I-Nitroglycerin Sublingual

-Delile

• Ngaphambi kokuthatha noma ukusebenzisa i-nitroglycerin,
• INitroglycerin ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Amaphilisi we-Nitroglycerin sublingual asetshenziselwa ukwelapha iziqephu ze-angina (ubuhlungu besifuba) kubantu abane-coronary artery disease (ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni). Iphinde isetshenziswe ngaphambi nje kwemisebenzi engadala iziqephu ze-angina ukuvimbela ukuthi i-angina ingenzeki. INitroglycerin isekilasini lemithi ebizwa ngama-vasodilators. Isebenza ngokuxegisa imithambo yegazi ngakho-ke inhliziyo ayidingi ukusebenza kanzima ngakho-ke ayidingi umoya-mpilo omningi.

INitroglycerin iza njengethebhulethi yolimi oluthile ongayithatha ngaphansi kolimi. Amathebulethi avame ukuthathwa lapho kudingeka, noma imizuzu eyi-5 kuya kwengu-10 ngaphambi kwemisebenzi engadala ukuhlaselwa yi-angina noma kusibonakaliso sokuqala sokuhlaselwa. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-nitroglycerin njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

INitroglycerin kungenzeka ingasebenzi kahle ngemuva kokuyisebenzisa isikhathi esithile noma uma uthathe imithamo eminingi. Thatha amaphilisi ambalwa kakhulu adingekayo ukudambisa izinhlungu zokuhlaselwa kwakho. Uma ukuhlaselwa i-angina kwenzeka kaningi, kuhlala isikhathi eside, noma kuba nzima kakhulu nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho, shayela udokotela wakho.

Khuluma nodokotela wakho mayelana nokuthi uwasebenzisa kanjani amaphilisi e-nitroglycerin ukwelapha ukuhlaselwa yi-angina. Udokotela wakho mhlawumbe uzokutshela ukuthi uhlale phansi uthathe umthamo owodwa we-nitroglycerin lapho kuqala ukuhlaselwa. Uma izimpawu zakho zingathuthuki kakhulu noma uma ziba zimbi kakhulu ngemuva kokuthatha leli nani ungatshelwa ukuthi ucele usizo lwezokwelapha oluphuthumayo ngokushesha. Uma izimpawu zakho zingasuki ngokuphelele ngemuva kokuthatha umthamo wokuqala, udokotela wakho angakutshela ukuthi uthathe umthamo wesibili ngemuva kwemizuzu engu-5 isidlulile kanye nomthamo wesithathu ngemuva kwemizuzu engu-5 ngemuva kwesilinganiso sesibili. Shayela usizo lwezokwelapha oluphuthumayo ngokushesha uma ubuhlungu besifuba sakho bungakapheli ngokuphelele imizuzu engu-5 ngemuva kokuthatha umthamo wesithathu.

Musa ukuhlafuna, ukuchoboza noma ukugwinya amathebulethi e-nitroglycerin. Esikhundleni salokho, beka ithebhulethi ngaphansi kolimi lwakho noma phakathi kwesihlathi nenhlaka bese ulinda ukuthi ichitheke. Ungase uzizwe uvutha noma uhlaba emlonyeni wakho njengoba ithebhulethi incibilika. Lokhu kuvamile kepha akusilo uphawu lokuthi ithebhulethi iyasebenza. Ungakhathazeki ngokuthi ithebhulethi ayisebenzi uma ungezwa ukushisa noma ukuhayiza.

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

Ngaphambi kokuthatha noma ukusebenzisa i-nitroglycerin,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji kuma-nitroglycerin patches, amaphilisi, amaphilisi, amafutha okugcoba, noma i-spray; noma imiphi eminye imithi; noma yiziphi izithako kumathebulethi wezinhlamvu ezingama-nitroglycerin. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-riociguat (Adempas) noma uma uthatha noma usanda kuthatha i-phosphodiesterase inhibitor (PDE-5) efana ne-avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), kanye vardenafil (Levitra, Staxyn). Udokotela wakho angakutshela ukuthi ungathathi i-nitroglycerin uma uthatha omunye wale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-aspirin; ama-beta blockers anjenge-atenolol (Tenormin), i-carteolol, i-labetalol (iTrandate, eNormozide, eTrandate HCT), i-metoprolol (iLopressor, iTrolrol XL), i-nadolol (iCorgard), i-propranolol (iHemangeol, i-Inderal, i-Innopran), i-sotalol (iBetapace, iSorine ), kanye netimolol; ama-calcium channel blocker anjenge-amlodipine, diltiazem (Cardizem, Cartia, Diltzac, others), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Adalat, Afeditab CR, Procardia), kanye ne-verapamil (Calan, Covera, Verelan, eTarka) ; isisu (amaphilisi amanzi); imishanguzo yohlobo lwe-ergot efana ne-bromocriptine (i-Cycloset, i-Parlodel), i-cabergoline, i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Hydergine), i-ergotamine (eCafergot, eMigergot), ne-methylergonovine (Methergine) heparin; imishanguzo yomfutho wegazi ophakeme, ukwehluleka kwenhliziyo, noma ukushaya kwenhliziyo okungajwayelekile. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• kufanele wazi ukuthi amaphilisi wezinhlamvu ze-nitroglycerin angahle ancibilike kalula emlonyeni wakho uma uthatha imishanguzo ebanga umlomo owomile njengama-antihistamine; imishanguzo ehlanganisa i-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimipramine (Surmontil); ipratropium (Atrovent); noma imishanguzo yesifo samathumbu esicasulayo, isifo sokuhamba, isifo sikaParkinson, izilonda, noma izinkinga zomchamo. Uma lokhu kwenzeka, sebenzisa umkhiqizo wamathe wokufakelwa noma i-chew gum ukukhulisa inani lamathe emlonyeni wakho ukuze ithebhulethi ichitheke.
• Tshela udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo futhi uma une-anemia (inani eliphansi lamaseli abomvu egazi) noma yisiphi isimo esidala ingcindezi kugebhezi lwakho. Udokotela wakho angakutshela ukuthi ungathathi i-nitroglycerin.
• Tshela udokotela wakho uma ucabanga ukuthi kungenzeka ukuthi uphelelwe amanzi emzimbeni futhi uma uke wehlelwa yinhliziyo noma uke wahluleka, umfutho wegazi ophansi, noma i-hypertrophic cardiomyopathy (ukuqina kwemisipha yenhliziyo).
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-nitroglycerin, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-nitroglycerin.
• buza udokotela wakho ngokusetshenziswa okuphephile kophuzo oludakayo ngenkathi uthatha i-nitroglycerin. Utshwala bungenza imiphumela emibi ye-nitroglycerin ibe yimbi kakhulu.
• kufanele wazi ukuthi i-nitroglycerin ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni olele kuyo, noma nganoma yisiphi isikhathi, ikakhulukazi uma uphuza iziphuzo ezidakayo. Ukugwema le nkinga, sukuma kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma. Thatha izinyathelo ezengeziwe zokugwema ukuwa ngesikhathi sokwelashwa kwakho nge-nitroglycerin.
• kufanele wazi ukuthi ungathola ikhanda lapho ulashwa nge-nitroglycerin. Lezi zinhlungu zekhanda zingaba uphawu lokuthi umuthi usebenza ngendlela efanele. Ungazami ukushintsha izikhathi othatha ngazo i-nitroglycerin ukuze ugweme ukuphathwa yikhanda ngoba lapho-ke umuthi kungenzeka ungasebenzi futhi.

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

Amathebulethi amaNitroglycerin angaphansi kwezilimi ngokuvamile athathwa njengoba kudingeka ukwelapha iziqephu ze-angina; ungazithathi njalo.

INitroglycerin ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:

• ukuqhuma

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

• ukungaboni kahle
• umlomo owomile
• ukuqubuka, ukushwabana, noma ukuxebuka kwesikhumba
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• isicanucanu
• ukuhlanza
• ubuthakathaka
• ukujuluka
• isikhumba esiphaphathekile

I-Nitroglycerin sublingual 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, ivaleke ngci njalo emva kokusetshenziswa ngakunye, 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:

• ikhanda
• ukudideka
• imfiva
• isiyezi
• ukushaya kwenhliziyo okuhamba kancane noma okushaya ngamandla
• umbono uyashintsha
• isicanucanu
• ukuhlanza
• uhudo olunegazi
• ukuquleka
• ukuphelelwa umoya
• ukujuluka
• ukuqhuma
• kubanda, isikhumba se-clammy
• ukulahlekelwa amandla okuhambisa umzimba
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• isithuthwane

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi baselebhu ukuthi usebenzisa i-nitroglycerin sublingual.

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-Nitrostat^®