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Cody Midlam, PharmD  
Male

Clinical Consultant Pharmacist
Hospice and Palliative Care
San Diego, CA
My Posts
Aug 13, 2013 in the Ask a Pharmacist Expert Forum - 8
Lisinopril is not a medication known to result in withdrawal effects when the dose is reduced or the drug is stopped. After you have reduced the dose, your doctor will recheck your blood pressure to see if the lower dose is keeping your blood pressure in the desired range. The typical range is 10-40mg per day for hypertension (high blood pressure), but it can...
Aug 13, 2013 in the Ask a Pharmacist Expert Forum - 1
First, review your prenatal vitamin's directions label to ensure there are no specific dietary requirements listed with the vitamin you are taking. Then, I would recommend that you try taking your prenatal vitamin with food, if you have not already done this. Many vitamins and supplements will result in stomach upset if taken on an empty stomach. Iron is...
Aug 13, 2013 in the Ask a Pharmacist Expert Forum - 1
Stool softeners are generally considered safe during pregnancy. However, as with any medication, it is important to review with your doctor prior to taking to make sure it is right for your specific pregnancy. A common stool softener to consider is docusate sodium, with a typical starting dose of 50-100mg once or twice daily. You should expect docusate to be ...
Aug 13, 2013 in the Ask a Pharmacist Expert Forum - 1
Provera (progestin) is a type of oral hormone which your doctor might prescribe if you have PCOS to induce a regular menstrual cycle and also to reduce the risk of uterine cancer. Provera is also used as a contraceptive (birth control) and can be given as an injection every three months. If your goal is to become pregnant you should discuss the risks and bene...
Apr 10, 2013 in the Ask a Pharmacist Expert Forum - 1
Congratulations, father-to-be! There are no known drug interactions between the T-Dap vaccine and the testosterone injections that you are currently receiving. These medications should be safe to be used together. I would also recommend you discuss your concern with the clinician administering the vaccine so they are fully aware of all medications you are cur...
Apr 01, 2013 in the Ask a Pharmacist Expert Forum - 1
It is not possible to provide a diagnosis via the internet. You should report any change in symptoms or any new symptoms during your pregnancy to you doctor immediately if you feel they are serious in nature, or if you have symptoms that are interfering with your daily activities.
Mar 31, 2013 in the Ask a Pharmacist Expert Forum - 1
You should be fine as you've missed just one dose of your Benicar and took a slightly larger dose of your metoprolol. It is important to return to your normal dosing schedule on the following day to get back on track. If you feel any uncomfortable symptoms, after taking a wrong dose of your medication you should consult your doctor immediately. Otherwise...
Mar 31, 2013 in the Ask a Pharmacist Expert Forum - 2
I believe the medication you may be referring to is Malarone (atovaquone and proguanil). This medication is not recommended to be taken during pregnancy as there is limited data regarding its safety in pregnant women. The US Centers for Disease Control and Prevention (CDC) can serve as an excellent resource for determining which medications you will need whil...
Mar 30, 2013 in the Ask a Pharmacist Expert Forum - 1
The recommended daily maximum of Tylenol (acetaminophen) is 4000mg in a 24 hour period. There are many different factors to consider when determining if you have taken a dangerous amount of acetaminophen. People who are frequent alcohol drinkers may be at a higher risk for toxicity from an acute (one-time) acetaminophen overdose. Also, people who are malnouri...
Mar 27, 2013 in the Ask a Pharmacist Expert Forum - 1
If you suspect an infection, I would recommend for you to contact your doctor. Your doctor can examine the cut and determine if it is necessary to start an oral, or a topical (applied to skin) antibiotic. There are a number of over-the-counter ointments you can apply to a skin tear, such as triple-antibiotic ointment. However, as your wound is still not hea...