I-Enalapril ne-Hydrochlorothiazide

-Delile

• Ngaphambi kokuthatha i-enalapril ne-hydrochlorothiazide,
• I-Enalapril ne-hydrochlorothiazide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

Ungathathi i-enalapril ne-hydrochlorothiazide uma ukhulelwe. Uma ukhulelwa ngenkathi uthatha i-enalapril ne-hydrochlorothiazide, shayela udokotela wakho ngokushesha. I-Enalapril ne-hydrochlorothiazide ingalimaza umbungu.

Inhlanganisela ye-enalapril ne-hydrochlorothiazide isetshenziselwa ukwelapha umfutho wegazi ophezulu. U-Enalapril usesigabeni semithi ebizwa nge-angiotensin-converting enzyme (ACE) inhibitors. Isebenza ngokunciphisa amakhemikhali athile aqinisa imithambo yegazi, ngakho-ke igazi ligeleza ngokushelela. I-Hydrochlorothiazide isekilasini lemithi ebizwa ngama-diuretics ('amaphilisi amanzi'). Isebenza ngokubangela izinso ukuthi 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-enalapril ne-hydrochlorothiazide iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa ngokudla noma ngaphandle kokudla kanye noma kabili ngosuku. Ukukusiza ukuthi ukhumbule ukuthatha i-enalapril ne-hydrochlorothiazide, yithathe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-enalapril ne-hydrochlorothiazide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Enalapril ne-hydrochlorothiazide ilawula umfutho wegazi ophakeme kodwa ayiyelaphi. Qhubeka uthathe i-enalapril ne-hydrochlorothiazide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-enalapril ne-hydrochlorothiazide ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-enalapril ne-hydrochlorothiazide,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-enalapril (i-Vasotec, ngesi-Vaseretic); i-hydrochlorothiazide (HCTZ, Microzide, Oretic); i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), i-captopril (i-Capoten), i-fosinopril (i-Monopril), i-lisinopril (e-Prinzide, e-Zestoretic), i-moexipril (i-Univasc, i-Uniretic), i-perindopril) i-quinapril (i-Accupril, nge-Accuretic, ngesi-Quinaretic), i-ramipril (i-Altace), ne-trandolapril (i-Mavik, eTarka); izidakamizwa ze-sulfa; noma imiphi eminye imithi; noma yiziphi izithako kumaphilisi e-enalapril kanye ne-hydrochlorothiazide. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho noma usokhemisi uma uthatha i-valsartan ne-sacubitril (i-Entresto) noma uma uyekile ukuyithatha emahoreni angama-36 edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-enalapril ne-hydrochlorothiazide, uma uthatha i-valsartan ne-sacubitril. Futhi, tshela udokotela wakho uma unesifo sikashukela futhi uthatha i-aliskiren (Tekturna, e-Amturnide, Tekamlo, Tekturna HCT). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-enalapril ne-hydrochlorothiazide uma unesifo sikashukela futhi uthatha i-aliskiren.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); i-colestipol (i-Colestid); isisu (‘amaphilisi amanzi’); i-insulin noma imithi yomlomo yesifo sikashukela; i-lithium (i-Lithobid); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); eminye imithi yomfutho wegazi ophakeme; imithi yezinhlungu; i-phenobarbital (Luminal); nezithako ze-potassium. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nesifo senhliziyo, sokukhubazeka, isibindi noma isifo sezinso; i-lupus; isifo sikashukela; ukungezwani komzimba nezinto ezithile; isifuba somoya; sifo; noma i-angioedema (isimo esidala isifuba, ukuphefumula kanzima, nokuvuvukala okubuhlungu kobuso, izindebe, umphimbo, ulimi, izandla, noma izinyawo).
• tshela udokotela wakho uma uncelisa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-enalapril ne-hydrochlorothiazide.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-enalapril ne-hydrochlorothiazide. Utshwala bungenza imiphumela emibi ye-enalapril ne-hydrochlorothiazide ibe yimbi kakhulu.
• kufanele wazi ukuthi isifo sohudo, ukuhlanza, ukungaphuzi uketshezi olwanele, nokujuluka kakhulu kungadala ukwehla kwengcindezi yegazi, okungadala ikhanda elincane nokuquleka.

Khuluma nodokotela wakho ngaphambi kokusebenzisa izithako zikasawoti eziqukethe i-potassium. Uma udokotela wakho ekutshela ukuthi udle usawoti ophansi noma ukudla okune-sodium eningi, landela lezi zinkomba 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-Enalapril ne-hydrochlorothiazide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukukhwehlela
• isiyezi
• ikhanda
• ukukhathala ngokweqile
• amajaqamba
• ukwehla kwekhono lezocansi

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ubumhlophe
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• umkhuhlane, umphimbo obuhlungu, amakhaza nezinye izimpawu zokutheleleka
• ukuphuzi kwesikhumba noma kwamehlo
• umlomo owomile
• ukoma
• ubuthakathaka
• ukuchama njalo
• isisu esibuhlungu
• ukuhlanza
• ukuquleka
• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile

I-Enalapril ne-hydrochlorothiazide 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. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-enalapril ne-hydrochlorothiazide. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-enalapril ne-hydrochlorothiazide.

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-Vaseretic^®