Can I take Iron supplements along with asthma medications?

Hi,

Welcome to icliniq.com.

I understand your concern. According to your statement, you are suffering from bronchial asthma and sacroiliitis. Based on your attached investigation reports, (attachment removed to protect patient identity), your CRP (C-reactive protein) levels are above normal, total IgE (immunoglobulin E) and LDH (lactic dehydrogenase) remains high, Hb (hemoglobin) level remains below normal and Hba1c (hemoglobina1c) is around 5.8%.

The raised CRP levels can indicate the presence of inflammation in the body. The raised LDH indicates the presence of anemia or severe asthma. The total IgE remains raised due to the presence of atopy, allergies, or asthma. Having an Hba1c of 5.8% indicates a prediabetic condition. Your blood sugar can remain high due to intake of steroid medication like Budamate forte inhaler. Your hemoglobin levels remain below normal and it indicates the presence of anemia. Some parameters are above normal and some are below normal and, it does not confirm anything.

All the blood parameters may vary from one laboratory to another due to methods of investigation procedures, reagents, instruments, techniques of sample collection, and faulty techniques. You can take iron supplements along with your current medications. Asthma can get flared up due to seasonal changes. Some patients can feel better during summer, while some patients can feel better during winter. You can continue taking medications prescribed by your doctor for 15 to 30 days for best results. Your doctor has given you the best treatment protocol.

Hi,

Welcome back to icliniq.com.

I understand your concern. According to your statement, you are suffering from constipation for 20 days. Having bowel movements less than three times a week is referred to as constipation. Naturolax contains a powdered form of natural isabgol husk and the syrup Duphalac contains laxatives. Both Naturolax powder and Duphalac syrup can be used in the treatment of constipation. You can use any one of them safely along with your current asthma medications and other medications. The capsule Pregaba (Pregabalin) and the tablet Saaz (Sulfasalazine) can cause constipation. The capsule Pregaba can cause drowsiness too.

If your bowel movements become regular, then your gastric problems will get subsided. You can also take some medicines like the tablet Domperidone, the tablet Rabeprazole, and the syrup Gaviscon to subside your gastric issues along with Naturolax powder or Duphalac syrup.

Having vitamin B12 levels above 900 ng/mL is considered high and it occurs as a result of intake of huge amounts of B12 for a prolonged time, liver disease, kidney problems, diabetes, and leukemia but test results can vary from one laboratory to another. Having a single value of high vitamin B12 levels does not confirm anything. In these abnormal situations, your doctor can suggest you check the levels of methylmalonic acid (MMA). You can take iron supplements without vitamin B12. The tablet Loratadine is a non-sedative second generation antihistamine. It is a safe and effective medication for asthma. It does not interact with asthma medications.

The inhaler Forglyn contains Formeterol and Glycopyrrolate. Formoterol is a long-lasting bronchodilator and Glycopyrrolate is an anticholinergic drug that reduces secretion in the airways. Your doctor has suggested you take a Forglyn inhaler instead of a Budamate forte inhaler as it can cause raised blood sugar level that results in diabetes mellitus.

Hi,

Welcome back to icliniq.com

I can understand your concern.

According to your statement, you have been suffering from allergic rhinitis, bronchial asthma, bronchitis, digestive problems, sacroiliitis, keratitis, repeated Infections, and raised Ig E (immunoglobulin E) levels. In the case of allergic asthma, both Ig E and eosinophils are engaged in a complex process. In this, they have their own roles. It is considered that Ig E is the main reason for allergic asthma, while raised eosinophil count is a consequence of the whole process, so eosinophilia or raised eosinophil count will always be found in case of allergic asthma.

Again, on the initiation of the Ig E response, it can be further amplified by basophils, mast cells, and eosinophils. This process can also drive more Ig E production, although eosinophils only become expressed when activated. Elevated serum Ig E may result from allergies, infections, immune conditions like hyper Ig E syndrome, tuberculosis, parasitic infestations, EBV (Epstein Barr virus), CMV (cytomegalovirus), HIV (human immunodeficiency virus), gammopathies, Churg Strauss syndrome, some primary immunodeficiency disorders and many more.

Hyper Ig E is a rare primary immunodeficiency disease characterized by recurrent eczema, recurrent staphylococcal skin abscess, other skin problems like viral Infections such as herpes simplex, herpes zoster, molluscum contagiosum, warts, fungal infections like vaginal or vulvar candidiasis, thrush, fungal nail infections, repeated respiratory tract infections like pneumonia, bronchitis, tuberculosis, ear, eye or sinus infections, skeletal and connective tissue disorders like sacroiliitis, bone fractures, anemia like hemolytic anemia, high serum levels of Ig E, eosinophilia as well as other disorders like digestive problems, neurological manifestations and many more.

Eosinophilia can be found in 90 percent of cases, but in the rest 10 percent cases, the number of eosinophils in the blood might be normal like yours. It is an autosomal dominant or recessive form of the disease. Diagnosis of hyper Ig E syndrome is suspected based on symptoms and measurement of serum Ig E levels. Genetic testing can identify gene mutations. It is mainly done to confirm the diagnosis or to help predict inheritance patterns. Lifelong prophylactic antistaphylococcal antibiotics like Trimethoprim or Sulphamethoxazole are the main treatment for hyper Ig E syndrome. Skin problems are treated with hydration, emollient creams, and antihistamines.

If there are infections, even after taking antibiotics and other associated problems, then they should be treated according to their clinical features. The drug Hetrazan contains diethylcarbamazine that belongs to the group of medications known as antihelminthic which is used in the treatment of worm infections and filariasis. Your high Ig E levels may result from parasitic infestations. For this, you have been prescribed this medication.

It is not a habit-forming drug. It is a safe drug. You can use your eye drops and multivitamins, vitamin C as well as the medications you are currently using without any tension. The side effects that you have already mentioned are the common side effects of this medication. Usually, this medication has no serious side effects but, if you have facial swelling, then you should consult your doctor promptly.

Hope I have answered your question.

Let me know if I can assist you further.

Take care.

Hi,

Welcome back to icliniq.com.

When eosinophil count is high that is above normal, then it is known as eosinophilia. According to your statement, your eosinophil count is normal, so it is not eosinophilia. The parasitic etiology or hyper Ig E syndrome may be the cause. Without investigations, it is difficult to predict. The tablet Hetrazan contains diethylcarbamazine that works by killing the worms. You are getting the correct treatment as your doctor has suspected parasitic infestations. It has to be taken four to seven days to kill the worms but, as you are suffering from chronic allergy due to many causes, your doctor has advised the tablet Hetrazan for 14 days.

You are suffering from diethylcarbamazine-induced side effects. If these side effects persist for a longer time or bother you then, you should inform your doctor promptly for medical help. There is no known interaction found between diethylcarbamazine and the capsule Absolut 3G multivitamin despite containing Ginkgo Biloba so, you can take it with Hetrazan without any tension. There is also no known interaction found between diethylcarbamazine and the tablet Zerodol (Aceclofenac) so, you can also take the tablet Zerodol with diethylcarbamazine or the tablet Hetrazan without any tension.

In case of any other query ask me.

Take care.

Hi,

Welcome back to icliniq.com.

Thanks for the query again.

Yes, you can take the tablet Metrogyl (Metronidazole) 400 mg and Freshclor mouthwash along with the asthma medications that you have mentioned here.

Usually, serious side effects of the tablet Metrogyl are rare. Its serious side effects are seizures, mental disorders, unsteadiness, eye pain, alternation of vision, severe headache, the feeling of numbness in the arms or legs, etc.

As all these medications are required by you to control your asthma status and they are safe for you so keep taking them until your doctor prescribes them.

In case of any other query ask me.

Take care.

Hi,

Welcome back to icliniq.com.

Thanks for your query again. Nepafenac eye drops belong to the group of medications that are known as NSAIDs (non-steroidal anti-inflammatory drugs) and the tablet Macushield is a food supplement, that is used for protecting the eyes against developing macular degeneration. The capsule Absolut 3G is a food supplement too so you can use the tablet Macushield instead of the capsule Absolut 3G. As Nepafenac eye drop is NSAIDs, they may cause allergic reactions in asthmatic patients but it is not mandatory so you can follow your doctor's advice. If you notice any allergic reactions while using this medication, then you should stop using this medication and inform your doctor promptly for medical help.

The capsule AB-flo SR can be taken anytime during the day but preferably in the evening after dinner. The capsule AB-flo SR contains Acebrophylline that acts as a mucolytic and thins as well as loosens the mucus. The tablet Doxiflo contains Doxofylline that acts as a bronchodilator and relaxes, as well as widens the airways so you can use the tablet Doxiflo along with the tablet Montelukast.

As you had a previous history of the tablet Hetrazan induced allergic reactions, you should inform your prescribing doctor and he may change this medication. The tablet Hetrazan will again cause an allergic reaction, it is not necessary. However, it will be better to inform him about your past allergic reactions to the tablet Hetrazan.

The capsule Pan-D is an antiulcerant and any antiulcerant may cause osteoporosis, if it is used for more than two years at a stretch, according to recent studies.

In the same way, every medication has its own side effects and prolonged use may aggravate these side effects, but if these medications help in controlling your asthma status, then you should continue taking them and before stopping any medication, you should inform your prescribing doctor. Without his permission, you should not stop taking any medication.

Let me know if I can assist you further.

Take care.