The doctor said that amoxicillin is not the preferred medicine for fever and cold

“When I took a cold and eat amoxicillin, wouldn’t I have any problems?” said Ms. Chen Yijing, who lives in Mawei District, Fuzhou. After the country imposed a price limit on amoxicillin, she bought several boxes for her family and each time she caught a cold. Will take cold medicine plus amoxicillin. In this regard, Huang Dehua, chief physician of the outpatient department of the First Affiliated Hospital of Fuzhou General Hospital of the Nanjing Military Region made a relevant interpretation.

Not the first choice for colds and fevers

"Amoxicillin is a penicillin antibiotic that is widely used at present and has a strong and rapid bactericidal effect. It is not easily affected by most foods and is completely absorbed. It accounts for more than half of the use of antibiotics in outpatient clinics. Its preparations include capsules. Tablets, granules, dispersible tablets, etc. The commonly used tablets are 0.125 g/tablet, 0.25 g/tablet; capsules 0.125 g, 0.25 g, 0.5 g; injections 0.5 g/piece.” said Huang Dehua.

Regardless of the type of amoxicillin, the requirements for the storage environment are very high. They should be shaded, sealed, and kept in a cool, dry place. Many people place medicines as miscellaneous items, where they can be conveniently placed, and even place amoxicillin in places close to heat sources such as stoves and heating systems, which are extremely prone to deterioration.

Amoxicillin is suitable for infections caused by sensitive bacteria, such as Streptococcus hemolyticus, Streptococcus pneumoniae, Staphylococcus or Haemophilus otitis media, sinusitis, pharyngitis, tonsillitis and other upper respiratory tract infections, acute bronchitis, pneumonia, etc. Lower respiratory tract infections, and for genitourinary tract infections caused by Escherichia coli, Proteus mirabilis, or Enterococcus faecalis, skin soft tissue infections caused by Streptococcus hemolyticus, Staphylococcus or Escherichia coli, and acute simple gonorrhea. In addition, amoxicillin can also be combined with clarithromycin, lansoprazole triple eradication of gastric and duodenal Helicobacter pylori, reducing the recurrence rate of peptic ulcer.

Amoxicillin is not the drug of choice for respiratory diseases. In fact, amoxicillin does not work for viral colds or fevers. In life, most respiratory diseases such as fever and fever are caused by viruses. This symptom does not require the use of amoxicillin, and only amoxicillin is required for bacterial infection. In fact, amoxicillin is most suitable for digestive diseases such as abdominal pain and ulcers. For example, amoxicillin 500mg, metronidazole 0.2g, three times a day, omeprazole 10mg, once a day, four weeks as a course of treatment, can be very good relief of stomach symptoms, but also repair the gastric mucosa and the damaged parts of the stomach , to reduce the side effects of Western medicine. In addition, when amoxicillin is combined with a β-lactamase inhibitor such as clavulanic acid, the antibacterial effect is significantly enhanced, and in particular, it can enhance the insensitivity of amoxicillin to Bacteroides, Legionella, Nocardia, and Pseudobacter Pseudotuberculosis. The role of the strain.

This medicine should be taken after meals to relieve gastrointestinal reactions. Do not eat high-fiber foods such as oats, celery, carrots, etc. during the medication to avoid reducing the efficacy. In addition, amoxicillin and gentamicin, kanamycin, ciprofloxacin, pefloxacin and other drugs, are incompatible, can not be placed in the same container.

Amoxicillin staged "Awkward"

Nowadays, more and more people use amoxicillin as a necessary medicine in their homes to become a cure for headaches and brain fever. In fact, amoxicillin belongs to broad-spectrum antibiotics and is effective against many pathogenic bacteria. However, it must be used under the guidance of professional doctors. It is self-administered as a family standing drug and has both blindness and risk. Huang Dehua said that the long-term abuse will lead to a vicious cycle, in addition to prone to allergic symptoms, a burden on the liver, and even serious drug-free conditions.

In order to prevent the occurrence of severe allergic reactions, amoxicillin must be asked in detail before the medication history, including the history of medication, whether the penicillin drugs used, whether it is easy for patients to ignore the reaction symptoms, such as chest tightness, itching, facial tingling, fever And so on, and whether there are individuals or families with allergic diseases.

Penicillin skin tests must be performed before using amoxicillin, and the positive responders are disabled. Clinically, the incidence of adverse reactions of amoxicillin is about 5%, and allergic reactions such as urticaria, rash, and asthma are common, or diarrhea, nausea, vomiting and other digestive symptoms, as well as anemia, convulsions, excitement, anxiety, insomnia , dizziness and other side effects. In the course of taking amoxicillin, if the above adverse reactions occur, it must be stopped immediately.

Pregnant women and lactating women and children under 3 months of age should be used with caution because amoxicillin can be excreted in small amounts via breast milk. After lactating mothers use amoxicillin, it may cause allergies in infants. When combined with a contraceptive, amoxicillin interferes with the enterohepatic circulation of the contraceptive and reduces its efficacy. Other studies suggest that chloramphenicol, macrolides, guanamines, and tetracycline may interfere with the antibacterial effects of amoxicillin in vitro.

Amoxicillin oral formulations are only used for mild to moderate infections. When overdose, supportive treatment and symptomatic treatment may be taken. Dosage, oral 0.5 g once per adult, once every 6-8 hours, the daily dose does not exceed 4g; children daily 20-40mg/kg, once every 8 hours. Treatment of uncomplicated acute urinary tract infections can be given as a single oral dose of 3g, or as soon as 10-12 hours later. Newborns and preterm infants are given an oral dose of 50 mg once a day for 12 hours; severe infections may occur once every 8 hours. Intramuscular injection or diluted intravenous infusion, once 0.5-1g, 3-4 times a day; children daily 50-100mg/kg, 3-4 intravenous infusions.

Links: Discussing the "Antibiotics" of Public Vectors

In the end, what are the antibiotics? In fact, many people are not very clear. Antibiotics are actually a bigger concept, including many anti-viral, anti-fungal and many other pathogenic drugs. The antibiotics are mainly to kill bacteria. We often say that the abuse of antibiotics mainly refers to the abuse of antibiotics. What are the antibiotics, like penicillins, such as amoxicillin? In simple terms, antibiotics can only be used when there is a bacterial infection in the body. Such as bacterial pneumonia, urinary tract infections.

Eating amoxicillin for colds is actually a misuse of antibiotics. A cold to eat antibiotics - many people will have this habit, once found a cold, feeling sore throat, cough, and quickly eat antibiotics such as amoxicillin. In fact, most of the colds are caused by viruses, and eating antibiotics against bacteria has no effect. Antibiotics can only be used after the cold has continued to develop with bacterial infections.

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