I-Dronedarone

-Delile

• Ngaphambi kokuthatha i-dronedarone,
• I-Dronedarone 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 ezibhalwe esigabeni ESIBALULEKILE SESEXWAYISO, yeka ukuthatha i-dronedarone bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

Akufanele uthathe i-dronedarone uma unokwehluleka okukhulu kwenhliziyo. I-Dronedarone ingakhuphula ubungozi bokufa kubantu abanokwehluleka okukhulu kwenhliziyo. Tshela udokotela wakho uma unokwehluleka kwenhliziyo okunzima ngokwanele ukudala ukuphefumula okuncane ngenkathi uphumule, ngemuva kokuvivinya umzimba okuncane, noma ngemuva kwanoma yimuphi umsebenzi womzimba. Tshela nodokotela wakho uma uke walaliswa esibhedlela ngenxa yokwehluleka kwenhliziyo ngenyanga edlule noma ngabe uzizwa ungcono. Udokotela wakho ngeke akunikeze i-dronedarone.

Akufanele uthathe i-dronedarone uma une-atrial fibrillation (isifo senhliziyo esingahle senze ukuthi ukushaya kwenhliziyo kusheshe futhi kungajwayelekile) okungeke kuguqulwe kubuyele esigqi senhliziyo esijwayelekile. I-Dronedarone ingakhuphula ubungozi bokufa, ukushaywa unhlangothi, kanye nesidingo sokulaliswa esibhedlela kubantu abane-fibrillation engapheli ye-atrial. Udokotela wakho uzohlola isigqi senhliziyo yakho okungenani njalo ezinyangeni ezi-3 ngenkathi uthatha i-dronedarone. Shayela udokotela wakho ngokushesha uma ukushaya kwenhliziyo yakho kushesha noma kungahambi kahle ngenkathi uthatha i-dronedarone.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-dronedarone 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) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

I-Dronedarone isetshenziselwa ukwelapha abantu njengamanje abanesigqi senhliziyo esijwayelekile, kepha abake baba ne-atrial fibrillation esikhathini esedlule. IDronedarone inciphisa ubungozi bokuthi abantu abanalesi simo bazodinga ukulaliswa esibhedlela ukuze belaphe i-atrial fibrillation. UDronedarone usesigabeni semithi ebizwa ngama-antiarrhythmics. Isebenza ngokusiza inhliziyo ukuthi ishaye ngokujwayelekile.

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

Udokotela wakho angakunikeza imithi ethile yokwehlisa ubungozi bokushaywa unhlangothi ngenkathi uthatha i-dronedarone. Thatha le mithi ngendlela eqondiswe ngayo ngesikhathi sokwelashwa kwakho.

IDronedarone izokusiza ukulawula ukushaya kwenhliziyo yakho uma nje uqhubeka ukuyithatha. Qhubeka nokuthatha i-dronedarone noma ngabe uzizwa uphilile futhi uzizwe kahle isikhathi eside.Ungayeki ukuthatha i-dronearone ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-dronedarone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-dronedarone, noma imiphi eminye imishanguzo, noma ezinye izithako ezikumaphilisi e-dronedarone. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha noma imiphi yale mithi elandelayo: imishanguzo ethile efana ne-amitriptyline (eLimbitrol), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor ), i-protriptyline (Vivactil), ne-trimipramine (iSurmontil); ama-antifungal afana ne-itraconazole (Sporanox), ketoconazole (Nizoral), noma i-voriconazole (Vfend); i-clarithromycin (i-Biaxin); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-erythromycin (E.E.S., E-Mycin, Erythrocin); imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), propafenone (Rythmol), quinidine, ne-sotalol (Betapace); nefazodone; Imithi ye-phenothiazine yokugula ngengqondo noma isicanucanu; i-ritonavir (i-Norvir); noma i-telithromycin (Ketek). Udokotela wakho angakutshela ukuthi ungathathi i-dronedarone uma uthatha eyodwa noma ngaphezulu yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: ama-anticoagulants (ama-thinner egazi) afana ne-dabigatran (Pradaxa) ne-warfarin (i-Coumadin); ama-beta blockers anjenge-atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), nepropranolol (Inderal); ama-calcium channel blocker afana ne-diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), ne-verapamil (Calan, Covera, Isoptin, Verelan); carbamazepine (Epitol, Equetro, Tegretol); imithi yokwehlisa i-cholesterol (ama-statins) njenge-atorvastatin (Lipitor), i-fluvastatin (i-Lescol), i-lovastatin (i-Mevacor), i-pravastatin (i-Pravachol), ne-simvastatin (i-Zocor); i-digoxin (i-Lanoxicaps, i-Lanoxin); isisu (amaphilisi amanzi); i-phenobarbital; i-phenytoin (iDilantin); i-rifampin (i-Rifadin, i-Rimactane); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); i-sirolimus (i-Rapamune); futhi tacrolimus (Prograf). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma unezinye izinkinga zenhliziyo njengokushaya kwenhliziyo okusheshayo noma okuhamba kancane, isikhawu eside se-QT (inkinga yenhliziyo engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa okungazelelwe), isifo sesibindi, noma uma uke waba nesibindi noma amaphaphu izinkinga ezaba khona ngemuva kokuthatha i-amiodarone (Pacerone). Udokotela wakho angakutshela ukuthi ungathathi i-dronedarone.
• tshela udokotela wakho uma ngabe uke waba nanoma yiziphi ezinye izimo zezokwelapha.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Kufanele usebenzise ukulawulwa kokubeletha okusebenzayo ngesikhathi sokwelashwa kwakho nge-dronedarone. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ezizokusebenzela. Uma ukhulelwa ngenkathi uthatha i-dronedarone, shayela udokotela wakho ngokushesha. I-Dronedarone ingalimaza umbungu.
• akufanele uncelise ibele ngesikhathi sokwelashwa kwakho nge-dronedarone.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-dronedarone uma uneminyaka engama-65 noma ngaphezulu. Abanye abantu abadala asebekhulile akufanele bathathe i-dronearone ngoba ayiphephile futhi ayisebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.

Ungadli isithelo samagilebhisi noma uphuze ijusi lamagilebhisi ngenkathi uthatha lo muthi.

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

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungazami ukwenza umthamo ongabanjwanga noma uthathe umthamo ophindwe kabili ukwenzela okulahlekile.

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

• isifo sohudo
• isilungulela
• ubuthakathaka
• ukuqubuka
• ububomvu

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibhalwe esigabeni ESIBALULEKILE SESEXWAYISO, yeka ukuthatha i-dronedarone bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuphelelwa umoya
• ubunzima bokugwinya noma ukuphefumula
• isifuba
• ukuqina kwesifuba
• ukukhwehlela okomile
• ukukhwehlela amafinyila abanda
• ubunzima bokulala ngenxa yezinkinga zokuphefumula
• udinga ukuziphakamisa ngemicamelo eyengeziwe ukuze uphefumule ebusuku
• ukuzuza kwesisindo (samakhilogremu ama-5 noma ngaphezulu) ngesikhathi esifushane
• ukuvuvukala kwamehlo, ubuso, izindebe, umphimbo, izandla, izinyawo noma imilenze
• ukushaya kwenhliziyo okwehlisiwe
• ukuquleka
• imfiva
• izimpawu ezinjengomkhuhlane
• ukuphuzi kwesikhumba noma kwamehlo
• ukulunywa
• ukulimaza noma ukopha okungavamile
• isicanucanu
• ukuhlanza
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukukhathala noma ukungabi namandla
• ukufiphaza okungavamile komchamo
• indle enombala okhanyayo
• ikhanda elibuhlungu ngokuzumayo
• ukulahleka okungazelelwe okuphelele noma okuncane kombono
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• kunzima ukucabanga kahle, ukukhumbula, noma ukufunda izinto ezintsha

I-Dronedarone 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).

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 kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-dronedarone.

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-Multaq^®