Some Chinese patent medicines should not be taken with western medicine.
Modern medicine in China is developing along the road of integration of traditional Chinese and western medicine. In most cases, the combination of traditional Chinese and western medicine can complement each other, enhance the curative effect or reduce adverse reactions. Some Chinese patent medicines also contain western medicine ingredients, which have achieved good curative effect, but the chemical composition of Chinese and western medicines is very different, and their pharmacological effects are different. If we blindly combine traditional Chinese and western medicine and ignore some compatibility taboos, it will be counterproductive, aggravate the condition or cause new diseases, which requires special attention. After getting up one morning, Uncle Zhang showed a bright red blood stain on his white eyeball, which startled him and his family and hurried to the hospital. After carefully examining the medical history and medication history, the doctor said, "Uncle Zhang is suffering from scleral hemorrhage, which is related to taking western medicine aspirin and Chinese medicine Ginkgo biloba at the same time." Modern medicine in China is developing along the road of integration of traditional Chinese and western medicine. In most cases, the combination of traditional Chinese and western medicine can complement each other, enhance the curative effect or reduce adverse reactions. Some Chinese patent medicines also contain western medicine ingredients, which have achieved good results, such as vitamin C Yinqiao tablets, Ganmaoqing capsules and Xiaoke pills. However, there are great differences in chemical composition and pharmacological effects between Chinese and western medicines. If you use it blindly and ignore some compatibility taboos of Chinese and western medicines, it will be counterproductive; It not only reduces the curative effect of drugs, but also may lead to adverse interactions, aggravate the condition or trigger new diseases. For example, taking Ginkgo biloba leaves with acetaminophen, aspirin, warfarin and ergotamine caffeine at the same time will cause hematoma, and taking it with hydrochlorothiazide tablets at the same time will cause blood pressure to rise. Another example is the Chinese patent medicine Jisheng Shenqi Pill, which contains potassium ions. Combined with spironolactone, triamcinolone acetonide and sulfonamides, it can lead to hyperkalemia and arrhythmia. When some Chinese patent medicines and western medicines are taken together, some affect each other's internal processes such as absorption, distribution, metabolism, excretion, etc., some make their efficacy too strong and cause sensitization, some reduce their efficacy and lose their efficacy, and some produce toxicity or increase their original toxic effects, so these Chinese and western medicines should not be taken at the same time. Although most Chinese patent medicines are over-the-counter, patients are advised to consult a doctor or pharmacist when Chinese and western medicines are used together: if they are not suitable for taking at the same time, they should avoid using them together, adjust the dosage due to illness, and stagger the medication time. The following are examples of Chinese patent medicine and western medicine that should not be taken at the same time \ & ingredients of Chinese medicine \ & examples of Chinese patent medicine &; Examples of western medicine \&; Interaction of simultaneous administration \&; Alkaloids \ & Xiaohuoluo Pill, Jin Shu Pill, Zhuifengtougu Pill, Shenjindan Capsule, Jiegu Pill, Fuguigutong Tablet, Yaotongning Capsule, Semen Strychni Powder, Mugua Pill \&; Aminophylline, Atropine and Other Alkaloid Western Medicine \&; Western medicine can increase the toxicity of nux vomica, aconite and kusnezoff monkshood, and even lead to poisoning. \ & Ephedrine \ & Ganmao Soft Capsule, Huoluo Pill, Shufeng Ding Tong Pill, Zhuifengtougu Tablet, Compound Chuanbei Tablet, Zhisouqingguo Pill, Xuan Tong Li Fei Pill, Jizhi Syrup \&; Furazolidone, You Jiangning, phenelzine \&; Western medicine can enhance the effect of ephedrine in traditional Chinese medicine, leading to an increase in blood pressure. \ & amp\& ditto \&; Cardiac glycosides in traditional Chinese medicine such as digoxin, digitalis and ephedrine can increase the absorption and sensitivity of cardiac glycosides and enhance their toxicity. \ & Bufo Bufo \ & Huachansu Tablets, Shexiang Baoxin Pills, Xueshuanxinmaining Capsules, Yixin Pills, Xinkening Capsules, Xiong Dan Jiuxin Pills, Runhou Pills and Liushen Pills \&; Toad in traditional Chinese medicine enhances the effect of cardiac glycoside on the heart, leading to cardiac glycoside poisoning. \ & Calcium, magnesium and iron \&; Gui Ling Kechuanning Capsule, Weitong Capsule, Longmuzhuanggu Granule, Shengu Capsule, Niuhuang Jiedu Tablet, Niuhuang Shangqing Pill \&; Tetracycline, oxytetracycline, doxycycline, isoniazid, norfloxacin, ofloxacin \ & Metal ions in traditional Chinese medicine and western medicine form complexes that are difficult to dissolve and absorb, which reduces the efficacy. \ & tannic acid; Sijiqing Xiaoyan Liyan Tablets, Matrine Tannate Tablets, Berberine Tannate Tablets, Niuhuang Jiedu Tablets, Compound Scutellariae Radix Tablets, Tannic Acid Tablets, Yigan Qingre Jiedu Granules, Shuanghu Qinggan Granules \&; Pancreatin, pepsin, lactase, ferrous sulfate, ferrous fumarate, cephalosporin antibiotics \&; Tannic acid in traditional Chinese medicine and western medicine produces tannic acid precipitation, which makes the medicine difficult to absorb and reduces the curative effect. \ & Cinnabar \ & Musk Niuhuang Pill, Niuhuang Xiaoyan Ling Capsule, Amethyst Pill, Xingnao Jiangya Pill, Yixian Pill, Niuhuang Qingxin Pill, Angong Niuhuang Pill, Niuhuang Xingnao Pill and Meihua Diantongue Pill \&; Ferrous sulfate, ferric ammonium citrate, ferric fumarate, potassium iodide, potassium bromide, sodium bromide \&; Mercury sulfide, the main component of cinnabar, and western medicine produce mercury precipitation, which increases irritation and leads to drug-induced enteritis. \ & Realgar \ & Western medicine oxidizes arsenic contained in Realgar, increasing toxicity. \ & Ethanol \ & Guogong Liquor, Fengshi Gutong Liquor, Shujin Huoluo Liquor, Kidney-warming and Yang-strengthening Medicinal Liquor \&; Phenobarbital, aspirin, furazolidone, metronidazole, tinidazole, bromocriptine, diazepam, fludiazepam, gliclazide, ketotifen, cephalosporins \&; Ethanol affects the metabolism of western medicine, reducing or enhancing the curative effect. Western medicine increases the body's sensitivity to ethanol, leading to acetaldehyde poisoning. \ & Alkaline components \&; Weidean Tablet, Xiangsha Yangwei Pill, Shugan Wei Ping Pill, Weitong Capsule, Kuaiwei Tablet \&; Streptomycin, Kanamycin, Gentamicin \&; The alkaline components of traditional Chinese medicine increase the blood concentration of western medicine and enhance adverse reactions. \ & Norfloxacin, ofloxacin, isoniazid and pepsin \&The basic components of traditional Chinese medicine reduce the absorption of western medicine and reduce the curative effect. \ & acidic components \&; Schisandra syrup, Yixin Ningshen tablets, Guanxinning tablets, appetizing hawthorn pill, Zaoren Anshen liquid, Shenqi Schisandra tablets \&; Sulfonamides \ & Traditional Chinese medicines acidify urine, reduce the solubility of sulfonamides, and cause crystallized urine or hematuria. \ & erythromycin \&; Acidic traditional Chinese medicine reduces the antibacterial effect of erythromycin. \ & Pancreatin tablets, compound aluminum hydroxide tablets, aminophylline, sodium bicarbonate \&; Acidic traditional Chinese medicine and alkaline western medicine have acid-base neutralization reaction, which reduces the curative effect. \ & Antibacterial ingredients \&; Niuhuang Jiedu Tablets, Shexiang Niuhuang Pills, Qinlian Tablets, Changkang Tablets, Compound Berberine Tablets, Yinhuang Granules, Sanhuang Tablets and Chuanxinlian Tablets \&; Lactobacillus, Enterobacter, Bifico \&; Antibacterial components in traditional Chinese medicine inhibit intestinal probiotics and make them ineffective. \ & components for promoting blood circulation \&; Ginkgo biloba capsules, Xiaoshuan Tongluo tablets, Compound Danshen dripping pills, evening primrose oil, breviscapine tablets, Sean Huazhi pills, Xuefu Zhuyu capsules, Dahuangchong pills and Angelica extract tablets \&; Warfarin, clopidogrel, aspirin \&; The blood-activating components in traditional Chinese medicine enhance the curative effect of western medicine and the risk of potential bleeding. 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