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Chinese health 中医保健 >>
Family health medicine 家庭
2014年10月31日
The old man safe medication to "two choose a" proof
Gan Yu Zhong shan county hospital in guangxi
China's traditional Chinese medicine to
The elderly with age, the organizational structure and physiological function of human body each viscera happen very big change, a variety of diseases increases, medication use is also more up. But the elderly due to various reasons, often on their own experience to buy medicine blindly, choose; Some believe that the advertising rhetoric, which advertising played to ring, buy what kind of medicine; Also some people believe that the streets roving doctor, charlatans, folk prescription, secret recipe, ancestral doctors, flying blind, buy medicine, medicine think more is better than less medication; Some body good man take care medicine, reckless, these are not desirable. The elderly medication must think twice, must not blindly medicine, achieve the "two choose a" proof.
Selected drugs
The elderly because of its special pathological physiology, using medication, try to use non-toxic or low toxic, less adverse reaction of drugs. Combination scheme should be as simple as possible, to prevent excessive and drug abuse. Proprietary Chinese medicine and western medicine combined to master formula ingredients, such as do not pay attention or casually share, easy cause drug overdose and drug adverse reactions.
Should be appropriate to reduce the dosage, from small doses, gradually increase to the right dose. General use adult doses of 1/2 to 3/4, best according to patients' renal function decrease situation to adjust doses. Conditional on blood drug concentration monitoring, to ensure safe drug use.
The dosage form and method
Is given priority to with oral, and choose suitable for the elderly and convenient drug dosage forms, such as liquid dosage form. On the dosing way, give priority to with oral and intravenous injection. The elderly should be paid attention to in oral medicine, often because of constipation and using laxatives, can affect the absorption of drugs. The elderly poor local blood circulation, muscle atrophy, subcutaneous and intramuscular injection of drug absorption is poor.
The liver, kidney degenerative decline of old people, for the removal of the drug capacity has also dropped, so should be appropriately extended dosing intervals. In remission after treatment should be timely reduction, and timely.
The reaction
Old people often many kinds of medicines, and often used at the same time, traditional Chinese medicine and western medicine so it's easy to drug interactions, which is caused one of the main causes of adverse drug reactions in elderly patients. Therefore, the general rule is to not compatibility application compatibility try not to use, if you need compatibility should be as simple as possible, as far as possible to reduce the amount of variety and compatibility of medicines in compatibility and the number of times, to reduce as much as possible due to drug interactions unnecessary adverse reactions.
In addition, the elderly often cannot take the initiative to express adverse reactions, clinical doctors need to active inquiry and close observation, records of the history of elderly patients and medical history. Drug usage should be simple, dosage and usage must be clear, should choose fewer kinds of drugs, using a smaller effective dose, to avoid for used as much as possible. Especially for outpatients, the doctor to be patient to patients and their families told the importance of taking medicine on time and the matters needing attention. When using some special drugs should be blood drug concentration monitoring, lest appear harmful response.
The original link: http://www.cntcmvideo.com/zgzyyb/html/2014-10/29/content_92447.htm