My Dr took me off of the steriod and left me on ketoconazole twice a day. So last evening I had tightness in my chest and a weird jaw feeling. In looked at the side effects of the ketoconazole and it said tightness of the chest could happen. Now I stopped taking it and called the Dr. He now wants to see me in a couple days. What is next? Was it really the Keoconazole or was I having some kind of heart attack? I did not go to emergency because the discomfort went away.
Thank you for your question. Nausea related to ketoconazole usually improves over time. It is inadvisable for patients on ketoconazole to self-medicate with acid-blocking medications, antacids, or other over-the-counter (non-prescription) items without consulting a physician. Because stomach acid is necessary for absorption of HDK, use of antacids will limit HDK’s effectiveness.
Best of luck
Ashutosh (Ash) K. Tewari, MD
www.cornellroboticprostate.org
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