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Liu
Zhi-Shan
THE
PROFOUND
ART
OF
TAKING
MEDICINE
Some medicine are taken "belore
meals", e.9., appetite stimulants, stom-
ach tonics, antacids and antibiotics
prescribed for intestinal infection - to
avoid
dilution
by food; some, "after
meals", e.9.,
those assisting
digestion
or drugs too irritating to the
stomach.
Apart from sleeping
pills, sedative
drugs
are often
taken
upon
retiring;for
drugs
with
regular schedules, e.9., 8
hourly,
time one of the doses before
retiring.
Some authorities advocate the
impor-
tance
of
the diurnal rhythm of the
body,
e.9., for
arthritis, the
best time
to
take
anti-inflammatory drugs
may be
7
am
so
that the
inflamed
joints
have time
to get
relief.
As blood pressure tends
to
be
highest
in
the
evening,
the
evening
dose
of
anti-hypertension drugs
is
important;
as asthma
tend to attack
in
the small hours
of
dawn, take anti-asth-
matic
drugs
before mid-night. As tetra-
cyclines combine
with
milk
to
form
insoluble substances, avoid
milk.
These
drugs are
not
to
be mixed
with alcoholic
drinks: sleeping pills, sedatives
and
anti-depressants, otherwise
profound
sedation
or
even
fainting
may result.
Slow-release and enteric-coated drugs
must not be crushed or opened, other-
wise
the
release
is
not "timed" any more.
Other drugs
require
gradual tailing
off
of
the dose to
prevent rebound phenom-
enon or occurrence
of
the reverse state
of affairs.
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