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Why has Ranitidine Been Banned
Ividiyo: Why has Ranitidine Been Banned

Umxholo

[Ngeposi 04/01/2020]

KHUPHA: I-FDA ibhengeze ukuba icela abavelisi ukuba bayirhoxise yonke imishanguzo kunye ne-over-the-counter (OTC) iziyobisi ze-ranitidine ezivela kwintengiso kwangoko.

Eli linyathelo lakutsha nje kuphando oluqhubayo lwesingcolisi esaziwa njenge-N-Nitrosodimethylamine (NDMA) kumayeza e-ranitidine (eyaziwa njengegama uZantac). I-NDMA yinto enokubangela i-carcinogen yabantu (into enokubangela umhlaza). I-FDA igqibe kwelokuba ukungcola kwezinye iimveliso ze-ranitidine kuyanda ngokuhamba kwexesha kwaye xa kugcinwe kubushushu obungaphezulu kwegumbi kunokubangela ukubonakaliswa kwabathengi kumanqanaba angamkelekanga oku kungcola. Ngenxa yesicelo sokurhoxiswa kwemarike kwangoko, iimveliso ze-ranitidine azizukufumaneka kwimigqaliselo emitsha okanye esele ikho okanye ukusetyenziswa kwe-OTC eMelika.

Imvelaphi: I-Ranitidine yi-histamine-2 blocker, eyehlisa inani le-asidi eyenziwe sisisu. I-ranitidine yonyango yamkelwe kwizalathiso ezininzi, kubandakanya unyango kunye nokuthintela izilonda zesisu kunye namathumbu kunye nonyango lwe-reflux yesifo se-gastroesophageal.


UKUQONDA:

  • Abathengi: I-FDA ikwacebisa abathengi ukuba bathathe i-OTC ranitidine ukuba bayeke ukuthatha naziphi na iipilisi okanye ulwelo abanalo ngoku, balahle ngokufanelekileyo kwaye bangathengi ngaphezulu; kwabo banqwenela ukuqhubeka nokunyanga imeko yabo, kufuneka baqwalasele ukusebenzisa ezinye iimveliso ze-OTC ezivunyiweyo.
  • Izigulana: Izigulana ezithatha amayeza e-ranitidine kufuneka zithethe noochwephesha bezonyango malunga nezinye iindlela zonyango ngaphambi kokuyeka iyeza, kuba kukho iziyobisi ezininzi ezivunyiweyo ukuze zisetyenziswe ngokufanayo okanye njenge-ranitidine engenabungozi bufanayo kwi-NDMA. Ukuza kuthi ga ngoku, uvavanyo lwe-FDA alukafumani i-NDMA kwi-famotidine (Pepcid), cimetidine (Tagamet), esomeprazole (Nexium), lansoprazole (Prevacid) okanye omeprazole (Prilosec).
  • Abathengi kunye nezigulana:Ngokubheka ubhubhane we-COVID-19 wangoku, i-FDA icebisa abaguli kunye nabathengi ukuba bangawathathi amayeza abo kwindawo yokubuyisela iziyobisi kodwa balandele amanyathelo acetyiswayo e-FDA, afumaneka ku: https://bit.ly/3dOccPG, ezibandakanya iindlela ukulahla ngokukhuselekileyo la mayeza ekhaya.

Ngolwazi oluthe kratya ndwendwela iwebhusayithi ye-FDA apha: http://www.fda.gov/Safety/MedWatch/SafetyInformation kunye ne-http: //www.fda.gov/Drugs/DrugSafety.


I-Ranitidine isetyenziselwa ukunyanga izilonda; isifo se-reflux se-gastroesophageal (GERD), imeko apho ukubuyela umva kwe-asidi esiswini kubangela ukutsha kunye nokwenzakala kombhobho wokutya (umqala); kunye neemeko apho isisu sivelisa i-asidi eninzi, njenge-Zollinger-Ellison syndrome. I-overit-counter-ranitidine isetyenziselwa ukukhusela nokunyanga iimpawu zentliziyo ebangelwa kukungaginywa kwe-asidi kunye nesisu esimuncu. URanitidine ukwiklasi yamayeza abizwa ngokuba nguH2 iibhlokhi. Iyanciphisa inani le-asidi eyenziwe esiswini.

I-Ranitidine iza njengecwecwe, ithebhulethi ephumelelayo, iigrisi ezigubungeleyo, kunye nesiraphu oza kuyithatha ngomlomo. Ihlala ithathwa kanye ngemini ngexesha lokulala okanye amaxesha amabini okanye amane ngosuku. I-overit-counter i-ranitidine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Ukuthintela iimpawu, kuthathwa imizuzu engama-30 ukuya kwengama-60 ngaphambi kokutya okanye ukusela ukutya okubangela ukutsha. Landela umkhombandlela kumyalelo wakho okanye kwileyibhile yephakheji ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-ranitidine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


Dissolve ranitidine effervescent tablets and granules in full glass (6 to 8 ounces [180 to 240 milliliters]) zamanzi phambi kokusela.

Sukuyisebenzisa i-counter-the-counter ranitidine ngaphezulu kweeveki ezi-2 ngaphandle kokuba ugqirha ukuxelele.Ukuba iimpawu zentlungu, i-acid indigestion, okanye isisu esimuncu sihlala ixesha elide kuneeveki ezimbini, yeka ukuthatha i-ranitidine kwaye ubize ugqirha wakho.

I-Ranitidine ikwasetyenziselwa ngamanye amaxesha ukunyanga ukopha okuphezulu kwesisu kunye nokuthintela izilonda zoxinzelelo, ukonakala kwesisu ekusebenziseni iziyobisi ezingezizo ezokulwa nokudumba (i-NSAIDs), kunye nomnqweno wesisu esiswini ngexesha lokubulawa komzimba. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-ranitidine,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uyaliwa yi-ranitidine okanye amanye amayeza.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo. Qiniseka ukuba ukhankanya enye yezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin); kunye netriazolam (Halcion). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba unayo okanye wakha wanayo i-porphyria, phenylketonuria, okanye isifo sezintso okanye sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-ranitidine, tsalela ugqirha wakho.

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.

I-Ranitidine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • intloko ebuhlungu
  • ukuqhina
  • urhudo
  • isicaphucaphu
  • ukugabha
  • isisu esibuhlungu

I-Ranitidine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

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.

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-ranitidine.

Ungavumeli 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.

  • Kwintetho®
  • Zantac®
  • Zantac® 75
  • Zantac® I-EFFERdose®
  • Zantac® Isiraphu

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-04/15/2020

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