How to take Fortrans correctly to completely cleanse the intestines. What to pay attention to

How to take the medicine: before meals or after? The influence of the chemical composition of food on pharmacological activity medicines. Medicines containing sugar (information for patients with diabetes mellitus). Can I take the drug with tea or milk?

Any medicine purchased at a pharmacy is accompanied by special instructions by application. But how often do we pay attention to this information? Meanwhile, compliance (or non-compliance) with the rules of administration can have a large, if not decisive, impact on the effect of the medicine. For most drugs, this is due to processes occurring in the gastrointestinal tract. Food as well gastric juice, digestive enzymes and bile, which are released during its digestion, can interact with medications and change their properties. That is why it is not at all indifferent when the medicine is taken: on an empty stomach, during or after a meal.

The doctor's instructions or recommendations contained in the instructions for use of the drug are determined mainly by known facts physiology of digestion. 4 hours after meals or 30 minutes before next appointment food (this time is called “on an empty stomach”) the stomach is empty, the amount of gastric juice in it is minimal (literally a few tablespoons). Gastric juice at this time contains little of hydrochloric acid. As breakfast, lunch or dinner approaches, the amount of gastric juice and hydrochloric acid in it increases, and with the first portions of food its secretion becomes especially abundant. As food enters the stomach, the acidity of gastric juice gradually decreases due to its neutralization by food (especially if you eat eggs or drink milk). However, within 1-2 hours after eating, it increases again, since the stomach by this time is empty of food, and the secretion of gastric juice still continues. This secondary acidity is especially pronounced after consuming fatty foods. fried meat or black bread. Anyone who knows heartburn can attest to this. In addition, when eating fatty foods, its exit from the stomach is delayed, and it is even possible for pancreatic juice produced by the pancreas to flow from the duodenum into the stomach (so-called reflux).

Food mixed with gastric juice passes into the initial section small intestine – duodenum. Bile produced by the liver and pancreatic juice secreted by the pancreas also begin to flow there. Thanks to the content large quantity digestive enzymes in pancreatic juice and biologically active substances The active process of food digestion begins in bile. Unlike pancreatic juice, bile is secreted constantly, including between meals. Excessive amounts of bile enter the gallbladder, where a reserve is created for the body's needs.

Knowing what happens to food in our stomach and intestines during the day, let's try to answer the question, when is it better to take medications: before, during or after meals?

If there are no other instructions in the instructions or in the doctor's prescription, it is better to take medications on an empty stomach, 30 minutes before meals, since interaction with food and digestive juices can disrupt the absorption mechanism or lead to changes in the properties of the medications.

Take on an empty stomach:

– all tinctures, infusions, decoctions and them similar drugs made from plant materials. They contain the amount active ingredients, some of them, under the influence of hydrochloric acid of the stomach, can be digested and turn into inactive forms. In addition, under the influence of food, absorption may be impaired. individual components such drugs and, as a result, insufficient or distorted effect;

– all calcium supplements, although some of them (for example, calcium chloride) have a pronounced irritating effect. The fact is that calcium, when bound with fatty and other acids, forms insoluble compounds. Therefore, taking drugs such as calcium glycerophosphate, calcium chloride, calcium gluconate and the like during or after meals are at least useless;

- medications that, although absorbed when taken with food, for some reason have an adverse effect on digestion or relax smooth muscles. An example is a drug that eliminates or weakens spasms smooth muscle (antispasmodic ) drotaverine(known to everyone as No-shpa) and others;

Immediately after eating, it is better to take medications that irritate the gastric mucosa: indomethacin , acetylsalicylic acid , steroids , metronidazole , reserpine and others. To avoid irritating effect above-mentioned drugs and calcium supplements, it is better to wash them down with milk, jelly or rice water.

A special group consists of medications that should act directly on the stomach or on the digestion process itself. Thus, drugs that reduce the acidity of gastric juice ( antacids ), as well as depressants irritant effect food for a sick stomach and warnings copious discharge gastric juice, usually taken 30 minutes before meals.

10-15 minutes before meals, it is recommended to take drugs that stimulate the secretion of the digestive glands (bitterness), and choleretic agents . Gastric juice substitutes are taken with food, and bile substitutes (for example, Allohol) at the end or immediately after a meal. Medicines that contain digestive enzymes and help digest food are usually taken before meals, during meals, or immediately after meals. Drugs that suppress the release of hydrochloric acid into gastric juice, such as cimetidine should be taken immediately or soon after a meal, otherwise they block digestion at the very first stage. All multivitamin preparations also taken during or immediately after meals.

Of course, there are drugs that act regardless of food intake, and this is usually indicated in the instructions.

However, not only the presence of food masses in the stomach and intestines affects the absorption of drugs. The composition of food can also change this process. For example, with a diet rich in fat, the concentration of vitamin A in the blood plasma increases (the speed and completeness of its absorption in the intestine increases). Fats, especially vegetable fats, reduce the secretion of gastric juice and slow down stomach contractions. Under the influence of food saturated fat, absorption is significantly reduced, and, accordingly, the effectiveness of action anthelmintic drugs , nitrofurans , sulfonamides . At the same time, fat-rich foods are recommended in cases where it is necessary to increase the absorption of fat-soluble drugs - anticoagulants , vitamins A, D and E, metronidazole , tranquilizers benzodiazepine group. Carbohydrates also slow down gastric emptying, which can interfere with the absorption of sulfonamides, antibiotics ( macrolides , cephalosporins ). Milk enhances the absorption of vitamin D, the excess of which is primarily dangerous for the central nervous system. Protein nutrition or consumption of pickled, sour and salty foods impairs the absorption of anti-tuberculosis drugs isoniazid, and protein-free, on the contrary, improves.

Of particular note are medicinal products containing flavoring agent sugar (sucrose, glucose). In addition to the additional carbohydrate load (which, by the way, is small, given the small volume of the tablet or spoon of syrup), this is a potential source of danger for people with diabetes. Information about the sugar content of the drug is contained in the package insert and/or indicated on the packaging of the drug.

A change in acidity in the stomach can occur when taking medications with various fruits and vegetable juices, tonic drinks and dairy products. Tea contains tannin, which forms compounds with nitrogen-containing drugs that are indigestible by the body: papaverine, codeine, caffeine, aminophylline, amidopyrine, antipyrine, belladonna preparations, cardiac glycosides and others. If a person suffering from anemia takes iron supplements and washes them down with tea, the “tannin + iron” complex precipitates - therefore, the medicine is not absorbed. You should not drink sedatives or sleeping pills tea, because it stimulates the central nervous system. However, there are exceptions: vitamin C preparations can be taken with tea, which itself - like any plant - contains vitamin C. Tetracycline, doxycycline, metacycline and other tetracycline antibiotics cannot be taken with milk, since the calcium present in it, interacting with the drug, reduces it Effect. For the same reason, when treating with tetracyclines, you should avoid smoked meats and sausages. However, sulfa drugs are recommended to be taken with alkaline solution(For example, mineral water with a slightly alkaline reaction) to prevent kidney stone formation.

So, let's summarize. Cannot be combined :

• antibiotics of the tetracycline group, lincomycin, preparations containing caffeine (askofen, citramon, caffetin) - with milk, kefir, cottage cheese;
• iron supplements - with tea, coffee, milk, nuts, grain products;
• calcium supplements – with carbonated soft drinks and juices containing citric acid;
• erythromycin, ampicillin - with fruit and vegetable juices;
• sulfadimethoxine, sulgin, biseptol, cimetidine, theophylline - with meat, fish, cheese, legumes containing a lot of protein;
• aspirin and medications containing acetylsalicylic acid, furagin, 5-NOK - with butter, sour cream, fatty foods;
• paracetamol, sulfadimethoxine, biseptol, furosemide, cimetidine - with prunes, beets, sweet and flour dishes;
• sulfonamides: biseptol, etazol, sulfalene - with herbs, spinach, milk, liver, grain products;
• baralgin, analgin, panadol, spazgan, paracetamol, maxigan - with smoked sausages.

Literature

1. Anichkov S.V., Belenky M.L. Textbook of pharmacology. – MEDGIZ Leningrad association, 1955.
2. Belousov Yu.B., Moiseev V.S., Lepakhin V.K. Clinical pharmacology and pharmacotherapy: A guide for doctors. – M.: Universum, 1993. – 398 p.
3. Karkishchenko N.N. Pharmacological basis therapy: Guide and reference for doctors and students. – M.: IMP-Medicine, 1996. – 560 p.
4. Basic and clinical pharmacology/ Ed. Bertram G. Katzung; Per. from English edited by doc. honey. sciences, prof. E.E. Zwartau: In 2 volumes. – M. – St. Petersburg: Binom – Nevsky Dialect, 1998. – T. 1, 2.
5. Krylov Yu.F., Bobyrev V.M. Pharmacology. – M.: VUNMC Ministry of Health of the Russian Federation, 1999. – 352 p.
6. Kudrin A.N., Ponomarev V.D., Makarov V.A. Rational use medicines: “Medicine” series. – M.: Knowledge, 1977.
7. Modern medical encyclopedia. / Ed. R. Bercow, M. Birsa, R. Bogin, E. Fletcher. Per. from English under general editorship G.B. Fedoseeva. – St. Petersburg: Norint, 2001 – 1264 pp.: ill.
8. Kharkevich D.A. Pharmacology: Textbook. – 6th ed., revised. and additional – M.: GEOTAR MEDICINE, 1999. – 664 p.
9. RED BOOK and Drud Topics. – 106th ed. – Thomson Medical Economics, 2000. – 840 p.
10. Materials from the site www.AIF.ru.

After removal of the gallbladder, the doctor decides what medications to take. You will have to take medications for a long time. Each organ has its own function. The loss of one of the body's structures increases the load on others. Bile can no longer accumulate in the bladder. The secretion begins to flow into the intestines directly from the liver. The isthmus between them is a duct. It partially takes over the functions of the gallbladder, expanding to accommodate more fluid. Restructuring in the body requires maintenance therapy. A list of medications recommended by doctors, their classification and side effects, below.

The gallbladder is a reservoir for the accumulation of bile and secretion of secretions into the duodenum after eating. The amount of incoming liquid depends on the volume and composition of foods eaten.

After resection, or simply removal of the gallbladder, the following happens:

• bile ducts open directly into the intestinal lumen, bypassing the storage organ;
• the supply of bile ceases to depend on food intake and the enzyme continuously enters the intestinal lumen;
• digestive juices cause irritation of the intestinal mucosa.

Failure in the regulation of bile flow causes a condition called postcholicystectomy syndrome.

It manifests itself with the following symptoms:

• flatulence;
• intestinal dysfunction;
• intestinal or hepatic colic;
• malabsorption nutrients in the stomach;
• belching;
• nausea;
• vomiting (if reflux occurs).

Until the digestive tract adapts and begins to function fully without a “reservoir” for the accumulation of bile, patients are given maintenance. Therapy prescribed to patients includes medications various groups.

Until the digestive tract adapts to the new condition, patients need to drink:

1. Antispasmodics. They relieve intestinal spasms and normalize the functions of the gastrointestinal tract. As a rule, Drotaverine, Mebeverine, Pirenzepine are prescribed.
2. Enzymes. They are made on the basis of acids, which are best taken after. Active components medications help digestion. As a result, Allohol, Cholenzym, Lyobil and their analogues eliminate nausea, diarrhea and belching.
3. Hepatoprotectors then improve the functioning of the liver in a “new mode”. Heptral, Essentiale, Karsil and Ursofalk are recommended. This is a typical set for cholecystectomy.
4. Antibiotics. Antibacterial therapy appoint after, if before surgical intervention signs were noted in the organ inflammatory process. Patients are prescribed medications wide range action, with preference given to the cephalosparin series. It is based on 7-cephalosparic acid. Cefotaxime, Cefdiroten and their analogues are prescribed.
5. . They prevent the development of dyskinesia. The pathology is expressed in obstruction of the bile duct. Bucospan, Holosas and Duspatolin normalize the flow of liver secretions into the intestines.

Therapy of postcholicystectomy syndrome and prevention of early postoperative complications are selected for patients individually, taking into account the symptoms that arise.

In addition to the use of drugs from these groups, it is possible to use other drugs.

The doctor decides what medications to take after removal of the gallbladder to avoid disruption of the digestive system. Gastroenterologists and surgeons have compiled a list of proven drugs.

1. Syrup "Holosas" on plant based. Many patients are interested in whether it is possible to drink Holosas when the gallbladder has been removed. Gastroenterologists say it is necessary. The herbal medicine dilutes bile, prevents dyskinesia and protects liver cells.
2. The drug "Karsil", containing plant extracts, heals hepatocytes. After resection of the gallbladder, the liver rests additional load and it is necessary to protect its cells.
3. Allohol tablets, which allow you to compensate for insufficient enzymatic activity digestive tract that occurs in a patient after surgery. Includes: bile acids and natural herbal ingredients stimulating the production of enzymes. Doctors characterize Allohol as affordable and effective.
4. Drotaverine tablets that reduce postoperative pain. Additionally, the drug eliminates spastic constipation, liver colic and prevents contractions of the bile ducts.
5. Cholenzym capsules, which have a choleretic effect. Taking the drug helps get rid of nausea, flatulence or dyspepsia. The latter term means painful digestion.
6. The Urosfalk suspension, which protects hepatocytes from damage, promotes the regeneration of liver tissue.
7. Enterosorbents with lignin. Necessary to eliminate intoxication caused by decreased digestive function and stagnation of semi-digested food in the stomach or upper sections intestines.
8. The drug “Mezim” stimulates the pancreas, increasing the secretory activity of the organ.
9. Dufolac syrup, necessary to eliminate constipation associated with difficulty in osmotic metabolism in the intestines. Additionally, the product helps restore disturbed intestinal microflora.
10. Dimethicone tablets, recommended to prevent flatulence with a tendency to increased gas formation.
11. Powder "Linex", restoring intestinal microflora. The drug is prescribed to prevent dysbacteriosis.
12. Tablets "Cerucal", eliminating nausea and vomiting.

Individually selected medications will improve the functioning of the digestive tract and compensate for enzymatic deficiency that occurs after removal of the gallbladder.

Side effects of medications after gallbladder removal

Medicines will help the body more easily tolerate the loss of an organ and learn to work in a new mode. But you should not abuse medications. Some groups of medications have serious side effects. Other drugs are harmless.

Common list is:

1. Hepatoprotectors. The medications will protect hepatocytes from destruction and prevent other organ diseases associated with disruption of the liver parenchyma. Hepatoprotectors do not affect digestive function, and they can be taken for a long time. An annual course is considered the norm.
2. Choleretic. In the absence of a bladder, the drugs of the group will prevent stagnation of secretions in the ducts and a lack of bile necessary for digestion. It was already discussed above that Holosas, familiar to many patients with liver pathologies, is allowed to drink after cholecystectomy. However, admission is permissible only in short courses. If you take the medicine for a long time, the biliary function of the liver will be impaired. After medication course need to switch to special diet. It is safe and can also help remove bile.
3. Enzymes. What are the best medications to take if removed? gallbladder, the doctor will tell you, and the course of treatment depends on the body’s ability to restore enzymatic activity. In case of insufficient enzymatic function, lifelong use is possible replacement therapy.
4. Additional medications. Medicines for nausea, flatulence or constipation are prescribed in short courses. Long-term use inhibits the functioning of the gastrointestinal tract (gastrointestinal tract).

“Never, under any circumstances, take sleeping pills at the same time as a laxative...”
Colin Hoover

To achieve the necessary therapeutic effect From the treatment being carried out, first of all you need to correctly follow the instructions of your attending physician!

1) Before you accept necessary medicine, carefully read the doctor’s prescription or the attached instructions for use of the drug. Please pay Special attention on the:
● dose recommended for a single dose;
● on the number of medication doses per day;
● during the reception;
● on the method of administration;
● the duration of the course of treatment.

All this is very important both to obtain the necessary therapeutic effect and to reduce the likelihood of side effects of the drug.

Remember that when prescribing a medicine 2 times a day, the word “day” does not mean the light part of the day, but all 24 hours, since our body works around the clock! Therefore, taking pills should be divided into equal periods of time if possible. This is especially true for antimicrobial agents, because microbes work without a break for lunch and sleep. That is, with a two-time dose, the interval between taking each dosage should be 12 hours, three times - 8 hours, four times - 6 hours.

2) Information about when to take the medicine is also important: on an empty stomach, during meals or some time after it.

Some medications are designed to be absorbed in the stomach and intestines, while others are only absorbed in the intestines. For some drugs, the time of administration and its relationship with food intake may not matter. This is due to the processes occurring in the gastrointestinal tract. Food, as well as gastric juice, digestive enzymes and bile that are released during its digestion, can interact with medications and change their properties. That is why it is not at all indifferent when the medicine is taken: before meals, during meals or after it.

Taking the tablets “before meals” means on an empty stomach, that is, no earlier than 2-3 hours after the last meal and no later than 20 minutes before meals.

Taking medication “with meals” often does not raise any questions. But it's worth keeping in mind that the word "meal" doesn't have to mean a three-course meal. If taking the pills coincides with breakfast, lunch or dinner, that’s good, but if not, tea with crackers or a glass of milk will be enough.

How to take pills “after meals”? This needs to be sorted out. Immediately after eating, medications that irritate the stomach are usually taken, and 2 hours after eating, medications that reduce stomach acidity are usually taken.

Of course, there are drugs that act regardless of food intake, and this is usually indicated in the instructions.

3) One more important point- What should you take with your medications? Remember, dear readers, there is a category of food products that can seriously affect the effectiveness of the medications used. Here are some examples:

● grapefruit juice does not mix well with medications. Back in 2000, scientists proved that it should not be used simultaneously with heart medications. The fact is that grapefruit juice contains a substance that can interact with certain medications, increasing the rate of their absorption in the patient’s gastrointestinal tract;

● tea contains tannin, which forms compounds with drugs that are not absorbed by the body. If a person suffering from anemia takes iron supplements and washes them down with tea, the “tannin + iron” complex precipitates, therefore, the medicine is not absorbed and the effectiveness of the drug is reduced to zero;

● tetracycline antibiotics (tetracycline, doxycycline, etc.) should not be taken with milk, since the calcium present in it, interacting with the drug, reduces its effect. For the same reason, when treating with tetracyclines, you should avoid smoked products.

But there are exceptions: it is recommended to take sulfonamide drugs with an alkaline solution (for example, slightly alkaline mineral water) to prevent kidney stones.

It is better to make it a rule to take the medicine with 100 ml of boiled water at room temperature!

Remember!

Anything that is “clad” in a shell or capsule should not be chewed or bitten. Chewable tablets It is recommended to chew thoroughly, sucking - to dissolve. The release form of the drug is selected not for beauty or even for the convenience of the patient, but based on the pharmacokinetics and pharmacodynamics of the drug, that is, for the best therapeutic effect.

Many medications interact with each other, so try to alternate medications if possible. Antibiotics are often incompatible. They should not be unnecessarily combined with antipyretics, hypnotics, antihistamines. And, of course, in no case with alcohol.

Never supplement your doctor’s prescriptions with what you think are “useful” medications that “strengthen the immune system,” “protect the liver,” “accelerate recovery from colds,” or herbal infusions. Always express your wishes to your doctor and coordinate all innovations with him.

Dear people of Kazakhstan, value your life, your health and the health of your loved ones! Be responsible, do not use medications without a doctor's prescription! Remember: only a doctor can determine the need to take a particular drug.

If you have any questions about the use of medications, call free phone Call services: 8 800 080 88 87

Drug information and analytical center Republican state enterprise with the right of economic management “Republican Center for Health Development” of the Ministry of Health and social development Republic of Kazakhstan.

More than 10% women childbearing age experiencing problems with conception. Girls who are looking for easy ways ask the Internet which pills to take to get pregnant quickly. Go to the pharmacy and take medications at your own peril and risk. More thoughtful and responsible expectant mothers go to the clinic and ask the doctor this question.

If pregnancy does not occur within a year, the couple requires careful medical examination. It is important that the attending physician finds out the reasons why conception does not occur. And he prescribed adequate treatment that suits this particular couple.

Healthy body women are ready for pregnancy if the reproductive system is working correctly. Conception occurs under the following conditions:

• The menstrual cycle is regular;
• Ovulation occurred at the right time (approximately in the middle of the cycle);
• Its duration is about two days;
• At this time, the sperm has fertilized the egg;
• The fertilized egg should implant firmly in the uterus within a few days.

Based on the research and test results, the doctor concludes at what stage of conception the woman experiences a malfunction reproductive system. And he will prescribe appropriate treatment with drugs that will restore the impaired function.

What pills stimulate conception?

There are three types hormonal medications, the action of which is aimed at restoring the impaired function.

• Ovulation stimulating agents. Thanks to them it happens enhanced growth follicles in the ovaries. They contain luteinizing and follicle-stimulating hormones.
• With the help of medications containing hCG, the growth of the follicle and its ability to release an egg are stimulated. That is, these drugs help the egg meet the sperm.
• To ensure that the egg is securely implanted in the uterus, a medicine containing progesterone is used. This hormone thickens the walls of the uterus and also promotes the formation of a safe environment during pregnancy.

All drugs that stimulate conception can be taken only after consultation with a doctor and under his supervision! It should be remembered that all of them are potent drugs, which, if used independently and uncontrolled, can cause harm rather than help.

The doctor will tell you which pills are suitable for a particular woman, because everyone’s body is individual.

When not to take hormones

You can take the pills only after thorough examination. It is important for the doctor to exclude the following diseases:

• obstruction fallopian tubes. If there are adhesions, then with hormonal stimulation the risk of ectopic pregnancy increases;
• sexually transmitted diseases;
• poor sperm motility in men. In this case, it is not the woman who needs to be treated, but her husband;
• Congenital anomalies of the structure of the female reproductive system. Hormonal pills will simply be useless.

It should be remembered that pregnancy may not occur after unsuccessful gynecological operations or application medicines which caused a miscarriage. In this case, before taking medications for quick conception, you need to wait a few months (sometimes you need to pause for whole year) For full recovery body.

Treatment

The growth of follicles is stimulated by drugs such as Clostilbegit, Menogon, Puregon.

The choice of drugs depends on individual characteristics female body.

Klostilbegit

Clostilbegit does an excellent job of stimulating the production of pituitary hormones. However, you can take it for just a few cycles throughout your life. If you do this more often, the number of eggs will decrease significantly, and over time it may disappear altogether. Therefore, a woman will never be able to get pregnant again.

The drug cannot be used if the endometrium of the uterus is thinner than 8 mm. Moreover, the medicine negatively affects its growth. Thin endometrium will not allow the fetus to settle in the uterus, and the long-awaited pregnancy will not occur.

Puregon

“Puregon” has a much gentler effect, which helps several follicles grow. Therefore, the drug helps to get pregnant and naturally, and with the help artificial insemination.

Menogon

If there is a lack of estrogen, the gynecologist will prescribe treatment with Menogon. You should start taking the medicine from the second day of menstruation.

For ten days while treatment is underway, the gynecologist will monitor the reaction of the ovaries to the effects of the drug.

Metipred

Women who have suffered a spontaneous abortion are familiar with the drug Metipred. It is also prescribed to patients who have a number of male hormone exceeds the required amount.

You need to take these pills to get back to normal. hormonal levels, as well as for the purpose of excluding allergic reactions and inflammation.

Metypred should be used only after a doctor’s prescription, who will calculate required dose and timing of treatment.

HCG injection

If after treatment it was possible to achieve positive effect, that is, the follicles have reached the right size, then medications containing hCG hormone(chorionic gonadotropin).

Most drugs in this group are available in the form of injections. Most often, a single injection is used, after which ovulation occurs within two days.

To achieve maximum effectiveness, doctors recommend having sexual intercourse the day before the injection and the day after it.

The most famous drugs are “Choragon”, “Gonakor”, “Perfinil”. Their use restores menstrual cycle and the onset of ovulation.

All of these drugs are also hormonal agents, which can be used only one day after taking the drugs of the previous group.

Drugs that increase progesterone levels

After this stage of treatment, it is important to take medications that provide a favorable environment for the attachment of a fertilized egg. These are drugs that contain the “pregnancy hormone” - progesterone. These include Duphaston and Utrozhestan.

"Duphaston" - medicine, which should be used not only for the onset of pregnancy, but also to maintain the one that has already occurred. Moreover, this medicine has practically no side effects. The exception is slight bleeding. To eliminate them, you need to take an increased dose of the drug.

The medicine does not change the period of ovulation; it does not affect it at all. After all, the main purpose of the drug is to prepare the walls of the uterus for the attachment of the egg.

Effectiveness within 2 hours after taking the medicine dose taken reaches its maximum.

Only a doctor can prescribe the regimen for taking the drug and its dosage.

In order to maintain pregnancy, the drug “Utrozhestan” is also used. His pharmacological properties are as follows:

• Normalizes endometrial levels;
• Prevents the activity of hormones, under the influence of which the uterus contracts;
• Prevents the onset of manifestations of premenstrual syndrome;
• Regulates the menstrual cycle;
• Helps cope with mastopathy.

Vitamins

The onset of pregnancy and its normal course also contributes to taking folic acid And vitamin complexes, which you should also drink after consulting a doctor.

Contraindications

Despite the woman's great desire to achieve long-awaited pregnancy, not everyone can use hormonal drugs.

The main contraindications to the use of these drugs:

• Individual intolerance to the components included in the drug;
• Epilepsy;
• Kidney and liver diseases;
• Diabetes.

Even if a woman is healthy, medications containing hormones should be used with caution and only under the supervision of a doctor.

Do not despair if pregnancy does not occur immediately after treatment. For many women, successful conception occurred after several cycles.

Important! The information presented in this article is for informational purposes only. Self-administration any drug that stimulates pregnancy can lead to irreparable consequences. Therefore, at every stage of preparation for conception, a consultation with a personal gynecologist is necessary.

At first glance, this question seems stupid. But it turns out that only 20% of patients follow doctors’ recommendations. 60%, upon leaving the office, completely forget when and how to take pills. And another 20% consider such subtleties unprincipled. The result is predictable: the drugs do not work as expected. In fact, a person taking pills needs to learn some wisdom. Only then will he get the maximum out of the medicine. Firstly, pronounced side effects, if taken different tablets separately, and not all at once in one go.
Secondly, it is extremely dangerous to use the medicine after the expiration date, because chemical composition the drug may have changed.
Thirdly, never take your doctor’s prescriptions thoughtlessly. If the therapist prescribed you one medicine, the ophthalmologist - another, the dentist - a third, and the cardiologist - a fourth, be sure to return to the therapist again or consult a pharmacist. Have them analyze medications for compatibility to prevent conflicting interactions and replace any medications safe analogue. There are other very important rules.

What to drink with it?

One example: recent research has shown that oral contraceptives Do not mix with drinks containing caffeine. With this combination, contraceptives reduce the body's ability to break down caffeine, causing hyperactivity and insomnia. Therefore, in most cases it is important what to take the pill with.

Aspirin severely irritates the mucous membranes of the gastrointestinal tract. Therefore, this medicine should be taken only after meals. Soluble tablet It should be dipped in exactly the amount of water indicated in the insert, and it is better to crush or chew an ordinary tablet and drink it with milk or mineral water, then it will get into the blood faster.

If etazol, norsulfazole, sulgin, sulfadimethoxine are prescribed, you will need a glass of mineral water. The fact is that sulfonamides often cause kidney problems, and abundant alkaline drink will help get rid of unnecessary problems.

Antibiotics. After all, the calcium contained in milk reacts with antibiotics (especially tetracycline) and forms poorly soluble compounds. By the way, boiled water room temperature is the best drink for most tablets.

Special conversation - grapefruit juice. It cannot be combined with drugs that lower blood cholesterol, immunosuppressants, erythromycin, oral contraceptives, tamoxifen, " antitumor drugs, Viagra and its analogues. Grapefruit juice does not remove drugs from the body. The result is an overdose.

But with cranberry juice not compatible anticoagulants- drugs that reduce blood clotting. If this rule is not followed, bleeding may occur in the gastrointestinal tract.

You should not drink alcohol while taking medications. The combination of alcohol with antihistamines, insulin, tranquilizers and pills that lower blood pressure, can lead to increased drowsiness, which is especially dangerous if you drive a car.
Antibiotics should also not be mixed with alcohol, otherwise you will suffer from a rush of blood to the head, dizziness and nausea.
In old age, when alcohol stays in the blood longer, the consequences of this combination can be even more unpleasant. For example, nitroglycerin under the influence of alcohol changes its effect and does not bring much-needed relief to the heart.

Antipyretic tablets, coupled with a glass or two of alcohol, will cause a massive blow to the mucous membranes of the stomach. Alcohol is especially dangerous for diabetics, since under its influence the blood sugar level first rises and then falls.

When to take the pills?

Facilities emergency assistance, of course, they take it regardless of the time of day - if the temperature rises or colic begins, there is no time for schedules. But the effectiveness of drugs, as doctors have long noted, also depends on the time of administration. Heart and asthma medications are taken close to midnight, and ulcer medications early in the morning and late in the evening to prevent hunger pangs. Do not expect immediate results from medications and do not take a double dose without waiting. Most tablets begin to work within 40 to 60 minutes. The exception is those that are placed under the tongue for rapid absorption (for example, nitroglycerin, glycine).

Stuff?

When taking pills, you must follow a certain diet. Festal, Mezim-Forte and others that improve digestion enzyme preparations It is best to take directly with food. Do not mix aspirin with spicy food and citrus fruits one hour before and one hour after taking the tablets. If you do not follow this rule, you are guaranteed to irritate the gastric mucosa.
When taking antidepressants, it is better to exclude foods containing tyramine: cheese, yeast, soy sauce, fish roe, avocado. Otherwise, your day will be ruined by severe drowsiness and high pressure.
Tetracycline tablets, as we have already warned, do not tolerate proximity to dairy products. An hour or two before and after taking the medicine, give up milk in any form, cottage cheese, yogurt.
If a person takes hormonal medications, it is important for him to provide the body with protein foods.
Vitamins require fat, and drugs that regulate digestion, on the contrary, require fatty foods don't match. Spinach, rhubarb, tea and bran bread combine with calcium, which is contained in many vitamins, and prevent the body from absorbing it.

How to swallow?

In order for the medicine to quickly enter the bloodstream and fulfill its purpose, the American Medical Association suggests the following method of taking tablets. Take some water into your mouth and tilt your head back. When swallowing, tilt your head forward. Then take the medicine with a full glass of water, unless otherwise indicated in the medicine label.

Do not chew or unscrew the capsules: the gelatin shell was not invented for beauty, but to ensure the “delivery” of the medicine as intended - to gastrointestinal tract. There is another reason why you should not damage the pill shell: last years Doctors are increasingly prescribing so-called prolonged (extended) action drugs, which no longer need to be taken 5 times a day - the shell in such cases ensures a slow release of the drug and cannot be damaged.

Never swallow tablets while lying down: they may begin to disintegrate in the esophagus, leading to heartburn, nausea and vomiting.

Where to take?

You should take the pills very carefully in the summer, especially if you sunbathe under the hot sun. Some medications can increase sensitivity to light and change skin pigmentation. After taking the medications, you will get sunburned faster. To return from vacation as a “chocolate bar” and not a spotted panther, refrain from taking it for a while hormonal drugs, antibiotics, tranquilizers, analgesics and antiseptics for the skin. If the course of treatment cannot be postponed, then tanning is contraindicated for you, so you should refuse a trip to the sea or stay in the shade most of the time.

One more thing. Taking medications in front of guests and co-workers is considered bad manners.