ILosartan

-Delile

• Ngaphambi kokuthatha i-losartan,
• ILosartan ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS section, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Ungathathi i-losartan uma ukhulelwe. Uma ukhulelwa ngenkathi uthatha i-losartan, yeka ukuthatha i-losartan bese ushayela udokotela wakho ngokushesha. ILosartan ingadala ukufa noma ukulimala kabi embungwini lapho ithathwa ezinyangeni eziyisithupha zokugcina zokukhulelwa.

ILosartan isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. ILosartan ibuye isetshenziselwe ukunciphisa ubungozi bokushaywa unhlangothi kubantu abanesifo somfutho wegazi ophezulu kanye nesimo senhliziyo esibizwa nge-ventricular hypertrophy (ukukhuliswa kwezindonga zohlangothi lwangakwesokunxele senhliziyo). ILosartan kungenzeka yehlise ubungozi bokushaywa unhlangothi kubantu base-Afrika baseMelika abanale mibandela. Lo muthi uphinde usetshenziselwe ukwelapha isifo sezinso kubantu abanesifo sikashukela sohlobo lwe-2 (isimo lapho umzimba ungasebenzisi i-insulin ngokujwayelekile ngakho-ke awukwazi ukulawula inani likashukela egazini) nomfutho wegazi ophezulu. ILosartan isekilasini lemithi ebizwa ngama-angiotensin II receptor antagonists. Isebenza ngokuvimba ukusebenza kwezinto ezithile zemvelo eziqinisa imithambo yegazi, ivumele igazi ukuba ligeleze ngokushelela nenhliziyo ikwazi ukupompa kahle.

Umfutho wegazi ophakeme yisimo esivamile, futhi uma ungalashwa ungadala umonakalo 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.

ILosartan iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye noma kabili ngosuku noma ngaphandle kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-losartan, 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-losartan njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

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

Uma ingane yakho ingakwazi ukugwinya ithebhulethi, khuluma nodokotela wakho noma usokhemisi. Usokhemisi angalungiselela ingane yakho ifomu eliwuketshezi lalo muthi.

ILosartan ilawula umfutho wegazi ophakeme kodwa ayiyelaphi. Umfutho wegazi wakho ungancipha phakathi nesonto lokuqala lokwelashwa kwakho, kepha kungathatha amasonto amathathu kuye kwayisithupha ukuthi uqaphele inzuzo ephelele ye-losartan. Qhubeka uthathe i-losartan noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-losartan ngaphandle kokukhuluma nodokotela wakho.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

ILosartan kwesinye isikhathi isetshenziselwa ukwelapha ukwehluleka kwenhliziyo (isimo lapho inhliziyo ingakwazi khona ukumpompa igazi elanele emzimbeni wonke). 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-losartan,

• Tshela udokotela kanye nosokhemisi wakho uma uneguliswa i-losartan, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-losartan. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• tshela udokotela wakho uma unesifo sikashukela (ushukela ophakeme wegazi) futhi uthatha i-aliskiren (Tekturna, e-Amturnide, Tekamlo, Tekturna HCT). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-losartan uma unesifo sikashukela futhi uthatha i-aliskiren.
• 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-angiotensin-converting enzyme (ACE) inhibitors anjenge benazepril (Lotensin, eLotrel), captopril (Capoten, in Capozide), enalapril (Vasotec), fosinopril, lisinopril (in Prinzide, in Zestoretic) , moexipril (Univasc, in Uniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), ne-trandolapril (Mavik, eTarka); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (i-NSAID) efana ne-ibuprofen (Advil, Motrin) ne-naproxen (i-Aleve, iNaprosyn), kanye ne-COX-2 inhibitors ekhethiwe efana ne-celecoxib (Celebrex); ama-diuretics ('amaphilisi amanzi') afaka i-potassium-sparing diuretics efana ne-amiloride (Midamor), spironolactone (Aldactone, e-Aldactazide), ne-triamterene (Dyrenium, eDyazide, eMaxzide); i-fluconazole (iDiflucan); i-lithium (i-Lithobid); i-phenobarbital; izithako ze-potassium; kanye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke wahlushwa yinhliziyo noma isifo sezinso noma sesibindi.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi i-losartan ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-losartan. Ukusiza ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi isifo sohudo, ukuhlanza, ukungaphuzi uketshezi olwanele, nokujuluka kakhulu kungadala ukwehla kwengcindezi yegazi, okungadala ikhanda elincane nokuquleka. Tshela udokotela wakho uma unanoma iyiphi yalezi zinkinga noma uzithuthukise ngesikhathi sokwelashwa kwakho.

Ungasebenzisi okokufaka usawoti okuqukethe i-potassium ngaphandle kokukhuluma nodokotela wakho. 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.

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

• ubuhlungu bomlenze, idolo, noma iqolo
• amajaqamba noma ubuthakathaka
• isifo sohudo
• isilungulela
• kwehle ukuzwela lapho uthinta

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS section, shayela udokotela wakho ngokushesha:

• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ubuhlungu besifuba

ILosartan 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. Ukugcine ekamelweni lokushisa kude nokushisa okweqile, ukukhanya 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:

• isiyezi
• ukuquleka
• ukushaya kwenhliziyo okusheshayo noma okuhamba kancane

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola ukuthi uzophendula kanjani kwi-losartan.

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.

• UCozaar^®

• I-Hyzaar^® (iqukethe iHydrochlorothiazide, iLosartan)