One of the most common questions patients ask me π
"Pharm, can I take my Medications with SOFT DRINKS ?"
#ANSWER : it's NOT advisable to take your medications with Soft drinks UNLESS recommended by your Pharmacist.
LET ME EXPLAIN π
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( 1.) Soft drinks are Carbonated water (carbonic #ACID + water).
- The ACID can render the drug "in or Less active" leading to sub-optimal clinical outcome.
- Soft drinks doesn't REALLY cause Ulcer but for can cause some ERODING effects on Ulcer patients & those with history
of Ulcer due to the Phosphoric acid & Carbonic acids present.
The ACID can also worsen the symptoms of Ulcer (such as bloating, stomach fullness, stomach irritation).
Taking Such Drinks with AntiUlcer medications can make such drugs abit less effective.
( 2.) Most Soft drinks contain #SUGAR and some drugs SIDE EFFECTS can lead to hyperglycemia (High sugar level in the blood).
- Combination of both can exacerbate such effect and can be detrimental to the patient.
- Can also render Antidiabetics medications less effective.
- The Sugar in Soft Drink can be Inflammatory to Body tissues & organs. This isn't a go combo with Anti-inflammatory (NSAIDs, steriods) & Antioxidants*, etc.
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SIDE EFFECTS OF CAFFEINE & IT EFFECTS ON DRUGS π
- Caffeine can cause INSOMNIA (because it helps us feel alert). Taking Sedatives or Hypnotics together with Soft drinks can actually disrupt the sleep process, making the drug less effective.
- Caffeine can cause ANXIETY (nervousness & restlessness), taking it with Anxiolytics
can also render the drugs less active.
- Caffeine can cause alot of DIGESTIVE PROBLEM (such as stomach irritation, nausea and vomiting).
Taking it with medication with Digestive disturbance side effects can POTENTIATE those side effects.
- Caffeine can increased Heart rate and BLOOD PRESSURE.
Taking Caffeine containing drinks together with Antihypertensives can render the medications less effective.
- Caffeine can cause Muscle Breakdown (Rhabdomyolysis) hence taking it with Certain medications (such as
Fluroquinolones, Muscle Relaxants) can aggrevate those side effects.
- Caffeine is Addictive. So taking it with certain prescription medicines like TM for pains, can elicit such effects.
- Caffeine can cause Frequent Urination and Urgency.Taking it with some Meds with similar
effects like Diuretics can increase Dehydration.
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ALCOHOL & certain FRUIT JUICE like Grape βββ (already discussed yesterday)
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ALWAYS CONSULT YOUR PHARMACIST TO CLEARIFY THE TYPE OF DRINK TO USE WITH YOUR MEDICATIONS.
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Relationship between HbA1c & Fasting Blood Sugar (FBS) Level
(Conversion of Fasting Blood Glucose to HbA1c)
1. What's the full Meaning of HbA1c?
HaemogloBin Airman First Class
2. What's HbA1c test?
HbA1c test is a blood test used to diagnose diabetes
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& monitor the progress of treatment plan.
The test reflects the average blood sugar levels in the past 90 days/3 months (I will explain why later in the thread).
HbA1c is a type of Glycated Haemoglobin (ie glucose binding to Haemoglobin in your Red blood cells).
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Hence β in blood glucose Levels will result in more glucose binding to Haemoglobin which will result in High Hb A1c
Once a Haemoglobin is glycated, it remains that way in the blood until RBC carrying it, is removed from the body (b/c the average RBC lifespan is 3-4 months)
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- Squirt is simply urine.
- A woman can get pregnant for 2 different men at a time.
- A woman can get pregnant immediately she stop menstruating.
- A woman can get pregnant 7days after sex.
- Using Viagra while on BP meds can kill you. 6. A woman can get pregnant while pregnant.
1. SQUIRTING is essentially the involuntary emission of URINE during sexual activity, although a marginal contribution of skene's glands secretions to the emitted fluid often exists.
2. Superfecundation:
When a woman has intercourse with 2 different men in a short period of time while ovulating, it's possible for both men to impregnate her separately.
In this case, 2 different sperm impregnate 2 different eggs.
PolyCystic Ovarian Syndrome is a hormonal disorder. Basically it is a group of symptoms resulting from hormonal imbalance in body. Now what are hormones? Hormones are different chemicals produced in different parts of body that regulate normal physiological functions of body.
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Symptoms :-
IRREGULAR PERIODS
WEIGHT GAIN
HIRSUTISM
ACNE
Bloating
Anxiety
DEPRESSION
HAIR FALL
Post meal cravings
Daytime TIREDNESS
Difficulty to FALL ASLEEP
INFERTILITY
It is very important to know what type of PCOS you have, as type of PCOS left untreated can trigger another type of PCOS within same patient.
1. Inflammatory type PCOS 2. Insulin resistance type PCOS 3. Adrenal fatigue type PCOS 4. Hypothyroidism type PCOS