Urgently! Is it possible to take two Ketanov tablets? Toothache, the first one went 15 minutes ago, it doesn’t work. I'll die now.
Comments
I would wait a little longer. It usually works for up to 30-40 minutes. You shouldn't drink 2
- @svetlanak, @venera2801 the girls rolled the second one in, I had no strength, I was at the dentist, they gave me anesthesia three times and when they started drilling, the drill fell into the nerve, I almost died in the chair. And she gives me analgin, I left it and ran home.
- @elena2206, couldn’t you give me another injection?(
- @svetlanak, she so unexpectedly drilled into the nerve, it seemed like everything worked at first
If you are not on guard duty, then it is better to drink nimesil
- @venera2801, they put the medicine on until Monday, it should kill the nerve and relieve inflammation. My cheek is so swollen, I’ve never had this before, is the tooth really that shitty? By the way, ketanov worked, I’m alive again
I drank 3 once, because it was really hard. All OK
- @veronas, oh, thank you! I'm waiting for it to go away and take a new dose. It's rubbish😰
Tomorrow I can ask my mom what to drink, she’s a dentist.
- @salihova11, thank you very much!
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Pills Doctors usually prescribe them for use several times a day. At the same time, the days are different for us, for doctors and for organs of the body. For doctors and organs, a day is 24 hours, that is, a day, since organs cannot stop while we sleep. But for us it’s a day, it’s 15-16 hours, and the rest is sleep, it doesn’t count as a day. And doctors, in general, prescribe to organs, we are simply representatives of these organs, because of these organs, only one language can speak. Naturally, the doctor prescribes pills in the hope that we will distribute them evenly throughout the day. We distribute them approximately evenly, it’s just that our day is not 24 hours, but 15.
The error is clear. That is, if we were prescribed three tablets a day, we should take them at intervals of eight hours (for example, at 8:00, 16:00 and 24:00), and if taken twice, at 8:00 and 20:00.
How to take pills and timing
With short (half a week to a week) courses of taking pills, we somehow, straining ourselves, cope and do not forget about the deadlines. With long courses, interest in treatment not only disappears, it’s just that life constantly throws in its surprises and distracts you from the main thing, from how take pills correctly. It also happens differently: I took it automatically and forgot whether I drank it or not. Are you drinking? once again, but what if it’s something potent? Here you can’t do without “serifs”, without a calendar with crossing out, without an alarm clock, a mobile phone, or whatever else exists for memorization and reminders. What is best for you is probably up to you to choose.
How to take the tablets: before and after meals
While writing out a prescription in illegible handwriting, the doctors mutter all sorts of incantations, something like “before meals, after meals”...
In relation to food, tablets are divided into “anyway”, “before”, “after” and “during meals”, maybe there are also “instead of meals”. At the same time, the doctor apparently believes that food is brought to us strictly according to schedule, especially on business trips, business trips or travel. Even at home take pills during not always feasible, especially what to do with snacks, tea and coffee, unscheduled fruit, etc.?
Taking pills before meals
“Before meals”, this, firstly in medicine, means that you did not eat anything at all before taking the pill, and secondly, that you will not eat anything for at least the period specified by the doctor.
If this requirement is met, it falls into empty stomach, where it is not counteracted by gastric juice, food components and other substances that are not involved in the process of your healing. Eg, active substances drugs from the macrolide group disintegrate under the influence of an acidic environment, and any candy or glass of juice taken two hours before taking the medicine or an hour after can go down the drain or, at least, change the entire course of treatment in an unnecessary direction. This applies to many drugs, especially when you trace it a long way from the stomach to the intestines and beyond, malabsorption, and features of the chemical reaction of the drug with food.
Taking pills with meals
“While eating”: everything seems to be clear here. The same one known on TV, Mezim, is involved in digestion, together with the pancreas during meals.
Much fewer titles drugs appear in the “after meals” list. Typically, these are drugs that irritate the gastric mucosa or help normalize digestion. In this case, sometimes just some limited quantity food.
Should I take different pills at the same time?
Not all tablets can be mixed.
This generally applies to most tablets; they should always be taken separately, unless the “wholesale batch” is specified separately by the doctor. It's not very convenient, but it's doable. By default, between receptions different drugs there should be a timeout of half an hour. In addition, be sure to read the instructions for the tablets, they almost always specify what other drugs this drug not applicable together.
If you are prescribed treatment by several different doctors various diseases, it would be good if they knew about each other's existence and about the assignments that each of them gives.
What is the correct form to take the pills in?
Not all tablets can be broken. If there is no separation mark on the tablet, it may not be possible to separate it (according to various reasons). Moreover, the accuracy of the dosage when dividing the tablet into several parts leaves much to be desired.
There are medications that, upon special prescription from a doctor, are taken with sour drinks, milk, alkaline mineral water, etc., but this is rare. Take medications with water only! The only thing you need to do is read the instructions, or check with your doctor or pharmacist - some medications are taken with a drink big amount of water.
Chewable tablets They chew, they don’t bite the pills, they suck. Otherwise everything is pointless.
“Take these tablets one at a time 2 times a day after meals.” We've probably all heard this recommendation more than once. Now let's think about how accurate it is and whether it requires additional instructions. After all, when prescribing certain medications, the doctor expects that they will be used correctly.
Rule 1. Multiplicity is everything
When prescribing taking pills several times a day, most doctors mean a day - not the 15-17 hours that we are usually awake, but all 24. Because the heart, liver and kidneys work around the clock, and, therefore, microbes work without interruption for lunch and sleep. Therefore, taking tablets should be divided into equal intervals as much as possible, this especially applies to antimicrobial agents.
That is, with a two-time dose, the interval between taking each dosage should be 12 hours, three times - 8, four times - 6. However, this does not mean that patients should jump out of bed every night. There are not so many medications, the accuracy of administration of which is calculated minutely, and they are usually not prescribed in tablet form. But nevertheless, 2, 3, 4 times a day - this is not when it is convenient for the patient (“now and in an hour, because I forgot to drink in the morning”), but at certain intervals. To avoid interpretations when taking twice a day, for example, it is justified to prescribe specific times for taking the tablet: 8:00 and 20:00 or 10:00 and 22:00. It’s more convenient for the patient, and it’s impossible to understand in both ways.
Rule 2. Compliance, or commitment to acceptance
With short courses of pills, things are more or less normal: we usually don’t forget to take them for a couple of days. It gets worse with long courses. Because we are in a hurry, because we are stressed, because it just slipped our minds. There is another side to the coin: sometimes people take medicine mechanically, half asleep, and then forget about it and take more. And it’s good if it’s not a potent drug.
Among doctors, before complaining about this to patients, they suggest conducting an experiment on yourself: take a dark glass jar with 60 harmless tablets (glucose, calcium gluconate, etc.) and take one daily. There were many experimenters, but there were only a few of those who, after two months, had 2 to 5-6 “extra” tablets left.
Everyone chooses ways to combat such “sclerosis” for themselves: someone puts medications in a visible place, ticks on the calendar help pedants, and alarm clocks and reminders help those who are especially forgetful. mobile phone and so on. Pharmaceutical companies even produce special calendars where you can mark each appointment. Not so long ago (though, as usual, not in Russia) hybrid alarm clocks and mini-first aid kits appeared, ringing and dispensing a tablet at a certain time.
Rule 3. Before or after eating is important
According to their relationship with meals, all tablets are divided into groups: “anyway”, “before”, “after” and “during meals”. Moreover, in the doctor’s mind, the patient eats strictly according to the schedule, does not snack during breaks and does not drink tea. But in the patient’s mind, an apple, banana and candy are not food, but food is borscht with a cutlet and compote with pies. Unfortunately, these beliefs also contribute to improper medication use.
"Before meals". To begin with, it’s a good idea to understand what the doctor means when he says “take 30 minutes before meals.” Does this mean that after taking the pill you need to eat a lot, or is the medicine just taken on an empty stomach?
IN most cases, when prescribing medications “before meals”, the doctor means:
- that you did not eat anything (nothing at all!) before taking the pill;
- that at least for the specified period after taking the medicine, you will also not eat anything.
That is, this tablet should go into an empty stomach, where it will not be interfered with by gastric juice, food components, etc. From our own practice, we can say that this has to be explained many times. Because, for example, the active ingredients of drugs from the macrolide group are destroyed acidic environment. In this case, eating candy or drinking a glass of juice two hours before taking the medicine or an hour after can dramatically affect the result of treatment. The same applies to many other drugs, and it’s not just gastric juice, but also in the timing of the drug from the stomach into the intestines, absorption disorders, and simply in the chemical reaction of the components of the drug with food.
There are, of course, exceptions to this rule when you need to eat exactly within the specified period after taking it. For example, for gastrointestinal diseases or endocrinopathies. Therefore, for your own convenience, it is better to clarify what exactly the doctor had in mind when prescribing the drug “before meals”.
"While eating": everything is clear here. Just again, check what to do and how much to eat with the pill, especially if your meals are organized according to the “Monday-Wednesday-Friday” principle.
"After meal" Significantly fewer medications are taken. As a rule, these include drugs that irritate the gastric mucosa or help normalize digestion. "Food" in this case often does not mean a three-course change, especially if the drug needs to be taken 4-5-6 times a day. A limited amount of food will suffice.
Rule 4. Not all tablets can be taken together
Most tablets should be taken separately, unless taking a “bulk lot” is specifically approved by your doctor. This is not very convenient, but it is impossible to conduct research on the interaction of all drugs in the world, and swallowing tablets by the handful can easily result in an unpredictable effect already at the initial stage. Unless otherwise stated, between doses various drugs at least 30 minutes should pass.
Now about compatibility. Patients often like to bring their own creativity to treatment. For example, “I’m taking the medicine prescribed by the doctor, and since it’s probably harmful, it’s a good idea to take some vitamins or something else at the same time.” And the fact that vitamins can neutralize the medicine or lead to unpredictable consequences while taking the main drug is not taken into account.
Hepatorotectors, vitamins, combined agents for colds and herbs, recommended by your beloved grandmother, can be taken during treatment only after consulting with your doctor. If you are being treated by several specialists for different reasons, they should know about each other’s prescriptions.
Rule 5. Not all tablets have fractional dosages
There are different tablets, and not all of them can be broken to divide into several doses. Moreover, some tablets are coated, damaging which can affect the properties of the medicine. Therefore, the absence of a “dividing strip” should be alarming - most often such a tablet cannot be divided. And dosages of one-fourth or even one-eighth of a tablet also raise questions - it is almost impossible to measure correctly in such cases. If such a prescription was made by a doctor, you can ask him what the consequences are. Well, let’s not even talk about self-medication again.
Rule 6. Medicines, with rare exceptions, are taken only with water.
Not tea-coffee, not juice, not, God forbid, sweet soda, but personalized water - the most ordinary and non-carbonated one. There are even separate studies devoted to this issue.
True, there are certain groups of drugs that are washed down with sour drinks, milk, alkaline mineral water and other separately specified drinks. But these are exceptions, and they will definitely be mentioned when prescribing and in the instructions.
Rule 7. Chewable tablets are chewed, dragees are not crushed.
Direct prohibitions, as well as indications of special methods of use, appear for a reason. A chewable or suckable tablet that you swallow whole will take a different time to work or may not work at all.
The release form of the drug is also not chosen by chance. If the tablet has a special coating, it should not be crushed, broken or bitten. Because this coating protects something from something: active substance tablets from stomach acids, stomach from the active substance, esophagus or tooth enamel from damage, etc. Capsulated form release also says that the active substance should be absorbed only in the intestines and for a certain time. Therefore, capsules can only be opened as prescribed by a doctor, with an eye to the instructions.
Rule 8. There are special cases, but they must be assessed by a doctor
Different doctors have their own treatment regimens that have been tested for years, and sometimes the dosage and method of taking drugs may differ for different groups patients. In the same way, if there are characteristics of the patient ( accompanying illnesses, individual reactions, etc.) the appointment can be adjusted specifically for this case. At the same time, the choice of a drug and the method of its use are influenced by factors that are not always obvious to a person without medical education factors. Therefore, if your grandfather with hypertension took the same medications according to a different regimen prescribed by the best doctor in the world, this is not a reason to take them the same way. Take the pills like any other medicines, it is necessary without initiative, while absolutely any innovations not approved by the doctor are unnecessary.
Leonid Shchebotansky, Olesya Sosnitskaya
Yarina is a monophasic oral contraceptive. This means that all tablets in the package contain the same dose of hormones. One tablet of Yarina contains 30 mcg (0.03 mg) of ethinyl estradiol and 3 mg of Drospirenone.
One package contains one blister (plate) of Yarina for use for one month.
ATTENTION: The drug has contraindications. Do not start using this drug without preliminary consultation with a doctor.
Analogs
What reduces the contraceptive effect of Yarina?
The contraceptive effect of Yarina can be reduced by vomiting, diarrhea, taking large doses of alcohol, or taking certain medications. Read more about this here:
How to delay menstruation with the help of Yarin?
If you need to delay your period, then after finishing one package of Yarin, start a new blister the next day without taking a 7-day break. In this case, menstruation will be delayed by 2-4 weeks, but slight spotting may appear approximately in the middle of the next package.
Please note: you can postpone your period only if you took Yarin at least one month before unwanted menstruation.
Do I need to take long breaks from taking Yarina?
If you have been taking Yarina for more than 6-12 months, you may be wondering if you should take a break for a few months. You can read about how useful such breaks are by following the link:
What to do if you don’t have your period during a 7-day break from taking Yarin?
Carefully remember whether you took all the pills correctly last month.
If in the past month you had errors in taking pills (missing, being late), then stop taking Yarina pills until you are sure that you are not pregnant.
What should I do if I become pregnant while taking Yarina?
Pregnancy in case correct reception Yarin tablets are extremely rare. It is more likely that pregnancy occurred as a result of mistakes that you made in the previous month.
So, what to do if the test unexpectedly shows 2 stripes? First of all, stop taking the pills and contact your gynecologist.
Yarina's reception at early stages pregnancy cannot harm the health of your unborn child, so you can safely leave the pregnancy. In this case, start taking it as soon as possible.
Yarina's appointment before surgery
If you have to elective surgery, then taking Yarin tablets should be stopped a month (4 weeks) before surgical intervention. This will reduce the risk of blood clots in the vessels. If the operation is required urgently, be sure to tell the surgeon that you are taking birth control pills. In this case, the doctor will take additional measures to prevent blood clots (with the help of medications).
You will be able to start taking Yarin 2 weeks after you are able to walk independently after surgery.
How often should you visit a gynecologist while taking Yarin?
Even if nothing bothers you, you need to visit a gynecologist for preventative care at least once a year.
Contraceptive drugs ( oral contraceptives) protect from unwanted pregnancy only if the woman strictly follows the schedule for taking them. The instructions for each of these remedies usually describe in detail what regimen should be used to take the remedy and what to do if several doses are missed. The algorithm of action depends on which group the drug belongs to.
Violation of the regimen for taking combined oral contraceptives
Combined oral contraceptives (COCs) are drugs containing artificially synthesized analogues of the hormones estrogen and progesterone. Tablets are sold in blisters (plates) of 21 or 28 pieces. To prevent a woman from getting confused about the dosage schedule, the pills are numbered.
Labeling by day allows you to avoid confusion in your contraceptive dosage regimen
Reception principle hormonal drugs simple: one tablet a day for 21 days, then a 7-day break between courses. Even if there are 28 tablets in a blister, only 21 of them contain hormone-like substances. The remaining 7 pieces are placebos, harmless mixtures that manufacturers add so that a woman takes one tablet a day and is guaranteed not to make a mistake with the start date of a new course.
Options for violating the COC dosage regimen:
- if a woman forgot to drink birth control pill on the first day of the course, it is allowed to start a new blister from the second (or even from the 3-5th) day. But for at least seven days during sexual intercourse, additional contraception (condoms) must be used;
- If one tablet is not taken from the 2nd to the 21st day, the woman should drink it immediately after she remembers it. It takes 36 hours for the hormones contained in COCs to leave the body. Therefore, if no more than 12 hours have passed since the missed dose, additional contraception will not be needed. If the interval is more than 12 hours, you will have to take 2 tablets on one day (one missed, the second on schedule) and then use additional contraception for 7 days;
- If a woman forgot to take 2 contraceptive pills from the 2nd to the 14th day, it is recommended to take 4 pills over the next two days: the first when she remembers, the second as scheduled, the third after 12 hours, the fourth as scheduled. Too much hormone can sometimes cause nausea. You must use barrier contraception until the end of the course;
- if two doses are missed in the period from the 15th to the 21st day or three or more doses are missed from the 2nd to the 21st day, the started blister is thrown away and a new one is started. During such intervals there are bloody issues, and when you resume taking the drug, a failure will occur menstrual cycle. You will have to use additional contraception for at least 7 days.
- if the blister contains 28 tablets, and a dose is missed from the 22nd to the 28th day, the extra tablets are thrown away, no additional measures are needed.
Violation of the regimen for taking progestin-only drugs (mini-pills)
Progestin-only preparations (PPCs, mini-pills) contain minimal doses of progestin or desogestrel, synthetic analogues of progesterone. Mini-pills are slightly less effective than COCs, but they are prescribed during lactation, and also when a woman is contraindicated combined contraceptives. You need to drink one tablet of ChPK daily, at a certain time. Interruptions in reception are unacceptable.
Options for violating the ChPK regimen:
- The instructions for the drug always say for what maximum time you can delay taking it. Progestin pills are usually allowed to be taken within three hours of the intended time. For products containing desogestrel, this period is 12 hours. If a woman remembers to take a pill within the specified time, then no additional measures are needed;
- if one or more days are missed, the risk of conception increases significantly. It is necessary to return to the previous regimen (take one tablet per day), and use additional contraception until the start of your period.
Emergency contraception
If, after a woman forgot to take a contraceptive pill, unprotected sexual intercourse occurs, it is very possible that unplanned pregnancy. Therefore, it is recommended to take emergency contraception for 1–3 days after sexual intercourse. But these remedies are most effective in the first 24 hours. If your period does not come on time, it makes sense to take a pregnancy test or consult a gynecologist.
However, it must be remembered that taking emergency contraception is only permissible in exceptional cases. Such tablets have a lot of contraindications: they are harmful to the liver and provoke the formation of blood clots.
To avoid having to take medications that are harmful to your health, it is better to strictly follow the regimen for taking combined or purely progestin medications. In case of deviation from it, it is necessary to use barrier contraception.
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