Umlobi: Janice Evans
Usuku Lokudalwa: 26 Ujulayi 2021
Ukuvuselela Usuku: 16 Unovemba 2024
Anonim
Opioid antidiarrheal medications: Loperamide and diphenoxylate
Ividiyo: Opioid antidiarrheal medications: Loperamide and diphenoxylate

-Delile

I-Loperamide ingadala ushintsho olubucayi noma olusongela impilo esigqi senhliziyo yakho, ikakhulukazi kubantu abathathe ngaphezu kwenani elinconyiwe. Tshela udokotela wakho uma uke waba nesikhathi esisheshayo se-QT (inkinga yenhliziyo engajwayelekile engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa okungazelelwe), ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile, noma izinga eliphansi le-potassium egazini lakho. Tshela nodokotela wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: amiodarone (Nexterone, Pacerone), chlorpromazine, haloperidol (Haldol), methadone (Dolophine, Methadose), moxifloxacin (Avelox), pentamidine (Nebupent, Pentam) , procainamide, quinidine (eNuedexta), sotalol (Betapace, Betapace AF), thioridazine, ne-ziprasidone (Geodon). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-loperamide uma uthatha noma iyiphi yale mithi noma uma unanoma iyiphi yalezi zimo. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo ngenkathi uthatha i-loperamide, shayela udokotela wakho ngokushesha noma uyale umngane noma umnakekeli ukuba ashayele abezimo eziphuthumayo zendawo ku-911: ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla; isiyezi; ikhanda elikhanyayo; ukungaphenduli; noma ukuquleka.


Ukuthatha okungaphezu kwenani elinconyiwe le-loperamide kungadala izinkinga zenhliziyo ezingaba zimbi noma ezingadala ukufa. Ungathathi umthamo omkhulu, uthathe kaningi, noma uthathe isikhathi eside kunokuyalelwa ngudokotela wakho noma njengoba kushiwo ephaketheni.

I-Loperamide kufanele hhayi inikezwe ingane eneminyaka engaphansi kwemibili ubudala ngenxa yengozi yokuphefumula okukhulu nezinkinga zenhliziyo.

I-nonprescription (i-over-the-counter) i-loperamide isetshenziselwa ukulawula isifo sohudo esibuhlungu (izitulo ezivulekile eziza ngokuzumayo futhi ngokuvamile zihlala ngaphansi kwamasonto amabili), kufaka phakathi isifo sohudo sabahambi. I-prescription loperamide nayo isetshenziselwa ukulawula isifo sohudo esibuhlungu kanye nohudo oluqhubekayo oluhambisana nesifo samathumbu esivuthayo (IBD; isimo lapho ulwelwesi lwayo yonke noma ingxenye yamathumbu luvuvukile, lucasukile noma lunezilonda). I-loperamide kadokotela nayo isetshenziselwa ukunciphisa inani loketshezi kubantu abane-ileostomies (ukuhlinzekwa ukudala ukuvuleka kwemfucuza ukushiya umzimba ngesisu). ILoperamide isekilasini lemithi ebizwa ngama-antidiarrheal agents. Isebenza ngokunciphisa ukugeleza koketshezi nama-electrolyte kuya emathunjini nangokunciphisa ukuhamba kwamathumbu ukunciphisa inani lokuhamba kwamathumbu.


ILoperamide iza njengethebhulethi, i-capsule, nanjengokumiswa noma isisombululo (uketshezi) ukuthatha ngomlomo. I-loperamide engabhalwanga (ngaphezulu kwe-counter) i-loperamide ivame ukuthathwa ngokushesha ngemuva kokunyakaza ngakunye kwamathumbu okuxegayo kepha kungabi ngaphezu kwenani eliphakeme lamahora angama-24 elichazwe kulebula. I-loperamide kadokotela kwesinye isikhathi ithathwa ngohlelo (okukodwa noma ngaphezulu ngosuku). Landela izinkomba ezisephakeji noma kwilebula kadokotela ngokucophelela, bese ucela udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-loperamide njengoba iqondisiwe.

Uma unikeza ingane yakho i-loperamide, funda ilebula lephakeji ngokucophelela ukuze uqiniseke ukuthi ngumkhiqizo ofanele iminyaka yobudala yengane. I-Loperamide kufanele hhayi inikezwe ingane eneminyaka engaphansi kwemibili ubudala. Hlola ilebula lephakeji ukuthola ukuthi ingakanani imithi edingwa yingane. Uma wazi ukuthi ingane yakho inesisindo esingakanani, nikeza umthamo ofana naleso sisindo eshadini. Uma ungasazi isisindo sengane yakho, nikeza umthamo ofana nobudala bengane yakho. Buza udokotela wengane yakho uma ungazi ukuthi unganikeza umuthi ongakanani ingane yakho.


Uma uthatha i-loperamide liquid, ungasebenzisi isipuni sasekhaya ukukala umthamo wakho. Sebenzisa inkomishi yokulinganisa eza nomuthi noma sebenzisa isipuni esenzelwe ngokukhethekile ukukala umuthi ketshezi.

Uma uthatha i-loperamide yesifo sohudo esibi futhi izimpawu zakho ziba zimbi kakhulu noma uma isifo sohudo sithatha isikhathi esingaphezu kwamahora angama-48, yeka ukuthatha le mithi bese ushayela udokotela wakho ucingo.

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

Ngaphambi kokuthatha i-loperamide,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-loperamide, noma imiphi eminye imishanguzo, noma ezinye izithako kumikhiqizo ye-loperamide. Bheka ilebula lephakheji ukuthola uhlu lwezithako.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antibiotic afana ne-clarithromycin (i-Biaxin, e-PrevPac) ne-erythromycin (i-E.E.S., i-Ery-Tab, i-Eryc, nezinye); ezinye izinto zokuvikela ezifana ne-itraconazole (i-Onmel, i-Sporanox) ne-ketoconazole; i-cimetidine (Tagamet), i-gemfibrozil (i-Lopid); i-quinine (i-Qualaquin), i-ranitidine (i-Zantac), i-ritonavir (i-Norvir, e-Kaletra), noma i-saquinavir (i-Invirase). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • Tshela udokotela wakho uma ngabe uke waba nesilonda esihlasela ulcerative colitis (isimo lapho izilonda zikhula khona emathunjini abangela ubuhlungu nohudo). noma i-colitis (ukuvuvukala kwamathumbu okubangelwa amagciwane athile). Futhi, tshela udokotela wakho uma unomkhuhlane, igazi noma amafinyila esitobhini, indle emnyama, noma ubuhlungu besisu ngaphandle kohudo. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-loperamide noma uyinike ingane yakho uma unale noma eyodwa yalezi zimo.
  • utshele udokotela wakho uma usuthole i-immunodeficiency syndrome (i-AIDS) noma uma uke waba nesifo sesibindi noma wake waba naso.
  • Tshela udokotela wakho kanye nosokhemisi uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-loperamide, shayela udokotela wakho.
  • kufanele wazi ukuthi lesi sidakamizwa singakwenza ukozele futhi ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lesi sidakamizwa sikuthinta kanjani.

Phuza amanzi amaningi noma olunye uketshezi olucacile ukuze ubuyisele uketshezi olulahlekile ngenkathi uhanjiswa yisisu.

Uma uthatha imithamo ehleliwe ye-loperamide, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

  • ukuqunjelwa
  • ukukhathala

Uma wena noma umuntu othatha i-loperamide ehlangabezana nanoma iyiphi yalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

  • ukuqubuka
  • isikhumba esibomvu, esixobukayo noma esikhanyayo
  • isifuba
  • ukulunywa
  • isifuba
  • ukuphefumula kanzima
  • imfiva
  • ubuhlungu besisu noma ukuvuvukala
  • indle enegazi

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:

  • isicanucanu
  • ukungakwazi ukuchama
  • ukuquleka
  • ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
  • ukungaphenduli
  • ukudideka
  • ukunciphisa abafundi
  • ukuphefumula kancane futhi okungajulile
  • ukuphelelwa umoya

Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokuthatha lo muthi.

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.

  • Imodium®
  • Imodium® AD
  • Imotil®
  • K-Pek II®
  • UKao-Paverin®
  • I-Kaopectate 1-D®
  • Maalox® Elwa nohudo
  • UPepto® Ukulawulwa Kohudo
  • Imodium® Ukukhululwa Kwezimpawu Eziningi (okuqukethe iLoperamide, iSimethicone)
Kugcine ukubuyekezwa - 04/15/2018

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