Amiodarone

-Delile

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

I-Amiodarone ingadala ukulimala kwamaphaphu okungaba kubi noma kusongele impilo. Tshela udokotela wakho uma ngabe uke waba nanoma yiluphi uhlobo lwesifo samaphaphu noma uma uke waba nokulimala kwamaphaphu noma izinkinga zokuphefumula ngenkathi uthatha i-amiodarone. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: umkhuhlane, ukuphefumula okuncane, ukuphefumula, ezinye izinkinga zokuphefumula, ukukhwehlela, noma ukukhwehlela noma ukuphalaza igazi.

I-Amiodarone nayo ingadala ukulimala kwesibindi. Tshela udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso. Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: isicanucanu, ukuhlanza, umchamo onombala omnyama, ukukhathala ngokweqile, ukuphuzi kwesikhumba noma kwamehlo, ukulunywa, noma ubuhlungu engxenyeni engakwesokudla esiswini.

I-Amiodarone ingadala ukuthi i-arrhythmia yakho (isigqi senhliziyo esingajwayelekile) ibe yimbi kakhulu noma ikubangele ukuthi uthuthukise ama-arrhythmias amasha. Tshela udokotela wakho uma wake waba nesiyezi noma wahlushwa ikhanda noma waquleka ngoba ukushaya kwenhliziyo yakho bekuhamba kancane futhi uma uke waba namazinga aphansi we-potassium noma i-magnesium egazini lakho; isifo senhliziyo noma se-thyroid; noma yiziphi izinkinga ngesigqi senhliziyo yakho ngaphandle kwe-arrhythmia elashwa. Tshela udokotela kanye nosokhemisi wakho uma ngabe uthatha noma imiphi yale mithi elandelayo: izinhlayiya ezifana ne-fluconazole (iDiflucan), i-ketoconazole (i-Nizoral), ne-itraconazole (i-Onmel, i-Sporanox); i-azithromycin (iZithromax, iZmax); ama-beta blockers afana nepropranolol (Hemangeol, Inderal, Innopran); ama-calcium channel blocker afana ne-diltiazem (Cardizem, Cartia, Diltzac, Tiazac, others), kanye ne-verapamil (Calan, Covera, Verelan, eTarka); i-cisapride (i-Propulsid; ayitholakali e-US); i-clarithromycin (i-Biaxin); i-clonidine (iCatapres, iKapvay); isisu (‘amaphilisi amanzi’); i-dofetilide (Tikosyn); i-erythromycin (E.E.S., E-Mycin, Erythrocin); ama-antibiotic e-fluoroquinolone njenge-ciprofloxacin (Cipro), levofloxacin (Levaquin), i-lomefloxacin (ayitholakali e-US), i-moxifloxacin (i-Avelox), i-norfloxacin (ayitholakali e-US), i-ofloxacin, ne-sparfloxacin (ayitholakali e-US); eminye imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-digoxin (i-Lanoxin), i-disopyramide (i-Norpace), i-flecainide, i-ivabradine (i-Corlanor), i-phenytoin (i-Dilantin, i-Phenytek), i-procainamide, i-quinidine (e-Nuedexta), ne-sotalol (i-Betapace, i-Sorine, i-Sotylize); futhi thioridazine. Uma unezinye zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ikhanda elikhanyayo; ukuquleka; ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okushaya ngamandla; noma ukuzwa ukuthi inhliziyo yakho yeqe ukushaya.

Cishe uzolaliswa esibhedlela isonto elilodwa noma ngaphezulu lapho uqala ukwelashwa kwakho nge-amiodarone. Udokotela wakho uzokuqapha ngokucophelela ngalesi sikhathi futhi uma nje uqhubeka nokuthatha i-amiodarone. Udokotela wakho mhlawumbe uzokuqala ngomthamo omkhulu we-amiodarone futhi anciphise kancane umthamo wakho njengoba umuthi uqala ukusebenza. Udokotela wakho anganciphisa umthamo wakho ngesikhathi sokwelashwa kwakho uma uba nemiphumela engemihle. Landela izinkomba zikadokotela wakho ngokucophelela.

Ungayeki ukuthatha i-amiodarone ngaphandle kokukhuluma nodokotela wakho. Ungadinga ukuthi ubhekwe ngeso elibukhali noma uze ulaliswe esibhedlela lapho uyeka ukuthatha i-amiodarone. I-Amiodarone ingahlala emzimbeni wakho isikhashana ngemuva kokuyeka ukuyithatha, ngakho-ke udokotela wakho uzokubuka ngokucophelela ngalesi sikhathi.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile, njengokuhlolwa kwegazi, ama-X-ray, nama-electrocardiograms (EKGs, izivivinyo ezirekhoda umsebenzi kagesi wenhliziyo) ngaphambi nangesikhathi sokwelashwa kwakho ukuze uqiniseke ukuthi kuphephile kuwe ukuthatha i-amiodarone futhi hlola impendulo yomzimba wakho emithini.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-amiodarone futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo.Ungathola futhi iMihlahlandlela Yezokwelapha kwiwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Khuluma nodokotela wakho ngezingozi zokuthatha i-amiodarone.

I-Amiodarone isetshenziselwa ukwelapha nokuvimbela izinhlobo ezithile zama-ventricular arrhythmias abucayi, asongela impilo (uhlobo oluthile lwesigqi senhliziyo esingajwayelekile lapho eminye imithi ingazange isize noma ingabekezeleleki. ukuphumula kwemisipha yenhliziyo esebenzayo.

I-Amiodarone iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kanye noma kabili ngosuku. Ungathatha i-amiodarone ngokudla noma ngaphandle kokudla, kodwa qiniseka ukuthi ikuthatha ngendlela efanayo isikhathi ngasinye, bese ulandela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ucela udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-amiodarone njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Amiodarone nayo kwesinye isikhathi isetshenziselwa ukwelapha ezinye izinhlobo ze-arrhythmias. 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-amiodarone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-amiodarone, iodine, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-amiodarone. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha 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 uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: imishanguzo yokudambisa imithambo ('elevators elevator') efana ne-trazodone (i-Oleptro); ama-anticoagulants (’ama-thinner egazi’) afana ne-dabigatran (Pradaxa) ne-warfarin (Coumadin, Jantoven); imishanguzo ethile yokwehlisa i-cholesterol efana ne-atorvastatin (Lipitor, eCaduet, eLiptruzet), cholestyramine (Prevalite), lovastatin (Altoprev, ku-Advicor), kanye ne-simvastatin (iZocor, eSimcor, eVytorin); i-cimetidine; i-clopidogrel (i-Plavix); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-dextromethorphan (umuthi kumalungiselelo amaningi wokukhwehlela); fentanyl (Actiq, Duragesic, Fentora, abanye); I-HIV protease inhibitors efana ne-indinavir (Crixivan) ne-ritonavir (Norvir, eKaletra, eViekira Pak); i-ledipasvir ne-sofosbuvir (Harvoni); i-lithium (i-Lithobid); i-loratadine (Claritin); imithi yesifo sikashukela noma ukuquleka; i-methotrexate (i-Otrexup, i-Rasuvo, i-Trexall); imithi ye-narcotic yezinhlungu; i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); kanye ne-sofosbuvir (Solvaldi) ene-simeprevir (i-Olysio). Eminye imithi eminingi ingaxhumana ne-amiodarone, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu. Udokotela wakho kungadingeka ukuthi ashintshe imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma uhanjiswa yisisu noma uke waba nanoma yiziphi izimo ezibalulwe esigabeni ESIBALULEKILE SESixwayiso noma izinkinga ngomfutho wegazi.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Khuluma nodokotela wakho uma uhlela ukukhulelwa ngesikhathi sokwelashwa kwakho ngoba i-amiodarone ingahlala emzimbeni wakho isikhashana ngemuva kokuyeka ukuyithatha. Uma ukhulelwa ngenkathi uthatha i-amiodarone, shayela udokotela wakho ngokushesha. I-Amiodarone ingadala ukulimala kwengane.
• tshela udokotela wakho uma uncelisa. Ungancelisi ngenkathi uthatha i-amiodarone.
• khuluma nodokotela wakho ngezingozi zokuphuza lo muthi uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-amiodarone ngoba ayiphephile futhi ayisebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo noma i-laser eye, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-amiodarone.
• hlela ukugwema ukuvezwa yilanga noma izibani zelanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nezibuko lelanga. I-Amiodarone ingenza isikhumba sakho sizwele ekukhanyeni kwelanga. Isikhumba esidaluliwe singashintsha sibe mpunga ngokuluhlaza okwesibhakabhaka futhi kungenzeka singabuyeli kwesejwayelekile noma ngabe usuyekile ukuthatha lo muthi.
• Kufanele wazi ukuthi i-amiodarone ingadala izinkinga zombono kufaka phakathi ukungaboni naphakade. Qiniseka ukuthi uhlolwa njalo ngamehlo ngesikhathi sokwelashwa kwakho futhi ushayele udokotela wakho uma amehlo akho esomile, ezwela ekukhanyeni, uma ubona ama-halos, noma ufiphele umbono noma ezinye izinkinga ngombono wakho.
• Kufanele wazi ukuthi i-amiodarone ingahlala emzimbeni wakho izinyanga ezimbalwa ngemuva kokuyeka ukuyithatha. Ungaqhubeka nokuthola imiphumela emibi ye-amiodarone ngalesi sikhathi. Qiniseka ukuthi utshela bonke abahlinzeki bezempilo abakuphathisayo noma abakunikeze noma imuphi umuthi ngalesi sikhathi osanda kuyeka ukuthatha i-amiodarone.

Ungaphuzi ijusi yamagilebhisi ngenkathi uthatha lo muthi.

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ukuqunjelwa
• ukulahlekelwa isifiso sokudla
• ikhanda
• kunciphise ukushayela ucansi
• ubunzima bokulala noma ukulala
• ukuqhuma
• izinguquko kwikhono lokunambitha nephunga
• izinguquko kunani lamathe

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

• ukuqubuka
• ukuncipha noma ukuzuza
• ukungahlaliseki
• ubuthakathaka
• uvalo
• ukucasuka
• ukungabekezelelani ekushiseni noma emakhazeni
• ukuncipha kwezinwele
• ukujuluka okweqile
• izinguquko kumjikelezo wokuya esikhathini
• ukuvuvukala ngaphambili kwentamo (i-goiter)
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuncipha kokuhlushwa
• ukunyakaza ongakwazi ukukulawula
• ukuxhumanisa okungalungile noma ukuhamba kanzima
• ukuba ndikindiki noma ukuncinza ezandleni, emilenzeni nasezinyaweni
• ubuthakathaka bemisipha

I-Amiodarone 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:

• ukushaya kwenhliziyo okuhamba kancane
• isicanucanu
• ukungaboni kahle
• ubumhlophe
• ukuquleka

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.

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