I-Amiloride ne-Hydrochlorothiazide

-Delile

• Ngaphambi kokuthatha i-amiloride ne-hydrochlorothiazide,
• I-Amiloride ne-hydrochlorothiazide kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma funa ukwelashwa okuphuthumayo:

Inhlanganisela ye-amiloride ne-hydrochlorothiazide isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophakeme nokuhluleka kwenhliziyo ezigulini ezinamanani aphansi e-potassium emizimbeni yazo noma amazinga ephansi e-potassium emzimbeni angaba yingozi. I-Amiloride ne-hydrochlorothiazide kusekilasini lemithi ebizwa ngokuthi i-diuretics ('amaphilisi amanzi'). Zisebenza ngokwenza izinso zisuse amanzi nosawoti ongadingeki emzimbeni zingene emchameni.

Umfutho wegazi ophezulu yisimo esivamile futhi uma ungelashwa, ungadala umonakalo ebuchosheni, enhliziyweni, emithanjeni yegazi, ezinso nakwezinye izingxenye zomzimba. Ukulimala kwalezi zitho kungadala isifo senhliziyo, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sohlangothi, ukwehluleka kwezinso, ukungaboni, nezinye izinkinga. Ngaphezu kokuthatha umuthi, ukwenza ushintsho endleleni ophila ngayo kuzosiza nasekulawuleni umfutho wegazi. Lezi zinguquko zifaka phakathi ukudla ukudla okunamafutha nosawoti omncane, ukugcina isisindo esinempilo, ukuzivocavoca okungenani imizuzu engama-30 izinsuku eziningi, ukungabhemi, nokusebenzisa utshwala ngokulinganisela.

Inhlanganisela ye-amiloride ne-hydrochlorothiazide iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku ekuseni nokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-amiloride ne-hydrochlorothiazide, yithathe ngesikhathi esifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-amiloride ne-hydrochlorothiazide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Lo muthi ulawula umfutho wegazi ophakeme nokwehluleka kwenhliziyo kepha awuyelaphi le mibandela. Qhubeka uthathe i-amiloride ne-hydrochlorothiazide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-amiloride ne-hydrochlorothiazide ngaphandle kokukhuluma nodokotela wakho.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-amiloride ne-hydrochlorothiazide,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-amiloride, i-hydrochlorothiazide, i-sulfonamide equkethe imishanguzo, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi e-amiloride ne-hydrochlorothiazide. Buza usokhemisi wakho noma uhlole imininingwane yesiguli ukuthola uhlu lwezithako.
• ungathathi i-amiloride ne-hydrochlorothiazide uma uthatha i-spironolactone (Aldactone, e-Aldactazide), eminye imishanguzo equkethe i-triamterene, noma izithako ze-potassium noma izithasiselo zemithi equkethe i-potassium.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-angiotensin-converting enzyme (ACE) inhibitors anjenge benazepril (Lotensin, eLotrel), captopril (Capoten), fosinopril, lisinopril (ePrinzide, eZestoretic), moexipril (Univasc, in Uniretic) , i-perindopril (i-Aceon), i-quinapril (i-Accupril, nge-Accuretic), i-ramipril (i-Altace), ne-trandolapril (i-Mavik, eTarka); ama-angiotensin II receptor antagonists (ARB) afana ne-azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten, eTeveten HCT), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, Benicar HCT), telmisartan (Micardis, eMicardis HCT), nase-valsartan (Diovan, eDiovan HCT, Exforge); ama-barbiturates afana ne-phenobarbital ne-secobarbital (Seconal); i-corticosteroids efana ne-betamethasone (i-Celestone), i-budesonide (i-Entocort), i-cortisone (i-Cortone), i-dexamethasone (i-Decadron, abanye), i-fludrocortisone (i-Floriner), i-hydrocortisone (i-Cortef, i-Hydrocortone), i-methylprednisolone (i-Medrol), i-prednisolone (i-Prenone, abanye) (I-Rayos), ne-triamcinolone (i-Aristocort, i-Azmacort); i-corticotropin (i-ACTH HP, i-Acthar Gel); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); i-insulin nemithi yomlomo yesifo sikashukela; i-lithium (i-Lithobid); imithi yomfutho wegazi ophakeme; noma izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin, abanye), indomethacin (Indocin), ne-naproxen (Aleve, Naprosyn, abanye); noma i-tacrolimus (i-Astagraf XL, Prograf). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uthatha i-cholestyramine noma i-colestipol, thatha ihora eli-1 ngaphambi noma amahora amane ngemuva kokuthatha i-amiloride ne-hydrochlorothiazide.
• tshela udokotela wakho uma unesifo sezinso. Udokotela wakho angakutshela ukuthi ungathathi i-amiloride ne-hydrochlorothiazide.
• Tshela udokotela wakho uma uke waba nesifo sikashukela, i-gout, noma isifo sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-amiloride ne-hydrochlorothiazide, shayela udokotela wakho ngokushesha.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-amiloride ne-hydrochlorothiazide.
• kufanele wazi ukuthi i-amiloride ne-hydrochlorothiazide kungadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-amiloride ne-hydrochlorothiazide. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma. Utshwala bungangezela kule miphumela emibi.

Uma udokotela wakho ekuyala ukudla okunosawoti ophansi noma okune-sodium eningi, noma ukudla noma ukuphuza inani elinyukile lokudla okunothe nge-potassium (isb., Ubhanana, umlimi unquma, omisiwe nejusi le-orange) ekudleni kwakho, landela le miyalo ngokucophelela.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Amiloride ne-hydrochlorothiazide kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isisu esibuhlungu
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ubuhlungu besisu
• igesi
• ikhanda

Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma funa ukwelashwa okuphuthumayo:

• umlomo owomile; ukoma; isicanucanu; ukuhlanza; ubuthakathaka, ukukhathala; ukozela; ukungahlaliseki; ukudideka; ubuthakathaka bemisipha, ubuhlungu, noma amajaqamba; ukushaya kwenhliziyo okusheshayo nezinye izimpawu zokuphelelwa amandla kwamanzi nokungalingani kwe-electrolyte
• ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
• ukopha okungajwayelekile noma ukulinyazwa
• ukuphuzi kwesikhumba noma kwamehlo
• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya

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 lo muthi esitsheni owangena ngawo, uvalwe waqina, 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. Umfutho wegazi lakho kufanele uhlolwe njalo, futhi ukuhlolwa kwegazi kufanele kwenziwe ngezikhathi ezithile.

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

Ungavumeli omunye umuntu athathe umuthi wakho. 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.

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