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Before and After Meal Medications

Many have been wondering why certain medicines should be taken before meals and some should be taken after meals or with food. This is because of the different interactions of specific medications with food in the stomach.

Some medicines cause stomach upsets or GI (gastrointestinal) tract disturbances when taken with an empty stomach. Most anti-inflammatory drugs for example are advised to be taken with food or directly after meals. (see table below: TAKEN WITH FOOD OR AFTER MEAL MEDICATIONS)

On the other hand, most antibiotics are recommended to be taken before each meal (usually an hour or two before). Drugs under this category are most effective and are quickly absorbed with an empty stomach. (see table below: BEFORE MEAL MEDICATIONS)


BEFORE MEAL MEDICATIONS

Generic Name

Extra Reminder

Generic Name

Extra Reminder

Alendronate


Oxacillin


Ampicillin


Penicillamine


Astemizole


Perindopril


Bethanechol


Repaglinide


Bisacodyl


Rifampin


Captopril

1 hour before meals

Rifabutin


Cefibuten


Riluzole


Cilostazol


Roxithromycin

Take 15 minutes before meal

Ciprofloxacin

Can also be taken with meals but it is best to take with an empty stomach

Sucralfate


Demeclocycline


Sulfadiazine


Dicloxacilling


Sulfamethoxazole


Etidronate


Tetracycline

Never take with milk and other daily products

Felodipine


Tolcapone


Indinavir


Zafirlukast


Lansoprazole

Take right before meal

Zalcitabine


Levothyroxine




Mycophenolate




Omeprazole





TAKEN WITH FOOD OR AFTER MEAL MEDICATIONS

Generic Name

Extra Reminder

Generic Name

Extra Reminder

Allopurinol

Take right after meal

Metronidazole


Atovaquone


Misoprostol


Augmentin


Methanamine


Aspirin


Mebendazole


Amiodarone


Methylprednisolone


Baclofen


Naltrexone


Bromocriptine


Naproxen


Clofazimine


Nelfinavir


Carvedilol


Nitrofurantoin


Carbamazepine


Niacin


Cefpodoxime


Olsalazine


Chloroquine


Perphenazine


Cimetidine


Pentoxifylline


Diclofenac sodium and potassium


Pergolide


Divalproex sodium


Piroxicam


Doxycycline


Potassium salts


Felbamate


Prednisone


Fenofibrate


Procainamide


Fiorinal


Ritonavir


Fludrocortisone


Salsalate


Fenoprofen


Saquinavir


Griseofulvin


Sevelamer


Glyburide

Taken after breakfast

Spironolactone


Hydrocortisone


Sulfasalazine


Hydroxychloroquine


Sulfinpyrazone


Ibuprofen


Sulindac


Indomethacin


Ticlopidine


Iron preparations

Take between meals-if GI upset occurs

Tolmetin


Itraconazole


Trazodone


Ketorolac


Troglitazone


Lithium


Valproic acid






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