Nifedipine
-Delile
- Ngaphambi kokuthatha i-nifedipine,
- I-Nifedipine 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:
INifedipine isetshenziselwa ukwelapha umfutho wegazi ophezulu nokulawula i-angina (ubuhlungu besifuba). INifedipine ikusigaba semithi esibizwa nge-calcium-channel blockers. Kwehlisa umfutho wegazi ngokuxegisa imithambo yegazi ukuze inhliziyo ingadingi ukumpompa kanzima. Ilawula ubuhlungu besifuba ngokwandisa ukunikezwa kwegazi ne-oxygen enhliziyweni.
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.
INifedipine iza njenge-capsule nethebhulethi ekhishwe isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. I-capsule ivame ukuthathwa kathathu noma kane ngosuku. Ithebhulethi ekhishwa isikhathi eside kufanele ithathwe kanye ngosuku esiswini esingenalutho, kungaba ihora eli-1 ngaphambi noma amahora amabili ngemuva kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-nifedipine, yithathe ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-nifedipine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Gwinya wonke amaphilisi akhululiwe; ungawahlukanisi, ungawahlafune noma uwagxoze.
Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-nifedipine futhi akhuphule kancane umthamo wakho, ngokuvamile kanye njalo ezinsukwini eziyi-7 kuya kwezingu-14.
Uma ithathwa njalo, i-nifedipine ilawula ubuhlungu besifuba, kepha ayibuqedi ubuhlungu besifuba uma iqala. Udokotela wakho angakunikeza imithi ehlukile ongayiphuza uma unezinhlungu esifubeni.
INifedipine ilawula umfutho wegazi ophezulu nobuhlungu besifuba (angina) kodwa ayibelaphi. Qhubeka uphuze i-nifedipine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-nifedipine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.
I-Nifedipine nayo isetshenziswa kwesinye isikhathi ukwelapha ukuqala kwangaphambi kokubeletha kanye ne-Raynaud's syndrome. 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-nifedipine,
- Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-nifedipine, noma imuphi omunye umuthi, noma iziphi izithako ku-nifedipine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunomsoco, okwenzayo noma ohlela ukukuthatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: acarbose (Precose); ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); ama-antifungals afana ne-fluconazole (Diflucan), i-itraconazole (i-Onmel, i-Sporanox), ne-ketoconazole (i-Nizoral); ama-beta blocker anjenge-atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), propranolol (Inderal, Innopran, e-Inderide), kanye ne-timolol); carbamazepine (Carbatrol, Epitol, Tegretol); i-cimetidine (Tagamet); i-digoxin (i-Lanoxin); i-diltiazem (iCardizem); i-doxazosin (Cardura); i-erythromycin (E.E.S., E-Mycin, Erythrocin); i-fentanyl (i-Actiq, i-Duragesic, i-Fentora); i-flecainide (iTambocor); Ama-HIV protease inhibitors afaka i-amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ne-ritonavir (Norvir, eKaletra); i-metformin (iGlucophage); nefazodone; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-quinidine (ku-Nuedexta); i-quinupristin ne-dalfopristin (iSynercid); i-rifampin (iRifadin, eRifamate, eRifater, eRimactane); i-rifapentine (Priftin); i-tacrolimus (i-Astagraf SL, i-Prograf); i-valproic acid (iDepakene); kanye ne-verapamil (Calan, Covera, Verelan, eTarka). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
- utshele udokotela wakho uma uke waba nokuncipha noma ukuvimba kohlelo lokugaya ukudla noma esinye isimo esidala ukuthi ukudla kudlule ohlelweni lwakho lokugaya ukudla kancane; noma isifo senhliziyo, isibindi noma sezinso. Tshela nodokotela wakho uma ngabe uke waba ne-myocardial infarction (MI) emasontweni amabili edlule.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-nifedipine, shayela udokotela wakho.
- khuluma nodokotela wakho ngokusetshenziswa okuphephile kwamaphilisi we-nifedipine uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha amaphilisi we-nifedipine ngoba awaphephile njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-nifedipine.
- buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-nifedipine. Utshwala bungenza imiphumela emibi ye-nifedipine ibe yimbi kakhulu.
Ungaphuzi ijusi yamagilebhisi noma udle izithelo zomvini izinsuku ezintathu ngaphambi nangesikhathi uthatha i-nifedipine.
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-Nifedipine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ikhanda
- isicanucanu
- isiyezi noma ikhanda elikhanyayo
- ukuqhuma
- isilungulela
- ukushaya kwenhliziyo okusheshayo
- amajaqamba
- ukuqunjelwa
- ukukhwehlela
- kwehle ikhono lezocansi
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
- 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. Yigcine ekamelweni lokushisa, kude nokukhanya, futhi kude nokushisa okwedlulele 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:
- isiyezi
- ukushaya kwenhliziyo okusheshayo
- ukuqhuma
- uvalo
- isicanucanu
- ukuhlanza
- ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
- ukungaboni kahle
- ukuquleka
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-nifedipine.
Uma uthatha amaphilisi athile akhishwa isikhathi eside (i-Afeditab CR, i-Procardia XL), ungahle ubone okuthile okubukeka njengethebhulethi kusitulo sakho. Leli igobolondo nje elingenalutho lethebhulethi, futhi lokhu akusho ukuthi awutholanga umthamo wakho ophelele wemithi.
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-Adalat®¶
- I-Adalat® CC
- I-Afeditab® CR
- I-Nifedical® XL
- I-Nifeditab® CR¶
- I-Procardia®¶
- I-Procardia® XL
¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.
Kugcine ukubuyekezwa - 10/15/2017