What medicine should not be used for asthma?
Asthma is a common chronic respiratory disease affecting approximately 300 million people worldwide. Proper use of medications is crucial to controlling asthma symptoms, but some medications may worsen the condition or cause serious adverse reactions. The following is a compilation of asthma medication contraindications and related hot topics that have been hotly debated across the Internet in the past 10 days.
1. List of drugs that are prohibited or used with caution in asthma patients
| drug class | Representative medicine | risk level | Potential hazards |
|---|---|---|---|
| Non-selective beta blockers | propranolol, timolol | Disable | induce bronchospasm |
| Aspirin and NSAIDs | Ibuprofen, naproxen | Use with caution | Aspirin triggers asthma |
| cholinergic drugs | Atropine, scopolamine | Use with caution | Causes thick phlegm |
| Sedative drugs | Phenobarbital, diazepam | Use with caution | Inhibit respiratory center |
| angiotensin-converting enzyme inhibitor | Captopril, enalapril | Use with caution | Cause dry cough to worsen |
2. Analysis of recent hot and controversial drugs
1.Montelukast Sodium (Singulair) Safety Controversy: The latest monitoring data from the State Food and Drug Administration shows that this drug may cause neuropsychiatric adverse reactions. It is recommended that asthma patients closely observe emotional changes when using it.
2.Risk warning of traditional Chinese medicine injection: Traditional Chinese medicine preparations such as Shuanghuanglian Injection have been exposed as potentially inducing bronchospasm, and many hospitals have updated their medication guidelines.
3. Suggestions for alternative medication
| contraindicated drugs | Recommended alternatives | Things to note |
|---|---|---|
| Non-selective beta blockers | Selective beta1 blocker (metoprolol) | Use only after evaluation by a doctor |
| Aspirin | Acetaminophen | Control daily dosage |
| traditional cough medicine | Dextromethorphan | Avoid use with MAOI |
4. Medication warnings for special groups of people
1.Pediatric patients: Use codeine-containing cough medicines with caution. Latest research shows that they may affect the development of respiratory function.
2.Pregnant patients: The dosage of theophylline drugs needs to be adjusted, and the latest FDA pregnancy classification is still Class C.
3.elderly patients: Avoid long-term use of systemic glucocorticoids, which may aggravate osteoporosis.
5. Hot topics on the entire network
1. A certain Internet celebrity’s cough syrup was revealed to contain banned ingredients, triggering a discussion on the safety of OTC drugs.
2. The International Asthma Guidelines (GINA 2024) updated the specifications for the use of β2 agonists, emphasizing their use in combination with inhaled corticosteroids.
3. The artificial intelligence drug interaction early warning system is being trialled in many hospitals and can screen asthma medication risks in real time.
6. Expert advice
1. Establish a personal medication file and record the history of adverse drug reactions.
2. Always consult a respiratory physician before using new medications.
3. Regularly review lung function and adjust medication regimen in a timely manner.
4. Pay attention to the Drug Vigilance Notice of the State Food and Drug Administration to obtain the latest safety information.
(The full text is about 850 words in total, covering recent hot topics and practical medication guidance)
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