Prasugrel

-Delile

• Ngaphambi kokuthatha i-prasugrel,
• I-Prasugrel ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

I-Prasugrel ingadala ukopha okungathi sína noma okusongela ukuphila. Tshela udokotela wakho uma ngabe njengamanje unesimo noma esidala ukuthi uphume igazi kalula kunokujwayelekile, uma usanda kuhlinzwa noma ulimele nganoma iyiphi indlela, noma ngabe uke waba nesilonda esiswini noma wake waba naso; ukopha esiswini, emathunjini, noma ekhanda; i-stroke noma i-mini-stroke; isimo esingadala ukopha emathunjini akho njengama-polyps (ukukhula okungajwayelekile emgqeni wamathumbu amakhulu) noma i-diverticulitis (ama-bulges avuvukele kulwelwesi lwamathumbu amakhulu); noma isifo sesibindi. Tshela udokotela kanye nosokhemisi wakho uma uthatha imishanguzo engadala ukopha kubandakanya ama-anticoagulants (ama-thinner egazi) njenge-warfarin (i-Coumadin, i-Jantoven); i-heparin; eminye imithi yokwelapha noma yokuvimbela amahlule egazi; noma ukusetshenziswa njalo kwemithi elwa nokuvuvukala engeyona eye-steroidal efana ne-ibuprofen (Advil, Motrin), ne-naproxen (Aleve). Udokotela wakho angeke akunikeze i-prasugrel uma unanoma iyiphi yalezi zimo, uthatha noma iyiphi yale mithi, unesisindo esingaphansi kuka-132 lb (60 kg), noma umdala kuneminyaka engama-75 ubudala. Udokotela wakho futhi mhlawumbe ngeke anikeze i-prasugrel uma kungenzeka ukuthi udinga ukuhlinzwa kwenhliziyo (uhlobo oluthile lokuhlinzwa kwenhliziyo evulekile) ngaso leso sikhathi. Ngenkathi uthatha i-prasugrel, cishe uzolimaza bese wopha kalula kunokujwayelekile, wophe isikhathi eside kunokujwayelekile, futhi uphume igazi ngamakhala. Kodwa-ke, uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukopha okungachazeki, okunzima, okuhlala isikhathi eside, noma okungalawuleki; umchamo obomvana noma onsundu; okubomvu noma okumnyama, izitulo zokulinda; hlanza okunegazi noma okubukeka njengezizathu zekhofi; ukukhwehlela igazi noma amahlule egazi; noma imihuzuko engachazeki noma eba nkulu.

Uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, noma yiluphi uhlobo lwenqubo yezokwelapha, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-prasugrel. Udokotela wakho mhlawumbe uzokutshela ukuthi uyeke ukuthatha iprasugrel okungenani izinsuku eziyi-7 ngaphambi kokuhlinzwa kwakho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-prasugrel futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. 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/DrugSafety/ucm085729.htm) ukuthola uMhlahlandlela Wezokwelapha.

Khuluma nodokotela wakho ngengozi yokuthatha i-prasugrel.

I-Prasugrel isetshenziswa kanye ne-aspirin ukuvimbela izinkinga ezinkulu noma ezisongela ukuphila ngenhliziyo nangemithambo yegazi kubantu abahlaselwe yisifo senhliziyo noma ubuhlungu besifuba futhi belashwe nge-angioplasty (inqubo yokuvula imithambo yegazi ehambisa igazi ku inhliziyo). UPrasugrel usekilasini lemithi ebizwa ngemithi elwa ne-platelet. Isebenza ngokuvimbela ama-platelet (uhlobo lweseli legazi) ekuqoqeni nasekwenzeni amahlule angadala isifo senhliziyo noma isifo sohlangothi.

I-Prasugrel iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-prasugrel ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-prasugrel njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya yonke ithebhulethi; ungayihlukanisi, ungayiphuli, ungayihlafuna, noma uyiqede.

I-Prasugrel izosiza ukuvimbela izinkinga ezinkulu ngenhliziyo yakho nemithambo yegazi kuphela uma uthatha umuthi. Ungayeki ukuthatha i-prasugrel ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukuthatha i-prasugrel, kunengozi enkulu yokuthi ungahlaselwa yisifo senhliziyo, uhlaselwe yigazi, noma ufe.

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

Ngaphambi kokuthatha i-prasugrel,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-prasugrel, i-clopidogrel (i-Plavix), i-ticlopidine (i-Ticlid), noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-prasugrel. 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 uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SEXWAYISO nokunye okulandelayo: ama-opioid afana ne-codeine, i-fentanyl (i-Duragesic, i-Subsys), i-hydrocodone (i-Hysingla, i-Zohydro ER, e-Vicodin), i-morphine (i-Astramorph, i-Kadian), noma i-oxycodone (ePercocet, eRoxicet, abanye). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba nesifo sezinso noma wake waba naso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-prasugrel, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha iprasugrel uma uneminyaka engama-75 noma ngaphezulu.

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

• isiyezi
• ukukhathala ngokweqile
• ubuhlungu emhlane, ezingalweni, noma emilenzeni
• ukukhwehlela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• imfiva
• ubuthakathaka
• ukuphaphatheka
• Amachashazi ansomi esikhunjeni
• ukuphuzi kwesikhumba noma kwamehlo
• ukuphelelwa umoya
• ukushaya kwenhliziyo okuhamba kancane, okusheshayo, noma okungajwayelekile
• ikhanda
• ukudideka
• isithuthwane
• inkulumo ehamba kancane noma enzima
• ubuthakathaka obungazelelwe bengalo noma bomlenze
• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuncipha kokuchama
• ukuqubuka
• ukuvuvukala kwamehlo, ubuso, umlomo, izindebe, ulimi, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi

I-Prasugrel 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. Imithi izofika nesilinda esimpunga esisiza ukugcina amaphilisi omile; shiya lesi silinda esitsheni nomuthi. Gcina ekamelweni lokushisa futhi kude 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.

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-Effient^®