Rifaximin
-Delile
- Ngaphambi kokuthatha i-rifaximin,
- I-Rifaximin 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:
Amaphilisi e-Rifaximin 200-mg asetshenziselwa ukwelapha isifo sohudo somhambi esidalwa amagciwane athile kubantu abadala kanye nezingane okungenani iminyaka eyi-12. Amaphilisi e-Rifaximin 550-mg asetshenziselwa ukuvimbela iziqephu ze-hepatic encephalopathy (izinguquko ekucabangeni, ekuziphatheni, nasebuntwini obudalwa ukwakheka kobuthi ebuchosheni kubantu abanesifo sesibindi) kubantu abadala abanesifo sesibindi nokwelapha okucasulayo isifo samathumbu (ngesifo sohudo) kubantu abadala. I-Rifaximin isekilasini lemithi ebizwa ngama-antibiotics. URifaximin welapha isifo sohudo kanye nesifo samathumbu esivusa imizwa ngokumisa ukukhula kwamagciwane abanga uhudo. URifaximin welapha i-hepatic encephalopathy ngokumisa ukukhula kwamagciwane akhiqiza ubuthi futhi okungasibhebhethekisa isifo sesibindi. I-Rifaximin ngeke isebenze ukwelapha isifo sohudo esinegazi noma esenzeka ngomkhuhlane.
Ama-antibiotic afana ne-rifaximin ngeke asebenzele imikhuhlane, umkhuhlane, noma okunye ukutheleleka ngegciwane. Ukuthatha ama-antibiotic lapho kungadingeki kwandisa ingozi yakho yokuthola ukutheleleka kamuva okuphikisana nokwelashwa kwama-antibiotic.
I-Rifaximin iza njengethebhulethi yokuphuza ngomlomo noma ngaphandle kokudla. Lapho i-rifaximin isetshenziselwa ukwelapha uhudo lwabahambi, imvamisa ithathwa kathathu ngosuku izinsuku ezintathu. Lapho i-rifaximin isetshenziselwa ukuvimbela iziqephu ze-hepatic encephalopathy, ivame ukuthathwa kabili ngosuku. Lapho i-rifaximin isetshenziselwa ukwelapha isifo samathumbu esibuhlungu, imvamisa ithathwa kathathu ngosuku izinsuku eziyi-14. Ukukusiza ukuthi ukhumbule ukuthatha i-rifaximin, yithathe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-rifaximin njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Uma uthatha i-rifaximin ukwelapha isifo sohudo, izimpawu zakho kufanele zithuthuke kungakapheli amahora angama-24 kuye kwangama-48 ngemuva kokuqala ukuthatha umuthi. Uma izimpawu zakho zingapheli noma ziba zimbi kakhulu, noma uma uba nomkhuhlane noma uhudo olunegazi, shayela udokotela wakho.
Uma uthatha i-rifamaxin ukwelapha isifo samathumbu esibuhlungu futhi izimpawu zakho zibuya ngemuva kokuqeda ukwelashwa kwakho, shayela udokotela wakho.
Thatha i-rifaximin njengoba uqondisiwe, noma ngabe uzizwa ungcono. Uma uthatha i-rifaximin ukwelapha isifo sohudo noma isifo samathumbu esibuhlungu futhi uyeka ukusithatha ngokushesha noma uma weqa imithamo, ukutheleleka kwakho kungenzeka kungalapheki ngokuphelele futhi amabhaktheriya angamelana nemithi elwa namagciwane. Uma uthatha i-rifaximin ukuvimbela i-hepatic encephalopathy, ungayeki ukuyithatha ngaphandle kokukhuluma nodokotela wakho njengoba ungathola izimpawu ze-encephalopathy.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-rifaximin,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-rifaximin, i-rifabutin (i-Mycobutin), i-rifampin (i-Rifadin, i-Rifamate, i-Rifater, i-Rimactane), i-rifapentine (i-Priftin), noma imuphi omunye umuthi, noma iziphi izithako ezikuma-capsule e-rifaximin. Buza udokotela wakho noma usokhemisi uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma osanda kuyithatha. Qiniseka ukuthi usho i-cyclosporine (Gengraf, Neoral, Restasis, Sandimmune) noma amanye ama-antibiotic. Udokotela wakho kungadingeka ukuthi ashintshe imithamo yemithi yakho, akuqaphele ngokucophelela ngemiphumela engemihle noma aphathe uhudo lwakho ngokuhlukile.
- utshele udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-rifaximin, shayela udokotela wakho.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
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-Rifaximin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isicanucanu
- ubuhlungu besisu
- isiyezi
- ukukhathala ngokweqile
- ikhanda
- ukuqina kwemisipha
- ubuhlungu obuhlangene
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- isifo sohudo esinamanzi noma esinegazi esingavela kanye nesigaxa sesisu nomkhuhlane ngesikhathi sokwelashwa kwakho noma ezinyangeni ezimbili ngemuva kwalokho
- isifuba
- ukuqubuka
- ukulunywa
- ukuphefumula kanzima noma ukugwinya
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
- ukushaqeka
I-Rifaximin 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. 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.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho uma unemibuzo mayelana nokugcwalisa imishanguzo yakho.
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-Xifaxan®