I-Levothyroxine

-Delile

• Ngaphambi kokuthatha i-levothyroxine,
• I-Levothyroxine 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 ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Levothyroxine (i-hormone yegilo) akufanele isetshenziswe yodwa noma kanye nezinye izindlela zokwelapha ukukhuluphala noma ukubangela ukwehla kwesisindo.

I-Levothyroxine ingadala izinkinga ezinkulu noma ezisongela impilo uma inikezwa ngemithamo emikhulu, ikakhulukazi uma ithathwa ngama-amphetamine afana ne-amphetamine (Adzenys, Dyanavel XR, Evekeo), dextroamphetamine (Dexedrine), ne-methamphetamine (Desoxyn). Tshela udokotela wakho uma unalezi zimpawu ezilandelayo ngenkathi uthatha i-levothyroxine: ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile noma ukushaya kwenhliziyo, ukuzamazama okungalawuleki kwengxenye yomzimba, ukwethuka, ukukhathazeka, ukucasuka, ubunzima bokulala noma ukulala, ubufushane wokuphefumula, noma ukujuluka okweqile.

Khuluma nodokotela wakho ngezingozi ezingaba khona ezihambisana nalo muthi.

I-Levothyroxine isetshenziselwa ukwelapha i-hypothyroidism (isimo lapho indlala yegilo ingakhiqizi i-hormone yegilo eyanele). Ibuye isetshenziswe ngokuhlinzwa nokwelashwa kwe-iodine enemisebe yokwelapha umdlavuza wegilo. ILevothyroxine isekilasini lemithi ebizwa ngamahomoni. Isebenza ngokushintsha i-hormone yegilo evame ukukhiqizwa ngumzimba.

Ngaphandle kwehomoni ye-thyroid, umzimba wakho awukwazi ukusebenza kahle, okungaholela ekukhuleni okuncane, ukukhuluma ngokungasheshi, ukungabi namandla, ukukhathala ngokweqile, ukuqunjelwa, ukukhuluphala, ukuncipha kwezinwele, isikhumba esomile, esikhuni, ukuzwela okukhulu emakhazeni, ebuhlungwini nasemisipha, izikhathi ezinzima noma ezingajwayelekile zokuya esikhathini, nokudangala. Uma ithathwe kahle, i-levothyroxine iguqula lezi zimpawu.

ILevothyroxine iza njengethebhulethi kanye nephilisi elizothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku esiswini esingenalutho, imizuzu engama-30 kuya ehoreni eli-1 ngaphambi kokudla kwasekuseni. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-levothyroxine njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya amaphilisi aphelele; ungawahlafune noma uwachoboze. Ungasusi i-capsule ephaketheni uze ulungele ukuyithatha.

Thatha amaphilisi ngengilazi egcwele yamanzi ngoba angahle angene emphinjeni wakho noma abangele ukuminyaniswa noma ukuvalwa umlomo.

Uma unikeza i-levothyroxine enganeni, enganeni, noma kubantu abadala abangakwazi ukugwinya ithebhulethi, yichoboze bese uyixuba ngothisipuni ongu-1 kuye ku-2 (5 kuya ku-10 ml) wamanzi. Hlanganisa kuphela amaphilisi achotshoziwe ngamanzi; ungayixube nokudla noma ifomula yezinsana zesoya. Nikeza le ngxube ngesipuni noma nge-dropper khona manjalo. Ungayigcini ukuze uyisebenzise kamuva.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-levothyroxine futhi akhuphule kancane umthamo wakho.

ILevothyroxine ilawula i-hypothyroidism kepha ayiyelaphi. Kungathatha amasonto ambalwa ngaphambi kokubona ushintsho kuzimpawu zakho. Qhubeka uphuze i-levothyroxine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-levothyroxine ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-levothyroxine,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-levothyroxine, i-hormone yegilo, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-levothyroxine noma amaphilisi. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo noma okubalwe esigabeni ESIBALULEKILE SESEXWAYISO: amiodarone (Nexterone, Pacerone); i-androgens efana ne-nandrolone ne-testosterone (Androderm); ama-antacids athile aqukethe i-aluminium noma i-magnesium (Maalox, Mylanta, amanye); ama-anticoagulants (’ama-thinner egazi’) njenge-heparin noma i-warfarin (i-Coumadin, i-Jantoven); ama-beta-blocker afana ne-metoprolol (Lopressor), propranolol (Inderal, Innopran), noma i-timolol; imithi yomdlavuza efana ne-asparaginase, i-fluorouracil, ne-mitotane (Lysodren); carbamazepine (Carbatrol, Equetro, Tegretol, noma Teril); i-clofibrate (Atromid); ama-corticosteroids afana ne-dexamethasone; imithi yokukhwehlela nezimpawu ezibandayo noma yokwehlisa isisindo; i-digoxin (i-Lanoxin); imishanguzo equkethe i-estrogen efana ne-hormone replacement therapy noma izindlela zokuvimbela inzalo zamahomoni (amaphilisi okulawula inzalo, amabala, izindandatho, okufakelwa emzimbeni noma imijovo); i-furosemide (i-Lasix); i-insulin noma eminye imithi yokwelapha isifo sikashukela; i-maprotiline; i-mefenamic acid (iPonstel); i-methadone (Methadose); i-niacin; i-orlistat (i-Alli, i-Xenical); i-phenobarbital; i-phenytoin (iDilantin, Phenytek); ama-proton pump inhibitors afana ne-esomeprazole (Nexium), i-lansoprazole (i-Prevacid), ne-omeprazole (i-Prilosec); i-rifampin (iRifater, iRifamate, iRifadin); i-sertraline (iZoloft); simethicone (Phazyme, Gas X); i-sucralfate (iCarafate); i-tamoxifen (i-Soltamox); tyrosine kinase inhibitors njenge cabozantinib (Cometriq) noma imatinib (Gleevac); kanye ne-tricyclic antidepressants efana ne-amitriptyline (Elavil).Eminye imishanguzo eminingi ingaxhumana ne-levothyroxine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uthatha i-calcium carbonate (Tums) noma i-ferrous sulfate (insimbi engeza), yithathe okungenani amahora amane ngaphambi noma ngemuva kwamahora amane uthathe i-levothyroxine. Uma uthatha i-cholestyramine (Prevalite), i-colesevelam (i-Welchol), i-colestipol (i-Colestid), i-sevelamer (i-Renvela, i-Renagel), noma i-sodium polystyrene sulfonate (i-Kayexalate), thatha okungenani amahora amane ngemuva kokuthatha i-levothyroxine.
• Tshela udokotela wakho uma une-adrenal insufficiency (isimo lapho izindlala ze-adrenal zingakhiqizi ngokwanele amahomoni athile adingekayo emisebenzini ebalulekile yomzimba). Udokotela wakho angakutshela ukuthi ungathathi i-levothyroxine.
• utshele udokotela wakho uma usanda kuthola ukwelashwa ngemisebe noma uma uke waba nesifo sikashukela noma wake waba naso; ukuqina kwemithambo (i-atherosclerosis); izinkinga zokopha noma i-anemia; i-porphyria (isimo lapho izinto ezingavamile zakha khona egazini futhi zidale izinkinga ngesikhumba noma ngohlelo lwezinzwa); i-osteoporosis (isimo lapho amathambo eba mncane futhi abe buthakathaka futhi aphule kalula); i-pituitary gland (indlala encane ebuchosheni) ukuphazamiseka; noma isiphi isimo esenza kube nzima ukuthi usigwinye; noma isifo sezinso, senhliziyo, noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-levothyroxine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-levothyroxine.

Okunye ukudla neziphuzo, ikakhulukazi lezo eziqukethe ubhontshisi, ama-walnuts, kanye nefayibha yokudla, kungathinta indlela i-levothyroxine ekusebenzela ngayo. Khuluma nodokotela wakho ngaphambi kokudla noma ukuphuza lokhu kudla.

Khuluma nodokotela wakho ngokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

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

• ukuzuza kwesisindo noma ukwehla
• ikhanda
• ukuhlanza
• isifo sohudo
• izinguquko ekudleni
• imfiva
• izinguquko kumjikelezo wokuya esikhathini
• ukuzwela ekushiseni
• ukulahleka kwezinwele
• ubuhlungu obuhlangene
• amajaqamba omlenze

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuphefumula, ukuphefumula, isifuba, ukulunywa, ukuqhuma, ukuqhuma, ubuhlungu besisu, isicanucanu, noma ukuvuvukala kwezandla, izinyawo, amaqakala noma imilenze engezansi

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:

• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile noma ukushaya kwenhliziyo
• ukuzamazama okungalawuleki kwengxenye yomzimba
• uvalo
• ukukhathazeka
• ukucasuka
• ubunzima bokulala noma ukulala
• ukuphelelwa umoya
• ukujuluka okweqile
• ukudideka
• ukulahlekelwa ukwazi
• ukudlikiza

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yakho ku-levothyroxine.

Funda igama lomkhiqizo negama elejwayelekile lomuthi wakho. Ungashintshi imikhiqizo ngaphandle kokukhuluma nodokotela wakho noma usokhemisi, njengoba uhlobo ngalunye lwe-levothyroxine luqukethe inani elihlukile lomuthi.

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.

• I-Levothroid^®¶
• I-Levo-T^®
• I-Levoxyl^®
• I-Synthroid^®
• I-Tirosint^®
• Unithroid^®

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