Gemfibrozil

-Delile

• Ngaphambi kokuthatha i-gemfibrozil,
• IGemfibrozil ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Gemfibrozil isetshenziswa nezinguquko ekudleni (ukuvinjelwa kwe-cholesterol nokudla okunamafutha) ukunciphisa inani le-cholesterol kanye ne-triglycerides (ezinye izinto ezinamafutha) egazini kubantu abathile abane-triglycerides ephezulu kakhulu abasengozini yesifo se-pancreatic (izimo ezithinta amanyikwe, indlala ekhiqiza uketshezi lokudiliza ukudla namahomoni okulawula ushukela egazini). I-Gemfibrozil iyasetshenziswa futhi kubantu abanenhlanganisela yamazinga aphezulu we-lipoprotein (HDL; 'cholesterol enhle') kanye ne-low low density lipoprotein (LDL; 'cholesterol embi') namazinga e-triglyceride ukunciphisa ubungozi besifo senhliziyo. IGemfibrozil isekilasini lemithi elawula i-lipid ebizwa ngama-fibrate. Isebenza ngokunciphisa ukukhiqizwa kwe-triglycerides esibindi.

IGemfibrozil iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kabili ngosuku, imizuzu engama-30 ngaphambi kokudla kwasekuseni nakusihlwa. Thatha i-gemfibrozil ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-gemfibrozil njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

IGemfibrozil ilawula ama-triglycerides aphezulu kanye ne-HDL ephansi, kepha ayiyelaphi. Qhubeka uthathe i-gemfibrozil noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-gemfibrozil ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-gemfibrozil,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-gemfibrozil, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-gemfibrozil. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-dasabuvir (eViekira Pak), i-simvastatin (iZocor, eVytorin), noma i-repaglinide (Prandin, ePrandimet). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-gemfibrozil ngenkathi uthatha noma iyiphi yale mithi.
• 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: atorvastatin (Lipitor, in Caduet), bosentan (Tracleer), colchicine (Colcrys, Mitigare, in Col-Probenecid), dabrafenib (Tafinlar), enzalutamide (Xtandi), ezetimibe (Zetia, eVytorin ), fluvastatin (Lescol), glyburide (Diabeta, Glynase, eGlucovance), irinotecan (Camptosar, Onivyde), loperamide (Imodium), lovastatin (Altoprev), montelukast (Singulair), olmesartan (Benicar, in Azor, Tribenzor), (Abraxane, Taxol), pioglitazone (Actos, eActoplus Met, Duetact, Oseni), pitavastatin (Livalo), pravastatin (Pravachol), rifampin (Rifadin, Rimactane, eRifamate, Rifater), rosiglitazone (Avandia), rosuvor (randuv) , i-valsartan (i-Diovan, e-Entresto, i-Exforge), ne-warfarin (i-Coumadin, i-Jantoven). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo nayo ingaxhumana ne-gemfibrozil, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
• uma uthatha i-colestipol (Colestid), thatha lo muthi amahora amabili ngaphambi noma amahora amabili ngemuva kwe-gemfibrozil.
• Tshela udokotela wakho uma unesifo sezinso, isibindi noma isifo se-gallbladder. Udokotela wakho angakutshela ukuthi ungathathi i-gemfibrozil.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-gemfibrozil, shayela udokotela wakho.

Yidla ukudla okunamafutha aphansi, okunamafutha amancane. Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Ungavakashela futhi iwebhusayithi ye-National Cholesterol Education Program (NCEP) ukuthola eminye imininingwane yokudla ku-http: //www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

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.

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

• ubuhlungu besisu
• isilungulela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ubuhlungu bemisipha, ubumnene, noma ubuthakathaka
• ukungaboni kahle

Umuthi obizwa ngokuthi yi-clofibrate (Atromid-S; awusatholakali e-U.S), ofana ne-gemfibrozil, waziwa ngokudala umdlavuza, isifo se-gallbladder, nobuhlungu besisu obuholela ku-appendectomy. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

I-Gemfibrozil ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

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. Ukugcine 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:

• amajaqamba esiswini
• isifo sohudo
• Ubuhlungu bamalunga nemisipha
• isicanucanu
• ukuhlanza

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

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-Lopid^®