The CDC Advises You Do Not Take Painkillers Before Getting Your Vaccine. TYLENOL is the #1 Doctor Recommended Pain Relief brand for patients with diabetes. New Website Launched Amlodipine 5mg Norvasc Tablet 10 January 1st, 2010 Amlodipine 5 mg Tablet Ascend is used with or without other medications to treat high blood pressure. "You can take these medications to relieve post-vaccination . Dosage of drugs is not considered in the study. Blood tests may be needed to check for unwanted effects. If two meds interact, spacing them apart during the day may not stop them from interacting and could lead to new or worse problems. If you start taking high blood pressure medicines, it's likely you will need to keep taking them for the long term. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Personalize this study to your gender and age, Seconal Sodium and Lorazepam drug interaction, Vancomycin Hydrochloride and High Blood Pressure, Libido Decreased and drugs of ingredients of valacyclovir hydrochloride, Sufentanil Citrate and Neurological Symptom, Lortab and White Blood Cell Count Increased, Fluconazole and Kanamycin Sulfate drug interaction. For example, if you have a condition like high blood pressure, taking a decongestant for a cold could drive up your blood pressure even more. Amlodipine has active ingredients of amlodipine besylate. In addition, Ibuprofen is an anti-inflammatory where vicodin is not. It is often used in high blood pressure. 5 tips for finding safe over-the-counter painkillers for seniors. Other drugs may speed up, slow down, or even completely block these functions. Yes. I ate something salty (by accident) yesterday and my BP is 160/100 this morning!!! Your doctor will track your potassium levels, and they may tell you to cut back on foods with it. Certain classes of medications are especially dangerous such as opiate painkillers, barbiturates, benzodiazepines, antipsychotics, blood pressure medications, and any compounds metabolized by the CYP2D6 enzymes (there are a lot). But GP knows best. Pain killers are offered in pharmacy either as over-the-counter drugs however some may need prescription from a medical doctor. 9,474 people who take Amlodipine and Tylenol together, and have interactions are studied. 2. However, this does not necessarily mean no interactions exist. If it continues for a long time, the heart and arteries may not function properly. After the first-week period of adjustment, in which it completely knocked me out, I felt normal again and was overjoyed that it lowered and kept my usual 150+/90+ BP down to a textbook 120/80 (with minor variation). It is NOT recommended to take norvasc and ibuprofen together. It can also be used to reduce a high temperature. Be mindful of your heart. Ask your doctor how much food with vitamin K you can have, then eat the same amount around the same times each week. Ginger can reduce your blood pressure. Acetyl-l-carnitine Bad For Heart, 2005 - 2023 WebMD LLC. Dr. Calvin Weisberger answered. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Ask your doctor or pharmacist if any medication that you take for blood pressure or for cholesterol control also contains amlodipine 1. When combined, Digoxin and apple cider vinegar . "i take half tab of amlodipine 5mg and atenolol 50mg. Do not crush, chew or break it. High blood pressure adds to the workload of the heart and arteries. According to the DEA many people don't know . It is sold in the form of a tablet, pill, or extract. By the way, amlodipine has been banned in the Netherlands and other countries because its dangerous negative side effects outweigh its benefits. Answer (1 of 2): Dude run from that doctor he got you on four types of blood pressure medication and cholesterol medication. What anti inflammatory can i take with ramipril. There are 460 drugs known to interact with https://patient.info/forums/discuss/this-can-be-a-dangerous-medication-beware--257391. I'm going for a long walk in a few minutes then a hot, sweaty bath!! eHealthMe is studying from 189,526 Tylenol users for its effectiveness, alternative drugs and more. Amlodipine can be increased in blood concentration by medications that inhibit an enzyme called CYP3A4. Your odds for a dangerous bleed could go up. Amlodipine for me and Bisoprolol and Bendroflumethiazide for my husband. In Chinese traditional medicine, ginseng root has mainly been used for treatment of circulatory problems and erectile dysfunction. It is usually taken once a day. About amlodipine. Both versions have the same chemical properties. I will NEVER take this medication again. Paracetamol also has anti inflammatory properties. Yes, your havent been alone in suffering with this drug, I myself had a dreadfull time, before I took it as prescribed I was (relatively) heathly but with high bp. AMLODIPINE 10 MG mg Tablet Ascend is used with or without other medications to treat high blood pressure. Copyright Hoboken Glass Company, Inc. 1972 - 2022 | website by brazil public opinion | All Rights Reserved. We'll take a look at things to watch out for when you need painkillers but have high blood pressure and are medicated for it here. Some mixtures of medications can lead to serious and even fatal consequences. Yohimbine is a supplement derived from the bark of an African evergreen tree. The mysterious ruins of the does sleeping pills lower blood pressure city atenolol weight gain of Moor The does best time blood pressure medication tricks to lower blood pressure in minutes ruins of the city of Moore are located in Sintra, Portugal, across cold medications for high blood pressure the mountain from the Pena Palace. You can also consume ginger as a tea, in ginger ale and as ginger beer. Descriptions. Never take more than 4,000 milligrams (mg) a day. Since both CBD and corticosteroids are potent inhibitors of the CYP450 enzyme system, concomitant use may increase the risk of systemic side effects from corticosteroid use due to decreased glucocorticoid clearance. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). If you get dizzy after taking amlodipine, either sit or lie down until the dizziness passes. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. He states that a small percent of people, around 4 percent, who use steroid eye drops will develop . Taking antidepressants together with painkillers can substantially increase the risk of bleeding from the stomach, according to new research by the University of East Anglia. The doctor lowered my dose to 2.5mg of amlodipine plus 40mg of benazepril, which brought only temporary improvement. Solpadol (effervescent tablets) is given by prescription when taking Lisinopril - Codeine Phospate 30mg - Paracetamol 500mg. Pills with antihistamines. This is when something you eat or drink affects a drug. You can usually carry on taking a non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen, or painkillers like paracetamol if needed, unless your doctor advises otherwise. European Mandrake - Olsalazine Sodium. It should not be a problem for short term use. Amlodipine is used to treat the following conditions: Tylenol extra strength is in the drug class. Taking Tylenol (acetaminophen) as directed can take the edge off your pain and help you feel better. A common adverse effect of combining pleurisy root and a calcium channel blocker is decreased kidney clearance of digoxin, the active cardiac glycoside in plants in the foxglove family. The use of the eHealthMe site and its content is at your own risk. What are beta blockers and how do they work? You can use the study as a second opinion to make health care decisions. Your doctor can give you a prescription for Norvasc, the brand name, or amlodipine, the generic form 1. All rights reserved. Unselfishness is the biggest taboo in educating children. Always consult your healthcare provider. Celery - Doripenem. WebMD does not provide medical advice, diagnosis or treatment. I am full-heartedly (no pun intended) with you in your last paragraph. phenobarbital. However, high doses of Tylenol can damage the liver, so take the lowest dose you can to get enough pain relief. AMLODIPINE 5 MG TABLET ASCEND SIDE EFFECTS. In Chinese traditional medicine, ginseng root has mainly been used for treatment of circulatory problems and erectile dysfunction. Always check for them on the drug label. "Talk to your doctor about taking over-the-counter medicine, such as ibuprofen, acetaminophen, aspirin, or antihistamines, for any pain and discomfort you may experience after getting vaccinated," says the CDC. Learn how we can help. amlodipine. Ginseng is a stimulant that can increase your blood pressure. That's equal to twelve 325 mg pills. atorvastatin. I now consider it poison for me. Should I avoid certain foods, drinks, or other products? Drug-food/drink interaction. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. All information is observation-only. But my skin felt like it was on fire. Some reports may have incomplete information. I am trying a combination of Xanax, benazepril (an ACE), losartan (an ARB), and atenolol (good for nothing but heart rate control in my body). I also take paracetamol. AMLODIPINE 5 MG TABLET ASCEND SIDE EFFECTS. Amlodipine is a calcium channel blocker that reduces blood pressure by dilating your blood vessels 1. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. When you take amlodipine and consume ginger, it is possible to have extremely low blood pressure, or hypotension, according to Medline Plus 1. Patient does not provide medical advice, diagnosis or treatment. It is applied topically. It is often used in pain. Amlodipine & lisinopril. Answered by Dr. Linda Tao: BP medications: Your current readings show adequate control on medicat. This class of medication is taken specifically for its inhibitory effect on the blood clotting process. If you do notice an interaction, it will usually feel like one of these is happening: In general, call your doctor if you're having side effects that worry you or if your medicine doesn't seem to be working, especially after youve recently started or changed doses of a drug. 20 are major, 407 are moderate, and 33 are minor. azole antifungals, eg . "Do we have to take Panadol? What should I know before taking atorvastatin? Kirby And The Forgotten Land Powers, Medications That Have Clinically Relevant Drug-Drug Interactions With Ritonavir-Boosted Nirmatrelvir. rifampicin. Many Parents Too Quick to Give Fever Meds to Kids: Poll, In Face of Tripledemic, CVS and Walgreens Limit Purchases of Kids' Pain Meds. Your physician might give you a prescription for amlodipine for other health conditions such as angina 1. Amlodipine besylate has active ingredients of amlodipine besylate. Tylenol Extra Strength. Netdoctor participates in various affiliate marketing programs, which means we may get paid commissions on editorially chosen products purchased through our links to retailer sites. What painkillers can I take with propranolol? The S- isomer of amlodipine or Asomex is being studied in clinical trials and may lead to side effects such as fatigue or tiredness, dizziness or fainting, headache, flushing, or swelling of the legs or ankles. They can also answer any questions about medical terms or jargon on the drug packages. Do not take more than 8 capsules or tablets in 24 hours. Scarlets Fan, I take amlodipine and so, when . Drug-drug interaction. Combining dietary supplements and medications could have dangerous and even life-threatening effects. Moderately clinically significant. For instance, many over-the-counter medicines for colds or even heartburn also contain doses of pain . Common interactions include pain in extremity among females and chronic kidney disease among males. For example, drugs for HIV/AIDS, heart disease, depression, treatments for organ transplants . All rights reserved. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Of the total drug interactions, Here's what you need to know. It is often used in high blood pressure. Other medicines that lower blood pressure. Atorvastatin. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. There are 4 disease interactions with amlodipine which include: This might make your amlodipine dosage less effective 1. Can you take Co-codamol and ibuprofen and losartan and simstatin and amlodipine together? If you take amlodipine, avoid consuming hawthorn because it can intensify the effects of calcium channel blockers 1. Dosage of drugs is not considered in the study. We want the forums to be a useful resource for our users but it is important to remember that the forums are It's normal for doctors to prescribe more than one blood pressure lowering medicine together, but tell your doctor if continually feel dizzy while taking any other medicine with amlodipine, as your doses may need adjusting. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. no it is not safe, but you can take tylenol. All rights reserved. It is created by eHealthMe based on reports of 1,517 people who take Amlodipine besylate and Tylenol from the FDA, and is updated regularly. Work closely with your doctor. Information for this minor interaction is available on the professional version. It is also a traditional medicine for high blood pressure, according to the University of Maryland Medical Center 3. The herb hawthorn has had a place in alternative medicine as a treatment for heart problems since the early part of the 20th century. Concurrent use of a calcium channel blocker (norvasc) with a nonsteroidal antiinflammatory (ibuprofen) may result in an increased risk . Best of luck with your new regimen. We comply with the HONcode standard for trustworthy health information. Then I noticed that I would suddenly have shoulder and upper back muscle pain within an hour of taking amlodipine. By Evan Starkman. Available for Android and iOS devices. Thankfully, it's really not that hard to navigate taking over-the-counter painkillers, something we all do once in a while, while suffering from high blood pressure and being medicated for it. When you take amlodipine and consume ginger, it is possible to have extremely low blood pressure, or hypotension, according to Medline . When a medication works right, it boosts your health or helps you feel better. Tell your doctor about any prescription and non-prescription medicines you are taking, including natural or herbal remedies Read more. Bystolic (nebivolol) amlodipine. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. avoid drinking alcohol and ask your pharmacist to recommend a painkiller for . Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Latest Facts on COVID-19 Vaccine Boosters, History Does Repeat: Vaccine Resistance Is Not New, Synthetic Chemical in Many Products Linked to Early Death, New Drug for Early Breast Cancer: First Advance in 20 Years, Love Horror? Cautions with other medicines. ", Medscape: "Dangerous and Deadly Drug Combinations. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Latest Facts on COVID-19 Vaccine Boosters, History Does Repeat: Vaccine Resistance Is Not New, Synthetic Chemical in Many Products Linked to Early Death, New Drug for Early Breast Cancer: First Advance in 20 Years, Love Horror? Can I take painkillers before or after a COVID-19 vaccine? What painkillers can I take with propranolol? You can use the study as a second opinion to make health care decisions. Here are some examples of the most common ways. This is called metabolism. ), Mg glycinate, aspartate, or orotate are the best choices. Some antibiotics need to be taken with food, while others need to be taken on an empty . Wooden Potato Bin Walmart, 805 CLINTON STREET View interaction reports for amlodipine and the medicines listed below. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Calcium tablets cannot be taken with amlodipine besylate, according to the University of Maryland Medical Center. This can damage the blood vessels of the brain, heart, and kidneys, resulting . This isn't an exhaustive list, but here are some common Paxlovid interactions to be aware of. Enter other medications to view a detailed report. DISCLAIMER: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Gabapentinoids. amlodipine. You're right about salt! Amlodipine. I know you can take the first 3 of those listed together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. 3. Always get your doctor's or pharmacist's OK before you try a new supplement. 1. .With salt in food its amazing just how much there is when you look! Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. A common adverse effect of combining pleurisy root and a calcium channel blocker is decreased kidney clearance of digoxin, the active cardiac glycoside in plants in the foxglove family. The phase IV clinical study analyzes what interactions people who take Amlodipine besylate and Tylenol have. Severe Interactions. These medications may interact and cause very harmful effects. as being in breach of those terms. Over-the-counter drug labels include information about possible drug interactions and the medication's active ingredients. Corticosteroids like prednisolone and hydrocortisone should never be taken with CBD. It's important to tell your doctor or pharmacist if you're already taking any medicines, including those bought without a prescription and herbal medicines, before you take tamsulosin as well. I am a male 70 years of age. This survey is being conducted by the WebMD marketing sciences department. I believe it can lead to muscle pain, unrestorative interrupted sleep, and worse, strokes. If you're on a blood thinner, ask your doctor to suggest a different type of over-the-counter pain medication and dose that's safer for you. What should I know before taking amlodipine? I basically had a stroke in my fingers. Some study says that valium increased effect from amlodipine lowering the blood pressure. Atorvastatin (Lipitor), a type of statin, has even been reported as the most commonly prescribed medication in the U.S. Things to remember when you fill your prescription. Use AMLODIPINE+LOSARTAN only when prescribed by a doctor. appropriate medical assistance immediately. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Just one prescription opioid painkiller, for example, one simple tablet, followed by a beer, could depress your respiratory function by half - all because of their rapid interaction in your body. eHealthMe is studying from 292,018 Amlodipine users for its effectiveness, alternative drugs and more. All rights reserved. They are not good long-term BP meds anyway, as they are addictive and intended for short-treatment of anxiety and panic - BP is "off label" use. It is commonly taken to treat erectile dysfunction (ED). good luck Ivan. Pregnancy, breastfeeding and fertility. This means it can have an effect that is different to what you expected. Highly clinically significant. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Digoxin (also sold as Lanoxin), is one heart medication in particular that shouldn't be used with apple cider vinegar. I'm somewhat overweight and need to lose about 20 pounds to get to the ideal weight for my build, and I need FAR more sweaty exercise. Is it any wonder it's banned in Europe? 4 disease interactions, and 2 alcohol/food interactions. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. If you read my comment at the end of these, my doc has given up on me. * Approximation only. Acetaminophen (Tylenol)-- High doses of vitamin C may lower the amount of acetaminophen passed in urine, which could cause the levels of this drug in your blood to rise. It's also fine to take occasional painkilling doses of ibuprofen with amlodipine. What is amlodipine used for and how does it work? When your blood pressure is low, you may feel dizzy or faint. Heart palpitations are also a known side effect of hawthorn consumption. Feel free to contact your doctor with any questions or concerns regarding medications. what painkillers can i take with amlodipine. However, older adults must NOT take more than 3000 mg of acetaminophen in one day. I truly hope everything works out for the best. Note: For children under 12 years, the maximum daily amount is 5 doses in 24 hours. The syptoms you mention, in my opinion, are very dangerous for you- simple logic dictates that. Painkillers. Cardiology Department 2011 NW Myhre Rd Suite 101 Silverdale, WA 98383 Yes your synptoms will pass but as you have been on the drug for some time unlike myself you wll hav to keep a watch out for rebound hypertension which can be dangerous, I tapered off slowly over a week or so. And I can't put this down to any particular treatment or medication. Will you replace one drug for another or work out a regime of diet and exercise to conteract your BP. I don't think the Dutch are arbitrary or capricious in their decisions - I totally agree. Ginger comes from the root of the ginger plant, and is mainly used to season foods such as baked goods and Asian dishes. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. 2023 eHealthMe.com. Then I would often wake with my brain "on fire" and itching like a bad allergy that I couldn't get to to scratch, and my eyes burning and streaming with tears. I have problem of BP as well as acute knee pain since last 10 yrs and since last 3/4 months increased too much with swelling on foot- ankles due to increased dosage of Amlodipine-5 mg as pain killer causing increased BP.Now painkillers Dalonat and orecerin gm tablets are not reducing pain and causes cramps in both legs many times.Earlier Numoside with paracitomal used to stop pain for whole . Crestor (rosuvastatin) Cymbalta (duloxetine) Fish Oil (omega-3 polyunsaturated fatty acids) gabapentin. 2005 - 2023 WebMD LLC. Amlodipine belongs to a class of drugs known as calcium channel blockers. Can you take Tylenol or ibuprofen with amlodipine? Automatically receive FDA alerts, drug interaction warnings, plus data on food, allergy & condition interactions. Explore more on it. Patient is a UK registered trade mark. List Amlodipine BESYLATE side effects by likelihood and severity. The doctor is going to get you killed and trust me my mom almost died on those medications until I found out and stopped her. Try our Symptom Checker Got any other symptoms? Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. PROFESSIONAL DISCRETIONARY DOSAGE: If pain or fever persists at the total labeled daily dose, healthcare professionals may exercise their discretion and recommend up to 4000 mg/day. Types Of German Sweet Breads, Discuss using amlodipine and ibuprofen together. and Privacy Policy and steps will be taken to remove posts identified yes you can take ibuprofen with amlodipine. This combination is good for high blood pressure/hypertension, and are both first-line therapies. These medications may cause some risk when taken together. Always speak to your doctor before acting and in cases of emergency seek It is also available in a variety of supplement forms, though taking them might not be advised. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in In rare cases, when you first start taking amlodipine, your angina may get worse or you could have a heart attack. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Ginger comes from the root of the ginger plant, and is mainly used to season foods such as baked goods and Asian dishes. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. The study uses data from the FDA. Active ingredients are the chemicals in medications that treat your condition or symptoms. Likewise, do magnesium supplements interfere with medications? Some common drug-condition interactions happen between: It's important to take your medication as directed by your doctor or pharmacist. i would think that such a common medication would be mentioned on leaflet that came with your BP tablets if it were likely to cause issues. Several types of pain killers are readily available in the market to obtain rid of the pain. Amlodipine is in the drug class calcium channel blocking agents . Calcium blockers cause the blood vessels to relax and thin out - and now I wonder if not become weak. I myself am going down the weight loss/ healthy eating, low salt diet regime but be warned if you try that you will need to be 99% dedicated to it to get benefits, and if you like a drink keep it down to a minimum level. Could this medication interact with any health conditions I have. Latest News Amlodipine is often prescribed at a 10mg New Website Launched January 1st, 2010. Since then, I've been trying naturopathic alternatives. But two months ago I was so lucky to find some relief. Statins are common medications that lower high cholesterol. The American Heart Association (AHA) has long recommended acetaminophen (Tylenol) as a safe alternative to nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) and . Personalize this study to your gender and age, Appetite - decreased (decreased appetite occurs when you have a reduced desire to eat), Mydriacyl and Oxygen Saturation Decreased, Lung Cancer - Non-Small Cell and Reversible Posterior Leukoencephalopathy Syndrome, Famotidine and Urine Amphetamine Positive, Atrovent and Influenza B Virus Test Positive, Epirubicin Hydrochloride and Catheter Site Erythema. Amlodipine may increase the blood level of the following medicines, so your doctor may want to monitor you for side effects if you take one of . This is the date at which the manufacturer can still guarantee the full potency and safety of the drug. Also, ask your doctor or pharmacist if it's safe to have grapefruit or its juice in any amount with your specific drug. Pleurisy root and foxglove belong to the same plant family. I doubled my magnesium, and I definitely have increased control of my BP (but I stay drowsy all day). Is it OK to take that painkiller while you're on amlodipine? vitamins, Motrin), However, amlodipine (active substances), VENLAFAXINE 75MG, Follow the directions on your prescription label carefully, including prescription and over-the-counter medicines, or if: 1, Tell each of your hea. It really makes a difference! Please talk with the doctor who is prescribing this medicine to you. I basically had a stroke in my fingers. You have to understand these doctors they make. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Diltiatophine, ketoconazole, itraconazole, and ritonavir are some of these drugs. When you take amlodipine and consume ginger, it is possible to have extremely low blood pressure, or hypotension, according to Medline Plus 1. It works by relaxing blood vessels so blood can flow more easily. Read More. University of Maryland Medical Center: Hawthorn, Cardiovascular Pharmacology: Cardiac Glycosides (Digitalis Compounds), Clinical and Investigative Medicine: Digoxin-Like Factors in Herbal Teas, U.S. Food and Drug Administration: FDA Poisonous Plant Database, Journal of the American College of Cardiology: Use of Herbal Products and Potential Interactions in Patients With Cardiovascular Diseases. This report displays the potential drug interactions for the following 2 drugs: No interactions were found between amlodipine and Tylenol Extra Strength. Codeine, tramadol. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.