UPioglitazone

-Delile

• Ngaphambi kokuthatha i-pioglitazone,
• Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.
• IPioglitazone 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:

I-Pioglitazone neminye imishanguzo efanayo yesifo sikashukela ingadala noma yenze ukwehluleka kwenhliziyo kube nzima (isimo lapho inhliziyo ingakwazi ukupompa igazi elanele kwezinye izingxenye zomzimba). Ngaphambi kokuba uqale ukuthatha i-pioglitazone, tshela udokotela wakho uma ngabe uke waba nokuhluleka kwenhliziyo noma wake wahluleka, ikakhulukazi uma ukwehluleka kwenhliziyo yakho kunzima kakhulu ukuthi kufanele ukhawule umsebenzi wakho futhi unethezeke kuphela lapho uphumule noma kufanele uhlale esihlalweni noma umbhede. Phinda utshele udokotela wakho uma ngabe wazalwa unenkinga yenhliziyo, futhi uma uke waba nokuvuvukala kwezingalo, izandla, izinyawo, amaqakala noma imilenze engezansi; Isifo senhliziyo; i-cholesterol ephezulu noma amafutha egazini; umfutho wegazi ophakeme; isifo semithambo yegazi (ukuncipha kwemithambo yegazi eletha igazi enhliziyweni); isifo senhliziyo; ukushaya kwenhliziyo okungajwayelekile; noma ukuphefumula ubuthongo. Udokotela wakho angakutshela ukuthi ungathathi i-pioglitazone noma angakuqapha ngokucophelela ngesikhathi sokwelashwa kwakho.

Uma uhlakulela ukwehluleka kwenhliziyo, ungathola izimpawu ezithile. Tshela udokotela wakho ngokushesha uma unezinye zalezi zimpawu ezilandelayo, ikakhulukazi lapho uqala ukuthatha i-pioglitazone noma ngemuva kokuba umthamo wakho wanda: ukuzuza okukhulu kwesisindo ngesikhathi esifushane; ukuphelelwa umoya; ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala, noma imilenze engezansi; ukuvuvukala noma ubuhlungu esiswini; ukuvuka ukuphefumula ebusuku; ukudinga ukulala ngemicamelo eyengeziwe ngaphansi kwekhanda lakho ukuze uphefumule kalula ngenkathi ulele phansi; ukukhwehlela njalo noma ukoma; ubunzima bokucabanga kahle noma ukudideka; ukushaya kwenhliziyo okusheshayo noma okugijimayo; ukungakwazi ukuhamba noma ukuzivocavoca futhi; noma ukukhathala okwandisiwe.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-pioglitazone 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) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Khuluma nodokotela wakho ngezingozi zokuthatha i-pioglitazone.

IPioglitazone isetshenziswa nohlelo lokudla nokuzivocavoca futhi kwesinye isikhathi neminye imithi, ukwelapha uhlobo lwesifo sikashukela sohlobo lwesibili (isimo lapho umzimba ungasebenzisi i-insulin ngokujwayelekile ngakho-ke awukwazi ukulawula inani likashukela egazini). I-Pioglitazone isekilasini lemithi ebizwa ngokuthi i-thiazolidinediones. Isebenza ngokwandisa ukuzwela komzimba kwi-insulin, into yemvelo esiza ukulawula amazinga kashukela egazini. IPioglitazone ayisetshenziselwa ukwelapha isifo sikashukela sohlobo 1 (isimo lapho umzimba ungakhiqizi i-insulin ngakho-ke, awukwazi ukulawula inani likashukela egazini) noma i-ketoacidosis yesifo sikashukela (isimo esibi esingavela uma ushukela ophakeme wegazi ungelashwa ).

Ngokuhamba kwesikhathi, abantu abanesifo sikashukela kanye noshukela ophakeme wegazi bangaba nezinkinga ezinkulu noma ezisongela impilo, kufaka phakathi isifo senhliziyo, isifo sohlangothi, izinkinga zezinso, ukulimala kwemizwa, nezinkinga zamehlo. ukuzivocavoca umzimba, ukuyeka ukubhema), nokuhlola njalo ushukela egazini lakho kungasiza ekulawuleni isifo sikashukela futhi kuthuthukise impilo yakho. Lokhu kwelashwa kunganciphisa namathuba akho okuhlaselwa yisifo senhliziyo, isifo sohlangothi, noma ezinye izinkinga ezihlobene nesifo sikashukela njengokuhluleka kwezinso, ukulimala kwemizwa (okundikindiki, imilenze ebandayo noma izinyawo; ukwehla kwekhono lezocansi kwabesilisa nabesifazane), izinkinga zamehlo, kufaka phakathi izinguquko noma ukulahleka kombono, noma isifo sezinsini. Udokotela wakho nabanye abahlinzeki bezokunakekelwa kwezempilo bazokhuluma nawe ngendlela engcono yokuphatha isifo sikashukela.

IPioglitazone iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-pioglitazone ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-pioglitazone njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

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

IPioglitazone ilawula uhlobo lwesifo sikashukela esingu-2 kodwa ayiselaphi. Kungathatha amaviki ama-2 ukuthi ushukela wegazi lakho wehle nezinyanga ezi-2 kuye kwezi-3 ukuze uzwe umthelela ophelele we-pioglitazone. Qhubeka uthathe i-pioglitazone noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-pioglitazone ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-pioglitazone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-pioglitazone, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi e-pioglitazone. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: i-atorvastatin (Lipitor, eCaduet), i-gemfibrozil (i-Lopid), izindlela zokuvimbela inzalo zamahomoni (amaphilisi okulawula ukubeletha, amabala, izindandatho, okufakelwa kanye nemijovo), i-insulin noma eminye imithi yokwelapha isifo sikashukela; ketoconazole (Nizoral), midazolam, nifedipine (Adalat, Afeditab, Procardia), ranitidine (Zantac), rifampin (Rifadin, Rifater, eRifamate), kanye neTheophylline (Elixophyllin, Theo-24, Theochron). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nanoma yimiphi yalezi zimo okukhulunywe ngazo esigabeni ESIBALULEKILE SESEXWAYISO, noma uma uke waba nomdlavuza wesinye, isifo samehlo sikashukela, noma isifo sezinso noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-pioglitazone, shayela udokotela wakho. Musa ukuncelisa ibele ngenkathi uthatha i-pioglitazone.
• uma ungakabi nesikhathi sokunqamuka kokuya esikhathini (ushintsho lwempilo, ukuphela kwezikhathi zanyanga zonke) kufanele wazi ukuthi i-pioglitazone ingakhuphula ithuba lokuthi uzokhulelwa noma ungenazo izikhathi ezijwayelekile zanyanga zonke noma uma unesimo esikuvimbela ukuvuthisa (ukukhulula iqanda kuma-ovari). Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ezizokusebenzela.
• uma uzohlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-pioglitazone.
• buza udokotela wakho ukuthi yini okufanele uyenze uma ugula, uba nesifo noma umkhuhlane, uba nengcindezi engajwayelekile, noma ulimele. Lezi zimo zingathinta ushukela wegazi lakho kanye nenani le-pioglitazone ongayidinga.

Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Kubalulekile ukudla ukudla okunempilo, ukuzivocavoca umzimba njalo, nokunciphisa isisindo uma kunesidingo. Lokhu kuzosiza ukulawula isifo sakho sikashukela futhi kusize i-pioglitazone isebenze kahle.

Utshwala bungadala ukwehla kukashukela egazini. Buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-pioglitazone.

Uma ukhumbula ngalo lolo suku, thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma ungakhumbuli kuze kube usuku olulandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa okujwayelekile. Ungathathi umthamo ongaphezu kowodwa ngosuku olulodwa futhi ungathathi umthamo ophindwe kabili ukwenzela owulahlekile.

Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.

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

• ikhanda
• ubuhlungu bemisipha
• ubuhlungu ezandleni noma emilenzeni
• Umphimbo obuhlungu
• igesi

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• izinguquko embonweni
• ukulahleka kombono
• ukuchama kaningi, okubuhlungu, noma okunzima
• kunamafu, umbala ogqamile, noma umchamo onegazi
• ubuhlungu emuva noma esiswini

Kufanele wazi ukuthi i-pioglitazone ingadala izinkinga zesibindi. Yeka ukuthatha i-pioglitazone bese ufonela udokotela wakho khona manjalo uma unesicanucanu, ukuhlanza, ukulahlekelwa isifiso sokudla, izinhlungu engxenyeni engaphezulu yesisu, izimpawu ezinjengomkhuhlane, umchamo omnyama, ukuphuzi kwesikhumba noma kwamehlo, ukopha okungavamile noma ukulimaza, noma ukungabi namandla.

Ezifundweni zokwelashwa, abantu abaningi abathathe i-pioglitazone isikhathi esingaphezu konyaka babe nomdlavuza wesinye kunabantu abangathathanga i-pioglitazone Khuluma nodokotela wakho ngengozi yokuthatha lo muthi.

Ezifundweni zomtholampilo, abesifazane abaningi abathathe i-pioglitazone bakhula ukuqhekeka (amathambo aphukile), ikakhulukazi izandla, izingalo ezingenhla, noma izinyawo, kunabesifazane abangathathanga i-pioglitazone. Abesilisa abathathe i-pioglitazone babengenayo ingozi enkulu yokuqhekeka kunamadoda angayiphuzanga umuthi. Uma ungowesifazane, khuluma nodokotela wakho ngengozi yokuthatha lo muthi.

IPioglitazone 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).

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.

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

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.

Gcina wonke ama-aphoyintimenti nodokotela wakho, udokotela wamehlo wakho kanye nelabhorethri. Udokotela wakho mhlawumbe uzo-oda ukuhlolwa njalo kwamehlo nokuhlolwa okuthile kwelebhu ngaphambi nangesikhathi sokwelashwa kwakho ukuze ahlole impendulo yomzimba wakho kwi-pioglitazone. Ushukela wegazi ne-hemoglobin yakho eglycosolated kufanele ihlolwe njalo ukuthola impendulo yakho ku-pioglitazone. Udokotela wakho uzokutshela nokuthi ungayihlola kanjani impendulo yakho kwi-pioglitazone ngokukala amazinga egazi lakho noma umchamo ekhaya. Landela lezi zinkomba ngokucophelela.

Kufanele njalo ufake isongo lokuhlonza isifo sikashukela ukuze uqiniseke ukuthi uthola ukwelashwa okufanele esimeni esiphuthumayo.

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.

• Ama-Actos^®
• Oseni^® (njengomkhiqizo ohlanganisiwe oqukethe i-Alogliptin, iPioglitazone)

• I-Actoplus Met^® (equkethe iMetformin, iPioglitazone)
• I-Actoplus Met^® I-XR (equkethe iMetformin, iPioglitazone)
• I-Duetact^® (equkethe iGlimepiride, iPioglitazone)