Is It Safe to Take Chuanli Ning Before Bed? - Pharmacology

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Can I take Chuan Li Ning before bedtime?


I have a habit of taking Xunli Ning because I had brain surgery after a car accident, which caused damage to my optic nerve and hearing.
My doctor recommended Xunli Ning, but I haven't been taking it after dinner; instead, I wait until bedtime to take it.
However, the instructions for Xunli Ning indicate that it should be taken after each meal.
Is it harmful to my body if I take it before bed? Additionally, I am currently in the process of quitting smoking, so sometimes I find myself smoking around the time I need to take my medication.
I would like to know if smoking after taking Xunli Ning or taking Xunli Ning after smoking has any negative effects on my recovery.

A-Kai, 20~29 year old female. Ask Date: 2013/11/24

Dr. Hou Fangmin reply Pharmacology


Hello, the extract from Ginkgo biloba, known as Cerenin, can reduce the peroxidation of membrane lipids during spinal injuries, protecting brain neurons against oxidative stress and minimizing neuronal damage.
The extract has been shown to increase antioxidant activity in the hippocampus of hypertensive rats.
Additionally, it stabilizes cell membranes, reduces blood viscosity, enhances peripheral and cerebral blood flow, and promotes microcirculation in the brain, thereby decreasing vascular spasms and fragility.
It can even increase blood flow velocity in the intraocular arteries, combat atherosclerosis, improve cognitive function, and enhance glucose and insulin metabolism.
Caution regarding drug interactions:
1.
Cerenin may increase the risk of seizures; therefore, it should not be used in conjunction with antiepileptic medications.

2.
It should not be combined with anticoagulants, as Ginkgo can elevate the risk of bleeding complications.

3.
Individuals with a known allergy to Ginkgo should avoid its use.

4.
Ginkgo preparations should not be used prior to surgery, as they may increase the risk of postoperative bleeding.
Regarding usage: Taking it before bedtime is acceptable as long as you do not eat and immediately go to sleep, as this can be detrimental to the gastrointestinal tract.
If food is still in the esophagus and has not yet reached the stomach, it can also harm the esophagus.
I hope this information is helpful to you.
Wishing you peace and joy.

Reply Date: 2013/11/24

More Info


When it comes to taking Chuanli Ning (循利寧), it is important to adhere to the recommended guidelines provided by your healthcare provider or the medication's instructions. Chuanli Ning is often prescribed for various conditions, including those related to neurological recovery, such as after a brain surgery. The instructions typically suggest taking it after meals to enhance absorption and minimize potential gastrointestinal side effects. Taking it before bed, especially if it is not in line with the prescribed schedule, may not provide the intended therapeutic benefits.

Taking medication at the correct times is crucial for maintaining stable drug levels in your body, which can significantly affect its efficacy. If you consistently take Chuanli Ning after meals, it allows for better absorption and utilization by your body. If you delay taking it until bedtime, you might not be getting the full benefit of the medication, especially if your meals are spaced out significantly from your bedtime. This could lead to fluctuations in the medication's effectiveness, which is particularly important in your case, given your history of brain surgery and the associated recovery process.

Regarding your concern about smoking, it is well-documented that smoking can have detrimental effects on recovery from various medical conditions, including those involving the nervous system. Nicotine and other harmful substances in cigarettes can interfere with blood flow, oxygen delivery, and overall healing processes. If you smoke shortly after taking Chuanli Ning, it may not directly affect the medication's action, but it could hinder your overall recovery. It is advisable to avoid smoking altogether, especially during your recovery phase, as it can exacerbate health issues and slow down healing.

If you find yourself in a situation where you need to smoke around the time you take your medication, it is best to prioritize your health. Consider waiting a sufficient amount of time after smoking before taking your medication, or vice versa. However, the best course of action would be to quit smoking entirely, as this will significantly improve your recovery prospects and overall health.

In summary, it is advisable to take Chuanli Ning as directed, ideally after meals, to ensure optimal absorption and effectiveness. Smoking should be minimized or eliminated to support your recovery, as it can negatively impact your health and healing process. If you have any further questions or concerns about your medication or recovery, it is always best to consult with your healthcare provider for personalized advice tailored to your specific situation.

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