As the weather gets colder every day, colds are becoming a concern for friends with coronary artery disease. As introduced earlier, whistle infection is an important risk factor for triggering and aggravating deterioration or insufficiency of heart function, and cold, the most common upper whistle infectious disease. So, for patients with coronary artery disease, can they take cold medication as freely as others? Cold medicine can be broadly divided into proprietary Chinese medicine and Western medicine. Among them, Chinese medicine can be divided into cold medicine and wind-cold medicine. Western medicines are mainly non-steroidal anti-inflammatory drugs, and sometimes antibiotics. To answer the above questions, you should start by understanding each major category of drugs. Wind-cold cold medicine Patients suffering from wind-cold cold mostly have symptoms and signs such as vicious cold, fever, no sweat, thin white moss, floating and tight pulse; mostly seen in the autumn and winter seasons, mostly caused by the feeling of cold evil. Therefore, the wind-cold cold medicine mostly consists of some drugs to dispel the cold, the medicinal properties are mostly warm, such as ephedra, wind, dahurica, perilla, Qianhu, half summer, etc., common Chinese medicine such as “cold and fever granules”, “Tongxuan lung pill” and so on. Wind-heat cold medicine Patients suffering from wind-heat cold are mostly characterized by fever, sweating, chilliness, red tongue with yellow coating and floating pulse. Most of the illnesses are caused by the external evil of wind-heat, which mostly occurs in spring and summer. Wind-heat cold medicine is mostly composed of mint, honeysuckle, forsythia, bupleurum, gypsum and other drugs that disperse wind-heat and clear heat and detoxify. If you have a cold and can’t go to the hospital, you can check yourself according to your symptoms and signs and use the right medicine to avoid using the wrong medicine and delaying your illness; it should be noted that the Chinese medicines on the market vary greatly from hospital to hospital and from region to region, so you should read the instructions carefully after getting the medicine. In addition, for patients with coronary heart disease who are taking traditional Chinese medicine, for insurance purposes, if you want to take Chinese medicine for cold and flu without medical advice, you can temporarily stop using traditional Chinese medicine for heart conditioning to avoid conflicts between the two in terms of medicinal properties. Western medicine The common cold western medicine on the market can often quickly relieve fever, nasal congestion, runny nose, headache and other symptoms, and generally contains a variety of ingredients, of which non-steroidal anti-inflammatory drugs (NSAIDs) are the most common drug ingredients. From the point of view of drug interaction, patients with coronary artery disease are not allowed to take anti-flu western medicine. NSAIDs are also called “antipyretic and anti-inflammatory drugs” and are commonly used for colds: acetaminophen (paracetamol), ibuprofen, aspirin. Many compound preparations on the market will contain aspirin, the content of which is generally 200mg-250mg/tablet, which should undoubtedly be noted and taken seriously by patients with coronary heart disease who take aspirin on a daily basis. If the patient normally takes aspirin steadily, and the cold medicine of choice also contains aspirin, it will cause too much aspirin intake, which may cause bleeding, gastrointestinal damage and other adverse events to occur. NSAID drugs generally have the side effect of gastrointestinal damage, among which acetaminophen has less gastrointestinal damage, while ibuprofen has more gastrointestinal damage. Therefore, for patients who take antiplatelet drugs such as aspirin for a long time and cause peptic ulcer or even gastrointestinal bleeding, they should try to avoid ibuprofen and can choose acetaminophen. Since aspirin belongs to the classical NSAID, patients who are allergic to aspirin should not take other NSAID drugs. Many patients with coronary artery disease combined with atrial fibrillation or other thrombotic diseases are themselves already on stable use of anticoagulants (coumarins such as warfarin), and ibuprofen, aspirin, and acetaminophen can all enhance the anticoagulant effect of anticoagulants to varying degrees, creating a risk of bleeding. Therefore, it is best to consult a physician’s advice when choosing anti-cold medications for such patients.