上呼吸道URI開單方pseudoephedrine + mequitazine被刪

[sanmartin]

mequitazine 被刪原因是開同性質藥品
....無奈....mequitazine是antihistamin 類
pseudoephedrine是decongestant.......怎麼會是同一類??????
..還是小弟知識太差倆者是同一類??????
有人可以解救我嗎????....無奈

[Ocean]

不是同一類的藥
但是要刪藥須要理由嗎?
還是只須要藉口

[ceciltcy]

理由？
其實莫須有.........

[pinging]

是成人病患的話，給他看下面這一長串來自Cochrane Database的文章
是兒童病患的話，可以找到一堆藥水是antihistamine + decongestant

Antihistamines for the common cold
An IM De Sutter1, Marc Lemiengre1, Harry Campbell2
1Department ofGeneral Practice and PrimaryHealth Care,GhentUniversity,Ghent, Belgium. 2Department of PublicHealth Sciences,
University of Edinburgh, Edinburgh, UK
Contact address: An IM De Sutter, Department of General Practice and Primary Health Care, Ghent University, 1K3, De Pintelaan
185, Ghent, 9000, Belgium. an.desutter@UGent.be. (Editorial group: Cochrane Acute Respiratory Infections Group.)
Cochrane Database of Systematic Reviews, Issue 1, 2009 (Status in this issue: Edited)
Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd.
DOI: 10.1002/14651858.CD001267
This version first published online: 21 July 2003 in Issue 3, 2003. Re-published online with edits: 21 January 2009 in Issue 1, 2009.
Last assessed as up-to-date: 27 May 2003. (Help document - Dates and Statuses explained)
This record should be cited as: De Sutter AIM, LemiengreM, Campbell H. Antihistamines for the common cold. Cochrane Database
of Systematic Reviews 2003, Issue 3. Art. No.: CD001267. DOI: 10.1002/14651858.CD001267.
A B S T R A C T
Background
Although antihistamines are prescribed in large quantities for the common cold, there is little evidence as to whether these drugs are
effective.
Objectives
To assess in patients with a common cold the effects of antihistamines in alleviating nasal symptoms, or the shortening the duration of
illness.
Search strategy
We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2002, issue 4), which contains
the Acute Respiratory Infections Group’s Specilaized Register;MEDLINE (1966 to February 2003); and EMBASE (1987 toDecember
2002).
Selection criteria
Randomised, placebo-controlled trials on treatment of common cold with antihistamines, used either singly or in combination, in
adults or children.
Data collection and analysis
Two review authors extracted data and trial authors were contacted for further data. Trials were subdivided into monotherapy and
combination therapy.Data on general recovery, nasal obstruction, rhinorrhea, sneezing, and side-effectswere extracted and summarized.
Main results
We included 32 papers describing 35 comparisons; 22 trials studied monotherapy, 13 trials a combination of antihistamines with other
medication. A total of 8930 people suffering from the common cold were included. There were large differences in study designs,
participants, interventions, and outcomes. There was no evidence of any clinically significant effect - in children or in adults - on general
recovery of antihistamines in monotherapy. First generation - but not non-sedating - antihistamines have a small effect on rhinorrhea
and sneezing. In trials with first generation antihistamines the incidence of side effects (especially sedation) is significantly higher with
active treatment.
Antihistamines for the common cold (Review) 1
Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd.
Two trials, studying a combination of antihistamines with decongestives in small children, both failed to show any effect. Of the 11
trials on older children and adults, the majority show an effect on general recovery and on nasal symptom severity.

Authors’ conclusions

Antihistamines in monotherapy - in children as well as in adults - do not alleviate to a clinical extent nasal congestion, rhinorrhoea and
sneezing, or subjective improvement of the common cold. First generation antihistamines also cause more side-effects than placebo, in
particular they increase sedation in cold sufferers.
Combinations of antihistamines with decongestives are not effective in small children. In older children and adults most trials show a beneficial effect on general recovery as well as on nasal symptoms. However, it is not clear whether these effects are clinically significant.

[desktop]

是小孩嗎? < 12 yo,不建議用mequitazine

[LionHsu]

謝謝李p的指導

[sanmartin]

病患是大人呀

[hsu]

mequitazine 被刪原因是開同性質藥品
....無奈....mequitazine是antihistamin 類
pseudoephedrine是decongestant.......怎麼會是同一類??????
..還是小弟知識太差倆者是同一類??????
有人可以解救我嗎????....無奈

可見你經驗不足
涉世不深
答案就是
要刪藥是不需任何理由的
只需給你一個代碼
不服？
那就申覆吧

[kkk]

小弟也被刪過
如果沒放大回推 ,那就算了 ;否則 ,拼了,一定要申覆!

[DR.HSU]

審查醫師可能認為mequitazine是用於鼻過敏或皮膚過敏.用於URI不恰當.如果診斷沒有鼻過敏或皮膚過敏.在病歷上敘述一下病患過敏情形及病史再申覆看看.

[big T]

審查醫師只是比你有空
不是比你有學問

但是審查從來不是比學問的事

[sanmartin]

審查醫師可能認為mequitazine是用於鼻過敏或皮膚過敏.用於URI不恰當.如果診斷沒有鼻過敏或皮膚過敏.在病歷上敘述一下病患過敏情形及病史再申覆看看.

.........................................被刪原因是開相同性質的藥
antihistamin = decongestant ...二者是同性質.......
唉......

[DR.HSU]

審查醫師可能認為mequitazine是用於鼻過敏或皮膚過敏.用於URI不恰當.如果診斷沒有鼻過敏或皮膚過敏.在病歷上敘述一下病患過敏情形及病史再申覆看看.

.........................................被刪原因是開相同性質的藥
antihistamin = decongestant ...二者是同性質.......
唉......

審查醫師核刪原因~下錯了. (偽可愛)

申複理由就說明二者並非相同性質的藥.再加述病患鼻過敏病狀及病史.

[DrHead]

親愛的同學:)

這算送分題
應該感到高興
不是嗎?

申覆結果記得上來報一下嘿...

[wufafa]

健保局要刪藥是不需任何理由的
先刪在說，等你申覆說
在醫院做醫生，還要被醫院扣薪水 (還是加入總額比較好 )

[drped60]

我覺得很扯

但我們醫院很多ｖｓ為此把其中一個藥改成自費

我比較鐵齒

所以還是照開

[Cate]

健保局的同性質跟我們的同性質不一樣
他們認為吃流鼻水的藥就是同性質，管你是antihistamin或decongestant
就如同開medicon, 就不能加化痰藥一樣，在他們認為就是治療咳嗽的藥

[ulcamed]

Authors’ conclusions

Antihistamines in monotherapy - in children as well as in adults - do not alleviate to a clinical extent nasal congestion, rhinorrhoea and
sneezing, or subjective improvement of the common cold. First generation antihistamines also cause more side-effects than placebo, in
particular they increase sedation in cold sufferers.
Combinations of antihistamines with decongestives are not effective in small children. In older children and adults most trials show a beneficial effect on general recovery as well as on nasal symptoms. However, it is not clear whether these effects are clinically significant.[/quote]

if this is the case, then there is no need to visit a doctor for common cold. this is true. we all know that. but then all PMD will be out of business. Also, why are there so many OTC common cold remedies? Why did our authority approve these medication? It does not make any sense at all.

[ulcamed]

健保局的同性質跟我們的同性質不一樣
他們認為吃流鼻水的藥就是同性質，管你是antihistamin或decongestant
就如同開medicon, 就不能加化痰藥一樣，在他們認為就是治療咳嗽的藥

感冒不用看醫生。健保省很多阿，不是嗎？