لا تتناول اقراص الدواء بالشاي او البيبسي..

[أبو محمود]

تفاعلات الأدوية من المواضيع المهمة لضمان فاعلية الدواء واجتناب الأثار الجانبية له وعدم حدوث انتكاثة للمرضىفمثلاُ ماذا يحدث اذا شربت الشاى بعد تناول الدواء وماذا يحدث اذا تناولت اكثر من دواء فى نفس الوقت هل ستؤثر هذة الأدويةعلى مفعول الأدوية الأخرى بالسلب او بالأيجاب وما تأثير شرب الحليب مثلا على بعض الأدوية مما سبق يتضح لنا خطورةهذا الموضوع وسأتناول بالتفصيل انواع هذة التفاعلات كما يلى


أولا تفاعلات الأدوية مع بعضها drug drug interaction

قد يكون الشخص مصاب بأكثر من مرض فى نفس الوقت ويتناول اكثر من دواء وهذا الأدوية بالتأكيد لها تاثير على بعضهامما ينتج عنه
ا- مضاعفة فاعلية الدواءب - تلاشى او نقص فى فاعلية الدواءج - عدم التأثر
ومثالا على ذلك


1- عندما تتناول السيدات المضاد الحيوى مع حبوب منع الحمل

الكثير من السيدات يتناولون حبوب منع الحمل بأنتظام ولكنها تصدم عندم تعلم انها حامل وتكون فى حيرة من امرهاوكيف حدث ذالك والحقيقة ان هذة السيدة قد تكون اصيبت بنزلة برد وتناولت مضاد حيوى مثل الأموكساسيللين وهذا المضاد يؤدى الى نقص امتصاص منع الحمل من الأمعاء مما ينتج عنة فى ضعف المفعول او تلاشى الفعول ومن ثم الحمل


2- تناول الأسبيرين مع مضادات تجلط الدم مثل الوارفارين او الكومادين

كما نعلم ان الأسبرين يزيد سيولة الدم وتناولة مع مضادات التجلط او التخثر سيزيد من فاعليتها


3- تناول اقراص الفحم مع ادوية القلب

اقراص الفحم مثل دواء ديسفلاتيل وهى تستخدم لعلاج الأنتفاخ لأنها لة القدرة على امتصاص الغازات تؤدى الىنقص فاعلية الأدوية لأنها ستعمل ايضا على امتصاص هذة الأدوية وعدم استفادة الجسم منها مما يؤدى الى انتكاسة مرضية
ثانيا تفاعلات الأدوية مع الغذاء والمشروبات
لوحظ ان هناك بعض الأطعمة قد تزيد او تنقص من فاعلية الأدوية مثل


1- شرب الشاى مع البنادول

فقد لوحظ ان شرب الشاى مع البنادول ان مفعول قد زاد بنسبة 40% لأحتواء الشاى على مادة الكافينلذا فقد انتجت الشركة نوع من البنادول اضافت لة الكافين واطلقت علية بنادول اكسترا


2 - شرب الشاى مع تناول اقراص الحديد

قد يكون هنا شخص مريض بالأنيميا ويستخدم اقراص الحديد كعلاج او قد تكون ايضا سيدة حامل تتناول الحديد كمقوى للدم
ومع شرب الشاى مع اقراص الحديد لوحظ ان مادة التانين التى يحتويها الشاى تقوم بترسيب الحديد وتمنع امتصاصة مما يؤدىالى تلاشى مفعولة


3- شرب الكحوليات مع تناول الأدوية

مما هو معروف ان الكحوليات اعاذانا الله منها تنشط انزيمات الكبد مما يؤدى الى سرعة تكسيرة وتخلص الجسم منةونقص فاعليتة


4- لوحظ ان الحليب بما فية من كالسيوم يتفاعل مع التيتراسيكلين ويرسب مادة صفراء على اسنان الأطفال وئؤدى الى ضعف نمو الأسنان والعظام لذا فأن التتراسيكلين ممنوع فى معالجة الأطفال

ثالثا تأثيرات الأدوية على المرض


1 - عزيزى القارىء لك ان تتخيل ماذا يحدث لشخص مصاب بربو وضيق فى التنفس عندما يتناول دواء يزيد الربو بالتأكيد سينتج عنة اختناق هذا المريض وهذا ما لوحظ عند تناول مرضى الربو لدواء اندرال وهوا دواء يستخدم لتنظيم دقات القلب والأكتئاب والصداع النصفى ان هذا الدواء يسبب ضيق فى الشعب الهوائية مما ينتج عنة زيادة فى اختناق المريض



2- مريض السكر والضغط عند تناول الكورتيزون مثا كيناكورت او سيلستون وغيرهما

فقد يصاب مريض السكر والضغط بالحساسية ويضطر ان يتناول ابرة كرتيزون فيكون لها تأثير سيىء على المريض لأن الكورتيزون بيرفع السكر والضغط
مما سبق يتضح لنا خطورة تفاعلات الأدوية ويجب على الجميع


عدم تناول اى دواء الا تحت اشراف طبي
اخبار الطبيب و الصيدلى بالأمراض المزمنة عندك قبل تناول اى دواء
على السيدات اخبار الطبيب او الصيدلى قبل تناول اى دواء بحالتها اذا كانت حامل او عندها طفل رضيع\
تناول الدواء بالماء فقط وليس بالشاى او البيبسى وغيرهما
عدما شرب الشاى بعد الأكل وتناول الأدوية مباشرة

[karima.t]

شكراااا استادي على الموضوضوع

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