What drugs are being taken that cannot be stopped at will?


Release time:

2022-05-16

I believe that most patients have a doubt: my condition has improved or under control, then I can stop the drug? In life, some patients think that "the drug is three points poison", so "see good". Is this withdrawal desirable?

I believe that most patients have a doubt: my condition has improved or under control, then I can stop the drug? In life, some patients think that "the drug is three points poison", so "see good". Is this withdrawal desirable?

asthma medicine

Asthma generally refers to bronchial asthma, which is a chronic inflammatory disease of the airways.

The guidelines for the prevention and treatment of asthma in China clearly point out that the long-term goal of asthma management is to control symptoms, maintain normal activity levels, exercise capacity of patients, and lung function levels as close to normal as possible. At the same time, attention should be paid to the prevention of acute attacks and exacerbations of asthma and the prevention of deaths due to asthma.

Therefore, asthma patients should standardize treatment and long-term management, adhere to the regular use of drugs to maintain asthma control every day, and do not stop drugs at will, so as to avoid the tragedy caused by acute attack of asthma.

coronary heart disease medication

Coronary heart disease is a chronic disease that seriously threatens human health. It is often necessary to adhere to long-term medication and cannot be stopped at will. Even in patients with stable coronary heart disease, it will be due to sudden withdrawal, leading to relapse or rapid deterioration of the disease.

If patients with coronary heart disease who take metoprolol for a long time suddenly stop taking the drug, it will cause "rebound", aggravate angina pectoris and even myocardial infarction; patients who take propranolol for a long time will suddenly stop taking the drug after taking effect, which may cause rebound hypertension, arrhythmia, aggravation of angina pectoris, myocardial infarction, and sudden death in severe cases; antiarrhythmic drugs quinidine, lidocaine, if suddenly stopped can cause serious arrhythmia, and even induce atrial fibrillation.

antihypertensive drug

For most patients with hypertension, the hypertension caused may be the result of multiple factors, called essential hypertension, which requires antihypertensive drugs to reduce blood pressure, but drugs cannot remove the cause of excessive increase in blood pressure in the body. For example, because of the hardening of blood vessels, reduced elasticity, vascular stenosis and other factors that lead to elevated blood pressure, and will not be repaired by drugs.

To take antihypertensive drugs for a long time, blood pressure should be monitored during the period, the effect of the drug should be observed and the variety and dosage of the drug should be accurately adjusted under the guidance of a doctor. Blood pressure should not be monitored or even stopped taking the drug because there are no symptoms. Otherwise, it can cause rebound hypertension, angina pectoris, secondary myocardial infarction, intracranial hemorrhage, etc., and severe cases can cause sudden death.

hypoglycemic drug

Diabetes is a chronic disease, the treatment cycle is long, can not stop the drug at will, so as to avoid poor blood sugar control or excessive control leading to hypoglycemia. Especially after the application of insulin in patients with type 1 diabetes, if the drug is suddenly stopped, it may cause blood sugar rebound, lead to a significant increase in blood sugar, and even induce hyperosmolar diabetic coma, diabetic ketoacidosis, and life-threatening.

antiepileptic drugs

Patients with epilepsy should take antiepileptic drugs for a long time. If the drug is stopped suddenly, it can cause emotional agitation, insomnia, anxiety, convulsions, convulsions, seizures, and even status epilepticus.

Generally speaking, after the complete control of generalized tonic clonic seizures for 3 to 5 years, the withdrawal of drugs can be considered after the complete control of absence seizures for 1 to 2 years, but there should be a process of slow reduction, which should not be less than 1.0~1.5 years, and complex partial seizures may require long-term medication.

Anticoagulants

Patients should strictly follow the doctor's advice when receiving anticoagulant therapy after heart valve replacement, large vessel stent, coronary stent intervention, and anticoagulant therapy for diseases such as pulmonary embolism, myocardial infarction or deep vein thrombosis.

Most patients need to take anticoagulants for life, and the INR (International Normalized Ratio) and prothrombin time should be monitored regularly during the medication. Therefore, anticoagulants should not be added, reduced or stopped at will, so as not to cause serious consequences.

Antibiotics

The use of antibiotics is like fighting a war. Drugs are soldiers and bacteria are enemies. If you want to destroy the enemy, you must first surround the enemy and then attack.

If a course of treatment is 5 days, the first 3 days are surrounded by the enemy, and then through 2 days of hard fighting, the enemy can be completely eliminated. When completely surrounded, the bacteria can not make trouble, the human body's discomfort symptoms will be reduced, but if the drug is stopped without authorization at this time, it is equivalent to withdrawing the troops, and the consequences are self-evident.

anti-tuberculosis drug

TB patients in the course of treatment, even if the symptoms of tuberculosis have disappeared, but also to continue anti-tuberculosis treatment.

Short-term anti-tuberculosis therapy takes 6 months, otherwise it is easy to relapse and even develop drug-resistant tuberculosis. The course of treatment for refractory tuberculosis should reach 18 months. Therefore, the treatment of anti-tuberculosis must be closely followed up, not at will to stop the drug, reduce the amount, reduce the drug.

antidepressants

After antidepressants play a role, they need to maintain treatment for 4-6 months or even longer to stabilize the condition and reduce recurrence. Sudden withdrawal can cause drug withdrawal syndrome.

glucocorticoid

Long-term use of glucocorticoids, such as prednisone, methylprednisolone, etc., can feedback inhibition of pituitary-adrenal cortex secretion, so that adrenocorticotropic hormone secretion decreased.

If the drug is stopped suddenly, adrenal insufficiency or crisis will occur, the patient will show fatigue, nausea, vomiting, hypotension, and in severe cases, shock will occur.

The above drugs can not be based on the improvement of symptoms as the standard of withdrawal, such as withdrawal should be carried out gradually under the guidance of doctors, do not stop without authorization, otherwise it may lead to relapse, or even life-threatening. In a word, the course of taking medicine is not up to you. You should follow the doctor's advice and take the medicine according to the course of treatment.