In life, many people have a small medicine box at home, like to take some medicine when they are sick, but you know the learning inside?
There are many misconceptions about people taking medicine: 1, believe in gossip, small advertisements, believe in prescriptions hear others say it works, they also want to try.
Each person’s physiological condition is different, suffering from different diseases, doctors have to dialectical treatment. The hospital will naturally use the good medicine first. Beijing Chaoyang Hospital comprehensive department Chen Qing 2, long-standing illness into a “good doctor”, have a disease to adjust their own medicine.
Do not understand the “different treatment of the same disease, different diseases with the same treatment”, do not understand that disease and physical condition is constantly changing. To stay the same in response to changes. For example, antimicrobial agents, commonly known as anti-inflammatory drugs, no matter where the inflammation is served a drug, which is wrong, because different bacteria on different people, different parts of the infestation damage is not the same strength, such as respiratory tract infections obtained in the community is not quite the same as the infection obtained in the hospital, some are different types of bacteria, some bacteria are not the same degree of sensitivity to antibiotics, the same bacteria, a certain period of time with a certain antimicrobial agent effective, after a period of time The same bacteria, a certain period of time with a certain antimicrobial agent effective, after a period of time will not work, bacteria quickly produce resistance, some people take the same antimicrobial agent for a long time, making the body of bacteria mutation and resistance. Therefore, a period of these bacteria multiply up, it is difficult to find an effective antimicrobial, why the clinical antimicrobial more and more, the more advanced, is the use of antibiotics too much, even chicken and fish are given antimicrobial, nature’s microorganisms have changed, the past effective antimicrobial, now use also failed, even some rare bacteria also appear in people. It puts a lot of pressure on clinical treatment. For different bacteria in different parts of the infection, the medication is also different, such as skin infections in diabetic patients are mostly cocci, urinary tract infections are mostly bacilli, etc. The bacteria targeted by different antimicrobials are not the same. Sometimes the antimicrobial is right, the body may not be able to withstand, such as allergies, the impact of liver and kidney function.
3, do not know the drug interactions.
Multi-drug for one disease, or multi-drug for many diseases, heard that it works and use it, there is no priority, sequential or physical conditions. The human body is an organism, foreign chemicals, after the body’s processing some will become non-toxic substances out of the body, some will become more toxic. Different chemicals are metabolized by different pathways. The human body generally metabolizes and processes foreign compounds through an enzyme called P450, which has six sub-channels. If we take more than two kinds of drugs, we have to choose drugs that are metabolized from different channels in order to possibly reduce the interaction between drugs. For example, when caffeine and theophylline drugs are combined with quinolones, the elimination rate can be reduced, and it is easy to increase the adverse effects of caffeine and theophylline drugs, causing excessive excitement in the central nervous system. There are also Ketoconazole, Itraconazole, Erythromycin, Clarithromycin, Vinpocetine, Mebendil, Metronidazole, Fluoxetine, Fluvoxamine, Nafazodone, Paroxetine, Sertraline, Ractonavir (Ratonavir), Grapefruit juice are metabolized through P450 (CYP3A4), so caution should be exercised if combined.
4. It is believed that Chinese medicine has no side effects.
Chinese medicine sometimes does not write side effects because it does not understand its side effects, because they are compound preparations, even if there are side effects, it is not clear which herbs, because Chinese medicine has its own secret recipe in the past, there is a lack of large-scale clinical control tests to illustrate the effectiveness of this prescription, and there is also a lack of scientific testing methods to detect the active ingredients in Chinese medicine, and it is not clear which of these ingredients are good effects and which are bad effects? With the development of society and the improvement of science and technology, the effects and side effects of Chinese medicine are becoming clearer. For example, the effect of “Mouton” on the kidney.
In addition, nowadays, Chinese medicine is overly westernized, and various syrups and oral liquids are available for men, women and children, which has deviated from the Chinese medicine’s “looking, smelling, asking, cutting, and treating with evidence”.
Some Chinese medicines have many side effects when interacting with western medicines. Organic acid-containing Chinese medicines such as umeboshi, hawthorn, shamrock and schisandra can be combined with strong alkaline western medicines such as sodium hydrogen phosphate, gastrodia, aminophylline, etc., which can lead to acid-base neutralization reactions, and the efficacy of both will be affected; if combined with sulfonamides, it can aggravate the damage to the kidneys. The combination with sulfa drugs can aggravate the damage to kidney. It may form complexes with western medicine tetracycline antibiotics and isoniazid under the action of gastric juice, which may affect the efficacy. Some drugs, such as “chasing wind and penetrating bone pill” caused by “hemolysis”; Chinese patent medicines containing Xiong Huang, such as Liu Shen Wan, Niuhuang Detoxification Pill, Angong Niuhuang Wan, etc., should not be taken with ferrous salts, nitrite, because the arsenic sulfide in Xiong Huang generates soluble arsenate sulfide and increases toxicity and reduces the efficacy. The arsenic sulfide in Xiong Huang produces soluble arsenic sulfide and increases toxicity, reduces the therapeutic effect and has a damaging effect on the mucosa of the digestive tract. Chinese medicines containing cinnabar, such as Brain Tonic Kidney Pill, Cinnabar Tranquilizer Pill, Ren Dan, Qi Zhen Dan, Zi Xue Dan, Qi Li San, Guan Xin Su He Wan, Su He Xiang Wan, etc., should not be taken with reducing western medicines such as ferrous sulfate, nitrites, potassium iodide, sodium iodide, potassium bromide, sodium bromide.
5.Do not adjust the treatment plan after the body changes.
Such as cold and fever, pregnancy, etc. Therefore, when the body changes and other drugs need to be added, ask your doctor, and some doctors may not always understand. For example, in the case of allergy, drugs to which you were not allergic in the past can also cause allergy, and some of them are the same kind of drugs, but the batch number has changed. Sometimes the body has changed: such as people with gastrointestinal ulcers, high uric acid, high creatinine, asthma, aspirin should be cautious, it is better to replace it with other drugs; betalactam should not be used in people with Raynaud’s phenomenon, limb ischemia, low blood sugar, asthma, psoriasis.
6. The relationship with diet is not clear.
If enteric aspirin is taken before or after meals? Is it to be taken in the morning or at night? Some doctors say different things, you know, where the drug is absorbed, and the characteristics of the drug is very related, such as aspirin enteric tablets in an acidic environment, stable, in an alkaline environment before disintegration, intestinal fluid is alkaline, gastric fluid is acidic, such as after eating stomach acid is diluted, acidity decreased, so when taken, aspirin early disintegration, it will stimulate the stomach. Even if you take aspirin on an empty stomach, it can lead to gastritis over time, but the mechanism of action is not the same thing. Since it is more difficult to do fasting at night, it is good to take aspirin enteric soluble tablets in the morning on an empty stomach. Another example is that diabetes medicine is based on the principle of action of the drug to be divided into before meals, meals, after meals to take, and not to consider the impact on the gastrointestinal, if the meal does not want to eat can not take the drug, otherwise there will be serious hypoglycemia, or even coma.
7, the use of drugs regardless of age and size.
Some drugs are not suitable for both young and old, that is, do not take a drug for the whole family of men, women and children alike, the absorption and elimination of the drug is different for people of different ages, the sensitivity to the drug is also different, and the side effects of the drug are different, depending on the situation, such as children (12 years old) can not take drugs like haloperidol, Rifaximin, Lerixin, Colapidol. For example, children (12 years old) should not take drugs such as haloperidol, rifampicin, lorazepam, clobetasol, etc. People with epilepsy or psychosis should consult a doctor when taking such drugs.
8. Do not inform your doctor of the drugs you are taking at the same time when you go to the doctor.
Some people, especially the elderly, have a lot of diseases, and sometimes see more departments and doctors, different doctors prescribe different drugs, and sometimes do not pay attention to comprehensive consideration, each prescribing their own drugs, the patient took the drugs home, thinking that each drug must be served, but do not know that the chemical reaction between drugs. Different chemicals are metabolized by different pathways, and the body generally metabolizes foreign compounds through an enzyme called P450, usually through six subchannels. If we have to take more than two drugs, we have to choose drugs that are metabolized from different channels in order to possibly reduce drug interactions. For example, when caffeine and theophylline drugs are combined with quinolones (such as haloperidol, rifampicin, lorazepam, colestipol, bactrim, etc.), the elimination rate can be reduced and the adverse effects of caffeine and theophylline drugs can easily be increased, causing overexcitation of the central nervous system.
For example, when people who have been taking statin lipid-lowering drugs (e.g. Sulforaphane, Kybixin, etc.) for a long time need to use drugs with macrocyclic lipids (e.g. erythromycin, azithromycin), they can cause serious side effects such as rhabdomyolysis and renal failure, so they have to stop or change the drugs first, which requires the patient to inform the doctor of the drugs you are still using. Therefore, when the organism changes and other drugs need to be added, ask the doctor.
It is said that one-third of diseases are eaten and one-third of diseases are treated. That is why hospitalization for minor diseases sometimes gets worse and worse, even death, especially over-medication, which causes many medically-derived diseases, therefore, sometimes it is necessary to stop some drugs and use them in periods of time, and some drugs sometimes need to be adjusted to other drugs with similar effects, which needs to be done following the doctor’s words and also reading the instructions, and also informing the doctor You should also inform your doctor of the medications you are currently taking and those you have used recently, as well as your current health condition: pregnancy, breastfeeding, fever, diarrhea, etc., to avoid adverse reactions.