I-Trandolapril neVerapamil

-Delile

• Ngaphambi kokuthatha i-trandolapril ne-verapamil,
• I-Trandolapril ne-verapamil zingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

Ungathathi i-trandolapril ne-verapamil uma ukhulelwe noma uncelisa ibele. Uma ukhulelwa ngenkathi uthatha i-trandolapril ne-verapamil, shayela udokotela wakho ngokushesha.

Inhlanganisela ye-trandolapril ne-verapamil isetshenziselwa ukwelapha umfutho wegazi ophezulu. Kuyinhlanganisela yemithi emibili. Inciphisa amakhemikhali athile aqinisa imithambo yegazi, ngakho-ke igazi ligeleza ngokushelela. Iphinde yehlise nemithambo yegazi yakho ngakho-ke inhliziyo yakho akudingeki ukuthi ipompe kanzima.

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

Inhlanganisela ye-trandolapril ne-verapamil iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kanye ngosuku. Ithebhulethi kufanele ligwinywe liphelele. Musa ukuhlafuna, ukuhlukanisa, noma ukuchoboza amaphilisi. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-trandolapril ne-verapamil njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Inhlanganisela ye-trandolapril ne-verapamil ilawula umfutho wegazi ophakeme kepha ayiyelaphi. Qhubeka uthathe i-trandolapril ne-verapamil noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-trandolapril ne-verapamil ngaphandle kokukhuluma nodokotela wakho.

Ngaphambi kokuthatha i-trandolapril ne-verapamil,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-trandolapril, verapamil, benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, quinapril, ramipril, noma esinye isidakamizwa.
• tshela udokotela wakho uma unesifo sikashukela (ushukela ophakeme wegazi) futhi uthatha i-aliskiren (Tekturna, e-Amturnide, Tekamlo, Tekturna HCT). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-trandolapril ne-verapamil uma unesifo sikashukela futhi uthatha i-aliskiren.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo oyiphuzayo kadokotela, ikakhulukazi i-albuterol (i-Volmax, i-Proventil [amaphilisi nesiraphu kuphela], i-Ventolin [amaphilisi nesiraphu kuphela]); i-allopurinol (iZyloprim); ama-antacids; i-betamethasone (iCelestone); carbamazepine (Tegretol); imithi yokwelashwa ngamakhemikhali; i-cimetidine (Tagamet); i-cortisone (Cortone); i-cyclosporine (iNeoral, iSandimmune); i-dantrolene (iDantrium); i-dexamethasone (i-Decadron, i-Dexone); isisu (‘amaphilisi amanzi’); i-fentanyl (i-Duragesic); i-fludrocortisone (i-Florinef); imishanguzo yenhliziyo nengcindezi yegazi efana ne-beta-adrenergic blockers, digoxin (Lanoxin), disopyramide (Norpace), flecainide (Tambocor), procainamide (Procan), ne-quinidine (Quinaglute, Quinadex); i-hydrocortisone (iCortef, i-Hydrocortone); lithium (Eskalith, Lithobid); imithi ecindezela amasosha akho omzimba; imithi yokwelapha ukucindezeleka noma izimo zengqondo; imithi yokwelapha i-glaucoma (ingcindezi eyandisiwe esweni); imithi yokwelapha ubuhlungu; ukuphumula kwemisipha; i-methylprednisolone (iMedrol); izidakamizwa ezingezona ukuvuvukala; eminye imithi yomfutho wegazi ophakeme noma isifo sikashukela; i-phenobarbital; i-phenytoin (iDilantin); izithako ze-potassium; i-prednisolone (yenziwe ngaphambili); i-prednisone (iDeltasone, i-Orasone); i-rifampin (i-Rifadin, i-Rimactane); theophylline; okokunciphisa umzimba; i-triamcinolone (i-Aristocort); namavithamini noma imikhiqizo yamakhambi.
• utshele udokotela wakho uma uke waba nesifo senhliziyo, isibindi noma sezinso; ukuhlaselwa yinhliziyo muva nje; ukushaya kwenhliziyo okungajwayelekile; ukuqina kwemisipha; ukuvimbela emathunjini (izithambiso); noma isifo sikashukela.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-trandolapril ne-verapamil.
• kufanele wazi ukuthi lesi sidakamizwa singakwenza ukozele.Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi i-trandolapril ne-verapamil zizokuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilesi sidakamizwa. Ungaphuzi utshwala ngenkathi uthatha lo muthi.

I-Trandolapril ne-verapamil kungadala isisu esithukuthele. Thatha i-trandolapril ne-verapamil ngokudla noma ubisi bese ukhuluma 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-Trandolapril ne-verapamil zingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukukhwehlela
• isiyezi noma ikhanda elikhanyayo
• Umphimbo obuhlungu
• ukushaqeka
• ukukhathala ngokweqile
• ikhanda
• isifo sohudo
• ukuqunjelwa
• isisu esibuhlungu
• isilungulela
• ukuqhuma (ukuzwa kwemfudumalo)
• ukushaya kwenhliziyo okuhamba kancane
• acacile, amaphupho angavamile

Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukuvuvukala kobuso, amehlo, izindebe, ulimi, izingalo, noma imilenze
• ukuphefumula kanzima noma ukugwinya
• ukuquleka
• ukuqubuka
• ukuphuzi kwesikhumba noma kwamehlo
• imfiva
• ukwanda kwemvamisa noma ukuqina kobuhlungu besifuba (angina)

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-trandolapril naku-verapamil.

Udokotela wakho angakucela ukuthi uhlole ukushaya kwenhliziyo yakho nsuku zonke futhi uzokutshela ukuthi kufanele kusheshe kangakanani. Uma ukushaya kwakho kuhamba kancane kunalokho okufanele kube yikho, shayela udokotela wakho izinkomba zokuthatha i-trandolapril ne-verapamil ngalolo suku. Buza udokotela wakho noma usokhemisi ukuthi akufundise ukuthi ungayihlola kanjani i-pulse yakho.

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-Tarka^® (equkethe iTrandolapril, iVerapamil)