Can Chinese medicines containing aspirin still be eaten?

Can Chinese medicines containing aspirin still be eaten?

November 01, 2016 Source: Chinese Journal of Science

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On October 12, the State Food and Drug Administration issued a drug safety warning to the public: cautious use of proprietary Chinese medicines containing aspirin, and pointed out that long-term use of proprietary Chinese medicines containing aspirin may cause problems in blood clotting.

A stone stirred up a thousand waves, causing everyone to discuss it. The concerns of the public are mainly concentrated in three aspects: Chinese medicines containing aspirin are subject to safety warnings, and are there other safety implied drugs for other aspirin-containing medicines? What are the adverse reactions of taking aspirin daily? What should I pay attention to when taking the medicine? Can “three high” patients take aspirin for a long time?

Don't panic

Aspirin has antipyretic and analgesic effects, treats rheumatic fever and rheumatoid arthritis, inhibits platelet release, aggregation, and antithrombotic effects, and is used to prevent cardiovascular and cerebrovascular diseases; in recent years, studies have said that it can also prevent tumors; A drug with a wide range of clinical effects.

First of all, for the safety warning of the Chinese medicines containing aspirin issued by the State Food and Drug Administration, we need to clarify several issues: long-term use of aspirin-containing proprietary Chinese medicines should pay attention to coagulation problems, including: Chrysanthemum anti-flu tablets, Jinling cold tablets, Suike cold tablets (capsules) compound aspirin antelope cold tablets, compound Guanzhong aspirin tablets, compound Lonicera japonica aspirin tablets.

However, in fact, western medicine containing aspirin also has coagulation problems, such as acaphenol powder, aspirin zinc capsules, compound aspirin tablets (APC) and other western medicine anti-cold medicines.

This time, the National Food and Drug Administration has only issued a safety warning for Chinese medicines containing aspirin because these anti-cold drugs are mostly named after Chinese medicines, and they are all over-the-counter drugs. Patients can buy and use them themselves, so it is easy to ignore them. Contains aspirin may have side effects.

Medication has contraindications

Clinically, the main adverse reactions of aspirin are: 1. Gastrointestinal reaction: long-term use of large amounts of drugs, can cause gastric ulcer and painless stomach bleeding, the symptoms of the original ulcers worse; 2. Coagulopathy: a large number of aspirin can inhibit thrombin The formation of the original, causing coagulopathy, aggravating the tendency of bleeding; 3. Ruiyi syndrome: in children with viral infection with aspirin fever, even can cause Ruiyi syndrome, with liver damage combined with encephalopathy as a prominent performance; Gout: Low-dose aspirin can reduce uric acid excretion, causing uric acid retention, causing gout attacks in susceptible people; 5. allergies, asthma, and impaired kidney function.

Therefore, aspirin asthma, stomach bleeding, gastric ulcer, duodenal ulcer, bleeding constitution, severe renal failure, severe liver failure, severe heart failure, the last three months of pregnancy, etc. when taking aspirin Special attention must be paid.

Weigh the pros and cons

Aspirin is used as a cornerstone for the prevention and treatment of cardiovascular and cerebrovascular diseases. Therefore, as long as it is a long-term use of aspirin in a doctor's treatment program, the safety is not a problem. In fact, not only is aspirin involved in the problem of safe medication, all drugs should weigh the pros and cons, and strive to be safe and effective.

To this end, the author suggests that you should first establish a personal medical record, detailing the history of adverse drug reactions during personal treatment, especially the history of allergic reactions is important for patients with allergic tendency and specificity.

Secondly, medications for special populations must be administered under the guidance of a doctor or clinical pharmacist. Do not blindly purchase medicines. There are many diseases in the elderly, and there are many varieties of drugs. It is necessary for medical professionals to use drugs. Children, especially newborns, respond differently to adults. The dose should be calculated according to body weight or body surface area. The medication should be especially careful, especially in the first three months of pregnancy, avoid or minimize the use of drugs, because improper medication may cause teratogenicity. Many drugs can enter the baby through the milk to cause adverse reactions, so the choice of breast-feeding women should be carefully selected; patients with poor liver and kidney function, diabetes, heart disease, high blood pressure, etc., must follow the guidance of medical professionals.

Third, try to avoid taking several drugs at the same time. Because drugs sometimes interact, lowering the effect, even aggravating the condition and endangering life. According to statistics, 20% of patients who ate 2 to 5 drugs at the same time will have adverse drug reactions, while at the same time, more than 6 drugs will be used, and 80% of patients will have adverse reactions.

Fourth, follow the instructions of doctors and pharmacists, carefully read the drug instructions, master the drug composition, dosage, usage, adverse reactions and contraindications, to avoid repeated medication or improper medication. For the application of drugs that are harmful to organ function, it is necessary to pay attention to the necessary functional examination before and after administration. For example, long-term use of aspirin should be done for 3 to 6 months.

Finally, during the medication, patients must pay attention to the early symptoms of adverse drug reactions, adverse reactions or medication discomfort, should be promptly discontinued and go to the hospital to prevent adverse reactions.

Herbal Extract

Plant extracts refers to substances extracted or processed from plants (all or part of plants) with appropriate solvents or methods. They can be used in pharmaceutical industry, food industry, daily chemical industry and other industries.

There is a conceptual intersection between plant extracts and Chinese herbal extracts. The raw materials of plant extracts in China mainly come from Chinese herbal medicine. Therefore, domestic plant extracts can also be called traditional Chinese medicine extracts to some extent. They are generally included in the category of traditional Chinese medicine products in China's export trade statistics.


Development History

China's plant extracts come from the traditional Chinese medicine industry, and the overall development time is relatively late. In the 1970s, some Chinese herbal medicine factories began to use mechanical equipment to extract active ingredients, but only as part of production, plant extracts have not been produced on a large scale. Until the 1990s, the international trend of returning to nature rose, and people began to tend to use natural plant products. During this period, China's foreign trade rose, and China's Plant Extract industry was getting better and better. In the 21st century, with the application of more advanced extraction methods such as enzymatic extraction, ultrasound, supercritical extraction, membrane separation technology and microwave extraction technology, the yield of extract has been greatly improved, and China's plant extract industry has entered a golden period of development. From 2010 to 2015, the production capacity and export volume of plant extracts increased steadily and rapidly every year, and the proportion of plant extracts in the export of traditional Chinese medicine also increased a lot. Since 2016, the market situation of plant extracts has changed.


Classification


1. According to the content of active ingredients, it can be divided into three categories: effective monomer extract, standard extract and ratio extract;

2. It is divided into glycosides, acids, polyphenols, polysaccharides, terpenes, flavonoids, alkaloids, etc;

3. According to the product form, it can be divided into vegetable oil, extract, powder, lens, etc.

4. According to the purpose, plant extracts can be divided into natural pigment products, traditional Chinese medicine extract products, extract products and concentrated products.

Application

The application scope of plant extracts has been very wide nowadays. In addition to traditional Chinese medicine products, with the gradual increase of people's trust and dependence on natural products, a large part of plant extracts have been used in health products and food ingredients. In addition, plant extracts have been used in cosmetics and feed in recent years.

Some of the best-selling plant extracts in the world have several classifications. For example, Rhodiola, ginkgo, ginseng extract, etc. are used in the fields of brain strengthening, intelligence, prevention and treatment of Alzheimer's disease; Green tea, Fructus aurantii Immaturus, apple and bitter melon polypeptide extract are applied to reduce weight, reduce blood sugar and prevent diabetes. Paclitaxel, tea polyphenols, theanine, bioflavonoids such as lycopene and Anthocyanin are used in the field of natural anti-cancer; Licorice, garlic, Astragalus membranaceus and soybean extracts are used in the field of human immune system.

Ashwaganda Root Extract, ,Sophora Japonica Extract, Hypericum Perforatum Extract, Salvia Miltiorrhiza Extract

Xi'an Tian Guangyuan Biotech Co., Ltd. , https://www.tgybiotech.com