PHARMAc& RepleteEssential Nutrientsfor Drug-Induced Depletion

NAME: __

Medication Class & Name Examples

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D

D

D

D

D

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D

D

AntacidsAmphojel, Basaljel, Aluminum Hydroxide plus Magnesium,Gaviscon-2, Gelusil, Maalox, Mylanta

H2 Inhibitorsfamotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac)

···IRJHO: :.: MOLECULAR.••• PRODUCTS'Because Efficacy Matters'

AGE: _ GENDER: 0 Male 0 Female

Medication Nutrient Depletion

Folic Acid, B12,Vitamin D, Calcium, Iron, Zinc

Nutrient Repletion Suggestions

Option 1o Ortho BComplex or Methyl BComplexo Reacted Multimino Vitamin D3 5000lUOption 2o Alpha BaseMultivitamin

CARDIOVASCULAR

Statins Coenzyme 010 o CoO- 10 1OOmg or CoO-1 0 300mgatorvastatin (upitor), fiuvastatin (Lescol), lovastatin (Mevacor, Altocor),pravastatin (Pravachol), rosuvastatin (Crestor), simvastatin (Zocor)

ACEInhibitors Zinc o Reacted Multimincaptopril (Capoten), enalapril (Vasotec), lisinopril (Prinivil, Zestril),quinapril (Accupril), ramipril (Altace)

Beta Blockers Coenzyme 010 o CoO- 10 1OOmg or CoO-1 0 300mgatenolol (Tenormin), metoprolol (Lopressor, Toprol XL),nadolol (Corgard), carvedilol (Coreg)

Calcium Channel Blockers Vitamin D o Vitamin D3 5000lUamlodipine (Norvasc), felodipine (Plendil), nifedipine(Procardia, Adalat), nimodipine (Nimotop), nisoldipine (Sular)

Cardiac Glycosides Magnesium, Potassium Option 1digoxin (Lanoxin, Digitek) o Reacted Multimin

Option 2o Alpha Base Multivitamin

Potassium Supplements B12 o Methyl B12potassium chloride (Klor-Con)

BLOODSUGAR

Biguanides Folic Acid, B12 Option 1metformin (Glucophage) o Ortho BComplex or Methyl BComplex

Option 2o Methyl B12

Sulfonylureas Healthy Intestinal Bacteria, o CoO- 10 1OOmg or CoO-1 0 300mgglyburide (Diabeta, Glynase, Micronase), Coenzyme 010 o Ortho Bioticglipizide (GlipiZIDE XL, Glucotrol), glimepiride (Amaryl)

ANTACIDS/ANTIULCERATIVE

DProton-pump inhibitorsomeprazole (Prilosec, Zegerid), lansoprazole (Prevacid),esomeprazole (Nexium), rabeprazole (Aciphex)

D

Beta-Carotene, B12, Folie Acid,Calcium, Zinc, Iron

Folic Acid, Vitamin D, Zinc, Calcium,Magnesium, Chromium, Iron

Coenzyme 010, Vitamin B2

DAntidepressantsclomipramine (Anafranil), amoxapine (Asendin),doxepin HCL (Sinequon), imipramine (Tofranil)

Option 1o Ortho BComplex or Methyl BComplexo Reacted MultiminOption 2o Alpha Base Multivitamin

Option 1o Ortho BComplex or Methyl BComplexo Reacted Multimino Vitamin D3 5000lUOption 2o Alpha BaseMultivitamin

o CoO-10 1OOmg or CoO- 10 300mgo Ortho BComplex or Methyl B Complex

o Reacted Cal-Mag

DBONE

Bisphosphonatesalendronate (Fosamax), risedronate (Actonel), ibandronate (Boniva),etidronate (Didronel), zoledronic Acid (Reclast)

Calcium, Magnesium

Information compiled from: Drug-Induced Nutrient Depletion Handbook 2nd Edition (Lexi-Comp, Inc 2001)and Herb, Nutrient, and Drug Interactions Clinical Implications and Therapeutic Strategies (Mosby Elsevier 2008)

PHARMA~ RepleteEssential Nutrientsfor Drug-Induced Depletion

Medication Class & Name Examples Medication Nutrient Depletion

••• ~RTHO::.: MOLECULAR••• PRODUCTS·Because Efficacy Matters'

Nutrient Repletion Suggestions

NARCOTICS/ANALGESICS

NSAIDS Folic Acid, Vitamin C Iron D Alpha Base Multivitamin W/lronaspirin, celecoxib (Celebrex), diclofenac (Voltaren), ibuprofen (Motrin),ketorolac (Toradol), naproxen (Aleve, Naprosyn)

Opiates Folic Acid, Vitamin C, Iron, Potassium D Alpha Base Multivitamin W/lronhydrocodone (Vicodin), morphine (MS Contin, Kadian), oxycodone(Oxycontin, Percoset)

RESPIRATORY

D

D

DBeta-2 Adrenergic Receptor Agonistsproventil (Albuterol), fluticasone+salmeterol (Advair),bitolterol (Tornalate), levalbuterol (Xopenex)

Potassium, Calcium, Magnesium D Reacted Multimin

ANTIBIOTICS

D

AntibioticsLevaquin, Avelox, CiproAoxacin, Noroxin, Trovan,Amoxicillin, Amoxil, Trimox, Penicillin, Erythromycin,Azithromycin, Biaxin, Zithromax

Biotin, B1, B2, B3, B6, B12, Zinc, Calcium,Magnsium, Potassium, Vitamin K,Healthy Intestinal Bacteria

Option 1D Reacted MultiminD Ortho BComplex or Methyl BComplexD Ortho BioticOption 2D Alpha Base MultivitaminD Ortho Biotic

Conjugated EstrogensPremarin, Prempro, Oral Contraceptives, Estrace

D

Bio-Identical HormonesEstradiol, Estriol, Estrone

D

B6, B12,Vitamin D, Calcium,Magnesium, Zinc, Folic Acid

B6, B12,Vitamin D, Calcium,Magnesium, Zinc, Folic Acid

Option 1D Reacted MultiminD Ortho BComplex or Methyl B ComplexD Vitamin D3 SOOOIUOption 2D Alpha BaseMultivitamin

Option 1D Reacted MultiminD Ortho BComplex or Methyl B ComplexD Vitamin D3 SOOOIUOption 2D Alpha Base Multivitamin

DANTI-INFLAMMATORY

Corticosteroidsbetamethasone (Celestone, Soluspan). hydrocortisone (Cortef),prednisone (Rayos, 5terapred)

Beta-Carotene, B6, Folic Acid, Vitamin CVitamin D, Calcium, Magnesium

D Alpha Base MultivitaminD Reacted Multimin

Loop Diureticsbumetanide (Bumex), furosemide (Lasix), ethacrynate (Edecrin)

DIURETICS

D

Potassium Sparing Diureticsloride hydrochloride, spirorrolactone (Aldactone),

tmmt<o,p"p (Dyrenium) ~

B1, B6,Vitamin C, Calcium,Magnesium, Zinc, Potassium

Option 1D Ortho BComplex or Methyl BComplexD Reacted MultiminOption 2D Alpha Base Multivitamin

D

Thiazide Diureticschlorthalidone (Hygroton), indapamide (Lozol),hydrochlorothiazide (Hydrodiuril), methyclothiazide (Enduron)

D

D Laxatives with BisacodylDulcolax, Correctol, Feen-a-Mint, Carter's Little Pills

Magnesium, B1, B6, Phosphorous,Potassium, Zinc, Coenzyme 010

Calcium, Magnesium

These supplements are recommended strictly to address any nutrient deficiencycaused by these drugs and not intended as an alternative to the drug therapy.

Option 1D Reacted MultiminD CoO-10 1OOmg or CoO-1 0 300mgD Ortho BComplex or Methyl B ComplexOption 2D Alpha BaseMultivitaminD CoO- 10 1OOmg or CoO-1 0 300mg

D Reacted Cal-Mag

LT-MISC-100 12152014