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Medicines
 


MEDICINES

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Quality tends to cost money, but the most expensive is not always the best or most appropriate. The same applies with medicines. The same remedy is often on sale under different brand names. The effect is the same yet prices can differ enormously. FOR THIS REASON YOUR DOCTOR MAY PRESCRIBE A 'TYPE' OF MEDICINE RATHER THAN A PARTICULAR 'BRAND'.

A medicine can help to fight disease and ease symptoms of illness but at the same time it may also have unwanted side-effects. So only take medicines when it is really necessary or when advised by a GP. However this must be balanced by the symptoms of the disease.

Some medicines cannot be mixed. Certain combinations often cause unpleasant or dangerous reactions. So it is important to tell your doctor or pharmacist about the medicines you are already taking. Write their names in a notebook or on a card. Keep these with you at all times. You can also get advice from the pharmacist. If you want to use non-prescription medicines in combination with others, ask the pharmacist if doing so could be harmful.

Bullet  Some medicines are available without prescription. This does not mean that they are harmless. You should not take unlimited quantities of them. Even certain vitamins - A, B6, D, E and K - harmful if you take too much. If you eat a healthy and varied diet you do not need any extra vitamins or minerals.

Bullet  Always read the leaflet and follow the instructions. Keep to the stated dose unless told to alter it by a doctor.

Bullet  Because of their lower body weight children do not need as much medicine as adults. So be careful not to give them too much.

Bullet  What is good for you may be harmful for another. So never lend or give medicines intended for you to someone else, even if they have 'exactly' the same complaint as you.

Bullet  Store medicines in a dry, cool and dark place, which children cannot get at.

Bullet  You should take old medicines to the pharmacy for safe disposal. If you just throw them away you can never be sure that other people, perhaps children, will not get their hands on them. Besides, they can pollute the environment.

Painkillers and fever suppressing medicines

Painkillers can give relief but they do have their drawbacks and side-effects. Consult your doctor if you have to take painkillers for longer than a week. Never take more than the stated maximum dose.

There are 3 kinds of basic painkiller:

1. Anti-inflammatories such as aspirin and ibuprofen.

2. Codeine and morphine-like drugs.

3. Paracetamol.

Paracetamol

Paracetamol has a painkilling and fever suppressive effect. It is not harmful to the stomach.

If taken in overdose it can cause liver damage. It should not be taken with alcohol.

Aspirin (Acetylsalicylic acid) and related drugs

As well as helping pain, the non-steroidal drugs also reduce temperature and swelling of tissue. Asthma sufferers may be allergic to these drugs and may notice shortness of breath. People with an itchy skin rash would also be better off not taking aspirin. If quantities taken are too great this may cause stomach pain and nausea and even abdominal bleeding.

Conclusion: In general it is better to use paracetamol or codeine remedies for pain, keeping the aspirin like drugs for fever or inflamed joints/tissues.

Painkillers and fever suppressing medicines for children

There are strong indications that, in the case of children with fever, aspirin can cause an allergic reaction which may lead to a life threatening brain disorder. Do not give aspirin to children under 16 years of age.


Decongestant and salt water nose drops in children and adults

Nose drops are useful in clearing mucus from the nasal and sinus passages. They will ease your symptoms but will not cure the cause of the complaint. If you do want to use them, do so preferably before going to sleep. Sleeping with a blocked nose can be very troublesome. Ask your pharmacist for advice if you decide to use them.

Neither children nor adults should use decongestant nose drops or sprays for longer than 5 days. Otherwise, following a brief period of relief, the nasal membranes can swell even more and the symptoms may get worse.

Older children and adults can also rinse the nostrils with salt water. Dissolve a level teaspoonful of salt in a glass of tepid water. While holding one nostril closed, carefully sniff in the water through the other and then blow it out. Do this a couple of times and then if necessary do it with the other nostril. Salt water nose drops are also available for babies and young children, use sparingly in babies under 18 months.


Diarrhoea remedies

The best thing is not to use any diarrhoea remedies. Diarrhoea stops by itself when the intestines (bowels) are empty. With diarrhoea the most important thing is to prevent dehydration (when the body does not have enough fluid to work properly). Diarrhoea remedies do not do this. They fight the symptoms but not the cause or the risk of dehydration. Never give children anti-diarrhoea remedies without medical advice (see also section about diarrhoea). Ask your pharmacist for advice.

Cough remedies

Most cough mixtures contain substances for soothing the throat but once they are swallowed the effect tends to disappear. You might just as well take a gulp of cool water or suck a sweet. A doctor will only prescribe a real cough suppressant (to stop coughing) in very serious cases and this is to be taken before going to sleep as it tends to cause heavy sedation (sleepiness). Ask your pharmacist for advice.

Antibiotics

Antibiotics are very useful for fighting all kinds of bacterial infections.

A doctor will only prescribe them when judged really necessary. Bacteria can become resistant to antibiotics if they are used too often. Never use antibiotics unless prescribed by a doctor. Stick to the prescribed quantity and do not take antibiotics for any more or less time than prescribed. Always complete the course, otherwise the harmful bacteria may not be eliminated completely and illness can recur.

It is better in most cases to delay giving antibiotics, to allow the body to build up its own resistance.

If you are taking the contraceptive pill remember that using antibiotics will make it less reliable. In that case you should take additional precautions until your next period. For example you and your partner can use condoms.

If a doctor prescribes antibiotics and you have an allergy then say so.

Antibiotics are not effective against viral illnesses like colds and influenza.

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