普拿疼伏冒加強錠

1,646 views
Skip to first unread message

Fu-Hsiang Chen

unread,
Mar 30, 2009, 10:07:16 PM3/30/09
to 886...@googlegroups.com
相信大家都看過吳念真拍的感冒藥廣告 號稱跟醫生開的感冒藥類似 (快速的在廣告中閃了一下) 我想沒有人看的清楚那上面到底寫了什麼
我們來看看這藥到底有啥成分 另外我不是醫生也沒吃西藥 所以不知道這些藥到底跟西醫生開的到底類不類似 有這方面知識的人不妨評論一下

首先先把副作用全都列一列 看看這位不再拍片只拍廣告的導演 到底代言了什麼東西
ACETAMINOPHEN
正常的藥劑下幾乎是沒有副作用的,不過如有過敏的症狀發生,請停止給藥。有時會發生噁心、嘔吐、食慾不振等症狀;而血小板減少症、顆粒減少症、肝腎障礙患者需特別注意,應慎重給藥。
NOSCAPINE
嗜睡、嘔心、頭痛、便秘、食慾不振。
CAFFEINE
心悸亢進,神經質,失眠,嘔吐,胃刺激。
PHENYLEPHRINE HCL
無資料
Terpin Hydrate
無資料
Vitamin C
偶爾會產生頭痛拉肚子的症狀

至少有一打以上的副作用 感冒已經很不舒服了 除了副作用不舒服 再加個咖啡因 搞到胃痛睡不著 這是好的事嗎?
真的不懂為何要加咖啡因 是因此吃了比較有精神(亢奮) 所以覺得感冒好了一點嗎?這不是騙人嗎?

再來看看適用症狀
ACETAMINOPHEN
主要是用來「解熱」,另一個功能是「止痛」,能迅速抑制大腦興奮引起的痛覺,亦可使中樞對疼痛之感覺遲鈍。
NOSCAPINE
本藥物和鴉片中之一種生物鹼與Papaverine相關,能抑制咳嗽反射。
CAFFEINE
中樞神經興奮,小劑量用於利尿。
PHENYLEPHRINE HCL
迅速而長效的鼻充血解除劑,具收縮鼻黏膜血管、抑制充血、鼻腔腫脹功效。能治療鼻塞,促進鼻道暢通恢復自由舒適的呼吸。
Terpin Hydrate
是一種有效的袪痰劑,能解除呼吸道粘膜乾燥所引起的乾咳。
Vitamin C
維他命缺乏症是由於維他命C供應不足或需要量增加(如,由於發熱, 代謝作用提高,妊振.授乳期,生長期),或由於胃腸疾患者對維他命C吸收力之減低。尿液的酸化,通常可併用尿液抗感染劑。內科:壞血病,增強對感染之抵抗 力,病後康復,補給營養。牙科:齒齦出血。

簡言之 就是什麼都治 不管你有沒有症狀 不管你是哪一種感冒
退燒 止痛 止咳 鼻塞 去痰 利尿 通通加到藥裡面 另外在奉送傳說中的治感冒萬靈藥維他命C 讓不懂的病人爽一下 當個安慰藥應該是不錯摟
這就是西藥廠的開藥邏輯 亂槍打鳥 一定會中個一兩個摟

詳細資料------------------------------------------------
ACETAMINOPHEN 500mg

藥名(學名) ACETAMINOPHEN PARACETAMOL
藥理作用:
主要是用來「解熱」,對於正常體並無影響,仍可保持體溫之恆定。而對於某些發燒之患者,如傷風、感冒及風濕性關節等疾病,可由增加周圍血管的熱量散失,以達到體溫下降之結果。
此藥品另一個功能是「止痛」,能迅速抑制大腦興奮引起的痛覺,亦可使中樞對疼痛之感覺遲鈍。
本品之解熱鎮痛作用,經由口服之效果為眾所週知的,可以很快地為胃腸道所吸收,且維特較長時間的藥效,亦很快地被排泄,在體內不產生堆積現象,對於治療輕型、中型疼痛效甚佳。
本品之解熱鎮痛作用與阿司匹靈比較,於同一劑量,同一濃度下,產生相同之解熱鎮痛效果,所以對阿司匹靈過敏之患者可以本藥代之。
治療項目:解熱、止痛(關節痛、肌肉痛、風濕痛、神經痛、月經痛、牙痛、頭痛之舒緩)。
副作用: 正常的藥劑下幾乎是沒有副作用的,不過如有過敏的症狀發生,請停止給藥。有時會發生噁心、嘔吐、食慾不振等症狀;而血小板減少症、顆粒減少症、肝腎障礙患者需特別注意,應慎重給藥。
注意事項:
1.本品含有劇藥,因此必須切實按照所定方法及劑量使用。
2.就診時,若尚使用其他解熱、鎮痛或感冒藥劑應避免重覆使用。
3.避免長期使用,12歲以下的小孩。使用期間不可連續超過五天;成人
則是不可連續超過十天。
懷孕及授乳注意事項: 一般來說都是安全的,只有大量或是長期服藥下才有可能造成孕婦的貧血。

NOSCAPINE 15mg

藥名(學名) NOSCAPINE
藥理作用:本藥物和鴉片中之一種生物鹼與Papaverine相關,能抑制咳嗽反射。
治療項目:急慢性支氣管炎、氣喘性支氣管炎、支氣管氣喘、感冒、呼吸道疾病所引起的咳嗽。
用法用量:
成人每天大約3~4次,每次服用15mg~30mg。
二歲-六歲孩童每天大約3~4次,每次服用7.5~15mg。
二歲以下孩童應避免使用本藥物。
副作用:嗜睡、嘔心、頭痛、便秘、食慾不振。
注意事項:
1.基於安全因素,本藥品應放置在孩童伸手不及的地方。
2.服用本藥物有出現過敏症狀,要立刻停止服用。
3.如出現持續性咳嗽以及發燒的症狀時,建議先請教醫生服用的劑量和次數。

CAFFEINE 25mg

藥名(學名) CAFFEINE
劑型:錠/100mg
藥理作用:作用於大腦皮質及延髓,服用後使思想力、理智、精神及肌肉等活動能力增加,並可降低倦睡及疲勞。
治療項目:中樞神經興奮,小劑量用於利尿。
副作用:心悸亢進,神經質,失眠,嘔吐,胃刺激。

PHENYLEPHRINE HCL 10mg

迅速而長效的鼻充血解除劑,具收縮鼻黏膜血管、抑制充血、鼻腔腫脹功效。能治療鼻塞,促進鼻道暢通恢復自由舒適的呼吸。

Terpin Hydrate 33.33mg

是一種有效的袪痰劑,能解除呼吸道粘膜乾燥所引起的乾咳。

Vitamin C 50mg

藥名(學名) VITAMIN C
藥理作用:本藥俗稱「維他命C」,可以幫助體內產生一種膠質,是傷口復原的必須物質;也可幫助身體對鐵質的吸收,主要用來治療壞血病。
治療項目:維他命缺乏症是由於維他命C供應不足或需要量增加(如,由於發熱, 代謝作用提高,妊振.授乳期,生長期),或由於胃腸疾患者對維他命C吸收力之減低。尿液的酸化,通常可併用尿液抗感染劑。內科:壞血病,增強對感染之抵抗 力,病後康復,補給營養。牙科:齒齦出血。
用法用量:通常一天服用一次就足夠,若是過量會有拉肚子的情況,太大量還會造成腎結石的生成,應遵照指示服藥,若是長效膠囊,應該整顆吞服。
副作用:偶爾會產生頭痛拉肚子的症狀。
注意事項:不能完全依靠藥物來補充維生素C,應多攝取含維生素C的食物或水
果,而且要有均衡的飲食習慣;此藥會隨尿液排出,多吃無益。若是對藥物過敏,或是患有糖尿病、甲狀腺機能亢進、癌症、腎臟病、痛風,應多加注意用藥。
懷孕及授乳注意事項:胎兒發育需要適量維生素C,但若是過量會造成胎兒出生後對維生素C的需求量較高,若是無法給予需求量,胎兒會食慾不振,消化不良
與煩躁不安等。哺乳不會有影響。
交互作用:酒精中毒的病人服用Disulfiram時,會干擾本藥的效力。還有本藥與
Penicillin Gpotassium會產生化學性的配合禁忌,不能在同一個注射筒裡混合。

轉吧七彩霓虹燈

unread,
Mar 31, 2009, 2:01:07 AM3/31/09
to 886...@googlegroups.com
解釋的好詳細
拜服

Lance

unread,
Mar 31, 2009, 4:12:50 AM3/31/09
to 正統中醫@台灣
謝謝整理那麼詳細。

Fu-Hsiang Chen

unread,
Mar 31, 2009, 4:09:19 PM3/31/09
to 886...@googlegroups.com
忘了強調一下 有些廣告常常提到止痛藥中不含阿斯匹林 因為他會造成胃潰瘍
替代的藥多半是ACETAMINOPHEN (另一個是Ibuprofen)
還有聽過上班族 只要一頭痛就一顆 好像當補藥一樣吃 普拿疼止痛錠中就是這個成分 相當於美國的Tylenol

看看他的藥典注意事項 夠恐怖了吧 一般藥盒上應該不會全部寫出來 藥應該跟香煙一樣  要強迫標示副作用 不然大家都漠視其後果 把西醫跟西藥當神來拜

!注意事項

1.本品含有劇藥,因此必須切實按照所定方法及劑量使用。
2.就診時,若尚使用其他解熱、鎮痛或感冒藥劑應避免重覆使用。
3.避免長期使用,12歲以下的小孩。使用期間不可連續超過五天;成人
則是不可連續超過十天。
懷孕及授乳注意事項: 一般來說都是安全的,只有大量或是長期服藥下才有可能造成孕婦的貧血。

再看看他的wikipedia藥理警告
(簡譯:本藥造成肝臟壞死的案例是美國所有其他藥加起來的三倍多,長期或突然服用大量 acetaminophen 時,glutathione 存量耗盡,毒性代謝物可能造成肝臟壞死。 )

Dangers
Acetaminophen causes three times as many cases of liver failure as all other drugs combined,[7] and is the most common cause of acute liver failure in the United States,[6] [8] accounting for 39% of cases. While it occurs through overdosing[5], even recommended doses especially combined with even small amounts of alcohol, have caused irreversible liver failure. [9] [10]
Acetaminophen is metabolized in the liver, resulting in a by-product, N-acetyl-p-benzoquinone imine (NAPQI), that can damage liver cells, but is typically converted into a harmless substance by an antioxidant glutathione. However, large doses of acetaminophen overwhelms the body's supply of glutathione, resulting in destruction of the liver cells. [11]

所以諸君啊 不要一有痛就把它止掉 找出原因比較重要 滿多頭痛都是要感冒前的症狀 吃點中藥就好了 不用吃毒藥來解痛 女性同胞也不要聽信廣告有經痛就一顆止痛藥 好朋友來時的不舒服 還是要找醫生看看 說不定可以提早找到身體淺伏的問題。

dwyu

unread,
Mar 31, 2009, 7:27:58 PM3/31/09
to 正統中醫@台灣


On 3月30日, 下午7時07分, Fu-Hsiang Chen <fuhsiang.c...@gmail.com> wrote:
> ACETAMINOPHEN
> 正常的藥劑下幾乎是沒有副作用的,不過如有過敏的症狀發生,請停止給藥。有時會發生噁心、嘔吐、食慾不振等症狀;而血小板減少症、顆粒減少症、肝腎障礙患者需特­別注意,應慎重給藥。
> NOSCAPINE
> 嗜睡、嘔心、頭痛、便秘、食慾不振。
> CAFFEINE
> 心悸亢進,神經質,失眠,嘔吐,胃刺激。
> PHENYLEPHRINE HCL
> 無資料
> Terpin Hydrate
> 無資料
> Vitamin C
> 偶爾會產生頭痛拉肚子的症狀

少了兩項副作用,這裡找網路資料加上,給大家參考


Phenylephrine
http://www.nlm.nih.gov/medlineplus/druginfo/meds/a606008.html

有幾百種品牌藥,但內容大同小異:a combination product containing Acetaminophen,
Diphenhydramine Hydrochloride, and [Phenylephrine Hydrochloride]

Why is this medication prescribed?
Phenylephrine is used to relieve nasal discomfort caused by colds,
allergies, and hay fever. It is also used to relieve sinus congestion
and pressure. [Phenylephrine will relieve symptoms but will not treat
the cause of the symptoms or speed recovery. ]Phenylephrine is in a
class of medications called nasal decongestants. It works by reducing
swelling of the blood vessels in the nasal passages.
老美用話實在,這玩意沒有治療效果,也沒有加快感冒復原效果,只是強制鼻黏膜血管放鬆,消除鼻塞感。

How should this medicine be used?
 Phenylephrine comes as a tablet, a liquid, or a dissolving strip to
take by mouth. It is usually taken every 4 hours as needed. Follow the
directions on your prescription label or the package label carefully,
and ask your doctor or pharmacist to explain any part you do not
understand. Take phenylephrine exactly as directed. Do not take more
or less of it or take it more often than prescribed by your doctor or
directed on the label.
 Phenylephrine comes alone and in combination with other medications.
Ask your doctor or pharmacist for advice on which product is best for
your symptoms. Check nonprescription cough and cold product labels
carefully before using two or more products at the same time. These
products may contain the same active ingredient(s) and taking them
together could cause you to receive an overdose. This is especially
important if you will be giving cough and cold medications to a child.
 Nonprescription cough and cold combination products, including
products that contain phenylephrine, can cause serious side effects or
death in young children. Do not give these products to children
younger than 4 years of age. If you give these products to children
4-11 years of age, use caution and follow the package directions
carefully.現在美國對幼童已完全禁用此類產品,因為証實會死人,台灣父母宜注意再三。
 If you are giving phenylephrine or a combination product that
contains phenylephrine to a child, read the package label carefully to
be sure that it is the right product for a child of that age. Do not
give phenylephrine products that are made for adults to children.
 Before you give a phenylephrine product to a child, check the
package label to find out how much medication the child should
receive. Give the dose that matches the child's age on the chart. Ask
the child's doctor if you don't know how much medication to give the
child.
 If you are taking the liquid, do not use a household spoon to
measure your dose. Use the measuring spoon or cup that came with the
medication or use a spoon made especially for measuring medication.
 If your symptoms do not get better within 7 days or if you have a
fever, stop taking phenylephrine and call your doctor.
 If you are taking the dissolving strips, place one strip on your
tongue and allow it to dissolve.

What special precautions should I follow?
Before taking phenylephrine,
 tell your doctor and pharmacist if you are allergic to phenylephrine
or any other medications.
 do not take phenylephrine if you are taking a monoamine oxidase
(MAO) inhibitor, such as isocarboxazid (Marplan), phenelzine (Nardil),
selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate),
or if you have stopped taking one of these medications within the past
2 weeks.
 tell your doctor and pharmacist what other prescription and
nonprescription medications, vitamins, nutritional supplements, and
herbal products you are taking or plan to take.
 tell your doctor if you have or have ever had high blood pressure,
diabetes, trouble urinating because of an enlarged prostate gland, or
thyroid or heart disease.
 tell your doctor if you are pregnant, plan to become pregnant, or
are breast-feeding. If you become pregnant while taking phenylephrine,
call your doctor.
 if you are having surgery, including dental surgery, tell the doctor
or dentist that you are taking phenylephrine.
 if you have phenylketonuria (PKU, an inherited condition in which a
special diet must be followed to prevent mental retardation), you
should know that some phenylephrine products may be sweetened with
aspartame, a source of phenylalanine.

What side effects can this medication cause?
Phenylephrine may cause side effects. Some side effects can be
serious. If you experience any of these symptoms, stop using
phenylephrine and call your doctor:
 nervousness
 dizziness
 sleeplessness
神經緊張過敏,頭暈,失眠.這不是什麼高深藥學理論,想像物理學的教導,若血量一定,那血管短時間內由小口徑換大口徑,會造成功什麼效果,答案在上面。
美國有一些車禍是這麼形成的。
Phenylephrine may cause other side effects. Call your doctor if you
have any unusual problems while taking this medication. If you
experience a serious side effect, you or your doctor may send a report
to the Food and Drug Administration's (FDA) MedWatch Adverse Event
Reporting program online [at http://www.fda.gov/MedWatch/index.html]
or by phone [1-800-332-1088].



GENERIC NAME: TERPIN HYDRATE/ CODEINE
(TER-pin HI-drate WITH KO-deen)
http://www.medicinenet.com/terpin_hydratecodeine/article.htm

USES: Terpin hydrate helps to loosen mucus. Codeine suppresses a
cough. This combination medication is used to control a cough
associated with a cold or other respiratory illnesses.

HOW TO USE: Take this medication by mouth as prescribed. Be sure to
follow instructions closely. Do not increase your dose or take this
more often than directed. Long term or excessive use of this
medication may lead to dependency.This medication is best taken with a
full glass of water after a meal or snack.長期或過量服用,會有嗜藥成癮的作用。台灣許多人沒事就買這類
成藥吃,那遭報應機率會較高。

SIDE EFFECTS: Drowsiness, dizziness, loss of appetite, nausea or
stomach upset may occur. 昏昏欲睡,暈眩,失去胃口,噁心,胃部不適If any of these effects
continue or become bothersome, inform your doctor. To avoid dizziness
when rising from a seated or lying position, get up slowly. Notify
your doctor if you develop: a slow pulse, mental confusion, mood
changes, skin rash, breathing trouble. If you notice other effects not
listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor if you have: lung diseases (e.g.,
asthma, emphysema), depression, problems with constipation, a history
of drug dependency, allergies (especially to narcotic pain medications
or alcohol). Use caution performing tasks requiring alertness if this
medication causes you to feel drowsy. This medication should be used
only if clearly needed during pregnancy. Discuss the risks and
benefits with your doctor. Since small amounts of this medication are
found in breast milk, consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of any over-the-counter or
prescription medication you may take including: antidepressants,
sedatives, tranquilizers, sleeping pills, cimetidine. This medication
contains alcohol. Avoid intake of alcoholic beverages while taking
this medication. Do not start or stop any medicine without doctor or
pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control
center or emergency room immediately. US residents can call the US
national poison hotline at 1-800-222-1222. Canadian residents should
call their local poison control center directly. Symptoms of overdose
may include slowed breathing, drowsiness, deep sleep or loss of
consciousness, cold and clammy skin, dry mouth, and slow pulse.

NOTES: Drink plenty of fluids, especially water while taking this
medication. It will help to break up mucus and clear congestion.

MISSED DOSE: If you miss a dose, take it as soon as remembered; do not
take it if it is near the time for the next dose, instead, skip the
missed dose and resume your usual dosing schedule. Do not "double-up"
the dose to catch up.

STORAGE: Store at room temperature between 59 and 86 degrees F
(between 15 and 30 degrees C) away from heat and light. Do not store
in the bathroom.

醫兔

unread,
Mar 31, 2009, 10:04:12 PM3/31/09
to 886...@googlegroups.com
討論:http://groups.google.com.tw/group/886tcm/browse_thread/thread/e22eb68547d88a18


很詳細的資料。

我發現一般懶的思考的民眾的思考邏輯是這樣:

發現這種普拿疼副作用超多的文章→所以看病還事要找醫生嘛!

其實去逐一分析醫院開的感冒藥,又會比普拿疼好多少呢?
連「克流感」、「金鋼胺(amantadine)」、「干擾素」都會被西醫當做是治感冒的祕密武器的情況下,醫院開出來的感冒藥真的就比較沒副作用嗎?

Reply all
Reply to author
Forward
0 new messages