Know More. Be Sure. by Valerie Cheers Brown


“Medicine is only for those who cannot imagine doing anything else.”

There are many prescribed medications including OTC  drugs, many vitamins and herbal supplements which should be checked for contradictions and interactions to make sure they can be taken together.

We are losing so many both young and older because people not realizing how important it is to make sure anything you are putting into your body is safe to to take together!

Health care providers do not know what you are taking and even pharmacist, especially if you use different providers and there records are all quite different and do not know what you are taking unless you let them know.  You would think that there would be a national network that would warn pharmacist which medications you would take, but I don’t think there is so it is better to be on the safe side.

Taking any kind of medications together can be very dangerous and also the reaction of them working is less probable.

I know this from taking many prescribed medications in the past and know what and how important it is to check before taking even if the doctor says you must take.  Doctors ask us what are our known allergies, but if we don’t know, how will they know and if we don’t let them know what we are taking they may prescribe a medication which can make you sick, not work properly and even cause us to lose our lives.

If you are on any medications, when filling a prescription it might be a good thing to take all of your medications, both prescribed, vitamins and OTC with you and check yourself with the pharmacist if they cause any interactions. and check your drug bible for contradictions with various foods, drinks, etc.

NOTE: If you take any prescribed medications with grapefruit, please make sure that they can be taken with before taking!

When new medications are started it is important to check for potential drug interactions and consult with a health care provider. Warnings labels on prescription bottles should be followed as instructed by the bottle, NOT by a pill box. If an interaction is found to occur, it may be possible that an alternative medication can be prescribed, and the interaction can be avoided.

NOTE: Pill boxes are dangerous!  Most prescribed medications are to be taken as directed at different times, etc.

Here are a list of prescription abbreviations for taking prescribed medications:

Abbreviations: Times

ac Before meals
ad lib As desired / needed
ASAP As soon as possible
b.i.d. or BID Twice daily (not the same as q 12 °)
h.s. or HS At bedtime (hour of sleep)
NOC Nighttime [archaic usage]
pc or P.C. After meals
p.r.n. or PRN As needed
q or Q Every
q AM Every morning
q hr Every hour
q.d. or QD Every day
q.i.d. or QID Four times a day
q.o.d. or QOD Every other day
q (Q) 1°, 2°, 3°, 4°, 6°, 8°, or 12°, etc Every 1, 2, 3, 4, 6, 8, 12 hours. (Concept is based on a day and administering on a routine sequential basis to maintain therapeutic blood levels.)
stat or STAT Immediately! [not when you can get around to it]
t.i.d. or TID Three times daily (not the same as q 8°)

Grapefruit Interactions are Dangerous

A succulent grapefruit is both invigorating and solid, however in the event that you’re taking sure physician FDA endorsed prescribed medications, reconsider before diving into one.

Another study in the Canadian Medical Association Journal uncovers 43 or more medications are unsafe when taken inside 72 hours of eating grapefruit or drinking grapefruit juice—bringing about responses extending from swooning to sudden demise. Beforehand, just 17 drugs were flagged.

The most normally endorsed drugs that connect with grapefruit are cholesterol-bringing down atorvastatin and simvastatin (Lipitor, Zocor); quetiapine (Seroquel) for bipolar issue and nifedipine (Procardia) for angina. New increases incorporate solifenacin and tamsulosin (VESIcare, Flomax) for urinary issues and eplerenone (Inspra) for hypertension. Typically, a compound in the small digestive tract manages the amount of the medication is consumed. Grapefruit, nonetheless, contains an intensify that represses the catalyst so a greater amount of the medication gets ingested. For a full list of medications that interact with grapefruit, click here.

Always ask your physician and pharmacist about any possible interactions. What is even better is to keep a medication bible and check all medications before taking them and read up on the contradictions and what, when and how to take your medications.

I have mentioned time after time in my writings, how important it is to take as prescribed per the directions of the actual medicine bottle.

It is very important that you get a drug book and keep on hand at all times for your own safety.  It never hurts to be safe than sorry, and the life you save may be your very own and it is up to us to take care of our own health and well-being most of all, so be sure and check the drug bible.

Here are a few books which are so worth having on hand if you take any kind of prescribed medications.  You can also check online, but make sure that you get a couple of the same reaction or contraditions to be safe even before taking!

Nursing Drug Interaction Books:

Medscape Drug Interaction Checker will allow you to enter a drug, OTC or herbal supplement:

Here Drug Interaction Checker

  • Use the search field above to look up prescription or OTC drugs, and herbal supplements
  • Add a full drug regimen and view interactions



  1. Bailey DG, Malcolm J, Arnold O, et al. Grapefruit juice-drug interactions. Br J Clin Pharmacol 1998;46:101-110.
  2. Horn J, Hansten P. Fruit Juice Interactions. Pharmacy Times. Published Online Dec 1, 2005




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