I am an RN and do home care. I care for a 12 year old child that have numerous problems. Blind, deaf, he has a deteriorating muscle and nerve disease. Several genetic tests have been done although it has not been determined as to what disease process it is. He has had increased problems with his bowel function. Days that he won t eat, vomiting at times and obvious pain. He is not able to tell us where the pain is but we are assuming it is in the gastric system somewhere. He was recently started on cyrohepatadine. I have read that it recommended not to give with several meds. The three I am concerned about are azithromycin, ondansadron and amitriptyline. Patient is on all three of these meds. What are your thoughts