The age is poor, what should I do if I missed the drug?Do you want to eat double?All kinds of commonly used medicines, say clearly

Author: Li Jin

With the continuous growth of age, many middle -aged and elderly friends will have more or less healthy problems, such health problems, high blood pressure, hyperlipidemia, diabetes, and other three high problems, as well as cardiovascular disease. For these chronic diseases, it is usually difficult to completely cure. Under the premise of doing a good job of living control, if it is still not effective, it is often necessary to supplement for long -term medication to strengthen the disease control.

In the process of taking medicine for a long time, some elderly friends often have such a problem. Originally, the drugs that should be taken every day or after each meal. Due to their busy things, or too bad memory, they forgot to take the medicine and missed the medicine. In the face of this situation, many friends will feel at a loss: Should I quickly take it up when I discover it? Or do you take twice the time when taking medicine next time? In fact, for different drugs, different situations, the remedial measures that should be taken should also be different. Today's popular science article, let's talk about what to do if the elderly missed medication.

First of all, it is clear that for some drugs that elderly friends have taken for a long time, such as antihypertensive drugs, lipid -lowering drugs, hypoglycemic drugs, cardiovascular disease control, and risk prevention drugs, if you find the situation of missed drugs, whether it is immediately supplemented immediately If you take the next time you take medicine, you generally do not need to double the dose.

Eating medicine is not the same as eating. After eating less meals, you can eat more in the next meal, but for drugs that control the disease, there are usually clear dosage requirements. It is more guaranteed, but if you double the dose, it may bring the risk of excessive efficacy and an increased incidence of adverse reactions.

This may be too abstract, let's give you an example: Patient A is a patient with hypertension. He regularly takes Salin antihypertensive drugs every day to control blood pressure. Blood pressure has always been controlled. One day because he is too busy, forget himself, forget himself, and forget himself, forget himself, forget himself, forget himself, forget himself, forget himself, and forget himself. Did you take the antihypertensive medicine, so I took it again, and worried that I took medicine late. It turned out to have taken one piece and two slices. As a result, after more than two hours after taking the medicine, dizziness, fatigue, palpitations, cold sweaty symptoms, measurement of blood pressure discovery, blood pressure dropped to a level of 90/60mmHg, hurriedly lay down and rest, and after a few hours, slowly recovered after a few hours. Essence

This example is an excessive taking antihypertensive drug, which leads to excessive pressure reduction, which causes low blood pressure cases. Low blood pressure will not only cause physical discomfort, but also may accelerate the heart rate because of the lower blood pressure, which causes cardiovascular events to pay special attention. Therefore, whether it is antihypertensive drugs, other lipid -lowering drugs, hypoglycemic drugs, etc., in addition to special circumstances, after taking the medicine, whether it is supplementing or the next time the medication point continues to take medicine, it is all. There is no need to increase the dose, so as not to cause unnecessary drug risk due to excessive drugs.

Specifically, how can I make up for the common medication of some elderly friends? According to the classification of some common elderly disease medications, I will interpret them one by one.

1. Anti -antihypertensive drug

Patients with hypertension take antihypertensive drugs. The goal of medication is to control the stability of blood pressure and meet the standards. If you take long -term antihypertensive drugs once a day, if you find that the leakage is found on the day, you can take it immediately. If you find that the missing service is already the next day, then the next day is used to take the regular medication. If you miss it once, double the dose.

If you take the medium and short -acting drugs 2 to 3 times a day, when you find that the missed drugs are found, if the next time the medicine is still far away, such as more than 4 to 6 hours, you can consider taking it once and take the medicine next time. Time can take the medicine normally; if you find that you are leaked, you can have a short time from the next time you take the medicine, and you can take the medicine normally when you take the medicine next time.

2. Biting Belly reduction drugs

Hisatin drugs are commonly used drugs for lowering blood lipid drugs. Currently commonly used in clinically, there are long -acting betin, Ruhunzanda, Pedevas, and Fluandas, Louvas, Pu, Pu, Pu, Pu, Pu, Pu, Pu, Pu, Short -acting drugs such as Vagotine. In order to give full play to the strongest lipid -lowering effect of his drugs, the general short -acting Jetine recommendation is to take it in the evening. For example, taking it before going to bed can make the drug better lipid -lowering effect during the most active time of the liver synthetic cholesterol. For the long -acting beine, it takes a long time to play a role in the body, so it is not required to take it at night, and choose a fixed time every day.

If you take short -acting Hasing drugs, if you find that you forget to take it before going to bed the night before, there is no need to take it after the morning. Hisatin drug controls cholesterol synthesis. Occasionally, it will not cause cholesterol to rise suddenly. Bring risks, just pay attention to taking medicine before going to bed the next day; if it is a long -acting Histen drug, if the drug is found on the day, you may wish to take it once when you find it. Consistent with the time of supplementing drugs, you can still adhere to the daily regular medication.

3, hypoglycemic medicine

For the omissions of oral hypoglycemic drugs, how to do this must also be evaluated and judged based on the mechanism of drug action and time.

For example, Ruigerna and other ultra -short -acting drugs used to control blood sugar after meals are required before meals to achieve the effect of suppressing postprandial blood sugar. If you miss it, you do not need to take it after meals. Wait until the next meal. Just take medicines. Such drugs belong to the case where there is rice. If you do n’t eat medicine without rice, if you do n’t eat, you do n’t need to take the blood sugar drugs after meals. Low blood glucose risk. In addition to the drugs taken before meals such as Reaglina, Pinglidone, Akapo candy, etc., it is similar. If you find that you forget to take medicine after meals, don't take it. For some long -acting, hypoglycemic drugs, such as dual -dual -dual -release tablets, Licorine, Gelemei and other drugs, such as the missed service on the day, the next day If you do it, do not double the dose. For SGLT2 inhibitors such as Dagli California, it has a certain diuretic effect. If you forget to take it during the day, it is not recommended to take up before going to bed to avoid causing the increase in night to affect sleep.

4. Medication of cardiovascular system

Many elderly friends take medicine for a long time to take drugs to control the risk of cardiovascular disease. Common drugs include β -blockers, nitrate drugs, and antiplatelets or anticoagulant drugs.

It should be noted that the β -blocker drugs used to relieve angina pectoris and control the heart rate. When you find that the omissions are found, you must evaluate the timeliness of the drug and the time interval of the next medication. Short, leading to the superposition of drugs and caused heartbeat risk. For example, the long -acting drug of Betholol, if the interval between the omissions and the next medication is more than 16 hours, you can take it, but if the time is less than 16 hours, then take the medicine next time, without supplementing.

Nitrate drugs, such as single -nitrate pearl ester, etc. are drugs that expand blood vessels by binding to the binding of intranchedonoprotitrodic acid ester in blood vessels, improve blood flow, and relieve angina pectoris and other symptoms. It will affect the medicinal effect of the second medication due to the excessive consumption of the vascular cells in the vascular smooth muscle cells during the previous medicine. For some friends who need to take nitrate drugs for a long time, if you find that the missed drugs are found to be more than 6 hours from the next time, you can consider supplementing, but if the interval is within 6 hours, do not supplement it.

For anti -platelets and anticoagulant drugs, you should also pay attention to the timing of supplementing. Generally speaking, if the leakage is found on the same day, you can take it in dose. If the leakage is found the next day It's right.

These 4 types of commonly used drugs are just examples, and there are many commonly used drugs for the elderly. They cannot cover them one by one. For elderly friends who need to take drugs for a long time, how to supplement the missed drugs should be combined with the characteristics and the characteristics of the drug and the characteristics of the drug and the characteristics of the drug. The characteristics of medication are determined after comprehensive assessment. In daily life, I also hope that the juniors in the family can give the elderly more care and reduce the chance of the elderly missed drugs. For example, setting up mobile phone regular reminders, or using the medicine box that takes the daily medication every week, and packing the drugs in advance is a good way to effectively avoid the elderly leaking medicine and forget to take medicine.

references:

[1] How to make up for Tian Dan. How to supplement the drug leakage [J]. Life and health, 2018

The article is produced by the popular science China-Starry Cultivation Plan. Please indicate the source for reprinting

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