old 04-29-2005, 09:37 PM   #2 (permalink)
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on this page.. http://www.drugs.com/xq/cfm/pageID_1150/int_0/qx/index.htm i searched the basic "metformin", "provera" and "Benedryl Allergy Sinus"....i'm not sure if they are the EXACT ones you're using, so the best bet would be to look it up yourself...here's what it said anyways (for the above drugs..)

You have searched for drug interactions between the following drugs: metformin,Provera,Benedryl Allergy Sinus

Please note: only generic drug names are displayed.
medroxyPROGESTERone (moderate Drug-Food)
Description:

MONITOR:
Grapefruit juice may increase the plasma concentrations of some orally administered drugs that are substrates of the CYP450 3A4 isoenzyme. The proposed mechanism is inhibition of CYP450 3A4-mediated first-pass metabolism in the gut wall by certain compounds present in grapefruits. The extent and clinical significance are unknown. Moreover, pharmacokinetic alterations associated with interactions involving grapefruit juice are often subject to a high degree of interpatient variability.

MANAGEMENT:
Patients who regularly consume grapefruits and grapefruit juice should be monitored for adverse effects and altered plasma concentrations of drugs that are metabolized by CYP450 3A4. Grapefruits and grapefruit juice should be avoided if an interaction is suspected. Orange juice is not expected to interact with these drugs.


Please note: only generic drug names are displayed.
medroxyPROGESTERone and metformin (moderate Drug-Drug)
Description:

MONITOR:
The efficacy of oral hypoglycemic agents and insulin may be diminished by certain drugs, including thiazides and other diuretics, corticosteroids, estrogens, progestins, thyroid hormones, human growth hormone, phenothiazines, atypical antipsychotics, sympathomimetic amines, protease inhibitors, phenytoin, clozapine, megestrol, danazol, isoniazid, asparaginase, pegaspargase, diazoxide, as well as pharmacologic dosages of nicotinic acid and adrenocorticotropic agents. These drugs may interfere with blood glucose control because they can cause hyperglycemia, glucose intolerance, new-onset diabetes mellitus, and/or exacerbation of preexisting diabetes.

MANAGEMENT:
Close clinical monitoring of glycemic control is recommended if these drugs are coadministered with antidiabetic agents. Likewise, patients should be observed for hypoglycemia when these drugs are withdrawn from their therapeutic regimen. Dose adjustments of the hypoglycemic agent may be required.


Please note: only generic drug names are displayed.
diphenhydramine-pseudoephedrine and metformin (moderate Drug-Drug)
Description:

MONITOR:
The efficacy of oral hypoglycemic agents and insulin may be diminished by certain drugs, including thiazides and other diuretics, corticosteroids, estrogens, progestins, thyroid hormones, human growth hormone, phenothiazines, atypical antipsychotics, sympathomimetic amines, protease inhibitors, phenytoin, clozapine, megestrol, danazol, isoniazid, asparaginase, pegaspargase, diazoxide, as well as pharmacologic dosages of nicotinic acid and adrenocorticotropic agents. These drugs may interfere with blood glucose control because they can cause hyperglycemia, glucose intolerance, new-onset diabetes mellitus, and/or exacerbation of preexisting diabetes.

MANAGEMENT:
Close clinical monitoring of glycemic control is recommended if these drugs are coadministered with antidiabetic agents. Likewise, patients should be observed for hypoglycemia when these drugs are withdrawn from their therapeutic regimen. Dose adjustments of the hypoglycemic agent may be required.
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Old 04-30-2005, 01:43 AM   #3 (permalink)
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If you are taking regular Benadryl, I don't think I would worry about it! Regular Benadryl is just diphenhydramine, and I don't think it interacts with metformin. I take 1500 mg of Gluc XR every day and I take Benadryl a few times a week with NO problem whatsoever. I don't think the Provera would interact with it either.

As far as other types of Benadryl, such as the Allergy & Sinus type which has pseudophedrine in it, I can't really say, as I don't take any products containing pseudophedrine.

I think you should be safe!

Stacie M
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