I-Gemifloxacin

-Delile

• Ngaphambi kokuthatha i-gemifloxacin,
• I-Gemifloxacin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, noma ezinye zalezi zimpawu ezichazwe esigabeni ESIBALULEKILE SEXWAYISO, yeka ukuthatha i-gemifloxacin bese ushayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha:

Ukuthatha i-gemifloxacin kwandisa ubungozi bokuthi uzoba ne-tendinitis (ukuvuvukala kwesicubu esinezicubu esixhuma ithambo kuya emsipheni) noma kuqhume umsipha (ukudwengulwa kwezicubu zomzimba ezixhuma ithambo nemisipha) ngenkathi welashwa noma kuze kufike izinyanga ezimbalwa kamuva. Lezi zinkinga zingathinta imisipha ehlombe lakho, isandla sakho, emuva kweqakala lakho, noma kwezinye izingxenye zomzimba wakho. I-tendinitis noma i-tendon rupture kungenzeka kubantu banoma yibuphi ubudala, kepha ingozi iphezulu kakhulu kubantu abaneminyaka engaphezu kwengu-60 ubudala. Tshela udokotela wakho uma ngabe uke waba nokufakelwa kwezinso, inhliziyo, noma amaphaphu noma wake; isifo sezinso; ukuphazamiseka kwamalunga noma imisipha efana ne-rheumatoid arthritis (isimo lapho umzimba uhlasela khona amalunga ayo, ubangele ubuhlungu, ukuvuvukala, nokulahlekelwa ngumsebenzi); noma uma uhlanganyela emisebenzini ejwayelekile yomzimba. Tshela udokotela kanye nosokhemisi wakho uma uthatha i-oral or injectable steroids efana ne-dexamethasone, methylprednisolone (Medrol), noma i-prednisone (i-Rayos). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo ze-tendinitis, yeka ukuthatha i-gemifloxacin, uphumule, futhi ushayele udokotela wakho ngokushesha: ubuhlungu, ukuvuvukala, isisa, ukuqina, noma ubunzima bokuhambisa imisipha. Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo zokuphuka kwethenda, yeka ukuthatha i-gemifloxacin bese uthola ukwelashwa okuphuthumayo: ukuzwa noma ukuzwa isnap noma ukuphuma endaweni yethenda, ukulimaza ngemuva kokulimala endaweni yethenda, noma ukungakwazi ukuhamba noma ukuthwala isisindo endaweni ethintekile.

Ukuthatha i-gemifloxacin kungadala ushintsho emizweni nasekulimaleni kwemizwa okungenzeka kuphele noma usuyekile ukuthatha i-moxifloxacin. Lo monakalo ungavela ngokushesha ngemuva kokuthi uqale ukuthatha i-gemifloxacin. Tshela udokotela wakho uma ngabe uke waba ne-peripheral neuropathy (uhlobo lomonakalo wezinzwa obangela ukuhayiza, ukuba ndikindiki, nobuhlungu ezandleni nasezinyaweni). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-gemifloxacin bese ufonela udokotela wakho ngokushesha: ukuba ndikindiki, ukuhayiza, ubuhlungu, ukushiswa, noma ubuthakathaka ezingalweni noma emilenzeni; noma ushintsho emandleni akho okuzwa ukuthinta okulula, ukudlidlizela, ubuhlungu, ukushisa noma ukubanda.

Ukuthatha i-gemifloxacin kungathinta ubuchopho bakho noma uhlelo lwezinzwa futhi kubangele imiphumela emibi kakhulu. Lokhu kungenzeka ngemuva komthamo wokuqala we-gemifloxacin. Tshela udokotela wakho uma uke waquleka noma wahlaselwa yisifo sokuwa, isifo sokuwa, i-cerebral arteriosclerosis (ukuncipha kwemithambo yegazi ngaphakathi noma eduze kobuchopho okungaholela ekushayweni unhlangothi noma i-ministroke), isifo sohlangothi, ukushintsha kwesakhiwo sobuchopho, noma isifo sezinso. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-gemifloxacin bese ushayela udokotela wakho ngokushesha: ukuthuthumela; isiyezi; ikhanda elikhanyayo; ubuhlungu bekhanda obungasuki (ngombono noma ngaphandle kokubona); ubunzima bokulala noma ukulala; amaphupho amabi; ukungathembi abanye noma ukuzwa ukuthi abanye bafuna ukukulimaza; ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho); imicabango noma izenzo zokuzilimaza noma ukuzibulala; ukuzizwa ungahlaliseki, ukhathazekile, wethukile, ucindezelekile noma udidekile; izinkinga zememori, noma olunye ushintsho esimweni sakho sengqondo noma ekuziphatheni kwakho.

Ukuthatha i-gemifloxacin kungaqinisa ubuthakathaka bemisipha kubantu abane-myasthenia gravis (ukuphazamiseka kwesistimu yezinzwa okubangela ukuba buthakathaka kwemisipha) futhi kubangele ubunzima obukhulu bokuphefumula noma ukufa. Tshela udokotela wakho uma une-myasthenia gravis. Udokotela wakho angakutshela ukuthi ungathathi i-gemifloxacin. Uma une-myasthenia gravis futhi udokotela wakho ekutshela ukuthi kufanele uthathe i-gemifloxacin, shayela udokotela wakho ngokushesha uma uhlangabezana nobuthakathaka bemisipha noma ukuphefumula kanzima ngesikhathi sokwelashwa kwakho.

Khuluma nodokotela wakho ngezingozi zokuthatha i-gemifloxacin.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-gemifloxacin. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) noma iwebhusayithi yomkhiqizi ukuthola uMhlahlandlela Wezokwelapha.

I-Gemifloxacin isetshenziselwa ukwelapha inyumoniya. I-Gemifloxacin nayo ingasetshenziselwa ukwelapha i-bronchitis kepha akufanele isetshenziselwe lesi simo uma kunezinye izindlela zokwelashwa. I-Gemifloxacin isesigabeni semithi elwa namagciwane ebizwa nge-fluoroquinolones. Isebenza ngokubulala amabhaktheriya abangela izifo.

Ama-antibiotic afana ne-gemifloxacin awasebenzeli imikhuhlane, umkhuhlane, noma okunye ukutheleleka ngegciwane. Ukusebenzisa ama-antibiotic lapho kungadingeki kwandisa ingozi yakho yokuthola ukutheleleka kamuva okuphikisana nokwelashwa kwama-antibiotic.

I-Gemifloxacin iza njengethebhulethi yokuphuza ngomlomo. Imvamisa kuthathwa noma ngaphandle kokudla kanye ngosuku izinsuku ezi-5 noma eziyi-7. Ubude bokwelashwa kwakho buncike ohlotsheni lokutheleleka onalo. Udokotela wakho uzokutshela ukuthi uthatha isikhathi esingakanani i-gemifloxacin. Thatha i-gemifloxacin ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-gemifloxacin njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Ungathathi i-gemifloxacin ngemikhiqizo yobisi enjengobisi noma iyogathi, noma amajusi aqiniswe nge-calcium kuphela. Kodwa-ke, ungathatha i-gemifloxacin ngesidlo esifaka lokhu kudla noma iziphuzo.

Gwinya wonke amaphilisi ngamanzi amaningi; ungawahlukanisi, ungawahlafune noma uwagxoze.

Kufanele uqale ukuzizwa ungcono phakathi nezinsuku ezimbalwa zokuqala zokwelashwa nge-gemifloxacin. Uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu, shayela udokotela wakho.

Thatha i-gemifloxacin uze uqede incwadi kadokotela, noma ngabe uzizwa ungcono. Ungayeki ukuthatha i-gemifloxacin ngaphandle kokukhuluma nodokotela wakho ngaphandle kokuthi uhlangabezane nemiphumela emibi ethile ebhalwe esigabeni ESIBALULEKILE SEXWAYISO kanye NEMIPHUMELA YOKUQALA. Uma uyeka ukuthatha i-gemifloxacin maduzane noma weqe imithamo, ukutheleleka kwakho kungenzeka kungalashwa ngokuphelele futhi amabhaktheriya angamelana nemithi elwa namagciwane.

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

Ngaphambi kokuthatha i-gemifloxacin,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies noma uke waphendula kanzima kwi-gemifloxacin noma enye i-quinolone noma i-fluoroquinolone antibiotic efana ne-ciprofloxacin (Cipro), delafloxacin (Baxdela), levofloxacin (Levaquin), moxifloxacin (Avelox); noma imiphi eminye imithi; noma uma ungezwani nezinye izithako kumalungiselelo e-gemifloxacin. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha 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 uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: ama-anticoagulants ('blood thinner') afana ne-warfarin (Coumadin, Jantoven); imishanguzo ethile; ama-antipsychotic (imithi yokwelapha ukugula ngengqondo); i-cisapride (Propulsid) (ayitholakali e-U.S.); isisu (‘amaphilisi amanzi’); i-erythromycin (E.E.S., Eryc, Erythrocin, abanye); ukwelashwa kwe-hormone esikhundleni; i-insulin noma eminye imithi yokwelapha isifo sikashukela njenge-chlorpropamide, i-glimepiride (i-Amaryl, e-Duetact), i-glipizide (i-Glucotrol), i-glyburide (i-DiaBeta), i-tolazamide ne-tolbutamide; imithi ethile yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Nexterone, Pacerone), i-procainamide, i-quinidine (eNuedexta), ne-sotalol (iBetapace, iBetapace AF, iSorine, iSotylize); izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-ibuprofen (Advil, Motrin, abanye) ne-naproxen (Aleve, Naprosyn, abanye); noma ama-probenecid (i-Probalan ku-Col-Probenecid). Udokotela wakho uzodinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uthatha ama-antacids aqukethe i-aluminium hydroxide noma i-magnesium hydroxide (Maalox, Mylanta, abanye); noma imithi ethile efana ne-didanosine (Videx) solution; noma izithasiselo zamavithamini noma amaminerali aqukethe i-iron, i-magnesium, noma i-zinc, thatha i-gemifloxacin okungenani amahora amabili ngaphambi noma amahora amathathu ngemuva kokuthatha le mithi.
• uma uthatha i-sucralfate (Carafate), yithathe okungenani amahora amabili ngemuva kokuthatha i-gemifloxacin.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesikhathi eside se-QT (inkinga engavamile yenhliziyo engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa okungazelelwe). Futhi, tshela udokotela wakho uma ngabe uke waba nokushaya kwenhliziyo okuhamba kancane noma okungajwayelekile, isifo senhliziyo, i-aortic aneurysm (ukuvuvukala komthambo omkhulu othwala igazi lisuke enhliziyweni liye emzimbeni), umfutho wegazi ophakeme, isifo semithambo yegazi ( ukusakazeka kahle emithanjeni yegazi), iMarfan syndrome (isimo sofuzo esingathinta inhliziyo, amehlo, imithambo yegazi namathambo), noma i-Ehlers-Danlos syndrome (isimo sofuzo esingathinta isikhumba, amalunga noma imithambo yegazi). Futhi, tshela udokotela wakho uma unezinga eliphansi le-potassium noma i-magnesium egazini lakho.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-gemifloxacin, shayela udokotela wakho.
• ungashayeli imoto, sebenzisa imishini, noma uhlanganyele emisebenzini edinga ukuqapha noma ukuxhumanisa uze wazi ukuthi lo muthi ukuthinta kanjani.
• hlela ukugwema ukuvezwa ukukhanya kwelanga okungadingekile noma isikhathi eside noma amalambu e-ultraviolet (izibani zelanga noma imibhede yokushuka) futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikrini selanga. I-Gemifloxacin ingenza isikhumba sakho sizwele ekukhanyeni kwelanga noma ekukhanyeni kwe-ultraviolet. Uma isikhumba sakho sibomvu, sivuvukile, noma siqhume, njengokushiswa yilanga okubi, shayela udokotela wakho.

Qiniseka ukuthi uphuza amanzi amaningi noma olunye uketshezi nsuku zonke ngenkathi uthatha i-gemifloxacin.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ongaphezu koyedwa we-gemifloxacin ngosuku olulodwa.

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

• isifo sohudo
• isicanucanu
• ubuhlungu besisu
• ukuhlanza
• ukukhathala okungavamile

Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, noma ezinye zalezi zimpawu ezichazwe esigabeni ESIBALULEKILE SEXWAYISO, yeka ukuthatha i-gemifloxacin bese ushayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha:

• Uhudo olunzima (indle enamanzi noma enegazi) engahle yenzeke noma ingenayo imfiva kanye neziqubu zesisu (kungenzeka izinyanga ezi-2 noma ngaphezulu ngemuva kokwelashwa kwakho)
• ukuqubuka
• isifuba
• ukulunywa
• ukuxebuka noma ukushwabana kwesikhumba
• imfiva
• ukuvuvukala kwamehlo, ubuso, umlomo, izindebe, ulimi, umphimbo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushuba noma ukuqina komphimbo
• ukuphefumula kanzima noma ukugwinya
• ukukhwehlela okuqhubekayo noma okuqhubekayo
• ukuphuzi kwesikhumba noma kwamehlo; isikhumba esiphaphathekile; umchamo omnyama; noma isitulo esinombala okhanyayo
• ukoma ngokweqile noma indlala; isikhumba esiphaphathekile; ukuzizwa uthuthumela noma ukuthuthumela; ukushaya kwenhliziyo okusheshayo noma okushaya phezulu; ukujuluka; ukuchama njalo; ukuthuthumela; ukungaboni kahle; noma ukukhathazeka okungavamile
• ukuquleka noma ukulahlekelwa ukwazi
• ubuhlungu obungazelelwe esifubeni, esiswini, noma emuva

I-Gemifloxacin ingadala izinkinga ngamathambo, amalunga, nezicubu ezizungeze amalunga ezinganeni. I-Gemifloxacin akufanele inikezwe izingane ezingaphansi kweminyaka engu-18 ubudala.

I-Gemifloxacin 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, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa kude nokukhanya nokushisa okweqile nomswakama (hhayi endlini yangasese).

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

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.

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 anga-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-gemifloxacin. Uma unesifo sikashukela, udokotela wakho angakucela ukuthi uhlole ushukela wegazi kaningi ngenkathi uthatha i-gemifloxacin.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Isidakamizwa sakho kungenzeka ukuthi asigcwaliseki. Uma usenezimpawu zokutheleleka ngemuva kokuqeda ukuthatha i-gemifloxacin, shayela udokotela 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.

• Iyasebenza^®