2. Quinolones and epilepsy patients should be used with caution;
3. Carbamazepine is easy to cause dizziness and balance disorder, so it needs to be closely observed and stopped in time;
4. Haloperidol is prohibited in patients with Parkinson's disease;
5. Clonazepam and phenytoin sodium can cause ataxia;
6. Drugs that promote brain metabolism should be used with caution in epilepsy;
7. Careful use of vitamin B 12 in patients with cryptococcal meningitis will promote the growth of cryptococcus;
8. Epilepsy patients with abnormal liver function should use sodium valproate or sodium magnesium valproate with caution, and midazolam and propofol can be used;
9. Patients with epilepsy should use citicoline with caution;
10. Statins can cause rhabdomyolysis. When patients taking statins have myalgia and myasthenia, and creatine kinase is significantly increased, they should stop taking statins in time;
1 1. Antidepressants, antipsychotics and anti-Parkinson drugs may cause hypotension and syncope;
12. Topiramate may lead to cognitive decline, low fever and no sweat in children;
13. levodopa tablets are prohibited for patients with severe arrhythmia, heart failure, glaucoma, peptic ulcer and history of convulsion;
14. Pay attention to the possibility that aspirin may induce asthma;
15. Haloperidol is prohibited for patients with heart disease.
16. Eating too much sibelium can lead to weight gain.
17. Plavix (clopidogrel) will weaken its antiplatelet effect if it is not combined with PPI (proton pump inhibitor).
18. In peripheral vertigo, we often use betahistine hydrochloride combined with phenethylamine, and the effect is very good. Check the drug instructions in detail: betahistine is an agonist of H 1 receptor, but not namine is a blocker of H 1 receptor, so what is the mechanism of their combination?
19. In the treatment of acute cerebral hemorrhage, mannitol should be used with caution within 6 hours after bleeding!
20. I didn't study the instructions carefully before.
Patients who encounter dizziness always give betahistine without thinking.
Later, a family member of an asthma patient asked
Only pay attention to asthma patients with caution.
22. Breast cancer patients cannot use domperidone and metoclopramide. This is taboo. A senior once put it on this website.
Both of them will cause disorders such as the increase of prolactin level in breast cancer patients, so it is not appropriate, but some people don't think so (as if it is not written in the drug instructions);
23. Elderly patients with dizziness must not use flunarizine (sibelium) for a long time, otherwise there is no good way to have extrapyramidal side effects.
24. Glaucoma, including non-acute glaucoma, is taboo in many drugs. Commonly used sedatives are contraindications, dopamine and antidepressants. In short, be extra careful when you encounter glaucoma!
25. The antiviral ganciclovir has a stronger inhibitory effect on leukocytes than acyclovir! Always check BR when using it!
26. Deanxit is a commonly used antidepressant, which can alleviate the somatization symptoms of chief complaint. Patients with bundle branch block, myocardial infarction and monoamine oxidase inhibitor are prohibited within two weeks! These situations are hard to avoid in outpatient clinics.
Speaking of my sore spot.
There was a patient with bundle branch block, and I used Deanxit. After reading the instructions, I was shocked and worried for several days. I didn't use Deanxit for a month after that, and I still have it! ~
27. People with renal failure and anuria are forbidden to use taxol (torasemide)!
~ once all furosemide in the ward was turned into Taisuni because of Taisuni's work. Once on duty, a patient with renal failure and anuria used docetaxel, accidentally turned over the instructions, and found that it was actually a taboo, sweating wildly. He quickly changed furosemide and found that the taboo of docetaxel was true.
28. Buflomedil is prohibited for conduction block, angina pectoris and myocardial infarction! My patient's blood pressure dropped sharply from 190mmhg yesterday to 100/60mmhg the next day after taking 2.55mg bid of dapamide. I'm afraid there is nothing serious. I haven't figured out the reason yet, please enlighten me!
29. For emergency patients with acute disturbance of consciousness, we should not only think of cerebrovascular diseases, but also pay attention to differential diagnosis and consider the principle of vitamins.
Vascular factor
I. Infection
wound
Autoimmune disease
Metabolism, endocrine
I. idiopathic epilepsy, etc. Hereditary disease
tumour
E endocrine
In fact, it is also a general classification of nervous system diseases, and my writing may not be detailed enough.
30. Excessive dose of cimetidine may cause mental symptoms, so be cautious.
The elderly should be careful when taking 10mg isosorbide dinitrate. My patient's blood pressure suddenly dropped from 190/70mmhg to 1 10/50mmhg, and he was unconscious. She felt nervous, maintained her blood pressure with dopamine and urinated several times.