Nebivolol

-Delile

• Ngaphambi kokuthatha i-nebivolol,
• I-Nebivolol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

INebivolol isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. INebivolol isekilasini lemithi ebizwa nge-beta blockers. Isebenza ngokuphumuza imithambo yegazi nokunciphisa izinga lokushaya kwenhliziyo ukwenza ngcono ukugeleza kwegazi nokunciphisa umfutho wegazi.

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-Nebivolol iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa nokudla noma ngaphandle kokudla kanye ngosuku. Ukukusiza ukuthi ukhumbule ukuthatha i-nebivolol, 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-nebivolol njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-nebivolol futhi kancane kancane akhuphule umthamo wakho hhayi ngaphezu kwesisodwa njalo emavikini amabili.

INebivolol ilawula umfutho wegazi ophakeme kodwa ayiyelaphi. Kungathatha amaviki ama-2 ngaphambi kokuthi kuzuze ngokugcwele i-nebivolol ekufundweni kwengcindezi yegazi. Qhubeka uthathe i-nebivolol noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-nebivolol ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-nebivolol kungadala i-angina (ubuhlungu besifuba), isifo senhliziyo, noma ukushaya kwenhliziyo okungajwayelekile. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane kumaviki angu-1 kuya kwangu-2.

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

Ngaphambi kokuthatha i-nebivolol,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-nebivolol, noma imiphi eminye imithi, noma yiziphi izithako ezikumaphilisi e-nebivolol. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone, Pacerone); ama-beta blockers afana ne-acebutolol (Sectral), atenolol (Tenormin, in Tenoretic), betaxolol, bisoprolol (Zebeta, in Ziac), carvedilol (Coreg), labetalol, metoprolol (Lopressor, Toprol XL), nadolol (Corgard, eCorzide), ipindolol, propranolol (Inderal, InnoPran XL, e-Inderide), i-sotalol (iBetapace, iBetapace AF, iSorine), i-timolol; i-bupropion (i-Aplenzin, i-Forfivo XL, i-Wellbutrin, i-Zyban); ama-calcium channel blocker afana ne-diltiazem (Cardizem, Dilacor, others) kanye ne-verapamil (Calan, Covera, Isoptin, Verelan, eTarka); i-chlorpheniramine (i-antihistamine kwimithi yokungezwani komzimba nemithi ebandayo); i-cimetidine; i-clomipramine (i-Anafranil); i-clonidine (iCatapres, iKapvay, eClorpres); i-digoxin (i-Lanoxin); i-disopyramide (iNorpace); i-duloxetine (iCymbalta); i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, ku-Symbyax); i-haloperidol (iHaldol); i-insulini; imithi yomlomo yesifo sikashukela; i-methadone (i-Dolophine, i-Methadose); i-paroxetine (Paxil); propafenone (Rythmol); i-quinidine; qamba kabusha; i-ritonavir (iNorvir, eKaletra); kanye ne-sildenafil (Revatio, Viagra). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unenhliziyo encane, isifo senhliziyo noma sesibindi, noma ukwehluleka kwenhliziyo. Udokotela wakho angakutshela ukuthi ungathathi i-nebivolol.
• Tshela udokotela wakho uma uke waba nesifuba somoya noma ezinye izifo zamaphaphu, isifo sikashukela, i-hyperthyroidism (indlala yegilo engasebenzi ngokweqile), izinkinga zokujikeleza kwegazi, isifo sezinso, ukungezwani komzimba okunzima, noma i-pheochromocytoma (isimila esiqubuka endlaleni eduze kwezinso futhi kungadala umfutho wegazi ophezulu nokushaya kwenhliziyo okusheshayo).
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-nebivolol, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-nebivolol.
• kufanele wazi ukuthi i-nebivolol ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi uma unokungazwani nezinto ezithile, ukusabela kwakho kungahle kube kubi kakhulu ngenkathi usebenzisa i-nebivolol, futhi ukusabela kwakho kokungezwani komzimba nakho kungaphendula imithamo ejwayelekile ye-epinephrine ejojelwayo.

Uma udokotela wakho ekutshela ukuthi udle usawoti ophansi noma ukudla okune-sodium eningi, landela lezo 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-Nebivolol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukukhathala
• ubuthakathaka
• isiyezi
• isifo sohudo
• isicanucanu
• ubuhlungu besisu
• ubunzima bokulala noma ukulala
• ukuba ndikindiki, ukushiswa, noma ukuncinza ezandleni, ezingalweni, ezinyaweni noma emilenzeni

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ubuhlungu besifuba
• ukushaya kwenhliziyo okuhamba kancane
• ukuphefumula kanzima
• ukuzuza kwesisindo okungavamile
• ukuqubuka
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi

I-Nebivolol 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukushaya kwenhliziyo okuhamba kancane
• isiyezi noma ukuquleka
• ukuqhaqhazela
• ukujuluka
• ukudideka
• ukwethuka, ukucasuka, noma ukuguquka okungazelelwe kokuziphatha noma kwemizwelo
• ikhanda
• ukuba ndikindiki noma ukuncinza emlonyeni
• ubuthakathaka
• isikhumba esiphaphathekile
• indlala engazelelwe
• ukunyakaza okuxakile noma okushisayo
• ukuphefumula kanzima
• isithuthwane
• ukukhathala
• ukuhlanza

Gcina wonke ama-aphoyintimenti nodokotela wakho. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-nebivolol. Udokotela wakho angakucela ukuthi uhlole ukushaya kwenhliziyo (ukushaya kwenhliziyo). Buza usokhemisi noma udokotela wakho ukuthi akufundise ukuthi ungayithatha kanjani inhliziyo yakho. Uma ukushaya kwakho kushesha noma kuhamba kancane kunalokho okufanele kube yikho, shayela udokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-nebivolol.

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.

• I-Bystolic^®