Umlobi: William Ramirez
Usuku Lokudalwa: 24 Usepthemba 2021
Ukuvuselela Usuku: 15 Unovemba 2024
Anonim
Drugs used in glaucoma, Pilocarpine, Latanoprost, Timolol, Apraclonidine mechanism of action
Ividiyo: Drugs used in glaucoma, Pilocarpine, Latanoprost, Timolol, Apraclonidine mechanism of action

-Delile

Amaphilisi wamehlo e-Apraclonidine 0.5% asetshenziselwa ukwelashwa kwesikhashana kwe-glaucoma (isimo esingadala ukulimala kwe-optic nerve nokulahleka kombono, imvamisa ngenxa yengcindezi esweni) kubantu abathatha eminye imithi yalesi simo futhi kusenengcindezi eyengeziwe esweni. I-Apraclonidine 1% eye amaconsi asetshenziselwa ukuvimbela noma ukunciphisa ingcindezi eyandayo esweni ngesikhathi nangemuva kwezinhlobo ezithile zokuhlinzwa kwamehlo kwelaser. I-Apraclonidine isekilasini lemithi ebizwa ngama-alpha-2-adrenergic agonists. Yehlisa ingcindezi esweni ngokunciphisa inani loketshezi olukhiqizwa ngaphakathi kweso.

I-Apraclonidine iza njengesisombululo esingu-0.5% (uketshezi) nesisombululo esingu-1% sokufaka iso. Isixazululo esingu-0.5% sivame ukufakwa emehlweni (o) athintekile kathathu ngosuku. Isixazululo se-1% sivame ukufakwa esweni elashwa ihora elingu-1 ngaphambi kokuhlinzwa kwamehlo laser futhi ngokushesha ngemuva kokuhlinzwa. Uma usebenzisa amaconsi e-apraclonidine wamehlo njalo, uwasebenzise ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa amaconsi e-apraclonidine wamehlo njengoba nje kuqondisiwe. Ungazisebenzisi ngaphezulu noma ngaphansi kwazo noma uzisebenzise kaningi kunokuyalelwa ngudokotela wakho.


Amaconsi wamehlo e-Apraclonidine asetshenziselwa iso kuphela. Ungagwinyi amaconsi wamehlo.

Amaconsi wamehlo e-Apraclonidine 0.5% kungenzeka angaqhubeki nokulawula ukucindezela kwamehlo ngemuva kokuwasebenzisa isikhathi esithile, imvamisa engaphansi kwenyanga eyodwa. Udokotela wakho uzokuhlola kaningi ngenkathi usebenzisa i-apraclonidine 0.5% amaconsi wamehlo ukubona ukuthi amaconsi wamehlo asakusebenzela yini.

I-Apraclonidine 0.5% eye eye isiza ukulawula i-glaucoma isikhathi esifushane kepha ayisiqedi lesi sifo. Qhubeka nokusebenzisa i-apraclonidine 0.5% eye eye ngisho noma uzizwa uphilile. Ungayeki ukusebenzisa i-apraclonidine 0.5% amaconsi wamehlo ngaphandle kokukhuluma nodokotela wakho.

Ukufaka amaconsi wamehlo, landela lezi zinyathelo:

  1. Geza izandla zakho kahle ngensipho namanzi.
  2. Bheka ithiphu yokwehlisa ukuze uqiniseke ukuthi ayiqhekeki noma iqhekeziwe.
  3. Gwema ukuthinta ithiphu le-dropper esweni lakho noma enye into; amehlo kanye nodonsa kufanele kugcinwe kuhlanzekile.
  4. Ngenkathi utshekisa ikhanda lakho emuva, donsela phansi isivalo esingezansi leso lakho ngomunwe wenkomba yakho ukuze wakhe iphakethe.
  5. Bamba idropha (thinta phansi) ngesinye isandla, eduze kwamehlo ngangokunokwenzeka ngaphandle kokuyithinta.
  6. Bhinca iminwe esele yaleso sandla ebusweni bakho.
  7. Ngenkathi ubheka phezulu, cindezela ngobumnene itropper ukuze ithonsi elilodwa liwele ephaketheni elenziwe ijwabu leso elingezansi. Susa umunwe wakho wenkomba kusuka kujwabu leso elingaphansi.
  8. Vala iso lakho imizuzu emi-2 ukuya kwemi-3 bese ugebisa ikhanda lakho sengathi ubheke phansi. Zama ukungacwayizi noma ukukhama izinkophe zakho.
  9. Beka umunwe emgodini wezinyembezi bese usebenzisa ingcindezi emnene.
  10. Sula noma iluphi uketshezi olweqile ebusweni bakho ngesicubu.
  11. Uma uzosebenzisa ngaphezu kokwehla okukodwa esweni elifanayo, linda okungenani imizuzu engu-5 ngaphambi kokufaka idonsa elilandelayo.
  12. Uma usebenzisa amaconsi wamehlo angu-0.5%, shintsha bese uqinisa ikepisi ebhodleleni lokwehlisa. Ungasuli noma ugeze ithiphu yokudonsa. Uma usebenzisa amaconsi wamehlo angu-1%, lahla ibhodlela bese usebenzisa ibhodlela elisha kumthamo wakho wesibili.
  13. Geza izandla zakho ukususa noma imuphi umuthi.

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


Ngaphambi kokusebenzisa amaconsi e-apraclonidine,

  • Tshela udokotela kanye nosokhemisi wakho uma ungenwe i-apraclonidine, i-clonidine (i-Catapres, i-Catapres TTS, e-Clorpres, i-Duraclon) noma yimuphi omunye umuthi.
  • Tshela udokotela wakho uma uthatha noma usanda kuyeka ukuthatha i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) ne-tranylcypromine (i-Parnate). Udokotela wakho angakutshela ukuthi ungasebenzisi amaconsi e-apraclonidine uma uthatha noma uma usanda kuyeka ukuthatha omunye wale mithi.
  • 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 yikuphi okulandelayo: imishanguzo yokucindezela, ikakhulukazi i-amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamel , i-protriptyline (Vivactil), ne-trimipramine (iSurmontil); ama-beta blockers anjenge-atenolol (Tenormin), betaxolol (Betoptic S), levobunolol (Betagan), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Inderal), kanye ne-timolol (Betimol, Timoptic) ; i-digoxin (i-Lanoxicaps, i-Lanoxin); eminye imithi ye-glaucoma; imishanguzo yomfutho wegazi ophezulu njenge-clonidine (Catapres, eClorpres, Duraclon), guanabenz (Wytensin), noma methyldopa: insulin; imithi yokukhathazeka, ukugula kwengqondo, noma ukuquleka; imithi ye-narcotic (opiate) yezinhlungu; isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • uma usebenzisa eminye imithi yamehlo, yigcwalise okungenani imizuzu engu-5 ngaphambi noma ngemuva kokufaka amaconsi e-apraclonidine
  • utshele udokotela wakho uma usanda kuhlaselwa yinhliziyo futhi uma uke wanesifo sokudangala noma wake waba naso; isifo sikashukela; umfutho wegazi ophakeme; isifo sohlangothi noma i-ministroke; Isifo sikaRaynaud (isimo esidala ukuqiniswa okungazelelwe kwemithambo yegazi eminwe nasezinzwaneni); i-thromboangiitis obliterans (ukuvuvukala kwemithambo yegazi ezingalweni nasemilenzeni); ukuquleka; noma isifo senhliziyo, isibindi noma sezinso.
  • utshele udokotela wakho uma ukhulelwe, noma uhlele ukukhulelwa. Uma ukhulelwa ngenkathi usebenzisa amaconsi e-apraclonidine wamehlo, shayela udokotela wakho.
  • tshela udokotela wakho uma uncelisa. Uma uzosebenzisa amaconsi e-apraclonidine 1% ngosuku lapho uzohlinzwa khona ngeso le-laser, udokotela wakho uzokutshela ukuthi ungancelisi ibele ngalolo suku.
  • uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa amaconsi e-apraclonidine.
  • kufanele wazi ukuthi amaconsi wamehlo e-apraclonidine angakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
  • buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi usebenzisa i-apraclonidine eye eye. Utshwala bungenza imiphumela emibi ye-apraclonidine ibe yimbi kakhulu.
  • kufanele wazi ukuthi ukusebenzisa i-apraclonidine eye amaconsi kungadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.


Faka umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungafaki amaconsi angeziwe ukwenzela umthamo ophuthelwe.

Amaconsi wamehlo e-Apraclonidine angadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

  • amehlo abomvu, avuvukile, alumayo noma anezinyembezi
  • ukungaphatheki kahle kwamehlo
  • ukuzwa ukuthi kukhona okuthile esweni
  • ukushaya kwenhliziyo okungajwayelekile, okuhamba kancane, noma okushaya ngamandla
  • ukungaboni kahle
  • amehlo aphaphathekile
  • amehlo omile
  • abafundi abakhulisiwe (imibuthano emnyama phakathi kwamehlo)
  • izinkophe eziphakanyisiwe
  • ukuntuleka kokuxhumana okujwayelekile
  • ukungabi namandla
  • ubuthongo
  • ubunzima bokulala noma ukulala
  • amaphupho angajwayelekile
  • isiyezi
  • ikhanda
  • ukudana
  • ukucasuka
  • ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
  • umqondo oshintshiwe wokunambitha noma wokuhogela
  • umlomo owomile
  • isicanucanu
  • ukuhlanza
  • ubuhlungu besisu
  • ukuqunjelwa
  • isifo sohudo
  • ikhala elomile noma elishayo
  • ubunzima besifuba noma ukushisa
  • ukubomvu kwesikhumba
  • ukuqubuka
  • ukulunywa
  • ngizwe kushisa
  • izimbaza noma izintende ezijulukayo
  • kwehle isifiso sobulili

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

  • ukuquleka
  • ukuvuvukala kobuso, amehlo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
  • ukuphelelwa umoya

Amaconsi wamehlo e-Apraclonidine angadala 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. Ukugcine ekamelweni lokushisa kude nokukhanya, ukushisa 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 othile egwinya amaconsi e-apraclonidine, shayela isikhungo sakho sendawo sokulawula ubuthi ku-1-800-222-1222. Uma isisulu siwile noma singaphefumuli, shayela abezimo eziphuthumayo zendawo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

  • ishayela kancane
  • ubuthongo
  • Ukugodola

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu asebenzise 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.

  • Iopidine®
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