Etodolac

-Delile

• Ngaphambi kokuthatha i-etodolac,
• I-Etodolac 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. Ungathathi enye i-etodolac uze ukhulume nodokotela wakho.
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Abantu abathatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) njenge-etodolac bangaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangayiphuzi 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-etodolac 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 uhlolwa umthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele uthathe i-etodolac ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID afana ne-etodolac 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 uthatha i-etodolac. 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 kwezinye izifo zokopha. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-etodolac bese ufonela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza okunegazi noma okufana nezindawo zekhofi, igazi elisesitokisini, 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-etodolac. 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-etodolac futhi isikhathi ngasinye lapho ugcwalisa khona incwadi kadokotela. 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) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Amathebulethi e-Etodolac, ama-capsule, kanye namaphilisi akhululiwe (asebenza isikhathi eside) asetshenziselwa ukudambisa izinhlungu, isizotha, ukuvuvukala nokuqina okubangelwa i-osteoarthritis (i-arthritis ebangelwa ukuwohloka kolwelwesi lwamajoyini) nesifo samathambo (isifo samathambo esibangelwa ukuvuvukala kolwelwesi lwamajoyini). Amaphilisi nama-capsule e-Etodolac nawo asetshenziselwa ukudambisa izinhlungu kwezinye izimbangela. U-Etodolac usesigabeni semithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.

I-Etodolac iza njengethebhulethi, i-capsule, kanye nethebhulethi ekhishwa isikhathi eside ezothathwa ngomlomo. Ukwelapha i-arthritis, ithebhulethi ne-capsule kuvame ukuthathwa izikhathi ezimbili noma ezintathu ngosuku futhi ithebhulethi ekhishwa isikhathi eside ithathwa kanye ngosuku. Ukudambisa izinhlungu kwezinye izimbangela, amaphilisi kanye namaphilisi kufakwa njalo emahoreni ayisithupha kuya kwayisishiyagalombili. Thatha i-etodolac ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-etodolac njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi akhululiwe; ungawahlukanisi, ungawahlafune noma uwagxoze.

Uma uthatha i-etodolac yesifo samathambo, udokotela wakho angakuqala ngomthamo omkhulu futhi wehlise umthamo wakho lapho izimpawu zakho sezilawulwa. Kungathatha i-1 kuye kumaviki ama-2 ukuthi uzizwe ngokugcwele ngalo muthi.

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

Ngaphambi kokuthatha i-etodolac,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-etodolac, i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) kanye ne-naproxen (i-Aleve, iNaprosyn), noma imiphi eminye imithi, noma iziphi izithako ezingasebenzi kumathebulethi e-etodolac, amaphilisi, noma enwetshiwe amaphilisi -siza. Buza usokhemisi wakho ukuthola uhlu lwezithako ezingasebenzi.
• 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: ama-enzyme aguqula i-angiotensin (ACE) anjenge-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, e-Vaseretic), i-fosinopril, i-lisinopril ( ku-Zestoretic), moexipril (Univasc), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), ne-trandolapril (Mavik, eTarka); ama-angiotensin receptor blockers anjenge-candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, e-Benicar HCT, e-Tribenzor), i-telmisartan (Micardis, e-Micardis HCT, e-Twynsta), ne-valsartan (e-Exforge HCT); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); kanye ne-methotrexate (Otrexup, Rasuvo, Trexall). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba nesifuba somoya noma wake waba naso, ikakhulukazi uma unezimpumputhe noma izimpumputhe ezivuthayo njalo (ukuvuvukala kolwelwesi lwekhala); ukwehluleka kwenhliziyo; ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi; noma isifo sezinso noma sesibindi.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma unamasonto angama-20 noma kamuva ukhulelwe, uhlela ukukhulelwa, noma uma uncelisa. Uma ukhulelwa ngenkathi uthatha i-etodolac, shayela udokotela wakho. I-Etodolac ingalimaza umbungu futhi idale izinkinga ngokulethwa uma ithathwa cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungathathi i-etodolac ezungeze noma ngemuva kwamasonto angama-20 ekhulelwe, ngaphandle kwalapho utshelwa ngudokotela wakho ukuthi wenze njalo.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-etodolac 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-etodolac.

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

• ukuqunjelwa
• isifo sohudo
• igesi noma ukuqunjelwa
• ukuhlanza
• ikhanda
• isiyezi
• kukhala ezindlebeni
• ikhala eligijimayo
• Umphimbo obuhlungu
• ukungaboni kahle

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

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

I-Etodolac 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. Musa ukulungiselela imithamo yamaphilisi e-etodolac kusengaphambili; gcina amaphilisi esitsheni sokuqala kuze kube yilapho usukulungele ukuwaphuza. Gcina i-etodolac ekamelweni lokushisa futhi kude nokushisa okwedlulele 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 okulandelayo:

• ukungabi namandla
• ukozela
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• indle enegazi, emnyama noma yokulinda
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-etodolac.

Uma unesifo sikashukela futhi uhlola umchamo wakho ngamaketoni, kufanele wazi ukuthi i-etodolac ingaphazamisa imiphumela yalolu hlobo lokuhlolwa. Khuluma nodokotela wakho mayelana nokuthi kufanele usiqaphele kanjani isifo sikashukela ngenkathi uthatha i-etodolac.

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-Lodine^®¶
• I-Lodine^® XL^¶

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