I-Spironolactone ne-Hydrochlorothiazide

-Delile

• Ngaphambi kokuthatha i-spironolactone ne-hydrochlorothiazide,
• I-Spironolactone ne-hydrochlorothiazide kungadala 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:

I-Spironolactone ibangele izicubu ezilwaneni zaselebhu. Khuluma nodokotela wakho ngezingozi nezinzuzo zokusebenzisa lo muthi ngesimo sakho.

Lo muthi akufanele usetshenziswe lapho uqala ukwelashwa kwakho.Kufanele uphuze lo muthi kuphela ngemuva kokuba imithamo efanele ye-spironolactone ne-hydrochlorothiazide isungulwe ngudokotela wakho ngamunye.

Inhlanganisela ye-spironolactone ne-hydrochlorothiazide isetshenziselwa ukwelapha umfutho wegazi ophezulu. Lo muthi usetshenziselwa ukwelapha iziguli ezine-edema (ukugcinwa koketshezi) okubangelwa izimo ezahlukahlukene, kufaka phakathi inhliziyo, isibindi noma isifo sezinso. ISpironolactone isekilasini lemithi ebizwa ngama-aldosterone receptor antagonists. Kubangela izinso ukuqeda amanzi angadingeki kanye ne-sodium emzimbeni kuya emchameni, kepha kunciphisa ukulahleka kwe-potassium emzimbeni. 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-spironolactone ne-hydrochlorothiazide iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye noma kabili ngosuku. Ukukusiza ukuthi ukhumbule ukuthatha i-spironolactone ne-hydrochlorothiazide, yithathe ngesikhathi esifanayo (ama) nsuku zonke. Uma kufanele uyithathe kanye ngosuku, yithathe ekuseni; uma uzokuthatha kabili ngosuku, yithathe ekuseni nantambama ukugwema ukuya endlini yangasese ebusuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-spironolactone ne-hydrochlorothiazide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Le mithi ilawula umfutho wegazi ophakeme kanye ne-edema, kepha ayizelaphi lezi zimo. Qhubeka nokusebenzisa i-spironolactone ne-hydrochlorothiazide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-spironolactone ne-hydrochlorothiazide ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-spironolactone ne-hydrochlorothiazide,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-spironolactone, i-hydrochlorothiazide, i-thiazide diuretics ('' amaphilisi amanzi ''), imishanguzo esuselwa e-sulfa, i-penicillin, eminye imishanguzo, noma yiziphi izithako ezikumaphilisi e-spironolactone ne-hydrochlorothiazide. 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 yikuphi okulandelayo: i-aldosterone evimba imithi efana ne-eplerenone (Inspra), i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), i-captopril (i-Capoten), i-enalapril (i-Vasotec, e-Vaseretic), fosinopril, lisinopril (ePrinzide, ngesiZestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), nase trandolaprka (Mavik, eTarik; abamelene ne-angiotensin II (ama-angiotensin receptor blockers; ama-ARB) anjenge-azilsartan (i-Edarbi, e-Edarbyclor), i-candesartan (i-Atacand, e-Atacand HCT), i-eprosartan (iTeveten, eTeveten HCT), irbesartan (Avapro, e-Avalideza, losartan Coz) eHyzaar), olmesartan (Benicar, e-Azor, Benicar HCT), telmisartan (Micardis, eMicardis HCT, eTwynsta), nase-valsartan (Diovan, eDiovan HCT, Exforge); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (i-NSAIDS) efana ne-ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); i-digoxin (i-Lanoxin); i-heparin kanye nama-heparin wesisindo esiphansi njenge-enoxaparin (Lovenox); i-lithium (i-Lithobid); imithi yesifo sikashukela noma umfutho wegazi ophakeme; i-potassium-sparing diuretics (’’ amaphilisi amanzi ’’) njenge-amiloride (Midamor) noma i-triamterene (iDyrenium, eDyazide, eMaxzide); nezithako ze-potassium. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma unamazinga aphezulu egazi e-calcium noma i-potassium noma uke waba nesifo i-Addison noma ezinye izimo ezingadala amazinga aphezulu egazi e-potassium, noma isifo sezinso noma sesibindi. Udokotela wakho angakutshela ukuthi ungathathi i-spironolactone ne-hydrochlorothiazide.
• Tshela udokotela wakho uma uke waba nesifo somoya, i-systemic lupus erythematosus (i-SLE, isimo esingalapheki sokuvuvukala), isifo sikashukela noma i-gout.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-spironolactone ne-hydrochlorothiazide, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-spironolactone ne-hydrochlorothiazide.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.

Landela izinkomba zikadokotela wakho ngokudla okunosawoti omncane noma ukudla okunesodium ephansi kanye nohlelo lokuzivocavoca nsuku zonke. Gwema izithako zikasawoti eziqukethe i-potassium. Nciphisa ukudla kwakho ukudla okune-potassium (isb., Ubhanana, umlimi unquma, omisiwe nejusi le-orange) Cela iseluleko kudokotela wakho ngokuthi ungaba nokudla okungakanani.

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

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ubuhlungu besisu
• ukuchama kaningi
• isiyezi
• ikhanda
• amabele akhulisiwe noma abuhlungu
• izikhathi ezingajwayelekile zokuya esikhathini
• ubunzima bokugcina noma ukufeza ukwakhiwa
• ukuphuma kwesitho sangasese sowesifazane ngemuva kokuya esikhathini ('ngemuva kokushintsha kwempilo', ukuphela kwezikhathi zokuya esikhathini njalo ngenyanga) abesifazane
• ukozela

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

• ubuthakathaka bemisipha noma amajaqamba
• izinguquko embonweni noma ebuhlungu beso
• okusheshayo, okweqile kwesisindo
• ukukhathala
• ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
• ukulimaza noma ukopha okungavamile
• ukuphuzi kwesikhumba noma kwamehlo
• ukuqubuka kwesikhumba
• ukulunywa
• imfiva
• ukudideka

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.

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.

• I-Aldactazide^® (equkethe iSpironolactone, Hydrochlorothiazide)