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Dr Mike, PharmD
Dr Mike, PharmD, Pharmacist
Category: Pharmacy
Satisfied Customers: 116
Experience:  Doctor of Pharmacy, 20+ yrs experience, trained at the University of Iowa
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I accidentally took another dosage of clarithromycin today.

Customer Question

I accidentally took another dosage of clarithromycin today. The first dosage was at 7:00 AM, and the second one was at 5:30. The bottle reads Once a Day. My husband picked up the antibiotic last night - and I took the first one about 5:30, when I got home from work. He said I was supposed to take it twice a day. I was very tired last night - and didn't have my glasses with me this mornng nor this evening - or I would have checked the bottle first. I found my glasses (which I had lost yesterday) - and checked the bottle afterward. I also take asthma medication (Symbicort, Proair, nasanex, and take an allergy pill loratadine - 10 mg (daily). I'm worried about getting a negative reaction.
JA: What medications do you take daily? Are you allergic to any medications?
Customer: I just typed them
JA: Anything else in your medical history you think the doctor should know?
Customer: Did you read my first question?
Submitted: 3 months ago.
Category: Pharmacy
Expert:  Dr Mike, PharmD replied 3 months ago.

Hello! And, thanks for your question. I'm DrMike, a pharmacist with over 20 year’s experience, and I'm glad to help you today. I’ll just take some time while I review your question and get back to you with a response. I may have some initial questions for you…

Customer: replied 3 months ago.
what are your questions?
Customer: replied 3 months ago.
are you there? I paid $ for a response
Customer: replied 3 months ago.
I can't afford any more $ for phone calls. I need an answer!
Expert:  Dr Mike, PharmD replied 3 months ago.

I am... and I'm assessing your situation at the moment.

I don't require a phone call to take care of your situation.

Expert:  Dr Mike, PharmD replied 3 months ago.

Ok (you're talking to a live person... my name is ***** ***** pharmacist, and I've been in pharmacy for over 20 years)

I'd like to know if it is regular Biaxin (clarithromycin), or Biaxin XL (clarithromycin ER)... can you make out the milligram strength on the bottle?

Customer: replied 3 months ago.
500 mg
Customer: replied 3 months ago.
Have you an answer?
Expert:  Dr Mike, PharmD replied 3 months ago.

OK, and does it specify XL or ER to indicate that it's long acting?
(I need to get these basics out of the way first, I'm afraid).

Customer: replied 3 months ago.
It doesn't say
Expert:  Dr Mike, PharmD replied 3 months ago.

Ok, I can deal with that. Give me a moment. Biaxin (clarithromycin) has the potential for many drug interactions... I am working on it directly.

-DrMike

Expert:  Dr Mike, PharmD replied 3 months ago.

Are those all your medications? The allergy meds... (how about OTC meds that you might take)?

Customer: replied 3 months ago.
Dr. Mike, I'm sure you're very competent. Just taking too long. I'll just go to my local.pharmacy two blocks from my home. This is taking too long. Please refund my money. Thank you
Expert:  Dr Mike, PharmD replied 3 months ago.

I have to ask, what are you taking the Biaxin for?
(The Biaxin is a very complicated medication with some very serious drug interactions... I'm trying to be as thorough as I can to ensure your best outcome).

I am a local pharmacist. I was born in this town of 1,000 and will be here at this rate until I die.

I can give you a short answer now, in that everything will likely be OK. These details that I ask, are much more thorough than are typically asked at a local pharmacy.

Expert:  Dr Mike, PharmD replied 3 months ago.

My initial research into the intricacies of this medication state some potentially Serious drug interactions, which is why I was initially concerned and am going into more indepth research.

Expert:  Dr Mike, PharmD replied 3 months ago.

Do you have any history of heart conditions? This medication can affect such things...

Expert:  Dr Mike, PharmD replied 3 months ago.

My main concern is with the Symbicort, and the interaction between it and the clarithromycin.
If there is an issue you may experience sudden shortness of breath, dizziness, fainting, or heart palpitations (skipping a beat, or a fluttery feeling).

Likely everything is just fine (how do you feel currently? Relatively normal? If so, you have little to nothing to worry about, and you can sleep easy.

Expert:  Dr Mike, PharmD replied 3 months ago.

But, if you develop any of the above symptoms, do call 911 immediately. Use your albuterol as needed and if necessary.

The likelihood of this happening is again minimal, but you should simply be aware of the potentials. -DrMike