Dis tɛm ya, bɔku pan wi kin tek mɛrɛsin fɔ pas wan sik. Yu kin tek wan fɔ yu blɔd prɛshɔn, ɔda wan fɔ yu kɔlɔstrel, ɛn ɔda wan fɔ yu dayabitis. Yu kin ivin tek wan mɛrɛsin fɔ mɛn pen na di famasi fɔ mek yu trot at. Bɔt yu dɔn ɛva tink se dɛn mɛrɛsin ya kin "tɔk" to dɛnsɛf, ɛn sɔm tɛm dɛn kin "fayt" wit dɛnsɛf? Na dat wi kin kɔl drɔg intarakshɔn, ɔ jɔs ``Drug Intarakshɔn''. Dis na tɔpik we rili impɔtant we wi ɔl nid fɔ no bɔt.
Wetin na drɔg intarakshɔn?
Fɔ tɔk am simpul wan, ``Drug Interaction'' na we wan mɛrɛsin we yu tek chenj di we aw i de wok bikɔs ɔf ɔda tin we de kam insay yu bɔdi (i kin bi ɔda mɛrɛsin, it, drink, vaytamɛn), ɔ ɔda sik we yu gɛt. Dis na lɛk motoka dɛn we de na rod. If ɛni motoka go in yon we, prɔblɛm nɔ de. Bɔt if wan motoka kam di rɔng we, aksidɛnt kin apin, nɔto so? Na di sem tin kin apin to mɛrɛsin.
We dis kayn intarakshɔn de apin, tri men tin kin apin:
- Di mɛrɛsin nɔ de wok fayn: Dis min se di mɛrɛsin nɔ de wok fayn. Ivin if yu tek mɛrɛsin fɔ blɔd prɛshɔn, if di bɔdi nɔ tek am fayn bikɔs ɔf ɔda tin, di blɔd prɛshɔn nɔ go go dɔŋ.
- Ovadosage: Sɔntɛnde, wan mɛrɛsin kin bigin fɔ wok tumɔs, we kin du mɔ bad pas gud.
- Sayd ɛfɛkt ɔ pɔyzin: Tu mɛrɛsin kin miks wit dɛnsɛf ɛn mek nyu sayd ɛfɛkt ɔ pɔyzin.
Jɔs tink bɔt, ɛni mɛrɛsin we yu tek kin miks wit tin dɛn lɛk:
- Ɔda mɛrɛsin we yu de tek (i kin bi prɛskrishɔn frɔm dɔktɔ ɔ ɔva-di-kɔnta (OTC) mɛrɛsin we yu bay na famasi).
- Di it we yu kin it lɛk vaytamɛn, ayɛn tablɛt, ɛn ɛbul.
- Yu kin it ɔ drink.
- Rum.
- Tabak we dɛn kin yuz fɔ smok.
- Ɔda drɔgs dɛn.
Nɔto dɛn tin ya nɔmɔ, bɔt sɔm mɛrɛsin dɛn nɔ kin fayn fɔ yu bikɔs ɔf ɔda mɛrɛsin dɛn we yu gɛt. Fɔ ɛgzampul, wan mɛrɛsin fɔ wan sik kin mek ɔda sik we yu gɛt wɔs.
Bɔt nɔ wɔri. Bɔrku tɛm, dɛn drɔg intarakshɔn ya kin bi fɔ sɔm tɛm ɛn dɛn kin ebul fɔ manej am. Yu dɔktɔ kin chenj di doz fɔ yu mɛrɛsin ɔ tɛl yu fɔ stɔp fɔ it sɔm it dɛn fɔ sɔm tɛm. Bɔt sɔm intarakshɔn kin rili siriɔs ɛn ivin kin mek pɔsin in layf de pan denja. So we yu no bɔt dɛn ɛn we yu de du tin fɔ avɔyd dɛn, dat go ɛp yu fɔ gɛt di bɛst pan di tritmɛnt we yu de gi yu.
Udat dɛn de pan denja pas dat?
Drug intarakshɔn kin apin to ɛnibɔdi we gɛt ɛni ej, bɔt if yu de tek bɔku mɛrɛsin ɔ yu gɛt bɔku mɛrɛsin, di risk kin bɔku.
Jɛnɛral wan, as wi de ol, wi kin gɛt mɔ sik dɛn we nɔ de mɛn. So di kayn mɛrɛsin we wi de tek kin bɔku. Tink bɔt am, we bɔku bɔku kemikal ɛn prɔses dɛn de we de wok togɛda insay yu bɔdi, di chans fɔ mek sɔntin nɔ go fayn bak kin bɔku, nɔto so?
I tan lɛk se yu de trowe pati. If yu jɔs tɔk to sɔm padi dɛn we yu sabi gud gud wan, yu go ebul fɔ gɛt fayn pati. Bɔt di mɔ we yu de tɔk to gɔst dɛn, na di mɔ yu go gɛt sɔm tin dɛn we yu nɔ go gri wit. Jɔs lɛk pipul dɛn we de na pati, mɛrɛsin kin intarakt wit dɛnsɛf di we we nɔ kin so fayn.
So nɔ tray fɔ manej dɛn tin ya fɔ yusɛf. Yu nɔ go ebul fɔ tɔk klia wan aw wan mɛrɛsin go afɛkt yu bɔdi, nɔto fɔ tɔk bɔt wetin go apin if yu tek bɔku mɛrɛsin togɛda.
Na dat mek i impɔtant fɔ tɔk to yu dɔktɔ bifo yu tek ɛni nyu mɛrɛsin ɔ sɔpɔtmɛnt, ɔ bifo yu mek ɛni chenj na di mɛrɛsin list we yu gɛt naw. Yu dɔktɔ kin ɛp yu fɔ no us mɛrɛsin dɛn go fayn fɔ yu, di wan dɛn we go bɛnifit yu pas ɔl, ɛn di wan dɛn we nɔ bad fɔ yu, ɛn if dɛn nɔ bad fɔ tek dɛn yu wan ɔ we yu tek am wit ɔda mɛrɛsin dɛn.
Wetin na di men kayn we aw drɔgs kin intarakshɔn?
Dɛn kin sheb dɛn intarakshɔn ya to 4 men kategori. Lɛ wi si wetin dɛn bi.
| Intarakshɔn tayp | Fɔ ɛksplen am simpul wan |
|---|---|
| Drug-drug intarakshɔn | Wan mɛrɛsin kin afɛkt di we aw ɔda mɛrɛsin we yu de tek kin wok. |
| Drug-supliment intarakshɔn | Wan mɛrɛsin de wok wit wan vaytamɛn, minral, ɔ ɛbul sɔpɔtmɛnt we yu de tek. |
| Drug-fud/drink intarakshɔn | Sɔntin we yu it ɔ drink kin afɛkt di we aw wan mɛrɛsin de wok. |
| Drug-kɔndishɔn intarakshɔn | Wan sayd ɛfɛkt we yu nɔ bin de ɛkspɛkt fɔ wan mɛrɛsin we yu de tek bikɔs ɔf wan mɛrɛsin we yu gɛt. |
1. Di intarakshɔn bitwin drɔg ɛn drɔg
Dis na di kayn we wi kin si bɔku tɛm. Wan drɔg kin chenj di we aw ɔda drɔg de wok. Dis kin apin:
- Bitwin tu mɛrɛsin dɛn we dɔktɔ gi.
- Bitwin tu mɛrɛsin dɛn we yu bay na di famasi.
- Bitwin wan mɛrɛsin we dɔktɔ gi yu ɛn wan mɛrɛsin we yu bay na di famasi.
Dɔn bak, tabak, rɔm, ɔ ɔda drɔgs kin miks wit di mɛrɛsin we yu de tek ɛn mek yu gɛt prɔblɛm dɛn we yu nɔ want.
Tin dɛm wae kin apun wit dis kayn intarakshɔn:
- Di sayd ɛfɛkt dɛn kin bɔku: Imajin se yu tek tu mɛrɛsin dɛn we gɛt di sem tin we de wok togɛda. Fɔ ɛgzampul, if yu tek wan mɛrɛsin fɔ mɛn pen we gɛt asetaminofɛn fɔ mek yu trot at ɛn afta dat yu tek ɔda mɛrɛsin we gɛt asetaminofɛn fɔ kol, di amɔnt ɔf asetaminofɛn we go rich na yu bɔdi go bɔku. Dis kin mek di sayd ɛfɛkt dɛn bɔku ɔ ivin mek di liva gɛt pɔyzin.
- Di mɛrɛsin dɛn nɔ kin wok fayn: Sɔm mɛrɛsin dɛn kin wok agens dɛnsɛf. Wan kin blok wan prɔtin na di bɔdi, ɛn di ɔda wan kin mek i wok. If na so i bi, ɔl tu di mɛrɛsin dɛn nɔ go gɛt di ifɛkt we dɛn want.
- Di we aw wan mɛrɛsin de wok kin chenj: Sɔm mɛrɛsin kin afɛkt aw ɔda mɛrɛsin dɛn kin absɔb fayn fayn wan na di bɔdi. Dɔn bak, sɔm mɛrɛsin dɛn kin chenj di spid we wi liva kin brok ɔda mɛrɛsin dɛn. Dis kin mek di mɛrɛsin brok tu kwik ɛn nɔr kin woke, ɔr i kin de na di bɔdi fɔ lɔng tɛm ɛn tu strɔng.
So, bifo yu tek ɛni nyu mɛrɛsin (ilɛksɛf na prɛskrishɔn ɔ OTC), mek shɔ se yu tɔk to yu dɔktɔ. Tɛl am bɔt ɔl di mɛrɛsin dɛn we yu de tek naw. If yu de yuz rɔm, sigrɛt, ɔ ɔda drɔgs, i impɔtant fɔ mek yu sef fɔ tɔk klia wan bɔt am.
2. Drug-supliment intarakshɔn
Bɔku tɛm wi kin tink se bikɔs tin dɛn lɛk vaytamɛn ɛn ɛbul sɔpɔtmɛnt na "nɛchral," dɛn nɔ go ebul fɔ du ɛni bad tin. Dat na big mistek. Sɔm supamakit kin ridyus ɔr kin mek di mɛrɛsin wae yu de tek wok fayn, ɔr kin mek yu gɛt denja sayd ɛfɛkt.
Wan pan dɛn tin ya we denja pas ɔl na Sɛnt Jɔn in wɔt.Na wan mɛrɛsin we dɛn kin yuz fɔ mɛn animal dɛn. I kin miks wit bɔku mɛrɛsin dɛn, sɔm tɛm dɛn kin mek pɔsin in layf de pan denja. Fɔ ɛgzampul, Sɛnt Jɔn wɔt kin mek pɔsin gɛt wan denja sik we dɛn kɔl Serotonin Syndrome we dɛn tek am wit SSRI, we na wan klas fɔ mɛrɛsin we dɛn kin yuz fɔ mɛn sik dɛn lɛk pwɛl hat.
Sɔm ɔda tin dɛn we kin mek wi gɛt mɔ prɔblɛm:
- Galik ɛkstrakt: Dɛn tin ya na tin dɛn we de mek blɔd tan. If yu de tek mɛrɛsin dɛn we de mek yu blɔd tan lɛk Warfarin, ɔ if yu de rɛdi fɔ ɔpreshɔn, if yu tek dɛn mɛrɛsin ya, dat kin mek yu blɔd bɔku.
- Goldenseal: Dis kin afɛkt bak di we aw di liva kin brok di mɛrɛsin dɛn ɛn i kin mek prɔblɛm wit bɔku mɛrɛsin dɛn.
- Konsentret grεn ti supliment: Dis nכto di grεn ti we wi de drink, bכt na kכnsantreyt supliment. dis kin intarakt wit di ``pseudoephedrine'' we de insay sכm kol mεdisin dεm.
Dis na jɔs sɔm ɛgzampul dɛn. Bifo yu tek ɛni supamakit, i impɔtant fɔ chɛk wit yu dɔktɔ fɔ mek shɔ se i sef fɔ yu. Yu fɔ tink tumɔs bɔt aw fɔ tek am, mɔ if yu gɛt ɛni wan pan dɛn tin ya:
- If yu de tek mɛrɛsin we gɛt smɔl tritmɛnt rɛnj: Dis min se di lɛvɛl fɔ di mɛrɛsin fɔ rili prɛsis na di bɔdi. Ivin if yu du am tumɔs ɔ yu smɔl, dat kin mek yu denja. Sɔm supamakit kin mek dis balans nɔ fayn. Ɛgzampul dɛn: Carbamazepine, Phenytoin, ɛn Warfarin, we dɛn kin yuz fɔ mek blɔd nɔ klot.
- If yu de pripia fɔ ɔpreshɔn: Sɔm sɔpɔtmɛnt dɛn kin afɛkt di mɛrɛsin dɛn we dɛn kin yuz fɔ anestez, mek yu blɔd bɔku, ɛn afɛkt di blɔd prɛshɔn ɔ at rit.
3. Drug-fud/drink intarakshɔn
Yɛs, wetin yu de it ɛn drink kin chenj bak di we aw yu mɛrɛsin dɛn de wok. Sɔm it ɛn drink dɛn:
- I kin mek di mɛrɛsin nɔ go insay di bɔdi.
- di mεtabolism fכ wan dכg kin chenj, i kin mek i wok bכku כ dכn.
- I kin delay fɔ pul di drɔg na di bɔdi ɛn mek i gɛt pɔyzin.
Lɛ wi si wetin na di men tin fɔ it ɛn drink we kin mek wi gɛt dɛn kayn prɔblɛm ya.
| Di kayn it/drink we dɛn kin drink | Mɛrɛsin wae kin mek pɔrsin gɛt sayd ɛfɛkt (ɛgzampul) . |
|---|---|
| Grep frut we dɛn kin yuz | Sɔm mɛrɛsin dɛn we de mek di kɔlɔstrel nɔ bɔku (statin), di mɛrɛsin dɛn we dɛn kin gi afta dɛn dɔn transplant dɛn ɔgan dɛn, ɛn pas 85 ɔda mɛrɛsin dɛn kin miks wit am. |
| Di tin dɛn we dɛn kin mek wit milk | I de ridyus di absɔpshɔn fɔ mɛrɛsin dɛn lɛk lɛvotayroksin, sɔm antibayɔtiks, ɛn bisfɔsfɔnayt fɔ bon sik. |
| Fɔd dɛn we gɛt bɔku vaytamɛn K (lif grɛn) . | I de ambɔg di akshɔn we di tin dɛn we de mek blɔd tan (Warfarin) de du. (Dɛn fɔ tek am wit mɔdareshɔn lɛk aw di mɛdikal advays se). |
| Fɔd dɛn we gɛt bɔku tayramin (chiz we dɔn ol, mit dɛn we dɔn mɛn) . | I kin intarakt wit mɛrɛsin dɛm lɛk monoamine oxidase inhibitors (MAOIs) fɔ pwɛl hat ɛn mek i gɛt ay blɔd prɛshɔn we denja. |
| Rum | Mεdisin dεm lεk `Metronidazole` kin intarakt wit bכku mεdikeshכn dεm, inklud `Warfarin` εn `Paracetamol`, we kin mek dεn denja ifekt dεm. |
Dis na di rizin we mek dɛn se sɔm mɛrɛsin dɛn kin tek ɛmti bɛlɛ bifo dɛn it, ɛn dɛn kin se sɔm mɛrɛsin dɛn kin tek wit it. So, fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
4. Drug-kɔndishɔn intarakshɔn
Wetin kin apin pan dis kayn tin na dat de mɛrɛsin wae yu de tek fɔ wan sik kin mek ɔda sik wae yu gɛt wɔs.
Fɔ ɛgzampul, sɔm tin dɛn we dɛn kin yuz fɔ pul di nos we dɔn stɔp fɔ kol, kin mek di blɔd prɛshɔn go ɔp. If yu dɔn gɛt ay blɔd prɛshɔn, dis kin rili denja fɔ yu.
Dɔn bak, pen kil (NSAID) (e.g., Ibuprofen, Naproxen) ɛn sɔm stɛroyd kin mek bak blɔd prɛshɔn go ɔp. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ rili tek tɛm we yu de tek nyu mɛrɛsin.
- Shuga
- Di ay blɔd prɛshɔn
- Glaukoma kɔndishɔn we pɔsin kin gɛt
- Prɔstat we dɔn big
- Ɔlsa na di bɛlɛ
Aw dɛn go avɔyd dɛn drɔg intarakshɔn ya?
Sɔm simpul tin dɛn de we yu kin du fɔ protɛkt yusɛf frɔm dɛn denja tin ya.
1. Kip wan ɔp-to-dɛt list fɔ ɔltin we yu de bay.
Mek buk ɔ pepa wit di ditel dɛn bɔt ɛvri mɛrɛsin, vaytamɛn, ɛn ɛbul sɔpɔtmɛnt we yu tek. Put dɛn tin ya insay de:
- Ful nem fɔ di mɛrɛsin/suplimɛnt.
- Di aktif ingridiɛnt we de insay.
- Wetin mek yu de tek am?
- Doz ɛn di tɛm we dɛn fɔ gi am.
- Aw lɔng i fɔ tek?
- Speshal instrɔkshɔn dɛn, lɛk bifo ɛn afta yu it.
- Di nem fɔ di dɔktɔ we gi di mɛrɛsin.
Kip dis list ɔpdet. Gi yu famili dɔktɔ, spɛshal pɔsin, ɛn ɔl yu ɔda dɔktɔ dɛn wan kɔpi we de ɔp-to-dɛt fɔ dis list. If i pɔsibul, tek ɔl yu mɛrɛsin dɛn na di sem famasi. Da we de, dɛn go no bak bɔt yu mɛrɛsin dɛn. Kip wan kɔpi fɔ dis list na yu pɔs ɔltɛm.
2. Tɔk to yu dɔktɔ bifo yu bigin ɛnitin.
Dis na di tin we impɔtant pas ɔl. Kɔmyunikeshɔn na di men tin we de ya.
- Aks ɔltɛm bifo yu tek nyu mɛrɛsin, vaytamɛn, ɔ ɛbul sɔpɔtmɛnt. I nɔ mata if na sɔntin we yu kin gɛt na di famasi ɔ if yu dɔn de tek am fɔ lɔng lɔng tɛm. Wi bɔdi ɛn di tin dɛn we wi nid fɔ mɛn pipul dɛn kin chenj as tɛm de go.
- If yu nɔ ɔndastand sɔntin bɔt di mɛrɛsin, aks.
- Aks wetin fɔ du if yu mis wan doz fɔ mɛrɛsin.
- Tɛl yu dɔktɔ if yu gɛt nyu sayd ɛfɛkt dɛn .
- Tel mi if yu fil se di mɛrɛsin nɔ de wok.
We yu dɔktɔ gi yu nyu mɛrɛsin, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:
- Aw bɔku a fɔ tek ɛn ɔmɔs tɛm insay di de?
- A fɔ tek am wit it ɔ na ɛmti bɛlɛ?
- Us it ɛn drink dɛn a fɔ avɔyd we a de tek dis mɛrɛsin?
- A nid fɔ stɔp fɔ tek ɛni ɔda mɛrɛsin we a de tek naw?
- Us sayd ɛfɛkt yu kin ɛkspɛkt? Wetin yu fɔ tɔk bɔt if dɛn apin?
3. Kip ɔltin in ɔda.
I impɔtant bak fɔ tek yu mɛrɛsin kɔrɛkt wan ɛn di rayt tɛm. Tin dɛn lɛk dis kin ɛp:
- Stik kalenda wit di tɛm dɛn we yu de tek mɛrɛsin sɔnsay we yu go si, lɛk na frij.
- Yuz wan pil bɔks wit di doz dɛm ɛvride (kip am usay pikin dɛn nɔ go ebul fɔ rich).
- Sɛt tin dɛn fɔ mɛmba na yu fon.
- Tɛl ɔda pɔsin na os bɔt di tɛm dɛn we yu de tek mɛrɛsin.
I fayn fɔ gɛt infɔmeshɔn bɔt tin dɛn lɛk `drug interaction checkers` na di intanɛt. Bɔt i nɔ de ɛva tek di ples fɔ di advays we yu dɔktɔ gi yu. Bikɔs yu dɔktɔ no yu ɛn yu kɔmplit mɛdikal istri.
Mɛsej we dɛn kin kɛr go na os
- Tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin we yu de tek, ilɛksɛf na vaytamɛn, ɛbul sɔpɔtmɛnt, rɔm, ɔ ivin sigrɛt.
- Ɔltɛm kip wan ɔp-to-dɛt list fɔ ɔltin we yu de tek ɛn sho am to ɔl dɔktɔ.
- Bifo yu bigin fɔ tek ɛni nyu tin (ivin mɛrɛsin we yu nɔ de bay), mek shɔ se yu aks yu dɔktɔ.
- If yu nɔ ɔndastand di instrɔkshɔn fɔ yu mɛrɛsin, nɔ fred fɔ aks bak. I impɔtant fɔ yu sef.
- Yu wɛlbɔdi kin tranga, bɔt if yu gɛt di rayt infɔmeshɔn ɛn tɔk fayn to yu dɔktɔ, yu go ebul fɔ de sef ɛn gɛt wɛlbɔdi.
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