I-Ketorolac Nasal Spray

-Delile

• Ngaphambi kokusebenzisa isifutho sempumulo se-ketorolac,
• Isifutho se-Ketorolac nasal singadala 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:

I-Ketorolac isetshenziselwa ukukhululeka kwesikhathi esifushane sobuhlungu obulinganiselayo kuya obulinganiselayo futhi akufanele isetshenziswe isikhathi eside kunezinsuku ezinhlanu zilandelana, ngobuhlungu obuncane, noma ngobuhlungu obuvela ezimeni ezingamahlalakhona (zesikhathi eside). Unganikezwa i-ketorolac ukuthi uyiphuze ngomlomo noma njengomjovo ngaphambi kokuqala ukusebenzisa i-ketorolac nasal spray. Kufanele uyeke ukusebenzisa i-nasal ketorolac ngosuku lwesihlanu ngemuva kokuthola umthamo wakho wokuqala we-ketorolac nganoma iyiphi indlela. Khuluma nodokotela wakho uma usenobuhlungu ngemuva kwezinsuku ezinhlanu zokwelashwa nge-ketorolac.

Isifutho se-Ketorolac nasal akufanele sisetshenziselwe ukudambisa izinhlungu ezinganeni ezineminyaka engu-17 noma ngaphansi.

Abantu abasebenzisa izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) afana ne-ketorolac 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. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo senhliziyo, ehlaselwa yisifo senhliziyo, noma sohlangothi noma i-'servroke '; uma ubhema; futhi uma uke waba ne-cholesterol ephezulu, umfutho wegazi ophakeme, ukopha noma izinkinga zokujiya, noma isifo sikashukela. Thola usizo lwezempilo oluphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: Ubuhlungu besifuba, ukuphefumula okuncane, ukuba ndikindiki noma ubuthakathaka engxenyeni eyodwa noma ohlangothini lomzimba, unenkinga yokubona kwelinye lamehlo noma omabili, ukukhathazeka ukuhamba noma ukulahlekelwa ibhalansi noma ukuhlangana , ikhanda elibuhlungu ngaphandle kwesizathu esaziwayo, noma inkulumo engacacile.

Uma uzobe uhlolwa umthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele usebenzise i-ketorolac ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID afana ne-ketorolac angadala izilonda, ukuphuma kwegazi, noma izimbobo esiswini noma emathunjini. Lezi zinkinga zingakhula nganoma yisiphi isikhathi ngesikhathi sokwelashwa, zingenzeka ngaphandle kwezimpawu zokuxwayisa, futhi zingadala nokufa. Ingozi ingaba phezulu kubantu abathatha ama-NSAID isikhathi eside, badala kuneminyaka engama-65 ubudala, banempilo ebuthaka, baphuza utshwala, noma babheme ngenkathi besebenzisa i-ketorolac. Tshela udokotela wakho uma uthatha noma imuphi wale mithi elandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin); i-aspirin; noma i-oral steroids efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol), ne-prednisone (i-Deltasone); noma i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-duloxetine (i-cymbalta), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft). Ungathathi i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn) noma ezinye izinhlobo ze-ketorolac ngenkathi usebenzisa i-ketorolac nasal spray. Phinda utshele udokotela wakho uma uke waba nezilonda noma wopha esiswini noma emathunjini. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukusebenzisa i-ketorolac bese ushayela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza okunegazi noma okubukeka njengezizathu zekhofi, igazi elisesitokisini, noma izitulo ezimnyama nezokulinda.

I-Ketorolac ingadala ingozi yokopha. Kungathatha isikhathi eside kunokujwayelekile ukuthi uyeke ukopha uma unqunyiwe noma ulimele. Tshela udokotela wakho uma uke waba nesifo sokopha, noma wopha ebuchosheni bakho. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi i-ketorolac nasal spray. Shayela udokotela wakho uma wopha okungavamile noma uma uwe futhi ulimale, ikakhulukazi uma ushaya ikhanda.

I-Ketorolac ingadala ukwehluleka kwezinso. Tshela udokotela wakho uma unesifo sezinso noma sesibindi, uma uke wahlanza kakhulu noma uhudo noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni, futhi uma uthatha ama-inhibitme angiotensin-converting enzyme (ACE) anjenge benazepril (Lotensin), captopril (Capoten) , enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), ne-trandolapril (Mavik); ama-angiotensin II receptor blockers afana ne-azilsartan (Edarbi), candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor), telmisartan (Micardis) no-valsartan (uDiovan, e-Exforge); noma isisu (’amaphilisi amanzi’). Uma uhlangabezana nalezi zimpawu ezilandelayo, yeka ukusebenzisa i-ketorolac bese ushayela udokotela wakho: ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi; ukuzuza kwesisindo okungaqondakali; ukuncipha kokuchama, ukudideka; noma ukuquleka.

Gcina wonke ama-aphoyintimenti nodokotela wakho. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ukuze udokotela wakho 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-ketorolac. 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) ukuthola uMhlahlandlela Wezokwelapha.

Khuluma nodokotela wakho ngezingozi zokusebenzisa i-ketorolac nasal spray.

Isifutho se-nasor seKetorolac sisetshenziselwa ukukhululeka kwesikhashana kwezinhlungu ezinzima ngokulingene. I-Ketorolac isekilasini lemithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.

I-Nasal ketorolac iza njengoketshezi lokufafaza emakhaleni. Imvamisa isetshenziswa kanye njalo emahoreni ayisithupha kuye kwayi-8 njengoba kudingeka ukulawula izinhlungu kuze kube yizinsuku ezi-5. Sebenzisa i-ketorolac nasal spray ngqo njengoba kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

I-Ketorolac nasal spray ifika ngamabhodlela aqukethe umuthi wosuku olulodwa. Ungasebenzisi noma yiliphi ibhodlela elilodwa le-ketorolac spray spray isikhathi esingaphezu kosuku olulodwa. Lahla ibhodlela kungakapheli amahora angama-24 usebenzisa umthamo wokuqala, noma ngabe ibhodlela lisaqukethe umuthi othile. Uzothola amabhodlela anele emithi ukuze ube nebhodlela elisha ongalisebenzisela usuku ngalunye lokwelashwa.

Ngaphambi kokusebenzisa isifutho sempumulo se-ketorolac okokuqala ngqa, funda imiyalelo ebhaliwe eza nomuthi. Qiniseka ukuthi uyayiqonda indlela yokulungisa ibhodlela ngaphambi kokusetshenziswa kokuqala nokuthi ungasisebenzisa kanjani isifutho. Buza udokotela wakho noma usokhemisi uma unemibuzo mayelana nokuthi uwusebenzisa kanjani lo muthi.

Isifutho se-ketorolac nasal sisetshenziselwa kuphela ekhaleni. Qaphela ukuthi ungatholi umuthi emehlweni akho. Uma uthola isifutho sempumulo se-ketorolac esweni lakho, geza iso ngamanzi noma ngesisombululo sikasawoti oyinyumba bese ufonela udokotela wakho uma ukucasuka kuhlala isikhathi esingaphezu kwehora.

Ungaba nomuzwa ongakhululekile emphinjeni wakho ngemuva kokusebenzisa isifutho sempumulo se-ketorolac. Uma lokhu kwenzeka, phuza amanzi.

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

Ngaphambi kokusebenzisa isifutho sempumulo se-ketorolac,

• Tshela udokotela wakho uma uxabana ne-ketorolac, i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) noma naproxen (Aleve, Naprosyn), noma imiphi eminye imithi, noma i-ethylendiamine tetraacetic acid (EDTA; isithako esitholakala kokunye ukudla nemithi) , noma ezinye izithako ze-ketorolac nasal spray. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-pentoxifylline (Pentoxil, Trental) noma i-probenecid. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi i-ketorolac nasal spray uma uthatha le mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: carbamazepine (Epitol, Tegretol); lithium (Eskalith, Lithobid); i-methotrexate (i-Rheumatrex, i-Trexall); i-phenytoin (i-Dilantin, i-Phenytek); noma i-thiothixene (i-Navane). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nezimo ezibalwe esigabeni ESIBALULEKILE SOKUXWAYISA noma isifuba somoya, ikakhulukazi uma unezimpumputhe ezivame ukugcwala noma ezigijimayo noma ama-nasal polyps (ukuvuvukala kolwelwesi lwekhala), izifo zamathumbu ezivuthayo ezifana neCrohn's isifo (isimo lapho umzimba uhlasela ulwelwesi lomgudu wokugaya ukudla, ubangele ubuhlungu, isifo sohudo, ukwehla kwesisindo, nomkhuhlane) noma i-ulcerative colitis (isimo esidala ukuvuvukala nezilonda kulolwelwesi lwekholoni [amathumbu amakhulu] ne-rectum ).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. Isifutho sempumulo seKetorolac singalimaza umbungu futhi sidale izinkinga ngokulethwa uma sisetshenziswa cishe emasontweni angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungasebenzisi isifutho sempumulo se-ketorolac cishe noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle kwalapho utshelwa ngudokotela wakho ukuthi wenze njalo. Uma ukhulelwa ngenkathi usebenzisa i-ketorolac nasal spray, shayela udokotela wakho.
• Uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-ketorolac nasal spray.

Qinisekisa ukuthi uphuza uketshezi oluningi ngenkathi usebenzisa i-ketorolac nasal spray.

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

Lo muthi uvame ukusetshenziswa lapho kudingeka. Uma udokotela wakho ekutshele ukuthi usebenzise i-ketorolac nasal spray njalo, sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

Isifutho se-Ketorolac nasal singadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubuhlungu, ukungakhululeki, noma ukucasuka emakhaleni akho
• kwanda izinyembezi
• ukucasuka emqaleni wakho

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

• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• ukukhathala ngokweqile
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukuphuzi kwamehlo noma kwesikhumba
• izimpawu ezinjengomkhuhlane
• imfiva
• isikhumba esishayayo noma esikhanyayo
• ukushaya kwenhliziyo okuhamba kancane

Isifutho sempumulo seKetorolac singadala 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. Ukugcine ekamelweni lokushisa kude nelanga eliqondile, ukushisa 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• ukuncipha kokuchama
• izihlalo ezinegazi, ezimnyama, noma zokulinda
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi
• ukozela
• ukuphefumula kancane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu asebenzise imithi yakho. Lo muthi awugcwaliseki kabusha. Uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda ukusebenzisa i-ketorolac nasal spray, shayela udokotela 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.

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