ICarvedilol
-Delile
- Ngaphambi kokuthatha i-carvedilol,
- I-Carvedilol ingadala i-hyperglycemia (ushukela ophakeme wegazi). Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu ezilandelayo ze-hyperglycemia:
- I-Carvedilol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- Izimpawu zokudlula ngokweqile zingafaka:
ICarvedilol isetshenziselwa ukwelapha ukwehluleka kwenhliziyo (isimo lapho inhliziyo ingakwazi ukumpompa igazi elanele kuzo zonke izingxenye zomzimba) nomfutho wegazi ophezulu. Ibuye isetshenziselwe ukwelapha abantu abahlaselwe yisifo senhliziyo. I-Carvedilol ivame ukusetshenziswa ngokuhlanganiswa neminye imithi. ICarvedilol isekilasini lemithi ebizwa nge-beta-blockers. Isebenza ngokuphumuza imithambo yegazi nokunciphisa izinga lokushaya kwenhliziyo ukwenza ngcono ukugeleza kwegazi nokunciphisa umfutho wegazi
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.
ICarvedilol iza njengethebhulethi kanye ne-capsule enwetshiwe (esebenza isikhathi eside) ezothathwa ngomlomo. Ithebhulethi ivame ukuphuzwa kabili ngosuku nokudla. I-capsule ekhishwe isikhathi eside ivame ukuthathwa kanye ngosuku ekuseni nokudla. Zama ukuthatha i-carvedilol ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-carvedilol njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Gwinya wonke amaphilisi akhululiwe. Musa ukuhlafuna noma ukuchoboza ama-capsule, futhi ungahlukanisi ubuhlalu ngaphakathi kwe-capsule ube umthamo ongaphezu kowodwa. Uma ungakwazi ukugwinya amaphilisi, ungavula ngokucophelela i-capsule bese ufafaza bonke ubuhlalu obuqukethe ngaphezu kwesipuni se-appleauce epholile noma yegumbi lokushisa. Gwinya yonke ingxube ngokushesha ngaphandle kokuhlafuna.
Udokotela wakho mhlawumbe uzoqala wena ngomthamo ophansi we-carvedilol futhi kancane kancane akhuphule umthamo wakho ukuvumela umzimba wakho ukuba ujwayele umuthi. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani futhi nganoma yiziphi izimpawu ohlangabezana nazo ngalesi sikhathi.
ICarvedilol ingasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka uthathe i-carvedilol noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-carvedilol ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-carvedilol, ungahlangabezana nezinkinga ezinkulu zenhliziyo ezifana nobuhlungu besifuba obunzima, isifo senhliziyo, noma ukushaya kwenhliziyo okungajwayelekile. Udokotela wakho mhlawumbe uzofuna ukwehlisa umthamo wakho kancane kancane kumaviki awu-1 kuya kwangu-2. Udokotela wakho uzokubuka ngokucophelela futhi mhlawumbe uzokutshela ukuthi ugweme ukusebenza komzimba ngalesi sikhathi.
Lo muthi ungabekelwa okunye ukusetshenziswa. Buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-carvedilol,
- Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-carvedilol, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-carvedilol nakuma-capsule akhishwe isikhathi eside. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, imikhiqizo yamakhambi, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: i-cimetidine; i-clonidine (Catapres, Kapvay, eClorpres), cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); i-diltiazem (iCardizem, iCartia, iDilacor, iTaztia, iTiazac); i-epinephrine (i-Epipen); i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, ku-Symbyax); i-insulini; imithi yomlomo yesifo sikashukela; i-monoamine oxidase inhibitors (i-MAOIs) efana ne-isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), ne-selegiline (i-Eldepryl, i-Emsam, i-Zelapar); i-paroxetine (iBrisdelle, Paxil); propafenone (Rythmol); i-quinidine; qamba kabusha; i-rifampin (iRifadin, iRimactane, eRifater, eRifamate); kanye ne-verapamil (Calan, Covera-HS, Verelan, eTarka). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- utshele udokotela wakho uma uke waba nesifo somoya noma ezinye izinkinga zokuphefumula, ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile, noma isifo sesibindi. Udokotela wakho angakutshela ukuthi ungathathi i-carvedilol.
- Tshela udokotela wakho uma uke waba nezinkinga ngokugeleza kwegazi ezinyaweni noma emilenzeni, isifo sikashukela noma esinye isimo esibangela ukuba ube noshukela ophansi wegazi, i-hyperthyroidism (isimo lapho kunehomoni yegilo eningi kakhulu emzimbeni), umfutho wegazi ophansi, i-angina kaPrinzmetal (izinhlungu zesifuba ezingaphumeleli ngaphandle kwesizathu esisobala), noma i-pheochromocytoma (isimila esikhula endlaleni esiseduze nezinso futhi singadala umfutho wegazi ophezulu nokushaya kwenhliziyo okusheshayo) Phinda utshele udokotela wakho uma ngabe uke waba nokungezwani komzimba nokudla noma iyiphi enye into.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-carvedilol, shayela udokotela wakho.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-carvedilol.
- kufanele wazi ukuthi lo muthi ungakwenza uzizwe ukhathele, unesiyezi, noma unekhanda elikhanyayo, ikakhulukazi lapho uqala ukuthatha i-carvedilol nalapho umthamo wakho wanda. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani. Qaphela ikakhulukazi ngehora lokuqala ngemuva kokuthatha umuthi.
- ungaphuzi iziphuzo ezidakayo noma uthathe noma imiphi imishanguzo kadokotela noma engabhalisi equkethe utshwala amahora amabili ngaphambili namahora amabili ngemuva kokuthatha amaphilisi wokukhishwa enwetshiwe e-carvedilol. Buza udokotela wakho noma usokhemisi uma ungazi ukuthi umuthi ohlela ukuwuphuza uqukethe utshwala.
- kufanele wazi ukuthi i-carvedilol ingadala isizungu, ikhanda elikhanyayo, nokuquleka, ikakhulukazi lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-carvedilol. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
- uma ugqoka amalensi oxhumana nawo, amehlo akho angoma lapho welashwa nge-carvedilol. Tshela udokotela wakho uma lokhu kuba okukuphazamisayo.
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-Carvedilol ingadala i-hyperglycemia (ushukela ophakeme wegazi). Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu ezilandelayo ze-hyperglycemia:
- ukoma ngokweqile
- ukuchama kaningi
- indlala eyeqile
- ubuthakathaka
- ukungaboni kahle
I-Carvedilol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukukhathala
- ubuthakathaka
- ubumhlophe
- isiyezi
- ikhanda
- isifo sohudo
- isicanucanu
- ukuhlanza
- umbono uyashintsha
- ubuhlungu obuhlangene
- ubunzima bokulala noma ukulala
- ukukhwehlela
- amehlo omile
- ukuba ndikindiki, ukushiswa, noma ukuncinza ezingalweni noma emilenzeni
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- ukuquleka
- ukuphelelwa umoya
- ukuzuza kwesisindo
- ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala, noma imilenze engezansi
- ubuhlungu besifuba
- ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
- ukuqubuka
- isifuba
- ukulunywa
- ubunzima bokuphefumula nokugwinya
I-Carvedilol ingadala eminye imiphumela emibi. Tshela udokotela wakho uma uhlangabezana nezinkinga 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:
- ukushaya kwenhliziyo okuhamba kancane
- isiyezi
- ukuquleka
- ukuphefumula kanzima
- ukuhlanza
- ukulahlekelwa ukwazi
- isithuthwane
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zaselabhorethri ukuze ahlole impendulo yomzimba wakho ku-carvedilol.
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.
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