Can Chinese patent medicine be taken with Western medicine, and can Chinese and Western medicine be

Can Chinese medicine be taken with Western medicine?

1. Can Chinese medicine and Western medicine be taken together?

Some can't, some can't. The correct combination of Chinese and Western medicines can achieve twice the result with half the effort, while the improper "combination" of Chinese and Western medicines will reduce the efficacy at least and lead to iatrogenic diseases. Here are a few Chinese and Western medicines that cannot be used together.

Traditional Chinese medicines containing metal ions cannot be used together with certain antibiotics. Gypsum, mother-of-pearl, magnet and other traditional Chinese medicines containing metal ions and Chinese patent medicines containing such drugs cannot be combined with kanamycin, neomycin, etc., otherwise insoluble salts and complexes will be formed in the gastrointestinal tract and become invalid. If it is necessary to use it together, the interval between them should be 3 to 4 hours.

Calcium-containing Chinese medicines should not be used together with aminoglycoside antibiotics. Aminoglycoside antibiotics such as gentamicin, tobramycin, and netilmicin can bind to calcium ions, and if combined with calcium-containing traditional Chinese medicines, it will increase the neurotoxicity of aminoglycosides. Calcium-containing traditional Chinese medicines include keel, oysters, sea clams, antlers, wolfberries, etc.

Traditional Chinese medicine containing organic acids cannot be used together with sodium bicarbonate (baking soda). To be precise, it is a traditional Chinese medicine containing organic acids such as black plum, schisandra, golden cherry seed, dogwood, etc., as well as Chinese patent medicines made from their participation in compatibility, which cannot be taken together with sulfonamides and baking soda. Because taking sulfonamides requires taking baking soda at the same time to alkalize the urine to prevent sulfonamide metabolites from precipitating in the urine to form urethral stones, and organic acids can resist the alkalization of urine by baking soda, thereby increasing the toxicity of sulfonamides to the kidneys.

Inchen and chloramphenicol cannot be used together. Yin Chen is a commonly used Chinese medicine for patients with cholecystitis, cholangitis, cholelithiasis and liver disease, but it has an antagonistic effect on the antibacterial effect of chloramphenicol, which can reduce or even cancel the efficacy of chloramphenicol. Therefore, the two should not be used together.

Traditional Chinese medicines containing tannin cannot be used together with enzymatic Western medicines. Enzyme drugs such as pepsin, pancreatic enzyme, and amylase can promote the secretion of digestive juices, strengthen gastrointestinal activities, and increase appetite. The tannins in elm, pomegranate peel, gallnut, geranium and their preparations can be combined with the amide bonds or peptide bonds of enzyme drugs to form a strong hydrogen bond complex, which reduces the efficacy of the enzyme or renders it ineffective.

Arsenic-containing Chinese medicines should not be used together with enzymes. The arsenic in sulfur, realgar and its preparations can form an insoluble precipitate with the acidic group on the amino acid molecular structure of the enzyme, thereby inhibiting the activity of the enzyme, reducing the bioavailability of the enzyme and reducing the efficacy.

Rhubarb and charcoal Chinese medicines cannot be used together with enzyme medicines. Rhubarb, blood charcoal, lotus leaf charcoal, elm charcoal, calcined clam shell, calcined corrugated seeds, etc., can adsorb enzymes and weaken their role in promoting digestion.

Licorice, deer antler velvet and hypoglycemic drugs cannot be used together. The molecular structure of licorice is similar to that of glucocorticoids, so it has a similar effect, and deer antler velvet has the same effect. Glucocorticoids can increase liver glycogen and increase blood sugar, and are relatively resistant to hypoglycemic drugs such as tolbutamide and phenformin (hypoglycemic drugs) in pharmacological effects.

Therefore, the combination of licorice and deer antler velvet will reduce the efficacy of these hypoglycemic drugs. In order to improve the efficacy and avoid toxic side effects, we must be cautious when using Chinese and Western medicines together. Some scholars have put forward suggestions for reference:

In the case of not understanding the interaction between drugs, it is advisable to take Chinese and Western medicines at an interval of 4 hours.

It is not recommended to take Chinese medicine and Western medicine at the same time, and it is recommended to take Chinese medicine and Western medicine at least 30 minutes apart without special medical advice, and 60 minutes or more apart is better. If taken at the same time, some uncontrollable chemical reactions may occur between Xisotan medicine and traditional Chinese medicine, and the mild case may affect the absorption of the drug and affect the efficacy of the drug. Severe cases may produce some poisons***, which will affect physical health.

Therefore, for the sake of insurance, it is recommended that after getting the prescription, if there are both Western and Chinese medicines, the doctor should ask the doctor in detail how to take the medicine.