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Valerijus Morozovas, GP, answered all the most frequently asked questions about the Delfi rytas program.
– People probably have more questions about the possible side effects of the vaccine: fever or headache. How would you recommend alleviating side effects after the vaccine?
– Despite the pressure from my colleagues not to take any medication, God forbid, I am mainly for safety and convenience. Certainly, there is no evidence that taking a paracetamol or ibuprofen tablet reduces response and immunity to temperature. But it will scare you, everyone else, and encourage you to share unnecessary experiences about how you “almost died from a temperature of 37.2”; it is really unnecessary for anyone.
Therefore, if you feel somewhat uncomfortable and experience some symptoms of a cold, fever, or something else, feel free to take acetaminophen or ibuprofen. All the more as one of the characteristics of any temperature, any pain is the answer to medication.
– However, the package inserts for antipyretics usually indicate that the drug can be taken every 6 to 8 hours. Should this recommendation be followed even if the temperature rises after vaccination and rises again after a couple of hours after being injected?
– This medicine should be used as described in the package leaflet or as prescribed by your doctor.
In case you have taken an adequate dose of the drug and the effect is insufficient, say, you did not drop your temperature or it fell for a very short time, or you still have some symptoms, you should consult your doctor: adjust the dose or prescribe some another treatment, exam or appointment because perhaps that discomfort has absolutely nothing to do with the vaccine.
Analgesics
– Is it possible to take medicine daily after the vaccine? Is it worth taking a break for a few days?
– Not only possible, but necessary to use it, because if you have been adjusting your pressure level or your arrhythmia rate for a long time, or finally your blood sugar with medication, then add stress as uncorrected pressure to your body . or blood sugar?
Undoubtedly, yes: all your daily medications must be taken before and after vaccination, even if they are coagulants; there is no risk of bleeding from the needle stick. Let’s take all our medicines boldly.
– Many people are concerned about thrombosis supposedly caused by vaccines. And there are plenty of tips online from self-care advocates for aspirin or other blood-thinning medications after vaccination. What do you think about that?
– In this case, all those who work a long time sitting or standing, before each longer trip, all obese women, smokers, who use contraceptives must take the drug every day, because the risk of thrombosis is several hundred times greater than for all these conditions I have listed them after vaccination.
If we threaten vaccines and thrombosis, I just want to remind you that half of the complications associated with clotting were hemorrhages and the other half were thrombosis.
You may have the part where the thrombosis is, but it will have another questionable effect on the possible bleeding caused by the vaccine.
– It is recommended not to urinate at the puncture site for at least 1-2 days after vaccination. Do you really have to suffer without washing for two days? And why do you wonder after a vaccination, but not after a blood test prick?
– There really is no need to remain grumpy, odorless or obnoxious with those around you. Certainly the smell does not contribute to the effect of the vaccine.
You don’t need to rub that area specifically, you don’t need to put on compresses, you don’t need to scrub, etc. But if you shower and get wet, nothing like that.
Perhaps not bathing or going outside is related to the desired protection against overheating or cold, that is, a situation that does not begin to rise spontaneously or change after vaccination.
Therefore, going outside should also be careful to avoid severe colds, and you should definitely not sit in freshly opened outdoor cafes all night after vaccination, and also should not be allowed to take a hot bath. Jacuzzi or sauna, but just take a quiet shower and stay comfortable. That’s!
Let’s stay comfortable, and the delicious smell and cleanliness are one of comfort. [elementų].
– What about sports? If a person does not feel bad, does not have a fever, is not covered by drowsiness, can he do physical activity?
– As with swimming, walking, it all depends on moderation. If you get very tired during your sport, if it is not your daily physical activity, it is likely that some of these discomfort with the vaccine will cause you physical effort.
If it’s a longer daily walk, a short run, cardio, exercise, yoga, or something else and if you don’t feel bad after doing it, you’d better do it. Again, let’s get comfortable. If that physical activity determines comfort, then yes, if it bothers, it does not matter: if we disturb the body with poisons or with a supposedly healthy lifestyle it is unnecessary.
– While some want to run around the field, others ask if it is possible to drink after vaccination and, of course, not to mention water. What about alcohol consumption? Can it harm or even reduce the effectiveness of the vaccine?
– Yes. This is a constant problem for the vaccinators on Friday who are suddenly scared that they can no longer drink today and therefore even ask for a postponement of the vaccination.
Again, as with sports, as with walking, there is an important measure everywhere. Yes, the effects of alcohol have not been studied with any medications and no amount is certainly recommended. It’s just that if you are afraid to drink a glass of champagne, a glass of wine or a glass of beer and postpone a vaccination, it is better to drink that glass of champagne; nothing bad will happen. But if you drink five more later, there will definitely be nothing good with your well-being and the culprit will definitely not be a vaccine.
And I can’t say anything about the interaction of the vaccine with alcohol; it has certainly not been studied. God forbid, I do not encourage alcohol consumption after vaccination.
Vaccination in Camelia pharmacies
© Photo of the organization
– Is it possible to get vaccinated if a person drank alcohol the day before, probably not studied either?
– Yes. Definitely not investigated. And if that alcohol consumption was strong enough to have a fever and tremors, and [širdis] your fish, and there is no normal blood pressure, it may be better not to vaccinate that person today.
If this is the case for the last few years, it may be better not to vaccinate him.
– There are many people in Lithuania who have already contracted the coronavirus. When is vaccination recommended after illness?
– Currently, the recommendations are half a year after recovery. After 180 days there is a rational interval to the extent that we still think that we have natural protection after a direct illness. And then you need to step up and get a “second dose.” We receive the first dose after illness, a dangerous “live vaccine,” and the second, safer dose can be obtained and strengthens our immunity.
– What to do for those who are now receiving vaccines, but at the same time want to be vaccinated against tick-borne encephalitis, as they do in the spring? Currently recommended to do there is an interval of at least 2 months between the two vaccines, and between the two AstraZeneca vaccines, as you know, there is a three month interval anyway. So what is the solution?
– The recommendations are two weeks between these vaccinations. So if you have received one or the other coronavirus vaccine today, you may receive a first dose of tick-borne encephalitis after two weeks, a second dose after another two weeks, and then a second dose of Pfizer after 6 weeks. or 3 weeks later. Peacefully receive the AstraZeneca vaccine. Therefore, two weeks between these vaccinations is the recommended monthly dose and the manufacturer. Some also specify an interval of one month. But there is no big problem. Two weeks is the safe time interval between two dead vaccines.
© DELFI / Josvydas Elinskas
– Another of the most common side effects of the vaccine is arm pain. Some people only experience pain at the injection site, others experience pain in the arm that causes discomfort for some time, even when dressing or sleeping. What to do in this case?
– Take painkillers. This is nothing new. We usually vaccinate children under 1 year of age in the legs because they do not walk. When the child grows large enough and a large enough muscle is formed in the shoulder, we vaccinate the shoulder, because the child is already walking and the leg begins to hurt more than the hand; the hand is easier to move.
The needle was and could hurt at the injection site. As with the temperature, there is no need to suffer. It is safe to take anti-inflammatory or pain reliever medications – acetaminophen will be less effective here.
Also, as for possible soaking, it is recommended to help locally with cooling for a short time to reduce swelling and pain. So we can get our hand soaked a bit, but don’t overdo it.
I will repeat it again: the vaccine is not available to suffer, the vaccine is not available to punish you for something. It’s not indulgence, price paid, or anything like that. This is primarily for your convenience, comfort, and safety. As a result, that convenience and comfort can certainly be maintained through the use of modern medical advances, such as banal pain relievers.
– Is it possible to vaccinate breastfeeding women? I heard that some even hide breastfeeding to get vaccinated.
– It is necessary to vaccinate women who are breastfeeding, because after vaccination, the antibodies produced from the blood will be transmitted to the child, so we will also obtain some protection for the child. Feeding is an additional indication for vaccination, but, God forbid, it is not a contraindication.
– And what advice would you give to those who are afraid of getting vaccinated for fear of needles?
– Do not look.
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