I-Naproxen

-Delile

• Ngaphambi kokuthatha i-naproxen,
• INaproxen ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha. Ungathathi enye i-naproxen uze ukhulume nodokotela wakho:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Abantu abathatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) afana ne-naproxen bangaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangayiphuzi le mithi. Le micimbi ingenzeka ngaphandle kwesixwayiso futhi ingadala ukufa. Le ngozi ingahle ibe phezulu kubantu abathatha ama-NSAID isikhathi eside. Ungathathi i-NSAID efana ne-naproxen uma usanda kuhlaselwa yisifo senhliziyo, ngaphandle kwalapho uqondiswe ngudokotela wakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo senhliziyo, ehlaselwa yisifo senhliziyo, noma sohlangothi, uma ubhema, nokuthi ngabe uke waba ne-cholesterol ephezulu, umfutho wegazi ophakeme noma isifo sikashukela. Thola usizo lwezokwelapha oluphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: Ubuhlungu besifuba, ukuphefumula okuncane, ukuba buthakathaka engxenyeni eyodwa noma ohlangothini lomzimba, noma ukukhuluma okungaqinile.

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

Ama-NSAID afana ne-naproxen 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, sebekhulile ngeminyaka, benempilo ebuthaka, noma abaphuza iziphuzo ezidakayo ezintathu noma ngaphezulu ngosuku ngenkathi bethatha i-naproxen. Tshela udokotela wakho uma uphuza noma iyiphi yale mithi elandelayo: ama-anticoagulants (’’ ama-thinner egazi ’’) njenge-warfarin (i-Coumadin, i-Jantoven); i-aspirin; amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-ketoprofen; 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). Phinda utshele udokotela wakho uma uke waba nezilonda noma wopha esiswini noma emathunjini, noma ezinye izifo zokopha.Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-naproxen bese ufonela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza okunegazi noma okubukeka njengezizathu zekhofi, igazi esitokisini, noma izitulo ezimnyama nezokulinda.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoqapha izimpawu zakho ngokucophelela futhi mhlawumbe uzo-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho ku-naproxen. 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-naproxen kadokotela 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-naproxen kadokotela isetshenziselwa ukudambisa izinhlungu, ubumnene, ukuvuvukala nokuqina okubangelwa i-osteoarthritis (isifo samathambo esibangelwa ukuwohloka kolwelwesi lwamajoyini), isifo samathambo (isifo samathambo esibangelwa ukuvuvukala kolwelwesi lwamajoyini), isifo samathambo esencane (a uhlobo lwesifo esihlangene ezinganeni), kanye ne-ankylosing spondylitis (isifo samathambo esithinta kakhulu umgogodla). Amaphilisi e-prescription naproxen, amaphilisi akhululiwe, nokumiswa nawo asetshenziselwa ukudambisa ubuhlungu behlombe obudalwa yi-bursitis (ukuvuvukala kwesaka eligcwele uketshezi ehlangene nehlombe), i-tendinitis (ukuvuvukala kwezicubu ezixhuma imisipha nethambo), isifo samathambo (ukuhlaselwa kobuhlungu obuhlangene obubangelwa ukwakheka kwezinto ezithile emajoyintini), nobuhlungu obuvela kwezinye izimbangela, kubandakanya nobuhlungu bokuya esikhathini (ubuhlungu obenzeka ngaphambi noma esikhathini sokuya esikhathini). I-naproxen engabhalwanga isetshenziselwa ukunciphisa umkhuhlane nokuqeda izinhlungu eziphansi ekhanda, emisipheni, ebuhlungwini, esikhathini, emakhazeni, ebuhlungwini nasezinkingeni. INaproxen isekilasini lemithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.

I-naproxen kadokotela iza njengethebhulethi ejwayelekile, ukukhishwa okulibazisekile (ithebhulethi ekhipha umuthi emathunjini ukuvimbela ukulimala esiswini) ithebhulethi, ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), kanye nokumiswa (uketshezi) okumele kuthathwe ngomlomo. Amathebulethi akhishwa isikhathi eside athathwa kanye ngosuku. Amathebulethi, amaphilisi okukhishwa okubambezelekile, nokumiswa kuvame ukuthathwa kabili ngosuku ngesifo samathambo. Amathebulethi nokumiswa ngokuvamile kuthathwa njalo emahoreni ayisishiyagalombili ukuthola i-gout, futhi njalo emahoreni ayisithupha kuya kwangu-8 njengoba kudingeka ngobuhlungu. Uma uthatha i-naproxen njalo, kufanele uyithathe ngasikhathi sinye nsuku zonke.

I-naproxen engabhalwanga iza njengethebhulethi nethebhulethi eboshwe nge-gelatin ezothathwa ngomlomo. Imvamisa ithathwa ngengilazi egcwele yamanzi njalo emahoreni ayi-8 kuye kwayi-12 njengoba kudingeka. I-naproxen engabhalwanga ingathathwa ngokudla noma ubisi ukuvimbela isicanucanu.

Landela izinkomba ezisephakeji noma kwelebula kadokotela ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-naproxen njengoba nje kuqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi kunokuyalelwa ngudokotela wakho noma okubhalwe kwiphakethe.

Nyakazisa uketshezi kahle ngaphambi kokusebenzisa ngakunye ukuxuba umuthi ngokulinganayo. Sebenzisa inkomishi yokulinganisa enikeziwe ukukala umthamo ngamunye ketshezi.

Gwinya amathebulethi akhiphe ukubambezeleka namaphilisi wokukhishwa anwetshiwe ephelele; ungawahlukanisi, ungawahlafune noma uwagxoze.

Uma uthatha i-naproxen ukunciphisa izimpawu zesifo samathambo, izimpawu zakho zingaqala ukuthuthuka kungakapheli iviki elilodwa. Kungathatha amasonto ama-2 noma ngaphezulu ukuthi uzwe umuzwa ophelele womuthi.

Yeka ukuthatha i-naproxen engabhalisi bese ubiza udokotela wakho uma izimpawu zakho ziba zimbi kakhulu, uba nezimpawu ezintsha noma ezingalindelekile, ingxenye yomzimba wakho ebibuhlungu iba bomvu noma ivuvuke, ubuhlungu bakho buhlala izinsuku ezingaphezu kwezingu-10, noma umkhuhlane wakho uhlala ngaphezu Izinsuku ezi-3.

I-Naproxen kwesinye isikhathi isetshenziselwa ukwelapha isifo samathambo sikaPaget (isimo lapho amathambo eba obukhulu ngokungajwayelekile, entekenteke, futhi e-misshapen) kanye ne-Bartter syndrome (isimo lapho umzimba ungamunci potassium owanele, obangela ukuqina kwemisipha nobuthakathaka nokunye izimpawu). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-naproxen,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-naproxen, i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) kanye ne-ketoprofen, noma imiphi imishanguzo yezinhlungu noma imfiva, eminye imishanguzo, noma yiziphi izithako emikhiqizweni ye-naproxen. Buza udokotela wakho noma usokhemisi 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 SESEXWAYISO nakokulandelayo: ama-enzyme aguqula i-angiotensin (ACE) anjenge-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, e-Vaseretic), i-fosinopril, i-lisinopril ( ku-Zestoretic), moexipril (Univasc), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), ne-trandolapril (Mavik, eTarka); ama-angiotensin receptor blockers (ama-ARB) afana ne-azilsartan (Edarbi, e-Edarbyclor), amakhandlela (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar e-Azor, e-Benicar HCT, e-Tribenzor), e-telmisartan (Micardis, e-Micardis HCT, e-Twynsta), nase-valsartan (e-Exforge HCT); ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kanye nepropranolol (Hemangeol, Inderal, InnoPran); cholestyramine (Prevalite); isisu (‘amaphilisi amanzi’); i-lithium (Lithobid), imithi yesifo sikashukela; i-methotrexate (i-Otrexup, i-Rasuvo, i-Trexall); ama-probenecid (i-Probalan; i-Col-Probenecid); nemithi ye-sulfa efana ne-sulfamethoxazole (eBactrim, ngo-Septra). Uma uthatha amaphilisi okukhipha okulibazisekile, tshela futhi udokotela wakho ukuthi ngabe uthatha ama-antacids noma i-sucralfate (Carafate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• ungathathi i-naproxen engabhaliswanga nganoma imuphi omunye umuthi wezinhlungu ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele ukwenze.
• Tshela udokotela wakho uma utshelwe ukuthi ulandele ukudla okune-sodium ephansi futhi uma uke noma uke waba nezimo ezithile okukhulunywe ngazo esigabeni ESIBALULEKILE SESEXWAYISO noma isifuba somoya, ikakhulukazi uma unamakhala agxishiwe noma agijimayo kaningi noma ama-polyp nasal (ukuvuvukala Ingaphakathi lekhala); ukwehluleka kwenhliziyo; ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi; i-anemia (amaseli abomvu wegazi awalethi umoya-mpilo owenele kuzo zonke izingxenye zomzimba); noma isifo sesibindi noma sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. INaproxen ingalimaza umbungu futhi idale izinkinga ngokulethwa uma ithathwa cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungathathi i-naproxen uzungeze noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle uma utshelwa ngudokotela wakho ukuthi wenze njalo. Uma ukhulelwa ngenkathi uthatha i-naproxen, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-naproxen uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile kufanele bathathe imithamo ephansi ye-naproxen isikhathi esifushane ngoba imithamo ephakeme esetshenziswa njalo ingahle ingasebenzi kakhulu futhi kungenzeka ukuthi ibangele imiphumela emibi kakhulu.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-naproxen.
• kufanele wazi ukuthi lo muthi ungakwenza ube nesiyezi, ukozele noma ucindezeleke. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lesi sidakamizwa sikuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.

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

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

INaproxen ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuqunjelwa
• isifo sohudo
• igesi
• ukoma ngokweqile
• ikhanda
• isiyezi
• ubumhlophe
• ukozela
• ubunzima bokulala noma ukulala
• ukushisa noma ukuncinza ezingalweni noma emilenzeni
• izimpawu ezibandayo
• kukhala ezindlebeni
• izinkinga zokuzwa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha. Ungathathi enye i-naproxen uze ukhulume nodokotela wakho:

• izinguquko embonweni
• ukuzwa ukuthi ithebhulethi inamathele emphinjeni wakho
• ukuzuza kwesisindo okungaqondakali
• ukuphefumula okuncane noma ukuphefumula kanzima
• ukuvuvukala esiswini, emaqakaleni, ezinyaweni, noma emilenzeni
• umphimbo obuhlungu, umkhuhlane, amakhaza nezinye izimpawu zokutheleleka
• amabhamuza
• ukuqubuka
• ukubomvu isikhumba
• ukulunywa
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izingalo, noma izandla
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• ukukhathala ngokweqile
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• isicanucanu
• ukuphuzi kwesikhumba noma kwamehlo
• izimpawu ezinjengomkhuhlane
• imihuzuko noma amabala ansomi ngaphansi kwesikhumba
• ukushaya kwenhliziyo okusheshayo
• kunamafu, umbala ogqamile, noma umchamo onegazi
• ukuhlungu obusemhlane
• ukuchama okunzima noma okubuhlungu
• ukuncipha kokuchama
• ukulahlekelwa isifiso sokudla
• ukudideka

INaproxen 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:

• isiyezi
• ukukhathala ngokweqile
• ukozela
• ubuhlungu besisu
• isilungulela
• isicanucanu
• ukuhlanza
• ukuphefumula okuhamba kancane noma okunzima

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-naproxen.

Uma uthatha i-naproxen kadokotela, ungavumeli noma ngubani 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.

• U-Aleve^®
• I-Anaprox^®
• I-Anaprox^® DS
• EC-Naprosyn^®
• I-Flanax^®
• UNaprelan^®
• UNaprosyn^®

• U-Aleve PM^® (equkethe iDiphenhydramine, iNaproxen)
• I-Treximet^® (equkethe iNaproxen, iSumatriptan)
• UVimovo^® (equkethe u-Esomeprazole, uNaproxen)