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Do you know how to use the cousli?

Last update date April 1, 2023

Illustration drinking a cousli


 The couris given at hospitals, clinics, and pharmacies indicate how to drink and use them in the bag containing the medicine (called yakutai medicine bag). For more information on how to drink the medicine information, please read it carefully.

Image of medicine bag
Medicine bag

Image of the drug's instructions
Manual of the cousin


* At the pharmacy, a pharmacist will give you a detailed explanation of which medicine works for what.

 Also, if you buy a commercially available courist, it always contains an "attached document". The method of drinking the couri, that is, "use" and "dosage" are always described. If you have any questions, consult your doctor, pharmacist, or registered seller.

Image on the front of the attached document
Attached document “Table”

Image on the back of the attached document
Attached document “Back”


When do you drink the courisy?

When drinking a courier
DisplayHow to drink
Before mealDrink 30 minutes to an hour before eating.
MealsDrink about 2 hours after eating
After mealDrink about 30 minutes after eating
Regular time intervalDrink each indicated time (6 hours or 8 hours)
Before going to bedDrink 30 minutes to 1 hour before bed
StupidDrink only when you have a hard time due to high fever or pain

How much do you drink a couri?

 The amount of the coli depends on the type of coli, depending on whether it is a child or an adult. When drinking, carefully read the medicine bag or attachment to see how much you drink.

 The worst thing is that you drink twice, just because you accidentally forget to drink. Don't do this alone.

Can pregnant women drink courist?

  For more information on how to take medicine during pregnancy and breastfeeding, please refer to the website of the National Center for Growing and Medical Care (external site).

I drink alcohol without taking out the sheet

 There are many cases where you drink from the sheet that wraps the couris (PTP sheet) without removing the coli.

 The cosmetic sheet itself is not toxic when drunk, and is discharged together with the stool without digestion in the stomach or intestine. However, the sharp corners of the sheet may damage the esophagus and other mucous membranes, so be sure to push the couris out of the sheet as shown in the figure below.

Photo of the cousin wrapped in a PTP sheet
The courier wrapped in a PTP sheet


Illustration printed on the back of many PTP sheets
The above figure is also printed on the back of many PTP sheets.



The tablet is rubbed and taken by taking out the contents of the capsule.

 The colis are coated or capsules depending on their stability and purpose, such as so that they gradually dissolve in the stomach, or dissolve in the intestine without melting in the stomach. If you rub a tablet or take out the contents of the capsule, the blood concentration will suddenly rise, or that what originally melts in the intestine melts in the stomach and do not work, which is dangerous. Consult your doctor or pharmacist if you want to give it to a child who cannot drink medicine, such as tablets and capsules.

Illustration that it is dangerous to crush the courist or take out the contents.



I have a suppositative

 With the recent advancements in drug formulations, suppositors such as antipyretic agents and antibiotics have also increased. However, be aware that suppositatives are never swallowed. First, take it out of the packaging and insert it into your buttocks from the tip.

 If you receive half of the instruction, cut it diagonally with a clean cutter knife. Make the cut tip a little soft and then insert it into your buttocks.

Illustration of correct use of suppositants



Illustration of cutting it with a clean cutter when using half of the suppositative.



 Some suppositors may dissolve when stored in a warm room, so some are stored in the refrigerator. However, the temperature of the storage differs depending on the type of suppositant, so ask your pharmacist for detailed storage methods.

- Reference Books -

Knowledge of medicine (Shinnihon laws and regulations)

 As it has been said for a long time, there is a “mealing” when taking medicine, just as there is a “eating together” when eating. Here, we will introduce the very basic "drinking".

Drugs for high blood pressure and grapefruit (including juice)

Illustration that drugs for high blood pressure and grapefruit (including juice) are prohibited


 In some hypertension drugs (calcium antagonists), taking it together with grapefruit (including juice) makes it harder for the drug to break down and increases the concentration of medicines in the blood. As a result, do not eat grapefruit, as it may cause side effects such as wandering and headaches, and the medicine may be too effective. You can eat oranges and lemons.

 Please consult your doctor or pharmacist for details, as some citrus may be good and you should not eat.


Antibiotics and milk

Illustration of antibiotics in milk


 Drinking milk with antibiotics (tetracycline) or antibiotics (new quinolone), reacts with milk calcium and iron in the milk and will not be absorbed, and the efficacy will be reduced. When you take medicine, take it with water.


Walfaline and natto

Illustration that Natto is prohibited while taking walfarin


 Warfaline reduces the action of vitamin K (activating blood coagulation factor), making it difficult for the blood to solidify and prevents blood clots. Natto contained in natto makes vitamin K in the intestines, so eating natto reduces the effect of walfarin. Don't eat natto while taking walfarin. In addition to natto, green juice and spinach also contain a lot of vitamin K, so be careful of ingesting.


Drugs for rhinitis and cheese, wine, tarako

Illustration that cheese, wine, tarako, etc. are prohibited while taking a rhinitis medicine


 It is a drug that is often found in rhinitis drugs (phenylpropanolamine), acts on the sympathetic nervous system and contract blood vessels. Tylamine contained in cheese, wine, tarako, etc., also has the effect of stimulating the sympathetic nervous system, so ingesting these foods increases the action of phenylpropanolamine,high tides, etc. In addition, eating tylamine-rich cheese and wine while taking antidepressants (MAO inhibitors) prevents the degradation of tylamine and increases the action of tylamine, which is dangerous because blood pressure increases.


Supplements and antiepileptic drugs, psychotic drugs, immunosuppressive agents, oral contraceptives, anti-HIV drugs, etc.

Illustration of supplements and antiepileptic drugs, psychotropic drugs, immunosuppressive agents, oral contraceptives, anti-HIV drugs, etc.


 Some supplements that you take care of your health may need to be careful when using them with medicines. Pay close attention to supplements containing St. Jones Wirt (Western Ordinarynge).


 Thus, depending on the medicine and food, there is a "drinking". Please follow the guidance of your doctor or pharmacist when taking the medicine.

Link

Detailed information on how to take medicine

For consultation on Kusuri, please contact the Japan Pharmacists Association
Consumer Telephone Consultation Service TEL 03-3353-2251

For inquiries to this page

Riken Laboratory, Medical Care Bureau Institute of Sanitation

Phone: 045-370-9451

Phone: 045-370-9451

Fax: 045-370-8462

Email address: ir-eiken@city.yokohama.jp

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Page ID: 497-420-006

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