I-Clarithromycin

-Delile

• Ngaphambi kokuthatha i-clarithromycin,
• I-Clarithromycin 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 okulandelayo:

I-Clarithromycin isetshenziselwa ukwelapha ukutheleleka okuthile kwamagciwane, njenge-pneumonia (ukutheleleka kwamaphaphu), i-bronchitis (ukutheleleka kwamashubhu aholela emaphashini), kanye nokutheleleka kwezindlebe, amasinusi, isikhumba, nomphimbo. Iphinde isetshenziselwe ukwelapha nokuvikela ukusatshalaliswa I-Mycobacterium avium ukutheleleka okuyinkimbinkimbi (MAC) [uhlobo lokutheleleka kwamaphaphu okuvame ukuthinta abantu abanegciwane lesandulela ngculazi (i-HIV)].Isetshenziswa ngokuhlangana neminye imithi yokuqeda H. pylori, igciwane elibangela izilonda. I-Clarithromycin isekilasini lemithi ebizwa ngama-macrolide antibiotics. Isebenza ngokumisa ukukhula kwamagciwane.

Ama-antibiotic anjenge-clarithromycin ngeke asebenzele imikhuhlane, umkhuhlane, noma okunye ukutheleleka ngegciwane. Ukuthatha ama-antibiotic lapho kungadingeki kwandisa ingozi yakho yokuthola ukutheleleka kamuva okuphikisana nokwelashwa kwama-antibiotic.

I-Clarithromycin iza njengethebhulethi, ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), kanye nokumiswa (uketshezi) okuzothathwa ngomlomo. Ithebhulethi noketshezi oluvamile kuvame ukuthathwa nokudla noma ngaphandle kokudla njalo kasishiyagalombili (kathathu ngosuku) kuya emahoreni ayi-12 (kabili ngosuku) izinsuku eziyi-7 kuye kwayi-14. Ithebhulethi ekhishwa isikhathi eside ithathwa ngokudla njalo emahoreni angama-24 (kanye ngosuku) izinsuku eziyi-7 kuye kwezingu-14. Udokotela wakho angakutshela ukuthi uthathe i-clarithromycin isikhathi eside ngokuya ngesimo sakho. Thatha i-clarithromycin cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-clarithromycin njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Nyakazisa ukumiswa kahle ngaphambi kokusebenzisa ngakunye ukuxuba umuthi ngokulinganayo.

Gwinya wonke amaphilisi asebenza isikhathi eside; ungawahlukanisi, ungawahlafune noma uwagxoze.

Kufanele uqale ukuzizwa ungcono phakathi nezinsuku ezimbalwa zokuqala zokwelashwa nge-clarithromycin. Uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu, shayela udokotela wakho.

Thatha i-clarithromycin uze uqede incwadi kadokotela, noma ngabe uzizwa ungcono. Uma uyeka ukuthatha i-clarithromycin maduzane, noma weqe imithamo, ukutheleleka kwakho kungenzeka kungalashwa ngokuphelele futhi amabhaktheriya angamelana nemithi elwa namagciwane.

I-Clarithromycin nayo isetshenziswa kwesinye isikhathi ukwelapha ezinye izinhlobo zezifo ezibandakanya isifo seLyme (isifo esingavela ngemuva kokuthi umuntu elunywe umkhaza), i-cryptosporidiosis (ukutheleleka okubanga isifo sohudo), isifo sokukhuhla ikati (ukutheleleka okungakhula ngemuva umuntu ulunywa noma aklwebhekwe ikati), isifo seLegionnaires, (uhlobo lokutheleleka kwamaphaphu), kanye ne-pertussis (ukukhwehlela okungahambi kahle; ukutheleleka okungathi sína okungadala ukukhwehlela okukhulu). Futhi kwesinye isikhathi kusetshenziselwa ukuvimbela ukutheleleka kwenhliziyo ezigulini ezinamazinyo noma ezinye izinqubo. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-clarithromycin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-clarithromycin, azithromycin (Zithromax, Zmax), erythromycin (EES, Eryc, Erythrocin, PCE, abanye), i-telithromycin (ayitholakali e-US; Ketek), noma imuphi omunye umuthi, noma imuphi umuthi izithako kumalungiselelo we-clarithromycin. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-cisapride (Propulsid; ayitholakali e-US), i-colchicine (Colcrys, Mitigare) uma unesifo sezinso noma sesibindi, i-dihydroergotamine (i-DHE 45, iMigranal), i-ergotamine (i-Ergomar, eCafergot, eMigergot), lomitapide (Juxtapid), lovastatin (ku-Advicor), i-pimozide (i-Orap), noma i-simvastatin (i-Flolipid, iZocor, e-Vytorin). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-clarithromycin uma uthatha eyodwa noma ngaphezulu yale mithi.
• Tshela udokotela wakho uma uke waba ne-jaundice (ukuphuzi kwesikhumba noma amehlo) noma ezinye izinkinga zesibindi ngenkathi uthatha i-clarithromycin. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-clarithromycin.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); amanye ama-benzodiazepines afana ne-alprazolam (Xanax), midazolam, ne-triazolam (Halcion); i-bromocriptine (Parlodel); ama-calcium channel blocker anjenge-amlodipine (Norvasc, eCaduet, eLotrel), diltiazem (Cardizem, Cartia, Tiazac), nifedipine (Adalat, Afeditab CR), kanye ne-verapamil (Calan, Verelan, eTarka, abanye); carbamazepine (Epitol, Tegretol, Teril, nabanye); i-colchicine (Colcrys, Mitigare); imishanguzo ethile ye-HIV efana ne-atazanavir (Reyataz), didanosine (Videx), efavirenz (Sustiva, e-Atripla), etravirine (Intelence), nevirapine (Viramune), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra), saquinavir (Invirase ), kanye ne-zidovudine (AZT, Retrovir); imithi ethile yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Pacerone), i-disopyramide (i-Norpace), i-dofetilide (iTikosyn), i-procainamide, i-quinidine (e-Nuedexta), ne-sotalol (i-Betapace, i-Sorine); imithi yokwehlisa i-cholesterol (ama-statins) njenge-atorvastatin (Lipitor, eCaduet), ne-pravastatin (Pravachol); i-cilostazol; i-cyclosporine (Gengraf, Neoral, Sandimmune); i-darifenacin (i-Enablex); i-digoxin (i-Digitek, i-Lanoxin); i-erlotinib (iTarceva); i-eszopiclone (iLunesta); i-fluconazole (iDiflucan); i-insulini; itraconazole (Onmel, Sporanox); i-maraviroc (i-Selzentry); i-methylprednisolone (iMedrol); omeprazole (Prilosec); imishanguzo yomlomo yesifo sikashukela efana ne-nateglinide (Starlix), i-pioglitazone (i-Actos, e-Actoplus Met, e-Duetact), i-repaglinide (i-Prandin, e-Prandimet), ne-rosiglitazone (i-Avandia, e-Avandamet, e-Avandaryl); i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-quetiapine (iSeroquel); i-ranitidine (iZantac); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, iRimactane, eRifater, eRifamate); i-rifapentine (Priftin); i-sildenafil (i-Revatio, i-Viagra); i-tacrolimus (i-Astagraf, Prograf); i-theophylline (i-Elixophyllin, i-Theo-24, i-Theochron); i-tadalafil (i-Adcirca, i-Cialis); i-tolterodine (i-Detrol); i-valproate (i-Depacon); i-vardenafil (i-Levitra, iStaxyn); futhi i-vinblastine. Eminye imishanguzo eminingi ingaxhumana ne-clarithromycin, ngakho-ke tshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu. 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.
• Tshela udokotela wakho uma uke waba nesikhathi eside se-QT (inkinga yenhliziyo engajwayelekile engadala ukuquleka noma ukushaya kwenhliziyo okungajwayelekile), i-ventricular arrhythmia (isigqi senhliziyo esingajwayelekile), izinga eliphansi le-magnesium noma i-potassium egazini lakho, i-myasthenia gravis ( MG; ukuphazamiseka kwesistimu yezinzwa okubangela ukuba buthakathaka kwemisipha), noma uma uke waba nokushaya kwenhliziyo okungajwayelekile, isifo semithambo yegazi (ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni), noma isifo sezinso, noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-clarithromycin, shayela udokotela wakho. I-Clarithromycin ingalimaza umbungu.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-clarithromycin.
• kufanele wazi ukuthi i-clarithromycin ingakwenza ube nesiyezi, udideke, noma udideke. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.

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

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

• isifo sohudo
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• isilungulela
• igesi
• shintsha ukunambitheka
• ikhanda

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

• ubuhlungu besifuba, ukuphefumula okuncane, ukukhathazeka ngokuphefumula, ubuhlungu noma ubuthakathaka ohlangothini lomzimba wakho, noma inkulumo engacacile
• uhudo olunzima olunezitokisi ezinamanzi noma ezinegazi (kufika ezinyangeni ezimbili ngemuva kokwelashwa kwakho)
• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• isikhumba esihlabayo noma esishayayo
• imfiva
• ukuphuzi kwesikhumba noma kwamehlo
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• umchamo onombala omnyama
• izimpawu ezinjengomkhuhlane
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• ubuthakathaka bemisipha njengobunzima bokuhlafuna, ukukhuluma, noma ukwenza imisebenzi yansuku zonke
• ukubona kabili

I-Clarithromycin 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 amaphilisi ekamelweni lokushisa kude nokukhanya, ukushisa okweqile, nomswakama (hhayi endlini yangasese). Ungafaki ukumiswa esiqandisini. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama. Lahla noma ikuphi ukumiswa okungasetshenziswanga ngemuva kwezinsuku eziyi-14.

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 okulandelayo:

• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• isifo sohudo

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-clarithromycin.

Ithebhulethi ekhishwe isikhathi eside ayincibiliki esiswini ngemuva kokugwinya. Ikhipha kancane kancane umuthi njengoba idlula ohlelweni lwakho lokugaya ukudla. Ungaqaphela ukumbozwa kwethebhulethi esitokisini. Lokhu kujwayelekile futhi akusho ukuthi awutholanga umthamo ophelele wemithi.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Isidakamizwa sakho kungenzeka ukuthi asigcwaliseki. Uma usenezimpawu zokutheleleka ngemuva kokuqeda i-clarithromycin, shayela udokotela 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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