Valsartan

-Delile

• Ngaphambi kokuthatha i-valsartan,
• IValsartan 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-valsartan uma ukhulelwe. Uma ukhulelwa ngenkathi uthatha i-valsartan, yeka ukuthatha i-valsartan bese ushayela udokotela wakho ngokushesha. IValsartan ingadala ukufa noma ukulimala okungathi sína embungwini lapho ithathwa ezinyangeni eziyisithupha zokugcina zokukhulelwa.

IValsartan isetshenziswa kubantu abadala nasezinganeni ezineminyaka engu-6 nangaphezulu iyodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. Isetshenziswa futhi kubantu abadala ukwelapha ukwehluleka kwenhliziyo (isimo lapho inhliziyo ingakwazi khona ukumpompa igazi elanele emzimbeni wonke) nokwenza ngcono ukusinda ngemuva kokuhlaselwa yinhliziyo. UValsartan usesigabeni semithi 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 ophezulu yisimo esivamile futhi uma ungelashwa, 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.

IValsartan iza njengethebhulethi kanye nesisombululo (uketshezi) ukuthatha ngomlomo. Ekwelapheni umfutho wegazi ophezulu, ithebhulethi ivame ukuphuzwa kanye ngosuku, futhi ikhambi livame ukuthathwa kabili ngosuku ngokudla noma ngaphandle kokudla. Ekwelapheni ukwehluleka kwenhliziyo noma ukumelwa yinhliziyo, kuvame ukuthathwa kabili ngosuku ngokudla noma ngaphandle kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-valsartan, 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-valsartan njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Umkhiqizo ngamunye we-valsartan ukhipha umuthi ngokuhlukile emzimbeni wakho futhi awunakusetshenziswa ngokungafani. Thatha kuphela umkhiqizo we-valsartan obekwe udokotela wakho futhi ungashintsheli kumkhiqizo ohlukile we-valsartan ngaphandle kokuthi udokotela wakho athi kufanele. Udokotela wakho mhlawumbe uzokutshela kuphela ukuthi uthathe isixazululo se-valsartan uma ungakwazi ukugwinya amaphilisi.

Udokotela wakho angakuqala ngomthamo ophansi we-valsartan futhi akhuphule kancane umthamo wakho.

IValsartan ilawula umfutho wegazi ophakeme nokuhluleka kwenhliziyo kepha ayikulapheki. Umfutho wegazi wakho ungancipha phakathi namasonto amabili okuqala wokwelashwa kwakho, kepha kungathatha amasonto amane ukuthi uqaphele inzuzo ephelele ye-valsartan. Qhubeka uthathe i-valsartan noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-valsartan ngaphandle kokukhuluma nodokotela wakho.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

IValsartan kwesinye isikhathi isetshenziselwa ukwelapha isifo sikashukela (isifo sezinso kubantu abanesifo sikashukela nomfutho wegazi ophezulu). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-valsartan,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-valsartan, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-valsartan noma isisombululo.
• 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-valsartan 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 lokhu okulandelayo: ama-angiotensin-converting enzyme (ACE) inhibitors anjenge benazepril (Lotensin, eLotrel), captopril (Capoten, in Capozide), enalapril (Vasotec), fosinopril, lisinopril (in Prinzide, in Zestoretic), moexipr (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 (Aleve, Naprosyn) kanye ne-COX-2 inhibitors ekhethiwe efana ne-celecoxib (Celebrex); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-diuretics ('amaphilisi amanzi'), kufaka phakathi i-potassium-sparing diuretics efana ne-amiloride (Midamor), spironolactone (Aldactone, e-Aldactazide), ne-triamterene (Dyrenium, eDyazide, eMaxzide); gemfibrozil (Lopid), eminye imithi yokwelapha umfutho wegazi ophakeme noma inkinga yenhliziyo; izithako ze-potassium; i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); kanye ne-ritonavir (Norvir). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke wavinjelwa umsele we-bile noma wake waba khona (isimo lapho i-bile ingakwazi ukugeleza isuka esibindini iye enyongweni nasemathunjini amancane, angenzeka ngamatshe enyongo, izicubu noma ukulimala); inhliziyo, izinso, noma isifo sesibindi.
• tshela udokotela wakho uma uncelisa. Ungancelisi ibele ngesikhathi sokwelashwa kwakho nge-valsartan.
• kufanele wazi ukuthi i-valsartan ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-valsartan. 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.

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

• ikhanda
• ukukhathala ngokweqile
• isicanucanu
• isifo sohudo
• ubuhlungu besisu
• ukuhlungu obusemhlane
• ubuhlungu obuhlangene
• ukufiphala kwamehlo
• ukukhwehlela
• ukuqubuka

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
• ukuzuza kwesisindo okungaqondakali

IValsartan 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). Lahla noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki. Khuluma nosokhemisi wakho ngokulahlwa okufanele kwemithi yakho.

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 impendulo yakho ku-valsartan.

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.

• UDiovan^®
• I-Prexxartan

• UDiovan^® I-HCT (iqukethe iHydrochlorothiazide, iValsartan)
• Khipha^® (equkethe i-Amlodipine, iValsartan)
• Khipha^® I-HCT (iqukethe i-Amlodipine, i-Hydrochlorothiazide, i-Valsartan)
• I-Valturna^® (equkethe i-Aliskiren, iValsartan)^¶

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