I-Diclofenac

-Delile

• Ngaphambi kokuthatha i-diclofenac,
• I-Diclofenac 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 ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha. Ungathathi enye i-diclofenac uze ukhulume nodokotela wakho.
• Izimpawu zokudlula ngokweqile zingafaka:

Abantu abathatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) afana ne-diclofenac bangaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangayithathi le mithi. Le micimbi ingenzeka ngaphandle kwesixwayiso futhi ingadala ukufa. Le ngozi ingahle ibe phezulu kubantu abathatha ama-NSAID isikhathi eside. Ungathathi i-NSAID efana ne-diclofenac uma usanda kuhlaselwa yisifo senhliziyo, ngaphandle uma uqondiswe ngudokotela wakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo senhliziyo, ehlaselwa yisifo senhliziyo, noma sohlangothi, uma ubhema, nokuthi ngabe uke waba ne-cholesterol ephezulu, umfutho wegazi ophakeme noma isifo sikashukela. Thola usizo lwezokwelapha oluphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: Ubuhlungu besifuba, ukuphefumula okuncane, ukuba buthakathaka engxenyeni eyodwa noma ohlangothini lomzimba, noma ukukhuluma okungaqinile.

Uma uzobe uphethwe umgogodla we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele uthathe i-diclofenac ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID afana ne-diclofenac angadala izilonda, ukuphuma kwegazi, noma izimbobo esiswini noma emathunjini. Lezi zinkinga zingakhula nganoma yisiphi isikhathi ngesikhathi sokwelashwa, zingenzeka ngaphandle kwezimpawu zokuxwayisa, futhi zingadala nokufa. Ingozi ingaba phezulu kubantu abathatha ama-NSAID isikhathi eside, sebekhulile ngeminyaka, benempilo ebuthaka, noma bephuza utshwala obuningi ngenkathi bethatha i-diclofenac. Tshela udokotela wakho uma uthatha noma imuphi wale mithi elandelayo: ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin, Jantoven); i-aspirin; amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, ku-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) ne-sertraline (i-Zoloft); noma i-serotonin norepinephrine reuptake inhibitors (SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), ne-venlafaxine (Effexor XR). Phinda utshele udokotela wakho uma uke waba nezilonda noma wopha esiswini noma emathunjini, noma ezinye izifo zokopha. Uma uhlangabezana nezinye zalezi zimpawu ezilandelayo, yeka ukuthatha i-diclofenac bese ushayela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza into enegazi noma ebukeka njengezindawo zekhofi, igazi esitokisini, noma izitulo ezimnyama nezokulinda.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoqapha izimpawu zakho ngokucophelela futhi mhlawumbe uzo-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho ku-diclofenac. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ukuze udokotela wakho akwazi ukukubeka inani elifanele lemithi yokwelapha isimo sakho ngengozi ephansi kakhulu yemiphumela emibi kakhulu.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-diclofenac futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukuthola uMhlahlandlela Wezokwelapha.

Amaphilisi we-Diclofenac (i-Zipsor, i-Zorvolex) namathebulethi (i-Cataflam) asetshenziselwa ukudambisa izinhlungu eziphakathi nendawo. Amaphilisi we-Diclofenac anwetshiwe (i-Voltaren XR), amaphilisi (Cataflam), namaphilisi okukhipha okulibazisekile (atholakala ngokujwayelekile) asetshenziselwa ukudambisa izinhlungu, isizotha, ukuvuvukala nokuqina okubangelwa i-osteoarthritis (i-arthritis ebangelwa ukuwohloka kolwelwesi amalunga), nesifo samathambo (isifo samathambo esibangelwa ukuvuvukala kolwelwesi lwamajoyini). Amaphilisi wokukhishwa enwetshiwe e-Diclofenac namaphilisi akhiphe ukubambezeleka asetshenziselwa ukwelapha i-ankylosing spondylitis (isifo samathambo esithinta kakhulu umgogodla). Amaphilisi e-Diclofenac (Cataflam) nawo asetshenziselwa ukwelapha izikhathi ezibuhlungu zokuya esikhathini. Isixazululo se-Diclofenac (i-Cambia) sisetshenziselwa ukwelapha i-migraine ikhanda kubantu abadala, kepha ngeke sisetshenziselwe ukuvimbela i-migraines noma ukwelapha ezinye izinhlobo zekhanda. I-Diclofenac isekilasini lemithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.

I-Diclofenac iza njengethebhulethi, ne-capsule egcwele uketshezi, i-gelatin capsule eqinile, ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), ukukhishwa okubambezelekile (kukhipha umuthi emathunjini) ithebhulethi, futhi njengamaphakethe empuphu ukuze kutholakale isisombululo uxutshwe namanzi) bese uthathwa ngomlomo. Amaphilisi agcwele uketshezi lwe-Diclofenac imvamisa athathwa izikhathi ezine ngosuku futhi ama-diclofenac gelatin capsules aqinile avame ukuthathwa kathathu ngosuku esiswini esingenalutho. Amaphilisi wokukhishwa enwetshiwe e-Diclofenac ngokuvamile athathwa kanye ngosuku, futhi ezimweni ezingavamile athathwa kabili ngosuku, uma kudingeka ukulawula izinhlungu. Amaphilisi e-Diclofenac namaphilisi we-diclofenac abambezelekile okukhishwa avame ukuthathwa izikhathi ezi-2, ezi-3 noma ezi-4 ngosuku. Isixazululo se-Diclofenac sithathwa ngaphandle kokudla njengokwelashwa komthamo owodwa ukudambisa izinhlungu zekhanda le-migraine. Uma utshelwe ukuthi uthathe i-diclofenac njalo, 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-diclofenac njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Imikhiqizo ehlukile ye-diclofenac ikhipha umuthi ngokuhlukile emzimbeni wakho futhi ngeke isetshenziswe ngokungafani. Thatha kuphela umkhiqizo we-diclofenac obekwe udokotela wakho futhi ungashintsheli kumkhiqizo ohlukile we-diclofenac ngaphandle kokuthi udokotela wakho athi kufanele.

Udokotela wakho angalungisa umthamo wemithi yakho ngesikhathi sokwelashwa kwakho kuye ngempendulo yakho emithini. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngenkathi welashwa nge-diclofenac.

Uma uthatha impuphu ukuze uthole isixazululo, kuzodingeka uyixube namanzi ngaphambi kokuyiphuza. Ukuxuba umuthi, qala ngokususa iphakethe elilodwa emgqeni wamaphakethe amathathu anamathiselwe. Beka izipuni ezi-2 kuye kwezingu-4 (1 kuya ku-2 ounces; 30 kuya ku-60 mL) wamanzi enkomishini. Faka okuqukethwe kuphakethe bese uhlanganise kahle. Phuza yonke ingxube ngokushesha. Phonsa iphakethe elingenalutho emgqonyeni kadoti ongafinyeleleki ezinganeni nasezifuyweni.

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

Ngaphambi kokuthatha i-diclofenac,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-diclofenac (etholakala futhi njenge-Solaraze ne-Pennsaid, e-Arthrotec), i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (i-Aleve, iNaprosyn), noma imuphi omunye umuthi, noma yimuphi izithako ezingasebenzi kumkhiqizo we-diclofenac ohlela ukuwuthatha. Buza usokhemisi wakho noma hlola umhlahlandlela wemithi ukuthola uhlu lwezithako ezingasebenzi. Uma uzothatha amaphilisi e-diclofenac (i-Zipsor), tshela udokotela wakho uma une-aleji kumaprotheni ezinkomo (izinkomo) njengalawo atholakala obisini, enkomeni, noma e-gelatin.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO nakokulandelayo: i-acetaminophen (iTylenol, kweminye imikhiqizo), i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec , ngesiVaseretic), fosinopril, lisinopril (ngesiZestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), naseTrandolapr, eTarka); ama-angiotensin receptor blockers afana ne-azilsartan (Edarbi, e-Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, ku-Benicar HCT, e-Tribenzor), e-telmisartan (Micardis, e-Micardis HCT, e-Twynsta); ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kanye nepropranolol (Hemangeol, Inderal, Innopran); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); i-insulin nemithi yomlomo yesifo sikashukela; i-lithium (i-Lithobid); imithi yokuquleka; i-methotrexate (i-Otrexup, i-Rasuvo, i-Trexall), i-rifampin (i-Rifadin, i-Rimactane, i-Rifamate, i-Rifater), ne-voriconazole (i-Vfend). Eminye imithi eminingi ingaxhumana ne-diclofenac, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo noma ingaveli kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nanoma yimiphi yezimo okukhulunywe ngazo esigabeni ESIBALULEKILE SESEXWAYISO noma isifuba somoya, ikakhulukazi uma unamakhala agxishiwe kaningi noma agijimayo noma ama-polyp acinene (ukuvuvukala kolwelwesi lwekhala); i-porphyria (ukwanda okungavamile kwenani lezinto ezithile zemvelo ezenziwe yisibindi); ukwehluleka kwenhliziyo; ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi; noma isifo sesibindi noma sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. I-Diclofenac ingalimaza umbungu futhi idale izinkinga ngokulethwa uma ithathwa cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungathathi i-diclofenac ezungeze noma ngemuva kwamasonto angama-20 ekhulelwe, ngaphandle uma utshelwa ngudokotela wakho ukuthi wenze njalo. Uma ukhulelwa ngenkathi uthatha i-diclofenac, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-diclofenac uma uneminyaka engama-75 noma ngaphezulu. Ungathathi lo muthi isikhathi eside noma ngethamo eliphakeme kunokunconywa ngudokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-diclofenac.
• uma une-phenylketonuria (PKU; isimo esizuzwe njengefa lapho kufanele kudliwe ukudla okhethekile ukuvimbela ukubola kwengqondo), kufanele wazi ukuthi i-powder yesisombululo iqukethe i-aspartame, umthombo we-phenylalanine.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Impuphu yesixazululo ivame ukuthathwa njengoba idingeka ekhanda le-migraine. Uma uthatha noma yimuphi omunye umkhiqizo we-diclofenac futhi ukhohlwa ukuthatha umthamo, 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-Diclofenac ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isifo sohudo
• ukuqunjelwa
• igesi noma ukuqunjelwa
• ikhanda
• isiyezi
• kukhala ezindlebeni

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha. Ungathathi enye i-diclofenac uze ukhulume nodokotela wakho.

• ukuzuza kwesisindo okungaqondakali
• ukuphefumula okuncane noma ukuphefumula kanzima
• ukuvuvukala kwesisu, izinyawo, amaqakala noma imilenze engezansi
• ukukhathala ngokweqile
• ukungabi namandla
• isicanucanu
• ukulahlekelwa isifiso sokudla
• ukulunywa
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukuphuzi kwesikhumba noma kwamehlo
• izimpawu ezinjengomkhuhlane
• imfiva
• amabhamuza
• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, ulimi, izindebe, umphimbo, izingalo, noma izandla
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• isikhumba esiphaphathekile
• ukushaya kwenhliziyo okusheshayo
• kunamafu, umbala ogqamile, noma umchamo onegazi
• ukuhlungu obusemhlane
• ukuchama okunzima noma okubuhlungu

I-Diclofenac 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. 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:

• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• izihlalo ezinegazi, ezimnyama, noma zokulinda
• ukuhlanza into enegazi noma ebukeka njengezizathu zekhofi
• ukozela
• ukuphefumula kancane, okungajulile, noma okungahambi kahle
• ukulahlekelwa ukwazi

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.

• ECambia^®
• Cataflam^®¶
• I-Voltaren XR^®¶
• UZipsor^®
• Zorvolex^®

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