Isosorbide

-Delile

• Ngaphambi kokuthatha i-isosorbide,
• I-Isosorbide ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

Amaphilisi e-Isosorbide akhipha ngokushesha asetshenziselwa ukuphathwa kwe-angina (ubuhlungu besifuba) kubantu abanesifo semithambo yegazi (ukuncipha kwemithambo yegazi enikeza igazi enhliziyweni). Amaphilisi we-Isosorbide anwetshiwe (asebenza isikhathi eside) namaphilisi akhishwa enwetshiwe asetshenziselwa ukuphathwa kobuhlungu besifuba kubantu abanesifo semithambo yenhliziyo. I-Isosorbide ingasetshenziswa kuphela ukuvimbela i-angina; ngeke isetshenziselwe ukwelapha isiqephu se-angina uma sesiqalile. I-Isosorbide isekilasini lemithi ebizwa ngama-vasodilators. Isebenza ngokuxegisa imithambo yegazi ngakho-ke inhliziyo ayidingi ukusebenza kanzima ngakho-ke ayidingi umoya-mpilo omningi.

I-Isosorbide iza njengethebhulethi, ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), kanye ne-capsule ekhishwe isikhathi eside ezothathwa ngomlomo. Ithebhulethi ivame ukuphuzwa kabili noma kathathu nsuku zonke. Ithebhulethi ekhishwa isikhathi eside ithathwa kanye ngosuku ekuseni. I-capsule ekhishwe isikhathi eside ithathwa kanye ngosuku.

Gwinya amathebulethi akhululiwe noma amaphilisi aphelele; ungazichobozi, uzihlafune, noma uzihlukanise. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-isosorbide njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Isosorbide ilawula ubuhlungu besifuba kepha ayilaphi isifo semithambo yenhliziyo. Qhubeka uthathe i-isosorbide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-isosorbide ngaphandle kokukhuluma nodokotela wakho.

I-Isosorbide kungenzeka ingasebenzi kahle ngemuva kokuyithatha isikhathi esithile noma uma uthathe imithamo eminingi. Udokotela wakho uzokuhlelela amanani akho ukuze kube nesikhathi nsuku zonke lapho ungatholakali ku-isosorbide. Uma ukuhlaselwa ubuhlungu besifuba kwenzeka kaningi, kuhlala isikhathi eside, noma kuba nzima kakhulu noma kunini ngesikhathi sokwelashwa kwakho, shayela udokotela wakho.

Amaphilisi e-Isosorbide nawo asetshenziswa neminye imithi yokwelapha ukwehluleka kwenhliziyo. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-isosorbide,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-isosorbide; amaphilisi e-nitroglycerin, amabala, noma amafutha; noma imuphi omunye umuthi, noma iziphi izithako ezikumathebulethi e-isosorbide, amaphilisi akhishwa isikhathi eside, noma ama-capsule akhishwe. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha noma usanda kuthatha i-riociguat (Adempas) noma i-phosphodiesterase inhibitor (PDE-5) efana ne-avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), ne-vardenafil (Levitra, Staxyn). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-isosorbide uma uthatha omunye wale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-aspirin; ama-beta blockers anjenge-atenolol (Tenormin, Tenoretic), i-carteolol, i-labetalol (iTrandate), i-metoprolol (i-Lopressor, iToprol-XL, eDutoprol, eLopressor HCT), nadolol (Corgard, eCorzide), propranolol (Hemangeol, Inderal, Innopran) , i-sotalol (iBetapace, iSorine, iSotylize), ne-timolol; ama-calcium channel blocker anjenge-amlodipine (Norvasc, e-Amturnide, eTekamlo), i-diltiazem (Cardizem, Cartia, Dilt-CD, abanye), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), ne-verapamil (Calan , Covera, Verelan); Imithi yohlobo lwe-ergot efana ne-bromocriptine (i-Cycloset, i-Parlodel), i-cabergoline, i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Hydergine), i-ergotamine (eCafergot, eMigergot), i-methylergonovine (i-Methergine), i-methysergide ende (i-Sansert; e-US), nangegolide (i-Permax; ayisatholakali e-US); imishanguzo yomfutho wegazi ophakeme, ukwehluleka kwenhliziyo, noma ukushaya kwenhliziyo okungajwayelekile. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho ukuthi kungenzeka yini ukuthi uphelelwe amanzi emzimbeni, uma usanda kuhlaselwa yinhliziyo, noma ngabe uke wahluleka noma waba nesifo senhliziyo, umfutho ophansi wegazi, noma i-hypertrophic cardiomyopathy (ukuqina kwemisipha yenhliziyo).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-isosorbide, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-isosorbide.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-isosorbide. Utshwala bungenza imiphumela emibi evela ku-isosorbide ibe yimbi kakhulu.
• kufanele wazi ukuthi i-isosorbide ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni olele kuyo, noma nganoma yisiphi isikhathi, ikakhulukazi uma uphuza iziphuzo ezidakayo. Ukugwema le nkinga, sukuma kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma. Thatha izinyathelo ezengeziwe zokugwema ukuwa ngesikhathi sokwelashwa kwakho nge-isosorbide.
• kufanele wazi ukuthi ungazizwa uphathwa yikhanda nsuku zonke ngenkathi welashwa nge-isosorbide. Lezi zinhlungu zekhanda zingaba uphawu lokuthi umuthi usebenza ngendlela efanele. Ungazami ukushintsha izikhathi noma indlela oyithatha ngayo i-isosorbide ukuze ugweme ukuphathwa yikhanda ngoba lapho-ke umuthi kungenzeka ungasebenzi futhi. Udokotela wakho angakutshela ukuthi uthathe isidambisi sezinhlungu ukwelapha ikhanda lakho.

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-Isosorbide ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:

• isicanucanu

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukwanda kobuhlungu besifuba
• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya

I-Isosorbide 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:

• ikhanda
• ukudideka
• imfiva
• isiyezi
• ukushaya kwenhliziyo okuhamba kancane noma okushaya ngamandla
• isicanucanu
• ukuhlanza
• uhudo olunegazi
• ukuquleka
• ukuphelelwa umoya
• ukujuluka
• ukuqhuma
• kubanda, isikhumba se-clammy
• ukulahlekelwa amandla okuhambisa umzimba
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• isithuthwane

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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.

• Nciphisa^®-SR
• Imdur^®¶
• Ismo^®¶
• I-Ismotic^®¶
• Isoditrate^®¶
• Isordil^®
• I-Monoket^®

• BiDil^® (equkethe i-Hydralazine ne-Isosorbide Dinitrate)

• I-ISDN
• I-ISMN

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