高血壓 高尿酸 慢性腎病 胰島素 https://2019medicinenote.blogspot.com/2019/12/blog-post_57.html . 糖尿病相關筆記~目錄 https://2019medicinenote.blogspot.com/2020/01/blog-post_4.html

2023年6月12日 星期一

野外與登山醫學-安眠藥物會不會提高罹患高海拔疾病風險?

 在uptodate上面沒找到明確答案. 不過在這個網站有提到
1. BZD類的鎮定安眠藥物可能會呼吸抑制. 導致血氧降更低. 可能有風險.不建議使用
2. Ambien® or Lunesta 相對上比較安全
在台灣. 與Ambien同成分藥物, 大家比較常聽到的是史蒂諾斯 stilnox, 它們的成分是 zopidem
Lunesta 成分是 Eszopiclone.
Ambien 和 Lunesta 兩類藥物都可能引起夢遊問題, 且這兩種是管制藥物. 需經醫師評估才能處方開立. 
[2019-05-02]3種成分安眠藥可能引發夢遊 衛福部:評估是否強化警示




INSTITUTE FOR ALTITUDE MEDICINE

HOW CAN I PREVENT ALTITUDE ILLNESS?

As with any illness, prevention is always the best approach. These are things you can do to improve your chances of not getting altitude illness.

  • Slow ascent to altitude is the key to prevention. Almost anyone can get altitude illness if they go too high, too quickly. Because of the individual differences, a preventive rate of ascent for one person may be too slow or fast for another.
  • An overnight stay at an intermediate altitude such as Denver (5280 ft) or preferably a bit higher prior to further ascent into the mountains is very helpful. If traveling to Telluride, overnighting in Ridgway, Ouray, Placerville or Durango would be helpful, especially if the destination is Mountain Village.
  • Staying hydrated is important as it aids your body in acclimatizing.
  • Avoid use of alcohol or sleeping agents of the benzodiazepine family, since they both suppress breathing and result in lower blood oxygen. Other sleeping pills like Ambien® or Lunesta® do not affect breathing at high altitude and are safe. Avoid over-exertion for 1-2 days after arrival to altitude.
  • Acetazolamide (Diamox®) taken 24 hours prior to arrival to altitude and the first 2 days at altitude is 75% effective in preventing AMS. It speeds up the acclimatization process in the body, stimulates breathing, raises blood oxygen and increases urination.
  • Gingko biloba, according to some studies was effective in preventing AMS when started 5 days prior to ascending to altitude, at a dose of 100 mg twice a day.

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秒懂家醫科-血糖血脂(膽固醇)

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