I-Tiludronate

-Delile

• Ngaphambi kokuthatha i-tiludronate,
• I-Tiludronate 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:

I-Tiludronate isetshenziselwa ukwelapha isifo sePaget samathambo (isimo lapho amathambo ethambile futhi ebuthakathaka futhi engahle akhubazeke, abuhlungu, noma aphuke kalula). I-Tiludronate isekilasini lemithi ebizwa ngama-bisphosphonates. Isebenza ngokuvimbela ukuwohloka kwamathambo nokwandisa ukuminyana kwethambo (ukujiya).

I-Tiludronate iza njengethebhulethi ukuyithatha ngomlomo. Imvamisa iphuzwa esiswini esingenalutho kanye ngosuku izinyanga ezintathu. Lokhu kwelashwa kungaphindwa uma izimpawu zibuya noma ziba zimbi kakhulu ngemuva kwesikhathi esithile. Thatha i-tiludronate ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-tiludronate njengoba nje kuqondisiwe. Ungayithathi kaningi noma kancane noma isikhathi eside kunokuyalelwa ngudokotela wakho.

Thatha i-tiludronate ngengilazi egcwele (6 to 8 ounces [180 to 240 milliliters]) wamanzi angenalutho. Ungathathi i-tiludronate nganoma yiluphi olunye uketshezi, kufaka phakathi amanzi amaminerali. Ungadli noma uphuze amahora amabili ngaphambi noma amahora amabili ngemuva kokuthatha i-tiludronate. Musa ukulala phansi okungenani imizuzu engama-30 ngemuva kokuthatha lo muthi.

I-Tiludronate ilawula isifo sePaget samathambo kuphela lapho sithathwa njengoba kunqunyiwe. Ungayeki ukuthatha i-tiludronate ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-tiludronate,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tiludronate, noma imiphi eminye imithi, noma iziphi izithako ezibhebheni ze-tiludronate. Buza usokhemisi wakho 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 yikuphi okulandelayo: imithi yokwelashwa ngamakhemikhali yomdlavuza kanye ne-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol) ne-prednisone (i-Deltasone) .Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuhlole ngokucophelela imiphumela emibi.
• uma uthatha i-aspirin, indomethacin (Indocin), noma i-calcium noma izengezo zamaminerali, thatha amahora amabili ngaphambi noma amahora amabili ngemuva kokuthatha i-tiludronate. Uma uthatha ama-antacids aqukethe i-calcium, i-magnesium, noma i-aluminium (Maalox, Mylanta, Tums, others), thatha okungenani amahora amabili ngemuva kokuthatha i-tiludronate.
• utshele udokotela wakho uma ungakwazi ukuma noma ukuhlala uqonde okungenani imizuzu engama-30 ngemuva kokuthatha i-tiludronate. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-tiludronate.
• utshele udokotela wakho ukuthi ngabe uthola ukwelashwa ngemisebe nokuthi ngabe uke waba nobunzima noma waba nobuhlungu lapho ugwinya noma wake; isilungulela, izilonda, noma ezinye izinkinga ngesisu sakho noma ngomphimbo (ishubhu elixhumanisa umlomo nesisu); i-anemia (isimo lapho amangqamuzana abomvu egazi engalethi umoya-mpilo owenele kuzo zonke izingxenye zomzimba); umdlavuza; noma yiluphi uhlobo lokutheleleka, ikakhulukazi emlonyeni wakho; izinkinga ngomlomo wakho, ngamazinyo, noma ngezinsini; noma isiphi isimo esivimba igazi lakho ekunqandeni ngokujwayelekile; noma isifo samazinyo noma sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Phinda utshele udokotela wakho uma uhlela ukukhulelwa nganoma yisiphi isikhathi ngokuzayo, ngoba i-tiludronate ingahlala emzimbeni wakho iminyaka ngemuva kokuyeka ukuyithatha. Shayela udokotela wakho uma ukhulelwa ngesikhathi noma ngemuva kokwelashwa kwakho.
• kufanele wazi ukuthi i-tiludronate ingadala izinkinga ezinkulu ngomhlathi wakho, ikakhulukazi uma uhlinzekwa amazinyo noma ukwelashwa ngenkathi uthatha umuthi.UDokotela wamazinyo kufanele ahlole amazinyo akho futhi enze noma yiziphi izindlela zokwelashwa ezidingekayo ngaphambi kokuba uqale ukuthatha i-tiludronate. Qiniseka ukuthi uxubha amazinyo futhi uhlanze umlomo wakho kahle ngenkathi uthatha i-tiludronate. Khuluma nodokotela wakho ngaphambi kokuthola noma yikuphi ukwelashwa kwamazinyo ngenkathi uthatha lo muthi.
• kufanele wazi ukuthi i-tiludronate ingadala ubuhlungu obukhulu bethambo, imisipha, noma amalunga. Ungaqala ukuzwa lobu buhlungu kungakapheli izinsuku, izinyanga, noma iminyaka ngemuva kokuqala ukuthatha i-tiludronate. Yize lolu hlobo lobuhlungu lungaqala ngemuva kokuthi uthathe i-tiludronate isikhathi esithile, kubalulekile ukuthi wena nodokotela wakho nazi ukuthi kungabangelwa yi-tiludronate. Shayela udokotela wakho ngokushesha uma uzwa ubuhlungu obukhulu nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho nge-tiludronate. Udokotela wakho angakutshela ukuthi uyeke ukuthatha i-tiludronate futhi ubuhlungu bakho bungaphela ngemuva kokuyeka ukuthatha umuthi.

Kufanele udle futhi uphuze ukudla okuningi neziphuzo ezicebile nge-calcium novithamini D ngenkathi uthatha i-tiludronate Udokotela wakho uzokutshela ukuthi yikuphi ukudla neziphuzo okuyimithombo emihle yalezi zinongo nokuthi zingaki izinsiza ozidingayo usuku ngalunye. Uma ukuthola kunzima ukudla okwanele kulokhu kudla, tshela udokotela wakho. Uma kunjalo, udokotela wakho angakunikeza noma ancome ukuthi kufakwe isengezo.

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

• isicanucanu
• ukuhlanza
• isifo sohudo
• igesi
• ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala, noma imilenze engezansi
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukuncinza ezandleni noma ezinyaweni
• amehlo abomvu noma acasukile
• izinguquko embonweni
• ukuqubuka

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

• isilungulela esisha noma esiba sibi kakhulu
• ubunzima bokugwinya
• ubuhlungu ngokugwinya
• ubuhlungu besifuba

I-Tiludronate ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha i-tiludronate.

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. Ungawasusi amaphilisi emgqeni we-foil uze ulungele ukuwaphuza. Gcina le mithi ekamelweni lokushisa futhi kude nokushisa okwedlulele 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. Udokotela wakho angalawula izivivinyo ezithile zaselebhu ukuze ahlole impendulo yakho ku-tiludronate.

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.

• Isikhumba^®