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Tri-Vitamin Drops with Iron and Fluoride 与 Yosprala

Tri-Vitamin Drops with Iron and Fluoride 与 Yosprala互相作用以及同时服用的可能性。

检测结果:

Tri-Vitamin Drops with Iron and Fluoride <> Yosprala

现实性: 08.11.2022 评论家: 医学副博士Shkutko P.M., in

在该服务的官方手册中，已注明相关研究结果统计规定的互相作用。该互相作用或对患者健康引起不良后果，或起到良好效果。具体联合用药问题，需遵从医嘱。

用户:

如果你是缺铁或有贫血，你应该跟你的医生在使用铁和多种维生素的氟化同拉唑. 通过减少胃酸、拉唑可降低吸收的铁和多种维生素的使用铁和氟少有效的治疗你的病情。你的医生或药剂师能够提供建议，关于更安全替代品的如果你需要治疗胃酸或溃疡的，而你正在被处理的多种维生素与铁和氟化物。重要的是要告诉你的医生关于所有其他药物的使用，包括维生素和草药。不停止使用任何药物，没有第一个说你的医生。

医界专家:

监测：深刻的胃酸过少诱导的质子泵抑制剂(生产者价格指数)可能会损害肠胃吸收nonheme铁、一个过程，依赖于一个酸性环境。相互作用涉嫌在两个患有缺铁性贫血，由于肠胃失血，是反应迟钝以口头铁替代疗法、甚至后出血显然停止。这两名患者已经在拉唑六个月，同时正在处理的硫酸亚铁。铁装载试验是执行上的一个病人，并表示铁吸收障碍。后两个月内停止的拉唑，显着改善的血红蛋白的水平与平均粒体积(MCV)观察到在这两名患者，并铁吸收率显着增加了在病人接受吸收测试。在一个情况下审查患有遗传性血色沉着病治疗在一个机构，调查人员观察到了降低要求，维护放血七名病人以下发起的PPI治疗(平均2.5L血删除/年之前PPI治疗与0.5升/年期间PPI疗法)，大概是由于减少组织铁积累造成的吸收障碍的膳食nonheme铁。平均年度放血的要求在PPI治疗这些患者是也低于控制谁从来没有采取PPI(平均2.3L血删除/年)。同一组调查人员还研究了铁吸在14患者送入一个铁载餐之前和之后PPI疗法的为期一周。 PPI治疗相关的51％减少区域之下的血清铁浓度-时间曲线(AUC0到4小时)；55％减少最多增加血清铁下摄入的铁载的膳食；和减少了46%的回收百分比给予的铁峰血清铁的浓度。有趣的是，互动没有报告在健康、铁-优雅的人。在一项研究的109患者卓-埃里森综合征的人没有经过胃切除术、拉唑处理平均为5.7年没有显着下降体的铁储存或造成缺铁比H2-受体拮抗剂治疗或没有胃酸-抑制剂的治疗。这是可能的相互作用可能不会影响人们健康的铁储存，因为补偿由饮食的铁血红素，这通常包括只有一小部分的饮食中的铁但是其吸收不依赖于胃肠pH值。与此相反，膳食铁血红素单独可能不足以恢复正常铁的平衡，在患有贫血，或者那些有缺陷的监管机制的铁吸收。

管理：患有缺铁可能不充分应对经口铁替代治疗在合用的质子泵的抑制剂。如果互动是怀疑之后，裁决了其他原因，它可能是适当的停止质子泵抑制剂或考虑给予铁的肠胃外进行。

来源

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"Product Information. Kapidex (dexlansoprazole)." Takeda Pharmaceuticals America, Lincolnshire, IL.
Hutchison C, Geissler CA, Powell JJ, Bomford A "Proton pump inhibitors suppress absorption of dietary non-haem iron in hereditary haemochromatosis." Gut 56 (2007): 1291-5
"Product Information. Protonix (pantoprazole)" Wyeth-Ayerst Laboratories, Philadelphia, PA.
Sharma VR, Brannon MA, Carloss EA "Effect of omeprazole on oral iron replacement in patients with iron deficiency anemia." South Med J 97 (2004): 887-9
Nand S, Tanvetyanon T "Proton pump inhibitors and iron deficiency: is the connection real?" South Med J 97 (2004): 799
"Product Information. Aciphex (rabeprazole)" Janssen Pharmaceuticals, Titusville, NJ.
Stewart CA, Termanini B, Sutliff VE, et al "Iron absorption in patients with Zollinger-Ellison syndrome treated with long-term gastric acid antisecretory therapy." Aliment Pharmacol Ther 12 (1998): 83-98
"Product Information. Nexium (esomeprazole)" Astra-Zeneca Pharmaceuticals, Wilmington, DE.
"Product Information. Prevacid (lansoprazole)." TAP Pharmaceuticals Inc, Deerfield, IL.

Tri-Vitamin Drops with Iron and Fluoride

非专利名称: multivitamin with iron and fluoride

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Tri-Vitamin Drops with Iron and Fluoride是什么？