
Had Brain Tumor Removed. Taking Keppra, Tribenzor, Metformin, Fish Oil Vitamins. What Are The Interactions If Any?

Thanks for your query.
Keppra is an anticonvulsant which is given to prevent seizures as brain tumor surgery patients are prone for seizures.
Other drugs which you are taking usually have no significant drug interactions except tribenzor is known to reduce the effect of metformin. Hence you need to monitor blood sugar carefully and adjust the dose of metformin accordingly.
Metformin's most common side effect is diarrhea. But couple of times of diarrhea is acceptable because sugar control is more important. If diarrhea persists then you need to talk to your physician about changing drug. So, there is no need to stop metformin at this stage.
Be careful about not taking too much SuperD3 vitamins on your own without consultation. It could result in hypervitaminosis.
I am happy to help you if you have any other queries.
Take care
Dr. Balaji Chinnasami

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