Ukutshizwa kweKetorolac Nasal

Umxholo

• Ngaphambi kokusebenzisa isitshizi sempumlo se-ketorolac,
• Isitshizi sempumlo se-ketorolac sinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Ketorolac isetyenziselwa ukukhululeka kwexesha elifutshane lokumodareyitha ukuya kwiintlungu ezinzima kwaye akufuneki isetyenziselwe ixesha elingaphezulu kweentsuku ezi-5 zilandelelana, iintlungu ezincinci, okanye iintlungu ezivela kwiimeko ezingapheliyo (zexesha elide). Unokunikwa i-ketorolac ukuba uyithathe ngomlomo okanye ngenaliti ngaphambi kokuba uqale ukusebenzisa i-ketorolac nasal spray. Kuya kufuneka uyeke ukusebenzisa i-nasal ketorolac ngosuku lwesihlanu emva kokufumana idosi yakho yokuqala ye-ketorolac nangaluphi na uhlobo. Thetha nogqirha wakho ukuba usenentlungu emva kweentsuku ezintlanu zonyango nge-ketorolac.

Isitshizi sempumlo se-Ketorolac akufuneki sisetyenziselwe ukudambisa iintlungu kubantwana abaneminyaka eli-17 ubudala nangaphantsi.

Abantu abasebenzisa iziyobisi ezichasayo (i-NSAIDs) (ngaphandle kwe-aspirin) ezifana ne-ketorolac banokuba nomngcipheko ophezulu wokuhlaselwa yintliziyo okanye ukubetha kunabantu abangasebenzisi la mayeza. Ezi ziganeko zinokwenzeka ngaphandle kwesixwayiso kwaye zingabangela ukufa. Lo mngcipheko unokuphakama kubantu abasebenzisa ii-NSAID ixesha elide. Xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho ukhe unesifo sentliziyo, isifo sentliziyo, okanye isifo sohlangothi okanye i-'servroke '; ukuba uyatshaya; kwaye ukuba ukhe wanayo i-cholesterol ephezulu, uxinzelelo oluphezulu lwegazi, ukopha okanye iingxaki zokunqanda igazi, okanye isifo seswekile. Fumana uncedo lwezonyango olungxamisekileyo kwangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: iintlungu zesifuba, ukuphefumla kancinci, ukuba ndindisholo okanye ubuthathaka kwelinye icala okanye kwicala lomzimba, unengxaki yokubona kwelinye okanye omabini amehlo, unengxaki yokuhamba okanye ulahleko lomlinganiso okanye ulungelelwaniso , intloko ebukhali ngaphandle kwesizathu esaziwayo, okanye intetho engacacanga.

Ukuba uza kuba nomthambo we-coronary bypass graft (CABG; uhlobo lotyando lwentliziyo), akufuneki usebenzise i-ketorolac kanye phambi okanye emva kotyando.

Ii-NSAID ezinje nge-ketorolac zinokubangela izilonda, ukopha, okanye imingxunya esiswini okanye emathunjini. Ezi ngxaki zinokuvela nanini na ngexesha lonyango, zinokwenzeka ngaphandle kweempawu zesilumkiso, kwaye zinokubangela ukufa. Umngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide, badala kune-65 yeminyaka ubudala, banempilo enkenenkene, basele utywala, okanye batshaye ngelixa besebenzisa ketorolac. Xelela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: ii-anticoagulants ('blood thinner') ezifana ne-warfarin (Coumadin); iasprini; okanye ii-steroids zomlomo ezifana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (Medrol), kunye ne-prednisone (Deltasone); okanye i-serotonin reuptake inhibitors (SSRIs) ekhethiweyo njenge-citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), kunye sertraline (Zoloft). Musa ukuthatha i-aspirin okanye ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn) okanye naziphi na ezinye iindlela ze-ketorolac ngelixa usebenzisa i-ketorolac nasal spray. Xelela ugqirha wakho ukuba ukhe wanaso okanye wakha waba nezilonda okanye ukopha esiswini okanye emathunjini. Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukusebenzisa i-ketorolac kwaye ubize ugqirha wakho: iintlungu zesisu, isilungulela, ukugabha okunegazi okanye okujongeka njengendawo yekofu, igazi elisesitofini, okanye isitulo esimnyama nesokulinda.

I-Ketorolac inokubangela ukwanda komngcipheko wokopha. Kungathatha ixesha elide kunesiqhelo ukuba uyeke ukopha xa usikiwe okanye wonzakele. Tshela ugqirha wakho ukuba ukhe wanesifo sokopha, okanye ukopha kwingqondo yakho. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi i-ketorolac nasal spray. Biza ugqirha wakho ukuba wopha ngokungaqhelekanga okanye ukuba uyawa wenzakala, ngakumbi ukuba ubetha entloko.

I-Ketorolac inokubangela ukusilela kwezintso. Tshela ugqirha wakho ukuba unesifo sezintso okanye sesibindi, ukuba uye wagabha kakhulu okanye urhudo okanye ucinga ukuba unokuphelelwa ngamanzi emzimbeni, kwaye ukuba uthatha i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin), captopril (Capoten) , enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), kunye trandolapril (Mavik); ii-angiotensin II receptor blockers ezinje nge-azilsartan (Edarbi), candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, eHyzaar), olmesartan (Benicar, eAzor), telmisartan (Micardis) kunye ne-valsartan (Diovan, e-Exforge); okanye umchamo ('iipilisi zamanzi'). Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukusebenzisa i-ketorolac kwaye ubize ugqirha wakho: ukudumba kwezandla, iingalo, iinyawo, amaqatha okanye imilenze esezantsi; ukuzuza ubunzima obungachazwanga; ukuncipha kokuchama, ukudideka; okanye ukuxhuzula.

Gcina lonke ixesha lokudibana nogqirha wakho. Qiniseka ukuba uxelela ugqirha wakho indlela oziva ngayo ukuze ugqirha wakho akhuphe inani elifanelekileyo lamayeza ukunyanga imeko yakho ngomngcipheko ophantsi weziphumo ebezingalindelekanga.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwezigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-ketorolac. 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) ukufumana isiKhokelo seyeza.

Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa isitshizi sempumlo se-ketorolac.

Isitshizi sempumlo se-Ketorolac sisetyenziselwa ukukhululeka kwexesha elifutshane lokuqaqanjelwa ngokuphakathi ukuya kwiintlungu ezinzima. I-Ketorolac ikudidi lwamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.

I-Nasal ketorolac iza njengamanzi okutshiza empumlweni. Ihlala isetyenziswa kube kanye kwiiyure ezi-6 ukuya kwezi-8 njengoko kufuneka ukulawula iintlungu ukuya kwiintsuku ezi-5. Sebenzisa isitshizi sempumlo se-ketorolac kanye njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Isitshizi sempumlo seKetorolac sifika kwiibhotile eziqulethe unikezo losuku olunye lwamayeza. Sukusebenzisa ibhotile enye ye-ketorolac spray spray ngaphezulu kosuku olunye. Yilahle ibhotile kwisithuba seeyure ezingama-24 usebenzisa idosi yokuqala, nokuba ibhotile isenamayeza athile. Uya kufumana iibhotile ezaneleyo zamayeza ukuze ube nebhotile entsha oza kuyisebenzisa kusuku ngalunye lonyango.

Ngaphambi kokuba usebenzise i-ketorolac spray spray okokuqala ngqa, funda imiyalelo ebhaliweyo ezayo kunye neyeza. Qiniseka ukuba uyayiqonda indlela yokulungisa ibhotile ngaphambi kokusetyenziswa kokuqala kunye nendlela yokusebenzisa ukutshiza. Buza ugqirha wakho okanye usokhemesti ukuba unayo nayiphi na imibuzo malunga nendlela yokusebenzisa eli yeza.

Isitshizi sempumlo se-Ketorolac sisetyenziselwa impumlo kuphela. Lumka ungafumani iyeza emehlweni akho. Ukuba ufumana ukutshiza nge-ketorolac ngeso lakho, hlamba iliso ngamanzi okanye isisombululo se-saline oyinyumba kwaye ubize ugqirha wakho ukuba ukucaphuka kuhlala ixesha elingaphezulu kweyure.

Unokuba ungaziva ungonwabanga emqaleni wakho emva kokusebenzisa isitshizi sempumlo se-ketorolac. Ukuba oku kuyenzeka, sela intwana yamanzi.

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

Ngaphambi kokusebenzisa isitshizi sempumlo se-ketorolac,

• Tshela ugqirha wakho ukuba uxabisa i-ketorolac, i-aspirin okanye ezinye i-NSAID ezifana ne-ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn), nawaphi na amanye amayeza, okanye i-ethylendiamine tetraacetic acid (EDTA; isithako esifumaneka kwezinye ukutya kunye namayeza) , okanye naziphi na ezinye izithako kwi-ketorolac nasal spray spray. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha ipentoxifylline (Pentoxil, Trental) okanye probenecid. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi i-ketorolac nasal spray xa uthatha la mayeza.
• 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 amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zinto zilandelayo: carbamazepine (Epitol, Tegretol); lithium (Eskalith, Lithobid); imethotrexate (Rheumatrex, Trexall); phenytoin (Dilantin, Phenytek); okanye thiothixene (Navane). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ubukhe wanazo okanye ubukhe wanemiqathango edweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO okanye isifuba, ingakumbi ukuba uhlala unezinto ezivaliweyo okanye iimpumlo ezivuzayo okanye iipolyps zempumlo (ukudumba kwenwebu yempumlo), isifo samathumbu esivuthayo njengeCrohn's isifo (imeko apho umzimba uhlasela ubume bendlela yokwetyisa, ebangela iintlungu, urhudo, ukwehla kobunzima, kunye nomkhuhlane) okanye i-ulcerative colitis (imeko ebangela ukudumba kunye nezilonda kumngxunya wekholoni [amathumbu amakhulu] kunye ne-rectum ).
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. Isitshizi sempumlo se-Ketorolac sinokwenzakalisa umntwana ongekazalwa kwaye sibangele iingxaki ekuhanjisweni ukuba sisetyenziswe malunga neeveki ezingama-20 okanye kamva xa ukhulelwe. Sukusebenzisa isitshizi sempumlo se-ketorolac ujikeleze okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe ngugqirha ukuba wenze njalo. Ukuba ukhulelwa ngelixa usebenzisa i-ketorolac nasal spray, biza ugqirha wakho.
• Ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-ketorolac nasal spray.

Qinisekisa ukuba usela amanzi amaninzi ngelixa usebenzisa i-ketorolac nasal spray.

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

Eli yeza lihlala lisetyenziswa xa kufuneka njalo. Ukuba ugqirha wakho ukuxelele ukuba usebenzise i-ketorolac nasal spray spray rhoqo, sebenzisa idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukusebenzisa idosi ephindwe kabini ukwenza eyilahlekileyo.

Isitshizi sempumlo se-ketorolac sinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intlungu, ukungonwabi, okanye ukucaphuka empumlweni
• ukwanda kweenyembezi
• ukucaphuka emqaleni wakho

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:

• irhashalala
• urhwebo
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• ukudinwa
• ukudinwa kakhulu
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• mthubi wamehlo okanye ulusu
• Iimpawu ezinjengomkhuhlane
• ifiva
• ukudumba okanye ukuxobuka kolusu
• ukubetha kwentliziyo kancinci

Isitshizi sempumlo se-ketorolac sinokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa 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 nelanga elithe ngqo, ubushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

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

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.

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:

• isisu esibuhlungu
• isicaphucaphu
• ukugabha
• ukuncipha kokuchama
• enegazi, emnyama, okanye ilindle
• ukugabha okunegazi okanye okujongeka njengendawo yekofu
• ukozela
• ukuphefumla okucothayo
• isiqaqa (ukulahleka kwengqondo ixesha elithile)

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela omnye umntu asebenzise amayeza akho. Lo myalelo awugcwaliseki. Ukuba uqhubeka unentlungu emva kokuba ugqibile ukusebenzisa isitshizi sempumlo se-ketorolac, tsalela ugqirha wakho.

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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