What medicine should not be taken for gastroesophageal reflux?
Gastroesophageal reflux (GERD) is a common digestive system disease in which patients often feel uncomfortable due to the reflux of stomach acid into the esophagus. During the treatment process, in addition to adjusting your diet and lifestyle habits, it is also important to avoid taking certain medications that may aggravate symptoms. This article will combine the hot topics and hot content on the Internet in the past 10 days to provide you with a detailed analysis of the drugs that patients with gastroesophageal reflux should avoid, and provide structured data for reference.
1. Drugs that patients with gastroesophageal reflux should avoid
The following drugs may aggravate gastroesophageal reflux symptoms and patients should use them with caution or avoid taking them:
| drug class | specific drugs | possible impact |
|---|---|---|
| Nonsteroidal anti-inflammatory drugs (NSAIDs) | Aspirin, ibuprofen, naproxen | Stimulate gastric mucosa and increase gastric acid secretion |
| calcium channel blockers | Nifedipine, amlodipine | Relaxes the lower esophageal sphincter, aggravating reflux |
| anticholinergic drugs | Atropine, scopolamine | Delays gastric emptying and increases risk of reflux |
| Sedatives and sleeping pills | Diazepam, Zolpidem | Reduce lower esophageal sphincter pressure |
| certain antibiotics | Tetracycline, doxycycline | Irritation of esophageal mucosa, causing burning sensation |
2. Recommendations for alternative medicines
If the patient must take the above drugs, it is recommended to choose an alternative or adjust the medication method under the guidance of a doctor:
| Original drug class | Alternative medicine or advice |
|---|---|
| NSAIDs | Acetaminophen (paracetamol) |
| calcium channel blockers | Ask your doctor if you can switch to an angiotensin-converting enzyme inhibitor |
| anticholinergic drugs | Choose other types of antispasmodics |
| sedative | Try behavioral or cognitive therapy |
3. Medication precautions for patients with gastroesophageal reflux
1.Medication time: Certain drugs such as bisphosphonates should be taken in the morning on an empty stomach with plenty of water and in an upright position for at least 30 minutes to reduce esophageal irritation.
2.Medication posture: Avoid taking medicine in a lying position. Do not lie down immediately after taking medicine. Keep an upright position for at least 30 minutes.
3.pharmaceutical dosage form: Prefer enteric-coated tablets or sustained-release dosage forms to reduce direct irritation to the stomach.
4.drug interactions: Note that some drugs may affect the effect of gastroesophageal reflux treatment drugs, such as antacids may affect the absorption of other drugs.
4. Dietary recommendations for patients with gastroesophageal reflux
In addition to medication precautions, dietary modifications are equally important in controlling reflux symptoms:
| Foods to avoid | Recommended food |
|---|---|
| high fat food | Low-fat milk, yogurt |
| spicy food | Oats, whole wheat bread |
| citrus fruits | Banana, cantaloupe |
| Carbonated drinks | Herbal tea, boiled water |
| chocolate | ginger tea |
5. Lifestyle adjustment
1.weight management: Being overweight increases abdominal pressure and worsens reflux symptoms.
2.sleeping position: Elevating the head of the bed 15-20 cm and lying on the left side can help reduce nighttime reflux.
3.eating habits: Eat small meals frequently and avoid eating 2-3 hours before going to bed.
4.Clothing selection: Avoid wearing tight clothes, especially those that are too tight around the abdomen.
6. When Do You Need Medical Treatment?
Seek medical attention immediately if:
1. Frequent chest pain or upper abdominal pain
2. Difficulty or pain in swallowing
3. Unexplained weight loss
4. Vomiting blood or black stool
5. Symptoms that are ineffective in conventional treatments
Gastroesophageal reflux is a chronic disease that requires long-term management. Rational medication and lifestyle adjustments are the keys to controlling symptoms. Patients should consult a doctor or pharmacist before taking medication to avoid the risks that may arise from self-medication. Through scientific treatment and management, the symptoms of most patients can be effectively controlled.
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