治疗急性胃肠炎的药能同时服用吗?

2018-06-11 张芸婷 上海药讯

别急,药师有话说,为您介绍: 1用药分析 补液:口服补液盐,或静脉滴注葡萄糖氯化钠注射液及相关电解质

张芸婷  上海市第十人民医院药学部






别急,药师有话说,为您介绍:

1用药分析

补液:口服补液盐,或静脉滴注葡萄糖氯化钠注射液及相关电解质

抗菌药物:诺氟沙星(氟哌酸)、头孢丙烯、磷霉素、盐酸小檗碱(黄连素)

抑酸药:奥美拉唑

止吐药:甲氧氯普胺(胃复安)

解痉药:消旋山莨菪碱(654-2)

止泻药:蒙脱石散

退热药:对乙酰氨基酚(泰诺林)

辅助治疗:中成药:王氏保赤丸

调节肠道菌群:双歧杆菌三联活菌散(培菲康)、口服酪酸梭菌活菌片(米雅)

2药品储存

培菲康:2-8℃避光保存(可置于冰箱冷藏室);

米雅:常温避光,但需远离高温;出门在外的患者很适用

3服药时间及注意事项





4药物相互作用

蒙脱石散+其他药物

蒙脱石具有极强的吸附能力,与其他药物需间隔1h-2h

抗菌药物+益生菌制剂

抗菌药物和益生菌制剂同服可能会影响活菌制剂的功效,大部分抗菌药物对胃黏膜有刺激,因此益生菌宜在餐前服用,间隔2~3h,在餐后服用抗菌药物。前后服用顺序可根据具体情况调整,但时间间隔须达到

5总结

治疗急性肠胃炎的部分药品不可同时服用,如蒙脱石散、抗菌药物和益生菌等;部分单药有特殊的注意事项;

服药时,选择最佳的服用时间,达到最佳的治疗效果。

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1436894, encodeId=04821436894c7, content=<a href='/topic/show?id=b2c85240e67' target=_blank style='color:#2F92EE;'>#急性胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52407, encryptionId=b2c85240e67, topicName=急性胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545265, encodeId=3c7f15452659f, content=<a href='/topic/show?id=a3e58329177' target=_blank style='color:#2F92EE;'>#胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83291, encryptionId=a3e58329177, topicName=胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c85e13706708, createdName=ms9608593228839890, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323676, encodeId=62663236e6ef, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:21 CST 2018, time=2018-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323675, encodeId=4b4b3236e569, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:11 CST 2018, time=2018-06-12, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1436894, encodeId=04821436894c7, content=<a href='/topic/show?id=b2c85240e67' target=_blank style='color:#2F92EE;'>#急性胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52407, encryptionId=b2c85240e67, topicName=急性胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545265, encodeId=3c7f15452659f, content=<a href='/topic/show?id=a3e58329177' target=_blank style='color:#2F92EE;'>#胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83291, encryptionId=a3e58329177, topicName=胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c85e13706708, createdName=ms9608593228839890, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323676, encodeId=62663236e6ef, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:21 CST 2018, time=2018-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323675, encodeId=4b4b3236e569, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:11 CST 2018, time=2018-06-12, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1436894, encodeId=04821436894c7, content=<a href='/topic/show?id=b2c85240e67' target=_blank style='color:#2F92EE;'>#急性胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52407, encryptionId=b2c85240e67, topicName=急性胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545265, encodeId=3c7f15452659f, content=<a href='/topic/show?id=a3e58329177' target=_blank style='color:#2F92EE;'>#胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83291, encryptionId=a3e58329177, topicName=胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c85e13706708, createdName=ms9608593228839890, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323676, encodeId=62663236e6ef, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:21 CST 2018, time=2018-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323675, encodeId=4b4b3236e569, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:11 CST 2018, time=2018-06-12, status=1, ipAttribution=)]
    2018-06-12 秀红

    学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1436894, encodeId=04821436894c7, content=<a href='/topic/show?id=b2c85240e67' target=_blank style='color:#2F92EE;'>#急性胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52407, encryptionId=b2c85240e67, topicName=急性胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545265, encodeId=3c7f15452659f, content=<a href='/topic/show?id=a3e58329177' target=_blank style='color:#2F92EE;'>#胃肠炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83291, encryptionId=a3e58329177, topicName=胃肠炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c85e13706708, createdName=ms9608593228839890, createdTime=Wed Jun 13 08:32:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323676, encodeId=62663236e6ef, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:21 CST 2018, time=2018-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=323675, encodeId=4b4b3236e569, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Jun 12 23:35:11 CST 2018, time=2018-06-12, status=1, ipAttribution=)]
    2018-06-12 秀红

    学习了

    0

相关资讯

面包袋夹竟然在15岁男孩的体内至少呆了2年——案例报道

患者男,15岁,严重智力低下,患有Dravet综合征(DS;严重的遗传性癫痫性脑病,即婴儿重症肌阵挛癫痫),因“急性胃肠炎”就诊急诊。 腹部X线片(A):右下象限可见异常密度影。 2年前患者因急性腹泻,行影像学检查,发现了相同的右下象限异常密度影。但上次患者的腹泻很快好转。 这两年来,患者否认发烧、水样腹泻、血便或体重减轻等症状。否认手术史。 此次入院查体一切正常,

JID:腺病毒、札幌病毒以及星状病毒与儿童急性胃肠炎相关

     5种肠道病毒在年龄小于5岁的急性胃肠炎患者和健康者中的年龄分布 急性胃肠炎是儿科常见的疾病和常见的死亡病因。全球每年大约有90万初生儿和儿童死于腹泻。虽然因腹泻而死亡在发达国家里并不常见,但涉及大量的医疗健康费用,从而对社会经济产生巨大的负面影响。最近的数据显示,美国每年1.79亿例胃肠道疾病中,有1.418亿例(约80%)由非特异性病原体或不明病原体引起。 病毒是引起年龄小于5岁

NEJM:诺瓦克病毒成美国未满5岁儿童急性胃肠炎主因

  美国疾病预防控制中心(CDC)病毒性疾病部的Daniel C. Payne博士等对在美国医疗机构就诊的未满5岁儿童急性胃肠炎发病情况进行调查后发现,诺瓦克病毒为发病主要因。另一方面,因轮状病毒就诊的患者减少。详情近期发表于《新英格兰医学杂志》。   流行病学家Payne博士等2009和2010年的调查显示,因诺瓦克病毒就诊的乳儿和幼儿每年约为100万人,随之而来的是每年数