Sulindac

Umxholo

• Ngaphambi kokuba uthathe i-sulindac,
• I-Sulindac 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-sulindac de uthethe nogqirha wakho:
• Iimpawu libanda kungaquka oku kulandelayo:

Abantu abathatha amayeza angasebenziyo (anti-inflammatory) (ii-NSAIDs) (ngaphandle kwee-aspirin) ezinje nge-sulindac banokuba semngciphekweni omkhulu wokuhlaselwa sisifo sentliziyo okanye ukubethwa ngabantu kunabantu abangathathi la mayeza. Ezi ziganeko zinokwenzeka ngaphandle kwesixwayiso kwaye zingabangela ukufa. Lo mngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide. Musa ukuthatha i-NSAID enje nge-sulindac 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-sulindac kanye ngaphambi okanye emva kotyando.

Ii-NSAID ezinje nge-sulindac 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 uthatha i-sulindac. Xelela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: ii-anticoagulants ('blood thinner') ezinjenge-warfarin (Coumadin, Jantoven); iasprini; ezinye ii-NSAID ezinje nge-diflunisal, ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn), okanye i-oral steroids efana ne-dexamethasone, methylprednisolone (Medrol), 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 okanye ukopha esiswini okanye emathunjini, okanye ezinye iingxaki zokopha. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-sulindac 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 kuthi aodole iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-sulindac. 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-sulindac 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.

I-Sulindac isetyenziselwa ukuphelisa iintlungu, ukuthamba, ukudumba, kunye nokuqina okubangelwa yi-osteoarthritis (isifo samathambo esibangelwe kukuwa kwamalungu), isifo samathambo (isifo samathambo esibangelwa kukudumba kwamalungu), kunye ne-ankylosing spondylitis (isifo samathambo) echaphazela kakhulu umqolo). I-Sulindac ikwasetyenziselwa ukunyanga iintlungu egxalabeni elibangelwa yi-bursitis (ukudumba kwengxowa egcwele ulwelo kumdibaniso wamagxa) kunye ne-tendinitis (ukudumba kwethishu edibanisa umsipha nethambo). Isetyenziselwa ukunciphisa i-gouty arthritis (uhlaselo lwentlungu edibeneyo kunye nokudumba okubangelwa kukwakhiwa kwezinto ezithile kumalungu). I-Sulindac ikwiklasi yamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.

I-Sulindac iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa ngokutya kabini ngemini. Thatha i-sulindac macala onke ngamaxesha afanayo. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-sulindac ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

I-Sulindac inceda ukulawula iintlungu zesifo samathambo kodwa ayinyangi isifo samathambo. Ukuba uthatha i-sulindac ukunyanga iintlungu zesifo samathambo, kunokuthatha iveki enye okanye ngaphezulu ngaphambi kokuba uzive uncedo olupheleleyo lwe-sulindac.

I-Sulindac ngamanye amaxesha isetyenziselwa ukunciphisa inani le-polyps (ukukhula okungaqhelekanga) kwikholoni (amathumbu amakhulu) kunye ne-rectum kwizigulana ezine-adenomatous polyposis (imeko apho amakhulu okanye amawaka eepolyps enza ikholoni kunye nomhlaza unokukhula). Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-sulindac,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-sulindac, i-aspirin, okanye ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) kunye ne naproxen (Aleve, Naprosyn), okanye amanye amayeza. 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 II receptor antagonists ezinje nge candesartan (Atacand, e Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e Avalide), losartan (Cozaar, e Hyzaar), olmesartan (Benicar, e Azor, e Benicar HCT, e Tribenzor) , telmisartan (Micardis, eTwynsta), valsartan (kwi-Exforge HCT); icyclosporine (Gengraf, Neoral, Sandimmune); amayeza ngomlomo weswekile; umchamo ('iipilisi zamanzi'); lithium (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); kunye ne-probenecid (Probalan).
• 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; amatye ezintso; ukudumba kwezandla, iingalo, iinyawo, amaqatha, okanye imilenze esezantsi; okanye isibindi okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. I-Sulindac inokwenzakalisa umntwana ongekazalwa kwaye ibangele iingxaki ngokuhanjiswa ukuba ithathwa malunga neeveki ezingama-20 okanye kamva xa ukhulelwe. Musa ukuthatha i-sulindac ujikeleze okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe njalo ngugqirha wakho. Ukuba ukhulelwa ngelixa uthatha i-sulindac, tsalela umnxeba ugqirha wakho.
• thetha nogqirha wakho malunga nobungozi kunye nezibonelelo zokuthatha i-sulindac ukuba uneminyaka engama-75 ubudala okanye ngaphezulu. Sukuthatha la mayeza ixesha elide okanye ngedosi ephezulu kunokuba ucetyisiwe ngugqirha wakho.
• ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-sulindac.

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

• intloko ebuhlungu
• isiyezi
• uvalo
• urhudo
• ukuqhina
• irhasi
• 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-sulindac de uthethe nogqirha wakho:

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

I-Sulindac 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.

Iimpawu libanda kungaquka oku kulandelayo:

• ukulahleka kwengqondo
• isiqaqa
• isiyezi
• ukungaboni kakuhle
• isisu esimoshakele
• ukuncipha kokuchama

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.

• Ikliniki^®¶

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