URamipril

-Delile

• Ngaphambi kokuthatha i-ramipril,
• I-Ramipril 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 okulandelayo:

Ungathathi i-ramipril uma ukhulelwe. Uma ukhulelwa ngenkathi uthatha i-ramipril, shayela udokotela wakho ngokushesha. URamipril angalimaza umbungu.

IRamipril isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. Iphinde isetshenziselwe ukunciphisa ubungozi bokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi ezigulini ezisengozini yalezi zinkinga nokwenza ngcono ukusinda ezigulini ezinokwehluleka kwenhliziyo ngemuva kokuhlaselwa yinhliziyo. URamipril usesigabeni semithi ebizwa ngama-angiotensin-converting enzyme (ACE) inhibitors. Isebenza ngokunciphisa amakhemikhali athile aqinisa imithambo yegazi, ngakho-ke igazi ligeleza ngokushelela futhi inhliziyo ingakwazi ukumpompa igazi kahle.

Umfutho wegazi ophezulu yisimo esivamile futhi uma ungelashwa, ungadala ukulimala ebuchosheni, enhliziyweni, emithanjeni yegazi, ezinso nakwezinye izingxenye zomzimba. Ukulimala kwalezi zitho kungadala isifo senhliziyo, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sohlangothi, ukwehluleka kwezinso, ukungaboni, nezinye izinkinga. Ngaphezu kokuthatha umuthi, ukwenza ushintsho endleleni ophila ngayo kuzosiza nasekulawuleni umfutho wegazi. Lezi zinguquko zifaka phakathi ukudla ukudla okunamafutha nosawoti omncane, ukugcina isisindo esinempilo, ukuzivocavoca okungenani imizuzu engama-30 izinsuku eziningi, ukungabhemi, nokusebenzisa utshwala ngokulinganisela.

URamipril uza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa kanye noma kabili ngosuku noma ngaphandle kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-ramipril, 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-ramipril njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya lonke i-capsule, noma uvule i-capsule bese ufafaza okuqukethwe ku-applesauce encane (cishe u-4 oz.) Noma ku-4 oz. (cishe i-120 mL) yamanzi noma ijusi le-apula. Yidla noma uphuze yonke ingxube. Le ngxube ingalungiswa kusengaphambili futhi igcinwe amahora angama-24 ekamelweni lokushisa noma amahora angama-48 esiqandisini.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-ramipril futhi akhuphule kancane umthamo wakho.

URamipril ulawula umfutho wegazi ophakeme kanye nokwehluleka kwenhliziyo kepha akalapheki. Qhubeka uthathe i-ramipril noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-ramipril ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-ramipril,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ramipril; amanye ama-ACE inhibitors afana ne-benazepril (i-Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, e-Vaseretic), i-fosinopril, i-lisinopril (e-Prinzide, e-Zestoretic), i-moexipril, i-perindopril (i-Aceon, e-Prestalia), i-quinapril (i-Accsture) , ngesiQuinaretic), nange-trandolapril (Mavik, eTarka); noma imiphi eminye imithi; noma yiziphi izithako kuma-ramipril capsules. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho noma usokhemisi uma uthatha i-valsartan ne-sacubitril (i-Entresto) noma uma uyekile ukuyithatha emahoreni angama-36 edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ramipril, uma uthatha i-valsartan ne-sacubitril. Futhi, tshela udokotela wakho uma unesifo sikashukela futhi uthatha i-aliskiren (Tekturna, e-Amturnide, Tekamlo, Tekturna HCT). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ramipril uma unesifo sikashukela futhi uthatha i-aliskiren.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-indomethacin (Indocin, Tivorbex); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); nezithako ze-potassium. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke wavuvukala ubuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala, noma imilenze engezansi ngenkathi uthatha i-ramipril. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ramipril.
• utshele udokotela wakho uma uke waba nesifo senhliziyo, isibindi noma sezinso; i-lupus; i-scleroderma (isimo lapho izicubu ezengeziwe zikhula khona esikhunjeni nakwezinye izitho); noma isifo sikashukela.
• tshela udokotela wakho uma uncelisa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-ramipril.
• kufanele wazi ukuthi isifo sohudo, ukuhlanza, ukungaphuzi uketshezi olwanele, nokujuluka kakhulu kungadala ukwehla kwengcindezi yegazi, okungadala ikhanda elincane nokuquleka.

Khuluma nodokotela wakho ngaphambi kokusebenzisa izithako zikasawoti eziqukethe i-potassium. Uma udokotela wakho ekutshela ukuthi udle usawoti ophansi noma ukudla okune-sodium eningi, landela lezi zinkomba ngokucophelela.

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

• ikhanda
• isiyezi
• ukukhwehlela
• isisu esibuhlungu
• ukuhlanza
• ukukhathala ngokweqile
• ubuthakathaka

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

• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ukuphuzi kwesikhumba noma kwamehlo
• umkhuhlane, umphimbo obuhlungu, amakhaza nezinye izimpawu zokutheleleka
• ubumhlophe
• ukuquleka

I-Ramipril 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).

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 okulandelayo:

• ubumhlophe
• ukuquleka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-ramipril. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-ramipril.

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-Altace^®