Recently, the Fuzhou Evening News reported a news. A 65-year-old Mr. Yan, due to a coldAte a amoxicillin, but it triggered an allergic reaction。On the day of the incident, Mr. Yan, with the support of his son, came to the emergency department of Fuzhou First General Hospital, his face was red and swollen, full of rashes, and his eyes were squeezed into a line. The medical staff in the emergency department immediately rescued Mr. Yan and was transferred to the intensive care unit after being rescued**, and his symptoms improved after 7 days before he was discharged.
Amoxicillin is a common drug in the family and is indeed considered an anti-inflammatory by many people, butIn fact, the anti-inflammatory drugs we often talk about are antibiotics, and amoxicillin belongs to the penicillin class, including erythromycin, clindamycin, cephalosporin, etc. 01
Antibiotics are not anti-inflammatory drugs
AntibioticsIt refers to chemicals produced by certain microorganisms (such as fungi, bacteria, actinomycetes) during metabolism that have the ability to inhibit or kill other microorganisms. According to **, it can be divided into two categories: one is directly extracted from the microbial culture medium called natural antibiotics, such as penicillin G; The other type is to retain the main structure of the natural antibiotic (mother nucleus), and the antibiotic obtained by artificially changing its side chain is called a semi-synthetic antibiotic, such as amoxicillin. Anti-inflammatory drugs in the medical sense have nothing to do with antibiotics at all. Anti-inflammatory drugs in medicine refer to drugs that eliminate the body's inflammatory responseThese include steroidal drugs (glucocorticoids), nonsteroidal drugs (common pain relievers such as ibuprofen). In daily life, it is common to take amoxicillin spontaneously when the throat is inflamed or coughing, but it does not work every time you take it.
Why amoxicillin is sometimes "less spiritual".
Amoxicillin belongs to the broad-spectrum penicillin class, which has a wide antibacterial spectrum, and has a killing effect on Gram-positive bacteria and Gram-negative bacteria, but is ineffective against Pseudomonas aeruginosa; Acid-resistant, can be taken orally; Not enzyme tolerant and ineffective against penicillin-resistant Staphylococcus aureus infections.
Consult the relevant manuals and extract the following original text.
Amoxicillin is indicated for the following infections caused by susceptible bacteria (non-lactamase-producing strains).
1) Upper respiratory tract infections such as otitis media, sinusitis, pharyngitis, tonsillitis caused by Streptococcus hemolyticus, Streptococcus pneumoniae, Staphylococcus or Haemophilus influenzae. (2) Genitourinary tract infection caused by Escherichia coli, Proteus mirabilis or Enterococcus faecalis. (3) ** soft tissue infection caused by Streptococcus haemolyticus, Staphylococcus or Escherichia coli. (4) Lower respiratory tract infections such as acute bronchitis and pneumonia caused by Streptococcus haemolyticus, Streptococcus pneumoniae, Staphylococcus or Haemophilus influenzae. (5) Acute simple gonorrhea.
6) This product can also be used for typhoid fever, typhoid carriers and leptospirosis; Amoxicillin can also be used in combination with clarithromycin and lansoprazole for gastric and duodenal Helicobacter pylori to reduce the rate of peptic ulcers.
(Excerpted from the instructions of amoxicillin capsules in a pharmaceutical factory, please follow the doctor's instructions for specific medications.) ）03
Amoxicillin, do not take without permission
It was carefully found that these words were written at the top of the instructions: Penicillin allergy and penicillin** test positive patients are prohibited. And Mr. Yan in the news should be penicillin allergic, and he had a strong allergic reaction after taking only one pill, but fortunately, he was rescued in time, and he has been discharged from the hospital after **. Amoxicillin is a prescription drug, which means that the drug needs to be prescribed by a doctor when it is used, usually has certain toxicity or other potential effects, and the method and time of administration also have special requirements, and must be taken under the guidance of a doctor. Also pay attention to the following:1Do not use in patients with penicillin allergy and a positive penicillin** testIt is not clear whether it is best not to use allergies, and special groups should avoid taking amoxicillin, such as pregnant women, lactating women, young children and the elderly. 2. It is recommended to take it with warm waterWater temperatures above 60 are prone to the formation of allergenic polymersto increase the chance of allergies. 3. Use under the guidance of a doctor, and the use of amoxicillin in the absence of relevant indications will increase the probability of drug resistance; Take the medication according to the regular course of treatment, and do not stop the drug at will to prevent recurrence of the disease. 4. Do not drink alcohol before and after taking amoxicillin.