I-Telmisartan
-Delile
- Ngaphambi kokuthatha i-telmisartan,
- I-Telmisartan ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS section, shayela udokotela wakho ngokushesha:
- Izimpawu zokudlula ngokweqile zingafaka:
Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Ungathathi i-telmisartan uma ukhulelwe. Uma ukhulelwa ngenkathi uthatha i-telmisartan, yeka ukuthatha i-telmisartan bese ushayela udokotela wakho ngokushesha. I-Telmisartan ingadala ukufa noma ukulimala kabi embungwini lapho ithathwa ezinyangeni eziyisithupha zokugcina zokukhulelwa.
I-Telmisartan isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. I-Telmisartan nayo isetshenziselwa ukunciphisa amathuba okuhlaselwa yinhliziyo, isifo sohlangothi, noma ukufa kubantu abaneminyaka engama-55 noma ngaphezulu abasengozini enkulu yesifo senhliziyo. UTelmisartan usesigabeni semithi ebizwa ngama-angiotensin II receptor antagonists. Isebenza ngokuvimba ukusebenza kwezinto ezithile zemvelo eziqinisa imithambo yegazi, ivumele igazi ukuba ligeleze ngokushelela nenhliziyo ikwazi ukupompa kahle.
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.
I-Telmisartan iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-telmisartan, yithathe ngesikhathi esifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-telmisartan njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Amathebulethi akwaTelmisartan angena ngamaphakethe e-blister angavulwa ngokuxebula ungqimba lwephepha kusuka ku-foil bese ecindezela ithebhulethi ngocingo. Ungavuli i-blister pack uze ulungele ukugwinya ithebhulethi eliqukethe.
Udokotela wakho angakuqala ngomthamo ophansi we-telmisartan futhi akhuphule kancane umthamo wakho.
ITelmisartan ilawula umfutho wegazi ophakeme kodwa ayiyelaphi. Umfutho wegazi wakho ungancipha phakathi namasonto amabili okuqala okwelashwa kwakho, kepha kungathatha amasonto amane ukuthi uqaphele inzuzo ephelele ye-telmisartan. Qhubeka uthathe i-telmisartan noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-telmisartan ngaphandle kokukhuluma nodokotela wakho.
Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.
I-Telmisartan nayo iyasetshenziswa kwesinye isikhathi ukwelapha ukwehluleka kwenhliziyo (isimo lapho inhliziyo ingakwazi ukupompa igazi elanele emzimbeni wonke) kanye nephropathy yesifo sikashukela (isifo sezinso kubantu abanesifo sikashukela nomfutho wegazi ophakeme). Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-telmisartan,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-telmisartan, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-telmisartan. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- 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-telmisartan uma unesifo sikashukela futhi uthatha i-aliskiren.
- 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 ikuphi kokulandelayo: ama-angiotensin-converting enzyme (ACE) inhibitors anjenge benazepril (Lotensin, eLotrel), captopril (Captoten, eCapozide), enalapril (Vasotec), fosinopril, lisinopril (ePrinzide), moexipril ( Univasc, ku-Uniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), kanye ne-trandolapril (Mavik, eTarka); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn), kanye ne-COX-2 inhibitor ekhethiwe efana ne-celecoxib (Celebrex); i-digoxin (i-Lanoxin); i-diuretics ('amaphilisi amanzi') kufaka phakathi i-spironolactone (Aldactone, e-Aldactazide); i-lithium (i-Lithobid); nezithako ze-potassium. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- tshela udokotela wakho uma ngabe uke wahluleka yinhliziyo noma wake wahluleka; ukuvinjelwa komgudu wenyongo (isimo lapho i-bile ingakwazi ukugeleza isuka esibindini iye enyongweni nasemathunjini amancane, angenzeka ngamatshe enyongo, izicubu noma ukulimala); noma isifo sezinso noma sesibindi.
- tshela udokotela wakho uma uncelisa.
- kufanele wazi ukuthi i-telmisartan ingadala ukozela, isiyezi, ikhanda elikhanyayo, noma ukuquleka. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
- kufanele wazi ukuthi isifo sohudo, ukuhlanza, ukungaphuzi uketshezi olwanele, nokujuluka kakhulu kungadala ukwehla kwengcindezi yegazi, okungadala ikhanda elincane nokuquleka. Tshela udokotela wakho uma unanoma iyiphi yalezi zinkinga noma uzithuthukise ngesikhathi sokwelashwa kwakho.
Ungasebenzisi okokufaka usawoti okuqukethe i-potassium ngaphandle kokukhuluma nodokotela wakho. 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-Telmisartan ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukuhlungu obusemhlane
- ubuhlungu besono nokucinana
- isifo sohudo
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS section, shayela udokotela wakho ngokushesha:
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
- ukushaqeka
- ukuphefumula kanzima noma ukugwinya
- ubuhlungu nokucinana emlenzeni ongezansi oza futhi ohamba phakathi nokuhamba noma ukuzivocavoca umzimba
- ukushwabana kwesikhumba noma ukuqubuka
I-Telmisartan 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 ebhokisini le-blister efikile, ivaliwe 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.
Izimpawu zokudlula ngokweqile zingafaka:
- isiyezi
- ukuquleka
- ukushaya kwenhliziyo okusheshayo noma okuhamba kancane
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-telmisartan.
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.
- Micardis®
- Twynsta® (equkethe i-Amlodipine, iTelmisartan)