For the elderly medicine, stay away from the top ten misunderstandings

Elderly people often suffer from a variety of chronic diseases. They are the most common in hypertension, diabetes, coronary heart disease, stroke, chronic obstructive pulmonary disease, and chronic kidney disease. Multiple drugs are often used in various diseases. In addition, elderly patients often have elderly syndrome such as weakness, malnutrition, sleep disorders, decreased cognitive function, chronic pain, anxiety and depression, etc., which complicate the condition. In addition Human disease treatment and drug use need to be cautious.

Stay away from the top ten misunderstandings

Misunderstanding 1: Do not follow the doctor's order, increase or decrease the drug without authorization

Once some elderly people find the disease, the treatment is urgent, and the drug dosage will be increased at will. Her blood pressure drops too fast or blood sugar is too low may cause insufficient brain blood supply, dizziness, fatigue, and even hypoglycemia. Once some elderly people have a stable condition, they start to reduce their own amount, leading to fluctuations in blood pressure and blood sugar, and the condition may increase.

Misunderstanding 2: Dao Listening, listening to other people's treatment plans

There may be a variety of treatment drugs in the same disease and different treatment mechanisms. For the different types of the same disease, choose targeted drugs under the guidance of doctors and pharmacists. You cannot change the medicine at will because others have used good results.

Misunderstanding 3: Blind health, take a lot of health products

There are elderly patients who believe in advertising or so -called folk health secrets without identifying. If they do not consult a doctor, they will buy various tonic or health products. Some drugs are expensive and have limited efficacy. Not only are we wasteing money, but a variety of drugs may also interact, leading to delaying the condition or drug poisoning, it is not worth it.

Misunderstanding 4: No symptoms, no need to take medicine

Although some elderly patients have significantly increased blood sugar and blood pressure, they do not have obvious symptoms of discomfort. They think that they feel good when they feel good. They can not take medicine until there is an accidental cerebrovascular accident that there is "feeling", which is too late.

Misunderstanding 5: It is three poisonous medicines, do not take or take less medicine

Regular drugs have undergone strict clinical trials. As long as the medicine is taken under the correct guidance of doctors and pharmacists, most of the adverse reactions are slightly controllable and can tolerate the body.

Misunderstanding 6: Random is high, and the medicine is uncertain

In order to enable the body to absorb the drugs faster and fully, and achieve the appropriate blood concentration and the best treatment effect, the constant dose should be given within the specified time, that is, the time nature of the medication is emphasized. For example, antihypertensive drugs should generally be taken in the morning. Drugs that are irritating to the stomach should be taken after meals or in rice. Bloodylipidemia should be taken before bedtime. And some elderly people do not comply with these medications and affect the treatment effect.

Misunderstanding Seven: Difficulty in taking medicine, open the research of the barrier

Some elderly patients think that the pills are too large or the swallowing function decreases, and the pills are opened to scramble, or the particles in the capsule are taken out. Structure, you need to consult a doctor and pharmacist before taking the medicine.

Misunderstanding 8: Drugs are dependent, and they need to be replaced regularly

The appropriate drug effect is ideal, less adverse reactions, and protects important organs. After choosing some drugs, if the effect is ideal and there is no adverse reaction, it is not recommended to change the medicine at will.

Misunderstanding Nine: Vitamins, antibiotics, Chinese medicine

Some elderly people believe that vitamins have no side effects and are universal supplements. In fact, as long as the elderly have a balanced diet, they can generally take sufficient vitamins, or supplement the necessary vitamins under the guidance of a doctor. Some elderly people are over -dependent on antibiotics. As soon as they have colds and diarrhea, antibiotics are taken. In fact, antibiotics are ineffective for viruses, mainly to inhibit bacteria, and antibiotics should be taken according to the doctor's order clearly. Among the elderly groups, the view that Chinese medicine is non -toxic and no side effects is common. In fact, all the drugs have a certain poison and side reaction, and the abuse of traditional Chinese medicine will also be poisoned, and Chinese medicine and western medicine cannot be combined at will. Traditional Chinese medicine emphasizes the treatment of syndrome differentiation. Please take it under the guidance of a doctor.

Misunderstanding 10: Just take medicine, do not pay attention to improvement of lifestyle

对于常见的慢性病，如高血压或糖尿病，除了服用药物，治疗还要结合良好的生活方式：低盐、低脂饮食，戒烟限酒，合理运动（每周3～5次、每次30分钟中等Strong exercise, such as walking, jogging, etc.), avoid strenuous exercise. Holding the attitude of eating and drinking as long as you take medicine, blood pressure, blood sugar, and blood lipids must not be well controlled.

Keep in mind the top ten principles

★ Benefit principle

The elderly should weigh the advantages and disadvantages, fully consider the risk and benefit of the drug, and ensure that the benefit/risk ratio of medication is> 1. For example, the risk of stroke and cerebral hemorrhage in patients with atrial fibrillations increase. If the clinical benefits of anticoagulant drugs are still greater than the risk of bleeding, anticoagulant drugs are not needed, and the risk of bleeding should be actively corrected.

★ Principles of caution

The elderly need to be cautious for the elderly. In addition to considering the efficacy, it is necessary to take into account the adverse reactions to avoid the use of taboos or drugs for the elderly to prevent the abuse of health products and Chinese medicine.

★ The principle of individualization

For elderly patients, the drug dosage is considered from small doses, and gradually adjust the dose according to the dosage of small doses. For some special drugs, such as Huafa and Gaoxin, the concentration of blood medicine needs to be monitored and controlled within the appropriate range.

★ Priority treatment principles

The elderly coexist in multiple illnesses. In order to avoid using different drugs, when emergencies, priority treatment principles should be determined, the main contradictions should be grasped, and the problem of life -threatening is given priority.

★ Simple principle

The elderly should use less medicine and refine, try to reduce the types of medication and control it within 5 types. If the effect is poor, drugs with poor tolerance can consider stopping the drug to reduce the type of drug. ★ Small dose principle

The elderly due to the particularity of pharmacokinetics and pharmacology, decreased liver and kidney function, increased sensitivity to drugs, decreased tolerance, and reduced safety. Effect.

★ Time -choice principle

According to the principle of time pharmacology, choose the appropriate medication time for treatment. For example, high blood pressure drugs are recommended to take an empty stomach in the morning, Akaba candy needs to be chewed with food, and the glucocorticoids have the laws of day and night secretion. Generally, take it in the morning.

★ The principle of suspension of medication

When there is no indicator of the drug, the drug should be stopped. If new problems and condition changes occur during the medication process, you should consider whether there are adverse drug reactions, and seek medical treatment as soon as possible to adjust the drugs in time.

★ Non -drug principles

Pay attention to non -drug therapy of elderly patients, including reasonable diet, exercise appropriately, strive to maintain a happy mood, quit bad habits, ensure sleep, and promote a scientific and regular life.

★ The principle of medication dependency

The compliance of the elderly is often unsatisfactory. Therefore, in order to improve the compliance of the elderly's medication, the following points can be done: try to use only the medicine once a day; use a special medicine box to pack the drugs, stick it to the label , Put the medicines in the morning, middle, and evening; remind and urge the elderly to take medicine on time.

In short, reasonable and safe medication is essential for the control and rehabilitation of the elderly. It is hoped that elderly friends can raise awareness of safe medication, master the principles of reasonable medication, and avoid misunderstanding of medication.

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