Ipropranolol (Intliziyo)

Umxholo

• Ngaphambi kokuba uthathe ipropranolol,
• Ipropranolol 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, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Sukuyeka ukuthatha ipropranolol ngaphandle kokuthetha nogqirha wakho kuqala. Ukuba ipropranolol imisiwe ngesiquphe, inokubangela iintlungu esifubeni okanye isifo sentliziyo kwabanye abantu.

Ipropranolol isetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu, izingqisho zentliziyo engaqhelekanga, ipheochromocytoma (ithumba kwincindi encinci kufutshane nezintso), iintlobo ezithile zokungcangcazela, kunye ne-hypertrophic subaortic stenosis (isifo sentliziyo). Isetyenziselwa ukukhusela i-angina (iintlungu zesifuba), iintloko zentloko kunye nokuphucula ukusinda emva kokuhlaselwa sisifo sentliziyo. Ipropranolol ikudidi lwamayeza abizwa ngokuba yi-beta blockers. Isebenza ngokuphumla kwemithambo yegazi kunye nokunciphisa isantya sentliziyo ukuphucula ukuhamba kwegazi kunye nokunciphisa uxinzelelo lwegazi.

Uxinzelelo lwegazi oluphezulu yimeko eqhelekileyo kwaye xa lunganyangwa, lunokubangela ukonakala kwengqondo, intliziyo, imithambo yegazi, izintso namanye amalungu omzimba. Ukonakala kula malungu kunokubangela isifo sentliziyo, isifo sentliziyo, ukusilela kwentliziyo, ukubetha, ukusilela kwezintso, ukungaboni kakuhle, kunye nezinye iingxaki. Ukongeza ekuthatheni amayeza, ukwenza utshintsho kwindlela yokuphila kuya kunceda ukulawula uxinzelelo lwegazi. Olu tshintsho lubandakanya ukutya ukutya okunamafutha amancinci kunye netyuwa, ukugcina ubunzima obunempilo, ukusebenzisa ubuncinci imizuzu engama-30 ubuninzi beentsuku, ukungatshayi, kunye nokusebenzisa utywala ngokumodareyitha.

Ipropranolol iza njengethebhulethi, isisombululo (ulwelo), nanjengoko kukhutshwa ixesha elide (ukusebenza ixesha elide) njengephilisi oza kuyithatha ngomlomo. I-propranolol capsule ekhutshiweyo (igama lebrendi: Inderal LA) ihlala ithathwa kanye ngemini. I-capsule ekhutshiweyo eyandisiweyo (i-Innopran XL, i-Inderal XL) ihlala ithathwa ngexesha lokulala kwaye kufuneka ithathwe ngokungaguquguqukiyo nokuba ihlala kunye okanye ihlala ingenakutya ngalo lonke ixesha. Iipilisi zepropranolol ezisebenza kwangoko okanye isisombululo zinokuthathwa kabini, kathathu, okanye kane ngemini.Thatha iprranranol malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha ipropranolol ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya zonke iipilisi ezikhutshiweyo; ungahluleli, ungahlaleli, okanye uzityumze.

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

Ngaphambi kokuba uthathe ipropranolol,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana nepropranolol, nawaphi na amanye amayeza, okanye naziphi na izithako kwimveliso yepropranolol. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• 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 oku kulandelayo: ACE inhibitors; ii-antacids eziqukethe i-aluminium (Maalox, Mylanta, nabanye); ii-anticoagulants (’’ izinciphisi zegazi ’’) ezifana ne-warfarin (Coumadin, Jantoven); iicalcium channel blockers ezinje nge-diltiazem (Cardizem, Cartia, Tiazac, abanye), nicardipine (Cardene), nifedipine (Adalat, Procardia XL), kunye ne-nisoldipine (Sular); cholestyramine (Prevalite); icimetidine; ciprofloxacin (Cipro); chlorpromazine; icolestipol (iColestid); diazepam (Diastat, Valium); idigoxin (Lanoxin); i-fluvoxamine (iLuvox); haloperidol (iHaldol); I-HMG-CoA reductase inhibitors (ii-cholesterol-lowering agents) ezifana ne-lovastatin (Altoprev, Mevacor, kwi-Advicor) kunye ne-pravastatin (Pravachol); i-isoniazid (kwiRifamate, kwiRifater); amayeza oxinzelelo afana ne-bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem, Selfemra), imipramine (Tofranil), kunye neparoxetine (Brisdelle, Paxil, Pexeva); i-fluconazole (iDiflucan); amayeza entloko njenge-rizatriptan (iMaxalt) kunye ne-zolmitriptan (iZomig); amayeza oxinzelelo lwegazi oluphezulu njenge-clonidine (Catapres, Kapvay, eClorpres), doxazosin (Cardura), prazosin (Minipress), kunye neterazosin; amayeza okuxhuzula anje nge phenytoin (Dilantin, Phenytek) kunye ne phenobarbital; amayeza athile okubetha kwentliziyo ngokungaqhelekanga njenge-amiodarone (Cordarone, Nexterone, Pacerone), propafenone (Rythmol), kunye nequinidine (eNuedexta); i-monoamine oxidase (MAO) inhibitors enjenge phenelzine (Nardil); imontelukast (Singulair); ii-nonsteroidal anti-inflammatory drug (NSAIDs) ezinjenge-indomethacin (Indocin, Tivorbex); Inophylline (Theo-24, Theochron, Uniphyl); gqithisela; irifampin (Rifadin, Rimactane, eRifater, eRifamate); i-ritonavir (iNorvir, eKaletra, eViekira Pak); i-teniposide (Vumon); thioridazine; ticlopidine; itolbutamide; iitricclic antidepressants; kunye zileuton (Zyflo). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wanesifo sombefu okanye esinye isifo semiphunga; intliziyo, isibindi, okanye isifo sezintso; isifo seswekile; komzimba kakhulu; okanye iingxaki ze-thyroid.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha ipropranolol, biza ugqirha wakho.
• ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha ipropranolol.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kweziselo ezinxilisayo ngelixa uthatha ipropranolol. Utywala bunokunyusa inani lepropranolol emzimbeni wakho.
• xelela ugqirha wakho ukuba usebenzisa iimveliso zecuba. Ukutshaya icuba kunokunciphisa ukusebenza kweli yeza.

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.

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

• utywala okanye intloko
• ukudinwa
• urhudo
• ukuqhina

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• ubunzima bokuphefumla okanye ukugwinya
• irhashalala
• ukudumba okanye ukuxobuka kolusu
• urhwebo
• ukurhawuzelela
• ukudumba kobuso, umqala, ulwimi, okanye imilebe
• ndiziva ndidiniwe
• ukutyeba kwakho
• ukubetha kwentliziyo ngokungaqhelekanga

Ipropranolol inokubangela 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 nokukhanya, ubushushu obungaphaya, 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.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• ukubetha kwentliziyo kancinci

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri.

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.

• Uhlobo^®¶
• Uhlobo^® LA
• Uhlobo^® XL
• InnoPran^®¶
• InnoPran^® XL
• Pronol^®¶

• Ngaphantsi^® (Iqulethe iHydrochlorothiazide, iPropranolol)
• Ngaphantsi^® LA (equlathe iHydrochlorothiazide, iPropranolol)^¶

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