아스피린은 두통약 아닌가요?

아스피린은 대표적인 항혈소판 제제로 부작용이 심하지 않은 이상  협심증,심근경색증이 있는 환자에게 꼭 투약되는 약입니다.흔히 해열진통제로 사용되고 있으나 혈소판을 억제하는 효과는 아주 적은 용량만 복용해도 충분합니다. 속쓰림 등의 증상이 있을 때에는 위장을 보호하고 치료할 수 있는 약제를 같이 사용하거나 증상이 심한 경우에는 다른 약제로 바꾸는 경우도 있습니다.

부작용이 있어서 약을 복용하고 있지 않은데 괜찮을까요?

절대 약을 자의로 중단하면 안 됩니다.부작용이 있으면 꼭 의사에게 알리거나 진료를 보아 적절한 방법으로 부작용을 해결해야 합니다. 특히 관상동맥질환으로 스텐트 삽입술을 받은 환자의 경우에는 항혈소판 제제가 투약되지 않으면 스텐트에 혈전이 발생해 심근경색증이 생길 수 있기 때문에 매우 위험합니다.

치과에 치료를 받으러 갔는데 소견서를 받아오라고 합니다. 왜 그런가요?

항혈소판 제제를 복용하는 환자는 이를 뽑거나 잇몸치료를 하는 경우에 출혈이 많이 일어날 수 있기 때문입니다. 보통 5일 정도 항혈소판 제제의 복용을 중단한 후 치료를 할 수도 있지만 최근에 스텐트 삽입술을 받은 환자가 항혈소판 제제를 중단하면 매우 위험하기 때문에 치료를 연기하는 것을 권하거부득이 한 경우에는 출혈이 있더라도 항혈소판 제제를 복용한 상태에서 치료를 하기도 합니다. 치과치료 외 다른 수술이 필요한 경우에도 마찬가지입니다. 이런 결정은 대단히 어렵고 조심스러운 일입니다. 절대 자의로 약을 중단하지 말고 의사와 상의해서 결정해야 합니다.
 
심장약을 먹고 있는데 기존에  먹고있던 혈압약은 안 먹어도 되나요?

환자의 상태에 따라 선택된 약을 이미 복용하고 있기 때문에 기존에 가지고 있는 혈압약을 따로 복용할 필요는
없습니다. 사실 심장약과 혈압약이 따로 있는 것은 아닙니다.심장을 안정시키고 보호해주는 약들은 거의 대부분은 혈압약으로도 사용되고 있습니다. 적절한 혈압과 맥박을 유지하기 위해 선택된 약 외에 추가로 따로 가지고 있던
혈압약을 같이 복용하면 심각한 저혈압이 생겨 위험할 수 있습니다.

혈압약을 줄이거나 끊을 수 있나요?

다른 약들과 마찬가지로 혈압약은 평생 먹어야 하는 경우가 많습니다. 혈압이 너무 낮아 어지럼증이 생기는 경우에는 약의 용량을 줄이거나 약을 바꾸는 경우는 있습니다.하지만 고혈압이 있는 대부분의 환자들은 혈압약을 계속 복용하는 것이 현명합니다.사실 고혈압은 약을 먹어서 완치가 되는 병이 아니라 약을 먹어서 혈압을 적절하게 조절하는 병이기 때문입니다. 혈압약을 며칠 동안 복용하지 않고 혈압이 정상으로 유지되는 경우라도 결국에는 다시 혈압이 올라 동맥경화증이 진행되게 됩니다. 약의 부작용을 우려해 자의로 혈압약을 끊거나 주위 사람들의 잘못된 상식으로 건강 보조식품으로 대체하면 대단히 위험합니다.

혈압약을 먹어도 목 뒤가 뻣뻣해지는 증상이 있는데 혈압약을 한 번 더 먹어도 되나요?

증상만 가지고 혈압약을 한 번 더 먹는 것은 저혈압이 생길 가능성이 높아 대단히 위험합니다. 목 뒤가 뻣뻣해지는 것을 고혈압 증세라고 생각하시는 분들이 많습니다만 고혈압의 대부분은 겉으로 드러나는 증상이 없습니다. 고혈압이 '침묵의 살인자'라는 별명이 붙은 이유도 증상이 없기 때문입니다. 혈압약을 복용하다가 약을 중단하는 상당수의 이유도 약을 먹든, 먹지 않든 거의 느끼는 증상이 없기 때문입니다. 그러므로 혈압이 잘 조절되고 있는 지 알 수 있는 방법은 혈압을 자주 측정하는 것입니다. 목 뒤가 뻣뻣해지는 증상은 보통 긴장성
두통인 경우가 많습니다. 스트레스나 좋지 않은 자세 때문에 목뒤의 근육이 뭉쳐서 생깁니다.
바른 자세를 취하도록 노력하고 가벼운 스트레칭과 운동, 마사지로 뭉친 근육을 부드럽게 풀어주면 해결될 수 있으며 필요에 따라서 두통약을 단기간 사용하면 좋아질 수 있습니다.
2013/01/02 15:32 2013/01/02 15:32

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