Omeprazole

-Delile

• Ngaphambi kokuthatha i-omeprazole,
• I-Omeprazole 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, noma uthole usizo oluphuthumayo lwezokwelapha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-omeprazole kadokotela isetshenziswa yodwa noma ngeminye imithi yokwelapha izimpawu zesifo se-reflux se-gastroesophageal (GERD), okuyisimo lapho ukugeleza emuva kwe-asidi esiswini kubangela ukushaya kwenhliziyo nokulimala okungenzeka kwesisu (ishubhu eliphakathi komqala nesisu) ku abadala nezingane unyaka owodwa ubudala nangaphezulu. I-omeprazole kadokotela isetshenziselwa ukwelapha umonakalo ovela ku-GERD kubantu abadala nasezinyangeni ezineminyaka engu-1 nangaphezulu. I-omeprazole kadokotela isetshenziselwa ukuvumela umphimbo ukuba welaphe futhi uvimbele ukulimala okuthe xaxa kubantu abadala nasezinganeni ezineminyaka engu-1 nangaphezulu nge-GERD. I-omeprazole kadokotela isetshenziselwa ukwelapha izimo lapho isisu sikhiqiza khona i-asidi eningi njengeZollinger-Ellison syndrome kubantu abadala. I-omeprazole kadokotela nayo isetshenziselwa ukwelapha izilonda (izilonda kulolwelwesi lwesisu noma amathumbu) futhi iyasetshenziswa neminye imithi yokwelapha nokuvikela ukubuya kwezilonda ezibangelwa uhlobo oluthile lwama-bacteriaH. pylori) kubantu abadala. I-omeprazole engabhalwanga (i-over-the-counter) isetshenziselwa ukwelapha isilungulela esivamile (isilungulela esivela okungenani izinsuku ezimbili noma ngaphezulu ngesonto) kubantu abadala. I-Omeprazole isekilasini lemithi ebizwa ngama-proton-pump inhibitors. Isebenza ngokunciphisa inani le-asidi eyenziwe esiswini.

I-omeprazole kadokotela iza njengokukhishwa okubambezelekile (ikhipha umuthi emathunjini ukuvimbela ukwehla kwemithi ngesisu acid) iphilisi, namaphakethe wokukhishwa okulibazisekile (kukhipha umuthi emathunjini ukuvimbela ukuwohloka komuthi ngama-acid esiswini) ama-granules wokumiswa (okumele ahlanganiswe noketshezi) ukuthatha ngomlomo noma ukunikela ngepayipi lokudla. I-omeprazole engabhalwanga (i-over-the-counter) iza njengethebhulethi ekhishwe ukubambezeleka ezothathwa ngomlomo. I-omeprazole kadokotela kufanele iphuzwe okungenani ihora elilodwa ngaphambi kokudla. I-omeprazoleis kadokotela ivame ukuthathwa kanye ngosuku ngaphambi kokudla kepha ingathathwa kabili ngosuku uma isetshenziswa neminye imithi ukuqeda H. pylori, noma kuze kube kathathu ngosuku, ngaphambi kokudla lapho kusetshenziselwa ukwelapha izimo lapho isisu sikhiqiza khona i-asidi eningi kakhulu.Amaphilisi wokukhishwa okubambezelekile angabhalwanga ngokuvamile athathwa kanye ngosuku ekuseni okungenani ihora elilodwa ngaphambi kokudla izinsuku eziyi-14 zilandelana. Uma kudingeka, ukwelashwa okwengeziwe kwezinsuku eziyi-14 kungaphindwa, hhayi kaningi ngaphezu kwesisodwa njalo ezinyangeni ezine. Ukukusiza ukuthi ukhumbule ukuthatha i-omeprazole, yithathe ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela noma ilebula lephakheji ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-omeprazole njengoba nje uqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi noma isikhathi eside kunokuyalelwa ngudokotela wakho noma okushiwo kuphakheji.

Uma uthatha amaphilisi wokukhishwa okubambezelekile, uwaginye ephelele ngengilazi egcwele yamanzi. Musa ukuhlukanisa, ukuhlafuna, noma ukuchoboza noma ukuchoboza bese ukuhlanganisa kube ukudla.

Gwinya wonke amaphilisi okukhishwa okubambezelekile. Uma unenkinga yokugwinya amaphilisi okukhipha okulibazisekile, beka isipuni esisodwa sama-apulauce athambile, apholile esitsheni esingenalutho. Vula i-capsule ekhishwe ukubambezeleka bese ukhipha ngokucophelela wonke ama-granules ngaphakathi kwe-capsule kwi-appleauce. Hlanganisa ama-granules ne-appleauce bese ugwinya ingxube ngokushesha ngengilazi yamanzi apholile. Musa ukuhlafuna noma ukuchoboza ama-granules. Ungayigcini ingxube ye-appleauce / granule ukuze uyisebenzise esikhathini esizayo.

Uma uthatha ama-granules ukumiswa ngomlomo, uzodinga ukuwaxuba namanzi ngaphambi kokusetshenziswa. Uma usebenzisa iphakethe le-2.5-mg, beka isipuni esingu-1 (5 ml) samanzi esitsheni. Uma usebenzisa iphakethe le-10-mg, beka isipuni esingu-1 (15 ml) samanzi esitsheni. Faka okuqukethwe iphakethe lempuphu bese ugovuza. Linda imizuzu emi-2 ukuya kwemi-3 ukuvumela ingxube ukuthi iqine, uphinde uvuselele ingxube futhi. Phuza yonke ingxube kungakapheli imizuzu engama-30. Uma noma iyiphi ingxube inamathele esitsheni, thela amanzi amaningi esitsheni, unyakazise bese uphuza yonke ingxube ngokushesha.

Ama-granules wokumiswa ngomlomo anganikezwa nge-tube yokudla. Uma une-tube yokudla, buza udokotela wakho ukuthi kufanele uwuthathe kanjani umuthi. Landela izinkomba ngokucophelela.

Ungathathi i-omeprazole engabhaliswanga ukuze uthole ukukhululeka ngokushesha kwezimpawu zesilungulela. Kungathatha usuku olungu-1 kuye kwele-4 ukuthi uzwe ngokugcwele umuthi. Shayela udokotela wakho uma izimpawu zakho ziba zimbi kakhulu noma zingathuthuki ngemuva kwezinsuku eziyi-14 noma uma izimpawu zakho zibuya ngokushesha kunezinyanga ezingu-4 ngemuva kokuqeda ukwelashwa kwakho. Ungathathi i-omeprazole engabhalisiwe isikhathi eside kunezinsuku eziyi-14 noma uzelaphe i-omeprazole kaningi kaningi ezinyangeni ezine ngaphandle kokukhuluma nodokotela wakho.

Qhubeka nokuthatha i-omeprazole kadokotela noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-omeprazole kadokotela ngaphandle kokukhuluma nodokotela wakho. Uma isimo sakho singathuthuki noma siba sibi kakhulu, shayela udokotela wakho.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha i-omeprazole,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-omeprazole, dexlansoprazole (Dexilant), esomeprazole (Nexium), lansoprazole (Prevacid, e-Prevpac), pantoprazole (Protonix), rabeprazole (Aciphex), noma imuphi omunye umuthi, noma iziphi izithako umkhiqizo we-omeprazole ozowuthatha. Buza usokhemisi wakho noma uhlole ilebula lephakeji ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-rilpivirine (i-Edurant, eComplera, e-Odefsey). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-omeprazole uma uthatha lo muthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-anticoagulants ('ama-blood thinner') afana ne-warfarin (Coumadin), atazanavir (Reyataz), cilostazol (Pletal), citalopram (Celexa), clopidogrel (Plavix), cyclosporine (Gengraf, Neoral, Sandimmune ), i-dasatinib (i-Sprycel), i-diazepam (i-Valium), i-digoxin (i-Lanoxicaps, i-Lanoxin), i-disulfiram (i-Antabuse), i-diuretics ('amaphilisi amanzi'), i-erlotinib (iTarceva), izengezo zensimbi, i-itraconazole (i-Onmel, i-Sporonox), i-ketoconazole (i-Nizoral) ), methotrexate (Rheumatrex, Trexall), mycophenolate mofetil (Cellcept), nelfinavir (Viracept), nilotinib (Tasigna), phenytoin (Dilantin), rifampin (Rifadin, eRifater), iSt John's wort, saquinavir (Invirase) Prograf), kanye ne-voriconazole (Vfend). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uhlela ukuthatha i-omeprazole engabhalisiwe, tshela udokotela wakho uma isilungulela sesinezinyanga ezintathu noma ngaphezulu, uma ngabe uthathe i-omeprazole engabhaliswanga isikhathi eside kunaleso esishiwo kwiphakheji, noma uma uhlangabezane nalezi zimpawu ezilandelayo: ikhanda elikhanyayo, ukujuluka, noma isiyezi kanye nesilungulela; ubuhlungu besifuba noma ubuhlungu behlombe; ukuphefumula noma ukuphefumula; ubuhlungu obudlulela ezingalweni zakho, entanyeni, noma emahlombe; ukuncipha kwesisindo okungaqondakali; isicanucanu; ukuhlanza, ikakhulukazi uma ukuhlanza kunegazi; ubuhlungu besisu; ubunzima bokugwinya ukudla noma ubuhlungu lapho ugwinya ukudla; noma indle emnyama noma enegazi. Ungaba nesimo esibucayi kakhulu esingelashwa ngemithi engakhokhelwa.
• Tshela udokotela wakho uma ungowokuzalwa e-Asia futhi uma uke waba nezinga eliphansi le-magnesium egazini lakho eliphansi levithamini B-12 emzimbeni wakho, i-osteoporosis, isifo se-autoimmune (isimo lapho umzimba uhlasela khona uqobo izitho, ezibangela ukuvuvukala nokulahleka komsebenzi) njenge-systemic lupus erythematosus, noma isifo sesibindi.

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

• ukuqunjelwa
• igesi
• isicanucanu
• isifo sohudo
• ukuhlanza
• ikhanda

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha, noma uthole usizo oluphuthumayo lwezokwelapha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• ukushaya kwenhliziyo okungajwayelekile, okusheshayo, noma okushaya ngamandla
• ukukhathala ngokweqile
• isiyezi
• ubumhlophe
• ukuphazamiseka kwemisipha, amajaqamba, noma ubuthakathaka
• jitteriness
• ukuzamazama okungalawuleki kwengxenye yomzimba
• isithuthwane
• uhudo olunzima olunezitokisi ezinamanzi, ubuhlungu besisu, noma umkhuhlane ongapheli
• ukuqubuka ezihlathini noma ezingalweni ezizwela ukukhanya kwelanga
• ukwanda noma ukwehla kokuchama, igazi emchameni, ukukhathala, isicanucanu, ukulahlekelwa isifiso sokudla, umkhuhlane, ukuqubuka, noma ubuhlungu bamalunga

Abantu abathatha i-proton pump inhibitors efana ne-omeprazole kungenzeka babe nethuba lokuphuka izihlakala, okhalweni noma umgogodla kunabantu abangathathi omunye wale mithi. Abantu abathatha ama-proton pump inhibitors bangahle bathuthukise ama-fundic gland polyps (uhlobo lokukhula esiswini). Lezi zingozi ziphezulu kakhulu kubantu abathatha imithamo ephezulu yomunye wale mithi noma bayiphuze unyaka owodwa noma ngaphezulu. Khuluma nodokotela wakho ngengozi yokuthatha i-omeprazole.

I-Omeprazole 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. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa 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:

• ukudideka
• ukozela
• ukungaboni kahle
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• isicanucanu
• ukuhlanza
• ukujuluka
• ukuqhuma (ukuzwa kwemfudumalo)
• ikhanda
• umlomo owomile

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zaselabhorethri ngaphambi nangesikhathi sokwelashwa kwakho, ikakhulukazi uma unesifo sohudo esibi.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-omeprazole.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Uma uthatha i-omeprazole kadokotela, 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.

• Prilosec^®
• Prilosec^® OTC
• I-Talicia (njengomkhiqizo ohlanganisiwe oqukethe i-Amoxicillin, i-Omeprazole, i-Rifabutin)

• I-Zegerid^® (equkethe i-Omeprazole, i-Sodium Bicarbonate)
• I-Zegerid^® I-OTC (iqukethe i-Omeprazole, iSodium Bicarbonate)