I-Verapamil

-Delile

• Ngaphambi kokuthatha i-verapamil,
• IVerapamil 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:

IVerapamil isetshenziselwa ukwelapha umfutho wegazi ophezulu nokulawula i-angina (ubuhlungu besifuba). Amathebulethi akhishwa ngokushesha asetshenziswa yedwa noma ngeminye imithi ukuvimbela nokwelapha ukushaya kwenhliziyo okungajwayelekile. UVerapamil usesigabeni semithi ebizwa nge-calcium-channel blockers. Isebenza ngokuxegisa imithambo yegazi ukuze inhliziyo ingadingi ukumpompa kanzima. Iphinde inyuse ukunikezwa kwegazi ne-oxygen enhliziyweni futhi yehlise umsebenzi kagesi enhliziyweni ukulawula ukushaya kwenhliziyo.

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-Verapamil iza njengethebhulethi, ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), kanye ne-capsule ekhishwe isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Ithebhulethi ejwayelekile ivame ukuthathwa kathathu noma kane ngosuku. Amathebulethi akhululwa enwetshiwe kanye nama-capsules ngokuvamile athathwa kanye noma kabili ngosuku. Thatha ama-verapamil cishe ngesikhathi esifanayo (ama) nsuku zonke. Imikhiqizo ethile ye-verapamil kufanele ithathwe ekuseni futhi eminye ngesikhathi sokulala. Buza udokotela wakho ukuthi yisiphi isikhathi esihle kakhulu sokuphuza imithi yakho. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-verapamil njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya amaphilisi akhishwe isikhathi eside namaphilisi. Musa ukuhlafuna noma ukuchoboza. Buza usokhemisi wakho ukuthi amaphilisi angahlukaniswa phakathi, ngoba imiyalo iyahluka ngomkhiqizo.

Uma ungakwazi ukugwinya amaphilisi akhishwe isikhathi eside ungavula ngokucophelela i-capsule bese ufafaza konke okuqukethwe ku-spoonful of applesauce. I-appleauce akufanele ishise, futhi kufanele ithambe ngokwanele ukuthi ingagwinywa ngaphandle kokuhlafunwa. Gwinya i-appleauce ngokushesha ngaphandle kokuhlafuna, bese uphuza ingilazi yamanzi apholile ukuze uqiniseke ukuthi uwugwinyile wonke umuthi. Ungayigcini le ngxube ukuze uyisebenzise esikhathini esizayo.

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

I-Verapamil ilawula ama-arrhythmias, umfutho wegazi ophakeme, ne-angina kepha ayizelaphi lezi zimo. Qhubeka uthathe i-verapamil noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-verapamil ngaphandle kokukhuluma nodokotela wakho.

IVerapamil kwesinye isikhathi isetshenziselwa ukwelapha ezinye izinkinga zenhliziyo. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-verapamil,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-verapamil, noma imiphi eminye imithi, noma yiziphi izithako ku-verapamil. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: i-alpha blocker efana ne-prazosin (Minipress); ama-antifungal anjenge-itraconazole (i-Onmel, i-Sporanox) ne-ketoconazole (i-Nizoral); i-aspirin; ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), propranolol (Inderal, Innopran, e-Inderide), kanye ne-timolol (Blocadren, eTimolide); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); i-cimetidine (Tagamet); i-clarithromycin (i-Biaxin, ku-Prevpac); i-cyclosporine (iNeoral, iSandimmune); i-digoxin (i-Lanoxin); i-disopyramide (iNorpace); isisu (’’ amaphilisi amanzi ’’); i-erythromycin (E.E.S., Eryc, Erythrocin); flecainide; ezinye ze-HIV protease inhibitors ezifana ne-indinavir (Crixivan), i-nelfinavir (i-Viracept), ne-ritonavir (i-Norvir, e-Kaletra); i-quinidine (ku-Nuedexta); i-lithium (i-Lithobid); imithi yokwelapha umfutho wegazi ophakeme; nefazodone; i-phenobarbital; i-pioglitazone (Actos, eDuetact, e-Oseni); i-rifampin (i-Rifadin, i-Rimactane); i-telithromycin (Ketek); kanye ne-theophylline (Theochron, Theolair, Uniphyl). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-verapamil, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• utshele udokotela wakho uma uke waba nokunciphisa noma ukuvinjelwa kohlelo lwakho lokugaya ukudla noma esinye isimo esidala ukuthi ukudla kudlule ohlelweni lwakho lokugaya ukudla kancane; ukwehluleka kwenhliziyo; isifo senhliziyo, isibindi noma sezinso; i-muscular dystrophy (isifo esizuzwe njengefa esibangela ukuncipha kwemisipha kancane kancane); noma i-myasthenia gravis (isimo esibangela ukuba imisipha ethile ibe buthakathaka).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-verapamil, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-verapamil.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngesikhathi sokwelashwa kwakho nge-verapamil. IVerapamil ingadala ukuthi imiphumela yotshwala ibe nzima kakhulu futhi ihlale isikhathi eside.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi noma ukuphuza 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.

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

• ukuqunjelwa
• isilungulela
• isiyezi noma ikhanda elikhanyayo
• ikhanda

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

• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukushaya kwenhliziyo okuhamba kancane
• ukuquleka
• ukungaboni kahle
• ukuqubuka
• isicanucanu
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukuphuzi kwesikhumba noma kwamehlo
• izimpawu ezinjengomkhuhlane
• imfiva

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:

• isiyezi
• ukungaboni kahle
• ukushaya kwenhliziyo okuhamba kancane, okusheshayo, noma okungajwayelekile
• isithuthwane
• ukudideka
• ukuphefumula kanzima noma ukugwinya

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-verapamil. Udokotela wakho angaphinde a-ode izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-verapamil.

Uma uthatha amaphilisi wokukhishwa anwetshiwe (i-Covera HS), 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-Calan^®
• I-Calan^® I-SR
• Covera^® HS
• Isoptin^®¶
• UVerelan^®
• UVerelan^® PM

• I-Tarka^® (equkethe i-trandolapril ne-verapamil)

• Iproveratril Hydrochloride

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