糖尿病

糖尿病:多药并用要谨慎

退休在家的许老师查出有糖尿病已有一年多了,按照医生的要求,他长期服用优降糖治疗,加上平时一直注意饮食控制和适度锻炼,他的病情一直都很稳定,不仅血糖控制得不错,而且“三多一少”的症状也没有了。前几天,天气突然变冷,他有些感冒发烧,就将自家药箱的板蓝根和阿司匹林拿出来服用。服药3天后,感冒倒是治好了,可他却突然感到眼前一黑,一下子晕倒了,幸亏家人及时发现将他送进医院,经医护人员抢救才脱离危险。事后医生告诉他,他这是由于用药不当引起的低血糖昏迷,如果不是发现及时,是有危险的。

一个人同时服用两种或两种以上的药物时就称为合并用药,合并用药时,有些药物会受到其他药物的干扰或影响,即有药物交叉反应,最常见的药物交叉反应是药物的拮抗作用和协同作用。糖尿病患者合并用药尤其要小心,因为在治疗糖尿病期间,同时又服用一些其他药物,可因这些药物易与甲磺丁脲、优降糖等降糖药发生拮抗作用而降低降糖药物的疗效;也可发生协同作用,使血糖降得太低,甚至还会引起低血糖昏迷,如果发现和处理不及时,有时还会危及生命。

糖尿病病人在服用降糖药期间,最好不要同时服用以下药物:

阿司匹林阿司匹林可使口服降糖药代谢与排泄减慢,会增加磺脲类药物的药效,加上其本身也有降糖作用,合用会使血糖降得过低,易引起低血糖昏迷。许老师发生低血糖昏迷的原因就在于此。

心得安等β受体阻滞剂心得安能降低血压,还可阻碍肝糖原释放葡萄糖,使血糖降低,它还能促使胰岛分泌胰岛素,它还能掩盖低血糖引起的心律增加等征象,与口服降糖药同服,可造成低血糖昏迷。故糖尿病人服用心得安要十分谨慎。

抗凝血药如双香豆素,可抑制D860的代谢,延长其半衰期,容易发生低血糖。

氯霉素可抑制肝内药酶的活性,降低降糖药物的代谢,易引起低血糖。

复方新诺明可加强口服降糖药的作用,应用时要注意调整降糖药的药量。

糖皮质激素类如强的松、可的松、地塞米松等,这些药物能增加肝糖原的合成,减少组织对糖原的利用和分解,使血糖升高,故得名糖皮质激素,是糖尿病患者禁用的药物。

抗结核药异烟肼、利福平它们能促进肝脏分泌较多的药酶加速D860的代谢与排泄,从而缩短D860的半衰期,影响降血糖作用,降低降糖药的疗效,使血糖升高。

雌激素、黄体酮和口服避孕药它们能降低降糖药的疗效。

速尿、利尿酸、双氢克尿噻等利尿药它们能抑制胰岛素的分泌,

使血糖升高。

四环素、土霉素、庆大霉素等可产生大量乳酸,引起病人酸中毒。

烟酸可引起糖耐量下降,并通过末梢组织抑制对葡萄糖的利用。

另外,抗精神病药物如氯丙嗪、奋乃近等具有升高血糖的作用。重症糖尿病患者应慎用一些含糖分过多的药物,如各类口含片、咀嚼片常添加蔗糖作为甜味剂,因其所含糖分较多,其药品说明书上一般都有说明。糖尿病病人忌饮酒,其主要原因是酗酒能抑制肝内药酶的活性,从而引起低血糖。

糖尿病病人应当注意:当刚换了某种糖尿病口服药的类型及剂量并且正在服用其他药物,或者你只服用一种口服药,但刚用过某种非处方药物时,如果这时你的血糖无明显原因失去控制,或者出现高血糖、低血糖的症状,你一定要考虑到可能是某些药物的交叉反应造成的。如果怀疑是其他药物影响糖尿病口服药的效果,应当立即去看生,请医生指导,千万不可自行换药或瞎加药,否则,可能造成不良后果。

新闻通讯

订阅新闻通讯以获取所有最新更新

Yumtrade is an online shop that caters health & beauty products to consumers in Singapore as well as worldwide.

Tel: +65 6899 0100
Email: yumtrade@gmail.com

总公司

Address: No. 41 Toh Guan Road East,
#07-05 ADL Building Singapore 608605
Tel: +65 6562 5526     Fax: +65 6562 5592

送货服务
合作伙伴
A Member Of Singapore Agency
Singapore Business Registry

Singapore Business Registry

EAN International

EAN International

Singapore Association
logoForWeb

Singapore Chinese Druggists Association

Yumtrade Singapore online shopping store is an online shop that provides a wide range of Beauty & Health products catering to different customers’ needs. It is an online shop giving good discount schemes, the best delivery service, and good customer service to households and offices Islandwide in Singapore. Browse our online shop and choose products from a variety of items like Beauty, natural male supplementsvitamins & supplements, and herbal products. Yumtrade Singapore online shop welcomes you warmly to browse our online stores. Shoppers can browse through our online promotion items and enjoy discount shopping at our online store just like shopping in a supermarket. Experience a convenient online order system and online shopping cart. You can plan and order your products 24 hours a day! We build reliable online shopping, providing privacy and security to online shoppers. Shoppers who want to buy online can be assured of sound eCommerce practices, greater privacy protection, and peace of mind while performing online transactions. Yumtrade Online Shop is committed to delivering your favorite brands of products by our delivery expert to you by the next working day. Hope you will have an enjoyable shopping trip. Come and shop online with us. More info on online shopping.

Tongkat Ali is known to boost performance, stamina, and muscle mass in bodybuilding. In a clinical study conducted with a group of men, half the male was given Tongkat Ali to consume while the other half were not. During a few weeks of the physical training program, the men who consume the herbs experienced greater muscle mass gain, stamina, and strength. There were also a growing number of Asian athletes and bodybuilders whom are using Tongkat Ali as an androgen booster to improve muscle size and enhance their sports performance.

Testosterone is a male hormone that can be found in both men and women. But it is more of the male characteristics. Usually, at age 30, blood levels of testosterone start to decline slowly. If testosterone declines in a man’s body, his muscles, energy, and libido begin to decrease. Men who smoke and drink alcohol excessively lose testosterone faster than those who don’t. Male hormones or testosterone stimulates metabolism, promotes fat burning, increases red blood cells and muscle growth.

Copyright © 2021 YumTrade. All Rights Reserved.

Add to cart