Itolmetin

Umxholo

• Ngaphambi kokuba uthathe i-tolmetin,
• I-Tolmetin 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, okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza. Musa ukuthatha enye i-tolmetin de uthethe nogqirha wakho:

Abantu abathatha amayeza angasebenziyo (anti-inflammatory) (ii-NSAIDs) (ngaphandle kwe-aspirin) ezinjenge-tolmetin banokuba semngciphekweni omkhulu wokuhlaselwa sisifo sentliziyo okanye ukubethwa ngabantu kunabantu abangayithathiyo le mayeza. Ezi ziganeko zinokwenzeka ngaphandle kwesixwayiso kwaye zingabangela ukufa. Lo mngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide. Musa ukuthatha i-NSAID enje nge-tolmetin ukuba ubusandula ukuba nesifo sentliziyo, ngaphandle kokuba uyalelwe ngugqirha. Xelela ugqirha wakho ukuba wena okanye omnye umntu kusapho lwakho ukhe unesifo sentliziyo, isifo sentliziyo, okanye ukubethwa sistroke, ukuba uyatshaya, nokuba unayo okanye wakha wanayo i-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, okanye isifo seswekile. Fumana uncedo lonyango olungxamisekileyo kwangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: iintlungu esifubeni, ukuphefumla kancinci, ukuba buthathaka kwelinye icala okanye icala lomzimba, okanye intetho egoso.

Ukuba uya kuba nomthambo we-coronary bypass graft (CABG; uhlobo lotyando lwentliziyo), akufuneki uthathe i-tolmetin kanye ngaphambi okanye emva kotyando.

Ii-NSAID ezinje nge-tolmetin 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, bakhulile ngeminyaka, banempilo enkenenkene, okanye basele utywala kakhulu ngelixa bethatha i-tolmetin. Xelela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: ii-anticoagulants ('blood thinner') ezinjenge-warfarin (Coumadin, Jantoven); iasprini; ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) kunye neaproxen (Aleve, Naprosyn); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) kunye ne-sertraline (i-Zoloft); okanye i-serotonin norepinephrine reuptake inhibitors (i-SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), kunye ne-venlafaxine (Effexor XR). Xelela ugqirha wakho ukuba unayo okanye wakha waba nezilonda, ukopha esiswini okanye emathunjini, okanye ezinye iingxaki zokopha. Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-tolmetin kwaye ubize ugqirha wakho: iintlungu zesisu, ukuqaqanjelwa yintliziyo, ukugabha into enegazi okanye ebonakala ngathi yindawo yekhofi, igazi esitulweni, okanye isitulo esimnyama nesokulinda.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kujonga iimpawu zakho ngononophelo kwaye uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-tolmetin. 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 lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-tolmetin 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) ukufumana isiKhokelo seyeza.

I-Tolmetin isetyenziselwa ukuphelisa iintlungu, ukuthamba, ukudumba, kunye nokuqina okubangelwa yi-osteoarthritis (isifo samathambo esibangelwa kukuwohloka kwemigca yamalungu) kunye nesifo samathambo (isifo samathambo esibangelwa kukudumba kwethambo lamalungu). I-Tolmetin ikwasetyenziselwa ukunciphisa iintlungu, ukuthamba, ukudumba, kunye nokuqina okubangelwa yintsholongwane ye-rheumatoid arthritis kubantwana abaneminyaka emi-2 ubudala nangaphezulu. I-Tolmetin ikudidi lwamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.

I-Tolmetin iza njengecwecwe kunye necapsule ukuyithatha ngomlomo. Abantu abadala bahlala bethatha i-tolmetin kathathu ngemini kwisisu esingenanto, kwaye abantwana abadala kuneminyaka emi-2 ubudala bahlala bethatha i-tolmetin kathathu okanye kane ngemini kwisisu esingenanto. Thatha i-tolmetin malunga namaxesha afanayo yonke imihla. Kukulungele ukuthatha idosi yokuqala yosuku emva kokuvuka ekuseni kunye nokuthatha idosi yokugqibela yosuku ngaphambi kokulala. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-tolmetin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Tshela ugqirha wakho ukuba i-tolmetin iyakucaphukisa isisu sakho. Ugqirha wakho unokukuxelela ukuba uthathe i-tolmetin ngesithinteli ukukhusela isisu. Ugqirha wakho uza kukuxelela ukuba zeziphi ii-antacids ezikhuselekileyo ukuthatha nge-tolmetin.

I-Tolmetin inokunceda ukulawula iimpawu zakho kodwa ayizukuyinyanga imeko yakho. Iimpawu zakho zinokuphuculwa kwiveki enye emva kokuba uqale ukuthatha i-tolmetin, kodwa kunokuthatha iiveki ezininzi okanye ngaphezulu ukuba uve isibonelelo esipheleleyo samayeza. Thetha nogqirha wakho malunga nendlela i-tolmetin esebenza ngayo kuwe.

I-Tolmetin ikwasetyenziselwa ukunyanga i-ankylosing spondylitis (isifo samathambo esichaphazela kakhulu umqolo). Ngamanye amaxesha kusetyenziselwa ukunyanga iimeko ezithile ezibangela uxinzelelo lwemisipha okanye ukudumba egxalabeni okanye engqinibeni kunye nokulimala njengokuphamba kutshanje.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-tolmetin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-tolmetin, i-aspirin, okanye ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) kunye ne naproxen (Aleve, Naprosyn), nawaphi na amanye amayeza, okanye naziphi na izinto ezingasebenziyo kwiipilisi ze-tolmetin okanye kwiicapsule. Buza usokhemesti wakho uluhlu lwezinto ezingasebenziyo.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: i-enzyme eguqula i-angiotensin (ACE) enjenge-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, e-Vaseretic), i-fosinopril, i-lisinopril ( kwiZestoretic), moexipril (Univasc), perindopril (Aceon, Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), kunye netrandolapril (Mavik, eTarka); ii-angiotensin receptor blocker ezinje ngecandesartan (Atacand, eAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, eAzor, e-Benicar HCT, e-Tribenzor), telmisartan (Micardis, kwi Micardis HCT, e Twynsta), kunye ne valsartan (kwi Exforge HCT); umchamo ('iipilisi zamanzi'); lithium (Lithobid); kunye ne-methotrexate (Otrexup, Rasuvo, Trexall). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanayo nayiphi na imiqathango ekhankanywe kwicandelo LESILUMKISO ELIBALULEKILEYO okanye isifuba, ingakumbi ukuba uhlala unezinto ezixineneyo okanye iimpumlo ezivuzayo okanye iipolyps zempumlo (ukudumba kwempumlo yempumlo); ukumelwa yintliziyo; ukudumba kwezandla, iinyawo, amaqatha, okanye imilenze esezantsi; okanye isibindi okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. I-Tolmetin inokulimaza umbungu kwaye ibangele iingxaki ekuhanjisweni ukuba ithathwa malunga neeveki ezingama-20 okanye kamva ngexesha lokukhulelwa. Musa ukuthatha i-tolmetin ujikeleze okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe njalo ngugqirha wakho. Ukuba ukhulelwa ngelixa uthatha i-tolmetin, tsalela ugqirha wakho.
• thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-tolmetin ukuba uneminyaka engama-75 ubudala okanye ngaphezulu. Sukuthatha la mayeza ixesha elide okanye ngedosi ephezulu kunokuba ucetyisiwe ngugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-tolmetin.
• Kuya kufuneka uyazi ukuba eli chiza linokukwenza ube nesiyezi. Sukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela ekuchaphazela ngayo oku.

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

• urhudo
• ukuqhina
• irhasi
• ubunzima okanye ukulahleka
• intloko ebuhlungu
• ukudakumba
• ukucaphuka kolusu
• kukhala ezindlebeni

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza. Musa ukuthatha enye i-tolmetin de uthethe nogqirha wakho:

• utshintsho kumbono
• ukuzuza ubunzima obungachazwanga
• ukuphefumla kancinci okanye ukuphefumla nzima
• ukudumba kwesisu, iinyawo, amaqatha okanye imilenze esezantsi
• ifiva
• amadyungudyungu
• irhashalala
• ukurhawuzelela
• urhwebo
• ukudumba kwamehlo, ubuso, imilebe, ulwimi, umqala, iingalo, okanye izandla
• kunzima ukugwinya
• ukudinwa
• mthubi ulusu okanye amehlo
• ukudinwa kakhulu
• ukopha okungaqhelekanga okanye ukugruzuka
• ukunqongophala kwamandla
• isisu esimoshakele
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• Iimpawu ezinjengomkhuhlane
• ulusu oluthuthu
• ukubetha kwentliziyo ngokukhawuleza
• kunamafu, kucace umbala, okanye umchamo onegazi
• umqolo obuhlungu
• ukuchama kunzima okanye kubuhlungu

I-Tolmetin 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).

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.

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

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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• Itolectin^® I-DS^¶

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.