IValsartan kunye neSacubitril
Umxholo
- Ngaphambi kokuba uthathe i-valsartan kunye ne-sacubitril,
- IValsartan kunye ne-sacubitril zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu okanye ezo zidweliswe kwiCandelo LOKUKHUSELEKILEYO, Biza ugqirha ngoko nangoko:
Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Musa ukuthatha indibaniselwano ye-valsartan kunye ne-sacubitril ukuba ukhulelwe. Ukuba ukhulelwa ngelixa uthatha i-valsartan kunye ne-sacubitril, yeka ukuthatha i-valsartan kunye ne-sacubitril kwaye ubize ugqirha ngoko nangoko. Indibaniselwano ye-valsartan kunye ne-sacubitril inokubangela ukufa okanye ukwenzakala okukhulu kumntwana ongekazalwa xa kuthathwe kwiinyanga ezi-6 zokugqibela zokukhulelwa.
Indibaniselwano ye-valsartan kunye ne-sacubitril zihlala zisetyenziswa ngokudibanisa namanye amayeza ukunciphisa umngcipheko wokufa kunye nokulaliswa esibhedlele kubantu abadala abaneentlobo ezithile zentliziyo yokusilela. Indibaniselwano ye-valsartan kunye ne-sacubitril ikwasetyenziselwa ukunyanga iintlobo ezithile zokusilela kwentliziyo kubantwana abanonyaka ubudala nangaphezulu. IValsartan ikudidi lwamayeza abizwa ngokuba zii-angiotensin II receptor antagonists. Isebenza ngokuthintela isenzo sezinto ezithile zendalo eziqinisa imithambo yegazi, ivumela igazi ukuba lihambe ngokutyibilikayo kwaye nentliziyo ukuba impompe ngokufanelekileyo. I-Sacubitril ikudidi lwamayeza abizwa ngokuba yi-neprilysin inhibitors. Isebenza ukunceda ukulawula umthamo wegazi.
Umdibaniso we-valsartan kunye ne-sacubitril iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kabini ngemini kunye okanye ngaphandle kokutya. Ukukunceda ukhumbule ukuthatha indibaniselwano ye-valsartan kunye ne-sacubitril, yithathe ngamaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-valsartan kunye ne-sacubitril ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Ukuba wena okanye umntwana wakho aninakho ukuginya iipilisi, usokhemesti wakho angalilungiselela eli yeza njengokumiswa ngomlomo (ulwelo). Shake ibhotile yokumiswa kakuhle ngaphambi kwethamo ngalinye.
Ugqirha wakho unokukuqala ngedosi esezantsi ye-valsartan kunye ne-sacubitril kwaye ngokuthe ngcembe wandise idosi yakho.
Indibaniselwano ye-valsartan kunye ne-sacubitril ilawula ukusilela kwentliziyo kodwa ayiyinyangi. Qhubeka uthathe i-valsartan kunye ne-sacubitril nokuba uziva uphilile. Sukuyeka ukuthatha i-valsartan kunye ne-sacubitril ngaphandle kokuthetha nogqirha wakho.
Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-valsartan kunye ne-sacubitril,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa (ukudumba kobuso, imilebe, ulwimi, okanye umqala, okanye ukuphefumla nzima) kwi-valsartan, ezinye ii-angiotensin receptor blockers (ARB) ezinje nge-azilsartan (Edarbi, e-Edarbyclor), i-candesartan (Atacand, kwi-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, e-Benicar HCT, e Tribenzor), telmisartan (Micardis, e Micardis HCT, e Twynsta); i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, e Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (e Prinzide, e Zestoretic), moexipril (Univasc, in Unopic) , Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), okanye trandolapril (Mavik, eTarka); isaga nawaphi na amanye amayeza; okanye nasiphi na isithako esenziwe kwiipilisi ze-valsartan kunye ne-sacubitril. Buza usokhemesti wakho uluhlu lwezithako.
- xelela ugqirha wakho ukuba unesifo seswekile (uneswekile ephezulu yegazi) kwaye uthatha i-aliskiren (Tekturna, Tekturna HCT). Ugqirha wakho uya kukuxelela ukuba ungathathi i-valsartan kunye ne-sacubitril; ukuba unesifo seswekile kwaye uthatha i-aliskiren. Xelela ugqirha wakho okanye usokhemesti ukuba uthatha i-ACE inhibitor enje nge-benazepril (Lotensin, eLotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (in Prinzide, in Zestoretic), moexipril (Univasc, in Uniretic ), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), okanye trandolapril (Mavik, eTarka), okanye ukuba uyekile ukuthatha i-ACE inhibitor kwiiyure ezingama-36 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba ungathathi i-valsartan kunye ne-sacubitril ukuba uthatha i-ACE-inhibitor.
- 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 oku kulandelayo: i-ARB efana ne-azilsartan (Edarbi, e-Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (IBenicar, eAzor, kwiBenicar HCT, eTribenzor), telmisartan (Micardis, eMicardis HCT, eTwynsta); i-aspirin kunye nezinye iyeza ezichasayo (i-NSAIDs) ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn) kunye ne-COX-2 inhibitors ekhethiweyo njenge-celecoxib (Celebrex); i-diuretics ('iipilisi zamanzi'), kubandakanya i-potassium-sparing diuretics efana ne-amiloride (Midamor), spironolactone (Aldactone, e-Aldactazide), kunye ne-triamterene (Dyrenium, eDyazide, eMaxzide); gemfibrozil (iLopid); amanye amayeza okunyanga uxinzelelo lwegazi oluphezulu okanye ingxaki yentliziyo; lithium (Lithobid); kunye neepotassium. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho ukuba unayo okanye wakha wanalo i-angioedema yelifa. isifo seswekile okanye izintso, okanye isifo sesibindi.
- xelela ugqirha wakho ukuba uncelisa. Musa ukuncancisa ngelixa uthatha i-valsartan kunye ne-sacubutril.
- Kuya kufuneka uyazi ukuba i-valsartan kunye ne-sacubutril inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-valsartan kunye ne-sacubitril. Ukunceda ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
- Kuya kufuneka uyazi ukuba urhudo, ukugabha, ukungaseli manzi ngokwaneleyo, kunye nokubila kakhulu kunokubangela ukwehla koxinzelelo lwegazi, olunokubangela ukuba ube nobunzima kwaye ufe isiqaqa. Tshela ugqirha wakho ukuba unayo nayiphi na kwezi ngxaki okanye uziphuhlise ngexesha lonyango lwakho.
Sukusebenzisa iityuwa ezibambe i-potassium ngaphandle kokuthetha nogqirha wakho. Ukuba ugqirha wakho ukumisela ukutya okunetyuwa encinci okanye ukutya okunesodiyamu encinci, landela le miyalelo ngononophelo.
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.
IValsartan kunye ne-sacubitril zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- ukukhohlela
- ukudinwa kakhulu
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu okanye ezo zidweliswe kwiCandelo LOKUKHUSELEKILEYO, Biza ugqirha ngoko nangoko:
- irhashalala
- ukurhawuzelela
- ukudumba kwemilebe, ulwimi, ubuso, okanye umqala
- ubunzima bokuphefumla
Ukudityaniswa kwe-valsartan kunye ne-sacubitril kunokubangela 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. Gcina iitafile kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Gcina ibhotile yokumiswa ngomlomo kubushushu begumbi ukuya kwiintsuku ezili-15; sukuyifaka efrijini.
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.
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho angayalela iimvavanyo ezithile zelebhu ukujonga impendulo yomzimba wakho kwi-valsartan nakwi-sacubitril.
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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