vitamin E (cont.)
What happens if I miss a dose?
Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include unusual bleeding or bruising.
What should I avoid while taking vitamin E?
Avoid taking other vitamins, mineral supplements, or nutritional products without your doctor's advice.
What other drugs will affect vitamin E?
Do not take vitamin E without a doctor's advice if you are using any type of medication to treat or prevent blood clots, such as:
- heparin, warfarin (Coumadin);
- alteplase (Activase), tenecteplase (TNKase), urokinase (Abbokinase);
- argatroban (Acova), bivalirudin (Angiomax), lepirudin (Refludan);
- dalteparin (Fragmin), enoxaparin (Lovenox), fondaparinux (Arixtra); or
- abciximab (ReoPro), anagrelide (Agrylin), cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine, Aggrenox), eptifibatide (Integrelin), prasugrel (Effient), ticlopidine (Ticlid), tirofiban (Aggrastat).
The following drugs can interact with or be made less effective by vitamin E. Tell your doctor if you are using any of these:
- cyclosporine (Gengraf, Neoral, Sandimmune);
- diazepam (Valium) and other sedatives;
- fluoxetine (Prozac) and other antidepressants;
- mineral oil, orlistat (alli, Xenical);
- an antibiotic such as clarithromycin (Biaxin), doxycycline (Doryx, Vibramycin), trimethoprim (Bactrim, Septra, SMX-TMP), and others;
- antifungal medication such as itraconazole (Sporanox) or ketoconazole (Extina, Ketozole, Nizoral, Xolegal);
- cholesterol-lowering medicines such as atorvastatin (Lipitor), cholestyramine (Questran), colestipol (Colestid), simvastatin (Zocor, Simcor), lovastatin (Mevacor, Advicor), pravastatin (Pravachol), niacin (Niaspan, Slo-Niacin), and others;
- heart or blood pressure medications such as diltiazem (Cartia, Cardizem), losartan (Cozaar), propranolol (Inderal), verapamil (Calan, Covera, Isoptin), and others;
- HIV medicines such as fosamprenavir (Lexiva), ritonavir (Norvir, Kaletra), and others;
- narcotic medication such as fentanyl (Actiq, Duragesic, Fentora);
- seizure medication such as carbamazepine (Carbatrol, Tegretol), phenobarbital (Solfoton), phenytoin (Dilantin), and others; or
- stomach acid reducers such as cimetidine (Tagamet), omeprazole (Prilosec), lansoprazole (Prevacid), and others.
This list is not complete and there are many other drugs that can interact with vitamin E. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.
Where can I get more information?
Your pharmacist can provide more information about vitamin E.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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