2013年7月8日 星期一

養成看藥物作用及副作用的習慣

台灣因為每位醫師看病的時間不長,開藥前後較難詳細詢問,有時若病患沒有自己提出疑問,醫師不一定會注意到副作用的產生。
今天一位病人,吃了數天的止痛藥(flubiprofen) 及通腦血管的藥物(nobica piracetam),感到頭暈、嗜睡而影響了日常生活。後來病患自己停藥後即便改善。查了網站,發現二種藥物皆有可能發生此副作用。

蒼達藥品有限公司 http://goo.gl/HuYex
光田綜合醫院 Kuang Tien General Hospital http://goo.gl/eVKx3

People who take nonsteroidal anti-inflammatory drugs (NSAIDs) (other than aspirin) such as flurbiprofen may have a higher risk of having a heart attack or a stroke than people who do not take these medications. These events may happen without warning and may cause death. This risk may be higher for people who take NSAIDs for a long time. Tell your doctor if you or anyone in your family has or has ever had heart disease, a heart attack, or a stroke, if you smoke, and if you have or have ever had high cholesterol, high blood pressure, or diabetes. Get emergency medical help right away if you experience any of the following symptoms: chest pain, shortness of breath, weakness in one part or side of the body, or slurred speech.

If you will be undergoing a coronary artery bypass graft (CABG; a type of heart surgery), you should not take flurbiprofen right before or right after the surgery.

NSAIDs such as flurbiprofen may cause ulcers, bleeding, or holes in the stomach or intestine. These problems may develop at any time during treatment, may happen without warning symptoms, and may cause death. The risk may be higher for people who take NSAIDs for a long time, are older in age, have poor health, or drink large amounts of alcohol while you are taking flurbiprofen. Tell your doctor if you take any of the following medications: anticoagulants ('blood thinners') such as warfarin (Coumadin); aspirin; other NSAIDs such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); or oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone). Also tell your doctor if you have or have ever had ulcers or bleeding in your stomach or intestines or other bleeding disorders. If you experience any of the following symptoms, stop taking flurbiprofen and call your doctor: stomach pain, heartburn, vomit that is bloody or looks like coffee grounds, blood in the stool, or black and tarry stools.