Drug Induced Nutrient Depletion

Medication Nutrients Lost Potential Health Problems

Antacids

Magnesium Hydroxide
Aluminum Hydroxide

Examples include: Mylanta, Maalox, Gaviscon, Rolaids, Alternagel

Calcium

Phosphate

Vitamin B9 (folic acid)

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Skeletal problems, low energy

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Sodium Bicarbonate

Examples include:
Alka-Seltzer, Zegerid

Potassium

Vitamin B9 (folic acid)

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anti-Anxiety

Diazepam (Valium)
Alprazolam (Xanax)

Melatonin

Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging

Antibiotics

Penicillin
Amoxicillin
Amoxicillin/Clavulanic acid (Augmentin)

Cephalexin (Keflex)
Cefaclor (Ceclor)
Cefdinir (Omnicef)
Nalidixic Acid (NegGram)
Ciprofloxacin (Cipro)

Levofloxacin (Levaquin)
Moxifloxacin (Avelox)

Erythromycin
Azithromycin (Z-Pak/Tri-Pak/Zithromax)
Clarithromycin (Biaxin)

Sulfamethoxazole/trimethoprim (Bactrim/Septra)

Tetracycline
Minocycline (Minocin)
Doxycycline (Vibramycin)

Helpful bacteria

Vitamin K

Vitamin B1 (Thiamine)

Vitamin B2 (Riboflavin)

Vitamin B3 (niacin)

Vitamin B5 (pantothenic acid)

Vitamin B6 (pyridoxine)

Vitamin B7 (Biotin)

Vitamin B9 (folic acid)

Vitamin B12

Potassium (specific to penicillin, amoxicillin and amoxicillin/clavulanic acid)

Calcium (specific to tetracycline, minocycline, doxycycline)

Magnesium (specific to tetracycline, minocycline, doxycycline)

Iron (specific to tetracycline, minocycline, doxycycline)

Zinc (specific to tetracycline, minocycline, doxycycline)

Yeast infections, incomplete nutrient and food absorption

Excessive bleeding, bone weakening

Depression, memory loss, muscle weakness, irritability

Problems with the skin (acne, scaly skin), problems with the eyes (sensitivity to light), cracked, dry mucous membranes

Problems with the skin, intestinal and nervous systems

Problems with the skin, intestinal and nervous systems

Depression, insomnia, increased risk for cardiovascular disease, PMS

Hair loss, depression, cardiovascular disease, skin problems

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, asthmatic attacks

Anemia (weakness, tiredness), decreased immune function and  slow wound healing

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Isoniazid

Vitamin B3 (niacin)

Vitamin B6 (pyridoxine)

Vitamin D

Calcium

Problems with the skin, intestinal and nervous systems

Depression, insomnia, increased risk for cardiovascular disease, PMS

Bone and muscle weakness, hearing loss

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Ethambutol (Myambutol)

Zinc

Copper

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue

Rifampin (Rifadin)

Vitamin D

Bone and muscle weakness, hearing loss

Cycloserine (Seromycin)

Vitamin B3 (niacin)

Vitamin B6 (pyridoxine)

Vitamin B9 (folic acid)

Vitamin B12

Calcium

Magnesium

Vitamin K

Problems with the skin, intestinal and nervous systems

Depression, insomnia, increased risk for cardiovascular disease, PMS

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, asthmatic attacks

Excessive bleeding, bone weakening

Para-aminosalicylic acid (Paser)

Vitamin B12

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

Hydroxychloroquine (Plaquenil)

Calcium

Vitamin D

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Bone and muscle weakness, hearing loss

Anticonvulsants

Barbiturates

Examples include:
Phenobarbital (Luminal sodium)
Butalbital (Fioricet, Phrenilin, Fiorinal)

Vitamin B7 (biotin)

Vitamin B9 (folic acid)

Vitamin D

Vitamin K

Calcium

Hair loss, depression, cardiovascular disease, skin problems
Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Bone and muscle weakness, hearing loss

Excessive bleeding, bone weakening

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Phenytoin (Dilantin)

Vitamin B1 (thiamine)

Vitamin B7 (biotin)

Vitamin B9 (folic acid)

Vitamin B12

Vitamin D

Vitamin E

Vitamin K

Calcium

DHA fatty acid

Depression, memory loss, muscle weakness, irritability

Hair loss, depression, cardiovascular disease, skin problems

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

Bone and muscle weakness, hearing loss

Cardiovascular disease, decreased protection against cancer

Excessive bleeding, bone weakening

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Memory loss, neurologic problems

Carbamazepine (Tegretol)

Vitamin B7 (biotin)

Vitamin B9 (folic acid)

Vitamin D

Vitamin E

DHA fatty acid

Hair loss, depression, cardiovascular disease, skin problems

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Bone and muscle weakness, hearing loss

Cardiovascular disease, decreased protection against cancer

Memory loss, neurologic problems

Primidone (Mysoline)

Vitamin B7 (biotin)

Vitamin B9 (folic acid)

Vitamin D

Hair loss, depression, cardiovascular disease, skin problems

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Bone and muscle weakness, hearing loss

Valproic Acid (Depakene/Depacon)
Divalproex sodium (Depakote)

Vitamin B6 (pyridoxine)

Vitamin B9 (folic acid)

Vitamin E

Carnitine

DHA fatty acid

Copper

Selenium

Zinc

Depression, insomnia, increased risk for cardiovascular disease, PMS

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Cardiovascular disease, decreased protection against cancer

Fatigue, muscle cramps/weakness

Memory loss, neurologic problems

Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue

Increased risk of cancer and premature aging

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Antidiabetic

Glipizide (Glucotrol)
Glyburide (Diabeta, Glynase, Micronase)
Glimepiride (Amaryl)

Coenzyme Q10

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Metformin (Glucophage)

Coenzyme Q10

Vitamin B12

Vitamin B9 (folic acid)

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Antihistamine

Hydroxyzine (Atarax, Vistaril)

Melatonin

Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging

Anti-inflammatory drugs

Corticosteroids (prednisone, prednisolone (Orapred), methylprednisolone (Solu-Medrol, Medrol), dexamethasone (Decadron)

Vitamin A

Vitamin B9 (folic acid)

Vitamin B12

Vitamin C

Vitamin D

Calcium

Chromium

Magnesium

Potassium

Selenium

Zinc

Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging

Bone and muscle weakness, hearing loss

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Blood sugar dysregulation, insulin resistance, elevated lipids

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, asthmatic attacks

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Increased risk of cancer and premature aging

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Aspirin

Vitamin B9 (folic acid)

Vitamin B5 (pantothenic acid)

Vitamin C

Calcium

Iron

Sodium

Potassium

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Problems with the skin, intestinal and nervous systems

Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Anemia (weakness, tiredness), decreased immune function  and  slow wound healing

Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Sulfasalazine (Azulfidine)

Vitamin B9 (folic acid)

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Indomethacin (Indocin)

Vitamin B9 (folic acid)

Iron

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anemia (weakness, tiredness), decreased immune function  and  slow wound healing

Celecoxib (Celebrex), ibuprofen (Motrin), mefenamic acid (Ponstel), piroxicam (Feldene), naproxen (Naprosyn)

Vitamin B9 (folic acid)

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anti-Parkinson’s

Levodopa

Potassium

Vitamin B6 (pyridoxine)

SAMe

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Depression, insomnia, increased risk for cardiovascular disease, PMS

Estrogen metabolism alterations, liver disease, cardiovascular disease, insomnia, depression, nervous problems, cell death

Anti-HIV

Zidovudine

Vitamin B12

Copper

Zinc

Carnitine

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Fatigue, muscle cramps/weakness

Respiratory Medications

Theophylline (Theo-24)

Vitamin B6 (pyridoxine)

Depression, insomnia, increased risk for cardiovascular disease, PMS

Albuterol

Potassium

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Cardiovascular Medications

ACE Inhibitors

benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), quinipril (Accupril), ramipril (Altace)

Zinc

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Beta-Blockers

Acebutolol (Sectral), atenolol (Tenormin, Tenoretic), betaxolol (Kerlone), bisoprolol (Zebeta, Monocor), esmolol (Brevibloc), labetolol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard), pindolol (Visken), propranolol (Inderal), sotalol, timolol (Blocadren)

Coenzyme Q10

Melatonin

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging

Calcium Channel Blockers

Nifedipine (Nifedical, Procardia), verapamil (Calan, Verelan)

Potassium

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Cardiac Glycosides

Digoxin (Lanoxin)

Calcium

Magnesium

Phosphorous

Vitamin B1 (Thiamine)

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks

Skeletal problems, low energy

Depression, memory loss, muscle weakness, irritability

Antihypertensives

Clonidine (Catapress), methyldopa

Coenzyme Q10

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Hydralazine (Apresoline)

Vitamin B6 (pyridoxine)

Coenzyme Q10

Depression, insomnia, increased risk for cardiovascular disease, PMS

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Furosemide (Lasix), bumetanide (Bumex), ethacrynic acid (Edecrin), torsemide (Demadex)

Calcium

Magnesium

Potassium

Sodium

Zinc

Vitamin B1 (Thiamine)

Vitamin B6 (pyridoxine)

Vitamin C

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Depression, memory loss, muscle weakness, irritability

Depression, insomnia, increased risk for cardiovascular disease, PMS

Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging

Amiloride (Midamor), triamterene (Dyrenium), eplerenone (Inspra), spironolactone (Aldactone)

Vitamin B9 (folic acid)

Calcium

Zinc

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Chlorthiazide (Diuril), hydrochlorothiazide (Microzide)

Coenzyme Q10

Magnesium

Potassium

Sodium

Zinc

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Cholesterol-Lowering Agents

Atorvastatin (Lipitor), fluvastatin (Lescol, Lescol XL), lovastatin (Mevacor), pravastatin (Pravachol), rosuvastatin (Crestor), simvastatin (Zocor), simvastatin/ezetimibe (Vytorin), lovastatin/niacin (Advicor), atorvastatin/amlodipine (Caduet)

Coenzyme Q10

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Cholestyramine (Questran), colestipol (Colestid)

Vitamin A

Vitamin D

Vitamin E

Vitamin K

Almost any other vitamin or mineral can be affected

Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage

Bone and muscle weakness, hearing loss

Cardiovascular disease, decreased protection against cancer

Excessive bleeding, bone weakening

Clofibrate (Atromid-S), fenofibrate (Tricor)

Vitamin B12

Vitamin E

Copper

Zinc

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

Cardiovascular disease, decreased protection against cancer

Anemia (tiredness, weakness), increased cholesterol, loss of connective tissue

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Gemfibrozil (Lopid)

Coenzyme Q10

Vitamin E

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Cardiovascular disease, decreased protection against cancer

Electrolytes

Potassium Chloride (Klor-Con, K-Dur)

Vitamin B12

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurologic problems

Hormones

Oral contraceptives

Vitamin B1 (Thiamine)

Vitamin B2 (Riboflavin)

Vitamin B3 (niacin)

Vitamin B6 (pyridoxine)

Vitamin B9 (folic acid)

Vitamin B12

Vitamin C

Vitamin E

Magnesium

Selenium

Zinc

Depression, memory loss, muscle weakness, irritability

Problems with the skin (acne, scaly skin), eyes (sensitivity to light, cracked, dry mucous membranes

Problems with the skin, intestinal and nervous systems

Depression, insomnia, increased risk for cardiovascular disease, PMS

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects

Weakened immune system (increased susceptibility to infections and decreased ability to fight off infections), decreased protection against cancer and aging

Cardiovascular disease, decreased protection against cancer

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks

Increased risk of cancer and premature aging

Slow wound healing, decreased immune system function (increased susceptibility to infections and decreased ability to fight off infections), loss of taste and smell, sexual dysfunction

Estrogen replacement therapy

Vitamin B6 (pyridoxine)

Magnesium

Depression, insomnia, increased risk for cardiovascular disease, PMS

Cardiovascular problems such as abnormal heartbeats and blood pressures, weak bones, muscle weakness/cramps, tiredness, anxiety, nervousness, premenstrual syndrome, asthmatic attacks

Anti-Gout

Colchicine (Zyloprim)

Vitamin A

Vitamin B12

Calcium

Potassium

Phosphorous

Sodium

Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Skeletal problems, low energy

Muscle weakness, poor concentration, fatigue, dizziness, nervous disorders, thirst

Laxatives

Bisacodyl (Dulcolax)

Potassium

Tiredness, edema, abnormal heartbeat and blood pressure, mental confusion, dizziness, muscle weakness

Mineral Oil

Vitamin A

Vitamin D

Vitamin E

Vitamin K

Calcium

Phosphorous

Vision problems, unhealthy bones, epithelial tissue (mouth, skin, cervix, bladder, stomach, lungs) damage

Bone and muscle weakness, hearing loss

Cardiovascular disease, decreased protection against cancer

Excessive bleeding, bone weakening

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Skeletal problems, low energy

Antidepressants

Amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin), imipramine (Tofranil), nortriptyline (Pamelor)

Coenzyme Q10

Vitamin B2 (Riboflavin)

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Problems with the skin (acne, scaly skin), eyes (sensitivity to light, cracked, dry mucous membranes

Chlorpromazine (Thorazine), promazine (Sparine), thioridazine (Thioril), fluphenazine (Prolixin), perphenazine, prochlorperazine (Compazine)

Coenzyme Q10

Melatonin

Vitamin B2 (Riboflavin)

Decreased protection against cancer and aging, tiredness, congestive heart failure, increased lipid levels

Insomnia, depression, growth hormone deficiency, blood sugar changes, decreased protection against cancer and aging

Problems with the skin (acne, scaly skin), eyes (sensitivity to light, cracked, dry mucous membranes

phenelzine (Nardil)

Vitamin B6 (pyridoxine)

Depression, insomnia, increased risk for cardiovascular disease, PMS

Thyroid medication

Levothyroxine (Levothroid, Levoxyl)

Iron

Anemia (weakness, tiredness), decreased immune function  and  slow wound healing

Medications used for the gastrointestinal system

Cimetidine (Tagamet), famotidine (Pepcid), ranitidine (Zantac)

Vitamin B9 (folic acid)

Vitamin B12

Vitamin D

Calcium

Iron

Zinc

Anemia (tiredness, weakness), birth defects, abnormal growth of the cervix, increased homocysteine levels which may help contribute to cardiovascular disease, hair loss

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects

Bone and muscle weakness, hearing loss

High blood pressure, thinning and weakening of the bones, muscle cramps, tooth decay, muscle pain, insomnia

Anemia (weakness, tiredness), decreased immune function  and  slow wound healing

Anemia (weakness, tiredness), decreased immune function (increased susceptibility to infections and decreased ability to fight off infections) and  slow wound healing

Esomeprazole (Nexium), dexlansoprazole (Kapidex), lansoprazole (Prevacid), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix)

Vitamin B12

Anemia (tiredness, weakness), depression, increased risk for cardiovascular disease, adverse neurological effects

**Medications not consumed orally (eye drops for example) are not as likely to cause these effects**
**The longer a medication is used the more likely nutrient loss will occur.  One time use of a drug is less likely to cause these effects compared to daily use**
**More information?  Read Dr. James LaValle’s book The Nutritional Cost of Drugs, available at Pharmacy Solutions**

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