“WHO提醒,新冠要避免使用布洛芬?”......别被过时信息误导了!
2022-12-08 08:07
来源: 科普中国

“WHO提醒,新冠要避免使用布洛芬?”......别被过时信息误导了!

人工智能朗读:


3.饮食注意

布洛芬会增加胃和肾脏的负担,虽然在正确服药、不过量的前提下,其对身体的损伤可以忽略不计,但为了缓解胃肠不适,还是建议随餐或餐后服药,服药的同时需要至少喝118毫升的水

对乙酰氨基酚是在肝脏代谢的,如果服药同时饮酒,可能导致药物代谢不完全,增加肝脏毒性风险。因此,不仅服药期间要避免饮酒,平时有肝脏疾病或酗酒的人也不适合服用对乙酰氨基酚

4.特殊人群

为了降低风险,六个月以下的婴儿或者孕妇需避免服用布洛芬,退烧药只选择对乙酰氨基酚;老年人或者有胃肠、肾脏问题,有溃疡、炎性肠病史的患者,也最好选择对乙酰氨基酚;每日需服用阿司匹林的患者也要避免服用布洛芬,因为布洛芬会干扰阿司匹林的效果,退烧药可以选择对乙酰氨基酚

具体用药建议,请务必遵循医嘱

参考文献:

[1]Fang L, Karakiulakis G, Roth M. Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection?[J]. The lancet respiratory medicine, 2020, 8(4): e21.

[2] Rob Picheta. France says ibuprofen may aggravate coronavirus. Experts say more evidence is needed .[EB]. 2020-03-18. https://www.cnn.com/2020/03/16/health/coronavirus-ibuprofen-french-health-minister-scn-intl-scli/index.html

[3] Avoid ibuprofen for coronavirus symptoms, WHO says. [EB]. 2020-03-18. https://www.france24.com/en/20200318-avoid-ibuprofen-for-coronavirus-symptoms-who-says

[4] Poutoglidou F, Saitis A, Kouvelas D. Ibuprofen and COVID-19 disease: separating the myths from facts[J]. Expert Review of Respiratory Medicine, 2021, 15(8): 979-983.

[5] Moore N, Carleton B, Blin P, et al. Does ibuprofen worsen COVID-19?[J]. Drug safety, 2020, 43(7): 611-614.

[6] Zhou Q, Zhao S, Gan L, et al. Use of non-steroidal anti-inflammatory drugs and adverse outcomes during the COVID-19 pandemic: A systematic review and meta-analysis[J]. EClinicalMedicine, 2022, 46: 101373.

[7] D. W. Kaufman et al., Exceeding the daily dosing limit of nonsteroidal anti-inflammatory drugs among ibuprofen users. Pharmacoepidemiol Drug Saf, (2018).

[8] 史隽. 如何正确使用退烧止痛药泰诺、布洛芬?[EB]. 返朴. 2022-12-05. https://mp.weixin.qq.com/s/VqYfPecwzfRWR4XPc4KsuA

作者|叶拾

审核|李侗曾 首都医科大学附属北京佑安医院感染综合科主任医师

[编辑:孙逊]