Gastric medicine, when is it correct?

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Gastric medicine, when is it correct?

2018-05-02 10:25:37 284 ℃

As the saying goes, ten people have nine stomachs, and it can be seen that the stomach is a high-grade disease. Whether it is reflux esophagitis, chronic gastritis, peptic ulcers, or even gastric malignancy patients require oral stomach medicine. At present, many stomach medicines are over-the-counter medicines that can be purchased without medical treatment. Even many families often have small stomach medicine kits. The most important thing for stomach medicine is to take it at the right time and choose the right time to get the best results. So, when is it right to take stomach medicine, is it fasting, before going to bed, before meals, at meals, or after meals? This is really stressful.

The commonly used stomach medicines include antacids, acid-suppressants, mucosal protective agents, and gastrointestinal prokinetic agents.

First, what are the commonly used antacids? How to eat it?

Most antacids are weak alkaline substances. After oral administration, they can neutralize stomach acid, thus relieving symptoms such as acid reflux, heartburn and stomachache caused by hyperacidity and promoting mucosal healing. Commonly used antacids are divided into:

1. Absorbent antacids, such as sodium bicarbonate.

2, non-absorbable antacids, such as aluminum magnesium carbonate tablets (Daxi), aluminum and magnesium plus suspension (Anderson) and so on. This type of medicine is usually administered 1-2 hours after a meal or orally at bedtime and on stomach attack. Because gastric acid secretion is a dynamic process, oral secretion of gastric acid after meal takes a peak time, and gastric emptying is relatively slow at this time, can play the biggest role of the drug, efficacy can be maintained for 3-4 hours.

Second, what are the commonly used anti-acid drugs? How to eat it?

Reducing gastric mucosal damage by inhibiting gastric acid secretion. Commonly used antacids are divided into:

1. H2 receptor antagonists: eg cimitidine (first generation), ranitidine (second generation), famotidine ( Third Generation). At present, famotidine is relatively commonly used in clinical practice. Its strength is more than 30 times stronger than cimetidine and 6-10 times stronger than ranitidine. Absorption of this type of drug is not affected by food. It takes about 1 hour after oral administration to take effect, peak plasma concentration within 2-3 hours, and the duration of action lasts for more than 12 hours. Therefore, it is usually taken once a day after breakfast or dinner or before bedtime. .

2. Proton pump inhibitors are the most potent drugs that inhibit gastric acid secretion.Things. Commonly used drugs such as: omeprazole (Ok enteric-coated capsules, omeprazole tablets), lansoprazole (dakpron capsules), pantoprazole (Friuli Su, Pantoloch), Ray Betaprazole (Reppert, Pollet), Esomeprazole (Nexus). Such drugs are susceptible to food and need to be taken before breakfast. If you take it twice daily, you need to take it orally or before dinner. This is the highest peak of postprandial gastric acid secretion, and the effect of inhibiting gastric acid will be the most effective.

Third, how to take gastric mucosal protective agent?

Gastric mucosal protective agent refers to a type of drug that protects and strengthens the function of gastric mucosal defense. It can act as an umbrella for gastric mucosa and can promote mucosal healing.

Commonly used gastric mucosal protective drugs include: aluminum magnesium carbonate tablets (such as Daxi), aluminum magnesium plus suspension (Anda), sucralfate, Jifa tablet (Hui Hui strengthen), membrane Stara tablets (rebamiide), tinctures such as potassium citrate tablets/capsules/granules (Livzon Dele), and compound barium aluminate pellets/tablets (Deterbuta/Stopper).

Note: When taking gastric mucosal protection, only a small amount of warm water is needed to take the drug. It is recommended that you should not drink too much water within half an hour, otherwise the protective effect of the drug will weaken.

Four, how to promote gastrointestinal motility drugs?

The most commonly used gastrointestinal motility drugs are: dopamine D2 receptor antagonists such as metoclopramide (metopram), domperidone (Modine Morphine); 5-HT4 receptor agonists such as: cisapride, mosapride. This kind of drug should be taken half an hour before meals, and the efficacy of the drug should reach the peak when it is eaten, which will promote gastrointestinal motility.