I-Clopidogrel

-Delile

• Ngaphambi kokuthatha i-clopidogrel,
• IClopidogrel ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

IClopidogrel kufanele iguqulwe ibe yifomu esebenzayo emzimbeni wakho ukuze ikwazi ukwelapha isimo sakho. Abanye abantu abashintshi i-clopidogrel ibe yimo yayo esebenzayo emzimbeni nakwabanye abantu. Ngoba umuthi awusebenzi kahle kulaba bantu, bangaba sengozini enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi. Kukhona izivivinyo ezitholakalayo ukukhomba abantu abanenkinga yokushintsha i-clopidogrel ibe yifomu elisebenzayo. Khuluma nodokotela wakho mayelana nokuthi kufanele uhlolwe yini. Uma kutholakala ukuthi unenkinga yokuguqula i-clopidogrel ibe yimo yayo esebenzayo, udokotela wakho angashintsha umthamo wakho we-clopidogrel noma akutshele ukuthi ungathathi i-clopidogrel.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-clopidogrel futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Khuluma nodokotela wakho ngezingozi zokuthatha i-clopidogrel.

I-Clopidogrel isetshenziswa yodwa noma ine-aspirin ukuvimbela izinkinga ezinkulu noma ezisongela impilo ngenhliziyo nangemithambo yegazi kubantu abanesifo sohlangothi, isifo senhliziyo, noma ubuhlungu besifuba. Lokhu kufaka phakathi abantu abanokungenelela kwe-coronary percutaneous (PCI; angioplasty; uhlobo lokuhlinzwa kwenhliziyo) okungabandakanya ukufaka ama-coronary stents (amashubhu ensimbi ahlinzwe abekwe emithanjeni yegazi evinjiwe ukwenza ngcono ukugeleza kwegazi) noma abane-artery coronary bypass grafting (CABG; a uhlobo lokuhlinzwa kwenhliziyo). I-Clopidogrel nayo isetshenziselwa ukuvimbela izinkinga ezinkulu noma ezisongela impilo ngenhliziyo nangemithambo yegazi kubantu abanezifo zemithambo yegazi (ukungahambi kahle emithanjeni yegazi ehambisa igazi emilenzeni). UClopidogrel usesigabeni semithi ebizwa ngemithi yama-antiplatelet. Isebenza ngokuvimbela ama-platelet (uhlobo lweseli legazi) ekuqoqeni nasekwenzeni amahlule angadala isifo senhliziyo noma isifo sohlangothi.

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

IClopidogrel izosiza ukuvimbela izinkinga ezinkulu ngenhliziyo yakho nangemithambo yegazi kuphela uma uthatha umuthi. Qhubeka uthathe i-clopidogrel noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-clopidogrel ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukuthatha i-clopidogrel, kunengozi enkulu yokuthi ungahlaselwa yisifo senhliziyo noma isifo sohlangothi. Uma une-stent, kunengozi enkulu yokuthi ungaqala ukujiya kwegazi ku-stent uma uyeka ukuthatha i-clopidogrel ngokushesha okukhulu.

I-Clopidogrel kwesinye isikhathi isetshenziselwa ukuvimbela amahlule egazi kubantu abane-atrial fibrillation (isimo lapho inhliziyo ishaya ngokungajwayelekile). Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-clopidogrel,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-clopidogrel, prasugrel (Effient), ticlopidine, noma imuphi omunye umuthi, noma yisiphi isithako kumaphilisi e-clopidogrel. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• 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 ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin), ne-naproxen (Aleve, Naprosyn); i-cilostazol; esomeprazole (Nexium); i-etravirine (Intelence); i-omeprazole (Prilosec, Prilosec OTC, iZegerid); imithi ethile ye-opiate yokukhwehlela efana ne-codeine (e-Triacin-C, e-Tuzistra XR, abanye) noma i-hydrocodone (i-Hycodan, i-Tussicaps) noma izinhlungu ezifana ne-codeine (e-Fioricet, e-Trezix), i-fentanyl (i-Actiq, i-Duragesic, i-Subsys, abanye ), i-hydrocodone (Hysingla, Zohydro, e-Anexsia, eNorco), meperidine (Demerol), morphine (Duramorph, Kadian), noma i-oxycodone (ePercocet, eRoxicet, abanye); i-repaglinide (Prandin, ePrandimet); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); kanye ne-serotonin / norepinephrine reuptake inhibitors ekhethiwe (i-SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), i-duloxetine (i-cymbalta), i-sibutramine (ayisatholakali e-U.S.; i-Meridia), ne-venlafaxine (i-Effexor). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unezilonda ezophayo (izilonda esiswini noma esiswini esincane esopha), ukopha ebuchosheni, noma esinye isimo esidala ukopha kakhulu. Udokotela wakho angakutshela ukuthi akufanele uthathe i-clopidogrel.
• Tshela udokotela wakho uma usanda kulimala futhi uma uke waba nesifo sesibindi noma sezinso noma ngabe yisiphi isimo esingadala ukopha, kufaka phakathi izinkinga zesisu ezinjengezilonda.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-clopidogrel, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-clopidogrel. Udokotela wakho angakutshela ukuthi uyeke ukuthatha i-clopidogrel okungenani izinsuku ezi-5 ngaphambi kokuhlinzwa kwakho ukuze ugweme ukopha ngokweqile ngesikhathi sokuhlinzwa. Udokotela wakho uzokutshela ukuthi uzoqala nini ukuthatha i-clopidogrel futhi ngemuva kokuhlinzwa kwakho.
• kufanele wazi ukuthi ungopha kalula noma isikhathi eside kunokujwayelekile ngenkathi uthatha i-clopidogrel. Qaphela ukuthi ungazisika noma uzilimaze ngenkathi uthatha i-clopidogrel.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

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.

IClopidogrel ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukukhathala ngokweqile
• ikhanda
• isiyezi
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• isifo sohudo
• ekhaleni

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• indle emnyama neyokulinda
• igazi elibomvu endle
• ukuhlanza okunegazi
• hlanza okubukeka njengezizathu zekhofi
• ukopha okungajwayelekile noma ukulinyazwa
• umchamo obomvana noma onsundu
• inkulumo ehamba kancane noma enzima
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• izinguquko embonweni
• imfiva
• ukuphelelwa umoya
• ukushaya kwenhliziyo okusheshayo
• isikhumba esiphaphathekile
• amabala ansomi noma opha ngaphansi kwesikhumba
• ukudideka
• ukuphuzi kwesikhumba noma kwamehlo
• isithuthwane

IClopidogrel 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukulimaza noma ukopha okungavamile

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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.

• I-Plavix^®