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How to choose "medicinal blood tonic" correctly?

Date:2020-03-03

Rational selection of blood tonic


At present, there are many kinds of blood tonics, which can be roughly divided into the following categories: iron, vitamins, adrenocortical hormones, androgens, etc.


Iron is mainly used in the prevention and treatment of iron deficiency anemia. At present, there are mainly ferrous sulfate, ferrous fumarate, ferrous gluconate, ferrous dextran, ferrous succinate, polysaccharide iron complex sold in the pharmacy, among which ferrous sulfate is inorganic iron and others are organic iron.


In addition, there are many traditional Chinese medicine preparations for iron supplement, such as Xuebao capsule, Xuebao oral liquid, Weixue granules, Xuekang granules, etc. Inorganic iron is cheap and good in quality. Its biggest disadvantage is the obvious adverse reactions in gastrointestinal tract.


Organic iron, such as oral iron dextran, ferrous succinate, polysaccharide iron complex, etc., has high iron content. Compared with ferrous sulfate, it has less adverse reactions and similar efficacy, but its price is higher.


All kinds of iron and blood tonics should be used under the guidance of doctors according to the condition of each patient. When taking "blood tonic", some foods will also affect the absorption of iron, such as tea, coffee, eggs, milk, food with more dietary fiber, etc. should be eaten as little as possible.


Vitamin drugs, including vitamin B12, folic acid, etc., have special effects on megaloblastic anemia caused by the lack of folic acid and vitamin B12, and have no effect on other anemia. Large dose of vitamin B6 is effective in the treatment of primary or hereditary iron granulocytopenia, but not in other anemia. It can be seen that the mechanism of various vitamin drugs in the treatment of anemia is different, so it can not be used blindly.


Corticosteroids such as prednisone (prednisone), dexamethasone and so on. Because of the immunosuppressive effect of this kind of drugs, it has a good effect on autoimmune hemolytic anemia; it also has a certain effect on paroxysmal nocturnal hemoglobinuria and spherocytosis. But this kind of drugs can only be used under the premise of disease diagnosis.


Androgen drugs such as testosterone propionate, stanazol, danazol and so on. This kind of medicine is necessary for the treatment of aplastic anemia, and it also has a good effect on the anemia accompanied by myeloma and myelodysplastic syndrome. Its pharmacological effect is mainly to stimulate the proliferation of erythroid hematopoietic cells, the main side effect is prone to acne, masculine performance and liver damage. In addition, erythropoietin (EPO) is a kind of biological regulator produced by high technology in recent years. It is also the most effective drug for the treatment of renal anemia. It can also be used for the treatment of anemia caused by aplastic anemia, leukemia and other tumors. It can effectively stimulate the hematopoiesis, differentiation and hemoglobin synthesis of patients' red blood cell lines. The main side effects of the drug can increase blood pressure, so it should be used with antihypertensive drugs.


In a word, anemia is a disease with complex etiology. Different types of blood tonics have different pharmacological effects. Patients should choose blood tonics reasonably under the guidance of specialists.

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