Hello and thank you for sending your question.

This is a very good question and I will work on providing you with some information and recommendations.

Your concern is appropriate. These two medications when taken together could potentially cause increase in sedation.

If you take both of these medications together you should work very closely with your primary care provider and discuss possible side effects.

I cannot say that this is a safe combination. I will say at the same time that this might be the combination that you need to control your symptoms. Again this is why I would encourage you to discuss this with your doctor.

Thanks again for sending your question. Please let me know if you have any additional follow-up concerns that you would like to review with me.

Dr. Galamaga

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Hello again,

It is possible that this combination might make you feel weak and tired. I don't necessarily think it would cause you to fall. Your doctor is the best judge of how these medications will work for you. a short trial of this combination might not be a bad idea and then you can review your symptoms and progress with your primary care doctor.

Thanks again for sending your question.

Dr. Galamaga

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