What are the advantages and disadvantages of chewing the medicine and eating it?

Some of them can be absorbed faster if they are chewed and eaten, and some need to be absorbed smoothly, or even those that are slowly absorbed can not be chewed and eaten, and should be eaten whole, especially enteric-coated tablets, and some drugs are very bitter and not suitable for chewing and eating.

This problem needs to be analyzed in specific situations, some of which will affect the efficacy of Western medicine, and most of which will affect the efficacy of traditional Chinese medicine。Specifically, from the perspective of Western medicine, there is a sustained-release tablet or a controlled-release tablet in the pill, and the external structure of this Western medicine is specially prepared, which is completely different from the Western medicine we usually take. The outer packaging of sustained-release tablets is specially designed and developed to combat gastric acid, we all know that the digestion of gastric acid is very strong, and even belongs to the ranks of strong acids, most foods and drugs will be mixed with gastric acid when they come to the stomach after eating, and then dissolved by the acidic digestion of gastric acid, becoming very small particles for absorption.

However, one of the pharmacological effects of sustained-release tablets is to slowly control the release of the active ingredients of the drug to achieve the purpose of long-term uninterrupted action.

For example, diabetic patients should be very familiar with metformin, which is a common drug for diabetes, and there is a metformin sustained-release tablet on the market, one of its functions is to slowly control the release of metformin, maintain a relatively balanced blood concentration during the medication, and continue to release metformin within 24 hours a day, so that blood sugar can be controlled in a stable range without excessive fluctuations. Therefore, if you chew this kind of sustained-release tablets or controlled-release tablets when you eat them, it will destroy its external structure, then at this time, the sustained-release and controlled-release effects will almost be destroyed by you, and after you eat it, it is equivalent to eating ordinary drugs, and you will not be able to maintain a relatively stable blood concentration for a long time.

For ordinary drugs, chewing in the mouth should not have much to do with it, and it will not affect the effect of the drug to a large extent. However, there is a disadvantage to eating like this, most of the drugs are actually more bitter, which will affect the feeling of eating. Therefore, when children do not know how to swallow the medicine, they often crush the medicine into powder and then make it into a powder and drink it, which is similar to if you chew it directly.

For traditional Chinese medicine, there are some pills that are relatively large, and the doctor will recommend chewing them first when eating, so that these drugs become smaller, and when they enter the stomach, they can increase the contact area with gastric juice, so that it is easier to digest and absorb, and exert their medicinal effects.

It does not affect the efficacy of the drug, as long as the medicine can be delivered to the stomach, it will work, of course, it is better to take it with water.

This situation will not affect the efficacy of the drug, because even if the medicine is chewed slowly, it will eventually be eaten into the gastrointestinal tract, and then the gastrointestinal tract will absorb it, which will have a corresponding effect and will not affect its efficacy.

It does not affect the effectiveness of the drug because the various organs of the body have their own way of working, and they will absorb the drug locally.

It depends on what kind of pill you are taking, if it is an ordinary pill, if it is a slow-release pill, chewing it will have no sustained-release effect, the drug is released in large doses, the drug concentration is also unstable, and the effect will be very poor.

No, the absorption of the drug is in the stomach and intestines, so even if the whole medicine is consumed, it can exert its effect.

As long as you take the medicine in your stomach, it will not affect the efficacy of the medicine.

The effect of the medicine may not have any effect, but it will suppress the throat, so do not swallow the medicine raw, or take it with water.

This will not affect the efficacy of the medicine, but some medicines are very bitter, and it may be unbearable to chew directly in the mouth.

Probably not. In any case, in the end, the medicine is in the stomach, and it will be absorbed by the body in the end anyway, and I don't care if it is chewed by you.

This practice does not affect the effect of the drug, but it will feel very choking, so it is recommended not to do it.

Indications for methylcobalamin tablets.

Peripheral neuropathy.

Neurosurgery] polyneuritis, trigeminal neuralgia; sequelae of brain accidents, traumatic brain injury, neurological disorders caused by arteriosclerosis; insomnia, multi-fissed dreams, irritability, irritability; alcoholic neuritis; Autonomic nervous system disorder of the source spirit.

Coelbows [Internal Medicine] Endocrinology: Diabetic neuropathy.

Hepatology: neuritis with abnormal liver function.

Hematology: megaloblastic anemia.

ENT] facial nerve palsy; tinnitus, hard of hearing, vertigo, deafness; ear balance disorders; Abnormal taste and smell function.

Ophthalmology] diabetic retinopathy; Optic nerve atrophy due to optic neuritis, diplopia, glaucoma.

Orthopedics] sciatica, intervertebral disc herniation, bone spurs, shoulder and neck pain, low back pain, fractures, sports injuries [obstetrics and gynecology] gestational anemia, numbness of the lower limbs; Menopausal neurological abnormalities.

**Branch] herpes zoster, eczema, neuritis and neuralgia caused by various **inflammations.

Oncology] hematopoietic impairment and nerve injury caused by chemoradiotherapy.