A. Notes on medication for patients with myasthenia gravis.
1, drugs that aggravate or induce myasthenia gravis include.
(1) Morphine-based painkillers.
(2) Narcotics, such as ketamine, prilamine, lidocaine, procaine, etc.
(3) muscle relaxants, such as arrowroot and D-barrel arrowroot bases, trimethoprim and decamethoprim
(4) antirheumatic agents, such as D-penicillamine
(5) Adrenergic blocking agents, such as tretinoin, tretinoin, tretinoin, etc.
(6) Depolarizing drugs and membrane stabilizers such as quinine, quinidine, and procainamide
(7) antiepileptic drugs, such as phenytoin sodium, trimethoprim and carbamazepine
(8) Antipsychotics such as chlorpromazine, phenelzine, and promethazine
(9) sedative-sleeping drugs, such as chloral hydrate, barbiturates and tranquilizers. Now we also find that cold medicines containing paracetamol can also cause exacerbation of myasthenia gravis symptoms.
(10) Snake venom preparations.
(11) Botulinum toxin.
(12) Others, such as oxytocin, peptidase, tetanus antitoxin and sulfonamides.
2. Antibiotics that aggravate or induce myasthenia gravis.
(1) Polymyxins, including polymyxins A and B and mucilage.
(2) Tetracycline family antibiotics, including tetracycline, chlortetracycline, oxytetracycline and doxycycline.
(3) Aminoglycoside antibiotics, including gentamicin, streptomycin, kanamycin, barongomycin, tobramycin, fosfomycin A, ethyl zithromax and guantanamycin.
(4) Others, with viomycin, lincomycin, clindamycin, vancomycin and bacitracin.
3.How to choose antibiotics for patients with myasthenia gravis.
(1) Penicillin antibiotics, such as penicillin, ampicillin, carbenicillin.
(2) Cephalosporin antibiotics, such as Pioneerbi, ceftazidime, cefotaxime sodium.
(3) Macrolide antibiotics, such as erythromycin, leucomycin, azithromycin, cross-trimoxazole, etc.
(4) Chloramphenicol.
Second, the diagnosis and treatment of patients with myasthenia gravis should be noted.
1, when patients are found or suspected of having myasthenia gravis, they should first go to the neurology department, and the tests that should be done include neostigmine test or tensilon test, antibodies related to myasthenia gravis in serum, and laboratory tests related to hyperthyroidism, because some patients may have hyperthyroidism at the same time, and only myasthenia gravis and hyperthyroidism can be treated at the same time for better results.
2, about surgical treatment: At present, thymectomy therapy has been used abroad as the first choice for the treatment of myasthenia gravis. As long as after a period of regular drug treatment, myasthenia gravis symptoms are satisfactorily controlled, surgery should be considered. Patients who need surgery can be seen in cardiothoracic surgery.
3, once patients with myasthenia gravis are injured or suffer from other diseases, they must go to a regular hospital as soon as possible, and refrain from prescribing to themselves! When taking anti-myasthenia gravis drugs, be sure not to adjust the dose of the drug at your own discretion.