▍Source: Pharmacy people
Chinese and Western medicine are no strangers to everyone
In pharmacies, there are often customers who buy Chinese and Western medicines
Some customers also prefer the combination of Chinese and Western medicine
But from a professional point of view
Not all Chinese and Western medicines can be used together
Today we're going to talk about some of the productions that will occur
Or increase the combination of Chinese and Western medicines with adverse reactions
For your reference and comparison
1. Traditional Chinese medicines and proprietary Chinese medicines with more calcium
Example
Plaster, keel, oysters, pearls, clams, corrugated seeds, etc.
Collocation is contraindicated
Digitalis drugs
Cause: Calcium ions have a synergistic effect with it, increasing their effect and toxicity.
2. Mercury-containing traditional Chinese medicines and their preparations
Cinnabar, light powder, cinnabar anshen pills, RenDan, Purple Snow Powder, Tonic Heart Dan, Magnetic Zhu Pills, etc.
Potassium bromide, tribromo compound, potassium iodide, iodine throat tablets, etc
Cause: The formation of highly toxic mercury bromide or mercury iodide, resulting in drug-induced enteritis or erythrosentery stools.
Coffee bromide compound containing sodium benzoate and preparations using sodium benzoate as a preservative
Cause: Produces drug-derived phenylmercury salts, causing drug-borne mercury poisoning.
Western medicines with reducing properties such as ferrous sulfate and isoamyl nitrite
Cause: It can reduce divalent mercury to monovalent mercury, and the toxicity is enhanced.
3. Chinese medicine containing organic acids
Wumei, dogwood, tangerine peel, papaya, Sichuan root, green bark, hawthorn, female virgin, etc. and proprietary Chinese medicine.
Sulfa Western medicines
Cause: It is easy to precipitate crystals in the renal tubules to cause crystallization and even kidney failure.
Nitrofurantoin, rifampicin, aspirin, indomethacin
Causes: increased reabsorption of these drugs in the kidneys, increased nephrotoxicity.
4. Drugs containing hydrated tannin and having certain toxicity to the liver
Hako, Gobezi, Earth Elm, Four Seasons Green, etc.
Tetracycline, rifampicin, chlorpromazine, isoniazid, etoxithromycin, etc., which are toxic to the liver.
Cause: Aggravated toxicity to the liver.
5. Contains tannin-like Chinese medicine
Knotweed, knotweed, rhubarb, pentagram, etc.
Sulfonamides
Cause: Tannin can bind to sulfonamides, affecting their excretion, resulting in increased concentrations of sulfonamides in the blood and liver, and toxic hepatitis can occur in severe cases.
6. Traditional Chinese medicine containing alkaline ingredients
Huanglian, locust rice and its proprietary Chinese medicine.
Aminoglycosides: amikacin, etimicin, etc
Cause: Alkaline Traditional Chinese medicine preparations can increase their absorption, increase their drug concentration in brain tissue, and enhance the ototoxic effect.
quinidine
Cause: alkalinization of urine, increased absorption of quinidine, triggering quinidine poisoning.
7. Traditional Chinese medicine containing belladonna alkaloids and their preparations
Mandala, ocean flower, celestial fairy, belladonna mixture, etc.
Cardiac glycosides
Cause: Belladonna reduces gastrointestinal peristalsis, which also increases the absorption and accumulation of cardiac glycoside drugs.
8. Traditional Chinese medicine containing ephedrine and its proprietary Chinese medicine
Compound Sichuan shellfish essence tablets, Laiyang pear cough syrup, compound Sichuan shellfish loquat pulp, etc.
Cardiotonic drugs: digitalis, etc
Causes: Enhance the effect of cardiotonic drugs, easy to cause arrhythmias and heart failure.
Antihypertensive drugs: digoxin, etc
Cause: Weakening the effect of antihypertensive drugs.
9. Traditional Chinese medicine containing cyanosides
Almonds, peach kernels, loquat leaves, etc.
Western medicine antitussive medicine: pentovirine, etc
Cause: Pentovirine strengthens the respiratory inhibitory effect of cyanosides.
10. Proprietary Chinese medicine containing ethanol
Various medicinal liquors, etc.
Sedatives: phenobarbital, phenytoin, metamizole
Cause: The production of toxic products can inhibit the central nervous system.
Anti-rheumatic drugs: aspirin, sodium salicylate, etc
Why: Ethanol increases its irritation to the digestive tract.
Tricyclic antidepressants: promizine, amitriptyline, clomipramine, doxepine
Cause: Speeds up the metabolism of such drugs, increases their toxicity.
Phenothiazine Western medicines: fluorochlorpromazine, fenazil, fluphenazine, trifluorolazine, etc
Cause: It can inhibit ethanol metabolism, leading to symptoms of alcoholism.
Sulfonamides and furan antibiotics: sulfamethoxypyrimidine, sulfamethoxypyrimidine, sulfaisoxazole, nitrofurantoin, furazolidone, furacillin, etc
Cause: Inhibition of ethanol metabolism.
Antihypertensive drugs: guanidine, reserpine, hydralazine, methyldopa and toplazoline
Cause: Prone to synergistic effects causing orthostatic hypotension.
nitroglycerin
Cause: Synergistic effect, resulting in a significant decrease in blood pressure.
paracetamol
Cause: increased damage to the liver after homogeneous use.
Antihistamines: chlorpheniramine
Cause: Increased inhibition of the central nervous system.
Insulin and sulfonylureas hypoglycemic western drugs: glipizide, glimepiride, gliclazide, glibenclamide, glibourea, gliquinone and so on.
Causes: The combination can cause severe hypoglycemia, tincture reactions, and even irreversible neurological symptoms.
11. Iodine-containing traditional Chinese medicines containing kelp, seaweed and other iodine-containing chinese medicines and their preparations
Western medicines for the treatment of hyperthyroidism: tabazole, propylthiopyrimidine
Why: Iodine promotes the iodization of tyrosine, which increases the synthesis of thyroxine in the body.
12. Yellow medicine seeds
Western drugs with hepatotoxicity: rifampicin, tetracycline, erythromycin, chlorpromazine, etc
Cause: the combination increases hepatotoxicity.
Disclaimer: The above content is reproduced from the pharmacy manager, and the content sent does not represent the position of the platform.
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