Alexey Panov, an associate professor in the Department of Biotechnology and Industrial Pharmacy at the Russian Technical University, warned against excessive use of effervescent medications.
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According to him, these medicines contain sodium, so people with high blood pressure, chronic heart failure, kidney disease, or who are on a low-salt diet should take this into account.
Panov points out that effervescent tablets contain additives to ensure rapid dissolution. These additives not only determine the specific reaction but also impose several limitations, making this form unsuitable for everyone. He emphasizes that one of the characteristics of these tablets is their high sodium content.
He says: "For a healthy person, this is usually not a problem, but people with high blood pressure, chronic heart failure, kidney disease, or who are on a low-salt diet should be mindful of their excess sodium intake. If the medication is taken several times a day, its contribution to daily salt intake becomes more significant."
He notes that people with digestive problems should also be careful, because after the tablet dissolves, carbon dioxide gas is released, which may increase the feeling of fullness, stimulate belching, and cause discomfort.
He says: "Swallowing these tablets whole is not recommended, as they are only meant to be pre-dissolved in water. Also, avoid using too little water or drinking the solution before the reaction is complete, because part of the active ingredient may be distributed unevenly, and the continued release of carbon dioxide gas may irritate the mucous membrane."
The doctor points out that manufacturers often add sweeteners, flavorings, and colorings to these tablets, which are safe for most people, but some may be allergic to certain ingredients, as may diabetics. Therefore, he emphasizes the importance of choosing the dosage form based on the patient's health condition and the doctor's recommendations, and the necessity of using the medication strictly according to the instructions.
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