Medications and nutrition

Medications and nutrition

Avoid dangerous combinations for the little one!

The effectiveness of a drug depends, among many other factors, on the timing of administration, dose compliance, but also on the effects that a particular food may have on the treatment. In order not to give the wrong treatment it is important for the parent to contact the pediatrician.

"Medicines are not candy, as the campaign initiated by ARPIM states. Medicines have a therapeutic role and, in order to be as effective and have as few adverse effects, it is important that they are administered under the close supervision of a doctor. There can be dangerous combinations between different categories of drugs, but also between drugs and food, in which case the consequences can be much worse for the little ones than for the adults, "said Dan Zaharescu, Executive Director of the Romanian Association of International Medicines Manufacturers ( EFPIA).

Administration of medicines before or during meals

"Some of the common mistakes parents make, especially those that give children medicines without the doctor's advice, are incorrectly administered. Some medications should be taken at meal times, others during meals. Parents need to know and respect These indications for the drug to be effective and safe for the little one. For example, anti-inflammatory drugs are given during the meal to reduce the frequency of stomach pain. On the other hand, some of the antithermics, such as paracetamol, are given with 30 minutes before the meal because otherwise, stomach food may prevent the drug from passing into the blood. Parents do not know all these details and therefore it is advisable to seek the advice of the specialist, to document properly before starting a treatment, "said Dr. Evelina Moraru, pediatric primary physician, St Maria Iasi Emergency Hospital.

Another precaution is related to the administration of the drugs needed to treat gastro-oesophageal reflux disease or gastritis. It should be given on an empty stomach in the morning, in order to have time to lower the acidity before feeding into the stomach. Otherwise the drug does not work.

Milk and grapefruit juice - contraindicated in many medicines

"Milk or yogurt lessens the effect of many medications, especially those containing antibiotics. The child who is under treatment should not drink milk before the medication is given and not even half an hour later. There is a risk that the efficacy of the drug will decrease greatly and thus the affection progresses.

Grapefruit juice is also dangerous because it slows down the process of proper metabolism of the drug by the liver and accentuates the occurrence of adverse effects. The cytochrome system that metabolizes the drugs is occupied by the substances in grapefruit juice and will go into circulation with high toxicity. This effect occurs if the drugs are administered by mouth, so that anyone who prefers the taste of these fruits and receives antibiotics, anti-cholesterol, anti-cough and anticonvulsants, must stop it, "added Dr. Evelina Moraru.

Antibiotics and fiber-rich vegetables - dangerous combination

"Of all the categories of medicines, antibiotics are the most dangerous. First, their administration without the doctor's advice and especially when the resistance of the microbes to these antibiotics is not necessary. Second, by destroying the beneficial microbial flora, they can cause diarrhea, pain, improper functioning of the digestive tract. In this case, preparing a meal with high fiber vegetables such as peas, broccoli, cabbage will worsen the condition of the little one. Do not administer to the little medicines by ear, especially antibiotics, "added Dr. Moraru. .

One last aspect that parents should take into account is that the medicines are given with water and not with juices, natural or carbonated. It is true that water should be sweetened when the taste of the drug is extremely bitter, but small quantities will be used and in no case will the drug be introduced into the whole bottle with milk or tea.