Should I take common rheumatology drugs before or after meals?

  As we all know, there are “fasting” and “full stomach” for taking medicine. Many drug instructions are marked “take before meals” or “take after meals”. What is considered “before meals” and what is considered “after meals”?
  ”Take before meals” means that the drug needs to be taken on an empty stomach, one hour before or two hours after a meal to facilitate absorption. If you eat a large snack just before eating, then the “before meals” is not “fasting”, and can not be considered a real “before meals”. And “take after meals” refers to a full stomach 30 minutes after the meal to take drugs, the use of food to reduce drug stimulation of the stomach and intestines or to promote the absorption of drugs in the stomach and intestines. Likewise, if you eat a lot of snacks just before a meal, there is no need to be dogmatic and have to wait until after the meal to take the drug, because at this time you are already “full”. Taking medication on an empty stomach helps the drug to disintegrate (dissolve) and be absorbed in the gastrointestinal tract, which makes it more effective. In addition, the effect of certain substances in food on the drug is also excluded. To take according to the drug instructions, not all drugs are taken on an empty stomach.
  I. Hormones
  For example: methylprednisolone (Medrol), prednisone acetate, prednisolone acetate, usage: best taken at once after breakfast. Hormone drugs can not add or subtract drugs at will, please follow medical advice!
  Immunosuppressants
  1.Cyclosporine (cyclosporine A, Sethira, Neo-Sethira, Tianke, Neo-Sandiamin) Usage: Take after meals
  2, Azathioprine usage: take after meals.
  3.Mortimerol (cycloxapine, primaquine) usage: take on an empty stomach.
  4.Methotrexate usage: one day a week after meals, with folic acid supplementation on the third day.
  5. Cyclophosphamide use: take after meals.
  6.Thalidomide Usage: Take every night before bedtime.
  7.Raglan polysaccharide Usage: Take after meals.
  8, tacrolimus usage: take 1 hour before or 2-3 hours after meals.
  Third, chronic anti-rheumatic drugs
  Lupronil, Leflunomide (Toloxil, Airova), hydroxychloroquine sulfate (Fenle, Sainan), Paeoniflorin (Pavlin) Usage: take after meals.
  Fourth, non-steroidal anti-inflammatory drugs
  Diclofenac sodium, meloxicam, loxoprofen, celecoxib, aspirin, indomethacin, acetaminophen (Tylenol) usage: take after meals.
  V. Uric acid excretory drugs
  Benzbromarone usage: take after meals, avoid stimulating diet after use.
  Six, inhibit uric acid production
  1. Allopurinol Usage: Take after meals.
  2. Colchicine usage: take after meals.
  Other auxiliary drugs
  1.Chondroprotective agents: Glucophage, Vigorix Usage: Take after meals.
  2, calcium supplement: calcium carbonate usage: take after meals.
  3.Promote calcium absorption: osteochondriol (Rogaine, Gaisan Chun) Usage: take after meals.
  4.Anti-pain: herbicidin Usage: take after meals, at least 6 hours between doses.
  5.Generate fluid and increase saliva: Bromhexine Usage: Take after meals.
  6.Treatment of pulmonary fibrosis: acetylcysteine (Evelox) Usage: Take after meals.
  7.Reducing pulmonary hypertension: Sildenafil (Viagra) Usage: Take after meals
  8, prevention and treatment of osteoporosis: alendronate sodium (Fosamax, Gubang) Usage: need to be fixed one day a week to take. Take the drug in the morning on an empty stomach, need to use 300ml of water to deliver, keep the upper body upright for half an hour after taking the drug.
  9, gastrointestinal motility drugs: morpholine Usage: take 30 minutes before meals.
  10, hypoglycemic drugs: Usage: most of the 30 minutes before meals or at meals, a small number of meals taken after.