When spring is warm and cold, there is a high incidence of various respiratory diseases, and many people have prepared all kinds of antipyretic and analgesic drugs at home, once there is fever, headache, sore throat, and all kinds of pain that the whole body secretly pokes, they will eat some to relieve the symptoms.
67-year-old Ye Bo (pseudonym) is also one of them, but what he never expected was that because of the "habit" of taking painkillers, he actually had to remove part of his stomach.
According to the WeChat *** report of "The First Hospital of Zhejiang University", Ye Bo usually has a tough body in addition to gout. Two months ago, Ye Bo had another attack of gout, and he took it upon himself to eat what he usually ateIbuprofen pain relieversDoubled the doseAt most, eat 12 tablets a day
In less than a week, Ye Bo's abdominal pain was unbearable, and he couldn't hold it anymore before telling his sonI have been pulling bloody stools for 4 days。The family rushed him to the hospital.
At the time of admission, Ye Bo had already suffered hemorrhagic shock. After various examinations, Ye Bo was diagnosed with acute gastric mucosal injury caused by an overdose of painkillers, which led to gastrointestinal bleedingAnd then life-threatening。The team of Chief Physician of the Department of Gastrointestinal Surgery of the First Hospital of Zhejiang University and Deputy Chief Physician Yang Weili was carried outEmergency partial gastrectomy surgeryRescue, a few days ago, Ye Bo has been discharged from the hospital and eaten normally.
Recently. Can ibuprofen give a clear indication of humility
rushed to the hot search on Weibo 1
Some netizens said:
Ibuprofen never fights unprepared."
Some netizens said:
If you have something to do, take an ibuprofen.
The legendary antipyretic and pain-relieving medicine "ibuprofen".
Did you use it right?
Ibuprofen:
It is a non-steroidal anti-inflammatory drug with analgesic, antipyretic and anti-inflammatory effects. It reduces prostaglandin synthesis by inhibiting cyclooxygenase, thereby reducing prostaglandin-induced tissue congestion, swelling, and peripheral nerve pain sensitivity. In addition, it can also play an antipyretic (commonly known as "fever") effect by acting on the hypothalamic thermoregulation center, which is a pediatric antipyretic recommended by the FDA in the United States, recognized as the first choice of anti-inflammatory drugs for children, and is also a commonly used drug for mild to moderate pain.
Ibuprofen is not a panacea painkiller
Ibuprofen can relieve a variety of pains, including headaches, joint pain, migraines, etc., but be aware that when experiencing certain pains, it is possiblePainkillers can be delayed if taken blindly, the most dangerous of which is pain caused by heart disease。Heart attacks can cause heart-induced toothache, back pain, shoulder pain, and chest pain. When the above situation occurs, you should seek medical attention as soon as possible, and do not take painkillers by yourself, which will delay the best time.
Precautions for taking ibuprofen
Although ibuprofen is a good medicine, it should still be taken strictly according to the dosage and the cycle of taking the drugDo not overdose or use for long periods of time。In principle, the maximum limit of oral administration of ibuprofen is generally 2 per day4g, and strictly control the interval of 4 6 hours to take 1 time. Children's liver development is not complete, and the medication needs to be more cautious, according to 5mg 10mg per kilogram of body weight each time, ibuprofen 3 times a day is the most appropriateIt should not be taken for more than 3 consecutive days for antipyretic and not more than 5 days for analgesia
Avoid alcohol or alcoholic beverages while taking the drug: Alcohol consumption may increase the risk of gastrointestinal bleeding and severe cardiovascular disease***.
Close monitoring of blood pressure is recommended during medication: ibuprofen may induce or worsen hypertension.
Do not take other medicines that contain antipyretic and analgesic ingredients, such as some combination cold medicines may contain non-steroidal anti-inflammatory drugs.
What is the difference between "ibuprofen" and "ibuprofen extended-release"?
There is a difference in the efficacy of ibuprofen sustained-release capsules and ibuprofen capsules:
Ibuprofen capsules tablets are mainly used for:Fever
Ibuprofen extended-release capsules are mainly used for:Pain relief, especially muscle pain caused by exercise, such as strains during exercise, muscle soreness caused by sudden exercise after a long period of inactivity, etc.
Suspensions and granules are mainly used in children's (more than 6 months) dosage forms, one is easy to swallow, and the other is a small dose containing ibuprofen; Adult patients are suitable for dosage forms such as capsules and tablets. It should be noted that the suspension needs to be shaken well before use.
*Originated from the Internet.
Adverse effects of ibuprofen
1. A small number of patients may experience nausea, vomiting, gastric burning sensation or mild dyspepsia, gastrointestinal reactions (manifested as hematemesis, melena, abdominal pain, abdominal distention, etc.) and bleeding, elevated aminotransferases, headache, dizziness, tinnitus, blurred vision, nervousness, drowsiness, edema of the lower limbs or sudden weight gain.
2. Rare rash, allergic nephritis, cystitis, nephrotic syndrome, renal papillary necrosis or renal failure, bronchospasm. If you experience any of the above symptoms during the medication, or if you have a rash or other allergic reaction for the first time, please stop taking the medicine and see a doctor.
Ibuprofen should be used with caution in four categories of people
Ibuprofen is a commonly used fever reducer, but not everyone can take it. The following 4 groups of people should use ibuprofen with caution:
Patients with a history of severe coronary heart disease and heart failure;
Patients with severe peptic ulcer and history of bleeding;
Patients who require a combination of antiplatelet drugs and anticoagulants due to chronic diseases**;
Patients with severe renal insufficiency.
Acetaminophen can be used as an alternative to ibuprofen for these people, but the dose of acetaminophen should be kept to less than two grams per day to ensure safety, especially during combined cold medicines**.
Note: Antipyretic analgesics should not be taken at the same time
Some proprietary Chinese medicines contain Western medicine ingredients, such as Cold Ling Granules, VC Yinqiao Tablets, etc., which contain acetaminophen, and it is not recommended to use Chinese patent medicines together with acetaminophen or antipyretic analgesics such as ibuprofen. If used together, there may be duplication or overdose
*: China News Service.