Diltiazem

-Delile

• Ngaphambi kokuthatha i-diltiazem,
• I-Diltiazem 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 okulandelayo:

I-Diltiazem isetshenziselwa ukwelapha umfutho wegazi ophezulu nokulawula i-angina (ubuhlungu besifuba). UDiltiazem usesigabeni semithi ebizwa nge-calcium-channel blockers. Isebenza ngokuxegisa imithambo yegazi ukuze inhliziyo ingadingi ukumpompa kanzima. Futhi kwandisa ukunikezwa kwegazi ne-oxygen enhliziyweni.

Umfutho wegazi ophakeme yisimo esivamile, futhi uma ungalashwa 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-Diltiazem iza njengethebhulethi, ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), kanye ne-capsule ekhishwe isikhathi eside ezothathwa ngomlomo. Ithebhulethi ejwayelekile ivame ukuthathwa kathathu noma kane ngosuku. I-capsule nethebhulethi ekhishwa isikhathi eside ivame ukuthathwa kanye noma kabili ngosuku. Buza usokhemisi wakho uma kufanele uthathe i-diltiazem ngokudla noma ngaphandle kokudla, ngoba imiyalelo ingahluka ngomkhiqizo ngamunye. Thatha i-diltiazem ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-diltiazem njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya amaphilisi akhishwe isikhathi eside namaphilisi; ungawahlafune noma uwachoboze.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-diltiazem futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo ezinsukwini eziyi-7 kuya kwezingu-14 uma uthatha ithebhulethi ekhishwa enwetshiwe noma i-capsule futhi hhayi ngaphezu kwesisodwa ezinsukwini ezi-1 kuya kwezi-2 uma bathatha ithebhulethi ejwayelekile.

Uma ithathwa njalo, i-diltiazem ingalawula ubuhlungu besifuba, kepha ayibuqedi ubuhlungu besifuba uma iqala. Udokotela wakho angakunika umuthi ohlukile ongawuthatha uma unezinhlungu esifubeni.

IDiltiazem ilawula umfutho wegazi ophakeme nobuhlungu besifuba (angina) kepha ayibelaphi. Kungathatha amasonto amabili ngaphambi kokuzwa inzuzo ephelele ye-diltiazem. Qhubeka uthathe i-diltiazem noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-diltiazem ngaphandle kokukhuluma nodokotela wakho.

I-Diltiazem futhi kwesinye isikhathi isetshenziselwa ukwelapha izinhlobo ezithile ze-arrhythmias (isigqi senhliziyo esingajwayelekile). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-diltiazem,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-diltiazem, noma imiphi eminye imithi, noma yiziphi izithako ku-diltiazem. Buza usokhemisi wakho 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 ikuphi kokulandelayo: atazanavir (Reyataz); ama-benzodiazepines afana ne-midazolam (Versed) ne-triazolam (Halcion); ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol, metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), nepropranolol (Inderal, Innopran, e-Inderide); buspirone; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); i-cimetidine (Tagamet); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); i-lovastatin (Altoprev, Mevacor, ku-Advicor); i-quinidine (ku-Nuedexta); ne-rifampin (iRifadin, eRifamate, eRifater, eRimactane). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-diltiazem, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
• utshele udokotela wakho uma uke waba ne-infarction ye-myocardial (MI); ukuncipha noma ukuvinjelwa kohlelo lwakho lokugaya ukudla noma esinye isimo esidala ukuthi ukudla kudlule ohlelweni lwakho lokugaya ukudla kancane; umfutho wegazi ophansi; noma isifo senhliziyo, isibindi noma sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-diltiazem, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-diltiazem.

Uma udokotela wakho ekutshela ukuthi udle usawoti ophansi noma ukudla okune-sodium eningi, landela lezi zinkomba ngokucophelela.

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

• isiyezi noma ikhanda elikhanyayo
• ukuqhuma
• ikhanda
• ubuthakathaka
• ukushaya kwenhliziyo okuhamba kancane
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• ukuminyana kwamakhala
• ukukhwehlela

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

• ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla, izingalo, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukuquleka
• ukuqubuka
• ukuphuzi kwesikhumba noma kwamehlo
• isicanucanu
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• ukwanda kwemvamisa noma ukuqina kobuhlungu besifuba (angina)

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:

• ukushaya kwenhliziyo okuhamba kancane, okusheshayo, noma okungajwayelekile
• ukuquleka
• ukuphefumula kanzima
• isithuthwane
• isiyezi
• ukudideka
• isicanucanu
• ukuhlanza
• ukujuluka okwandayo

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-diltiazem.

Udokotela wakho angakucela ukuthi uhlole ukushaya kwenhliziyo yakho nsuku zonke futhi uzokutshela ukuthi kufanele kusheshe kangakanani. Uma ukushaya kwakho kuhamba kancane kunalokho okufanele kube yikho, shayela udokotela wakho izinkomba zokuthatha i-diltiazem ngalolo suku. Buza udokotela wakho noma usokhemisi ukuthi akufundise ukuthi ungayihlola kanjani i-pulse yakho.

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.

• Cardizem^®
• Cardizem^® CD
• Cardizem^® LA
• Cardizem^® I-SR^¶
• UCartia^® XT
• I-Dilacor^® XR
• I-Dilt-CD^®
• UDiltzac^®
• I-Taztia^® XT
• I-Tiamate^®¶
• I-Tiazac^®

• I-Teczem^® (equkethe iDiltiazem, Enalapril)^¶

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