Over the counter
Hi there!
Irgendwie ahnte ich ja, dass Amerikaner sehr sorglos mit Medikamenten umgehen. Warum sonst werden hochdosierte Schmerzmittel in XXL-Packungen einfach so im Supermarkt rezeptfrei verkauft. “Over the counter” nennt sich das hier, auch wenn sie gleich im Regal neben Zahnpasta, Duschgel und Wimperntusche abgegriffen werden können. Das “Value Pack” Ibuprofen mit 1000 (!!!) Tabletten schnell mal im Vorbeigehen. Nichts geht über eine gute Vorratshaltung. Nur, warum sollte man sich mit vierstelligen Mengen an Schmerztabletten bevorraten? So viele Kaugummis oder Bonbons habe ich ja auch nicht im Haus. Gut, ich persönlich bin ohnehin kein Freund von Großpackungen. Ich mache auch keinen Wocheneinkauf. “I never make plans that far ahead”, Typ wie Rick aus “Casablanca”.
In den USA ist man hingegen groß mit Großpackungen. Und da bilden Schmerzmittel keine Ausnahme. Ich meine jetzt natürlich nicht chronisch kranke Menschen, die solche Medikamente leider wirklich in größeren Mengen benötigen. Es ist der gedankenlose Konsum von Tabletten, als wären es Gummibärchen, der mich irritiert. Weil das kleinste Unwohlsein, der geringste Schmerz unterdrückt werden muss. Jeder Zustand, der nicht 100% angenehm ist, muss korrigiert werden. Etwas wärmer draußen? Gleich die Klimaanlage auf höchste Stufe. Auto im Winter kalt? Motor starten, noch bevor man unter die Dusche springt. Kind abholen im Sommer? Im Auto bei laufendem Motor und geschlossenen Fenstern sitzen bleiben, bis Kind einsteigt.
Ich schweife ab. Wir waren beim Umgang mit Medikamenten, vor allem mit Schmerzmitteln. Painkiller. Vergangenen Herbst hat mein Kind eine feste Klammer bekommen. In der Schule gab es natürlich schon viele Kids mit Drähten im Mund. Und alle wurden offenbar in den Tagen nach dem Einsetzen großzügig mit Schmerzmitteln versorgt. So weist mich auch der Kieferorthopäde bereits im Vorgespräch darauf hing, dass es ein paar Tage sehr unangenehm bis schmerzhaft werden könnte. Aber kein Problem: “Er soll einfach die Schmerzmittel nehmen, die er sonst auch immer nimmt.” What??? Wir.nehmen.sonst.keine.Schmerzmittel! Hätte mir der Arzt wahrscheinlich nicht geglaubt. Also schweige ich, und denke mir meinen Teil. In der Woche drauf wird die Klammer eingesetzt. Erst der Doc persönlich. Erneuter Hinweis auf Schmerzmittel. Dann die Zahnarzthelferin mit Instruktionen zur Pflege der Zähne mit Klammer. Alles klar. Schnell und schmerzlos. Ha! Zum Abschied noch einmal ein wichtiger Rat … ja, ja, die Schmerzmittel, die wir sonst so nehmen. Auf dem Heimweg wird mein Auto von einer magischen Hand (oder war das der verlängerte Arm der Pharma-Industrie???) auf den Target Parkplatz gelenkt. “Target kann alles” (alternative Auslegung von “einmal hin – alles drin) sagen wir immer, also auch Medikamente. Over the counter. Die amerikanische Gesundheitsmaschinerie hat es geschafft. Mutter ist in Sorge und möchte wenigstens ein Mittelchen im Haus haben. Man weiß ja nie. Es dauert eine Weile, bis wir uns durch die Vielfalt der Marken, Dosierungen und Darreichungsformen gewühlt haben. Das größte Problem während unsere Suche sind übrigens nicht die Schmerzen meines Sohnes. Viel schwieriger ist es, eine Packung mit weniger als 100 Tabletten zu finden. Schließlich stehen wir mit einem kleinen Pappwürfel an der Kasse. Strike, nur 20 Drops!
Bereit für den Ernstfall fahren wir nach Hause. Die einzige Medizin, die wir an diesem Abend benötigen ist Kartoffelpüree. Und auch an den Folgetagen bleibt die Painkiller-Packung zu. Ungläublichkeit bei den Freunden in der Schule. Am Tag vor Heiligabend dann der nächste “Ernstfall”. Kind klemmt sich den Daumen heftig in der Autotür ein. Autsch! Ich bin nur froh, dass er die Tür selber zugeschlagen hat. Aber das nur am Rande. Ein blauer Daumen, kein schönes Weihnachtsgeschenk. Ich denke an die 20 Pillen im Schrank. Aber Kind beißt die Zähne zusammen und packt ein Pflaster drauf. Drei Wochen später lassen wir dann doch mal einen Arzt drauf schauen und wollen wissen, ob der Nagel gezogen werden muss. Erste Frage: Nimmt er noch Schmerzmittel? Zweite Ansage: normalerweise hätte ich das sofort geröntgt und eine Ladung Tetanus gegeben. Nun denn, die Gefahr einer Blutvergiftung dürfte wohl nach drei Wochen gebannt sein … außerdem ist Kind ohnehin geimpft. Also werden wir mit dem Hinweis, abwarten und schauen, notfalls Schmerzmittel nehmen, wieder nach Hause geschickt. Sechs Wochen später sieht der Nagel nicht viel besser aus. Er tut nur nicht weh. Nächster Termin. Diesmal bei einem sogenannten Nagel-Spezialisten. Ihr ahnt es schon. “Wie lange hat Ihr Kind Schmerzmittel genommen?” What’s wrong with you Docs?
Warum soll man seinen Körper nicht mehr spüren? Schließlich hat Schmerz ja auch eine Aufgabe. Er ist ein Signal, dass Schonung angesagt ist. Nicht-Funktionieren ist offenbar keine Option für Amerikaner. Heilung mit Bettruhe, Tee oder “just take it easy” kommt nicht in Frage. Failure is not an option. Anders ist auch die Hysterie, die jeden Herbst in Sachen Grippeimpfung verbreitet wird, nicht zu erklären. Den “Flu-Shot” kann man sich in jedem Drugstore geben lassen. No appointment needed. Werbung an jeder Ecke. Auch der Schuldistrikt rät alljährlich dringend zur Impfung. Eine Mutter erzählt mir, dass sie früher ihren Sohn in einer “Drive Thru” Apotheke hat impfen lassen. Im Auto sitzen bleiben, schnell die Portion Chemie in den Körper jagen, und weiter. Treten trotz Impfung Anzeichen einer Grippeerkrankung auf: zack, Tamiflu drauf, wieder fit am nächsten Tag. Immer bereit, die nächste Mondlandung anzusteuern. Der Inhalt unserer Mini-Pillen-Packung ist noch mindestens bis 2020 haltbar. Doch irgendwie beruhigend. 😉 Gesundes Wochenende allerseits!
P.S. Wir haben übrigens unseren 5. Michigan Winter umgeimpft (!!) ohne Grippe überstanden. Und der neue Nagel wächst auch langsam.
6. April 2018 @ 15:16
Du hast due “allergies” vergessen. Ich hab mal eine Mutter gefragt, ob sie denn einen Test gemacht hat auf was das Kind angeblich allergisch ist (es hatte einfach nur einen Schnupfen). “Nö, aber die Antihistamine helfen ja.” Ähh, ja.
Aber beim Einsetzen der Klammer hat Henry echt 3-4 Tage sehr gelitten. Wollte aber auch nur einmal eine Ibu nehmen.
Wir haben halt harte Jungs. Keine Ami-Weicheier 😂
7. April 2018 @ 10:05
😉 Hatte ich tatsächlich auch noch dran gedacht … “My allergies are killing me” hört man ja gerne. So long … Britta
6. April 2018 @ 16:22
Hi Britta,
du hast wahrlich gut berichtet.
Auch in Deutschland sind meines Erachtens
Ärzte zu
schnell bereit , Medikamente zu verschreiben, nein sie zwingen einem zum Teil die Schmerztabletten auf. Man stößt auf
Unverständnis, wenn man kundtut,
danke keine Schmerzmittel erst einmal,
es gibt noch andere Möglichkeiten
Tee etc oder Sonstiges. Ticken wir
nicht richtig oder viele Ärzte ? Man soll auf
seinen Körper hören und nach anderen
Möglichkeiten bezüglich der Schmerzen
sich kundig machen.
Karola
7. April 2018 @ 10:08
Hi Karola, danke!! Tja, es hängt sicherlich viel von der Einstellung des jeweiligen Arztes ab, unabhängig von der Nationalität. Nach meinen Erfahrungen wird hier jedoch deutlich achtloser mit Medikamenten umgegangen als in Deutschland. Umgekehrt finden Amerikaner, dass wir oft zu wenig Schmerzmittel geben. Well, den golden Mittelweg muss jeder für sich selbst finden. So long .. Britta
9. April 2018 @ 02:54
The topic gives me a headache!
10. April 2018 @ 09:32
LOL!!
10. April 2018 @ 15:39
Liebe Britti,
wenn du das nicht berichtet hättest, würde ich diese Schilderungen für total überzogen halten. Jetzt habe ich Tränen in den Augen vor lauter Lachen. Bestimmt gibt es bei euch dagegen wunderbare bunte Pillen 🙂
DANKE ruft Chrissi über das große Wasser
12. April 2018 @ 08:02
Liebe Chrissi, versuch’s doch mal mit Gummibärchen ode mit Gemütlichkeit 😉 Es freut mich, dass ich dich mit dem Beitrag amüsieren konnte. Vielen Dank für deinen schönen Kommentar! So long … die Britti
23. März 2025 @ 17:53
Each vying for dominance, these powerhouses bring distinct benefits to the fitness
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Creatine performs a pivotal role in the rapid energy manufacturing required during high-intensity actions.
It acts as a available power reserve in muscle cells, helping to replenish ATP, the
first energy foreign money of the cell, throughout brief bursts of exercise.
This form of creatine is supposed to offer better absorption, but there isn’t a complete lot of scientific proof to help that notion. Creatine citrate is made up of only about forty % creatine,
making it an inefficient method to ship creatine.
It’s also price consulting with a healthcare professional,
particularly when you have preexisting circumstances or
issues about how creatine supplementation might fit into your health regimen.
There is little doubt Creatine Monohydrate stands out for its capability to enhance power, efficiency, and muscle progress, alongside advantages in restoration and potential cognitive
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Researchers did a examine on 10 sufferers with ischemic coronary heart disease and frequent untimely ventricular contractions.
The results present that the patients receiving creatinol-O-phosphate skilled a dramatically lowered incidence of untimely ventricular contractions
compared to another substance (x). Finally, the Creatine HCL vs Monohydrate determination depends on your fitness type.
If price is an element for you and you’re okay with a classical
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In Contrast To many different supplements that require breaks to reset your body’s tolerance,
creatine could be taken continuously without any problems.
Nevertheless, when testing for statistical equivalence, we found equivalence solely between the baseline and placebo situations, not between the baseline and creatine situations.
A total of 1322 articles had been reviewed with relevant
analysis highlighted on this systematic review. Creatine is mostly present in dietary supplements within the type of creatine monohydrate, because it will increase
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which can be diluted in water or some other fluid.
Anabolic steroids can be taken orally, but
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If you’re new to creatine supplementation, you most likely marvel which kind is best for
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In this article, we’ll deep dive into the differences between these forms of creatine supplements.
We’ll talk about everything from their security, effectiveness, and one of the simplest ways to make use of them.
The downside is that creatine HCL is new, so little or no research is available.
In subjects with BD who were treated with lithium, [PCr]
fell after photic stimulation (a methodology of increasing visible cortex activity) in subjects who did not respond to lithium but remained stable in lithium-responsive topics and controls [161].
This suggested that topics with BD have a deficit in PCr synthesis that is ameliorated by lithium.
In a similar examine [163], nevertheless, [PCr] fell in response to photic
stimulation in controls, but not in bipolar topics, although PCr/ATP ratios have been decreased in BD,
and [ATP] fell in BD in response to photic stimulation.
A research utilizing magnetization switch to estimate
the speed fixed for the creatine kinase reaction in BD discovered that it did not differ
significantly between euthymic or depressed bipolar topics and controls [162].
In distinction, topics with a first episode of bipolar despair (BD) or mania and psychotic options
exhibited a 13% reduction in the fee fixed for the creatine kinase
reaction [159]. The distinction between these studies may be due to the absence
of psychosis among the topics in the first study or, again, to
the difference in mood states, as most of the subjects within the second examine were manic.
ATP (Adenosine Tri-phosphate) is your body’s fuel supply, driving almost every course of in your body.
When ATP is de-phosphorylated, which means a phosphate group is removed, power is released and
used to drive mobile reactions that would be otherwise energetically unfavorable.
After de-phosphorylation, the molecule now turns into ADP (Adenosine Di-phosphate); however,
the energy released solely provides a limited amount of vitality
at the site of muscular contraction in muscle tissue.
Also, creatine HCl displays superior absorption across the intestinal
epithelium, making it more bioavailable than creatine monohydrate
[8]. Because of its solubility, nitrate absorption charges for creatine are 100 percent – none is misplaced during digestion. A research printed
in JISSN [3] examined the results of various creatines on bench press power.
So far we’ve talked about Cr in generic phrases – however there are actually totally different types of the compound.
The drawback is although that you don’t retailer a substantial quantity
of it in your physique – the equal of around 3-4 seconds worth of high-intensity exercise.
Nevertheless, it is digested much slower from food in comparison with when it’s obtained from a supplement [1].
HeydayDo’s content is for informational & educational functions solely, and is
not meant to be an different selection to skilled medical advice, analysis,
or treatment.Please consult with your doctor or well being
professional for that.
Presently, two new forms of creatine, CC, and CPY have been permitted for import to Japan. In the EU, creatine is regulated as a food supplement underneath
the Meals Supplement Directive (FSD) (EPC 2002) and the directive on substances that might be added
for particular nutritional purposes in meals for explicit nutritional makes use of (FPNU) (EPC 2001).
In 2004, the European Meals Safety Authority (EFSA)
issued a positive opinion on CM for FPNU (EFSA 2004).
No other opinions have been issued on another creatine varieties, either by EFSA or its predecessor (the
Scientific Committee on Meals, SCF). Due to the nature of
the notification process in the USA, a non-response from FDA might,
in theory, be thought-about a “non-objection” from the company.
Nonetheless, with the notification process, FDA maintains the right to object
at any time, whether or not it has previously
responded or not. Thus, with the exception of CM and maybe CPY, different forms of
creatine appear to be on the US market with out the correct sanction from FDA or with
out notification to FDA altogether.
Conversely, creatine supplementation may be much more helpful
for these on a plant-based food regimen, because of the lack of creatine consumption from meals.
It functions as an simply accessible energy reserve for muscle cells, giving the muscle tissue higher power and endurance.
But in high-intensity exercise, creatine can enhance
performance by up to 15% and it can also help us to gain muscle and power.
Therefore, it’s not shocking that creatine plays a crucial role during a cardiac ischemic
event [185,186]. First in vitro studies permit the speculation that saturation of myocardial creatine shops may lead to protection within the occasion of a transient ischemic attack [49].
In this context, in animal research, crammed ATP stores have a constructive inotropic, apoptosis-protective impact
and counteract a post-ischemic inflammatory cascade [187].
Some firms try to differentiate between glycemic and non-glycemic carbs (those that quickly elevate blood sugar and insulin and people who
don’t). The term Internet Carbs is commonly used on product
labels to show the carbs left after you subtract the fiber and sugar alcohols from the Total Carbohydrate
content material. With the proper plan and the best self-discipline, you
can get critically shredded in simply 28 days.
Muscle and Brawn is a training enterprise devoted to the art and science of bodybuilding, with a selected emphasis on superior techniques in hormone
optimization, peptide remedy, anabolic enhancements, and comprehensive biohacking
strategies. Since creatine HCL is extra concentrated and has faster absorbption fee, you
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Identified for its cutting-edge method to supplements, Behemoth Labz
is a frontrunner in research-backed merchandise designed
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Your body naturally produces this molecule, which serves quite so much of important functions, together
with energy manufacturing (1). From the best creatine pills and powder to kre-alkalyn, creatine HCL or one of
the best vegan creatine, listed right here are the best creatine supplements out there.
Maximum research has been performed on the creatine
monohydrate than any other form of creatine. According to research studies,
5 g of creatine HCL helped to build a powerful
relationship between energy and physique composition. A well-researched complement, creatine is confirmed to be effective in constructing muscle tissue
and enhancing energy. Leonard’s articles have been published in plenty of
top publications around the internet.
However, it might be used for people who expertise stomach upset with
creatine monohydrate. With higher absorption and solubility, there are fewer unwanted aspect effects for creatine
HCL. Creatine combines with phosphate to kind creatine phosphate,
which performs a big role in cellular energy manufacturing (5).
It helps in the formation of adenosine triphosphate
(ATP), which is a major supply of cellular energy.
If you might be looking for an excellent sports complement to enhance your athletic efficiency, then creatine
dietary supplements could be a nice choice. In Accordance to the
National Collegiate Athletic Affiliation Nationwide Research of Substance Use Habits of College Student-Athletes, about 14% of athletes reported using creatine supplements.
A registered dietitian explains what creatine does and assesses
the benefits and dangers.
Because of its superior solubility in water, it’s speculated that a decrease dose can be utilized, decreasing comparatively common unwanted aspect
effects like an upset stomach. Some research has found that
they may increase power gains from a weight training
program by about 10%, on average (17). Creatine is a molecule that’s comparable in structure to amino acids, the constructing blocks of protein. Regardless Of
the presence of these two natural sources, consuming it as a dietary
complement can increase your body’s stores (2, 3).
Right Here is a listing of foods excessive in creatine, each animal-sourced and vegan decisions.
It helps in rehydration and improves the uptake of carbohydrates into muscle cells.
Hope the detailed analysis has given you a clear overview of
what’s creatine nitrate vs monohydrate and which one you prefer.
On days 7 and 28, efficiency evaluations such as a
bench press check, a Wingate check, and a dash
on a bicycle ergometer were carried out. Right
Here we’ve gone by way of the distinction between creatine monohydrate and
creatine nitrate which comparatively makes your analysis simpler.
Some of the unwanted effects of creatine monohydrate consumption embody Gastrointestinal Distress,
weight acquire, Muscle cramps, Stomach
upset, Diarrhea, and Dizziness. Using the really helpful dosage shall be better to get rid of these
unwanted effects.
However, it must be famous that analysis on the position of creatine
supplementation in pregnant women is limited. The current
research aimed to judge the effects of creatine monohydrate supplementation when mixed with resistance coaching on the soleus, a classic slow-twitch muscle, and gastrocnemius white portion, an necessary fast-twitch muscle type.
In contrast to our speculation, creatine supplementation, both alone or mixed with resistance coaching, had little impression on morphological and
molecular options in both skeletal muscle types. Creatine monohydrate has been the gold standard in creatine
supplementation for decades.
Product costs vary relying on a few factors, similar to the type of testing and processing
a formula undergoes, as properly as any certifications it garners.
Typically speaking, micronized creatine could value more because
it undergoes additional steps to realize its smaller particle dimension. Creatine monohydrate is generally
more inexpensive since it’s sold in its purest kind. As essentially the
most versatile of the creatine sorts, creatine monohydrate comes
in a quantity of forms, including as a pill, powder, or capsule.
In this explainer, we take a more in-depth look at these two forms of creatine, including their similarities and differences, and if one
is actually extra useful than the opposite. But there’s much more to know about these two types of creatine,
which is extremely well-liked in the complement area.
The mixture of antidepressants and creatine was simpler than easy pharmacological medicine [254].
Creatine administration was even effective when drug remedy
with SSRIs proved to be ineffective [255].
In this content, creatine has also been discussed as a possible therapeutic
agent in the treatment of drug addiction and its psychic associated disorders [256].
Optimistic results of creatine supplementation have also been reported in post-traumatic stress disorders [257].
Schizophrenic and stress patients appear to gain no benefit from creatine intake.
This type binds creatine to magnesium, claiming to boost absorption and provide
additional benefits like improved muscle relaxation. Creatine Monohydrate
+ HCl is one other in style form, created by binding creatine to hydrochloric acid.
Though some forms of creatine may be extra soluble when combined
in fluid, the evidence thus far shows that creatine monohydrate could also be the only
option… It’s backed by the strongest research, with research demonstrating its effectiveness at
increasing your body’s stores and enhancing train performance.
There’s robust proof that these supplements can enhance
train performance (8, 15, 16). Creatine monohydrate has been available for
a very long time, making it the most inexpensive type of creatine supplement.
Without this section, the muscular tissues and your
exercises will not reap the entire benefits. You should look closely
to see the difference between these varieties of creatine supplements because the differences exist at
a molecular degree. As you presumably can see, there aren’t any other
types of creatine on the market right now which would possibly be scientifically proven to
be superior to creatine monohydrate. It is the superior choice because of the amount of analysis and studies performed on the
complement.
✔️ 100 percent Pure, Clear Method – Free from fillers,
additives, and artificial ingredients—just clinically dosed,
ultra-pure Kre-Alkalyn® Creatine. Respiratory variables have been measured breath-by-breath using a gasoline analyzer (Quark PFT, COSMED, Rome,
Italy) calibrated following the manufacturer’s instructions.
Coronary Heart rate was monitored utilizing a transmission belt linked to the gas analyzer (Wireless HR 138 Monitor, COSMED, Rome, Italy).
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