I-Tolmetin

-Delile

• Ngaphambi kokuthatha i-tolmetin,
• I-Tolmetin 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-tolmetin uze ukhulume nodokotela wakho:

Abantu abathatha imishanguzo yokulwa nokuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) afana ne-tolmetin angaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangayithathi 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-tolmetin uma usanda kuhlaselwa yisifo senhliziyo, ngaphandle uma uqondiswe ngudokotela wakho. Tshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enesifo senhliziyo noma ehlaselwe yinhliziyo, noma isifo 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 uhlolwa umthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele uthathe i-tolmetin ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID afana ne-tolmetin 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 bephuza utshwala obuningi ngenkathi bethatha i-tolmetin. 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) ne-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). 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-tolmetin bese ufonela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza into enegazi noma ebukeka njengezindawo 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-tolmetin. 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-tolmetin 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-Tolmetin isetshenziselwa ukudambisa izinhlungu, isizotha, ukuvuvukala nokuqina okubangelwa i-osteoarthritis (isifo samathambo esibangelwa ukuwohloka kolwelwesi lwamajoyini) nesifo samathambo (isifo samathambo esibangelwa ukuvuvukala kolwelwesi lwamajoyini). I-Tolmetin nayo isetshenziselwa ukudambisa izinhlungu, isizotha, ukuvuvukala nokuqina okubangelwa yi-juvenile rheumatoid arthritis ezinganeni ezineminyaka emibili kuya phezulu. I-Tolmetin isekilasini lemithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.

I-Tolmetin iza njengethebhulethi kanye nephilisi elizothathwa ngomlomo. Abantu abadala bavame ukuthatha i-tolmetin kathathu ngosuku esiswini esingenalutho, kanti izingane ezineminyaka engaphezu kwengu-2 ubudala zithatha i-tolmetin kathathu noma kane ngosuku esiswini esingenalutho. Thatha i-tolmetin ngezikhathi ezifanayo nsuku zonke. Kuhle ukuthatha umthamo wokuqala wosuku ngemuva nje kokuvuka ekuseni futhi uthathe umthamo wokugcina wosuku ngesikhathi sokulala. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-tolmetin njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Tshela udokotela wakho uma i-tolmetin icasula isisu sakho. Udokotela wakho angakutshela ukuthi uthathe i-tolmetin nge-antacid ukuvimbela ukucasuka kwesisu. Udokotela wakho uzokutshela ukuthi imaphi ama-antiacids aphephile ukuwathatha nge-tolmetin.

I-Tolmetin ingasiza ukulawula izimpawu zakho kepha ngeke iselaphe isimo sakho. Izimpawu zakho zingathuthuka kungakapheli isonto elilodwa ngemuva kokuqala ukuthatha i-tolmetin, kepha kungathatha amasonto ambalwa noma ngaphezulu ukuthi uzwe umuzwa ophelele womuthi. Khuluma nodokotela wakho mayelana nokuthi i-tolmetin ikusebenzela kanjani.

I-Tolmetin isetshenziselwa ukwelapha i-ankylosing spondylitis (isifo samathambo esithinta kakhulu umgogodla). Kwesinye isikhathi kuyasetshenziswa ukwelapha izimo ezithile ezenza ukucindezela kwemisipha noma ukuvuvukala ehlombe noma endololwaneni nokulimala okufana nokuchaphazeleka kwakamuva.

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

Ngaphambi kokuthatha i-tolmetin,

• Tshela udokotela wakho kanye nosokhemisi uma une-aleji ku-tolmetin, i-aspirin, noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) kanye ne-naproxen (i-Aleve, iNaprosyn), noma imiphi eminye imithi, noma iziphi izithako ezingasebenzi kumathebulethi e-tolmetin noma kumaphilisi. Buza usokhemisi wakho ukuthola uhlu lwezithako ezingasebenzi.
• 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 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); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); kanye ne-methotrexate (Otrexup, Rasuvo, Trexall). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nanoma yimiphi yezimo okukhulunywe ngazo esigabeni ESIBALULEKILE SESEXWAYISO noma isifuba somoya, ikakhulukazi uma unamakhala agxishiwe kaningi noma agijimayo noma ama-polyp acinene (ukuvuvukala kolwelwesi lwekhala); ukwehluleka kwenhliziyo; ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi; noma isifo sesibindi noma sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. I-Tolmetin ingalimaza umbungu futhi idale izinkinga ngokulethwa uma ithathwa cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungathathi i-tolmetin ezungeze noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle kwalapho utshelwa ngudokotela wakho ukuthi wenze njalo. Uma ukhulelwa ngenkathi uthatha i-tolmetin, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-tolmetin uma uneminyaka engama-75 noma ngaphezulu. Ungathathi lo muthi isikhathi eside noma ngethamo eliphakeme kunokunconywa ngudokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-tolmetin.
• kufanele wazi ukuthi lesi sidakamizwa singakwenza ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lesi sidakamizwa sikuthinta kanjani.

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.

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

• isifo sohudo
• ukuqunjelwa
• igesi
• ukuzuza kwesisindo noma ukwehla
• ikhanda
• ukudana
• ukucasuka kwesikhumba
• kukhala ezindlebeni

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

• izinguquko embonweni
• ukuzuza kwesisindo okungaqondakali
• ukuphefumula okuncane noma ukuphefumula kanzima
• ukuvuvukala kwesisu, izinyawo, amaqakala noma imilenze engezansi
• imfiva
• amabhamuza
• ukuqubuka
• ukulunywa
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izingalo, noma izandla
• ubunzima bokugwinya
• ukushaqeka
• ukuphuzi kwesikhumba noma kwamehlo
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• isisu esibuhlungu
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• isikhumba esiphaphathekile
• ukushaya kwenhliziyo okusheshayo
• kunamafu, umbala ogqamile, noma umchamo onegazi
• ukuhlungu obusemhlane
• ukuchama okunzima noma okubuhlungu

I-Tolmetin 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.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-tolmetin.

Ungavumeli omunye umuntu 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.

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• I-Tolectin^® DS^¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.