Clopidogrel

Umxholo

• Ngaphambi kokuba uthathe i-clopidogrel,
• IClopidogrel inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

IClopidogrel kufuneka itshintshwe ibe yimo esebenzayo emzimbeni wakho ukuze inyange imeko yakho. Abanye abantu abayitshintshi i-clopidogrel kwifom yayo esebenzayo emzimbeni nakwabanye abantu. Ngenxa yokuba amayeza awasebenzi kakuhle kwaba bantu, banokuba semngciphekweni omkhulu wokuba nesifo sentliziyo okanye ukubetha. Kukho iimvavanyo ezikhoyo zokuchonga abantu abanengxaki yokutshintsha i-clopidogrel kwifomu esebenzayo. Thetha nogqirha wakho malunga nokuba kufuneka uvavanyiwe na. Ukuba ufumene ubunzima ekuguquleni i-clopidogrel kwifom yayo esebenzayo, ugqirha wakho unokutshintsha idosi yakho ye-clopidogrel okanye akuxelele ukuba ungathathi i-clopidogrel.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-clopidogrel kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-clopidogrel.

I-Clopidogrel isetyenziswa yodwa okanye ine-aspirin ukukhusela iingxaki ezinzulu okanye ezisongela ubomi ngentliziyo kunye nemithambo yegazi kubantu abanesifo sokubethwa, isifo sentliziyo, okanye iintlungu zesifuba. Oku kubandakanya abantu abanongenelelo ngoncedo lwe-coronary percutaneous (PCI; angioplasty; uhlobo lotyando lwentliziyo) olunokubandakanya ukufaka i-coronary stents (iityhubhu zentsimbi ezenziwa ngotyando zifakwe kwimithambo yegazi evaliweyo ukuphucula ukuhamba kwegazi) okanye abo bane-coronary artery bypass grafting (CABG; a uhlobo lotyando lwentliziyo). I-Clopidogrel ikwasetyenziselwa ukuthintela iingxaki ezinzulu okanye ezisongela ubomi ngentliziyo kunye nemithambo yegazi kubantu abanezifo zesifo semithambo (ukungahambi kakuhle kwimithambo yegazi ebonelela ngegazi emilenzeni). UClopidogrel ukwiklasi yamayeza abizwa ngokuba ngamayeza e-antiplatelet. Isebenza ngokuthintela iiplatelets (uhlobo lweseli yegazi) ekuqokeleleni nasekudaleni amahlwili anokubangela isifo sentliziyo okanye ukubetha.

IClopidogrel iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye ngemini kunye okanye ngaphandle kokutya. Thatha i-clopidogrel malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-clopidogrel ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

I-Clopidogrel iyakunceda ukuthintela iingxaki ezinzulu ngentliziyo yakho kunye nemithambo yegazi kuphela ukuba uthatha iyeza. Qhubeka uthathe i-clopidogrel nokuba uziva uphilile. Sukuyeka ukuthatha i-clopidogrel ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ukuthatha i-clopidogrel, kukho umngcipheko ophezulu wokuba unokuhlaselwa sisifo sentliziyo okanye ukubetha. Ukuba une-stent, kukwakhona umngcipheko ophezulu wokuba unokukhulisa i-clot yegazi kwi-stent ukuba uyeka ukuthatha i-clopidogrel kwakamsinya.

I-Clopidogrel ngamanye amaxesha isetyenziselwa ukuthintela amahlwili egazi kubantu abane-atrial fibrillation (imeko apho intliziyo ibetha ngokungaqhelekanga). Thetha nogqirha wakho malunga neengozi zokusebenzisa la mayeza kwimeko yakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-clopidogrel,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba u-aleji kwi-clopidogrel, prasugrel (Effient), ticlopidine, nawaphi na amanye amayeza, okanye nasiphi na isithako kwiipilisi ze-clopidogrel. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezinjenge-ibuprofen (Advil, Motrin), kunye ne-naproxen (Aleve, Naprosyn); ililostazol; esomeprazole (Nexium); i-etravirine (ukungakhathali); omeprazole (Prilosec, Prilosec OTC, iZegerid); amayeza athile opiate okhohlela njenge-codeine (e-Triacin-C, e-Tuzistra XR, abanye) okanye i-hydrocodone (i-Hycodan, i-Tussicaps) okanye iintlungu ezifana ne-codeine (e-Fioricet, e-Trezix), i-fentanyl (i-Actiq, i-Duragesic, i-Subsys, ezinye ), hydrocodone (Hysingla, Zohydro, eAnexsia, eNorco), meperidine (Demerol), morphine (Duramorph, Kadian), okanye oxycodone (ePercocet, eRoxicet, abanye); repaglinide (Prandin, kwi Prandimet); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (i-Celexa), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), kunye ne-sertraline (i-Zoloft); kunye nokukhetha i-serotonin / norepinephrine reuptake inhibitors (SNRIs) enje nge-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), sibutramine (engasekho e-US; Meridia), kunye ne-venlafaxine (Effexor). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba unezilonda ezophayo (izilonda ezisemgceni wesisu okanye amathumbu amancinci aphumayo), ukopha engqondweni, okanye nayiphi na imeko ebangela ukopha kakhulu. Ugqirha wakho unokukuxelela ukuba akufuneki uthathe i-clopidogrel.
• xelela ugqirha wakho ukuba usandul 'ukonzakala kwaye ukuba ukhe unesifo sesibindi okanye sezintso okanye nayiphi na imeko enokubangela ukopha, kubandakanya iingxaki zesisu ezinjengezilonda.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-clopidogrel, biza ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-clopidogrel. Ugqirha wakho unokukuxelela ukuba uyeke ukuthatha i-clopidogrel ubuncinci kwiintsuku ezi-5 ngaphambi kotyando lwakho ukunqanda ukopha kakhulu ngexesha lotyando. Ugqirha wakho uza kukuxelela ukuba uqale nini ukuthatha i-clopidogrel kwakhona emva kotyando lwakho.
• Kuya kufuneka uyazi ukuba wopha ngokulula okanye ixesha elide kunesiqhelo ngelixa uthatha i-clopidogrel. Lumka ungazisiki okanye uzenzakalise ngelixa uthatha i-clopidogrel.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

IClopidogrel inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukudinwa kakhulu
• intloko ebuhlungu
• isiyezi
• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• urhudo
• impumlo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

• urhwebo
• irhashalala
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• izitulo ezimnyama kunye nokulinda
• Igazi elibomvu ilindle
• ukugabha okunegazi
• ukugabha okujongeka njengendawo yekofu
• ukopha okungaqhelekanga okanye ukugruzuka
• umchamo opinki okanye omdaka
• intetho ecothayo okanye enzima
• ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
• utshintsho kumbono
• ifiva
• ukuqhawukelwa ngumphefumlo
• ukubetha kwentliziyo ngokukhawuleza
• ulusu oluthuthu
• amabala amfusa okanye ukopha phantsi kolusu
• ukudideka
• mthubi ulusu okanye amehlo
• ukuxhuzula

IClopidogrel inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• ukugruzuka okanye ukopha okungaqhelekanga

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

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