I-Atorvastatin

-Delile

• Ngaphambi kokuthatha i-atorvastatin,
• I-Atorvastatin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho noma uthole usizo oluphuthumayo lwezokwelapha ngokushesha:

I-Atorvastatin isetshenziswa kanye nokudla, ukwehlisa isisindo somzimba, nokuzivocavoca umzimba ukunciphisa ingozi yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi nokunciphisa amathuba okuthi kudingeke ukuhlinzwa kwenhliziyo kubantu abanesifo senhliziyo noma abasengozini yokuthola isifo senhliziyo. I-Atorvastatin nayo isetshenziselwa ukwehlisa inani lezinto ezinamafutha njenge-low-density lipoprotein (LDL) cholesterol ('bad cholesterol') kanye ne-triglycerides egazini nokukhulisa inani le-cholesterol ephakeme kakhulu (i-HDL) cholesterol ('cholesterol enhle ') egazini. I-Atorvastatin ingasetshenziselwa ukunciphisa inani le-cholesterol nezinye izinto ezinamafutha egazini ezinganeni nasebusheni abaneminyaka engu-10 kuya kwengu-17 ubudala abane-heterozygous hypercholesterolemia yomndeni (isimo esizuzwe njengefa lapho i-cholesterol ingasuswa emzimbeni ngokujwayelekile). I-Atorvastatin isekilasini lemithi ebizwa nge-HMG-CoA reductase inhibitors (ama-statins). Isebenza ngokunciphisa ukukhiqizwa kwe-cholesterol emzimbeni ukwehlisa inani le-cholesterol engakha ezindongeni zemithambo futhi ivimbele ukugeleza kwegazi liye enhliziyweni, ebuchosheni nakwezinye izingxenye zomzimba.

Ukuqoqeka kwe-cholesterol namafutha eceleni kwezindonga zemithambo (inqubo eyaziwa ngokuthi i-atherosclerosis) kunciphisa ukugeleza kwegazi, ngakho-ke, ukunikezwa komoya-mpilo enhliziyweni yakho, ebuchosheni nakwezinye izingxenye zomzimba wakho. Ukwehlisa izinga legazi lakho le-cholesterol namafutha nge-atorvastatin kukhonjisiwe ukuvimbela isifo senhliziyo, i-angina (ubuhlungu besifuba), imivimbo nokuhlaselwa yinhliziyo.

I-Atorvastatin iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-atorvastatin ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-atorvastatin njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-atorvastatin futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo emavikini amabili kuya kwamane.

Qhubeka uthathe i-atorvastatin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-atorvastatin ngaphandle kokukhuluma nodokotela wakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-atorvastatin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-atorvastatin, noma imiphi eminye imithi, noma iziphi izithako ezikumathebulethi e-atorvastatin. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imishanguzo yokubulala amagciwane efana ne-itraconazole (Sporanox) ne-ketoconazole (Nizoral); i-boceprevir (i-Victrelis); i-cimetidine (Tagamet); i-clarithromycin (i-Biaxin); imithi equkethe i-cobicistat (Stribild); i-colchicine (ama-Colcrys); i-digoxin (i-Lanoxin); i-efavirenz (iSustiva, e-Atripla); izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); eminye imithi yokwehlisa i-cholesterol efana ne-fenofibrate (Tricor), i-gemfibrozil (i-Lopid), ne-niacin (i-nicotinic acid, i-Niacor, i-Niaspan); ezinye ze-HIV protease inhibitors ezifana ne-darunavir (Prezista), fosamprenavir (Lexiva), lopinavir (e-Kaletra), i-nelfinavir (i-Viracept), i-ritonavir (i-Norvir, e-Kaletra), i-saquinavir (i-Invirase), ne-tipranavir (i-Aptivus); imithi ecindezela amasosha omzimba njenge-cyclosporine (Neoral, Sandimmune); i-rifampin (i-Rifadin, i-Rimactane); i-spironolactone (Aldactone); ne- telaprevir (Incivek). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo nayo ingaxhumana ne-atorvastatin, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• tshela udokotela wakho uma unesifo sesibindi. Udokotela wakho uzo-oda ukuhlolwa kwelabhoratri ukuze abone ukuthi isibindi sakho sisebenza kahle kanjani noma ngabe awucabangi ukuthi unesifo sesibindi. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-atorvastatin uma unesifo sesibindi noma unesifo sesibindi noma uma ukuhlolwa kukhombisa ukuthi kungenzeka ukuthi unesifo sesibindi.
• utshele udokotela wakho uma uphuza iziphuzo ezidakayo ezingaphezu kwezingu-2 nsuku zonke, uma uneminyaka engama-65 noma ngaphezulu, uma uke waba nesifo sesibindi, futhi uma uke waba nezinhlungu zemisipha noma ubuthakathaka; isifo sikashukela, ukuquleka, umfutho ophansi wegazi, noma isifo segilo noma sesinso.

• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Akufanele ukhulelwe ngenkathi uthatha i-atorvastatin. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ongazisebenzisa ngesikhathi sokwelashwa kwakho. Uma ukhulelwa ngenkathi uthatha i-atorvastatin, yeka ukuthatha i-atorvastatin bese ushayela udokotela wakho ngokushesha. I-Atorvastatin ingalimaza umbungu.

  
  

• ungancelisi ibele ngenkathi uthatha lo muthi.

• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-atorvastatin. Uma ungeniswe esibhedlela ngenxa yokulimala kanzima noma ukutheleleka, tshela udokotela okuphatha ukuthi uthatha i-atorvastatin.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-atorvastatin. Utshwala bungakhuphula ubungozi bemiphumela emibi kakhulu.

Yidla ukudla okunamafutha aphansi, okunamafutha amancane. Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Ungavakashela futhi iwebhusayithi ye-National Cholesterol Education Program (NCEP) ukuthola eminye imininingwane yokudla ku-http: //www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Gwema ukuphuza amanani amakhulu [ngaphezu kwamalitha angu-1.2 (cishe ilitha elilodwa ngosuku) wejusi lamagilebhisi ngenkathi uthatha i-atorvastatin.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma kungaphansi kwamahora angu-12 kuze kufike umthamo wakho olandelayo ohleliwe, weqa umthamo ongabanjwanga bese uqhubeka nesimiso sakho sokulinganisa okujwayelekile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Atorvastatin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isifo sohudo
• isilungulela
• igesi
• ubuhlungu obuhlangene
• ukukhohlwa noma ukulahleka kwememori
• ukudideka

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho noma uthole usizo oluphuthumayo lwezokwelapha ngokushesha:

• ubuhlungu bemisipha, ubumnene, noma ubuthakathaka
• ukungabi namandla
• imfiva
• ubuhlungu besifuba
• isicanucanu
• ukukhathala ngokweqile
• ubuthakathaka
• ukopha okungajwayelekile noma ukulinyazwa
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• umchamo onombala omnyama
• ukuphuzi kwesikhumba noma kwamehlo
• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka

I-Atorvastatin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ngesikhathi sokwelashwa kwakho, ikakhulukazi uma uba nezimpawu zokulimala kwesibindi.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-atorvastatin.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Lipitor^®

• Iziqu^® (equkethe i-Amlodipine, Atorvastatin)
• I-Liptruzet^® (equkethe i-Atorvastatin, Ezetimibe)