I-Ranolazine
-Delile
- Ngaphambi kokuthatha i-ranolazine,
- I-Ranolazine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
I-Ranolazine isetshenziswa yodwa noma neminye imithi yokwelapha i-angina engapheli (ubuhlungu besifuba obuqhubekayo noma ingcindezi ezwakala lapho inhliziyo ingatholi i-oxygen eyanele). I-Ranolazine isekilasini lemithi ebizwa ngama-anti-anginals. Indlela ngqo esebenza ngayo i-ranolazine ayaziwa ngalesi sikhathi.
I-Ranolazine iza njengethebhulethi ekhishwe isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Imvamisa kuthathwa ngokudla noma ngaphandle kokudla kabili ngosuku. Thatha i-ranolazine ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-ranolazine njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Gwinya wonke amaphilisi; ungawaphuli, ungawahlafuna noma uwagaye.
Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-ranolazine futhi akhuphule kancane umthamo wakho.
Ungathathi i-ranolazine ukwelapha ukuhlaselwa i-angina ngokuzumayo. Udokotela wakho uzokutshela okufanele ukwenze uma uhlaselwa yi-angina. Qiniseka ukuthi uyaziqonda lezi zinkomba.
I-Ranolazine ingasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka nokusebenzisa i-ranolazine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-ranolazine ngaphandle kokukhuluma nodokotela wakho.
Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-ranolazine,
- Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-ranolazine, noma imuphi omunye umuthi, noma iziphi izithako ezikumathebulethi wokukhishwa okwandisiwe kwe-ranolazine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho uma ngabe uthatha noma imiphi yale mithi elandelayo: izinhlayiya ezifana ne-itraconazole (i-Onmel, i-Sporanox) ne-ketoconazole (i-Nizoral); i-clarithromycin (i-Biaxin, ku-Prevpac); imithi yokwelapha i-human immunodeficiency virus (HIV) noma i-immunodeficiency syndrome (i-AIDS) efana ne-indinavir (Crixivan), lopinavir ne-ritonavir (Kaletra); i-nelfinavir (i-Viracept), i-ritonavir (i-Norvir, e-Kaletra, e-Viekira Pak, abanye), ne-saquinavir (i-Invirase); nefazodone; imishanguzo yokuquleka efana ne-carbamazepine (Carbatrol, Equetro, Tegretol, abanye), phenobarbital, ne-phenytoin (Dilantin, Phenytek); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); kanye ne-rifapentin (Priftin). Phinda utshele udokotela wakho uma uthatha i-wort yaseSt. Udokotela wakho angakutshela ukuthi ungathathi i-ranolazine uma uthatha eyodwa noma ngaphezulu yale mithi noma imikhiqizo yemithi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: amiodarone (Cordarone, Nexterone, Pacerone); imishanguzo efana ne-amitriptyline, i-clomipramine (i-Anafranil), ne-desipramine (i-Norpramin); kanye ne-imipramine (Tofranil); imithi yokwelapha i-cholesterol ephezulu efana ne-atorvastatin (Lipitor, eCaduet), i-lovastatin (i-Altoprev, ku-Advicor), ne-simvastatin (iZocor, eSimcor, eVytorin); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); i-diltiazem (Cardizem, Dilacor, Tiazac, abanye); i-dofetilide; (Tikosyn); i-erythromycin (E.E.S., Erythrocin, PCE); i-fluconazole (i-Diflucan); imishanguzo yokugula ngengqondo efana ne-haloperidol (Haldol), risperidone (Risperdal), thioridazine, ne-ziprasidone (Geodon); metformin (Fortamet, Glumetza, eGlucovance, abanye); i-quinidine (ku-Nuedexta); i-sirolimus (i-Rapamune); i-sotalol (iBetapace, iSorine); tacrolimus (Astagraf, Envarsus XR, Prograf); kanye ne-verapamil (Calan, Covera, Verelan, abanye). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-ranolazine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu noma ohlwini olungenhla.
- utshele udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso. Udokotela wakho angakutshela ukuthi akufanele uthathe i-ranolazine.
- Tshela udokotela wakho uma wena noma omunye emndenini wakho enesikhathi eside se-QT (inkinga yenhliziyo engajwayelekile engadala ukuquleka noma ukushaya kwenhliziyo okungajwayelekile) noma ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile. Phinda utshele udokotela wakho uma uke waba ne-electrocardiogram engajwayelekile (i-ECG: isivivinyo esiqopha umsebenzi kagesi wenhliziyo), amazinga aphansi e-potassium egazini, noma isifo sezinso.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-ranolazine, shayela udokotela wakho.
- kufanele wazi ukuthi i-ranolazine ingakwenza ube nesiyezi futhi ube nekhanda elikhanyayo. Ungashayeli imoto, sebenzisa imishini, noma uhlanganyele emisebenzini edinga ukuqapha kwengqondo nokuxhumana kuze kube yilapho wazi ukuthi lo muthi ukuthinta kanjani.
Ungaphuzi ijusi yamagilebhisi noma udle imikhiqizo yamagilebhisi ngenkathi uthatha lo muthi.
Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
I-Ranolazine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isicanucanu
- ukuqunjelwa
- ikhanda
- isiyezi
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
- ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
- ukuphefumula kanzima
- ukuquleka
I-Ranolazine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.
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.
Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
- isicanucanu
- ukuhlanza
- isiyezi
- ukudideka
- ukubona kabili
- ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukushoshozela kunoma iyiphi ingxenye yomzimba
- ukuquleka
- ukuzamazama okungalawuleki kwengxenye yomzimba
- kunzima ukukhuluma
- ukubona izinto noma ukuzwa amazwi engekho
Gcina wonke ama-aphoyintimenti nodokotela wakho.
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.
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