Lingnan Rheumatology | Comics tells you why hormone drugs should be eaten in the morning

Open -column

Rheumatism refers to a group of diseases that affect bone, joints, and surrounding soft tissues, manifested as joint pain, swelling, dysfunction, etc., often systematically and urgent organs damage; Chinese medicine is called paralyzed disease. This column is created by the Department of Rheumatology of Guangdong Hospital of Traditional Chinese Medicine. It aims to share the dynamics of the department for the high -quality and professional rheumatism related knowledge of popular popular science, and to protect your health together, so stay tuned!

The most classic and most common drugs of rheumatism-glucocorticoids. Many patients will ask, what time does this medicine take, what if they do not take on time, what will happen to forget the medicine? In this issue, we will introduce to you in the form of comics.

The special feature of hormone drugs is that it is a hormone-cortisol in imitation of the human body itself. Cortisol has its own rhythmic nature. It has the most secretion in the morning and gradually decreases, reaching a low valley at night. This rhythm is controlled by the hypothalamus-pituitary-adrenal axis (HPA). If you take medicine during the secretion of trough or other non -peak hours, excess hormones will cause negative feedback to this axis, inhibit the secretion of hormones in the hypothalamus to promote the release of hormones, which will affect the production of adrenal hormones in the pituitary gland, and eventually affect the adrenal glands of the adrenal glands Normal function causes decreased or atrophy of adrenal cortex function.

This is a process of long -term evolution. Do not take the medicine (one week) in the short term (one week) will not have a significant adverse effect on the axis. However, for patients with rheumatism, hormones may need to be taken for a long time. Taking hormones on time is of great significance for protecting the HPA axis. It can also reduce adverse drug reactions and help pass the withdrawal period steadily.

Therefore, we recommend that patients take hormones at the peak of cortisol secretion at 7-9 o'clock in the morning to reduce the impact on their own cortisol secretion rhythm and protect their normal physiological function. If it is not taken occasionally, it will not bring great harm, nor is it too nervous and anxious.

【Author of this issue】

Yan Jingyao

The Department of Rheumatology of Guangdong Hospital of Traditional Chinese Medicine, the attending physician, a master's degree in medicine

Good at: combined diagnosis and treatment of rheumatoid arthritis, ankylosing spondylitis, gout, systemic lupus erythematosus, fibromyaloid synthesis, and rheumatoid immune diseases.

Consultation time:

Guangdong Provincial Hospital University City Hospital: Monday, Tuesday, Wednesday, Friday afternoon, Saturday morning

【Guide Expert】

Huang Qingchun

Director of the Department of Rheumatology, Chief PhD, Postdoctoral Medicine, PhD, and postdoctoral cooperative tutor of the Department of Rheumatology of Guangdong Provincial Hospital of Traditional Chinese Medicine.

Good at: Rheumatology such as rheumatoid arthritis, gout, and systemic lupus erythematosus such as rheumatism and lupus erythematosus in traditional Chinese and Western medicine.

Consultation time:

Guangdong Provincial Hospital of Traditional Chinese Medicine Da De Road (rheumatoid arthritis clinic): Wednesday morning, Friday afternoon;

Guangdong Provincial Hospital University City Hospital: Tuesday afternoon

Yao Yueyue

The head of the rheumatism and immunization research team in Guangdong Provincial Hospital of Traditional Chinese Medicine, a professor, a doctor of medicine, a postdoctoral tutor, and a postdoctoral cooperative tutor.

Good at: combined Chinese and Western medicine to treat rheumatoid arthritis, gout, ankylosing spondylitis, psoriasis arthritis, dry syndrome and systemic lupus erythematosus.

Consultation time:

Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital (Rheumatology and Creative Clinic): Tuesday afternoon, Thursday morning;

Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine: Friday afternoon.

He Xiaohong

Deputy Chief Physician and Master's Graduate Tutor of the Department of Rheumatology, Guangdong Provincial Hospital of Traditional Chinese Medicine.

Good at: combined Chinese and Western medicine to treat rheumatism such as rheumatoid arthritis, gout, ankylosing spondylitis, and systemic lupus erythematosus.

Consultation time:

Da De Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine: Monday all day;

Guangdong Provincial Hospital University City Hospital: Wednesday morning.

Chen Xiumin

Associate researcher at the Rheumatology Department of Guangdong Hospital of Traditional Chinese Medicine, Ph.D., Postdoctoral, Master's Graduate Tutor.

Good at: combined Chinese and Western medicine to treat psoriasis arthritis, gout, rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, systemic lupus erythematosus, and dry syndrome.

Consultation time:

The Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine (clinic of rheumatoid arthritis slow disease) on Monday morning, Tuesday morning, Thursday morning, Saturday afternoon.

【The Department of Rheumatology, Guangdong Provincial Hospital of Traditional Chinese Medicine】

Rheumatologist at Guangdong Medical Hospital of Traditional Chinese Medicine

Source: "Xiao Yan Comics Rheumatology" public account

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

- END -