It is not advisable to take a drug with a drink. Experts: beverage composition is more complex

Medication ABC drink with a drug delivery service is not desirable? In daily life, we generally use white water delivery service of various drugs, but sometimes also for the map a convenient, easily with milk, tea and even carbonated drinks put the drug to eat. So, let the experts say exactly what? Drink with oral medication is wrong, why? Rocket Army General Hospital Pharmacy Department Director Tong Weixing one by one for everyone pointing maze. 1. Carbonated beverages such as coke, Sprite, the United States and so on, which contains carbon dioxide and gastric acid neutralization, increased weak alkaline drugs (such as erythromycin, etc.) absorption, may indirectly lead to excessive, prone to adverse reactions. Carbonated beverages will increase the gastrointestinal irritation of drugs such as ibuprofen. In addition, carbonation also affects the stability of certain drugs. 2. Tea drinks Chinese medicine, Western medicine should not use tea drinks delivery service. Tea contains more tannins. Tannins can reduce the bioavailability of enzymes (pepsin, lactase, trypsin, multi-enzyme tablets), but also the loss of antibiotics (tetracycline, chloramphenicol, erythromycin, rifampicin, sulfonamides) Antibacterial activity, toxic side effects increased. Tannins can be precipitated with zinc sulfate, zinc gluconate, ferrous sulfate, ferric fumarate and other iron and zinc preparations, not only hinder the absorption of drugs, the stimulation of gastric mucosa is also particularly large, there may be nausea, vomiting, diarrhea, Abdominal pain and stomach discomfort and other adverse symptoms. Tannins and digoxigenin, ephedrine, quinine and other alkaloids to produce precipitation, degeneration, inactivation, to reduce its efficacy. Tannins can counteract the expansion of dipyridamole. Tea contains 2% -4% caffeine and trace of theophylline, with the excitement of high nerve center, cardiac, diuretic, stimulate the role of gastric acid secretion. Oral sedative hypnotics, antihistamines (such as diphenhydramine, chlorpheniramine), antitussive cough must clear, and traditional Chinese medicine Anemarrhena, Fritillaria, Suanzaoren, etc., should not drink tea, because tea and these drugs Antagonism, reduce the efficacy. 3. Mung bean soup with traditional Chinese medicine mung bean soup is a favorite refreshing drink, can detoxify, refreshing, effective effect. Mung bean itself is blindly traditional Chinese medicine, cold and sweet, with heat detoxification, refreshing Chufan, thirst quencher stomach, Lee water swelling effect. If there is heat stroke, throat pain, cough, mumps, dry mouth, mouth pain, skin infections, urinary tract infections (urinary frequency, urgency, dysuria, fever and other performance), constipation, etc., in the treatment of these diseases of traditional Chinese medicine Such as Coptis, Scutellaria, Phellodendron, Daqing Ye, Banlangen, bezoar, honeysuckle and other heat of Chinese medicine) at the same time Beverage Beans will not affect the efficacy, both can play a synergistic effect. But if the spleen and stomach Deficiency, physical yang deficiency, such as chronic gastroenteritis, limb joints cold pain, numbness, adverse activities, abdominal pain, diarrhea, dysmenorrhea and other Deficiency of the disease, is taking the treatment of these diseases, Such as ginseng, astragalus, cinnamon, aconite, clove, high ginger, etc.) and warm and cold class of Chinese medicine (such as Guizhi, ginger, Asarum), you should avoid taking, otherwise, not only will reduce the efficacy of drugs, but also Will aggravate the condition. Therefore, when serving Chinese medicine can drink green bean soup can not be generalized, should be based on the condition of cold and heat and the actual situation of Chinese herbal medicine may be. Although there is a lot of rumors about mung bean effects, there is no conclusive evidence that mung bean can make a drug ineffective. Modern research found that: green beans contain protein, fat, carbohydrates, vitamin B1, vitamin B2, carotene, nicotinic acid, folic acid, minerals calcium, phosphorus, iron and so on. In addition, mung bean also contains Vitexin, β-sitosterol, tannins, flavonoids, coumarin, alkaloids, phytosterols, saponins and other bioactive substances. These ingredients determine its anti-lipid, cholesterol, anti-allergic, antibacterial, anti-tumor, enhance appetite, liver and kidney care and so on. The proteins, tannins and flavonoids in mung beans combine with organophosphorus pesticides, mercury, arsenic and lead compounds to form precipitates that reduce or lose toxicity and are not easily absorbed by the gastrointestinal tract. Therefore, in the misuse of pesticides lead to poisoning or heavy metals (such as copper, lead, iron, cadmium, mercury, etc.) poisoning, you can take mung bean soup or green beans powder powder to detoxify. (Such as vitamin B12, calcium preparations, iron preparations, etc.) can be combined with the ingredients in the green beans, such as alkaloids (such as ephedrine, hyoscyamine, morphine, caffeine, etc.), metal ions as the active ingredient Is insoluble, is not conducive to the absorption of drugs, but also makes these drugs fail, so when taking these drugs is best not to use mung bean soup. 4. Milk drinks milk, milk drinks are rich in protein, in general, can significantly affect the body’s absorption rate of drugs, reduce efficacy. With milk drinks medication, it is easy to cause gastrointestinal calcification, leading to drug failure, severe cases will produce gallstones, kidney stones. Containing rich calcium ions in the beverage, with tetracycline, isoniazid complex or chelate, it is not easy to be absorbed by the gastrointestinal tract, weaken the antibacterial effect. Calcium ions can also lead to digitalis, digoxin and other drugs are easy to produce toxic reactions. In addition, milk, cheese and other dairy products rich in histidine, should not be with the anti-allergy with the service (chlorpheniramine, loratadine), so as to avoid the accumulation of histamine in the body, induced dizziness, headache, palpitation and other symptoms. In addition, taking antidiarrheal drugs can not drink milk, because milk not only reduces the efficacy of antidiarrheal drugs, which contain lactose may increase diarrhea. Therefore, within 1-2 hours before and after taking the best not to drink milk drinks. Above is not difficult to see, medication with warm water the best, because the warm white water will not affect the absorption of various drugs. And a variety of beverages, fruit juice, milk, etc. because of its composition is more complex, should not be used as medication “water”, otherwise it will likely affect the efficacy, and even produce some serious adverse consequences. In addition, the medication when the drinking water temperature also have certain requirements, the treatment of stomach, cold and other diseases of the drug, the water temperature should be hot, than the usual feeling of water temperature is appropriate. But there are six types of drugs should not use hot water delivery service, including digestive drugs, vitamins, cough syrup, live vaccine, containing active fungi, heat medicine. Multi-enzyme pepsin mixture, trypsin tablets, multi-enzyme tablets, yeast milk enzyme, vitaminVitamins C and other digestive drugs, encountered high temperature is extremely vulnerable to failure and failure, so taking the water should not be used to rinse water should be warm water delivery service. Poliomyelitis pill is a live vaccine class, therefore, it is appropriate to use cold water to deliver polio pills and other live vaccines. Text / Mo Peng (Rocket General Hospital)

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