懷疑醫生開錯藥

我以為你果個reply 係quote 其他網頁
仲諗住問你睇邊個網頁錯得咁緊要

Nitrofurantoin 都係抗生素 ，食唔死人嘅

順便幫醫生清下倉底貨

支持樓主報警

NSAID搭H2RA又合理嘅
短期食H2RA都好安全~

如果唔係喺市面做開真係唔會對啲combinations熟...
次次睇倒都一頭霧水

Fendil: Codeine PO4, ephedrine HCl, promethazine HCl
https://www.drugoffice.gov.hk/eps/drug/productDetail/en/consumer/90241

Co-codamol: Codeine PO4, Paracetamol
https://www.drugoffice.gov.hk/eps/drug/productDetail/en/consumer/94069

Coughstop究竟係乜L，我google倒好多種...

好L憎香港啲私家GP
我樓下果個，睇親腸胃都開Valium
係Valium呀你老味，仲要係5mg tab
食懵晒我全家

又唔係老餅, 胃同腎又冇事, 點解要搞prescribing cascade?

就算 HA 醫生都係咁開
NSAID particularly Diclofenac (acidic in nature) 都搭會H2 blockers for protection

關acidic in nature咩事? 食NSAID 個胃會出事唔係同PG少左有關咩?
HA 醫生咁開唔等於岩, 睇過dermatitis 佢開Antifungal 俾我

Diclofenac 係一種 acetic acid
就係怕連帶 Gastric juice flooding
傷害 gastric mucosal lining

你自己覺得係 dermatitis
但醫生based on 你 clinical manifestation 判斷你係 fungal infection
其實你咁專業 你仲洗睇醫生咩

好多medical student 係度

真係唔知diclofenac 有咁大影響, 岩岩check 左個monograph 都冇講呢樣野, 有冇literature可以睇下?

我後尾去左睇私家, 佢話一定唔係fungal infection
果陣我讀緊中學唔知可以點?

我知 H2 blocker 係可以minimise 到個傷害, 但係係咪真係必要又係另一回事

係咪好大影響就唔一定
似乎個病人胃液量或者會唔會有前期 peptic ulcer 而仲未有 sign and symptoms
H2 blockers 係 NP 藥
To play safe, 跟埋一齊食有咩問題？
你要 literature 就自己搵
我搵埋比你又話 relavancy 唔夠

根本上網問就係on9
懷疑自己醫生咪搵2nd opinion
唔係上連登問

我咪話睇左monograph 佢冇講到gastric acid flooding囉, 所以先想知你係睇邊份野有咁ge 結論. 既然影響不大,咁食多舊藥為乜?

幾乎所有NSAID都係organic acid 其實就唔係好關diclofenac事
但一般嚟講如果個病人生活健康冇ulcer history/symptom都冇必要食antisecretary
不過SE好少食左都冇壞 同埋我地唔知病人情況 其實都冇得討論

如果係真係擔心胃酸不如食COX II selective

我咪答左你
食一隻 NP 藥 去 avoid taking risk Why not?
明明唔係一個 medical controversy
比你講到要有 monograph 去 support
你覺得醫生咁開係medical fault 而你又有好大 theory support你自己同有料做 research 出 literature 標明 monograph 係stop using H2 blockers with NSAID 我咪服你唔應該咁食 H2 blockers
Btw 你 Grad 左未？

點解你要咁激動
我意思係你都講左對secretion 冇咁大影響, 之後都唔駛講. 點解仲要prescribe H2 blocker?
所以好難怪連登仔會上網問藥, 根本蝦人低health literacy

開coughstop

醫生開錯藥食到你癱左都好正常者
人地咁忙錯少少有咩所謂