رونوشت 🔗
WEBVTT
00:00:00.160 --> 00:00:03.040
We're gonna talk about travel pharmacology.
00:00:03.839 --> 00:00:10.080
We're gonna talk about medicines motion sickness, diarrhea, altitude, sun, insects, and more.
00:00:10.720 --> 00:00:20.640
So, first of all, today we are going to talk about a fascinating area of pharmacology that we don't always think of as a separate topic.
00:00:21.039 --> 00:00:25.440
When we travel, travel our medicines, they travel with us.
00:00:25.920 --> 00:00:35.840
The environment, food, sleep, hydration, routine, everything changes and affects our body in different kinds of manners depending from person to person.
00:00:36.960 --> 00:00:45.359
And suddenly the medicines that we use casually at home they become much more important and very much complicated.
00:00:46.079 --> 00:00:48.479
Now I want to take you on a little journey today.
00:00:48.640 --> 00:00:57.600
Suppose you have planned a trip, then you pack everything, and then finally you think medicines I'll buy wherever I go, wherever whenever I need them.
00:01:05.840 --> 00:01:09.920
So, first of all, don't travel without your regular medicines.
00:01:10.640 --> 00:01:20.560
Now, people forget when the trip gets delayed, luggage gets lost, and the medicine is sometimes not easily available at the destination.
00:01:20.640 --> 00:01:23.359
So carry enough for the entire trip.
00:01:23.599 --> 00:01:26.159
First of all, you have to make a medication list.
00:01:26.640 --> 00:01:34.879
That should include the generic name, the strength, the dose, frequency, then why you are taking it.
00:01:35.439 --> 00:01:39.439
Some important allergies and some relevant medical conditions.
00:01:39.519 --> 00:01:41.200
That is very, very important.
00:01:42.560 --> 00:01:52.400
And especially if you are traveling internationally, the medicines in the original label packaging can make the things very, very easy.
00:01:52.799 --> 00:02:02.000
Suppose you open your purse or your small bag and you find 10 loose tablets, and then you suddenly your mind brainstorming occurs.
00:02:02.079 --> 00:02:03.200
What are these for?
00:02:03.599 --> 00:02:08.639
And then you are not sure which one is for your headache, which one is for the blood pressure.
00:02:08.960 --> 00:02:10.400
And never never do that.
00:02:10.560 --> 00:02:13.919
It's a very difficult, complicated situation.
00:02:14.319 --> 00:02:17.840
Now, in a basic medical travel kit, what should be there?
00:02:19.120 --> 00:02:22.639
We want a very small, sensible health kit.
00:02:23.280 --> 00:02:31.199
So there should be basic wound care supplies, packages, calls, tape, appropriate wound cleaning supplies, then thermometer.
00:02:31.599 --> 00:02:41.039
Thermometer is a very, very essential tool when especially when you're traveling to a colder area, especially when you're traveling to with the kids, it becomes very, very important.
00:02:41.840 --> 00:02:42.960
Then ORS.
00:02:43.520 --> 00:02:49.840
It is one of the very essential things because electrolyte depletion occurs in the strong heat and all these kinds of things.
00:02:50.000 --> 00:02:55.680
Diarrhea, vomiting, excessive sweating can all result in fluid and electrolyte depletion.
00:02:56.319 --> 00:03:04.800
A very simple analysis antiparatic paracetamol is very appropriate when it is used correctly at most of the places.
00:03:05.199 --> 00:03:12.159
Appropriate antihistaminic, but you have to remember that some antihistaminics they can actually cause drowsiness also.
00:03:12.319 --> 00:03:14.960
So be careful and be cautious with their use.
00:03:15.599 --> 00:03:21.199
Then sun protection is a very important thing.
00:03:21.919 --> 00:03:27.039
Now, this is actually included in the pharmacology discussion because it protects the skin.
00:03:27.439 --> 00:03:30.319
Now, first of all, let's talk about the motion sickness.
00:03:30.719 --> 00:03:40.639
Suppose you're traveling on a high altitude, sitting in a car, and the road is winding, and suddenly somebody in the car or you yourself may say stop the car.
00:03:40.879 --> 00:03:42.560
The motion sickness occurs.
00:03:42.719 --> 00:03:45.120
You should know the basic cause of that.
00:03:45.360 --> 00:03:54.879
There's a mismatch between the sensory information coming from the eyes, inner ear, and the sensory system involved in the balance.
00:03:55.439 --> 00:04:07.439
So, medicines they are used for motion sickness, they work primarily by reducing the effects of histamine, cholinergic signaling involved in the vestibular pathways.
00:04:07.520 --> 00:04:08.719
That is very, very important.
00:04:09.759 --> 00:04:16.079
Some examples of antihistaminics are meclasine, diamondhydrinate, promethazine, but there's a catch.
00:04:16.319 --> 00:04:19.279
These all cause drowsiness, so better use citrosin.
00:04:19.600 --> 00:04:23.680
You can use citrosin, which is the latest one in the second generation antihistaminic.
00:04:23.839 --> 00:04:28.399
Now, people have reported it also causes drowsiness, but you have to be cautious with the use.
00:04:29.120 --> 00:04:33.360
So medicine that prevents motion sickness may impair the ability to drive.
00:04:33.519 --> 00:04:38.800
So now if you are taking that medicine, please don't go for driving.
00:04:39.920 --> 00:04:49.120
And if you are prone to motion sickness, then prevention is generally more useful than waiting in until and unless you're severely nauseated.
00:04:49.199 --> 00:04:50.160
So that is very important.
00:04:50.240 --> 00:04:51.759
Don't get severely nauseated.
00:04:52.000 --> 00:04:54.160
Better take the medicine before the travel.
00:04:55.199 --> 00:05:02.160
Next important basic problem during travel that people suffer from and you may also suffer from is the traveler's diarrhea.
00:05:03.120 --> 00:05:04.240
Why does it happen?
00:05:04.319 --> 00:05:05.439
What is the cause of it?
00:05:05.680 --> 00:05:14.240
Different food, different water, different organisms, different
Load full transcript
hygienic conditions, especially in hotels and the places you stay outside your home.
00:05:14.560 --> 00:05:18.160
The gastrointestinal tract may not be impressed.
00:05:19.120 --> 00:05:26.879
But then you should always remember one important thing: diarrhea does not automatically mean antibiotics.
00:05:27.120 --> 00:05:31.519
The first priority in many uncomplicated cases is simple hydration.
00:05:31.680 --> 00:05:33.600
Yes, it really helps.
00:05:34.319 --> 00:05:38.800
And that's where I told you that you should always carry ORS.
00:05:40.000 --> 00:05:43.920
Now, some people may also ask, what about laburamite?
00:05:44.560 --> 00:05:57.199
Well, I would definitely say that entire motility drugs they can reduce the stool frequency in selected adults, but they are not perfect for every kind of situation.
00:05:58.319 --> 00:06:06.079
If there is blood in the stool, high fever, then there is severe illness, other concerning features.
00:06:06.639 --> 00:06:11.680
Don't simply suppress the symptoms, seek medical attention.
00:06:12.000 --> 00:06:22.160
Antibiotics, well, they're also useful in selected cases, depending upon the clinical situation, depending upon the severity, destination, patient factors.
00:06:22.399 --> 00:06:28.399
Just don't pull out a random antibiotic from your travel bag and take it whenever you get diarrhea.
00:06:28.560 --> 00:06:34.399
That's a very wrong habit and strategy that you may enforce upon yourself.
00:06:34.959 --> 00:06:38.959
Then, this is not a responsible use of medicine.
00:06:39.199 --> 00:06:46.079
And when you are a medical person, medical person, you should be aware of the responsible use of medicines also.
00:06:46.240 --> 00:06:52.079
So, traveler's diarrhea, the first important way to treat it is hydration with ORS.
00:06:52.480 --> 00:06:58.800
And yes, if the condition demands, seek medical attention, go for antibiotic, go for a loperamite and all these kinds of things.
00:06:59.040 --> 00:07:02.480
Next important problem: vomiting and dehydration.
00:07:02.959 --> 00:07:13.360
Suppose the diarrhea is accompanied with the vomiting, you're losing fluids from both the ends, and then there is risk of dehydration.
00:07:13.839 --> 00:07:19.279
Then there's a fluid and electrolyte replacement is very, very much an important such a situation.
00:07:19.600 --> 00:07:28.399
Anti-emetic medicines they are appropriate in selected circumstances, but you don't need to forget the underlying problem.
00:07:29.680 --> 00:07:35.439
Now, if you think that anti-emetic will correct your dehydration, you're actually going wrong.
00:07:35.759 --> 00:07:48.959
Severe dehydration, persistent vomiting, inability to keep the fluids down, blood and stool of vomit, severe abdominal pain, altered consciousness.
00:07:49.439 --> 00:07:55.759
All these are the signs and symptoms that you should go for a real quick medical evaluation.
00:07:56.319 --> 00:08:03.519
Next important problem during travel that almost everybody faces indigestion, acidity.
00:08:04.720 --> 00:08:07.040
Suppose you're eating out of the house.
00:08:07.199 --> 00:08:17.120
Whenever the food changes, the oil changes, the spices changes, and then you think you paid for the food, and three hours later, what do you suffer from?
00:08:17.360 --> 00:08:18.399
Acidity.
00:08:19.120 --> 00:08:23.759
Travel can change the meal timing, portion sizes, food choices.
00:08:24.720 --> 00:08:30.879
And some people use antacids, not some, actually, many people use antacids, acid suppressing medicines.
00:08:31.439 --> 00:08:38.720
But then I would always say occasional symptoms are one thing, recurrent or severe symptoms, they are another problem.
00:08:40.080 --> 00:08:52.639
If there are persistent symptoms indefinitely, over-the-counter medicines, treating yourself with a lot of antacids, without understanding what is the basic underlying problem, that's not the right strategy.
00:08:52.879 --> 00:08:54.720
Go for medical treatment.
00:08:55.279 --> 00:08:58.480
Next important point when you travel, you go at a high altitude.
00:08:58.639 --> 00:09:01.519
Altitude pharmacology is very important to understand.
00:09:02.799 --> 00:09:07.039
You're going from the sea level to the high altitude destination.
00:09:07.279 --> 00:09:10.559
Say you're going to some hill station, Himalayas.
00:09:10.879 --> 00:09:12.159
What happens?
00:09:12.559 --> 00:09:16.879
Atmospheric pressure, it falls as the altitude increases.
00:09:17.440 --> 00:09:31.679
There's a lower inspired oxygen pressure, and many people develop generally all the people traveling from the lands, planes, they develop acute mountain sickness.
00:09:31.919 --> 00:09:33.759
That is a very big problem.
00:09:34.240 --> 00:09:40.960
Headache, dizziness, fatigue, nausea, sleep disturbances.
00:09:42.080 --> 00:09:48.559
And the base best option many people use is the acetazolamide.
00:09:49.600 --> 00:09:59.120
Now, this is a beautiful example of a subject pharmacology because you have to understand the mechanism that really makes a lot of sense.
00:10:00.399 --> 00:10:08.399
Acetazolamide, it inhibits carbonic anhydrase and that promotes renal bicarbonate loss.
00:10:08.559 --> 00:10:19.840
It produces a mild metabolic acidosis that stimulates ventilation and it helps to improve acclimatization.
00:10:20.960 --> 00:10:26.720
So mechanism giving a physiological effect that giving a clinical benefit.
00:10:36.320 --> 00:10:38.559
No, no pill is like that.
00:10:39.919 --> 00:10:46.480
Gradual ascent, acclimatization is the strategy and the thing to keep in mind.
00:10:46.960 --> 00:10:48.879
It is a very crucial thing.
00:10:49.759 --> 00:11:00.399
And if somebody is facing or you are facing severe symptoms, particularly neurological symptoms, breathlessness, go for medical attention.
00:11:00.720 --> 00:11:05.360
Next important problem during travel sun heat, phototoxicity.
00:11:05.840 --> 00:11:13.840
Suppose you're traveling in a dry,
sunny, desert area like Rajasthan, or you're going to a tropical beach.
00:11:14.240 --> 00:11:16.159
Sometimes you are hiking.
00:11:17.279 --> 00:11:20.480
Heat can itself create a lot of health problems.
00:11:20.720 --> 00:11:22.879
Hydration becomes very, very important.
00:11:24.639 --> 00:11:34.559
Now, some medicines actually increase the sensitivity to light, and then they lead to photo sensitivity reactions.
00:11:35.919 --> 00:11:43.360
So these photosensitivity reactions can be phototoxicity or it can be photoallergy.
00:11:43.759 --> 00:11:45.600
You have to differentiate between the two.
00:11:45.679 --> 00:11:49.360
It can be phototoxicity, it can be photoallergy.
00:11:49.919 --> 00:11:59.279
Now when you're taking a medicine or you're giving a medicine, being a medical to somebody else, and you're planning significant sun exposure, you cannot avoid it.
00:11:59.919 --> 00:12:04.000
It's worth knowing the photosensitivity warnings of the medicine.
00:12:04.639 --> 00:12:12.159
Sun protection is not an optional thing, it's very important in the uh area with a lot of heat.
00:12:12.480 --> 00:12:16.960
Protective clothing, shade, sunscreen, everything matters.
00:12:17.200 --> 00:12:24.159
It's not a makeup, it's a pharmacologically essential medicinal thing to protect your skin.
00:12:24.480 --> 00:12:30.720
Then, next important problem many people face during travel: insects, mosquitoes.
00:12:32.559 --> 00:12:37.120
Now, I would not simply say take an entire malarial with you.
00:12:37.279 --> 00:12:38.559
It's a very broader thing.
00:12:38.720 --> 00:12:40.399
Prevention comes first.
00:12:41.279 --> 00:12:57.279
Depending upon the destination, you have to carry insect repellents, appropriate clothing, mosquito nets, environmental measures, and specific vaccination if you need it, and profile access if it is there indicated.
00:12:58.159 --> 00:13:02.320
In malaria, endemic travel, chemoprophile axis.
00:13:02.480 --> 00:13:08.639
It is recommended depending upon the destination and also depending upon the traveler who is traveling.
00:13:08.879 --> 00:13:09.679
Very important.
00:13:11.279 --> 00:13:16.159
Now the right entire malarial depends on where you are traveling.
00:13:16.320 --> 00:13:26.240
I repeat, very important point the right medicine, the right prophylactic entire malarial depends on where you are traveling.
00:13:27.279 --> 00:13:33.679
You just cannot choose a tablet when somebody says, I took this tablet last year, so you also take that.
00:13:33.919 --> 00:13:37.200
No, this is the wrong way to take any tablet.
00:13:38.080 --> 00:13:43.759
Resistant patterns, recommendations, they differ from place to place.
00:13:45.039 --> 00:13:49.120
And travel medicine is very, very location specific.
00:13:49.279 --> 00:13:51.200
You have to keep this thing in mind.
00:13:51.840 --> 00:13:57.360
Next important problem people face during travel allergies, insect bites.
00:13:58.480 --> 00:14:07.120
If you have to sit
a lot outdoors, you're not planning to stay indoors, then you should be very well prepared for allergies and insect bites.
00:14:07.360 --> 00:14:09.120
You can develop itching.
00:14:09.360 --> 00:14:15.600
Some antihistaminic may be useful in a very mild or moderate case.
00:14:16.320 --> 00:14:20.159
But then you can also have a local mild reaction.
00:14:20.960 --> 00:14:27.200
And you need to understand the difference between the local mild reaction versus anaphylaxis.
00:14:28.559 --> 00:14:30.159
Go for sinus symptoms.
00:14:30.320 --> 00:14:35.519
If there is difficult breathing, swelling of the tongue and the throat, wheezing.
00:14:35.840 --> 00:14:37.120
You know, wheezing?
00:14:37.600 --> 00:14:39.840
It is the whistling sound in the breathing.
00:14:40.080 --> 00:14:43.279
Collapse, severe systemic symptoms.
00:14:43.519 --> 00:14:45.279
That's an emergency.
00:14:45.600 --> 00:14:52.080
Being a medical, you should be able to recognize what is emergency and what is normal, what is mild, what is moderate, what is severe.
00:14:52.960 --> 00:14:59.360
For people with a non risk of anaphylaxis, epinephrine, adrenaline, auto injector should be carried.
00:14:59.679 --> 00:15:07.600
When available and appropriate, it should be there because they are belong to a completely different category from ordinary travel medicine.
00:15:08.320 --> 00:15:10.720
And of course, they should know how to use it.
00:15:10.960 --> 00:15:15.039
Or if they're traveling with a physician, the physician should know how to use it.
00:15:15.679 --> 00:15:19.440
Next important problem during travel jet lag and sleep medicines.
00:15:19.519 --> 00:15:22.639
Sleep is a very big problem in your travel.
00:15:23.279 --> 00:15:25.759
You have traveled different time zones.
00:15:25.840 --> 00:15:32.960
You are traveling internationally, you're exhausted, you reach your place of stay, and then 3 a.m.
00:15:33.200 --> 00:15:34.480
you're wide awake.
00:15:34.720 --> 00:15:36.080
What do people do?
00:15:36.559 --> 00:15:38.799
They go for a sleeping pill.
00:15:39.039 --> 00:15:39.679
Yes.
00:15:40.720 --> 00:15:42.240
But let's pause here.
00:15:42.480 --> 00:15:45.039
I need to pause here and tell you something.
00:15:45.679 --> 00:15:59.039
Sleeping pills, sedative medicines can cause drowsiness, impaired coordination, faults, cognitive impairment, dependence with the medicines.
00:15:59.519 --> 00:16:03.519
And if you think this is the right strategy, it's not a right strategy.
00:16:04.480 --> 00:16:12.080
And if people have a habit of drinking, also they are combining sedatives with alcohol, it is so damn dangerous.
00:16:14.240 --> 00:16:24.639
Then don't turn your travel insomnia into an excuse for casual sedative use.
00:16:24.799 --> 00:16:26.399
You should not do that.
00:16:26.559 --> 00:16:30.240
It's very easy for people to do that, but you should not do that.
00:16:31.600 --> 00:16:40.399
Light exposure, sleep timing, adjustment to the new schedule, they
are important parts of managing a jet lag.
00:16:42.080 --> 00:16:45.360
And you might be knowing about a medicine called melatonin.
00:16:45.919 --> 00:16:49.679
It plays a role in some selected circumstances.
00:16:49.840 --> 00:16:51.679
Not every person should take it.
00:16:52.080 --> 00:17:00.320
And it's not a universal sleeping solution, also, but yes, it plays a role somewhere in helping out our circadian rhythm.
00:17:01.039 --> 00:17:05.359
Now let's talk about another big problem: travel with alcohol and medicines.
00:17:05.920 --> 00:17:18.880
People travel, people celebrate, then people take alcohol, and they continue their medicines without thinking about anything which is the biggest pharmacological problem that is drug interactions.
00:17:20.240 --> 00:17:23.119
Alcohol actually interacts with a lot of medicines.
00:17:23.279 --> 00:17:30.960
Potentially, it worsens the sedation, it impairs the coordination, and it contributes to a lot of adverse effects.
00:17:31.200 --> 00:17:39.839
So when you are taking your regular medicines, you need to know about all the interactions before you travel and don't wait for the emergency resort.
00:17:40.799 --> 00:17:49.200
Next important thing when you keep in mind when you are traveling with children, children are not small adults.
00:17:49.440 --> 00:17:52.640
The medicine and doses they depend upon weight.
00:17:53.359 --> 00:17:56.400
Liquid medicines come in different concentrations.
00:17:56.640 --> 00:18:06.559
So if you think 5 ml of one preparation does not necessarily contain the same amount of drug as 5 ml of another preparation.
00:18:07.680 --> 00:18:13.759
This is why parents need to look at the mg/ml concentration.
00:18:14.000 --> 00:18:17.519
And then you the parents need to use the appropriate measuring device.
00:18:17.599 --> 00:18:19.359
Don't use your homespoons.
00:18:20.079 --> 00:18:24.240
Use the measuring device that comes with the medicine bottle.
00:18:25.039 --> 00:18:28.799
And don't divide the tablet or break the tablet into half and give it to your child.
00:18:28.960 --> 00:18:32.400
This is also a wrong strategy and habit parents sometimes get into.
00:18:32.640 --> 00:18:38.079
Generally, these days, parents are very, very aware and they are not doing some silly mistakes like this.
00:18:38.319 --> 00:18:42.240
But still, those who do not know about it, they need to be told about it.
00:18:43.599 --> 00:18:46.160
Next important problem: the extreme case.
00:18:46.400 --> 00:18:49.759
Now you're not traveling with your kids, you're traveling with your grandparents.
00:18:50.960 --> 00:18:54.240
And the biggest challenge for you is polypharmacy.
00:18:56.000 --> 00:19:06.880
Suppose an elderly person is taking blood pressure medicine, diabetes medicine, anticoagulant, statin, painkiller, and a lot of other medicines.
00:19:07.440 --> 00:19:29.200
Then you add on with the travel, apart from the medicinal aspect, you are adding on the environmental factors like heat, dehydration, change tight, long journeys, different sleeping patterns, and every all the environment is suddenly very different for elderly people.
00:19:30.400 --> 00:19:52.799
So biggest tip or the biggest best idea for travel with the elderly people is carry their complete medication list and sufficient amount of medicine, and they should be very, very cautious for taking about ODC medicines, and they should always check for interactions and contraindications.
00:19:54.880 --> 00:19:59.839
Now let's talk about another aspect air travel and medicines.
00:20:00.160 --> 00:20:03.039
Suppose you are flying, your relatives are flying.
00:20:04.000 --> 00:20:21.359
You have to keep the essential medicines in your hand luggage, and for prescription medicines, particularly when you are traveling internationally, check the relevant airline, the destination country requirements beforehand.
00:20:22.160 --> 00:20:32.880
Some medicines that are in routine in one country, like in India, they can be controlled or they might be restricted to some other place or country.
00:20:33.039 --> 00:20:36.559
So you need to check it before you are traveling.
00:20:37.680 --> 00:20:44.480
So international travel is not that you are casually thinking, can I buy this medicine there?
00:20:45.039 --> 00:20:46.559
Can I carry this medicine there?
00:20:46.640 --> 00:20:49.039
No, you need to check everything about it.
00:20:50.480 --> 00:20:52.880
Now let's make your final travel kit.
00:20:53.279 --> 00:21:11.359
The first aid you need to carry bandages, gauze, tape, wound care supplies, gloves, basic medicines, analgesic, antipyretic, or appropriate anti-histamine, and yes, over-the-counter drugs, which you may need, which you frequently need.
00:21:12.000 --> 00:21:17.839
Your personal medicines or medicines for your kids or your elderly people or your relatives.
00:21:18.480 --> 00:21:23.279
Always carry extra supply, medication list, allergy information.
00:21:23.359 --> 00:21:25.039
You should know about everything.
00:21:25.680 --> 00:21:30.960
Travel specific motion sickness if you really need it to take it.
00:21:31.599 --> 00:21:40.079
Then destination specific malaria prophylaxis when indicated, insect repellent, sun protection.
00:21:41.119 --> 00:21:49.519
You need to carry basic equipment like thermometer, measuring device for the kids' medicine and the elderly people and yours also.
00:21:49.839 --> 00:21:55.200
Don't rely upon spoons, household spoons, which is a very wrong strategy.
00:21:55.839 --> 00:21:59.839
And sometimes you may need BP monitoring equipment, some other personal monitoring.
00:22:00.799 --> 00:22:02.880
Equipment which you regularly use.
00:22:04.160 --> 00:22:07.200
Some don'ts which you should always avoid.
00:22:07.519 --> 00:22:10.720
Don't carry loose, unidentified tablets.
00:22:10.880 --> 00:22:13.119
Carry them in the packet or strip.
00:22:13.920 --> 00:22:17.039
Don't share prescription medications.
00:22:18.160
--> 00:22:21.119
Don't start antibiotics randomly.
00:22:21.440 --> 00:22:25.279
Just because you do it every time at home, you're not going to do it at travel.
00:22:25.759 --> 00:22:31.440
Stop this habit and make a sensible and responsible use of medication.
00:22:32.799 --> 00:22:34.640
And don't rely upon this information.
00:22:34.799 --> 00:22:39.200
Suppose a medicine worked in your last trip or your relative's last trip, it will work for you also.
00:22:39.440 --> 00:22:41.920
Better check it twice and go for it.
00:22:43.680 --> 00:22:47.920
And when you recognize, learn to identify the seriousness of the situation.
00:22:48.079 --> 00:22:50.400
If you need a medical attention, go for it.
00:22:50.559 --> 00:22:52.319
Don't rely on your travel kit.
00:22:53.279 --> 00:22:58.400
Identify the medical emergency situations with your sign and symptoms.
00:23:00.720 --> 00:23:02.160
Now let's see.
00:23:03.039 --> 00:23:05.119
Motion sickness medicines can cause.
00:23:05.279 --> 00:23:07.440
The answer is drowsiness.
00:23:08.640 --> 00:23:18.960
Second question: First priority in many uncomplicated cases of travelers' diarrhea, go for hydration and ORS, not antibiotics.
00:23:20.319 --> 00:23:25.440
Is every diarrhea during travel to be treated with antibiotics?
00:23:25.519 --> 00:23:26.640
The answer is no.
00:23:28.160 --> 00:23:31.440
A very common drug used for acute mountain sickness.
00:23:31.759 --> 00:23:34.559
Know the drug Acetosolamide.
00:23:35.920 --> 00:23:37.680
Are children small adults?
00:23:37.839 --> 00:23:39.039
No, they are not.
00:23:40.720 --> 00:23:44.079
Should essential medicines go into checked luggage?
00:23:44.400 --> 00:23:45.680
Ideally, they should.
00:23:45.920 --> 00:23:51.839
Essential medicines should be kept with your carry-on baggage.
00:23:54.000 --> 00:23:57.119
What is more important than carrying 20 medicines?
00:23:58.319 --> 00:24:04.160
The most important thing is to know what you actually need and when you need medical help.
00:24:04.400 --> 00:24:08.400
And very important more than that is to recognize the emergency situation.
00:24:09.599 --> 00:24:28.240
So we have talked about motion sickness, we have talked about traveler's diarrhea, vomiting, dehydration, altitude sickness, mosquitoes allergies, sun exposure, jet lag, children, elderly people, prescription medicines.
00:24:30.079 --> 00:24:33.920
And just let's get to know about the beauty of the subject.
00:24:34.559 --> 00:24:53.279
It's not only that drug X blocks the receptor Y, it's also what happens when a human being takes medicine in the real world and how the medicines are to be appropriately, sensibly, responsibly used in the real world.
00:24:53.599 --> 00:24:58.640
And travel is a very good example, very good situation when you need to learn about everything.
00:24:59.680 --> 00:25:08.240
So don't only pack your clothes and essentials, but also pack your medicines, and you should know when to use them safely.
00:25:09.200 --> 00:25:17.359
Hope you enjoyed today's topic about travel pharmacology and share it with someone who really needs this information.
00:25:18.960 --> 00:25:21.279
Till the next time, thank you.
00:25:21.440 --> 00:25:23.119
Take care, bye bye.