After winter, respiratory diseases enter the high incidence season, and azithromycin and oseltamivir ......Many drugs once became "Internet celebrity drugs" in social **, causing concern and discussion. He Zhichao, deputy director of the Department of Pharmacy of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, was interviewed by a reporter from Guangzhou ** New Flower City, and gave four major home medication reminders for winter respiratory diseases.
Reminder 1: "Internet celebrity drugs" cannot be used at will.
According to the Guidelines for the Diagnosis and Treatment of Mycoplasma pneumoniae pneumonia in children issued by the National Health Commission this year, macrolide antibiotics such as azithromycin and clarithromycin are still the preferred drugs for mycoplasma pneumonia in children. However, He Zhichao said that at present, it is still mainly infected by viruses, in addition to mycoplasma infection, influenza virus, adenovirus, respiratory syncytial virus, etc., have appeared one after another, and there may also be bacterial infections, "In the case of no confirmed infection pathogen, it is not recommended to refer to the 'Internet celebrity drug prescription' without authorization, so as not to delay the disease", he said, even if he is diagnosed with Mycoplasma pneumoniae infection, it is not advisable to take medicine according to the online tutorial.
He further explained that, in general, there are two classics of azithromycin**. Among them, 3 days** is to take the drug at a dose of 10 mg kg for 3 consecutive days, once a day;The 5-day** is a continuous dose of 10 mg kg on day 1 and 5 mg kg on days 2-5, once a day. Many organs in children are not yet fully developed, and doctors will adjust the dosage and method of taking medicine according to the child's weight and condition, and give safer practices or suggestions.
For oseltamivir for influenza A, it should also be noted: influenza drugs are divided into antiviral drugs and symptomatic treatment drugs, antiviral drugs are aimed at pathogens, oseltamivir is suitable for children aged 1 year, and the administration mode of normal kidney function is 75 mg orally, 2 times a day, and the course of treatment is 5 days.
Tip 2: Don't take cold medicine indiscriminately.
He Zhichao said that in fact, for most patients, influenza is a self-limiting disease, and most people can improve their fever and systemic symptoms after 3 to 5 days. It is important to note that influenza can cause severe illness, complications and death in high-risk groups (children under 5 years of age, seniors over 65 years of age, chronic diseases, immunosuppression), and high-risk groups should take antiviral drugs as soon as possible after infection, preferably within 48 hours.
On the other hand, some people choose to buy and take cold medicines, fever reducers, cough medicines, etc. on their own due to symptoms such as high fever, general malaise, poor spirits, muscle aches, sore throats, and nasal congestion.
It's dangerous to take cold medicine indiscriminately!He Zhichao pointed out that some cold medicines contain the same ingredients, and taking two or three cold medicines at the same time will cause overlapping and excessive drug ingredients, increasing the damage to liver and kidney function. In addition, it is not recommended to self-take antibacterial drugs and antiviral drugs, and it is not recommended to stop the drug on your own with symptomatic relief, and you need to standardize the use of drugs under the guidance of a doctor.
Reminder 3: At home** Cooperate with many things.
In the home environment, pay attention to maintaining a suitable temperature, strengthen ventilation and keep yourself warm. Wash your hands frequently after returning home from going out and avoid touching your eyes, nose and mouth with unclean hands. Get enough sleep and eat a diet rich in high-quality protein and foods rich in vitamin A and vitamin C.
Reminder: If the symptoms are severe or aggravated, on the premise of personal protection, go to the hospital as soon as possible, use medicine scientifically, and do not blindly use medicine or follow the trend of medicine.
Reminder 4: Keep these medicines in your home medicine cabinet.
Ho Zhichao believes that in the flu season, it is necessary to keep some medicines in the family, but there is no need to stock up on a large number of medicines.
Some over-the-counter drugs to relieve symptoms can be prepared, such as antipyretic analgesics acetaminophen, ibuprofen, etc., commonly used expectorants ambroxol, acetylcysteine, carbocisteine, etc., and drugs to relieve nasal congestion and runny nose include chlorpheniramine, loratadine, etc. It is important to note that some cold combination medicines may contain the same ingredients, and it is recommended to take the medicine as directed by your doctor to avoid re-dosing.
Text: Guangzhou** New Flower City Reporter: He Xuehua.
Guangzhou ** New Flower City Editor: Li Jin.