I-Diclofenac Topical (ubuhlungu be-arthritis)

-Delile

• Ukuze usebenzise ijeli ye-diclofenac (i-Voltaren Arthritis Pain), landela lezi zinyathelo:
• Ukuze usebenzise isixazululo se-topical diclofenac 1.5%, landela lezi zinyathelo:
• Ukuze usebenzise i-topical diclofenac 2% topical solution (Pennsaid), landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-diclofenac yama-topical,
• I-diclofenac yezihloko 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:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Abantu abasebenzisa izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwe-aspirin) njenge-topical diclofenac (iPennsaid, i-Voltaren) bangaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangayisebenzisi le mithi. Le micimbi ingenzeka ngaphandle kwesixwayiso futhi ingadala ukufa. Le ngozi ingase ibe phezulu kubantu abasebenzisa ama-NSAID isikhathi eside. Ungasebenzisi i-NSAID efana ne-diclofenac yama-topical 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 uhlolwa umthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele usebenzise i-diclofenac (i-Pennsaid, i-Voltaren) ye-topical ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID anjenge-topical diclofenac (i-Pennsaid, i-Voltaren) 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, baneminyaka engama-60 noma ngaphezulu, banempilo ebuthakathaka, bayabhema, noma baphuze utshwala ngenkathi besebenzisa i-diclofenac yama-topical. 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 nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukusebenzisa i-diclofenac eyisihloko bese ufonela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza into enegazi noma ebukeka njengezizathu zekhofi, igazi esitokisini, noma izitulo ezimnyama nezokulinda.

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-diclofenac eyisihloko (iPennsaid, Voltaren). 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-diclofenac ye-topical kadokotela futhi njalo 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-nonprescription (over-the-counter) i-diclofenac topical gel (i-Voltaren Arthritis Pain) isetshenziselwa ukuqeda ubuhlungu be-arthritis emajoyini athile afana nalawo amadolo, amaqakala, izinyawo, izindololwane, izihlakala nezandla. Isixazululo se-prescription diclofenac topical (Pennsaid) sisetshenziselwa ukudambisa ubuhlungu be-osteoarthritis emadolweni. I-Diclofenac isekilasini lemithi ebizwa ngama-nonsteroidal anti-inflammatory drug (NSAIDs). Isebenza ngokumisa ukukhiqizwa komzimba wento edala ubuhlungu.

I-Diclofenac iyatholakala futhi njenge-3% gel (Solaraze; generic) esetshenziswa esikhumbeni ukwelapha i-actinic keratosis (isicaba, isikhumba esikhulayo esikhunjeni esidalwa wukuchayeka kakhulu elangeni). Le monograph inika kuphela imininingwane mayelana ne-gel yama-topic engabhalwanga i-diclofenac (i-Voltaren Arthritis Pain) yesisombululo samathambo kanye nodokotela (i-Pennsaid) ye-osteoarthritis yamadolo. Uma usebenzisa i-diclofenac gel (Solaraze, generic) ye-actinic keratosis, funda i-monograph enesihloko esithi diclofenac topical (actinic keratosis).

I-diclofenac ye-prescription topical iza njengesisombululo se-1.5% se-topical (uketshezi) ukufaka edolweni amahlandla ama-4 ngosuku futhi njengesixazululo se-2% se-topical (i-Pennsaid) ukufaka emadolweni ama-2 ngosuku. I-nonprescription (phezu kwekhawunta) i-diclofenac yama-topical iza njenge-1% gel (i-Voltaren Arthritis Pain) ezofakwa ezindaweni ezi-2 zomzimba (isb. Idolo eli-1 neqakala eli-1, amadolo ama-2, unyawo olulodwa no-1 weqakala, noma izandla ezi-2) 4 izikhathi nsuku zonke kuze kube yizinsuku ezingama-21 noma njengoba kunconywe udokotela wakho. Faka i-diclofenac gel (i-Voltaren Arthritis Pain) noma isisombululo se-topical (i-Pennsaid) ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-diclofenac ye-topical (i-Pennsaid, i-Voltaren Arthritis Pain) njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi noma isikhathi eside kunokuyalelwa ngudokotela wakho. Ungasebenzisi i-gel noma isisombululo sendawo kunoma iyiphi indawo yomzimba wakho ongatshelwanga ngudokotela wakho ukuthi uyelaphe.

Faka i-diclofenac gel (i-Voltaren Arthritis Pain) noma isisombululo se-topical (i-Pennsaid) ukuhlanza isikhumba esomile. Ungafaki umuthi esikhumbeni esaphukile, esixobukayo, esinegciwane, esivuvukile, noma esimbozwe ukuqubuka.

Ijeli le-Diclofenac (i-Voltaren Arthritis Pain) nesixazululo se-topical (i-Pennsaid) sisetshenziselwa isikhumba kuphela. Qaphela ukuthi ungatholi umuthi emehlweni akho, ekhaleni, noma emlonyeni. Uma uthola umuthi emehlweni akho, hlambulula amehlo akho ngamanzi amaningi noma usawoti. Uma iso lakho lisacasukile ngemuva kwehora elilodwa, shayela udokotela wakho.

Ngemuva kokufaka i-diclofenac gel (i-Voltaren Arthritis Pain) noma i-topical solution (i-Pennsaid), akufanele uyimboze indawo ephethwe nganoma yiluphi uhlobo lokugqoka noma ibhandishi futhi akufanele ufake ukushisa endaweni. Akufanele ugeze noma ugeze okungenani imizuzu engama-30 ngemuva kokufaka isisombululo (i-Pennsaid) futhi okungenani ihora elilodwa ngemuva kokufaka ijeli (i-Voltaren Arthritis Pain). Ungayimbozi indawo elashwa ngezingubo noma amagilavu ​​imizuzu eyi-10 ngemuva kokufaka i-gel (i-Voltaren Arthritis Pain), noma kuze kube yilapho isisombululo se-topical (i-Pennsaid) sesomile uma usebenzisa isisombululo.

Kungathatha izinsuku ezifika kwezingu-7 ngaphambi kokuthi uzwe ngokugcwele nge-gel yama-diclofenac engabhalisiwe (i-Voltaren Arthritis Pain). Uma ungazizwa ukukhululeka kobuhlungu besifo samathambo kulo mkhiqizo ngemuva kwezinsuku eziyi-7 zokusetshenziswa, yeka ukusetshenziswa bese uthinta udokotela wakho.

Ukuze usebenzise ijeli ye-diclofenac (i-Voltaren Arthritis Pain), landela lezi zinyathelo:

1. Ngaphambi kokusebenzisa ithubhu entsha ye-diclofenac gel (i-Voltaren Arthritis Pain) okokuqala ngqa, vula uphawu lokuphepha olumboza ishubhu bese ubhoboza ukuvulwa kweshubhu usebenzisa i-cap enesipikili. Musa ukuvula uphawu ngezikele noma ngezinto ezibukhali.
2. Beka elinye lamakhadi wokulinganisa kusuka kwiphakheji endaweni eyisicaba ukuze ukwazi ukufunda okuphrintiwe.
3. Usebenzisa imigqa ekhadini lokulinganisa njengomhlahlandlela, khama inani elifanele lejel ekhadini lokulinganisa ngokulinganayo. Qiniseka ukuthi ijeli imboza yonke indawo emakwe umthamo wakho ofanele kuye ngokuthi ingeyaphezulu (isandla, isihlakala, indololwane) noma umzimba ophansi (wonyawo, iqakala, idolo). Beka ikepisi emuva kubhubhu.
4. Hlanza futhi womise indawo yesikhumba lapho uzofaka khona umuthi. Ungafaki esikhumbeni esinokusikeka, amanxeba avulekile, ukutheleleka noma ukuqubuka.
5. Faka ijeli ezindaweni zesikhumba eziqondisiwe, usebenzisa ikhadi lokulinganisa ukuze usize ukufaka ijeli esikhumbeni kuze kufike ezindaweni ezi-2 zomzimba. Ungafaki ezindaweni ezingaphezu kwezingu-2 zomzimba. Sebenzisa izandla zakho ukugcobisa ijeli esikhunjeni. Qinisekisa ukumboza yonke indawo ethintekile ngejeli. Ungafaki endaweni efanayo njenganoma yimuphi omunye umkhiqizo.
6. Bamba ukuphela kwekhadi lokulinganisa ngomunwe wakho, bese ugeza bese ulomisa ikhadi. Gcina ikhadi lokulinganisa kuze kube kusetshenziswa okulandelayo, lapho izingane zingafinyeleleki khona. Ungabelani ngekhadi lokulinganisa ngomunye umuntu.
7. Geza izandla zakho kahle ngemuva kokugcoba ijeli, ngaphandle kokuthi welapha izandla zakho. Uma welapha izandla zakho, ungazigezi okungenani ihora elilodwa ngemuva kokugcoba ijeli.

Ukuze usebenzise isixazululo se-topical diclofenac 1.5%, landela lezi zinyathelo:

1. Hlanza futhi womise indawo yesikhumba lapho uzofaka khona umuthi.
2. Sebenzisa isisombululo samadolo ngamadonsi angu-10 ngasikhathi. Ungakwenza lokhu ngokulahla isixazululo se-topical ngqo emadolweni noma ngokuyiphonsa entendeni yesandla sakho bese usisabalalisa emadolweni.
3. Sebenzisa isandla sakho ukusabalalisa ngokulinganayo isisombululo se-topical ngaphambili, emuva, nasezinhlangothini zamadolo.
4. Phinda lesi sinyathelo kuze kufakwe amathonsi angama-40 esixazululo se-topical futhi idolo limbozwe ngokuphelele ngesixazululo se-topical.
5. Uma udokotela wakho ekutshele ukuthi usebenzise isixazululo se-topical kuwo womabili amadolo, phinda izinyathelo 2 kuya ku-4 ukusebenzisa umuthi kwelinye idolo lakho.
6. Geza bese usula izandla zakho kahle ngemuva kokufaka isisombululo. Gwema ukuxhumana kwesikhumba nabanye abantu nendawo ephethwe ngamadolo.

Ukuze usebenzise i-topical diclofenac 2% topical solution (Pennsaid), landela lezi zinyathelo:

1. Uzodinga ukufaka phambili ipompo equkethe le mithi ngaphambi kokuyisebenzisa okokuqala. Susa ikepisi kupompo bese ubamba iphampu ime mpo. Cindezela phansi phezulu kwepompo izikhathi ezine bese ubamba noma imuphi umuthi ophuma kuthawula lephepha noma izicubu. Phonsa ithawula lephepha noma izicubu kudoti.
2. Lapho usukulungele ukusebenzisa umuthi wakho, geza izandla zakho kahle ngensipho namanzi.
3. Bamba ipompo engeli bese ucindezela phansi phezulu kwepompo ukukhipha umuthi entendeni yesandla sakho. Cindezela phansi phezulu okwesibili ukukhipha elinye ipompo lemithi entendeni yesandla sakho.
4. Sebenzisa intende yesandla sakho ukusebenzisa umuthi ngokulinganayo ngaphambili, emuva, nasezinhlangothini zamadolo akho.
5. Uma udokotela wakho ekutshele ukuthi usebenzise umuthi emadolweni womabili, phinda izinyathelo 3-4 zokusebenzisa umuthi kwelinye idolo.
6. Geza izandla zakho kahle ngensipho namanzi ngokushesha nje lapho uqeda ukufaka umuthi.
7. Faka ikepisi empompini wakho bese ugcina iphampu ime mpo.

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

Ngaphambi kokusebenzisa i-diclofenac yama-topical,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-diclofenac (eCambia, Flector, Voltaren Arthritis Pain, Solaraze, Zipsor, Zorvolex, e-Arthrotec), i-aspirin, noma amanye ama-NSAID; noma imiphi eminye imithi; noma yiziphi izithako kumalungiselelo we-diclofenac. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha 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 nakokulandelayo: i-acetaminophen (iTylenol, kweminye imikhiqizo); i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, e-Lotrel), i-captopril, i-enalapril (i-Vasotec, e-Vaseretic), i-fosinopril, i-lisinopril (i-Prinivil, i-Zestril, e-Prinzide ne-Zestoretic), i-moexipcil Univas (Univas) 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, ku-Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, eCorzide), nepropranolol (Hemangeol, Inderal, Innopran); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); imishanguzo yokuquleka, i-methotrexate (i-Otrexup, i-Rasuvo, i-Trexall) noma i-pemetrexed (i-Alimta). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• kufanele wazi ukuthi akufanele usebenzise ama-sunscreen, izimonyo, ama-lotion, ama-moisturizers, izinto zokuxosha izinambuzane, noma eminye imishanguzo yezindawo ezindaweni eziphathwa nge-diclofenac yama-topical. Uma unikezwe isisombululo se-diclofenac topical (Pennsaid), linda kuze kube yilapho indawo yesicelo isomile ngokuphelele ngaphambi kokufaka noma iyiphi yale mikhiqizo noma ezinye izinto.
• utshele udokotela wakho uma uhanjiswa kakhulu noma uhlanza noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni; uma uphuza noma unomlando wokuphuza utshwala obuningi, futhi uma uke noma uke waba nemibandela ethile eshiwo esigabeni ESIBALULEKILE SOKUXWAYISA noma isifuba somoya, ikakhulukazi uma unamakhala agxishiwe njalo noma agijimayo noma ama-polyp nasal (ukuvuvukala ulwelwesi lwempumulo); ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi; ukwehluleka kwenhliziyo; 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 i-diclofenac topical nxazonke noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle kokuthi utshelwe ngudokotela wakho ukuthi wenze njalo. Uma ukhulelwa ngenkathi usebenzisa i-diclofenac topical, shayela udokotela wakho.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-diclofenac yama-topical.
• ukuhlela ukugwema ukuvezwa yilanga langempela noma okungelona elangempela (ukushuka imibhede noma amalambu, ukukhanya kwe-ultraviolet) nokugqoka izingubo zokuzivikela ukumboza izindawo eziphathwe nge-diclofenac. I-diclofenac yesihloko ingenza isikhumba sakho sizwele elangeni.

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

Sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi sohlelo lwakho olulandelayo oluhleliwe, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa okujwayelekile. Ungafaki i-gel eyengeziwe ye-diclofenac (i-Voltaren Arthritis Pain) noma isisombululo se-topical (i-Pennsaid) ukwenza umthamo ongekho.

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

• ukoma, ubomvu, ukulunywa, ukuvuvukala, ubuhlungu, ukuqina, ukucasuka, ukuvuvukala, ukukala, noma ukuba ndikindiki endaweni yokufaka isicelo.
• induna
• ubuhlungu besisu
• ukuqunjelwa
• igesi
• isiyezi
• ukuba ndikindiki, ukushiswa, noma ukuncinza ezandleni, ezingalweni, ezinyaweni noma emilenzeni

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, 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
• ukukhathala ngokweqile

I-diclofenac ye-topical ingadala 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, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa futhi uyigcine ekuqandeni noma ekushiseni ngokweqile.

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 i-diclofenac yama-topical, shayela isikhungo sakho sokulawula ubuthi ku-1-800-222-1222. Uma isisulu siwile noma singaphefumuli, shayela abezimo eziphuthumayo zendawo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukozela
• ukungabi namandla
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• izihlalo ezinegazi, ezimnyama, noma zokulinda
• ukuhlanza into enegazi noma ebukeka njengezizathu zekhofi
• ukuphefumula kancane, okungajulile, noma okungahambi kahle
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukulahlekelwa ukwazi

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.

• UPennsaid^®
• I-Voltaren Arthritis Pain^®