It is generally safe to get your COVID-19 vaccine while taking Rive-Ls (rabeprazole/levosulpiride), Normaxin (chlordiazepoxide/clidinium), Inderal 10 (propranolol), Zincovit, and Limcee. These medications do not interfere with the vaccine's effectiveness or safety. However, make sure you do not have an active fever or severe dehydration on the day of your appointment. I highly recommend a quick check-in with your prescribing doctor to ensure your symptoms are stable enough for the vaccination.

Your previous medications, like Pantosec (pantoprazole) and Librax/Normaxin, directly target stomach acid and gut spasms. The new prescription of a deworming medicine, Metrogyl (metronidazole), and Udiliv 300 (ursodeoxycholic acid) suggests your doctor may suspect an underlying parasitic infection or gallbladder issue contributing to your symptoms. However, taking strong antibiotics and bile acids without an in-person evaluation or diagnostic tests (like an ultrasound or stool test) may not be ideal. I gently recommend having an in-person consultation with a gastroenterologist to confirm this new diagnosis before starting these medications, ensuring you get the safest, most effective relief.

It is highly reassuring that your endoscopy and ultrasound are normal, ruling out serious structural issues like ulcers. Often, persistent mild pain with normal scans points to a functional gut issue, like Irritable Bowel Syndrome or gut sensitivity, where the stomach nerves are temporarily oversensitive. Taking multiple medications together can also sometimes cause mild irritation. Please share these normal results with your doctor so they can help tailor a gentle management plan, focusing on gut health and stress reduction.

Since your blood pressure and blood sugar are normal, a very likely cause is your new medication, Normaxin RT. It contains active ingredients, including chlordiazepoxide for anxiety, which commonly cause mild drowsiness or lightheadedness as your body adjusts. Prolonged screen time can also sometimes compound this sensation. Please be reassured that this is a common and manageable side effect. I highly recommend consulting your prescribing doctor, who can easily adjust the dosage or timing to help you feel much better during work hours.

Both Buscopan (hyoscine butylbromide) and Normaxin (clidinium and chlordiazepoxide) help relieve abdominal spasms, but they work differently. Buscopan is a targeted antispasmodic, making it excellent for quick relief of general, acute stomach cramps. Normaxin contains an antispasmodic combined with a mild sedative, making it better suited for cramps triggered by stress or Irritable Bowel Syndrome (IBS). For simple, direct cramp relief, Buscopan is often the preferred starting choice. Please consult a doctor to determine which medication safely aligns with your specific symptoms.

Since Normaxin (chlordiazepoxide/clidinium) is not helping, pain and numbness in your upper right belly worsened by sitting may point to a musculoskeletal or nerve issue, like intercostal nerve irritation, rather than an internal organ problem. Sitting can compress these nerves, especially after eating. Since you are taking Nexito Plus (escitalopram/clonazepam), managing anxiety is key, as stress can amplify nerve sensations. I suggest discussing a physical rib exam or nerve evaluation with your doctor.