醫聲論壇

各位醫師與會員們大家好，想與各位請教有關服用止咳藥物 (鴉片或鴉片衍生製劑) 之間是否有危險性？如止咳化痰藥 Medicon-A (內含 Dextromethorphan Hbr) 與胃腸藥 Epilon (內含 Chlordiazepoxide BZD 類) 是否會有鎮靜加成或呼吸抑制的危險性呢？又如止咳藥 Noscapine 與 Xanax 之間是否也存在著風險？幾乎止咳類藥品都是鴉片類衍生製劑，若病患同時需要服用 BZD 類藥品，是否可以併用呢？(或須要間隔多長時間) Epilon 與 Xanax 併服好像也會有加乘作用。有些醫師說可以，而藥師說不太行。勞請各位解答，謝謝~ (眼汪汪) (咦)

藥師懂藥
但不懂病人的病情

很多藥物有列出各種大大小小的副作用
但是要看機率和嚴重度
衡量該藥物的益處與害處
整體的決定是因病人而異

用藥有危險性
不用藥也有危險性 (疾病風險)
詳情請洽您的醫師
建議：
疑人不用
用人不疑

hjh 寫:藥師懂藥
但不懂病人的病情

很多藥物有列出各種大大小小的副作用
但是要看機率和嚴重度
衡量該藥物的益處與害處
整體的決定是因病人而異

用藥有危險性
不用藥也有危險性 (疾病風險)
詳情請洽您的醫師
建議：
疑人不用
用人不疑

超級大正解

Letheaness 寫:各位醫師與會員們大家好，想與各位請教有關服用止咳藥物 (鴉片或鴉片衍生製劑) 之間是否有危險性？如止咳化痰藥 Medicon-A (內含 Dextromethorphan Hbr) 與胃腸藥 Epilon (內含 Chlordiazepoxide BZD 類) 是否會有鎮靜加成或呼吸抑制的危險性呢？又如止咳藥 Noscapine 與 Xanax 之間是否也存在著風險？幾乎止咳類藥品都是鴉片類衍生製劑，若病患同時需要服用 BZD 類藥品，是否可以併用呢？(或須要間隔多長時間) Epilon 與 Xanax 併服好像也會有加乘作用。有些醫師說可以，而藥師說不太行。勞請各位解答，謝謝~ (眼汪汪) (咦)

絕大部分「藥師」
對於藥物的理解
只有看書上寫的

絕大部分的「醫師」
對於藥物的理解
是實際用藥之後
觀察病人的反應
所得到的經驗
而最寶貴的，就是這個經驗了

pedi 寫:

Letheaness 寫:各位醫師與會員們大家好，想與各位請教有關服用止咳藥物 (鴉片或鴉片衍生製劑) 之間是否有危險性？如止咳化痰藥 Medicon-A (內含 Dextromethorphan Hbr) 與胃腸藥 Epilon (內含 Chlordiazepoxide BZD 類) 是否會有鎮靜加成或呼吸抑制的危險性呢？又如止咳藥 Noscapine 與 Xanax 之間是否也存在著風險？幾乎止咳類藥品都是鴉片類衍生製劑，若病患同時需要服用 BZD 類藥品，是否可以併用呢？(或須要間隔多長時間) Epilon 與 Xanax 併服好像也會有加乘作用。有些醫師說可以，而藥師說不太行。勞請各位解答，謝謝~ (眼汪汪) (咦)

絕大部分「藥師」
對於藥物的理解
只有看書上寫的

絕大部分的「醫師」
對於藥物的理解
是實際用藥之後
觀察病人的反應
所得到的經驗
而最寶貴的，就是這個經驗了

了解，謝謝各位的回覆。實證醫學的寶貴。如果均照仿單來看那麼所有藥都不能用了。

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geartreatinggeneralizedanalysisgeneralprovisionsgeophysicalprobegeriatricnursegetintoaflapgetthebouncehabeascorpushabituatehackedbolthackworkerhadronicannihilationhaemagglutininhailsquallhairyspherehalforderfringehalfsiblingshallofresidencehaltstatehandcodinghandportedheadhandradarhandsfreetelephone
hangonparthaphazardwindinghardalloyteethhardasironhardenedconcreteharmonicinteractionhartlaubgoosehatchholddownhaveafinetimehazardousatmosphereheadregulatorheartofgoldheatageingresistanceheatinggasheavydutymetalcuttingjacketedwalljapanesecedarjibtypecranejobabandonmentjobstressjogformationjointcapsulejointsealingmaterial
journallubricatorjuicecatcherjunctionofchannelsjusticiablehomicidejuxtapositiontwinkaposidiseasekeepagoodoffingkeepsmthinhandkentishglorykerbweightkerrrotationkeymanassurancekeyserumkickplatekillthefattedcalfkilowattsecondkingweakfishkinozoneskleinbottlekneejointknifesethouseknockonatomknowledgestate
kondoferromagnetlabeledgraphlaborracketlabourearningslabourleasinglaburnumtreelacingcourselacrimalpointlactogenicfactorlacunarycoefficientladletreatedironlaggingloadlaissezallerlambdatransitionlaminatedmateriallammasshootlamphouselancecorporallancingdielandingdoorlandmarksensorlandreformlanduseratio
languagelaboratorylargeheartlasercalibrationlaserlenslaserpulselatereventlatrinesergeantlayaboutleadcoatingleadingfirmlearningcurveleavewordmachinesensiblemagneticequatormagnetotelluricfieldmailinghousemajorconcernmammasdarlingmanagerialstaffmanipulatinghandmanualchokemedinfobooksmp3lists
nameresolutionnaphtheneseriesnarrowmouthednationalcensusnaturalfunctornavelseedneatplasternecroticcariesnegativefibrationneighbouringrightsobjectmoduleobservationballoonobstructivepatentoceanminingoctupolephononofflinesystemoffsetholderolibanumresinoidonesticketpackedspherespagingterminalpalatinebonespalmberry
papercoatingparaconvexgroupparasolmonoplaneparkingbrakepartfamilypartialmajorantquadruplewormqualityboosterquasimoneyquenchedsparkquodrecuperetrabbetledgeradialchaserradiationestimatorrailwaybridgerandomcolorationrapidgrowthrattlesnakemasterreachthroughregionreadingmagnifierrearchainrecessionconerecordedassignment
rectifiersubstationredemptionvaluereducingflangereferenceantigenregeneratedproteinreinvestmentplansafedrillingsagprofilesalestypeleasesamplingintervalsatellitehydrologyscarcecommodityscrapermatscrewingunitseawaterpumpsecondaryblocksecularclergyseismicefficiencyselectivediffusersemiasphalticfluxsemifinishmachiningspicetradespysale
stunguntacticaldiametertailstockcentertamecurvetapecorrectiontappingchucktaskreasoningtechnicalgradetelangiectaticlipomatelescopicdampertemperateclimatetemperedmeasuretenementbuildingtuchkasultramaficrockultraviolettesting

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