note! Stay away from these medication misunderstandings

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As living standards improve, people's emphasis on health continues to increase. However, the situation of safe drug use among residents in China is not optimistic, and there are some cognitive misunderstandings.

Recently, the Chinese Pharmaceutical Association collected 78.52 million valid answers from the previous “National Drug Safety Network Knowledge Contest”, and combined with the “12th Five-Year” National Science and Technology Support Program “Safe and Rational Drug Evaluation and Intervention Technology Research and Application” Knowledge, Attitude and Behavior Investigation and Analysis Technology, which sorts out 10 safe drug misunderstandings with high public misunderstanding rate, high potential risk and difficult behavior correction. Ding Lixia, vice chairman and secretary-general of the Chinese Pharmaceutical Association, appealed to everyone not to believe in advertising when they use drugs, not to listen to rumors, to take medication and to read the instructions.

Misunderstanding 1:

Taking health care products as medicines

Some elderly people, especially those with chronic diseases, are worried about the toxic side effects of long-term medication, and they are also eager to be healthy. They mistakenly believe that health foods are effective against diseases and are directly taken as medicines. According to reports, 52-year-old "senior" sugar friend Ms. Li thought that eating health supplements would not require insulin to control blood sugar, and as a result, blood sugar did not fall and rose, causing complications.

From research and development to clinical use, the drug has undergone scientific and rigorous demonstration and experimentation and has therapeutic effects. However, health food is not a medicine. It is a food with specific health functions. It has no clinical therapeutic effect and cannot replace medicines. Therefore, consumers should not blindly regard health care products as “life-saving straws”. They must strictly abide by medical advice and scientific drugs; stop drugs or use health foods to control their illness, but they will delay their illness.

Experts pointed out that patients with chronic diseases such as hypertension and diabetes still need long-term medication. Everyone should treat it correctly, use it rationally under the guidance of a doctor, and do not believe that health food can be used instead of drugs, so as not to cause a variety of serious acute and chronic complications, cardiovascular and cerebrovascular diseases, and even life-threatening.

Misunderstanding 2:

Multi-drug overlay

Many people think that it is better to take more medicines when they are sick. This is wrong! According to reports, a cold patient was relieved of symptoms as soon as possible, taking three kinds of cold medicine at random, resulting in hematuria, diagnosed as acute glomerulonephritis.

Expert suggestion: When purchasing a drug, the consumer should first identify the generic name of the drug, determine the component of the drug, find out whether the drug is symptomatic, and whether the same ingredient is present in the drug that he is taking, so as to avoid buying the wrong drug or repeating the drug, resulting in Serious consequences.

There is no need to use two drugs for a disease that can be treated with one drug. If the patient is suffering from a variety of diseases, see a multi-discipline, open a variety of drugs, may take more than a dozen drugs at a time. In this regard, everyone should choose the necessary drugs with the help of doctors, and resolutely stop using unnecessary; in addition, drugs containing the same ingredients should not be taken repeatedly, so as to avoid the overlapping of drug doses, leading to adverse reactions and even life-threatening.

Misunderstanding three:

Feel free to change the dosage

Due to the general lack of knowledge about safe medication in the public, there are some misunderstandings in family medicine, such as random adjustment of dosage and random dressing. According to reports, Mr. Zhao suffered from high blood pressure for many years, taking medication on and off, and even stopped the drug without authorization. As a result, he suddenly suffered from cerebral hemorrhage and almost died.

Many hypertensive patients do not take medication according to the doctor's prescription, medication is irregular, and the symptoms disappear and the drug is stopped immediately. This is very dangerous. Most antihypertensive drugs need to take about 1 week to achieve maximum efficacy. Sudden increase or change to other antihypertensive drugs can easily lead to blood pressure fluctuations, which will increase the risk of stroke and myocardial infarction. Therefore, high blood pressure drugs need to be regularly used under the monitoring of sphygmomanometers to keep high blood pressure in a reasonably stable fluctuation range. In addition, some patients use an antibacterial drug for a day or two, and the symptoms are not significantly improved, and they can be added or replaced with antibiotics. In fact, the efficacy of antibacterial drugs depends on the effective blood concentration and drug treatment. Random dressing can not only completely kill the bacteria, but also make the bacteria resistant and increase the difficulty of treatment.

Misunderstanding 4:

Free drug storage

Children's curiosity and imitation ability are strong. Some medicines are very attractive in shape and color. In addition, parents are not properly stored, and children are easy to eat when they are ingested, causing illness and even life-threatening. In recent years, children’s poisoning incidents due to misuse of drugs have been commonplace, and the fact that household medicines are stored too randomly is one of the main causes of children’s misuse of drugs.

In this regard, parents should first choose a medicine with a child's protective cover when purchasing children's medicines, so that it is not easy for children to open the medicine bottle; it is necessary to store the medicine in a place that children cannot see or can't reach. Once the child is found to have taken the medicine by mistake, the parents should seek medical attention nearby to avoid missed treatment. At the same time, don't forget to take the wrong medicine and bottle for the doctor to identify and make the treatment targeted.

Misunderstanding 5:

Blindly believe in OTC

Compared with prescription drugs, over-the-counter drugs (OTC) have high safety, are not easy to cause drug dependence, drug resistance or tolerance, and are not easy to accumulate in the body, and the incidence of adverse reactions is low. But over-the-counter medicines are also medicines, and there is absolutely no adverse reaction. According to reports, a woman was bitten by a mosquito and applied to the oil, causing an allergic reaction due to allergies, leading to contact dermatitis.

Over-the-counter medicines are medicines that can be purchased directly from a pharmacy without a doctor's prescription and can be safely used without the need of a doctor's advice. However, some non-prescription drugs can cause serious adverse reactions in a few people, so they should be taken strictly in accordance with the instructions for use. If you take three or five days of over-the-counter medicine, the patient's symptoms have not improved significantly, or rash, high fever and other abnormalities, you should immediately stop the drug and go to the hospital.

Misunderstanding six:

Addictive drugs should be identified

In life, in addition to anesthesia painkillers, sleeping pills can cause drug addiction, some common drugs, such as long-term use, will also make people physically and psychologically dependent, addictive is difficult to quit. Some of the essential medicines such as painkillers and antitussives contain ingredients that can make people addicted. If you take them at will, it is easy to get rid of the drug addiction without knowing it! For example, the commonly used antitussive compound licorice tablets include opioids in the composition, and may be addictive for a long time. Generally, the drug must be discontinued for up to 5 consecutive days.

Repeated use of addictive drugs can lead to physical and mental dependence. After withdrawal, there will be withdrawal symptoms, such as lack of energy, yawning, body aches, insomnia, etc. In severe cases, seizures and even shocks may occur.

Experts remind that when taking medicine, patients must take it according to the doctor's prescription or drug instruction manual. Do not take it repeatedly to avoid addiction.

Misunderstanding seven:

Pregnant women are afraid to take medicine

For the mother, in addition to the joy and expectation of nurturing a new life, it will inevitably be accompanied by uneasy emotions, for fear of inadvertently hurting the fetus. To this end, many expectant mothers refused to take medicine after they became ill. In life, it is not uncommon for pregnant women to refrain from taking medicine and endangering their own and fetal health.

So, can the expectant mother use the medicine? At present, China has adopted the standards set by the US Drug and Food Administration for pregnant women. The classification of drugs according to different hazards is as follows: Class A drugs: safe for pregnant women, no harm to embryos and fetuses; Class B drugs: safe for pregnant women, The fetus is basically harmless; Class C drugs: only teratogenic or killing of the embryos in animal experiments, not confirmed in human studies, pregnant women need to weigh the pros and cons; Class D drugs: there is clear evidence of fetal harm, unless pregnant women After using the drug, there is an absolute effect to choose to use; Class X drugs: can make the fetus abnormal, and it is forbidden to use during pregnancy.

It can be seen that not all pregnant women can use it. The most dangerous period of pregnancy medication is the first 3 months of pregnancy, when the fetus is in the developmental stage, the most vulnerable to drug attacks, therefore, try not to use any drugs during this period. When you need to take medicine during pregnancy, the correct way is to carefully read the “Pregnant and lactating women medication” in the drug label. It is best to choose a relatively safe drug under the guidance of a doctor.

Misunderstanding eight:

One-sided understanding of Chinese medicine safety

In recent years, traditional Chinese medicine has gradually become a trend. Many people think that Chinese medicine is safe and can even cure diseases and prevent illness. Based on this understanding, many people love to buy some Chinese medicines in pharmacies to "autonomy" diseases. According to reports, a middle-aged woman was obsessed with buying Chinese medicine for 10 years, resulting in multiple organ damage and failure.

The duality of drugs is one of the basic laws of drug action, and Chinese medicine is no exception. If the syndrome is inaccurate, repeated medication, excessive abuse can cause adverse reactions, and even lead to aggravation of the disease, it should be vigilant. For example, a large number of long-term use of Niuhuang Jiedu Tablets may cause adverse reactions such as rash, fever, asthma, and palpitations. Therefore, do not take more than 3 days to avoid chronic arsenic poisoning, which may cause damage to multiple organs and serious life-threatening.

Misunderstanding nine:

Taking medicine with a drink

Oral medication should be served with boiled water, but in life, it is not uncommon for people to use coffee, milk and other beverages to take drugs. In fact, it is very wrong to affect the efficacy of drugs and even affect health. According to reports, Ms. Liu, 32, used her coffee to deliver ibuprofen, which resulted in acute stomach bleeding.

Experts suggest that ibuprofen and other antipyretic and analgesic cold medicines have a stimulating effect on gastric mucosa. Patients with stomach diseases should follow the doctor's advice. In addition, caffeine in coffee stimulates gastric acid secretion, aggravating the side effects of ibuprofen on the gastric mucosa, and it is very easy to induce gastric bleeding and gastric perforation. Patients should avoid using coffee instead of boiled water.

Some people are too bitter, and it is not correct to use drugs or milk to take drugs. Many studies have shown that grapefruit juice inhibits metabolic enzymes in the liver, increases drug concentrations, and may cause toxic reactions. Other fruit juices are mostly acidic, which can lead to early decomposition of antibiotics and sulfonamide antibacterial drugs, and enhance the stimulating effect of drugs with large gastrointestinal side effects on the gastrointestinal tract.

In addition, protein and calcium ions in milk can affect the absorption of certain drugs, so it is not recommended to take the same drugs, unless some drugs that can be delivered with milk, such as the gastric mucosal protective drug aluminum phosphate gel.

Misunderstanding 10:

Self-use antibacterials

Many people use antibiotics when they have a fever, but fever is not equal to infection, and it is not equal to bacterial infection. The example of "drug fever" caused by the abuse of antibiotics is not uncommon in life.

In fact, fever is only a symptom, not the cause of the disease, so it is crucial to find the cause of fever. There are many reasons for fever. In addition to infectiousness, there are connective tissue, tumor, and drug factors. Even if it is infectious, it also includes different pathogens such as viruses, bacteria and fungi. Generally, the cold is caused by a virus, and the drug treatment is mainly symptomatic treatment and relief of cold symptoms. Antibacterial drugs only have a killing effect on bacteria, and there is no curative effect when there is no bacterial infection. Only when there is frequent cough after a cold, accompanied by symptoms of secondary bacterial infection such as fever and sore throat, the doctor will choose the corresponding antibiotic treatment according to the condition.

Moreover, there are many types of antibacterial drugs, each with its own characteristics, and should be appropriately selected according to different populations, diseases, and pathogens. When using antibacterial drugs, try to use narrow-spectrum antibiotics instead of broad-spectrum antibiotics, and try not to use them together. (Economic Daily)

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