I-Propranolol (Inhliziyo)

-Delile

• Ngaphambi kokuthatha i-propranolol,
• I-Propranolol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

Ungayeki ukuthatha ipropranolol ngaphandle kokukhuluma nodokotela wakho kuqala. Uma i-propranolol imiswa ngokuzumayo, ingadala ubuhlungu besifuba noma isifo senhliziyo kwabanye abantu.

Ipropranolol isetshenziselwa ukwelapha umfutho wegazi ophakeme, isigqi senhliziyo esingajwayelekile, i-pheochromocytoma (isimila esiswini esincane esiseduze nezinso), izinhlobo ezithile zokuthuthumela, ne-hypertrophic subaortic stenosis (isifo semisipha yenhliziyo). Ibuye isetshenziselwe ukuvimbela i-angina (ubuhlungu besifuba), ikhanda le-migraine, nokwenza ngcono ukusinda ngemuva kokuhlaselwa yinhliziyo. I-Propranolol ikusigaba semithi esibizwa nge-beta blockers. Isebenza ngokuphumuza imithambo yegazi nokunciphisa izinga lokushaya kwenhliziyo ukwenza ngcono ukugeleza kwegazi nokunciphisa umfutho wegazi.

Umfutho wegazi ophezulu yisimo esivamile futhi uma ungelashwa, ungadala umonakalo ebuchosheni, enhliziyweni, emithanjeni yegazi, ezinso nakwezinye izingxenye zomzimba. Ukulimala kwalezi zitho kungadala isifo senhliziyo, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sohlangothi, ukwehluleka kwezinso, ukungaboni, nezinye izinkinga. Ngaphezu kokuthatha umuthi, ukwenza ushintsho endleleni ophila ngayo kuzosiza nasekulawuleni umfutho wegazi. Lezi zinguquko zifaka phakathi ukudla ukudla okunamafutha nosawoti omncane, ukugcina isisindo esinempilo, ukuzivocavoca okungenani imizuzu engama-30 izinsuku eziningi, ukungabhemi, nokusebenzisa utshwala ngokulinganisela.

I-Propranolol iza njengethebhulethi, isisombululo (uketshezi), nanjengephilisi elandisiwe (elisebenza isikhathi eside) elizothathwa ngomlomo. I-propranolol capsule ekhishwe isikhathi eside (igama lomkhiqizo: Inderal LA) imvamisa ithathwa kanye ngosuku. I-capsule ekhishwe isikhathi eside (i-Innopran XL, i-Inderal XL) ivame ukuthathwa ngesikhathi sokulala futhi kufanele ithathwe ngokungaguquguquki noma njalo ngaphandle kokudla isikhathi ngasinye. Amaphilisi we-propranolol noma isisombululo esisebenza ngokushesha angathathwa kabili, kathathu, noma kane ngosuku.Thatha i-propranolol cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-propranolol njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi akhishwe isikhathi eside; ungawahlukanisi, ungawahlafune noma uwagxoze.

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

Ngaphambi kokuthatha i-propranolol,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-propranolol, noma imuphi omunye umuthi, noma iziphi izithako kumikhiqizo yepropranolol. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha 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 ikuphi kokulandelayo: ACE inhibitors; ama-antacids aqukethe i-aluminium (Maalox, Mylanta, amanye); ama-anticoagulants (’’ ama-thinner egazi ’’) njenge-warfarin (Coumadin, Jantoven); ama-calcium channel blocker afana ne-diltiazem (Cardizem, Cartia, Tiazac, abanye), nicardipine (Cardene), nifedipine (Adalat, Procardia XL), ne-nisoldipine (Sular); cholestyramine (Prevalite); i-cimetidine; i-ciprofloxacin (Cipro); i-chlorpromazine; i-colestipol (i-Colestid); diazepam (Diastat, Valium); i-digoxin (i-Lanoxin); i-fluvoxamine (i-Luvox); i-haloperidol (iHaldol); I-HMG-CoA reductase inhibitors (ama-cholesterol-lowering agents) afana ne-lovastatin (Altoprev, Mevacor, ku-Advicor) ne-pravastatin (Pravachol); i-isoniazid (eRifamate, eRifater); imishanguzo yokudangala njengebupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem, Selfemra), imipramine (Tofranil), ne-paroxetine (Brisdelle, Paxil, Pexeva); i-fluconazole (iDiflucan); imithi yezinhlungu ze-migraine ezifana ne-rizatriptan (i-Maxalt) ne-zolmitriptan (i-Zomig); imishanguzo yomfutho wegazi ophezulu njenge-clonidine (Catapres, Kapvay, eClorpres), doxazosin (Cardura), prazosin (Minipress), ne-terazosin; imithi yokuquleka efana ne-phenytoin (i-Dilantin, i-Phenytek) ne-phenobarbital; imithi ethile yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone, Nexterone, Pacerone), propafenone (Rythmol), ne-quinidine (eNuedexta); i-monoamine oxidase (MAO) inhibitors efana ne-phenelzine (Nardil); i-montelukast (i-Singulair); izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-indomethacin (Indocin, Tivorbex); i-theophylline (Theo-24, Theochron, Uniphyl); qamba kabusha; i-rifampin (iRifadin, iRimactane, eRifater, eRifamate); i-ritonavir (iNorvir, eKaletra, eViekira Pak); i-teniposide (Vumon); thioridazine; i-ticlopidine; tolbutamide; ama-tricyclic antidepressants; kanye ne-zileuton (Zyflo). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma uke waba nesifo somoya noma esinye isifo samaphaphu; isifo senhliziyo, isibindi noma sezinso; isifo sikashukela; ukungezwani komzimba okunzima; noma izinkinga ze-thyroid.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-propranolol, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-propranolol.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-propranolol. Utshwala bungakhuphula inani lepropranolol emzimbeni wakho.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.

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

• isiyezi noma ikhanda elikhanyayo
• ukukhathala
• isifo sohudo
• ukuqunjelwa

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

• ukuphefumula kanzima noma ukugwinya
• ukuqubuka
• isikhumba esishayayo noma esikhanyayo
• isifuba
• ukulunywa
• ukuvuvukala kobuso, umphimbo, ulimi, noma izindebe
• ngizizwe ngiphela amandla
• ukuzuza kwesisindo
• ukushaya kwenhliziyo okungajwayelekile

I-Propranolol ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa le mithi.

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. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile, nomswakama (hhayi endlini yangasese).

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.

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

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:

• ukushaya kwenhliziyo okuhamba kancane

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri.

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.

• Inderal^®¶
• Inderal^® LA
• Inderal^® XL
• InnoPran^®¶
• InnoPran^® XL
• I-Pronol^®¶

• Inderide^® (equkethe i-Hydrochlorothiazide, Propranolol)
• Inderide^® LA (equkethe i-Hydrochlorothiazide, Propranolol)^¶

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