Don’t commit the contraindication of Chinese medicine and western medicine
The combined application of traditional Chinese medicine and western medicine is very common in clinical practice, and there are also contraindications between Chinese and western medicine.
The contraindications between the compatibility of traditional Chinese medicine and western medicine antibiotics are as follows.
Chinese medicines containing organic acids: such as schisandra, honeysuckle, dogwood, ligustrum, ume, peony, hawthorn, coriander, papaya, tangerine peel, etc.
Avoid compatibility with aminoglycosides and macrolide antibiotics, because these traditional Chinese medicines can increase the acidity of urine after metabolism in the body, and weaken the antibacterial efficacy of these antibiotics.
It is forbidden to be compatible with thiamine drugs and acetyl compounds, because it can lead to an acidic environment, reduce the solubility of sulfa drugs, cause sulfa drugs to precipitate in the urinary system, form crystals, and cause crystallized urine, hematuria, urinary closure, etc.
Basic alkaline Chinese medicines: such as jellyfish, keel, oysters, corrugated seeds and some proprietary medicines such as rhubarb soda tablets, Wubeisan, etc.
配 Compatibility with aminoglycoside antibiotics can increase the absorption of aminoglycoside antibiotics, increase blood concentrations, enhance effects, and increase toxic and side effects at the same time. Pay attention to dose adjustment and monitoring for long-term compatibility applications.
Avoid using with penicillins, cephalosporins, tetracyclines, furantoin, etc. The alkaline environment can affect the absorption of these drugs and reduce the degree of action.
Traditional Chinese medicines containing metal ions: such as gypsum, mother-of-pearl, keel, oysters, talc, Mingshi, vermiculite, magnets and other shell minerals.
Avoid using in combination with tetracyclines and macrolides, so as not to reduce or disappear the efficacy.
Chinese medicines rich in metabolites: gallicia, gardenia, pomegranate skin, edible elm, etc. Compatible with drugs such as tetracycline family, lincomycin, etc., can easily form precipitates and make the drug lose its curative effect.
At the same time, because these sulfides have certain toxicity to the liver, they can be used together with hepatotoxic drugs such as erythromycin, tetracycline, rifampicin, isonicotine, and can aggravate liver damage.
Traditional Chinese medicine with antibacterial effects: such as honeysuckle, dandelion, Coptis chinensis, Cotinus coggygria, Forsythia, Houttuynia cordata, etc., it is forbidden to be used in combination with bacterial preparations such as lactase, yeast tablets, intestinal growth, and enzyme-enzyme tabletsCan inhibit or reduce the activity of fungal preparations.