2022年12月23日
科普｜对乙酰氨基酚你用对了吗？服用过量怎么办？
近日，“新冠囤药清单”话题在网络上引起广泛讨论，清单中的退热药对乙酰氨基酚更是被推上“神坛”，引发抢购热潮。
上海市同仁医院主任药师李玲、主管药师王菁在此提醒广大的居民朋友：“用药需谨慎。”药品的使用是把双刃剑，药品的正确使用可以加速恢复健康，使用不当则可能造成药物中毒，把自己吃进医院。
问：服用乙酰氨基酚的安全剂量是多少？
答：关于对乙酰氨基酚的安全剂量，成人为口服每次300-600mg，日剂量不超过2克，退热疗程不宜超过3天。针对儿童，适用于2月龄以上的儿童，12岁以下儿童每次10-15mg/kg，2次用药间隔为4-6小时，24小时内服用不超过4次。
问：儿童、老人等特殊人群怎么选择药物？
答：儿童：家长为儿童选择药物时，要选择适合年龄的药物。一般两个月以上六个月以下的婴儿推荐对乙酰氨基酚的单方制剂。家长在使用前认真阅读说明书，按照说明书给药，注意用药剂量和用药间隔。
老年人：老年人如果有肾脏和胃肠疾病如溃疡、炎性肠病者，最好选择对乙酰氨基酚。
孕妇：孕妇应当在医生或者药师的指导下用药，退热建议选取对乙酰氨基酚的单方制剂。
问：退烧药可以和感冒药一起吃吗？
答：现在市面上很多退烧药、复方感冒药、中成药中都含有对乙酰氨基酚的成分，正常剂量使用的话问题不大，但超剂量服用就可能会引发肝损伤，严重的还会导致急性肝衰竭，使用前一定要看清楚药品成分，切勿重复用药，造成对乙酰氨基酚成分过量或蓄积，从而导致药品毒副反应。
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上海市同仁医院主任药师李玲、主管药师王菁在此提醒广大的居民朋友：“用药需谨慎。”药品的使用是把双刃剑，药品的正确使用可以加速恢复健康，使用不当则可能造成药物中毒，把自己吃进医院。
问：服用乙酰氨基酚的安全剂量是多少？
答：关于对乙酰氨基酚的安全剂量，成人为口服每次300-600mg，日剂量不超过2克，退热疗程不宜超过3天。针对儿童，适用于2月龄以上的儿童，12岁以下儿童每次10-15mg/kg，2次用药间隔为4-6小时，24小时内服用不超过4次。
问：儿童、老人等特殊人群怎么选择药物？
答：儿童：家长为儿童选择药物时，要选择适合年龄的药物。一般两个月以上六个月以下的婴儿推荐对乙酰氨基酚的单方制剂。家长在使用前认真阅读说明书，按照说明书给药，注意用药剂量和用药间隔。
老年人：老年人如果有肾脏和胃肠疾病如溃疡、炎性肠病者，最好选择对乙酰氨基酚。
孕妇：孕妇应当在医生或者药师的指导下用药，退热建议选取对乙酰氨基酚的单方制剂。
问：退烧药可以和感冒药一起吃吗？
答：现在市面上很多退烧药、复方感冒药、中成药中都含有对乙酰氨基酚的成分，正常剂量使用的话问题不大，但超剂量服用就可能会引发肝损伤，严重的还会导致急性肝衰竭，使用前一定要看清楚药品成分，切勿重复用药，造成对乙酰氨基酚成分过量或蓄积，从而导致药品毒副反应。
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