Medication Dosage Monolaurin 600 mg QD Sodium butyrate 800 mg QD Omega-3 Fish oils 2 grams QD Migrelief PRN for headaches Fexofenadine HCL (Mucinex) 600 mg capsule PRN 
Cholestyramine PRN for mold exposure Pertinent physical exam findings included a blood pressure of 110/65; a pulse of 69 bpm; oral temperature of 98.1 degrees Fahrenheit.
Indications for 
Cholestyramine include for the relief of pruritus associated with partial biliary obstruction and also as adjunctive therapy to diet for the reduction of elevated serum cholesterol in patients with primary hypercholesterolemia who do not respond adequately to diet.
[1] observed that the response to 
cholestyramine was better using 10% than using 15% as the cutoff level (response rate 80% vs.
Previous studies reported that 
cholestyramine decreased absorption of levothyroxine from the intestine [58, 59].
These structures are yellow on acid-fast bacillus and are suggestive of BAS (colesevelam [Welchol], colestipol [Colestid], 
cholestyramine [LoCholest, Prevalite, Questran]).
Hirschsprung's enterocolitis, prostaglandins, and response to 
cholestyramine. J Pediatr Surg 1978;13:417-8.
Avoid giving vitamin D with 
cholestyramine, high-fiber cereals, and fiber-based stool softeners.
Decreasing the absorption of levothyroxine is well documented with multiple medications including ferrous sulfate and 
cholestyramine; increasing levothyroxine requirements with amiodarone and rifampin and decreasing efficacy with simvastatin has also been shown.
Treatment includes ursodeoxycholic acid (UDCA) or 
cholestyramine to bind bile salts.
* Cholesterol-lowering drugs: Colestipol (Colestid), 
cholestyramine (Questran), and colsevelam (Welchol)
UDCA has no effect on the pruritus, and given the unavailability of 
cholestyramine in South Africa, UVB phototherapy as advised by a dermatologist was successfully utilised.