攝護腺肥大 吃感冒藥「噓噓」更不易
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">【聯合報</span><span style="FONT-FAMILY: 細明體; mso-bidi-font-family: 細明體">╱</span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">王重仁／公職藥師】<font face="Calibri"><br></font></span></font></p><p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><br><font size="3"><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin"><font face="Calibri"></font></span><span lang="EN-US"><font face="Calibri"><o:p></o:p></font></span></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span lang="EN-US"><font face="Calibri">40</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">多歲患者因常流鼻水、咳嗽等，醫師開立感冒藥給他。沒想到，吃藥後，患者常半夜起床尿尿，但排尿不順，滴滴答答，吵得枕邊人難入眠，影響睡眠品質，二人甚至想離婚。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">其實，這位患者有攝護腺肥大的困擾，但不好意思告訴醫師，使醫師開藥時忽略藥物可能對攝護腺的干擾。例如，許多感冒藥含抗組織胺，可能影響攝護腺肥大患者病情。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">抗組織胺作用為抑制胃酸分泌、使平滑肌擴張、降低過敏等，常用於氣喘、鼻炎、蕁麻疹、預防嘔吐、暈車，常見副作用為易睡、使人昏沉、鎮靜，服藥後建議不要開車，並減少用腦工作。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">影響排尿也是抗組織胺常見的副作用之一，抗組織胺會抑制膀胱擴張，使得尿意頻頻，如果攝護腺體積變大，就會阻礙排尿，覺得尿不乾淨，有餘尿感。若任由症狀惡化，可能導致尿滯留，必須導尿，有些人則會反覆性尿道感染、血尿，甚至出現急性腎衰竭。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">感冒藥除了治療鼻塞、流鼻水的抗組織胺外，尚有許多其他成分，如使支氣管擴張的麻黃鹼、止痛、退燒藥、鎮咳劑、化痰藥等。提醒讀者注意以下幾點：</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span lang="EN-US"><font face="Calibri">1.</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">對藥物過敏，如使用感冒藥後產生皮疹、發燒等症狀，用藥前應諮詢專業人員。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span lang="EN-US"><font face="Calibri">2.</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">心血管疾病患者、孕婦、老人或小孩，用藥時宜注意劑量，由醫師做妥適調整。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span lang="EN-US"><font face="Calibri">3.</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">醫師處方一般開立</span><span lang="EN-US"><font face="Calibri">3</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">至</span><span lang="EN-US"><font face="Calibri">7</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">天，如未痊癒，宜回診，確認是否有其他併發症。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span lang="EN-US"><font face="Calibri">4.</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">不宜自行服用抗生素，避免抗藥性。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
<p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><font size="3"><span lang="EN-US"><font face="Calibri">5.</font></span><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">綜合感冒藥大多為非處方用藥，服用方法及用量應依據說明書，做好自我健康照護。</span><font face="Calibri"> <span lang="EN-US"><o:p></o:p></span></font></font></p>
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