Drug drug interaction part 2

Drug - drug interaction part 1



 Guide to drug interactions and how to deal with them

 Drug interactions with each other

 Drug interactions

 Drug interactions guide

 Drug interactions.  part One

 Peace, mercy and blessings of God

I wish you in good health 

 Today I will talk about a very important topic, which is interactions between medications, and the negative effects and diseases these interactions may cause. Therefore, it was necessary to alert and refer to it and how to get rid of these interactions

 sildenafil or Viagra and its derivatives with nitrate, which is used for patients with angina

 Using them together leads to vasodilation (vd), which leads to severe hypotension that leads to death

 Penicillin with tetracycline

 Using them together leads to weakened immunity in patients

cholestrol good or bad

Type 2 diabetes

 Type 2 diabetes

 Is diabetes hereditary

 Type 2 diabetes

 Type 1 diabetes is an autoimmune condition in which the body destroys the cells in the pancreas that produce insulin

 As this insulin helps to transfer sugar (glucose) from the bloodstream into the tissues of the body, where it is used to produce energy

 When a beta cell malfunction or malfunction occurs inside the pancreas, and therefore there is no insulin that allows sugar to enter the cells, sugar builds up in the bloodstream and increases, leading to serious life-threatening complications

 Causes of diabetes

 The exact cause is unknown, as an autoimmune disorder occurs. The immune system attacks the body, causing problems for different body tissues and the pancreas

 But there are some reasons that lead to this disease, including the genetic factor, weight gain

 This disease can appear at any age, but it appears at two marked stages: the first in children between 4-7 years, and the second in children between 10-14 years

 Infection with this disease leads to major problems such as

 - Cardiovascular disease, where diabetes increases the risk of various cardiovascular diseases, including the coronary artery.  , Angina, heart attack, stroke, arteriosclerosis and high blood pressure

 - Nerve damage or neuropathy, diabetes leads to injury to the walls of the small blood vessels (capillaries) that feed the nerves, especially in the hands and feet, leading to a loss of feeling in these extremities.  Nerve damage affects the digestive system, causing nausea, vomiting, diarrhea or constipation

 - Damage or impairment of the kidney, the kidney contains millions of microvascular groups, which filter waste from the blood.  Diabetes causes damage to the filtering system, which leads to kidney failure, which requires dialysis or kidney transplant

 - Eye damage, diabetes causes damage to the blood vessels of the retina, which leads to what is called diabetic retinopathy, which may cause blindness

  - Foot damage or so-called diabetic foot ulcers, nerve damage in the feet or poor blood flow to the feet increases the risk of complications in the feet, especially if wounds and pimples are left untreated Serious infections can eventually lead to leg amputation

 - Complications during pregnancy, high blood sugar levels are dangerous for both the mother and her fetus, and the risk of miscarriage or dead birth increases, and birth defects increase

 For a pregnant mother, diabetes increases the risk of eye problems, retinopathy, high blood pressure, and preeclampsia

 __________________________

 Signs and symptoms of high blood sugar: -

 Feeling very thirsty.

 Feeling very hungry.

 Feeling tired all the time.

 Feeling of numbness or tingling, especially the feet.

 The presence of clouds on the eyes or the so-called blurry eyesight.

 Significant and fast weight loss.

 Rapid and deep breathing.

 Glowing face.

 Nausea or vomiting.

 stomach pain .

 Urinating a lot and involuntary urination.

 Dry skin and throat.

 Bad breath.

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 Diagnosis and tests

 Blood glucose test

 It measures the level of sugar (glucose) in the blood, and it is made after the patient has fasted for 8 hours without food and drink other than water, and it is preferred to be conducted in the morning.  If he is more than 126 he is diabetic

 Randomized sugar test

 It measures the blood sugar level at an unlimited time and without fasting

 If he is more than 200 he will be diabetic

 A1c Diabetic Hemoglobin Test

 It measures the sugar-bound level of the oxygen-carrying protein in red blood cells (hemoglobin), if it is 6.5 or more, it is diabetic.  The higher the number of hemoglobin in the blood, the greater the level of blood sugar in the last three months

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 Treatments and medications: The hormone insulin is not just a treatment

 Type2 diabetes occurs because the body does not produce insulin, and therefore the body needs external insulin on a regular basis in order to maintain sugar levels so that they do not exceed the permissible limit, and there are many forms and types of insulin present, and they differ depending on the speed with which  It begins to have an effect, and when it reaches higher

 Its focus, and how long it lasts

 Fast acting insulin: - Novo Rapid, Apidra and Homalog

 The action begins after 15 minutes (so it should be taken immediately before meals), and it lasts for an hour, and can last for two to four hours

 Short acting (normal) insulin: - Humulin R

 It begins after about 30 minutes and reaches its highest concentration after two to three hours, and continues to work fo3 6 hrsI

Insulin medium effect: - Humulin-n

 It begins after about two to four hours, and reaches its highest concentration after 4-12 hours, and continues for 12-18 hours

 - Long acting insulin: Levemir and Lantus

 It takes effect after several hours, and has a somewhat stable effect over 24 hours

 A balanced diet should be used and monitored, limiting carbohydrates intake, exercising regularly, not smoking, checking foot regularly to avoid diabetic foot, wearing shoes designed to avoid diabetic foot problems, treating nerves, and stopping drinking alcohol

 Insulin cannot be taken orally, because digestive juices in the stomach will destroy the hormone insulin, so it must be taken by injection using a pen or injection

 

 Insulin Pen: This device contains a cartridge or tank pre-filled with insulin

       I wish you continued health and wellness          

Chronic diseases:- High blood pressure

Chronic diseases: 1- High blood pressure 

 Blood pressure when is high

 How to treat high blood pressure

 When is high blood pressure dangerous

 High blood pressure

 Symptoms of high blood pressure

 Signs of blood pressure reaching the danger stage

 What is meant by blood pressure

 It is the force exerted by the blood against the wall of the artery, as it is the arteries that carry blood to all parts of the body 

 The pressure is high when the blood pressed through the arteries is too high or too large

 And what should be known about this disease is that it calls the silent killer as there are no big signs or warnings and most people do not know that she has this disease

 Types of high blood pressure

 - Basic high blood pressure

 It is very prevalent among patients with high blood pressure, where it represents about 90% of them and has no direct cause, but obesity and the wrong way of life are often a direct  cause of this type

 - Secondary high blood pressure

 It is often the result of a specific cause, which may be hereditary

 There are many other types of high blood pressure, but they represent only a very small percentage in patients with high blood pressure

 Causes that lead to high blood pressure

 Hereditary.  When a family member is affected, this is an indication of the possibility that other individuals may be infected

 Race.  Black people are more likely to develop high blood pressure

 Age .  The proportion of older people with high blood pressure increases more than others

 Diabetes

 Kidney disease

 Hormone problems

 It is known that the blood pressure of a normal person is 120/80 mm hg

 The onset of high blood pressure begins when these readings increase to 139/89

 The first signs of high blood pressure when it increases and becomes 159/99

 But when the readings increase to become 160/100 or more, he is a hypertensive patient, and he must take care because he is subject to a severe health crisis that may lead to life

 There are people whose blood pressure is 90/60 or less. These are patients with low blood pressure, but it is not dangerous for high blood pressure

 How to overcome high blood pressure

 How to treat high blood pressure

 Using medications

 There are many high blood pressure medications available on the Egyptian market, such as.

 Tenormin: It reduces the workload on the heart and thus the heartbeat, which helps to open blood vessels, which leads to low blood pressure

 Zestrel and Capotin: relax the blood vessels and lower blood pressure

 Used for kidney disease.

 Atacand and co-zaar: It relaxes the blood vessels.

 For my kidney disease.

 Norfasque and diltiazem: relaxes the blood vessels.

 For the elderly and people with black skin.

Carduraand minibress.

 Coreg.

 Domite.

 Duckton.

 Blukeium.

 Concor.

Capotene.

 Amosar.

 Targ and Co Targ.

 Exforge.

 Erastapex.

 Coversyl.

 Lazelacton and Lasix.

 Coverram.

 How to avoid high blood pressure

 - Stay away from smoking

  Doing exercise like running and walking

 Maintaining the ideal body weight and
 avoiding obesity

  Refrain from drinking alcohol

  Avoid pressure as much as possible

  A lot of vegetables and fruits rich in potassium

  Omega 3 found in fish and salmon

  Not to multiply salt with food

 Using  Garlic in our food

       I wish you continued health and wellness