How do patients choose cold and cough medicine from pharmacies?

  Mobile health care is flourishing year by year, providing convenience for patients with common and multiple illnesses. Cold and cough is a common disease. Once you have a cold and cough, many people prefer to take medicine on their own or buy random medicines from pharmacies.  As a respiratory physician, from many years of experience, I believe that there are various kinds of cold and cough medicines, and there are many different kinds of cold and cough medicines on the counter of pharmacies. If you have a cold and cough, you should consult a doctor according to your symptoms, signs, your own underlying chronic diseases (such as original chronic bronchitis, original bronchial asthma, original allergic rhinitis, original heart disease, original diabetes, etc.), and even physical and chemical examinations, and then use the medicine accordingly. The Internet consultation, especially the free consultation, has now opened up a wide and easy channel for the majority of cold and cough patients to consult. If cold and cough patients do not improve on their own medication, it is recommended to go to the hospital in a timely manner to check routine blood tests such as routine blood count, blood sedimentation and blood C-reactive protein to determine whether the current viral infection is the main cause, or viral infection followed by bacterial infection, or other factors, especially the so-called other factors caused by cold and cough, the most common other factors are allergic rhinitis, allergic cough, such as nasal congestion, runny nose, sneezing and cough. This kind of nasal congestion, runny nose, sneezing and cough often manifests as cold cough, which generally non-respiratory physicians may not be able to determine immediately and accurately, but only professional respiratory physicians can clearly determine, and professional doctors give you judgment and then give treatment recommendations, so that treatment is targeted and does not delay the disease.  In the network consultation, often give cold and cough patients such advice, early nasal congestion, runny nose, sneezing symptoms, you can take Zheng Chai Hu drink punch for a day, if the next day still nasal congestion, runny nose, sneezing symptoms, with pharyngeal itching, cough, etc., you can change to take cold and fever granules or cold and fever soft capsules or cold and fever punch or cold and fever capsules, etc., if nasal congestion, runny nose, yellow runny nose, cough, coughing phlegm, If you have stuffy nose, runny nose, yellow runny nose, cough, coughing phlegm, coughing yellow phlegm, sore throat or even fever, take Lianhua Qingfei capsule instead. If necessary, add antibiotics to treat the medicine. If there is a fever with an oral surface of more than 38.5 degrees, you can temporarily take a tablet of Sanliacin by mouth. If there is nasal congestion, runny nose symptoms are more serious, cold Chinese medicine does not improve, you can add to take neo-control compound pseudoephedrine hydrochloride extended-release capsule oral symptomatic treatment. Patients will also be reminded here that for antibiotics, for antipyretic drugs such as acetaminophen should pay attention to whether they have a history of allergies, and if they have allergies, they should avoid taking them. The network consultation will also remind that cold and fever granules or cold and fever soft capsule or cold and fever punch or cold and fever capsule is essentially a prescription, patients go to the pharmacy do not know what can buy the right drug, because the dosage form is different, a pharmacy can not have all the drugs, the doctor in the network after the recommended medication, be sure to confide in the patient to see the composition of the drug. Like this medicine is mainly composed of thorny mustard spike, peppermint, windbreak, Chai Hu, Perilla leaf, Pueraria Mirifica, Platycodon grandiflorum, bitter almond, Angelica dahurica, bitter dill, rhizome, evacuating wind and dispersing cold, relieving surface heat, used for wind-cold colds, headache and fever, aversion to cold and body pain, runny nose, cough and dry throat. In this way, cold and cough patients will not deviate when they go to the pharmacy to buy the medicine. Otherwise, patients with cold and cough will definitely follow the non-practitioner’s sales pitch, follow the advertisement and follow their senses when they go to the pharmacy. In fact, it is not that these drugs are the only prescription, for example, a patient with a cold who has a weak constitution will be recommended to use Ginseng cold tablets, etc. Or pharmacies will not have your doctor’s recommended drugs, patients with the drugs bought to consult your doctor, the doctor is the most critical look inside the composition of the drug, to see whether the right symptoms. For example, Sanjiu cold and flu granules, due to the advertising effect of this drug, there are often patients consulting you, I do not know many cold patients do not have a fever, a lot of taking Sanjiu cold and flu granules, Sanjiu cold and flu granules have acetaminophen, in fact, in the early stage of the cold with fever, limb pain can be taken, no fever, limb pain, is not the first choice of drugs, more acetaminophen is not good for the liver The liver is not well served by acetaminophen. Take any cold medicine. It is generally recommended to take it for three days to assess the improvement of your condition, and you can decide whether to continue taking it or adjust it after consulting your doctor. Here is just an example, any drug has its reasonable value, here is not for any drug trade-off. For example, there are even more kinds of cough medicine, how to use Chinese cough medicine such as Qinghe cough granules, Antelope cough syrup, Xiangsheng cough and wheezing, Guilong cough and wheezing, cough orange granules, acute branch syrup, lung nourishing compound, nourishing yin and clearing lung syrup, powerful loquat extract, honey-refined Chuanbei loquat cream, etc.? And how to use western cough medicines such as Asmac, compound licorice combination, Ambroxol tablets, Ketotifen, Shunerin, Dextromethorphan tablets, Codeine tablets? These cough medicines must be used under the guidance of a professional respiratory physician, as using the wrong one or using the opposite one will only delay or even aggravate the condition.  Among the patients with cold and cough, there are many consultants who treat symptoms of nasal congestion, runny nose and sneezing as a cold. It is crucial to ask the consultant what discomfort symptoms he/she has and to know whether he/she has a cold or not. Some symptoms of nasal congestion, runny nose and sneezing are not colds at all, but allergic rhinitis. The two disease control are different. Because of the mistake in determining whether it is allergic rhinitis, often the allergic cough caused by this allergic rhinitis nasal congestion, runny nose and sneezing symptoms is also misdiagnosed, leading to a mistake in treatment medication, resulting in the so-called cold and cough being prolonged.  Among patients with cold and cough, it is common to come across pregnant and breastfeeding patients, for which the question of whether to use medication during pregnancy or breastfeeding is always a common question of consultation. However, there is a principle that patients should be the beneficiaries in the process of receiving treatment. Whether the doctor gives treatment or not, the decision is made by weighing the pros and cons with the patient in mind, and the principle of giving medication to any patient is to benefit the patient the most, and the medication should be safe and effective. In case of cold and cough during pregnancy or breastfeeding, if the symptoms persist, it is recommended to go to the hospital for further blood tests, etc. to determine whether it is a viral or bacterial infection or caused by other factors, which can be determined by the white blood cell count, neutrophil count and ratio, lymphocyte count and ratio or even eosinophil count and ratio in the blood routine. Accordingly, it can be treated with medications that have no effect on pregnancy or breastfeeding. Instead of treatment, it may be detrimental to the baby during pregnancy or affect maternal breastfeeding.  There are also cough patients, often patients consult is how to treat the cough, nothing else to inform the doctor, in the network consultation, the main thing to know the patient in addition to cough, but also to know how long the cough? What are the other symptoms of discomfort? For example, is there coughing and phlegm, sore throat, chest tightness, shortness of breath, and fever? Is the cough heavy during the day or at night? Is the cough dry or sputum, and is the sputum foamy or sticky? Is the phlegm clear or yellow? Are there any symptoms such as nasal congestion, runny nose and sneezing? Do you have a history of smoking? Or any history of passive smoking? Any history of exposure to harmful irritants or odors? Any previous underlying illnesses? Any history of drug allergy? What medications have you used? How effective was the treatment? And so on. If these answers are clear, the doctor can recommend a basic and accurate treatment for the patient, and the patient’s cough can be cured. It is important to seek medical advice scientifically.  Written for consulting patients, I believe the above mentioned science can teach you how to choose cold and cough medicine from pharmacies.