I-Ketorolac

-Delile

• Ngaphambi kokuthatha i-ketorolac,
• I-Ketorolac 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. Ungaphindi uthathe i-ketorolac uze ukhulume nodokotela wakho.
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Ketorolac isetshenziselwa ukukhululeka kwesikhathi esifushane kobuhlungu obunzima ngokulingene futhi akufanele isetshenziselwe isikhathi esingaphezu kwezinsuku ezi-5, ngobuhlungu obuncane, noma ngobuhlungu obuvela ezimeni ezingapheli (zesikhathi eside). Uzothola imithamo yakho yokuqala ye-ketorolac ngokufakwa emthanjeni (emthanjeni) noma ngomjovo we-intramuscular (in a muscle) esibhedlela noma ehhovisi lezokwelapha. Ngemuva kwalokho, udokotela wakho angakhetha ukuqhubeka nokwelashwa kwakho nge-ketorolac yomlomo. Kufanele uyeke ukuphuza i-ketorolac yomlomo ngosuku lwesihlanu ngemuva kokuthola umjovo wakho wokuqala we-ketorolac. Khuluma nodokotela wakho uma usenobuhlungu ngemuva kwezinsuku ze-5 noma uma ubuhlungu bakho bungalawulwa ngalo muthi. I-Ketorolac ingadala imiphumela emibi kakhulu, ikakhulukazi uma ithathwa ngokungafanele.Thatha i-ketorolac njengoba iqondisiwe. Ungayithathi ngaphezulu noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Abantu abathatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) afana ne-ketorolac 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-ketorolac uma usanda kuhlaselwa yinhliziyo, ngaphandle uma uqondiswe ngudokotela wakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo senhliziyo, ehlaselwa yisifo senhliziyo, noma sohlangothi noma i-'servroke; 'uma ubhema; futhi uma uke waba ne-cholesterol ephezulu, umfutho wegazi ophakeme, ukopha noma izinkinga zokujiya, 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 uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-ketorolac. Uma uzobe uhlolwa umthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele uthathe i-ketorolac ngaphambi noma ngemuva kokuhlinzwa.

Ama-NSAID afana ne-ketorolac 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-ketorolac. Tshela udokotela wakho uma uthatha noma imuphi wale mithi elandelayo: ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin, Jantoven); i-aspirin; 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). Ungathathi ama-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn) ngenkathi uthatha i-ketorolac. Phinda utshele udokotela wakho uma uke waba nezilonda noma wopha esiswini noma emathunjini. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-ketorolac bese ushayela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza okunegazi noma okubukeka njengezindawo zekhofi, igazi elisesitokisini, noma izitulo ezimnyama nezokulinda.

I-Ketorolac ingadala ukwehluleka kwezinso. Tshela udokotela wakho uma unesifo sezinso noma sesibindi, uma uke wahlanza kakhulu noma uhudo noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni, futhi uma uthatha ama-inhibitor e-angiotensin-converting enzyme (ACE) afana ne-benazepril (Lotensin, eLotrel), i-captopril , enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (ngesiZestoretic), moexipril (Univasc), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), naseTrandolapr, ); noma isisu (’amaphilisi amanzi’). Uma uhlangabezana nalezi zimpawu ezilandelayo, yeka ukuthatha i-ketorolac bese ushayela udokotela wakho: ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi; ukuzuza kwesisindo okungaqondakali; ukudideka; noma ukuquleka.

Abanye abantu banokungazwani komzimba ne-ketorolac. Tshela udokotela wakho uma uxabana ne-ketorolac, i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) noma naproxen (Aleve, Naprosyn), noma eminye imithi. Phinda utshele udokotela wakho uma uke waba ne-asthma, ikakhulukazi uma unezimpumputhe ezigxilile noma ezigijimayo noma ama-nasal polyps (ukuvuvukala kocingo lwekhala). Uma uhlangabezana nalezi zimpawu ezilandelayo, yeka ukuthatha i-ketorolac bese ushayela udokotela wakho ngokushesha: ukuqhuma; isifuba; ukulunywa; ukuvuvukala kwamehlo, ubuso, umphimbo, ulimi, izingalo, izandla, amaqakala noma imilenze engezansi; ubunzima bokuphefumula noma ukugwinya; noma ukusha.

Ungancelisi ibele ngenkathi uthatha i-ketorolac.

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-ketorolac. 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-ketorolac 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.

I-Ketorolac isetshenziselwa ukudambisa izinhlungu ezinzima ngokulingene, imvamisa ngemuva kokuhlinzwa. I-Ketorolac isekilasini lemithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.

I-Ketorolac iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa njalo emahoreni ama-4 kuye kwayi-6 ngohlelo noma njengoba kudingeka ngobuhlungu. Uma uthatha i-ketorolac esimisweni, yithathe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-ketorolac,

• Tshela udokotela wakho uma uthatha i-pentoxifylline (Pentoxil) noma i-probenecid (i-Probalan, ku-Col-Probenecid). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ketorolac uma uthatha eyodwa noma ngaphezulu yale mithi.
• 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 nanoma yikuphi okulandelayo: imishanguzo; i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, ngesi-Vaseretic), i-fosinopril, i-lisinopril (e-Zestoretic), i-moexipril (i-Univasc), i-perindopril (Aceon, (I-Accupril, ngesiQuinaretic), i-ramipril (i-Altace), ne-trandolapril (i-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); ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kanye nepropranolol (Hemangeol, Inderal, InnoPran); imithi yokukhathazeka noma ukugula kwengqondo; imishanguzo yokuquleka efana ne-carbamazepine (Epitol, Tegretol, Teril, others) noma i-phenytoin (iDilantin, Phenytek); i-methotrexate (i-Otrexup, i-Rasuvo, i-Trexall); isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nezimo okukhulunywe ngazo esigabeni ESIBALULEKILE SESEXWAYISO noma ukwehluleka kwenhliziyo noma ukuvuvukala kwezandla, izinyawo, amaqakala noma imilenze engezansi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. I-Ketorolac ingalimaza umbungu futhi idale izinkinga ngokulethwa uma ithathwa cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungathathi i-ketorolac ezungeze noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle kwalapho utshelwa ngudokotela wakho ukuthi wenze njalo. Uma ukhulelwa ngenkathi uthatha i-ketorolac, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-ketorolac uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-ketorolac ngoba ayiphephile njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele noma ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kotshwala ngenkathi uthatha lo muthi. Utshwala bungenza imiphumela emibi ye-ketorolac ibe yimbi kakhulu.

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

Uma udokotela wakho ekutshele ukuthi uphuze i-ketorolac njalo, thatha isilinganiso ongasisebenzanga ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ikhanda
• isiyezi
• ukozela
• isifo sohudo
• ukuqunjelwa
• igesi
• izilonda emlonyeni
• ukujuluka

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

• imfiva
• amabhamuza
• ukuzuza kwesisindo okungaqondakali
• ukuphefumula okuncane noma ukuphefumula kanzima
• ukuvuvukala esiswini, emaqakaleni, ezinyaweni, noma emilenzeni
• ukuphuzi kwesikhumba noma kwamehlo
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• isicanucanu
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• isikhumba esiphaphathekile
• ukushaya kwenhliziyo okusheshayo
• kunamafu, umbala ogqamile, noma umchamo onegazi
• ukuhlungu obusemhlane
• ukuchama okunzima noma okubuhlungu

I-Ketorolac 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 okulandelayo:

• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• izihlalo ezinegazi, ezimnyama, noma zokulinda
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi
• ukozela
• ukuphefumula okuphuzile noma ukushesha, ukuphefumula okungajulile
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

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-Toradol^®¶

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