I-Amiodarone, Ithebhulethi Yomlomo

-Delile

• Amaphuzu avelele we-amiodarone
• Yini i-amiodarone?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Amiodarone
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• Ungayithatha kanjani i-amiodarone
• Amafomu namandla
• Isilinganiso se-fibrillation ye-ventricular
• Isilinganiso se-tachycardia ye-ventricular
• Thatha njengoba kuqondisiwe
• Izexwayiso ze-Amiodarone
• Isexwayiso se-FDA: Isixwayiso semiphumela emibi kakhulu
• Isexwayiso sokuzwela kwelanga
• Ubungozi bezinkinga zokubona
• Ubungozi bezinkinga zamaphaphu
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kokudla
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• I-Amiodarone ingaxhumana neminye imithi
• Imithi elwa namagciwane
• Izidambisigciwane
• Abanciphisa igazi
• Imithi yokukhwehlela, ngaphezulu kwe-counter
• Isidakamizwa sokucindezeleka
• Isidakamizwa sokuvimbela ukwenqatshwa kokufakelwa komzimba
• Isidakamizwa se-GERD
• Imithi yokwehluleka kwenhliziyo
• Imithi yenhliziyo
• Izidakamizwa ze-hepatitis
• Ukwengeza ngamakhambi
• Imithi yomfutho wegazi ophakeme
• Izidakamizwa eziphezulu ze-cholesterol
• Isidakamizwa sendawo yokubulala izinzwa
• Imithi yezinhlungu
• Isidakamizwa sokungezwani komzimba sesizini
• Isidakamizwa sokubamba
• Isidakamizwa sofuba
• Ukucatshangelwa okubalulekile kokuthatha i-amiodarone
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ukuzwela kwelanga
• Umshuwalense
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-amiodarone

1. Ithebhulethi yomlomo ye-Amiodarone iyatholakala njengesidakamizwa esijwayelekile futhi njengesidakamizwa esinegama lomkhiqizo. Igama lomkhiqizo: Pacerone.
2. I-Amiodarone iyatholakala futhi njengesisombululo somjovo. Ungaqala ngethebhulethi yomlomo esibhedlela bese uqhubeka nokuyiphuzisa ekhaya. Ezimweni ezingavamile, udokotela wakho angakuqala ngomjovo esibhedlela futhi akunikeze ithebhulethi yomlomo ozoyithatha ekhaya.
3. I-Amiodarone isetshenziselwa ukwelapha izinkinga zokushaya kwenhliziyo i-ventricular fibrillation kanye ne-ventricular tachycardia.

Yini i-amiodarone?

Ithebhulethi yomlomo ye-Amiodarone umuthi kadokotela otholakala njengomuthi wegama lomkhiqizo I-Pacerone. Iphinde itholakale ngendlela yayo ejwayelekile. Imithi ejwayelekile ijwayele ukubiza ngaphansi kwezinguqulo zamagama.

I-Amiodarone nayo iza njengesisombululo somjovo (IV) somjovo, esinikezwa kuphela ngumhlinzeki wezokunakekelwa kwempilo.

Lesi sidakamizwa singasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokho kusho ukuthi udinga ukuyithatha nezinye izidakamizwa.

Kungani kusetshenziswa

I-Amiodarone isetshenziselwa ukwelapha izinkinga zokushaya kwenhliziyo ezisongela impilo. Ngokuvamile kunikezwa lapho ezinye izidakamizwa zingasebenzi.

Isebenza kanjani

I-Amiodarone ingeyesigaba semithi ebizwa ngama-antiarrhythmics. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Amiodarone iphatha futhi ivimbele ukushaya kwenhliziyo okungajwayelekile ngokusebenza ngaphakathi kwamaseli ukulawula ukucindezela kwemisipha enhliziyweni. Lokhu kusiza inhliziyo yakho ukuthi ishaye ngokujwayelekile.

Imiphumela emibi ye-Amiodarone

I-Amiodarone ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engase ivele ngenkathi uthatha i-amiodarone.

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Ngeminye imininingwane ngemiphumela engemihle ye-amiodarone, noma amathiphu wokuthi ungabhekana kanjani nemiphumela emibi ekhathazayo, khuluma nodokotela wakho noma usokhemisi.

Ithebhulethi yomlomo ye-Amiodarone ayibangeli ukozela, kepha ingadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi kakhulu engenzeka nge-tablet ye-amiodarone yomlomo ifaka:

• isicanucanu
• ukuhlanza
• ukukhathala
• ukuthuthumela
• ukuntuleka kokuxhumana
• ukuqunjelwa
• ukuqwasha
• ikhanda
• ubuhlungu besisu
• kunciphise ukushayela ucansi noma ukusebenza
• ukunyakaza okungalawuleki noma okungavamile komzimba

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa.Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela ku-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Ukusabela okweqile. Izimpawu zingafaka:
  • ukuqubuka kwesikhumba
  • ukulunywa
  • isifuba
  • ukuvuvukala kwezindebe zakho, ubuso, noma ulimi
• Izinkinga zamaphaphu. Izimpawu zingafaka:
  • isifuba
  • inkinga yokuphefumula
  • ukuphelelwa umoya
  • ukukhwehlela
  • ubuhlungu besifuba
  • ekhafula igazi
• Umbono uyashintsha. Izimpawu zingafaka:
  • ukungaboni kahle
  • ukwanda kokuzwela ekukhanyeni
  • izinkinga zombono ezifana nokubona ama-halos aluhlaza okwesibhakabhaka noma aluhlaza (imibuthano ezungeze izinto)
• Izinkinga zesibindi. Izimpawu zingafaka:
  • ukukhathala okungajwayelekile noma ubuthakathaka
  • umchamo omnyama
  • ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
• Izinkinga zenhliziyo. Izimpawu zingafaka:
  • ubuhlungu besifuba
  • ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
  • uzizwe unekhanda elincane noma uqulekile
  • ukuncipha kwesisindo okungaqondakali noma ukuzuza kwesisindo
• Izinkinga zesisu. Izimpawu zingafaka:
  • ekhafula igazi
  • ubuhlungu besisu
  • isicanucanu noma ukuhlanza
• Izinkinga ze-thyroid. Izimpawu zingafaka:
  • kunciphise ukubekezelelana ekushiseni noma emakhazeni
  • ukujuluka okwandayo
  • ubuthakathaka
  • ukuncipha noma ukuzuza kwesisindo
  • ukuncipha kwezinwele
• Ubuhlungu nokuvuvukala kwesikhwama sakho
• Ukulimala kwemizwa. Izimpawu zingafaka:
  • ubuhlungu, ukudikiza, noma ukuba ndikindiki ezandleni noma ezinyaweni zakho
  • ubuthakathaka bemisipha
  • ukunyakaza okungalawulwa
  • ukuhamba kanzima
• Ukusabela kwesikhumba okunzima. Izimpawu zingafaka:
  • umbala wesikhumba o-blue-grey
  • ukushiswa yilanga kanzima

Ungayithatha kanjani i-amiodarone

Isilinganiso se-amiodarone udokotela wakho akushoyo sizoxhomeka ezicini eziningana. Lokhu kufaka phakathi:

• uhlobo nobukhali besimo osisebenzisa ukwelapha i-amiodarone
• iminyaka yakho
• uhlobo lwe-amiodarone oyithathayo
• ezinye izimo zezokwelapha ongahle ube nazo

Imvamisa, udokotela wakho uzokuqala ngomthamo ophansi futhi awulungise ngokuhamba kwesikhathi ukufinyelela umthamo okulungele wena. Ekugcineni bazonquma isilinganiso esincane kunazo zonke esihlinzeka ngomphumela oyifunayo.

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona. Udokotela wakho uzonquma isilinganiso esihle kakhulu ukuhlangabezana nezidingo zakho.

Lolu lwazi lokulinganisa olwenzelwe ithebhulethi yomlomo ye-amiodarone. Yonke imithamo namafomu okungenzeka angafakwa lapha.

Amafomu namandla

Okujwayelekile: Amiodarone

• Ifomu: ithebhulethi yomlomo
• Amandla: 100 mg, 200 mg, 400 mg

Umkhiqizo: I-Pacerone

• Ifomu: ithebhulethi yomlomo
• Amandla: 100 mg, 200 mg

Umhlinzeki wezokunakekelwa kwezempilo uzokunikeza umthamo wokuqala we-amiodarone ehhovisi likadokotela noma esibhedlela. Ngemuva kwalokho, uzothatha imithamo yakho ye-amiodarone ekhaya.

Isilinganiso se-fibrillation ye-ventricular

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

Isilinganiso sokuqala:

• U-800-1,600 mg ngosuku othathwe ngomlomo noma ngomthamo owodwa noma ngemithamo ehlukanisiwe amasonto ayi-1-3.
• Uzobhekwa ngeso elibukhali ngalesi sikhathi ukuze uqiniseke ukuthi uyaphendula ekwelashweni.

Umthamo oqhubekayo:

• I-600-800 mg ngosuku ethathwe ngomlomo kumthamo owodwa noma ngemithamo ehlukanisiwe inyanga eyodwa.
• Umthamo uzokwehliselwa kudosi yesondlo. Lokhu kuvame ukuba ngama-400 mg ngosuku athathwe ngomlomo kumthamo owodwa noma ngemithamo ehlukanisiwe.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Ukuphepha nokusebenza kwe-amiodarone akukasungulwa kubantu abangaphansi kweminyaka engu-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Umthamo wakho uzoqalwa ekugcineni okuphansi ukunciphisa ubungozi bemiphumela emibi. Ngokuvamile, njengoba ukhula, izitho zakho, njengesibindi sakho, izinso, nenhliziyo, akusebenzi njengakuqala. Isidakamizwa esiningi singahlala emzimbeni wakho sikubeke engcupheni eyengeziwe yemiphumela emibi.

Ukucatshangelwa okukhethekile

• Kubantu abanezinkinga zezinso. Uma unezinkinga zezinso, umzimba wakho ngeke ukwazi ukusula lo muthi futhi. Lokhu kungadala ukuthi umuthi wakhe emzimbeni wakho futhi kudale imiphumela emibi eminingi. Udokotela wakho angakuqala ngomthamo ophansi. Uma umsebenzi wakho wezinso uba mubi kakhulu, udokotela wakho angamisa imithi yakho.
• Kubantu abanezinkinga zesibindi. Uma unezinkinga zesibindi, umzimba wakho ngeke ukwazi ukusula lo muthi futhi. Lokhu kungadala ukuthi umuthi wakhe emzimbeni wakho futhi kudale imiphumela emibi eminingi. Udokotela wakho angakuqala ngomthamo ophansi. Uma isibindi sakho sisebenza ngokuya siba sibi kakhulu, udokotela wakho angamisa imithi yakho.

Isilinganiso se-tachycardia ye-ventricular

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

Isilinganiso sokuqala:

• U-800-1,600 mg ngosuku othathwe ngomlomo noma ngomthamo owodwa noma ngemithamo ehlukanisiwe amasonto ayi-1-3.
• Uzobhekwa ngeso elibukhali ngalesi sikhathi ukuze uqiniseke ukuthi uyaphendula yini ekwelashweni.

Umthamo oqhubekayo:

• I-600-800 mg ngosuku ethathwe ngomlomo kumthamo owodwa noma ngemithamo ehlukanisiwe inyanga eyodwa.
• Umthamo uzokwehliselwa kudosi yesondlo. Lokhu kuvame ukuba ngama-400 mg ngosuku athathwe ngomlomo kumthamo owodwa noma ngemithamo ehlukanisiwe.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Ukuphepha nokusebenza kwe-amiodarone akukasungulwa kubantu abangaphansi kweminyaka engu-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Umthamo wakho uzoqalwa ekugcineni okuphansi ukunciphisa ubungozi bemiphumela emibi. Ngokuvamile, njengoba ukhula, izitho zakho, njengesibindi sakho, izinso, nenhliziyo, akusebenzi njengakuqala. Isidakamizwa esiningi singahlala emzimbeni wakho sikubeke engcupheni eyengeziwe yemiphumela emibi.

Ukucatshangelwa okukhethekile

• Kubantu abanezinkinga zezinso. Uma unezinkinga zezinso, umzimba wakho ngeke ukwazi ukusula lo muthi futhi. Lokhu kungadala ukuthi umuthi wakhe emzimbeni wakho futhi kudale imiphumela emibi eminingi. Udokotela wakho angakuqala ngomthamo ophansi. Uma umsebenzi wakho wezinso uba mubi kakhulu, udokotela wakho angamisa imithi yakho.
• Kubantu abanezinkinga zesibindi. Uma unezinkinga zesibindi, umzimba wakho ngeke ukwazi ukusula lo muthi futhi. Lokhu kungadala ukuthi umuthi wakhe emzimbeni wakho futhi kudale imiphumela emibi eminingi. Udokotela wakho angakuqala ngomthamo ophansi. Uma isibindi sakho sisebenza ngokuya siba sibi kakhulu, udokotela wakho angamisa imithi yakho.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo ye-Amiodarone ingasetshenziselwa ukwelashwa isikhathi eside noma isikhathi esifushane. Udokotela wakho uzonquma ukuthi uzophathwa isikhathi esingakanani nge-amiodarone kuye ngokuthi umzimba wakho uphendula kahle kanjani kuyo. Lesi sidakamizwa siza nezingozi ezinkulu uma ungathathi njengoba kuchaziwe.

Uma ungayithathi nhlobo noma weqa imithamo. Uma ungathathi i-amiodarone njengoba kuchaziwe, ungaba sengozini yezinkinga ezinkulu zenhliziyo.

Uma uthatha kakhulu. Uma ucabanga ukuthi uthathe i-amiodarone eningi kakhulu, iya egumbini lezimo eziphuthumayo ngokushesha, noma ushayele isikhungo sakho sendawo sokulawula ubuthi.

Okufanele ukwenze uma uphuthelwa umthamo. Uma uphuthelwa umthamo, wuthathe ngokushesha lapho ukhumbula. Uma cishe sekuyisikhathi sedosi yakho elandelayo, thatha umthamo owodwa kuphela ngaleso sikhathi. Ungathathi imithamo eyengeziwe noma kabili ngemithamo ukwenza umthamo ongabanjwanga.

Ungasho kanjani ukuthi umuthi uyasebenza: Ungakwazi ukusho ukuthi lo muthi uyasebenza yini uma izimpawu zakho zithuthuka. Isiyezi, isicanucanu, ubuhlungu besifuba, ukuphefumula okuncane, noma ukushaya kwenhliziyo okusheshayo kufanele kube ngcono.

Izexwayiso ze-Amiodarone

Lesi sidakamizwa siza nezixwayiso ezahlukahlukene.

Isexwayiso se-FDA: Isixwayiso semiphumela emibi kakhulu

• I-Amiodarone kufanele isetshenziswe kuphela uma une-arrhythmia esongela impilo noma isilinganiso senhliziyo esingajwayelekile. Lo muthi usengozini yemiphumela emibi kakhulu. Lokhu kufaka phakathi izinkinga ezinkulu zamaphaphu, izinkinga zesibindi, kanye nokuwohloka kwesilinganiso senhliziyo sakho esingajwayelekile. Lezi zinkinga zingabulala.
• Uma udinga ukwelashwa nge-amiodarone ngesilinganiso senhliziyo esingajwayelekile, kuzodingeka ungeniswe esibhedlela ukuze uthole umthamo wokuqala. Lokhu kwenzelwa ukuthi uqiniseke ukuthi i-amiodarone uyinikwa ngokuphepha futhi iyasebenza. Ungadinga ukuthi ubhekwe esibhedlela lapho umthamo ulungiswa.

Isexwayiso sokuzwela kwelanga

I-Amiodarone ingakwenza uzwele kakhulu elangeni noma yenze isikhumba sakho siphenduke umbala ompunga oluhlaza okwesibhakabhaka.

Zama ukugwema ilanga ngenkathi uthatha lo muthi. Gqoka okokuvikela ilanga kanye nezingubo zokuzivikela uma wazi ukuthi uzophuma elangeni. Ungasebenzisi amalambu elanga noma imibhede yokushuka.

Ubungozi bezinkinga zokubona

Kufanele ube nokuhlolwa kwamehlo okujwayelekile ngesikhathi sokwelashwa nge-amiodarone.

I-Amiodarone ingadala izinkinga zombono, kufaka phakathi umbono ophuphuthekile, ukubona ama-halos azungeze izinto, noma ukuzwela ekukhanyeni. Kufanele ushayele udokotela wakho uma uhlangabezana neminye yale miphumela emibi.

Ubungozi bezinkinga zamaphaphu

Kwezinye izimo, i-amiodarone ingadala ukulimala kwamaphaphu okungabulala. Ungaba sengozini enkulu uma usunayo isifo samaphaphu.

Shayela udokotela wakho ngokushesha uma ubona noma yikuphi ukuphefumula, ukuphefumula, ukukhathazeka ukuphefumula, ubuhlungu besifuba, noma ukuphalaza igazi ngenkathi uthatha lo muthi.

Isexwayiso somzimba

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi.

Isexwayiso sokusebenzisana kokudla

Ungaphuzi ijusi yamagilebhisi ngenkathi uthatha lo muthi. Ukuphuza ijusi lamagilebhisi ngenkathi uthatha i-amiodarone kungakhuphula inani le-amiodarone emzimbeni wakho.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abane-iodine yokungezwani komzimba. Ungasebenzisi lo muthi. Iqukethe iodine.

Kubantu abanesifo senhliziyo noma isifo senhliziyo. Sebenzisa i-amiodarone ngokuqapha. Lesi sidakamizwa singenza buthakathaka ukucindezela kwenhliziyo yakho futhi sinciphise izinga lokushaya kwenhliziyo yakho.

Ungasebenzisi i-amiodarone uma unenkinga yokungasebenzi kahle kwesinus ngezinga lokushaya kwenhliziyo, ukuphelelwa amandla ngenxa yokushaya kwenhliziyo okuncane, ibhlokhi yenhliziyo yesibili noma yesithathu, noma uma inhliziyo yakho ingakwazi ukudonsa igazi elanele emzimbeni wakho wonke (ukushaqeka kwe-Cardiogenic) .

Kubantu abanesifo samaphaphu. Sebenzisa i-amiodarone ngokuqapha okukhulu uma unesifo samaphaphu, njengesifo esingapheliyo se-pulmonary disease (COPD), noma uma amaphaphu akho engasebenzi kahle. I-Amiodarone ingadala imiphumela emibi enobuthi emaphashini akho futhi ingabulala nokufa.

Kubantu abanesifo sesibindi. Sebenzisa i-amiodarone ngokuqapha uma unesifo sesibindi, njenge-cirrhosis noma ukulimala kwesibindi. Lezi zimo zingadala ukuthi i-amiodarone yakheke emzimbeni wakho futhi ibe nobuthi esibindini sakho.

Kubantu abanesifo se-thyroid. Uma unesifo se-thyroid, ungathola amazinga aphansi noma aphezulu we-thyroid ngenkathi uthatha i-amiodarone. Lokhu kungenza isimo sakho sibe sibi kakhulu.

Kubantu abanesifo semizwa. Sebenzisa i-amiodarone ngokuqapha uma unanoma yisiphi isifo sezinzwa, njenge-peripheral neuropathy, isifo sika-Parkinson, i-muscular dystrophy, noma isithuthwane. Ukuthatha lo muthi kungadala ukulimala kwezinzwa futhi kwenze lezi zimo zibe zimbi kakhulu.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe. I-Amiodarone ingalimaza ukukhulelwa kwakho uma uthatha lesi sidakamizwa ngenkathi ukhulelwe. Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa, noma ngabe umisa ukwelashwa nge-amiodarone. Lesi sidakamizwa singahlala emzimbeni wakho izinyanga ngemuva kokuphela kokwelashwa.

Kwabesifazane abancelisayo. I-Amiodarone ingadlula obisini lwebele futhi idale imiphumela emibi enganeni ebelethayo. Akufanele uncelise ngenkathi uthatha i-amiodarone. Khuluma nodokotela wakho mayelana nendlela engcono yokondla ingane yakho.

Okwabadala. Ngokuvamile, njengoba ukhula, izitho zakho, njengesibindi sakho, izinso, nenhliziyo, akusebenzi njengakuqala. Isidakamizwa esiningi singahlala emzimbeni wakho sikubeke engcupheni eyengeziwe yemiphumela emibi.

Okwezingane. Ukuphepha nokusebenza kwe-amiodarone akukasungulwa kubantu abangaphansi kweminyaka engu-18.

I-Amiodarone ingaxhumana neminye imithi

I-Amiodarone ingaxhumana neminye imithi eminingana. Ukuxhumana okuhlukile kungadala imiphumela ehlukile. Isibonelo, ezinye zingaphazamisa ukuthi usebenza kanjani umuthi, kanti ezinye zingadala imiphumela emibi eyengeziwe.

Ngezansi kunohlu lwemithi engasebenzisana ne-amiodarone. Lolu hlu aluqukethe zonke izidakamizwa ezingasebenzisana ne-amiodarone.

Ngaphambi kokuthatha i-amiodarone, qiniseka ukuthi utshela udokotela kanye nosokhemisi ngayo yonke imishanguzo kadokotela, i-counter-counter, nezinye izidakamizwa oziphuzayo.

Batshele futhi nganoma yimaphi amavithamini, amakhambi, nezithako ozisebenzisayo. Ukwabelana ngalolu lwazi kungakusiza ugweme ukuhlangana okungenzeka.

Uma unemibuzo mayelana nokuhlangana kwezidakamizwa okungakuthinta, buza udokotela wakho noma usokhemisi.

Qaphela: Unganciphisa amathuba akho okuhlangana kwezidakamizwa ngokugcwalisa yonke imiyalo yakho ekhemisi elifanayo. Ngaleyo ndlela, usokhemisi angabheka ukuthi kungenzeka yini ukuhlangana kwezidakamizwa.

Imithi elwa namagciwane

Ukuthatha ama-antibiotic athile nge-amiodarone kungadala ukushaya kwenhliziyo okungajwayelekile. Izibonelo zale mithi zifaka:

• erythromycin
• kucofe
• i-fluconazole
• umagazine

Izidambisigciwane

Le mithi ingakhuphula inani le-amiodarone emzimbeni wakho. Lokhu kukubeka engcupheni ephezulu yemiphumela emibi evela ku-amiodarone, kufaka phakathi ukushaya kwenhliziyo okungajwayelekile, okungaba yingozi.

Udokotela wakho uzokuqapha eduze uma uthatha le mithi ndawonye. Izibonelo zale mithi zifaka:

• i-atazanavir (Reyataz)
• i-darunavir (Prezista)
• i-fosamprenavir (Lexiva)
• indinavir (Crixivan)
• i-lopinavir ne-ritonavir (Kaletra)
• i-nelfinavir (i-Viracept)
• i-ritonavir (Norvir)
• i-saquinavir (i-Invirase)
• i-tipranavir (Aptivus)

Abanciphisa igazi

Ukuthatha izinciphisi zegazi ezifana warfarin nge-amiodarone kungakhuphula umphumela wokuncipha kwegazi. Lokhu kukubeka engcupheni yokopha kakhulu, okungabulala.

Uma uthatha le mithi ndawonye, ​​udokotela wakho kufanele anciphise umthamo we-blood thinner yakho bese ekuqapha eduze.

Imithi yokukhwehlela, ngaphezulu kwe-counter

Isebenzisa dextromethorphan nge-amiodarone kungakhuphula inani le-dextromethorphan emzimbeni wakho, okungaholela kubuthi.

Isidakamizwa sokucindezeleka

I-Trazodone kungakhuphula inani le-amiodarone emzimbeni wakho. Lokhu kukubeka engozini enkulu yemiphumela emibi kakhulu evela ku-amiodarone, kufaka phakathi ukushaya kwenhliziyo okungajwayelekile, okungaba yingozi.

Isidakamizwa sokuvimbela ukwenqatshwa kokufakelwa komzimba

Ukuthatha cyclosporine nge-amiodarone kuholela ekwandeni kwenani le-cyclosporine emzimbeni wakho. Lokhu kungadala imiphumela emibi kakhulu.

Isidakamizwa se-GERD

Ukuthatha cimetidine nge-amiodarone kungakhuphula inani le-amiodarone emzimbeni wakho. Lokhu kukubeka engozini enkulu yemiphumela emibi kakhulu evela ku-amiodarone, kufaka phakathi ukushaya kwenhliziyo okungajwayelekile, okungaba yingozi.

Imithi yokwehluleka kwenhliziyo

Ukuthatha ivabradine nge-amiodarone kunganciphisa ukushaya kwenhliziyo yakho futhi kubangele ukuphazamiseka kwesigqi senhliziyo. Udokotela wakho angaqapha ukusebenza kwenhliziyo yakho uma uthatha le mithi ndawonye.

Imithi yenhliziyo

Ukuthatha i-amiodarone ngemithi ethile yenhliziyo kungakhuphula amazinga wezidakamizwa zenhliziyo emzimbeni wakho. Lokhu kungaholela emiphumeleni emibi engaba yingozi.

Uma uthatha esinye salezi zidakamizwa nge-amiodarone, udokotela wakho anganciphisa umthamo wesidakamizwa senhliziyo. Izibonelo zale mithi zifaka:

• I-digoxin
• ama-antiarrhythmics, anjenge:
  • quinidine
  • zihlel
  • busisiwe

Izidakamizwa ze-hepatitis

Ukuthatha imithi ethile ye-hepatitis nge-amiodarone kungadala i-bradycardia ebucayi, eyehlisa izinga lokushaya kwenhliziyo yakho. Lokhu kungasongela impilo.

Udokotela wakho uzobheka izinga lokushaya kwenhliziyo yakho uma uthatha enye yalezi zidakamizwa nge-amiodarone:

• ledipasvir / sofosbuvir (Harvoni)
• i-sofosbuvir ene-simeprevir

Ukwengeza ngamakhambi

Ukuthatha Isibungu iSt nge-amiodarone kungehlisa inani le-amiodarone emzimbeni wakho, okusho ukuthi ngeke isebenze futhi.

Imithi yomfutho wegazi ophakeme

Sebenzisa le mithi ngokuqapha ngenkathi uthatha i-amiodarone. Ukusebenzisa le mithi nge-amiodarone kungadala imiphumela emibi enhliziyweni yakho.

Izibonelo zale mithi zifaka:

• ama-beta-blocker, anjenge:
  • acebutolol
  • atenolol
  • bisoprolol
  • phumlani
  • esmolol
  • metoprolol
  • khanyisile
  • nebivolol
  • i-propranolol
• ama-block wesiteshi se-calcium, njenge:
  • amlodipine
  • felodipine
  • umabhebhana
  • mthokozisi
  • umabhebhana
  • nimodipine
  • sifiso

Izidakamizwa eziphezulu ze-cholesterol

Ukuthatha ama-statin nge-amiodarone kungakhuphula izinga lemithi ye-cholesterol emzimbeni wakho, engadala imiphumela emibi.

Udokotela wakho angehlisa isilinganiso sakho sale mithi ngenkathi uthatha i-amiodarone. Izibonelo zale mithi zifaka:

• simvastatin
• mthombeni

Futhi, ukuthatha kucofe nge-amiodarone kungehlisa inani le-amiodarone emzimbeni wakho, okusho ukuthi ngeke isebenze futhi.

Isidakamizwa sendawo yokubulala izinzwa

Isebenzisa i-lidocaine nge-amiodarone kungadala ukushaya kwenhliziyo okuncane nokuquleka.

Imithi yezinhlungu

Isebenzisa fentanyl nge-amiodarone kunganciphisa ukushaya kwenhliziyo yakho, kwehlise umfutho wegazi, futhi kwehlise inani legazi amaphampu enhliziyo yakho.

Isidakamizwa sokungezwani komzimba sesizini

I-Loratadine kungakhuphula inani le-amiodarone emzimbeni wakho. Lokhu kukubeka engozini enkulu yemiphumela emibi kakhulu evela ku-amiodarone, kufaka phakathi ukushaya kwenhliziyo okungajwayelekile, okungaba yingozi.

Isidakamizwa sokubamba

Ukuthatha mthombeni nge-amiodarone kungehlisa inani le-amiodarone emzimbeni wakho, okusho ukuthi ngeke isebenze futhi.

Isidakamizwa sofuba

Ukuthatha phumlani nge-amiodarone kungehlisa inani le-amiodarone emzimbeni wakho, okusho ukuthi ngeke isebenze futhi.

Ukucatshangelwa okubalulekile kokuthatha i-amiodarone

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-amiodarone tablet tablet.

Jikelele

• Ungathatha lesi sidakamizwa ngokudla noma ngaphandle kokudla. Noma kunjalo, kufanele uthathe ngendlela efanayo isikhathi ngasinye.
• Thatha i-amiodarone ngezikhathi ezifanayo nsuku zonke, ngezikhathi ezithile.

Isitoreji

• Gcina lo muthi ezingeni lokushisa eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• Vikela lesi sidakamizwa ekukhanyeni.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha ibhokisi elinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Uzogadwa eduze ngenkathi uthatha i-amiodarone. Udokotela wakho uzohlola okulandelayo:

• isibindi
• amaphaphu
• yegilo
• amehlo
• inhliziyo

Uzothola ne-X-ray yesifuba nokuhlolwa kwegazi. Udokotela wakho uzokwenza ukuhlolwa kwegazi okuhlola ukuthi ingakanani i-amiodarone esegazini lakho ukuze aqiniseke ukuthi iphephile kuwe.

Ukuzwela kwelanga

I-Amiodarone ingakwenza uzwele kakhulu elangeni. Zama ukugwema ilanga ngenkathi uthatha lo muthi. Gqoka okokuvikela ilanga kanye nezingubo zokuzivikela uma uzoba selangeni.Ungasebenzisi amalambu elanga noma imibhede yokushuka.

Umshuwalense

Izinkampani eziningi zomshuwalense zizodinga ukugunyazwa kwangaphambili ngaphambi kokuba zivume incwadi kadokotela futhi zikhokhele i-amiodarone.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Amanye angahle akulungele wena kunamanye. Khuluma nodokotela wakho ngezinye izindlela ezingenzeka.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.