ផល​រ​ង​-​ពី​-​ថ្នាំ​ ​Metronidazole​: ​ហេតុ​អ្វី​បាន​ជា​មាន​រសជាតិ​ដែក​កើតឡើង​ ​និង​វា​មាន​រយៈពេល​យូរ​ប៉ុនណា​

ផល​រ​ង​-​ពី​-​ថ្នាំ​ ​Metronidazole​ ​ភាគច្រើន​គឺ​មាន​រសជាតិ​ដែក​ ​ច​ង់​ក្អួត​ ​រាគ​ ​និង​ឈឺ​ក្រពះ​ ​ហើយ​វា​នឹង​បាត់​ទៅ​វិញ​ក្នុង​រយៈពេល​មួយទៅ​ពីរថ្ងៃ​បន្ទាប់​ពី​លេប​ថ្នាំ​ចុងក្រោយ​។ ​រសជាតិ​នេះ​គឺ​ជា​ថ្នាំ​នៅ​ក្នុង​ទឹកមាត់​របស់​អ្នក​ ​មិនមែន​ជា​អា​ឡែ​រ​ហ្សី​ទេ។ ​ការ​ស្ពឹក​ឬ​រមួល​នៅ​ដៃ​ឬ​ជើង​ជា​ករណី​លើកលែង​ដែល​ត្រូវការ​ការ​ពិគ្រោះ​ពី​គ្រូពេទ្យ​។

TL;DR: ​ចំណុច​សំខាន់​

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• រសជាតិ​ដែក​ជា​ផល​រ​ង​-​ពី​-​ថ្នាំ​ដែល​គេ​រំពឹង​ទុក​ ​មិនមែន​ជា​ប្រតិកម្ម​អា​ឡែ​រ​ហ្សី​ ​និង​មិនមែន​ជា​សញ្ញា​ដែល​បង្ហាញ​ថា​ថ្នាំ​អង់​ទី​ប​យ៉ូ​ទិច​កំពុង​បរាជ័យ​ទេ។
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• វគ្គ​ធម្មតា​: ​ចាប់ផ្តើម​ក្នុង​រយៈពេល​មួយ​ឬ​ពីរ​ដូ​ស​ដំបូង​ ​ឡើង​ដល់​កម្រិត​ខ្ពស់​បំផុត​នៅ​ថ្ងៃ​ទី​ ២ ​ដល់​ ៣ ​ ​ហើយ​ត្រឡប់​ទៅ​ធម្មតា​វិញ​ក្នុង​រយៈពេល​ ៣ ​ ​ទៅ​ ៧ ​ ​ថ្ងៃ​បន្ទាប់​ពី​ដូ​ស​ចុងក្រោយ​។
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• ត្រូវ​លេប​ថ្នាំ​ឱ្យ​ចប់​វគ្គ​។ ​ការ​ឈប់​មុន​កំណត់​ដោយសារ​តែ​អាហារ​មាន​រសជាតិ​មិនល្អ​ ​គឺជា​កំហុស​ចម្បង​ដែល​អាច​ជៀសវាង​បាន​។
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• ច្បាប់​ចាស់​ដែល​ថា​ \"​មិន​ផឹក​អាល់កុល​ \" ​ត្រូវ​បាន​បោះបង់​ដោយ​ CDC ​ ​ទោះបីជា​អាល់កុល​នៅតែ​អាច​ធ្វើ​ឱ្យ​ច​ង់​ក្អួត​កាន់តែ​អាក្រក់​ក៏ដោយ​។
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• ការ​ស្ពឹក​ ​រមួល​ ​ឬ​រលាក​នៅ​ដៃ​ឬ​ជើង​ ​គឺជា​សញ្ញា​ព្រមាន​ដែល​ត្រូវការ​ការ​វាយតម្លៃ​ ​មិនមែន​ការ​អត់ធ្មត់​ទេ។
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ផល​រ​ង​-​ពី​-​ថ្នាំ​ ​Metronidazole​ ​ភាគច្រើន​ជា​បញ្ហា​មាត់​និង​ពោះវៀន​ ​មិនមែន​ជា​សញ្ញា​គ្រោះថ្នាក់​

ផល​រ​ង​-​ពី​-​ថ្នាំ​ ​Metronidazole​ ​ភាគច្រើន​មាន​កំណត់​ត្រឹម​មាត់​និង​ពោះវៀន​: ​រសជាតិ​ដែក​ខ្លាំង​ ​ច​ង់​ក្អួត​ ​រាគ​ ​ឈឺ​ក្រពះ​ ​និង​ឈឺក្បាល​។ ​រោគ​សញ្ញា​ទាំងនេះ​ចាប់ផ្តើម​ឆាប់​ ​ឡើង​ដល់​កម្រិត​ខ្ពស់​បំផុត​នៅ​ពាក់កណ្ដាល​វគ្គ​ ​និង​បាត់​ទៅ​វិញ​ក្នុង​រយៈពេល​ប៉ុន្មាន​ថ្ងៃ​បន្ទាប់​ពី​លេប​ថ្នាំ​ចុងក្រោយ​។ ​មាន​ប្រតិកម្ម​ធ្ងន់ធ្ងរ​ ​ប៉ុន្តែ​កម្រ​កើតមាន​: ​ផល​រ​ង​-​លើ​ប្រព័ន្ធ​ប្រសាទ​ ​ដូចជា​ស្ពឹក​ឬ​រមួល​នៅ​ដៃ​និង​ជើង​ ​និង​ផល​រ​ង​-​លើ​ប្រព័ន្ធ​ប្រសាទកណ្ដាល​ ​ដូចជា​ប្រកាច់​ឬ​ភាន់ច្រឡំ​។

Flagyl​ ​គឺជា​ពាណិជ្ជ​សញ្ញា​របស់​ម៉ូលេគុល​ដដែល​ ​ដូច្នេះ​ផល​រ​ង​-​ពី​-​ថ្នាំ​ ​Flagyl​ ​និង​ផល​រ​ង​-​ពី​-​ថ្នាំ​ ​Metronidazole​ ​ទូទៅ​ ​គឺ​ជា​បញ្ជី​តែមួយ​ ​មិនមែន​ពីរ​ទេ។ ​មិនថា​ដប​របស់​អ្នក​សរសេរ​ថា​ ​Flagyl​ ​ ​Flagyl ER​ ​ ​ឬ​ ​metronidazole 500 mg​ ​ ​ទេ​ ​ផល​រ​ង​-​ពី​-​ថ្នាំ​ ​Flagyl​ ​ដែល​ឱសថ​ការី​របស់​អ្នក​បាន​និយាយ​ ​គឺ​កើត​ចេញពី​ថ្នាំ​ដោយផ្ទាល់​។

រសជាតិ​នេះ​មិនមែន​ជា​រឿង​ដែល​អ្នក​ដែល​សរសេរ​ស្លាក​មិន​បាន​ដឹង​។ ​ព័ត៌មាន​ prescribing ​ដែល​ត្រូវ​បាន​យល់ព្រម​ដោយ​ ​FDA​ ​នៅលើ​ ​DailyMed​ ​ ​បាន​បញ្ជាក់​យ៉ាង​ច្បាស់​ថា​ \"​រសជាតិ​ដែក​ខ្លាំង​ ​មិន​ល្អ​ ​មិនមែន​ជារឿង​ចម្លែក​ទេ។ \"​ ​ស្លាក​ឆ្នាំ​ ២០១៨ ​ ​ដដែល​ ​ក៏​បាន​ចុះ​បញ្ជី​ ​ลิ​ង​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​-​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ʻThe metallic taste is an expected pharmacologic effect, not an allergic reaction and not a sign the antibiotic isA metallic taste is one of the most common side effects of metronidazole, a widely used antibiotic. It is caused by the drug itself, not an allergy. The taste is the drug in your saliva, not an allergy. This taste is a common side effect of metronidazole. It occurs because the drug is metabolized and excreted into saliva, where it interacts with taste receptors. The metallic taste usually begins within the first few doses of treatment and can last for the duration of the course. It typically fades within a day or two after the last dose, but some individuals may experience it for up to a week. The intensity of the taste can vary from person to person. While the metallic taste is generally harmless, it can be quite unpleasant and may affect appetite or the enjoyment of food. However, it's important to continue taking the medication as prescribed to effectively treat the infection. Here are some tips to manage the metallic taste: * **Continue the full course of medication:** Do not stop taking metronidazole early, even if the taste is bothersome. Finishing the prescribed course is crucial for the medication to be effective. * **Stay hydrated:** Drink plenty of water throughout the day. * **Use flavor enhancers:** Try tart or acidic foods like citrus fruits, pickles, or vinegar-based dressings to help mask the metallic taste. Sugar-free candies or gum can also be helpful. * **Avoid metal utensils:** Using plastic or bamboo utensils might help reduce the perception of a metallic taste. * **Practice good oral hygiene:** Brush your teeth and tongue regularly. Rinsing with a baking soda solution (half a teaspoon of baking soda in a cup of water) can also help neutralize tastes. If you experience other concerning side effects, such as numbness or tingling in your hands or feet, or severe nausea or diarrhea, it is important to contact your healthcare provider. However, for the metallic taste itself, continuing the medication and using the tips above is usually sufficient.