Medications/Supplements

Medication Ramipril Lipitor Venlafaxine HCl Er caps Amlopidine Aspirin Vitamin D Long-acting basal insulin Fast-acting bolus insulin (Humalog) Metamucil 1 T + 16 oz. water Dose 20 mg 10 mg 150 mg 7.5 mg 8 mg 1000 IU 8 units/hr Times/day 10 mg x AM, 10 mg x PM 10 mg x AM 150 mg x AM 5 mg x AM, 2.5 mg x PM 8 mg x AM 1000 IU x PM 8 units/hr basal 5 units (AM), +/- 4 units (PM-lunch), +/- 5 units (PM-dinner) 1 T + 16 oz. water x AM

Food-Medication Interactions
Medication Ramipril Class ACE inhibitor Food Interaction(s) Drug may increase serum potassium levels. Caution with high potassium diet or potassium supplements. Avoid salt substitutes. Ensure adequate fluid intake and hydration Drug is adjunct to diet therapy. Maintain low-dat, low-cholesterol diet for optimal drug effect. Avoid grapefruit and related citrus. Should be taken with caution when using St Jonh's wort. Avoid alcohol. Using together with multivitamin with minerals may decrease effects of drug. Incorporate foods high in vitamin C and folic acid into diet. Monitor electrolytes, hemoglobin to determine need for potassium or iron supplements.

Lipitor

HMG CoA reductase inhibitor SNRI antidepressant

Venlafaxine HCl ER

Amlopidine

Calcium channel blocker

Aspirin

Salicylate platelet inhibitor

Vitamin D Avoid alcohol. Alcohol may affect the blood glucose levels in patients with diabetes. Both hypoglycemia and hyperglycemia may occur. Psyllium may interact with other medications if given at the same time, causing other medications to become less effective. Take psyllium with at least 8 oz. of cool water or another liquid.

Insulin

Fast-acting insulin

Metamucil