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خواص دارویی و گیاهی

قرص accord برای چیست
قرص accord برای چیست

قرص پاراستامول یکی از داروهای ضد درد است که عوارض کمتری را نسبت به بقیه قرصهای مسکن دارد. می توانید اطلاعات بیشتر در مورد موارد مصرف و عوارض جانبی داروی پاراستامول در این مطلب مشاهده کنید.

نامهای تجاری که برای قرص پاراستامول است آلودون، کالپول، هدکس، پانادول و… می باشد. یکی از قرصهای ضد درد است که عوارض کمتری را نسبت به قرص آسپرین و سایر داروهای ضد درد دارد.

از مزایای این قرص این است که حالت دل بهم خوردگی و خونریزی را در معده به وجود نمی آورد به طوریکه حتی تمام مبتلایان به خونریزی و زخم معده هم می توانند از آن به جای آسپرین استفاده کنند. از مزایای دیگر داروی پاراستامول این است که از دارو های ضد درد و ضد مخدر می باشد. و اگر از داروهای ضد انعقاد استفاده می کنید با خبال راحت می توانید از این دارو مصرف نمایید. از عوارض جانبی این قرص که بر اثر مصرف زیاد ممکن است به وجود بیاید آسیب رساندن به کلیه و کبد می باشد که می تواند مشکلات جدی را برای آن عضوها پیش بیاورد. همین طور مصرف زیاد پاراستامول در کنار نوشیدن الکل نیز برای بدن سمی و خطرناک  است. که در بدن سمی مهلک تولید می کند. پاراستامول برای خانم های شیرده بی خطر است. این دارو به صورت قرص، شیاف، کپسول و مایع است.

قرص accord برای چیست

مقدار مصرف قرص پاراستامول برای بزرگسالان 500-1 تا 4 گرم در هر نوبت و هر 4 تا 6 ساعت در طول روز می باشد. در کودکان این مقدار مصرف قرص فرق می کند. به طوریکه در کودکان نباید بیشتر از 4 نوبت در طول 24 ساعت باشد. همچنین مقدار آن به 60 تا 120 میلی گرم است. مصرف این دارو را هر موقع که خواستید می توانید قطع کنید. این دارو  نباید بیشتر از 48 ساعت مصرف گردد، مگر آنکه پزشک تجویز کرده باشد. و برای کودکان زیر 3 ماهه نیز با دستور پزشک باید به کودک خورانده شود.

اگر این دارو را مطابق تجویز پزشک مصرف نمایید هیچ گونه عوارض جانبی برای شما نخواهد داشت. چنانچه یکی از نشانه های زیر رویت شد بلافاصله به پزشک و فوریت های پزشکی مراجعه کنید. این نشانه ها شامل جوش و حالت تهوع است که  در شرایطی که با پزشک هم مشورت کردید این علائم ظاهر شد مصرف آن را قطع نمایید. همچنین چنانچه مشکل پوستی راش مشاهده شد نیز مصرف باید قطع گردد.

   

تداخل دارویی: این دارو نباید با قرص کواستیرامین مصرف شود زیرا جذب پاراستامول را در بدن کاهش می دهد. در بعضی از ضد انعقادها مثل وارفارین اگر همزمان مصرف شود به مقدار زیاد باید مصرف آنها را تنظیم کرد تا مشکلی پیش نیاید.

فراموش کردن دارو: اگر این دارو را  برای درد با تجویز پزشک مصرف می کنید می توانید به محض یاد آوری دوباره آن را مصرف کنید ولی چنانچه فقط برای تسکین درد موضعی از آن استفاده می کنید می توانید به محض تسکین یافتن درد مصرف آن  را قطع نمایید. مصرف قرص پاراستامول در حین رانندگی و انجام کارهای دشوار موردی ندارد. اثر این دارو بعد از مصرف تا 6 ساعت بعد از آن است.

احتیاط: در موارد زیر حتما پزشک خود را مطلع نمایید تا از آسیبهای جدی در این موارد در امان باشید. چنانچه بعد از مصرف طولانی مدت دچار ناراحتی های مثل کبد و کلیه در دراز مدت شدید حتما پزشک خود را در جریان بگذارید. برای نگهداری از این دارو آن را در جای خشک و سرد و سر بسته نگه دارید و از دسترس نور و اطفال دور باید که دور نگه داشته شود.

قرص پاراستامول از دهه 1900 شناخته شده است اما در دهه 1950 در بین مردم به عنوان داروی ضد درد در حد وسیعی مورد استفاده و کاربرد قرار گرفته شد. این دارو به عنوان یکی از قوی ترین و کم عارضه ترین قرصهای مسکن غیر اعتیاد آور محسوب می شود. چنانچه دچار درد و تب خفیف شدید می توانید در خانه از آن استفاده کنید. برای مطالب بیشتر در این زمینه به بخش اطلاعات دارویی مراجعه کنید.

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Back to Medicines A to Z

Hydrocortisone tablets are a type of medicine known as a corticosteroid or ‘steroid’. Corticosteroids are not the same as anabolic steroids.

Hydrocortisone tablets work as a hormone replacement for a natural ‘steroid’ hormone called cortisol.

You may take hydrocortisone tablets if your body doesn’t make enough cortisol – for example if you have Addison’s disease – or if you’ve had your adrenal glands taken out in an operation.

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Hydrocortisone tablets are only available on prescription.

Hydrocortisone comes in different ways, including skin creams, injections and foam.

Find out more about other ways you can use hydrocortisone to treat different health problems.

Hydrocortisone tablets can be taken by adults and children.

Hydrocortisone tablets aren’t suitable for some people. Tell your doctor before starting the medicine if you have:

Also, tell your doctor if you’re trying to get pregnant, are already pregnant or if you’re breastfeeding.

It’s important to take hydrocortisone tablets as your doctor has asked you to.

Try to take them at the same time every day.

Hydrocortisone comes as 5mg, 10mg and 20mg tablets.

If you take hydrocortisone tablets for hormone replacement the usual dose is 20mg to 30mg a day.

If you have an infection, or if you need to have dental treatment or
an operation, you’ll probably need to take a higher dose for a while.

Most hydrocortisone tablets release the medicine into your body as
soon as you swallow them. It’s usual to take them 2 or 3 times a
day. Take the tablets with or just after a snack or meal so they don’t
upset your stomach.

Some hydrocortisone tablets are slow release (also known as modified
release). These tablets release the medicine into your body slowly
throughout the day. It’s usual to take them once a day. Slow release
hydrocortisone tablets also come with the brand name Plenadrin.

If you’re taking slow release hydrocortisone tablets swallow them
whole in the morning – about half an hour before breakfast. Do not break
or crush the tablets or they won’t work.

It’s important that you do not eat grapefruit or drink grapefruit
juice while you’re on slow release hydrocortisone tablets. Grapefruit
can change the way hydrocortisone works and increases the risk of side
effects.

Your pharmacist or doctor can tell you which type of hydrocortisone tablet you’re taking and how to take them.

Try to remember to take your tablets every day. Missing doses can make you feel unwell.

If you forget to take a dose, take it as soon as you remember. If you
don’t remember until the next dose is due, skip the missed dose.

Never take a double dose of hydrocortisone tablets to make up for a forgotten one.
If you often forget to take your tablets, it may help to set an alarm
to remind you. You could also ask your pharmacist for advice on other
ways to remember your medicine.

Your doctor may increase or decrease your dose of hydrocortisone at
the start of your treatment until your health problem is stable.

You may need a bigger dose for a while if you are unwell with other
health problems such as an infection, or if you need to have an
operation.

You may need a short, very high dose of hydrocortisone if you have Addison’s disease and your cortisol levels drop suddenly. This is a medical emergency called an ‘adrenal crisis’.

Accidentally taking too many hydrocortisone tablets only once is
unlikely to harm you. If you’re worried, talk to your doctor or
pharmacist.

If you take too much hydrocortisone
for more than a few days, it could harm your health. Talk to your doctor
as soon as possible.

If you take too much hydrocortisone for more than a few days, it could harm your health. Talk to your doctor as soon as possible.

Like all medicines, hydrocortisone tablets can cause side effects although not everyone gets them.

Hydrocortisone isn’t a strong steroid (it’s 4 times weaker than another widely used steroid, prednisolone) so you’re unlikely to get side effects.

These common side effects happen in more than 1 in 100 people.

Keep taking the medicine, but tell your doctor if the side effects bother you or don’t go away:

Serious side effects are rare and happen in less than 1 in 1,000 people.

You’re more likely to get serious side effects if you take high doses of hydrocortisone over many months.

Tell your doctor straight away if you get:

You should also call a doctor straight away if you get:

Side effects can happen at different times during treatment. Stomach
upset or mood changes can happen straight away. Other side effects, such
as getting a rounder face, happen after weeks or months.

If your child or teenager takes hydrocortisone tablets for more than a year or so, it can slow down their normal growth.
Your child’s doctor will watch their growth carefully while they are
having hydrocortisone tablets. That way they will be able to see quickly
if your child is growing more slowly and can change their treatment if
necessary.

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Talk to your doctor if you’re worried about your child taking hydrocortisone tablets.

In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to hydrocortisone tablets.

These are warning signs of a serious allergic reaction. A serious allergic reaction is an emergency.

These are not all the side effects of hydrocortisone tablets. For a full list see the leaflet inside your medicine packet.

You can report any suspected side effect to the UK safety scheme.

What to do about:

You may take hydrocortisone tablets for a long time, even for the
rest of your life. Over many years hydrocortisone can have several
harmful effects on your body. It can lead to:

If you have to take hydrocortisone tablets for a long time, it’s worth taking these steps to stay as healthy as possible:

Hydrocortisone tablets are generally thought to be safe to take in pregnancy and while breastfeeding.

If you’re taking hydrocortisone tablets for Addison’s disease,
it’s important to carry on taking the medicine throughout pregnancy. Sometimes, the dose may need to increase in pregnancy and it’s usual to
receive high doses of hydrocortisone by injection during childbirth.

If you’re on a high dose of hydrocortisone tablets, your newborn baby may need to be monitored for signs of side effects.

You can take hydrocortisone tablets while you’re breastfeeding.
Hydrocortisone gets into breast milk, but in amounts that are too small
to harm the baby.

For safety, tell your doctor if you’re trying to get pregnant, are already pregnant or if you’re breastfeeding.

There are many medicines that interfere with the way hydrocortisone tablets work.

It’s very important to check with your doctor or pharmacist that a
medicine is safe to mix with hydrocortisone tablets before you start
taking it. This includes prescription medicines and ones that you buy
over the counter like aspirin, paracetamol and ibuprofen. It also includes herbal remedies and supplements.

Tell your doctor or pharmacist before
stopping or starting any other medicines and before taking any herbal
remedies, vitamins or supplements.

Hydrocortisone tablets mimic the effects of hormones that your
body naturally makes in your adrenal glands. The adrenal glands sit on
top of your kidneys.

If your adrenal glands aren’t making enough natural hormone, as in Addison’s disease, taking hydrocortisone tablets will bring your hormone levels up to normal.

This will vary depending on your health problem. Ask your doctor what to expect.

This varies depending on your health problem.

If you take hydrocortisone tablets as hormone replacement, the treatment is almost always for the rest of your life.

If you stop taking hydrocortisone tablets suddenly it may cause your
symptoms to come back. You can also get potentially dangerous withdrawal symptoms including:

Your doctor will probably want to reduce your dose gradually over several weeks to prevent these side effects.

Do not stop taking hydrocortisone tablets without talking to your doctor.

If you’re taking hydrocortisone tablets, you’re more likely to catch infections such as flu, the common cold and chest infections.

Keep away from people with an infectious disease, especially chickenpox, shingles or measles. If you’ve never had these illnesses they could make you very ill.

Tell your doctor straight away if you come into contact with someone
who has chickenpox, shingles or measles. Your doctor may be able to
prescribe a medicine to protect you.

If you need any vaccinations, mention to the healthcare professional that you’re taking a steroid.

It’s possible that if you have a ‘live’ vaccine when you are taking
hydrocortisone tablets, your immune system might not be strong enough to
handle it. This could lead to you getting an infection.

Live vaccines include:

Inactive vaccinations, like the injected flu vaccine, are safe.

If you need any vaccinations, check with the nurse or doctor that they are safe for you.

If you’ve been taking hydrocortisone tablets for longer than 3 weeks
or if you’ve been prescribed a high dose, your doctor or pharmacist will
give you a steroid card. Carry this with you all the time.

The card is usually blue and the size of a credit card so it fits
into your wallet or purse. It gives advice on how you can reduce the
risks of side effects. It also gives details of your doctor, how much
hydrocortisone you take and how long your treatment will last for.

If you’re having long-term treatment with hydrocortisone tablets and you don’t have a blue steroid card, ask your doctor for one.

Anna Nall

If you need any medical or dental treatment, show your steroid card to the doctor or dentist.

Hydrocortisone tablets have no effect on the fertility of men or women.

Hydrocortisone tablets do not interfere with any types of contraception including the combined pill or emergency contraception.

Yes, you can drink alcohol while taking hydrocortisone tablets.

Do not eat liquorice while you’re taking hydrocortisone tablets.
It can increase the amount of hydrocortisone in your body and also
increase the risk of low potassium.

Also, if you’re taking slow release hydrocortisone tablets
(Plenadrin), do not eat grapefruit or drink grapefruit juice. Grapefruit
can change the way hydrocortisone works and increases the risk of side
effects.

There are other steroid tablets available such as:

These steroids are very similar to high dose (more than 100mg)
hydrocortisone tablets. However, they’re not usually used as replacement
treatment, for example in Addison’s disease, because they are too strong and can cause more side effects.

Page last reviewed: 18 September 2017
Next review due: 18 September 2020

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