Can I use dutilox, pramolate, iron, magnesium, fish oil, Vit C and vitamin D at the same time? In addition, after combining such drugs, can I occasionally have a loose stool once every 4 days?? Do you look for reasons somewhere else?
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Anna Lewandowska Pharmacist, Editor
2 years ago
At the outset, it should be noted that Dutilox and Pramolan medicines are obtained with a prescription, you should follow your doctor's instructions. Do not use these preparations on your own. Especially since this combination increases the risk of serious disorders referred to as serotonin syndrome. Serotonin syndrome is manifested m.in confusion, agitation, fever, sweating, ataxia, hyperreflexia, muscle clonic seizures and diarrhea. This condition is distinguished by the so-called triad of symptoms, which includes: 1. Vegetative disorders, i.e. an increase in blood pressure, fever, diarrhea, vomiting and mydriasis. 2. Psychiatric symptoms, consisting of anxiety disorders, feelings of anxiety and confusion. 3. Neuromuscular ailments, i.e. recurrent cramps, pain and increased muscle tone. In case of vomiting, headaches and dizziness, fever, high blood pressure, convulsions, hallucinations, chills, sweats, impaired coordination of movements, anxiety, hyperactivity - it is necessary to consult a doctor. At the same time, there are no contraindications to the use of the remaining preparations listed in the question. Loose stools can be associated with taking an iron preparation and are not a cause for concern. Changing the color of the stool to black is also a normal phenomenon. I enclose additional information that may be helpful: https://www.gdziepolek.pl/artykuly/czy-przyjmowanie-kilku-lekow-jednoczesnie-jest-bezpieczne https://www.gdziepolek.pl/artykuly/czy-mozna-laczyc-leki-ze-soba