Diltiazem

Umxholo

• Ngaphambi kokuba uthathe i-diltiazem,
• I-Diltiazem 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 libanda kungaquka oku kulandelayo:

I-Diltiazem isetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu kunye nokulawula i-angina (iintlungu zesifuba). UDiltiazem ukwiklasi yamayeza ebizwa ngokuba yi-calcium-channel blockers. Isebenza ngokuphumla kwimithambo yegazi ukuze intliziyo ingafuneki ukuba impompe nzima. Yonyusa unikezelo lwegazi kunye neoksijini entliziyweni.

Uxinzelelo lwegazi oluphezulu yimeko eqhelekileyo, kwaye xa inganyangwa inokubangela umonakalo kwingqondo, entliziyweni, kwimithambo yegazi, kwizintso nakwamanye 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.

I-Diltiazem iza njengethebhulethi, ithebhulethi eyandisiweyo (esebenza ixesha elide), kunye nepilisi eyandisiweyo yokukhupha ngomlomo. Ithebhulethi yesiqhelo ihlala ithathwa kathathu okanye kane ngemini. I-capsule kunye neethebhulethi ezikhutshiweyo zihlala zithathwa kanye okanye kabini ngemini. Buza usokhemesti wakho ukuba kufuneka uthathe i-diltiazem kunye okanye ngaphandle kokutya, kuba imiyalelo inokwahluka kwimveliso nganye. Thatha i-diltiazem malunga namaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-diltiazem ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya iipilisi ezandisiweyo kunye neepilisi; sukuzihlafuna okanye uzityumze.

Ugqirha wakho uya kukuqala ngedosi ephantsi ye-diltiazem kwaye ngokuthe ngcembe andise idosi yakho, hayi ngaphezulu kwesinye kanye kwiintsuku ezisi-7 ukuya kwezi-14 ukuba uthatha ithebhulethi yokukhupha eyandisiweyo okanye iphilisi okanye ngaphezulu kwentsuku ezi-1 ukuya kwezi-2 ukuba bathatha ithebhulethi yesiqhelo.

Ukuba ithathwa rhoqo, i-diltiazem inokulawula iintlungu zesifuba, kodwa ayiyeki iintlungu zesifuba xa iqala. Ugqirha wakho unokukunika amayeza ahlukeneyo ukuba uwathathe xa unentlungu esifubeni.

I-Diltiazem ilawula uxinzelelo lwegazi oluphezulu kunye nentlungu yesifuba (angina) kodwa ayizinyangi. Kungathatha ukuya kwiiveki ezi-2 ngaphambi kokuba uve isibonelelo esipheleleyo se-diltiazem. Qhubeka nokuthatha i-diltiazem nokuba uziva uphilile. Sukuyeka ukuthatha i-diltiazem ungakhange uthethe nogqirha wakho.

I-Diltiazem ngamanye amaxesha isetyenziselwa ukunyanga iintlobo ezithile ze-arrhythmias (izingqisho zentliziyo engaqhelekanga). Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-diltiazem,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-diltiazem, nawaphi na amanye amayeza, okanye naziphi na izithako kwi-diltiazem. Buza usokhemesti wakho uluhlu lwezithako.
• 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 nayiphi na kwezi zinto zilandelayo: atazanavir (Reyataz); i-benzodiazepines ezinje nge-midazolam (iVersed) kunye ne-triazolam (Halcion); ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), labetalol, metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kunye nepropranolol (Inderal, Innopran, eInderide); buspirone; icarbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cimetidine (iTagamet); icyclosporine (Gengraf, Neoral, Sandimmune); idigoxin (Lanoxin); i-lovastatin (Altoprev, Mevacor, kwiGqwetha); quinidine (kwiNuedexta); kunye nerifampin (Rifadin, eRifamate, eRifater, eRimactane). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-diltiazem, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba wakhe wanayo okanye wakha wafumana i-myocardial infarction (MI); ukunciphisa okanye ukuvaleka kwenkqubo yokwetyisa okanye nayiphi na imeko ebangela ukutya kuhamba kwinkqubo yokucola ukutya ngokucotha; uxinzelelo lwegazi oluphantsi; okanye intliziyo, isibindi, okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-diltiazem, biza ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha wakho okanye ugqirha wamazinyo ukuba uthatha i-diltiazem.

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.

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

• utywala okanye intloko
• ukugungxula
• intloko ebuhlungu
• ubuthathaka
• ukubetha kwentliziyo kancinci
• ukugabha
• urhudo
• ukuqhina
• ukuxinana kwempumlo
• ukukhohlela

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

• ukudumba kobuso, amehlo, imilebe, ulwimi, izandla, iingalo, iinyawo, amaqatha okanye imilenze esezantsi
• ubunzima bokuphefumla okanye ukugwinya
• isiqaqa
• irhashalala
• mthubi ulusu okanye amehlo
• isicaphucaphu
• ukudinwa kakhulu
• ukopha okungaqhelekanga okanye ukugruzuka
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• Iimpawu ezinjengomkhuhlane
• ukwanda kwexesha okanye ubunzima beentlungu zesifuba (angina)

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:

• ukucotha, ukukhawuleza, okanye ukubetha kwentliziyo okungaqhelekanga
• isiqaqa
• ubunzima bokuphefumla
• ukuxhuzula
• isiyezi
• ukudideka
• isicaphucaphu
• ukugabha
• ukwanda kokubila

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Uxinzelelo lwegazi kufuneka luhlolwe rhoqo ukumisela impendulo yakho kwi-diltiazem.

Ugqirha wakho unokukucela ukuba ujonge ukubetha kwentliziyo yakho (ukubetha kwentliziyo) yonke imihla kwaye uza kukuxelela ukuba kufanele ukuba kukhawuleze kangakanani na. Ukuba ukubetha kwentliziyo yakho kuhamba kancinci kunokuba kufanele ukuba kunjalo, tsalela ugqirha wakho umkhombandlela malunga nokuthatha i-diltiazem ngala mini. Buza ugqirha wakho okanye usokhemesti ukuba akufundise indlela yokujonga ukubetha kwentliziyo yakho.

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.

• Cardizem^®
• Cardizem^® CD
• Cardizem^® LA
• Cardizem^® SR^¶
• ICartia^® XT
• Dilacor^® XR
• I-CD edibeneyo^®
• UDiltzac^®
• Taztia^® XT
• Itiamate^®¶
• Tiazac^®

• Teczem^® (Equlathe iDiltiazem, Enalapril)^¶

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