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Over-the-Counter (OTC) Medications

This list is not complete. You may take brands other than the ones listed as long as the ingredients are safe (as per symptom). 

Before you use any new medication please contact your transplant clinic to ensure the medication is safe for you.

Examples of safe medications (active ingredient)
  • Benylin® DM (Dextromethorphan)
  • Benylin® DM-D (Dextromethorphan-Pseudoephedrine)
  • Benylin® DM-DE (Dextromethorphan- pseudoephedrine-guaifenesin)
Not Recommended

  • Avoid products with ORAL DECONGESTANTS (pseudoephedrine) if blood pressure is poorly controlled


Examples of safe medications (active ingredient)
  • Benadryl® (Diphenhydramine)
  • Chlortripolon® (Chlorpheniramine)
  • Claritin® (Loratidine)
  • Reactine® (Certrizine)
  • Allegra® (Fexofenadine)
  • Aerius ® (Desloratidine)

 
Examples of safe medications (active ingredient)
  • Otrivin ® (Xylometazoline)
  • Dristan® (Oxymetazoline)
Not recommended
  • Avoid ORAL DECONGESTANTS (pseudoephedrine) if blood pressure is poorly controlled.




Examples of safe medications (active ingredient)
  • Tylenol® (Acetaminophen)
  • Tylenol ES® (Acetaminophen Extra Strength)
Not recommended
Do not take pain relief medications known as NSAIDs (non-steroidal anti-inflammatory medications). This includes ibuprofen (Advil® and Motrin®); naproxen (Aleve® and Naprosyn®); and also ASA or Aspirin®. If you are taking an 81mg ‘baby’ Aspirin® once daily to prevent heart attack and stroke, this is okay if it is on the advice of a doctor.



Examples of safe medications (active ingredient)
  • Robaxin® (Methocarbamol)
  • Robaxacet® (Methocarbamol- acetaminophen)




Report ongoing symptoms to transplant clinic


Not recommended

IMODIUM – Unless directed by your doctor or the transplant team


Examples of safe medications (active ingredient)
  • Gravol® (Dimenhydrinate)
Report ongoing symptoms to transplant clinic



Naturopathic, Herbal, Traditional or Homeopathic Products

Very little research has been done on these products and the effect that they have on transplant medications. We recommend that you do not take any naturopathic, herbal, traditional or homeopathic products until you have discussed this with a transplant pharmacist. Safety of these products may vary depending on how they mix with anti-rejection medications, side effects and the ability of some of these products to stimulate immune system, which can make you more likely to reject your transplant. Some of the most common products and their safety are as follows:

Safety

This supplement is an immune booster and is NOT safe for transplant patients because it will act against your transplant medications.


Safety

Taking concentrated garlic supplement may cause bleeding and should NOT be used by transplant patients. Supplemental form of garlic contains a super-concentrated version of garlic.


Additional information

It is safe to continue eating garlic with food.


Safety

Ginger boosts your immune system, which is NOT safe for transplant patients because it will act against your transplant medications.


Additonal information

Drinking ginger or other herbal teas in moderation or using ginger in food as part of a recipe is safe. Our concern is when you are taking a concentrated source in a pill or liquid form.


Safety
This supplement may cause increased bleeding and should NOT be used by transplant patients.



Safety

Taking a supplement (pill or capsule) with probiotics is NOT safe for transplant patients. Because your immune system is lowered you are more susceptible to infections and putting a potentially live bacteria into your body may cause an infection.


Addtional Information

Eating foods with probiotics is safe. However, there are no standards in the food industry regarding probiotics and the food you eat may not actually contain the ingredients on the label.


Safety

Do NOT take this supplement. It interferes with your immunosuppressive medications TACROLIMUS and CYCLOSPORINE.


Safety

This supplement is safe to take. However, advise your transplant team before starting to take this supplement.






SOURCE: Over-the-Counter (OTC) Medications ( )
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