What medicine is good for adults with mumps?

Will improper use of medication lead to mumps? Everyone knows that there are many factors that lead to mumps, among which mumps caused by improper use of medication is not uncommon, which should attract the attention of doctors, pharmacists and patients. So, what medicine is good for adults with mumps?

Erythromycin: The antibacterial spectrum of erythromycin is similar to that of penicillin, and it is mainly antibacterial to Gram-positive bacteria. Clinical studies have shown that this drug can directly stimulate the parotid mucosa, causing damage to the parotid mucosa, causing vomiting, diarrhea, and abdominal pain in patients, and in severe cases, it can cause parotitis.

Aspirin: It is a commonly used antipyretic and analgesic drug in clinical practice, but aspirin can inhibit the synthesis of prostaglandins, causing ischemia of the parotid mucosa and increased secretion of parotid acid; at the same time, the accumulation of arachidonic acid, a precursor of prostaglandins, has a local irritating effect, which will increase its damage to the parotid mucosa. Large doses and long-term use of aspirin can induce parotitis and even cause subtle parotid bleeding.

Clopidogrel bisulfate: Also known as Plavix, it is suitable for patients with myocardial infarction, ischemic stroke, peripheral arterial disease and acute coronary syndrome. Compared with aspirin, the incidence of mumps is slightly lower, but it can also cause mumps and parotitis bleeding.

Prednisone acetate: also known as prednisone, is a glucocorticoid drug that regulates the biosynthesis and metabolism of sugar, fat, and protein, and also has the effects of inhibiting immune response, anti-inflammatory, antiviral, and anti-shock. Glucocorticoid drugs can change the thickness and composition of the parotid mucosa, thereby weakening the self-protection of the parotid mucosa and making the parotid mucosa susceptible to erosion by parotid acid. At the same time, glucocorticoid drugs can inhibit the renewal of parotid mucosal cells, causing acute ulcers in the digestive tract and causing a significant deterioration of potential chronic ulcers.

Cold medicine: There are many types of cold medicines, but most of them contain ingredients such as phenacetin, aminopyrine, caffeine, and phenobarbital. These ingredients are irritating to mumps and can often cause upper abdominal pain, nausea, and vomiting, especially caffeine and aminopyrine. In addition to directly irritating the mumps mucosa, caffeine also promotes the secretion of mumps acid, which can aggravate mumps, duodenal inflammation, and ulcers.

Anti-tumor drugs: Among anti-tumor drugs, most drugs can cause intestinal reactions in mumps, such as nausea and vomiting. Some drugs, such as lomustine, fluorouracil, carmofur, doxifluridine, cytarabine, methotrexate, idarubicin, etc., can directly stimulate the mumps mucosa and cause ulcers or bleeding.

Sulfonylurea hypoglycemic drugs: This type of drug mainly includes glibenclamide, gliclazide, glipizide, gliquidone, glimepiride, etc., which can excite the vagus nerve, increase the secretion of parotid acid and cause parotid mucosal damage, leading to parotitis, parotid bleeding, and parotid perforation.

Traditional Chinese medicine that can cause mumps: Traditional Chinese medicine that has the effects of dispelling wind and dampness, relieving pain and inflammation, and detoxification is generally irritating to mumps and may hurt mumps. Nausea expectorants, such as Platycodon grandiflorum and Polygala tenuifolia, can irritate the mumps mucosa after oral administration, causing mild nausea, and in severe cases can cause bleeding in mumps

For these drugs, doctors should explain the side effects clearly to patients when prescribing and pharmacists should remind patients when dispensing. If patients experience discomfort related to parotitis while taking these drugs, they should consult their doctors and pharmacists in time. If the symptoms are severe, the drug should be stopped immediately and the doctor should be asked to prescribe other alternative drugs as appropriate.