I-Diclofenac Transdermal Patch

-Delile

• Ukufaka ama-diclofenac patches, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa ama-diclofenac patches,
• I-Transdermal diclofenac 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:

Abantu abasebenzisa izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwe-aspirin) njenge-transdermal diclofenac bangaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangayisebenzisi le mithi. Le micimbi ingenzeka ngaphandle kwesixwayiso futhi ingadala ukufa. Ingozi ingaba phezulu kubantu abasebenzisa ama-NSAID isikhathi eside. Ungasebenzisi i-NSAID efana ne-transdermal diclofenac uma usanda kuhlaselwa yisifo senhliziyo, ngaphandle kokuthi uqondiswe ngudokotela wakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo senhliziyo, isifo senhliziyo, noma isifo sohlangothi; uma ubhema; futhi uma uke waba noma uke waba ne-cholesterol ephezulu, umfutho wegazi ophakeme, noma isifo sikashukela. Thola usizo lwezempilo oluphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ubuhlungu besifuba, ukuphefumula okuncane, ubuthakathaka engxenyeni eyodwa noma ohlangothini lomzimba wakho, noma inkulumo engacacile.

Uma uzobe ubhekene nomthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele usebenzise i-transdermal diclofenac ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID afana ne-transdermal diclofenac angadala ukuvuvukala, izilonda, ukopha, noma izimbobo esiswini noma emathunjini. Lezi zinkinga zingakhula nganoma yisiphi isikhathi ngesikhathi sokwelashwa, zingenzeka ngaphandle kwezimpawu zokuxwayisa, futhi zingadala nokufa. Ingozi ingaba phezulu kubantu abasebenzisa ama-NSAID isikhathi eside, sebekhulile ngeminyaka, banempilo ebuthaka, bayabhema, noma baphuza utshwala ngenkathi besebenzisa i-transdermal diclofenac. Tshela udokotela wakho uma unalezi zinto eziyingozi futhi uma uke waba nezilonda noma wopha esiswini noma emathunjini, noma ezinye izifo zokopha. Tshela udokotela wakho uma uthatha noma imuphi wale mithi elandelayo: ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin, Jantoven); i-aspirin; amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) noma naproxen (Aleve, Naprosyn); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, ku-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) ne-sertraline (i-Zoloft); noma i-serotonin norepinephrine reuptake inhibitors (SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), ne-venlafaxine (Effexor XR). Uma uhlangabezana nezinye zalezi zimpawu ezilandelayo, yeka ukusebenzisa i-transdermal diclofenac bese ufonela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza into enegazi noma ebukeka njengezizathu zekhofi, igazi esitokisini, noma indle emnyama neyokulinda.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoqapha izimpawu zakho ngokucophelela futhi mhlawumbe uzothatha umfutho wegazi lakho futhi a-oda izivivinyo ezithile ukuhlola impendulo yomzimba wakho ku-transdermal diclofenac. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ukuze udokotela akwazi ukukubeka inani elifanele lemithi yokwelapha isimo sakho ngengozi ephansi kakhulu yemiphumela emibi kakhulu.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-transdermal diclofenac 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.

I-Transdermal diclofenac isetshenziselwa ukwelapha ubuhlungu besikhashana ngenxa yezinhlobo ezincane, ama-sprains, nemihuzuko kubantu abadala nezingane ezineminyaka engu-6 nangaphezulu. I-Diclofenac isekilasini lemithi ebizwa ngama-nonsteroidal anti-inflammatory drug (NSAIDs). Isebenza ngokumisa ukukhiqizwa komzimba wento edala ubuhlungu.

I-Transdermal diclofenac iza njengesichibi ukufaka esikhunjeni. Amachashazi e-Diclofenac ajwayele ukusetshenziswa kabili ngosuku, kanye njalo emahoreni ayi-12. Faka iziqeshana ze-diclofenac ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Ungasebenzisi iziqeshana ezingaphezulu noma ezimbalwa noma usebenzise amabala kaningi kunokuyalelwa ngudokotela wakho.

Ungafaki ama-diclofenac patches esikhunjeni esaphukile, esonakele, esisikiwe, esingenwe yigciwane, noma esimbozwe ukuqubuka.

Ungavumeli ama-patches ahlangane namehlo akho, ikhala, noma umlomo. Uma isichibi sikuthinta iso lakho, geza iso ngokushesha ngamanzi noma usawoti. Shayela udokotela uma kukhona ukucasuka kweso okuhlala isikhathi esingaphezu kwehora elilodwa.

Ungafaki isichibi ngenkathi ugeza noma ugeza. Hlela ukugeza noma ukushawa ngemuva kokususa isichibi nangaphambi kokufaka isichibi esilandelayo.

Ukufaka ama-diclofenac patches, landela lezi zinyathelo:

1. Geza indawo yesikhumba lapho uzofaka khona isichibi ngensipho namanzi. Ungasebenzisi noma iziphi insipho zokuthambisa, ama-lotion, ama-astringents, noma eminye imikhiqizo yokunakekelwa kwesikhumba endaweni yesikhumba oyikhethile.
2. Yome ngokuphelele indawo yesikhumba lapho uzobe usebenzisa khona isichibi.
3. Sika uvule imvilophu enezimagqabhagqabha, usike kulayini onamachashazi futhi uqiniseke ukuthi awusiki uphawu lukaziphu ngezansi kwalo.
4. Donsela ngaphandle uziphu uphawu emvilophini bese ususa isichibi esisodwa. Cwaninga imvilophu ngokukhama uphawu lukaziphu ndawonye. Qiniseka ukuthi imvilophu ivaliwe ngokuqinile ukuze kugcinwe amabala angaphakathi angomi.
5. Songa phezu kwekhoneni elilodwa lesiqephu bese uthambisa ngobumnene ikona eligoqiwe phakathi komunwe nesithupha ukuhlukanisa isichibi ku-liner ecacile enamathiselwe ohlangothini olunamathelayo. Cisha yonke i-liner.
6. Cindezela ngokuqinile isichibi sibe endaweni yesikhumba esikhethiwe. Cindezela phansi nxazonke zozine ukuvikela isichibi.
7. Isiqephu singaqala ukuphuma uma usigqokile. Uma lokhu kwenzeka, thepha phansi imiphetho yesiqephu ngetheyiphu yosizo lokuqala.
8. Uma ususa isichibi, sisonge phakathi ukuze uzinamathele bese usilahla emgqonyeni kadoti ongafinyeleleki ezinganeni nasezifuyweni.
9. Geza izandla zakho lapho usuqedile ukufaka isicelo noma ukuphatha isichibi.

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

Ngaphambi kokusebenzisa ama-diclofenac patches,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-diclofenac (eCambia, Pennsaid, Solaraze, Voltaren, Zipsor, Zorvolex, e-Arthrotec), i-aspirin, noma amanye ama-NSAID; noma imiphi eminye imithi; noma yiziphi ezinye izithako ezikhunjini ze-diclofenac. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako. Tshela udokotela wakho kanye nosokhemisi uma une-asthma, ukukhula emakhaleni akho, noma ikhala eliqhubekayo futhi uma uke wahlaselwa yisifuba somoya, isifuba, ukuphefumula kanzima noma ukugwinya, noma ukusabela okweqile ngemuva kokuthatha i-aspirin, umkhiqizo oqukethe i-aspirin noma yimuphi omunye umuthi we-NSAID. Udokotela wakho uzokutshela ukuthi ungasebenzisi ama-diclofenac patches.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: i-acetaminophen (iTylenol, eminye imikhiqizo); i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, ngesi-Vaseretic), i-fosinopril, i-lisinopril (ngesi-Zestoretic), i-moexipril (i-Univasc, ngesi-Uniretic); i-perindopril (i-Aceon, e-Prestalia), i-quinapril (i-Accupril, ngesi-Quinaretic), i-ramipril (i-Altace), ne-trandolapril (i-Mavik, eTarka); ama-angiotensin receptor blockers anjenge-candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, e-Benicar HCT, e-Tribenzor), i-telmisartan (Micardis, e-Micardis HCT, e-Twynsta), ne-valsartan (e-Exforge HCT); ama-antibiotic athile; ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kanye nepropranolol (Hemangeol, Inderal, Innopran); i-cyclosporine (Gengraf, Neoral, Sandimmune); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); imithi yokuquleka; kanye ne-methotrexate (Otrexup, Rasuvo, Trexall). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uhuda kakhulu noma uhlanza noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni, uma uphuza noma unomlando wokuphuza utshwala obuningi, futhi uma uke noma uke waba neminye yale mibandela eshiwo esigabeni ESIBALULEKILE SEXWAYISO, ukwehluleka kwenhliziyo; ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi; noma isifo sezinso noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. I-Diclofenac ingalimaza umbungu futhi idale izinkinga ngokulethwa uma isetshenziswa cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungasebenzisi iziqeshana ze-diclofenac ezungeze noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle kokuthi utshelwe ngudokotela wakho ukuthi wenze njalo. Uma ukhulelwa ngenkathi usebenzisa ama-diclofenac patches, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa ama-diclofenac patches.
• kufanele wazi ukuthi ngenkathi welashwa ngezimagqabhagqabha ze-diclofenac kungaba nzima ukwazi ukuthi unegciwane noma ukugula ngoba lo muthi ungabuye wehlise noma uvikele umkhuhlane.Shayela udokotela wakho uma ungazizwa kahle noma unezinye izimpawu zokutheleleka noma ukugula.

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

Faka isichibi esisha ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekusondele isikhathi sohlelo lokusebenza olulandelayo oluhleliwe, weqa umthamo ongabanjwanga bese uqhubeka nesimiso sakho esijwayelekile. Ungafaki isichibi esengeziwe se-diclofenac ukwenzela umthamo ophuthelwe.

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

• ukoma, ubomvu, ukulunywa, ukuvuvukala, ukucasuka, noma ukuba ndikindiki endaweni yokufaka isicelo
• izinguquko ekunambithekeni
• ikhanda
• ubuthongo
• isikhumba esidonsayo

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

• isifuba
• ukulunywa
• ubunzima bokugwinya
• ukuvuvukala kobuso noma umphimbo, izingalo, noma izandla
• ukuzuza kwesisindo okungaqondakali
• ukuphefumula okuncane noma ukuphefumula kanzima
• ukuvuvukala esiswini, emaqakaleni, ezinyaweni, noma emilenzeni
• isifuba
• ukwanda kwesifuba somoya
• ukuphuzi kwesikhumba noma kwamehlo
• isicanucanu
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• umchamo onombala omnyama
• ukuqubuka
• amabhamuza esikhunjeni
• imfiva
• isikhumba esiphaphathekile
• ukushaya kwenhliziyo okusheshayo

Amachashazi e-Diclofenac angadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa 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, ivaliwe ngokuqinile, futhi lapho izingane nezilwane ezifuywayo zingafinyeleli khona. Gcina ekamelweni lokushisa.

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 othile egwinya, ehlafuna, noma encela iziqeshana ze-diclofenac, shayela isikhungo sakho sokulawula ubuthi ku-1-800-222-1222. Uma isisulu siwile noma singaphefumuli, shayela abezimo eziphuthumayo zendawo ku-911.

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.

• Flector^® Isiqephu