As the old saying goes, "if you want to be good at your work, you must first sharpen your tools.". If the scalpel is the "weapon" of the surgeon, then the drug manual is the "weapon" of our pharmacists.
How many people know? The drug instructions provided by drug research and development enterprises are not only for doctors and pharmacists! For the majority of patients, the drug manual is also a "martial arts script" in everyone's hands.
Perhaps, when you unfold the folded paper layer by layer, you can only see a paper full of small characters, which makes your face muddled, and you think it's a Book of heaven! So you throw it away and don't read it at all. You can't understand it anyway!
In fact, if we can master certain reading skills and understand the drug instructions, it will be beneficial for the long-term medication partners.
Do you feel like you're quitting now
"I failed chemistry in high school. Are you going to teach me the periodic table?"
"I didn't even go to high school! What is chemistry? No learning, no learning. "
Calm down, calm down! As non professionals, we don't need to understand every line of the drug manual, but we need to find out some key points from the "heavenly book" and learn to understand these key points. For ordinary people, as long as a little effort, it is not a difficult thing!
Today, I would like to give you some tips on how to quickly master the key points of the prescription drug manual.
The "warning" in the drug manual directly determines whether we can take the drug. It's at the beginning of the manual. It's bold and warns us.
The State Food and drug administration requires drug R & D and production enterprises to put the serious adverse reactions, potential safety and other problems of drugs in the drug manual, as well as some taboos, precautions for use of special groups in the most eye-catching position to warn the patients who choose this drug. In a word, there are warning words in the instruction manual. Please read them carefully three times. For example, "endothelins" targeted drugs, regardless of which "Tan", warning words will warn of fetal toxicity, prohibit pregnant women to use.
It must be added that not all drug instructions have "warning words". If you see a drug without warning words, it doesn't mean that everything will be OK!
The use of drugs is taboo, which generally appears in the middle part of the drug manual. Among them, the more serious taboo has appeared in the "warning words", but it will still appear in the "taboo" part for the second time, which also proves how important it is, which must be repeatedly stressed to patients.
However, some taboos are not listed in the "warning words". For example, in the "taboo" part, there are two items that are not included in the "warning words": idiopathic pulmonary fibrosis (IPF) and those who are allergic to soybean and its adjuvants are forbidden.
Therefore, don't think that reading the "warning" is the end of the matter, and the "taboo" part should also be read carefully.
The column of "indications" in the drug manual directly states whether the drug can cure your disease. (except for sildenafil and other drugs of PDE-5, which are super indications, they have not been described too much)
Many patients may only focus on whether the drug is suitable for pulmonary hypertension. In fact, we can read two other information from the indications of the drug:
a. What kind of pulmonary hypertension and the level of heart function is suitable for this drug?
b. Which disease groups is the medicine suitable for? Idiopathic, connective tissue, foresight or other?
For example, bosentan is suitable for patients with heart function grade II to IV, and for patients with idiopathic, hereditary, connective tissue and congenital heart.
Have you seen the indications of other targeted drugs?
The patient who takes medicine for a long time must have this feeling: the effect of the same medicine can vary greatly from person to person, while the effect of several drugs with similar principles can vary greatly from person to person.
This is because everyone's body is unique and precise, the same medicine, similar medicine, into the human body will not cause the same changes.
For example, if the liver function of patient a is seriously abnormal or anaemia, it is not suitable for maxitan. If patient B takes maxitengtan and finds that the peripheral edema is very serious, or there are signs of pulmonary edema, then your body is telling you: you are not suitable for this medicine!
This is why there is a column of "precautions" in the drug manual. This column allows you to judge whether your current physical condition is suitable for taking this medicine, and avoid some "minefields" of this medicine. You should read carefully to avoid unnecessary detours.
Because the targeted drug is a prescription drug, doctors or pharmacists usually mark the drug specifications on the prescription when you use the targeted drug for the first time. But we can not rely on the doctor or pharmacist, we need to know how many milligrams of the drug specifications on the packing box or the manual, and then judge by combining the prescription.
For example, the specifications of alisentan can be divided into 5mg and 10mg. When patients buy again according to the prescription, please identify the specification of "once a day" on the prescription and purchase the corresponding prescription drugs.
Xiaoke suggested that when there is a suitable specification for the drug, try to buy it according to the specification on the prescription. It is strictly forbidden to cut the medicine apart except in special circumstances!
How many times a day do you take the medicine? Before or after dinner? The answers to these questions can be found in the "dosage" column of the drug manual.
One more tip for small customers: if the drug dosage is twice a day, take it at an interval of about 12 hours (such as celepag); if the dosage is three times a day, take it at an interval of about 6 to 8 hours (such as sildenafil). Use diuretic small partner, small guest does not recommend to use at night, otherwise, your toilet frequency will seriously affect rest!!!
3. Missing clothes
In some drug instructions, there is a column of "missed medication", which describes what remedial measures can be taken in case of missed medication. Reading the "missed dose" column is essential for you to understand whether you need to take a supplement.
For example, the drug Manual of maxitan has the column of "missed medication": for drugs that only need to be taken once a day, such as missed medication at a fixed time on the same day, they can be taken immediately after remembering, and the next time they can be taken at the original fixed time.
I will continue to give you some tips: if the drug is missed twice or three times a day, you can use the principle of whether the interval time is more than 1 / 2 to do simple treatment.
For example, you were scheduled to take sildenafil at 8 a.m. and a second time at 14 p.m. with an interval of 6 hours.
But busy in the morning, forget to take medicine! When you think of taking medicine, please look at the time immediately. If the time is still before 11 o'clock, you can take a morning supplement immediately, and take the second one as usual at 14 o'clock. However, if you think it's over 11 points, you don't need to take it for the first time. Just wait until 14 o'clock to take it as usual, so as not to increase the risk of adverse reactions by doubling the dose in a short period of time.
Why 11 o'clock? From 8:00 to 11:00, it's just 3 hours, which is 1 / 2 of the interval of 6 hours. In this way, you can figure out how to deal with other drugs when they are missed.
Of course, the most important thing is: take the medicine on time and according to the amount, and don't miss it! Don't miss it! Don't miss it!