Drug Induced Nutrient Depletion

Medication	Nutrients Lost	Potential Health Problems
Antacids
Magnesium Hydroxide Aluminum Hydroxide Examples include: Mylanta, Maalox, Gaviscon, Rolaids, Alternagel	Calcium Phosphate Vitamin B9 (folic acid)	High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Skeletal problems, low energy Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss
Sodium Bicarbonate Examples include: Alka-Seltzer, Zegerid	Potassium Vitamin B9 (folic acid)	Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss
Anti-Anxiety
Diazepam (Valium) Alprazolam (Xanax)	Melatonin	Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging
Antibiotics
Penicillin Amoxicillin Amoxicillin/Clavulanic acid (Augmentin) Cephalexin (Keflex) Cefaclor (Ceclor) Cefdinir (Omnicef) Nalidixic Acid (NegGram) Ciprofloxacin (Cipro) Levofloxacin (Levaquin) Moxifloxacin (Avelox) Erythromycin Azithromycin (Z-Pak/Tri-Pak/Zithromax) Clarithromycin (Biaxin) Sulfamethoxazole/trimethoprim (Bactrim/Septra) Tetracycline Minocycline (Minocin) Doxycycline (Vibramycin)	Helpful bacteria Vitamin K Vitamin B1 (Thiamine) Vitamin B2 (Riboflavin) Vitamin B3 (niacin) Vitamin B5 (pantothenic acid) Vitamin B6 (pyridoxine) Vitamin B7 (Biotin) Vitamin B9 (folic acid) Vitamin B12 Potassium (specific to penicillin, amoxicillin and amoxicillin/clavulanic acid) Calcium (specific to tetracycline, minocycline, doxycycline) Magnesium (specific to tetracycline, minocycline, doxycycline) Iron (specific to tetracycline, minocycline, doxycycline) Zinc (specific to tetracycline, minocycline, doxycycline)	Yeast infections, incomplete nutrient and food absorption Excessive bleeding, bone weakening Depression, memory loss, muscle weakness, irritability Problems with the skin (acne, scaly skin), problems with the eyes (sensitivity to light), cracked, dry mucous membranes Problems with the skin, intestinal and nervous systems Problems with the skin, intestinal and nervous systems Depression, insomnia, increased risk for cardiovascular disease, PMS Hair loss, depression, cardiovascular disease, skin problems Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, asthmatic attacks Anemia (weakness, tiredness), decreased immune function and slow wound healing Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Isoniazid	Vitamin B3 (niacin) Vitamin B6 (pyridoxine) Vitamin D Calcium	Problems with the skin, intestinal and nervous systems Depression, insomnia, increased risk for cardiovascular disease, PMS Bone and muscle weakness, hearing loss High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia
Ethambutol (Myambutol)	Zinc Copper	Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue
Rifampin (Rifadin)	Vitamin D	Bone and muscle weakness, hearing loss
Cycloserine (Seromycin)	Vitamin B3 (niacin) Vitamin B6 (pyridoxine) Vitamin B9 (folic acid) Vitamin B12 Calcium Magnesium Vitamin K	Problems with the skin, intestinal and nervous systems Depression, insomnia, increased risk for cardiovascular disease, PMS Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, asthmatic attacks Excessive bleeding, bone weakening
Para-aminosalicylic acid (Paser)	Vitamin B12	Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems
Hydroxychloroquine (Plaquenil)	Calcium Vitamin D	High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Bone and muscle weakness, hearing loss
Anticonvulsants
Barbiturates Examples include: Phenobarbital (Luminal sodium) Butalbital (Fioricet, Phrenilin, Fiorinal)	Vitamin B7 (biotin) Vitamin B9 (folic acid) Vitamin D Vitamin K Calcium	Hair loss, depression, cardiovascular disease, skin problems Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Bone and muscle weakness, hearing loss Excessive bleeding, bone weakening High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia
Phenytoin (Dilantin)	Vitamin B1 (thiamine) Vitamin B7 (biotin) Vitamin B9 (folic acid) Vitamin B12 Vitamin D Vitamin E Vitamin K Calcium DHA fatty acid	Depression, memory loss, muscle weakness, irritability Hair loss, depression, cardiovascular disease, skin problems Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems Bone and muscle weakness, hearing loss Cardiovascular disease, decreased protection against cancer Excessive bleeding, bone weakening High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Memory loss, neurologic problems
Carbamazepine (Tegretol)	Vitamin B7 (biotin) Vitamin B9 (folic acid) Vitamin D Vitamin E DHA fatty acid	Hair loss, depression, cardiovascular disease, skin problems Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Bone and muscle weakness, hearing loss Cardiovascular disease, decreased protection against cancer Memory loss, neurologic problems
Primidone (Mysoline)	Vitamin B7 (biotin) Vitamin B9 (folic acid) Vitamin D	Hair loss, depression, cardiovascular disease, skin problems Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Bone and muscle weakness, hearing loss
Valproic Acid (Depakene/Depacon) Divalproex sodium (Depakote)	Vitamin B6 (pyridoxine) Vitamin B9 (folic acid) Vitamin E Carnitine DHA fatty acid Copper Selenium Zinc	Depression, insomnia, increased risk for cardiovascular disease, PMS Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Cardiovascular disease, decreased protection against cancer Fatigue, muscle cramps/weakness Memory loss, neurologic problems Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue Increased risk of cancer and premature aging Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Antidiabetic
Glipizide (Glucotrol) Glyburide (Diabeta, Glynase, Micronase) Glimepiride (Amaryl)	Coenzyme Q10	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels
Metformin (Glucophage)	Coenzyme Q10 Vitamin B12 Vitamin B9 (folic acid)	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss
Antihistamine
Hydroxyzine (Atarax, Vistaril)	Melatonin	Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging
Anti-inflammatory drugs
Corticosteroids (prednisone, prednisolone (Orapred), methylprednisolone (Solu-Medrol, Medrol), dexamethasone (Decadron)	Vitamin A Vitamin B9 (folic acid) Vitamin B12 Vitamin C Vitamin D Calcium Chromium Magnesium Potassium Selenium Zinc	Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging Bone and muscle weakness, hearing loss High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Blood sugar dysregulation, insulin resistance, elevated lipids Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, asthmatic attacks Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness Increased risk of cancer and premature aging Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Aspirin	Vitamin B9 (folic acid) Vitamin B5 (pantothenic acid) Vitamin C Calcium Iron Sodium Potassium	Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Problems with the skin, intestinal and nervous systems Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Anemia (weakness, tiredness), decreased immune function and slow wound healing Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness
Sulfasalazine (Azulfidine)	Vitamin B9 (folic acid)	Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss
Indomethacin (Indocin)	Vitamin B9 (folic acid) Iron	Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Anemia (weakness, tiredness), decreased immune function and slow wound healing
Celecoxib (Celebrex), ibuprofen (Motrin), mefenamic acid (Ponstel), piroxicam (Feldene), naproxen (Naprosyn)	Vitamin B9 (folic acid)	Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss
Anti-Parkinson’s
Levodopa	Potassium Vitamin B6 (pyridoxine) SAMe	Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness Depression, insomnia, increased risk for cardiovascular disease, PMS Estrogen metabolism alterations, liver disease, cardiovascular disease, insomnia, depression, nervous problems, cell death
Anti-HIV
Zidovudine	Vitamin B12 Copper Zinc Carnitine	Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction Fatigue, muscle cramps/weakness
Respiratory Medications
Theophylline (Theo-24)	Vitamin B6 (pyridoxine)	Depression, insomnia, increased risk for cardiovascular disease, PMS
Albuterol	Potassium	Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness
Cardiovascular Medications
ACE Inhibitors
benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), quinipril (Accupril), ramipril (Altace)	Zinc	Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Beta-Blockers
Acebutolol (Sectral), atenolol (Tenormin, Tenoretic), betaxolol (Kerlone), bisoprolol (Zebeta, Monocor), esmolol (Brevibloc), labetolol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard), pindolol (Visken), propranolol (Inderal), sotalol, timolol (Blocadren)	Coenzyme Q10 Melatonin	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging
Calcium Channel Blockers
Nifedipine (Nifedical, Procardia), verapamil (Calan, Verelan)	Potassium	Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness
Cardiac Glycosides
Digoxin (Lanoxin)	Calcium Magnesium Phosphorous Vitamin B1 (Thiamine)	High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks Skeletal problems, low energy Depression, memory loss, muscle weakness, irritability
Antihypertensives
Clonidine (Catapress), methyldopa	Coenzyme Q10	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels
Hydralazine (Apresoline)	Vitamin B6 (pyridoxine) Coenzyme Q10	Depression, insomnia, increased risk for cardiovascular disease, PMS Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels
Furosemide (Lasix), bumetanide (Bumex), ethacrynic acid (Edecrin), torsemide (Demadex)	Calcium Magnesium Potassium Sodium Zinc Vitamin B1 (Thiamine) Vitamin B6 (pyridoxine) Vitamin C	High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction Depression, memory loss, muscle weakness, irritability Depression, insomnia, increased risk for cardiovascular disease, PMS Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging
Amiloride (Midamor), triamterene (Dyrenium), eplerenone (Inspra), spironolactone (Aldactone)	Vitamin B9 (folic acid) Calcium Zinc	Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Chlorthiazide (Diuril), hydrochlorothiazide (Microzide)	Coenzyme Q10 Magnesium Potassium Sodium Zinc	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Cholesterol-Lowering Agents
Atorvastatin (Lipitor), fluvastatin (Lescol, Lescol XL), lovastatin (Mevacor), pravastatin (Pravachol), rosuvastatin (Crestor), simvastatin (Zocor), simvastatin/ezetimibe (Vytorin), lovastatin/niacin (Advicor), atorvastatin/amlodipine (Caduet)	Coenzyme Q10	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels
Cholestyramine (Questran), colestipol (Colestid)	Vitamin A Vitamin D Vitamin E Vitamin K Almost any other vitamin or mineral can be affected	Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage Bone and muscle weakness, hearing loss Cardiovascular disease, decreased protection against cancer Excessive bleeding, bone weakening
Clofibrate (Atromid-S), fenofibrate (Tricor)	Vitamin B12 Vitamin E Copper Zinc	Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems Cardiovascular disease, decreased protection against cancer Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Gemfibrozil (Lopid)	Coenzyme Q10 Vitamin E	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels Cardiovascular disease, decreased protection against cancer
Electrolytes
Potassium Chloride (Klor-Con, K-Dur)	Vitamin B12	Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems
Hormones
Oral contraceptives	Vitamin B1 (Thiamine) Vitamin B2 (Riboflavin) Vitamin B3 (niacin) Vitamin B6 (pyridoxine) Vitamin B9 (folic acid) Vitamin B12 Vitamin C Vitamin E Magnesium Selenium Zinc	Depression, memory loss, muscle weakness, irritability Problems with the skin (acne, scaly skin), eyes (sensitivity to light, cracked, dry mucous membranes Problems with the skin, intestinal and nervous systems Depression, insomnia, increased risk for cardiovascular disease, PMS Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging Cardiovascular disease, decreased protection against cancer Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks Increased risk of cancer and premature aging Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction
Estrogen replacement therapy	Vitamin B6 (pyridoxine) Magnesium	Depression, insomnia, increased risk for cardiovascular disease, PMS Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks
Anti-Gout
Colchicine (Zyloprim)	Vitamin A Vitamin B12 Calcium Potassium Phosphorous Sodium	Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness Skeletal problems, low energy Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst
Laxatives
Bisacodyl (Dulcolax)	Potassium	Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness
Mineral Oil	Vitamin A Vitamin D Vitamin E Vitamin K Calcium Phosphorous	Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage Bone and muscle weakness, hearing loss Cardiovascular disease, decreased protection against cancer Excessive bleeding, bone weakening High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Skeletal problems, low energy
Antidepressants
Amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin), imipramine (Tofranil), nortriptyline (Pamelor)	Coenzyme Q10 Vitamin B2 (Riboflavin)	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels Problems with the skin (acne, scaly skin), eyes (sensitivity to light, cracked, dry mucous membranes
Chlorpromazine (Thorazine), promazine (Sparine), thioridazine (Thioril), fluphenazine (Prolixin), perphenazine, prochlorperazine (Compazine)	Coenzyme Q10 Melatonin Vitamin B2 (Riboflavin)	Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging Problems with the skin (acne, scaly skin), eyes (sensitivity to light, cracked, dry mucous membranes
phenelzine (Nardil)	Vitamin B6 (pyridoxine)	Depression, insomnia, increased risk for cardiovascular disease, PMS
Thyroid medication
Levothyroxine (Levothroid, Levoxyl)	Iron	Anemia (weakness, tiredness), decreased immune function and slow wound healing
Medications used for the gastrointestinal system
Cimetidine (Tagamet), famotidine (Pepcid), ranitidine (Zantac)	Vitamin B9 (folic acid) Vitamin B12 Vitamin D Calcium Iron Zinc	Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects Bone and muscle weakness, hearing loss High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia Anemia (weakness, tiredness), decreased immune function and slow wound healing Anemia (weakness, tiredness), decreased immune function (increased susceptibility to infections and decreased ability to fight off infections) and slow wound healing
Esomeprazole (Nexium), dexlansoprazole (Kapidex), lansoprazole (Prevacid), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix)	Vitamin B12	Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects

**Medications not consumed orally (eye drops for example) are not as likely to cause these effects**
**The longer a medication is used the more likely nutrient loss will occur. One time use of a drug is less likely to cause these effects compared to daily use**
**More information? Read Dr. James LaValle’s book The Nutritional Cost of Drugs, available at Pharmacy Solutions**

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Compounded Medications

Healthcare professionals realize that commercially available medications are limited or at times are unable to meet unique patient needs. Pharmacy Solutions cooperates with practitioners of every medical discipline, to customize (i.e. compound) strengths and delivery methods of medications needed to treat patients individually.