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Chapter 34 / Complete chapter

Safe Home Medication

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Chapter 34 editorial cartoon: Medicine boxes aren't mystery boxes. Enlarge illustration
Medicine boxes aren't mystery boxes.

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Editorial cartoon · Chapter 34Medicine boxes aren't mystery boxes.

Original illustration with Chinese lettering; the English dialogue is below. Humour is a reading aid, not evidence.

English dialogue
  • They look much the same?
  • What are the ingredients?

Before taking two cold or pain relievers at the same time, check their ingredient lists — only one of them should contain acetaminophen.

Acetaminophen is present in many cold medicines. Taking two such products means you’re consuming double the dose, which can damage the liver. In the U…

Cost
No cost at all. It only takes a minute or two to glance at the ingredient list on each pac…
Benefit
Over six years, 22 U.S. hospitals tracked 662 cases of acute liver failure. Of these, 275 …

Do not give children aspirin, nimesulide, or metamizole for fever; cold medicines containing metamizole should also be avoided in minors.

For reducing a child’s fever, none of these three drugs should be used. Aspirin is linked to Reye’s syndrome, a condition that damages the brain and l…

Cost
No cost involved. Simply check the generic name and ingredient list when buying fever redu…
Benefit
Reye’s syndrome can lead to brain disease and fatty liver degeneration, typically occurrin…

Buying omeprazole over the counter for heartburn and acid reflux — use it for no more than 7 days; see a doctor immediately if you have trouble swallowing, vomit blood, or pass black stools

Since 2022, omeprazole enteric-coated tablets have been available over the counter without a prescription. However, the package instructions clearly s…

Cost
No cost involved — just follow the dosage instructions on the package.
Benefit
In its Announcement No. 68 of 2022, the National Medical Products Administration reclassif…

Don’t ask doctors for antibiotics for the common cold

Taking antibiotics for a cold doesn’t speed up recovery compared to not taking them at all. For adults, the risk of side effects is more than twice as…

Cost
It costs nothing and can even save you money on medicine.
Benefit
A Cochrane systematic review pooled data from 6 randomized trials involving 1,147 particip…

For diarrhea, start by drinking oral rehydration solution; do not give anti-diarrheal drugs to children under 5

The most important thing during diarrhea is rehydration, not stopping the diarrhea itself. Mix the solution exactly as directed on the package and dri…

Cost
A box of oral rehydration solution costs just a few dollars, so it’s worth keeping one at …
Benefit
WHO’s guidelines on diarrhea treatment state clearly that anti-diarrheal and anti-vomiting…

Don’t take painkillers for more than 15 days a month; limit combination painkillers to 10 days. Otherwise, headaches may actually be caused by the medication itself.

If you take painkillers frequently for recurrent headaches, the medication itself may eventually provoke more frequent headaches — a clinical conditio…

Cost
No direct cost. You’ll just need to keep track of how many days you’ve taken the medicine,…
Benefit
The third edition of the International Classification of Headache published by the Interna…

While taking cephalosporins, metronidazole, and similar antibacterials, and for 7 days after stopping, avoid alcohol — including alcohol in Huoxiang Zhengqi oral liquid and cough syrups

Some cephalosporins and metronidazole can trigger flushing, palpitations, chest tightness, and vomiting when mixed with alcohol; severe cases drop blo…

Cost
No money. Abstain from alcohol for a little over a week; check other medicines for ethanol…
Benefit
This is a disulfiram-like reaction. A 2023 medication-safety popularization from the Fujia…

Do not drive, work at heights, or operate machinery while taking cold or allergy medications containing chlorpheniramine or diphenhydramine

Many multi-ingredient cold medicines contain first-generation antihistamines like chlorpheniramine or diphenhydramine, which cause pronounced drowsine…

Cost
Free. Check active ingredients before taking over-the-counter multi-symptom cold or allerg…
Benefit
National drug safety bulletins issued by the National Medical Products Administration (NMP…