"Should 'Ai Wei Ni Fu' be chewed and taken before or after meals?"
Hello Doctor: I have been experiencing frequent stomach discomfort and a sensation of something stuck in my throat recently, and I have visited the gastroenterology clinic several times.
However, after taking medication intermittently for a few weeks, there has been no improvement.
Both a standard gastroscopy and a transnasal gastroscopy were unsuccessful (the doctor mentioned my body is too sensitive), and I was referred to a larger hospital.
The earliest appointment for a painless gastroscopy at the larger hospital is scheduled for a month later.
After briefly discussing my symptoms, the doctor prescribed a 14-day supply of "Aiwai Reverse." When I picked up the medication, the pharmacist explained that it should be chewed and taken about 30 minutes before meals.
However, my condition has not improved at all...
I checked the medication insert and various hospital guidelines online, which all recommend taking it after meals, with a suggestion to take it before bed for better results??? This is completely unexpected.
Should I consider changing the instructions for taking the medication? Thank you!
Taiyang, 30~39 year old female. Ask Date: 2021/09/12
Dr. Chen Shidian reply Gastroenterology and Hepatology
It is recommended to use it after meals or before bedtime.
Reply Date: 2021/09/12
More Info
When it comes to taking medications like Ai Wei Ni (艾胃逆), which is often prescribed for gastrointestinal discomfort, the timing of administration can significantly impact its effectiveness. Based on your description, it seems there is some confusion regarding whether to take the medication before or after meals.
Typically, the instructions for medications can vary based on their formulation and the specific condition they are intended to treat. In the case of Ai Wei Ni, it is essential to follow the guidance provided by your healthcare provider or pharmacist, as they have the best understanding of your individual health needs. However, I can provide some general insights into the rationale behind the timing of medication intake.
1. Before Meals vs. After Meals:
- Before Meals: Taking medication like Ai Wei Ni approximately 30 minutes before meals may be recommended to enhance its absorption and effectiveness. This timing allows the medication to be present in the gastrointestinal tract when food is ingested, potentially improving its ability to alleviate symptoms such as acid reflux or indigestion.
- After Meals: On the other hand, some medications are advised to be taken after meals to minimize gastrointestinal irritation or to ensure that the medication works in conjunction with the digestive process. This can be particularly relevant for medications that are meant to coat the stomach lining or neutralize stomach acid.
2. Consulting with Healthcare Providers: Given that you have experienced ongoing gastrointestinal discomfort and have not seen improvement with the current regimen, it is crucial to communicate this to your healthcare provider. They may consider adjusting your treatment plan or exploring alternative medications that might be more effective for your symptoms.
3. Monitoring Symptoms: Keep a detailed record of your symptoms, including when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider in determining the best course of action.
4. Potential Side Effects: If you are experiencing side effects from the medication, such as increased discomfort or new symptoms, it is essential to report these to your doctor. They may need to reassess your treatment plan or consider other underlying conditions that could be contributing to your symptoms.
5. Follow-Up Appointments: Since you have a follow-up appointment for a gastroscopy, it is advisable to keep that appointment. The results of the gastroscopy can provide critical insights into your gastrointestinal health and help tailor your treatment more effectively.
In conclusion, while the timing of taking Ai Wei Ni can vary based on individual circumstances and specific medical advice, it is essential to adhere to the guidance of your healthcare provider. If there is a discrepancy between what the pharmacist advised and what you found online, it is best to clarify this with your doctor. They can provide personalized recommendations based on your health status and ensure that you receive the most effective treatment for your gastrointestinal issues. Always prioritize open communication with your healthcare team to achieve the best outcomes for your health.
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