Umlobi: Virginia Floyd
Usuku Lokudalwa: 13 Agasti 2021
Ukuvuselela Usuku: 13 Unovemba 2024
Anonim
XARELTO. Overview of rivaroxaban.
Ividiyo: XARELTO. Overview of rivaroxaban.

-Delile

Uma une-fibrillation ye-atrial (isimo lapho inhliziyo ishaya ngokungahambi kahle, kwandisa amathuba okuba namahlule emzimbeni, futhi mhlawumbe kubangele imivimbo) futhi uthatha i-rivaroxaban powder ukusiza ukuvimbela ukushaywa noma ama-clots amakhulu egazi, usengozini enkulu ukushaywa unhlangothi ngemuva kokuyeka ukusebenzisa le mithi. Ungayeki ukuthatha i-Rivaroxaban powder ngaphandle kokukhuluma nodokotela wakho. Qhubeka uthathe i-Rivaroxaban powder noma ngabe uzizwa kahle. Qiniseka ukuthi ugcwalisa kadokotela wakho ngaphambi kokuphelelwa yimithi ukuze ungaphuthelwa noma imiphi imithamo ye-Rivaroxaban powder. Uma udinga ukuyeka ukuthatha i-rivaroxaban powder, udokotela wakho angahle anikeze enye i-anticoagulant ('' blood thinner '') ukusiza ukuvimbela igazi ukuba lingakhi futhi likwenze ube nesifo sohlangothi.

Uma une-anesthesia ye-epidural noma yomgogodla noma ukubhoboza umgogodla ngenkathi uthatha 'igazi elinciphile' njenge-rivaroxaban powder, usengozini yokuba nefomu le-clot yegazi emgogodleni noma ezungeze umgogodla wakho ongakwenza ukuthi ukhubazeke. Tshela udokotela wakho uma une-catheter ye-epidural esele emzimbeni wakho noma uke waba nokuphindaphinda ama-epidural noma umgogodla ophindaphindiwe, ukukhubazeka komgogodla noma ukuhlinzwa komgogodla. Tshela udokotela kanye nosokhemisi wakho uma usebenzisa i-anagrelide (Agrylin); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin, abanye), indomethacin (Indocin, Tivorbex), ketoprofen, ne-naproxen (Aleve, Anaprox, abanye); i-cilostazol (i-Pletal); i-clopidogrel (i-Plavix); i-dipyridamole (i-Persantine); i-eptifibatide (i-Integrilin); i-heparin; i-prasugrel (i-Effient); i-serotonin-reuptake inhibitors ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva), ne-sertraline (i-Zoloft); i-serotonin – norepinephrine reuptake inhibitors (SNRI) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), milnacipran (Savella), ne-venlafaxine (i-Effexor); i-ticagrelor (Brilinta); i-ticlopidine; tirofiban (Aggrastat), kanye ne-warfarin (Coumadin, Jantoven). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: izinhlungu zasemhlane, ubuthakathaka bemisipha, ukuba ndikindiki noma ukuncinza (ikakhulukazi emilenzeni), ukwehluleka ukulawula izibilini noma isinye, noma ukungakwazi ukunyakazisa imilenze yakho.


Khuluma nodokotela wakho ngengozi yokuthatha i-Rivaroxaban powder.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-rivaroxaban powder 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/downloads/Drugs/DrugSafety/UCM280333.pdf) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

I-Rivaroxaban powder isetshenziselwa ukwelapha i-vein thrombosis ejulile (i-DVT; i-clot yegazi, imvamisa emlenzeni) kanye ne-pulmonary embolism (PE; i-clot yegazi emaphashini). I-Rivaroxaban powder ingaqhubeka nokuvimbela i-DVT kanye / noma i-PE ukuthi ingenzeki futhi ngemuva kokuthi ukwelashwa kokuqala kuqediwe. Ibuye isetshenziselwe ukusiza ukuvimbela imivimbo noma amahlule angathi sína egazini kubantu abane-fibrillation ye-atrial (isimo lapho inhliziyo ishaya ngokungajwayelekile, ikhulisa amathuba okuba namahlule emzimbeni, futhi mhlawumbe abangele imivimbo) ngaphandle kwesifo se-valve senhliziyo. I-Rivaroxaban powder inganciphisa ubungozi be-DVT, okungaholela ku-PE kubantu abasebenza ngokushintshwa kwe-hip noma ukuhlinzwa ngamadolo. Ibuye isetshenziswe kanye ne-aspirin ukwehlisa ubungozi bokuhlaselwa yinhliziyo, isifo sohlangothi, noma ukufa kubantu abane-coronary artery disease (ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni) noma isifo semithambo yegazi (ukusakazeka okungahambi kahle emithanjeni yegazi ehambisa igazi ezandleni nasezinyaweni). I-Rivaroxaban powder isekilasini lemithi ebizwa nge-factor Xa inhibitors. Isebenza ngokunciphisa ikhono lokuvala igazi.


I-Rivaroxaban powder iza njengethebhulethi ezothathwa ngomlomo. Lapho i-Rivaroxaban powder isetshenziselwa ukuphatha i-DVT noma i-PE, imvamisa ithathwa ngokudla kabili nsuku zonke izinsuku ezingama-21, bese kuthi kanye ngosuku nokudla. Lapho i-rivaroxaban powder isetshenziselwa ukuvimbela i-DVT noma i-PE, imvamisa ithathwa kanye ngosuku noma ngaphandle kokudla ngemuva kwezinyanga okungenani eziyisithupha zokwelashwa kwe-anticoagulation (blood thinner). Lapho i-rivaroxaban powder isetshenziselwa ukuvimbela isifo sohlangothi kulabo abanesifo senhliziyo esingajwayelekile, kuvame ukuthathwa kanye ngosuku ngesidlo sakusihlwa. Lapho i-rivaroxaban powder ithathwa ukuvimbela i-DVT ne-PE ngemuva kokuhlinzwa kwe-hip noma idolo, kuvame ukuthathwa noma ngaphandle kokudla kanye ngosuku. Umthamo wokuqala kufanele uphuzwe okungenani amahora ayisithupha kuya kwayishumi ngemuva kokuhlinzwa. I-Rivaroxaban powder ivame ukuthathwa izinsuku ezingama-35 ngemuva kokuhlinzwa kokufakwa kwe-hip kanye nezinsuku ze-12 ngemuva kokuhlinzwa kokufakwa kwamadolo. Lapho i-rivaroxaban powder ithathwa kanye ne-aspirin kubantu abane-coronary artery disease noma i-peripheral arterial disease, imvamisa ithathwa kabili ngosuku noma ngaphandle kokudla. Thatha i-Rivaroxaban powder ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-Rivaroxaban powder njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.


Uma ungakwazi ukugwinya amaphilisi, ungawachoboza bese uxuba ne-appleauce. Gwinya ingxube ngemuva nje kokuyilungisa. I-Rivaroxaban powder nayo inganikezwa ezinhlotsheni ezithile zamashubhu wokudla. Buza udokotela wakho ukuthi kufanele yini uphuze le mithi kuthubhu yakho yokondla. Landela izinkomba zikadokotela wakho ngokucophelela.

Qhubeka uthathe i-Rivaroxaban powder noma ngabe uzizwa kahle. Ungayeki ukuthatha i-Rivaroxaban powder ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukuthatha i-Rivaroxaban powder, ingozi yakho yegazi inganda.

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

Ngaphambi kokuthatha i-Rivaroxaban powder,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-rivaroxaban powder, noma imiphi eminye imithi, noma yiziphi izithako kumaphilisi e-rivaroxaban. Buza usokhemisi wakho ukuthola uhlu lwezithako.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SEXWAYISO nokunye okulandelayo: amiodarone (Pacerone), azithromycin (Zithromax), carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Tegretol-XR, Teril), clarithromycin (Biaxin, in Prevpac), conivaptan (Vaprisol), diltiazem (Cardizem, Dilacor, Tiazac), dronedarone (Multaq), erythromycin (EES, E-Mycin, Erythrocin), felodipine (Plendil), fluconazole (Diflucan), indinavir (Crixivon) Onmel, Sporanox), ketoconazole (Nizoral), lopinavir (eKaletra), phenobarbital, phenytoin (Dilantin, Phenytek), quinidine, ranolazine (Ranexa), rifampin (Rifadin, eRifamate, eRifater, Rimactir), i-ritona Kaletra), kanye ne-verapamil (Calan, Verelan, eTarka). 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.
  • utshele udokotela wakho uma wopha kakhulu noma yikuphi emzimbeni wakho okungenakuvinjelwa. Udokotela wakho uzokutshela ukuthi ungathathi i-Rivaroxaban powder.
  • utshele udokotela wakho ukuthi ngabe uke wafaka i-valve enhliziyweni yakho noma uke waba nezinkinga ngokopha okungavamile, ukuphazamiseka kokopha, noma isifo sezinso noma sesibindi.
  • utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-Rivaroxaban powder, shayela udokotela wakho.
  • khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-Rivaroxaban powder uma uneminyaka engama-75 noma ngaphezulu.
  • uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-Rivaroxaban powder.

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

Uma uthatha i-Rivaroxaban powder kanye ngosuku, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula ngalolo suku. Qalisa kabusha isimiso sakho sokulinganisa okujwayelekile ngosuku olulandelayo.

Uma uthatha i-Rivaroxaban powder kabili ngosuku ukwelashwa kwe-DVT noma i-PE, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula ngalolo suku. Ungathatha imithamo emi-2 ngasikhathi sinye ukwenzela umthamo ongabanjwanga. Qalisa kabusha isimiso sakho sokulinganisa okujwayelekile ngosuku olulandelayo

Uma une-CAD noma i-PAD futhi uthatha i-rivaroxaban powder kabili ngosuku ukunciphisa ubungozi be-DVT ne-PE bese uphuthelwa umthamo, vele uqhubeke nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

  • ukuqhuma kwemisipha

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

  • izihlalo ezinegazi, ezimnyama, noma zokulinda
  • umchamo opinki, noma onsundu
  • ukukhwehlela noma ukuphalaza igazi noma into ebukeka njengezizathu zekhofi
  • ukopha kaningi
  • ukopha ezinsinini zakho
  • ukuphuma kwegazi okunzima
  • ubuthakathaka
  • ukukhathala
  • ikhanda
  • isiyezi noma ukuquleka
  • ukungaboni kahle
  • ubuhlungu engalweni noma emlenzeni
  • ukuqubuka
  • ukulunywa
  • ukuphefumula kanzima noma ukugwinya
  • isifuba
  • ubuhlungu noma ukuvuvukala ezindaweni ezinamanxeba

I-Rivaroxaban powder ivimbela igazi ekunqandeni ngokujwayelekile ngakho-ke kungathatha isikhathi eside kunokujwayelekile ukuthi uyeke ukopha uma unqunyiwe noma ulimele. Lo muthi ungakudalela ukulimaza noma ukopha kalula. Shayela udokotela wakho ngokushesha uma ukuphuma kwegazi noma ukulimaza kungavamile.

I-Rivaroxaban powder 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

  • ukopha okungajwayelekile noma ukulinyazwa
  • izihlalo ezinegazi, ezimnyama, noma zokulinda
  • igazi emchameni
  • ukukhwehlela noma ukuphalaza igazi noma into ebukeka njengezizathu zekhofi

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-rivaroxaban powder.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Isidakamizwa sakho kungenzeka ukuthi asigcwaliseki.

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.

  • Xarelto®
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