常见中西药配伍禁忌-安全用药-君健网

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常见中西药配伍禁忌

发布时间：2010-12-01 来源：网络

目前，中西药配伍用于治疗疾病已经成为临床治疗的重要手段。中国医科大学附属第一医院药学部临床药师张伟介绍，配伍合理，则可取长补短，产生协同、增效的作用，且可减少药物用量、毒副作用等。但若不合理用药，则有可能降低药效或加重药品本身的毒副作用，加剧病情恶化。

常见中西药配伍禁忌介绍如下：

1.糖尿病患者在服用优降糖等降血糖药物期间，忌服用甘草、人参、鹿茸等中药。因为这些中药所含有效成分能促使糖原异生，减少人体组织对葡萄糖分解，从而使血糖升高，加重糖尿病。

2.降压药不要与含麻黄碱的中成药如麻杏止咳露、止咳定喘丸、防风通圣丸等合用。因为麻黄碱可使血管收缩，有升高血压的作用，这样就降低了降压药的作用。不少患者经常出现降压药和含有麻黄碱的药物“白加黑”同时服用的现象。

3.中成药保和丸、六味地黄丸、肾气丸与西药氢氧化铝凝胶、氨茶碱、碳酸氢钠、胃舒平不宜同时服用。因前三种中药内含酸性药物，而后四种西药为碱性药物，如同时服用会发生酸碱中和，使中药、西药均失去治疗作用。

4.小活络丹(丸)、香莲丸、贝母枇杷糖浆中分别含有乌头碱、黄连碱、贝母碱，若与西药阿托品、咖啡因、氨茶碱同服，很容易增加毒性，出现药物中毒。

5.麻仁丸、解暑片、牛黄解毒片中含有大黄，不宜与胰酶、胃蛋白酶、多酶片等同服，因为大黄能抑制这些酶的消化功能。

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