Chapter 1488: Point 8 of Precautions

He glanced at Zheng Ren and Su Yun who were sitting next to him, and said contemptuously, "Get two security guards and pretend to be doctors in white coats. Do you think you'll be fine?"

"Hey, who said we were security guards?" Su Yun said unhappily when he was eating melons to watch the excitement.

"Boss Zheng, Doctor Su..." Linger didn't expect the artillery fire to extend, and he was a little panicked at this time.

I just dealt with this dispute, and I didn't take it seriously. But I didn't expect to bring Boss Zheng in. This is a mess.

"Don't make trouble, Su Yun." Zheng Ren held down Su Yun and smiled, "You talk, Su Yun and I will wait."

"You all wear white coats, come and tell me why you poop out of pills," the middle-aged man said.

He felt that Ringer was too difficult to deal with, and he couldn't let go. These two young security guards, who probably didn't know anything, happened to be sitting here.

Young people, it is estimated that they will say the wrong thing. Once you get yourself caught, it's interesting.

"Nifedipine controlled-release tablets are indeed not completely absorbed." Zheng Ren said: "The situation you encounter is the most common one."

"Common?" The middle-aged man sneered, "Then why haven't I heard of others."

Zheng Ren wanted to say that there are really not many people who look back after defecation.

But you can't say it, and if you say it, you'll have a fight. Although I am not afraid of fighting, it is not good to break people.

"Boss Zheng, you..." Seeing Zheng Ren talking, Linger just wanted to ask you about nifedipine controlled-release tablets, but he felt stupid before he said it.

Can Boss Zheng not understand?

Don't think of him as a clinical doctor. He is a visiting professor at Mayo.

"This gentleman, it happens that Professor Zheng, a visiting professor at the Mayo Clinic, is here, let him talk to you." Linger said slowly.

Mayo Clinic? what is that? Sounds like a small clinic. Is it in Sanlitun or Zuojiazhuang?

The middle-aged man said disdainfully, "What would the doctor at the clinic know?"

"You have time to check the Mayo Clinic online to avoid misunderstandings." Ringer smiled and did not continue to explain.

Zheng Ren searched, took out a piece of paper from the printer, walked to the coffee table, and said gently, "Then let me explain."

"Nifedipine controlled-release tablets are indicated for hypertension or chronic stable angina pectoris of coronary heart disease." Zheng Ren's voice was heavy, with an irrefutable feeling.

"If you have read the instructions carefully, you will notice the warning, do not bite, chew, or break the tablet. After the active ingredient is absorbed, the empty tablet is completely excreted through the intestines." Zheng Rendao.

"What?!" The middle-aged man was startled.

He didn't believe what Zheng Ren said at all. Just seeing Zheng Ren's expression and the calmness of his speech, he was a little flustered.

From the manner and expression, the middle-aged man can tell that what Zheng Ren said is true!

"Director Lin, print a description for him." Zheng Ren looked at the middle-aged man and said.

Ringer stood up, went to the computer to open the file, found the instructions for the nifedipine controlled-release tablet, and clicked print.

"The nifedipine controlled-release tablets sold by the hospital now come in two specifications, one is produced by Bayer in Germany, and the other is domestic." Zheng Ren glanced at the sealed plastic bag on the coffee table. "Looking at the structure, it should be an imported drug, which is produced by the German company Bayer."

"If I remember correctly, there are similar instructions in the eighth point of precautions in the instructions for imported nifedipine controlled-release tablets."

Ringer came to the middle-aged man with a piece of warm A4 paper and handed it to him.

"Eighth point, this product has a non-absorbable shell, which allows the drug to be slowly released into the body for absorption. When this process is complete, the complete empty tablet can be found in the feces."

According to what Zheng Ren said, the middle-aged man effortlessly found the eighth point of attention.

His face suddenly turned pale.

"It's impossible!" the middle-aged man whispered.

"If you think it's impossible, or if there are any problems with the documents here, you can go home and read the instructions for the nifedipine controlled-release tablets you bought yourself." Zheng Ren smiled slightly, "It should be no different from the instructions printed by the medical department. ."

Director Lin sighed that he had worked all his life and encountered dozens of such dissident patients. So far, I can only explain to him with the manual.

Note eighth point...

I can't remember such details.

Boss Zheng has a good memory, but do they often use nifedipine controlled-release tablets in the interventional department?

"How is this possible?" The middle-aged man was surprised and muttered to himself, "How come there are empty pills?"

"Sir, the effect of controlled-release tablets is different from what we usually think of drugs." Zheng Ren explained very gently: "Take the nifedipine controlled-release tablet you take as an example, it is a dual-chamber osmotic pump controlled-release preparation. "

"The feature of this formulation is that during the release process, its dosage form shell does not change. The push layer swells with water and releases the active ingredients through the pores on the semipermeable membrane."

While speaking, Zheng Ren drew a circular three-dimensional structure on A4 paper.

Because the height is relatively small, it does not look like a cylinder.

The middle-aged man felt very familiar, that is, the nifedipine controlled-release tablet he took was enlarged ten times.

"The shell of the dosage form may be completely retained in the body and excreted with the stool."

"Then why didn't you tell me?!" The patient was a little angry, thinking that he was tricked by the hospital and tricked!

"That's right, you go home and look at the outer packaging of the medicine. If I remember correctly, the top of the front is a red background with white handwriting and the words Nifedipine Controlled Release Tablets written on it." Zheng Ren said, while Draw a picture of the medicine box.

The middle-aged man was speechless, not knowing what Zheng Ren was talking about.

"Below is a yellow stripe with the trade name of the drug. Further down, to the right of the center, there is a box that says Do not bite, chew, or break the tablet. After the active ingredient is absorbed, the tablet is empty. Complete intestinal excretion."

"..." The man was speechless.

Zheng Ren's paintings were so realistic that he vaguely remembered similar images in his mind.

But is it really written on it?

Ringer brought another piece of paper, an image of the outer packaging of nifedipine controlled-release tablets.

Sure enough, just like what Zheng Ren said, a paragraph was divided into four lines and appeared in front of the man.

"It's alright, it's just a misunderstanding." Zheng Ren smiled and said, "This is normal. Even a medical doctor, not everyone knows exactly how controlled-release tablets work."

After he finished speaking, he pushed the A4 paper on which the tablet structure and outer packaging were drawn to the middle-aged man.

"I'm sorry..."

...

...

Note: Perhaps 80% of the local medical staff will not know this.