驻店药师案例 服用痢特灵应注意什么?

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一天,邻居小王来到药店。 小王:张大姐,我昨天下乡回来就一直拉肚子,医生说是菌痢,给我开了痢特灵,我今天特到您这里拿药。我以前拉肚子曾经服用复方苯乙哌啶,效果很好。这次若把复方苯乙哌啶与痢特灵两种药配合使用,效果会不会更好呢? 我接过处方仔细审阅:痢特灵片,0.1克×12片,饭后口服,每次0.1克,一日3次。看完处方,把正在填写的《抗菌药物销售记录表》往旁边一放,我根据所掌握的知识向他解释道: 张大姐:痢特灵与复方苯乙哌啶两种药物不可同用,因为二者的药物作用、适用范围不同。 痢特灵对消化道的多数细菌如大肠杆菌、痢疾杆菌等均有抗菌作用,口服吸收少、肠道中浓度高,对痢疾等侵害肠壁组织的致病菌效果好。 One day, neighbor Wang came to the pharmacy. Xiao Wang: Sister Zhang, I came back to the countryside yesterday to have diarrhea, the doctor said that bacillary dysentery, I opened a dysentery, I am here today to get your medicine. I used to take compound diphenoxylate before diarrhea, the effect is very good. This time if the compound diphenoxylate and furazolidone two drugs used in combination, the effect will be better? I took the prescription carefully reviewed: furazolidone tablets, 0.1 grams × 12 tablets, after oral administration, each Times 0.1 grams, 3 times a day. After reading the prescription, the antibacterial drug sales record sheet that is being filled in was put aside. According to the knowledge I explained to him, Zhang Sijie: The two drugs of furazolidone and compound diphenoxylate should not be used together, Because the two drugs, the scope of application is different. Furazolidone on the digestive tract of most bacteria such as E. coli, Shigella and other bacteria have antibacterial effect, less oral absorption, high concentration in the intestine, the dysentery and other intestinal bacteria infiltration pathogenic bacteria effective.
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