Managing Side Effects of Medications for Sialadenitis Treatment - Otolaryngology

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Regarding the side effects of medications used to treat mumps?


Hello Doctor, due to symptoms of parotitis, the hospital physician prescribed me the following medications: 1.
Vitamins - take two capsules every 12 hours.
2.
Anti-inflammatory and expectorant - take one capsule every 6 hours.
3.
Pain reliever - take one capsule every 6 hours.
I have been taking the medication for 5 days, and I experience dizziness and nausea when taking the second and third medications.
What methods can help alleviate the dizziness and nausea?

Ms. Wu, 20~29 year old female. Ask Date: 2021/05/07

Dr. Zheng Jueyi reply Otolaryngology


Hello, if increasing water intake to boost metabolism does not show significant improvement, it is recommended to return for an earlier follow-up appointment for the physician to assess whether a medication adjustment is necessary.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/05/07

More Info


Managing side effects from medications, especially in the context of treating sialadenitis, is crucial for ensuring patient comfort and adherence to the treatment regimen. Sialadenitis, an inflammation of the salivary glands, can be quite uncomfortable, and the medications prescribed often come with their own set of side effects. In your case, it seems you are experiencing dizziness and nausea after taking the medications for pain relief and reducing swelling and phlegm.


Understanding Your Medications
1. Vitamins: While vitamins are generally safe, taking them in excess can lead to side effects. It's important to ensure that you're not exceeding the recommended dosage.

2. Decongestants or Mucolytics: If the medication prescribed for "消腫化痰" (reducing swelling and phlegm) is a decongestant or mucolytic, these can sometimes cause dizziness or nausea as side effects. Decongestants can lead to increased heart rate and blood pressure, which might contribute to feelings of dizziness.

3. Pain Relievers: Non-steroidal anti-inflammatory drugs (NSAIDs) or other analgesics can also cause gastrointestinal upset, leading to nausea. If the pain reliever is an opioid, dizziness and nausea are common side effects.


Strategies to Manage Dizziness and Nausea
1. Hydration: Ensure you are drinking plenty of fluids. Dehydration can exacerbate dizziness and nausea. Ginger tea or peppermint tea can be particularly soothing for nausea.

2. Dietary Adjustments: Eating small, bland meals can help settle your stomach. Foods like crackers, toast, or bananas are gentle on the stomach and can help reduce nausea.

3. Rest: If you feel dizzy, it’s important to sit or lie down until the feeling passes. Avoid sudden movements and get up slowly from sitting or lying positions.

4. Medication Timing: If possible, take your medications with food to minimize gastrointestinal upset. This can help buffer the effects of the medications on your stomach.

5. Consult Your Doctor: Since you are experiencing these side effects consistently, it’s essential to communicate this to your healthcare provider. They may adjust your medication regimen, change dosages, or suggest alternative medications that are less likely to cause these side effects.

6. Over-the-Counter Remedies: For nausea, over-the-counter medications like meclizine or dimenhydrinate can be helpful, but you should consult your doctor before taking any additional medications.


When to Seek Immediate Help
If your dizziness and nausea worsen or if you experience additional symptoms such as severe headache, confusion, or fainting, seek medical attention immediately. These could be signs of a more serious reaction to the medications or an underlying condition that needs to be addressed.


Conclusion
Managing side effects is an integral part of treatment, especially for conditions like sialadenitis where the discomfort can be significant. By taking proactive steps to manage your symptoms and maintaining open communication with your healthcare provider, you can improve your overall treatment experience. Remember, your health and comfort are paramount, and adjustments can often be made to ensure you are on the right path to recovery.

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