I-Verapamil

Umxholo

• Ngaphambi kokuba uthathe i-verapamil,
• I-Verapamil 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:

I-Verapamil isetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu kunye nokulawula i-angina (iintlungu zesifuba). Iipilisi ezikhutshwa kwangoko zisetyenziswa zodwa okanye namanye amayeza okuthintela nokunyanga ukubetha kwentliziyo okungaqhelekanga. UVerapamil ukwiklasi yamayeza abizwa ngokuba yi-calcium-channel blockers. Isebenza ngokuphumla kwimithambo yegazi ukuze intliziyo ingafuneki ukuba impompe nzima. Yonyusa unikezelo lwegazi kunye neoksijini entliziyweni kwaye icothise umsebenzi wombane entliziyweni ukulawula ukubetha kwentliziyo.

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.

IVerapamil iza njengecwecwe, ukukhutshwa okwandisiweyo (ukusebenza ixesha elide) kunye nokukhutshwa okwandisiweyo (ixesha elide) ukuthatha ngomlomo. Ithebhulethi eqhelekileyo ihlala ithathwa kathathu okanye kane ngosuku. Amacwecwe okukhululwa okwandisiweyo kunye neepilisi njengesiqhelo zihlala zithathwa kube kanye okanye kabini ngemini. Thatha i-verapamil malunga nexesha elifanayo (ii) yonke imihla. Ezinye iimveliso ze-verapamil kufuneka zithathwe kusasa kunye nezinye ngexesha lokulala. Buza ugqirha wakho elona xesha lilungileyo lokuba uthathe amayeza akho. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-verapamil ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya iipilisi ezikhutshiweyo kunye neepilisi. Musa ukuhlafuna okanye ukutyumza. Buza usokhemesti wakho ukuba iipilisi zinokwahlulwa phakathi, njengoko imiyalelo iyahluka ngemveliso.

Ukuba awukwazi ukugwinya ii-capsules ezikhutshiweyo ezandisiweyo unokuvula ngononophelo iphilisi kwaye ufefe konke okuqulathiweyo ngecephe leapilesauce. Iapilesauce akufuneki ishushu, kwaye kufuneka ithambe ngokwaneleyo ukuba ingaginywa ngaphandle kokuhlafunwa. Ginya iapilesauce kwangoko ngaphandle kokuhlafuna, emva koko usele iglasi yamanzi apholileyo ukuqinisekisa ukuba uliginyile lonke iyeza. Musa ukugcina umxube ukuze uwusebenzise kwixesha elizayo.

Ugqirha wakho uya kuqala ngedosi ephantsi ye-verapamil kwaye ngokuthe ngcembe andise idosi yakho.

I-Verapamil ilawula ii-arrhythmias, uxinzelelo lwegazi oluphezulu, kunye ne-angina kodwa ayizinyangi ezi meko. Qhubeka nokuthatha i-verapamil nokuba uziva uphilile. Sukuyeka ukuthatha i-verapamil ngaphandle kokuthetha nogqirha wakho.

I-Verapamil ngamanye amaxesha isetyenziselwa ukunyanga ezinye iingxaki zentliziyo. 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-verapamil,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-verapamil, nawaphi na amanye amayeza, okanye naziphi na izithako kwi-verapamil. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-alpha blockers ezinje ngeprazosin (Minipress); izinto zokubulala ezinje nge-itraconazole (Onmel, Sporanox) kunye ne-ketoconazole (Nizoral); iasprini; ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, e Corzide), propranolol (Inderal, Innopran, eInderide), kunye ne timolol (Blocadren, e Timolide); icarbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cimetidine (iTagamet); i-clarithromycin (i-Biaxin, kwi-Prevpac); i-cyclosporine (iNeoral, iSandimmune); idigoxin (Lanoxin); iDisopyramide (iNorpace); umchamo ('' iipilisi zamanzi ''); i-erythromycin (i-EES, i-Eryc, i-Erythrocin); flecainide; inhibitors ezithile ze-HIV ezifana ne-indinavir (Crixivan), nelfinavir (Viracept), kunye ne-ritonavir (Norvir, e-Kaletra); quinidine (kwiNuedexta); lithium (Lithobid); amayeza ukunyanga uxinzelelo lwegazi oluphezulu; nefazodone; phenobarbital; ipioglitazone (Actos, eDuetact, eOseni); irifampin (Rifadin, Rimactane); telithromycin (Ketek); kunye ne-theophylline (Theochron, Theolair, Uniphyl). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-verapamil, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
• xelela ugqirha wakho ukuba ukhe wakha wanqabile okanye wavalela inkqubo yakho yokwetyisa okanye nayiphi na imeko ebangela ukutya kuhamba kwinkqubo yokucola ukutya ngokucotha; ukumelwa yintliziyo; intliziyo, isibindi, okanye isifo sezintso; i-muscular dystrophy (isifo esizuzwe njengelifa esibangela ukuba buthathaka ngokuthe ngcembe kwezihlunu); okanye i-myasthenia gravis (imeko ebangela ukuba izihlunu ezithile zibuthathaka).
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-verapamil, biza ugqirha wakho.
• ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha wakho okanye ugqirha wamazinyo ukuba uthatha i-verapamil.
• thetha nogqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngexesha lonyango lwakho nge-verapamil. I-Verapamil inokubangela ukuba isiselo esinxilisayo sibe qatha kwaye sihlale ixesha elide.

Thetha nogqirha wakho malunga nokutya igrapefruit okanye ukusela ijusi yegrapefruit ngelixa uthatha eli yeza.

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

• ukuqhina
• isilungulela
• utywala okanye intloko
• intloko ebuhlungu

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

• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
• ubunzima bokuphefumla okanye ukugwinya
• ukubetha kwentliziyo kancinci
• isiqaqa
• ukungaboni kakuhle
• irhashalala
• isicaphucaphu
• ukudinwa kakhulu
• ukopha okungaqhelekanga okanye ukugruzuka
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• mthubi ulusu okanye amehlo
• Iimpawu ezinjengomkhuhlane
• ifiva

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 zokudlula ngaphezulu zinokubandakanya:

• isiyezi
• ukungaboni kakuhle
• ukucotha, ukukhawuleza, okanye ukubetha kwentliziyo okungaqhelekanga
• ukuxhuzula
• ukudideka
• ubunzima bokuphefumla okanye ukugwinya

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Uxinzelelo lwegazi kufuneka luhlolwe rhoqo ukumisela impendulo yakho kwi-verapamil. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-verapamil.

Ukuba uthatha iipilisi ezithile zokukhupha ezandisiweyo (Covera HS), unokuqaphela into ekhangeleka njengethebhulethi kwisitulo sakho. Le yigobolondo elingenanto lethebhulethi, kwaye oku akuthethi ukuba awuyifumananga idosi epheleleyo yamayeza.

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.

• Calan^®
• Calan^® SR
• Covera^® HS
• Isoptin^®¶
• Verelan^®
• Verelan^® PM

• Tarka^® (Equkethe i-trandolapril kunye ne-verapamil)

• Iproveratril Hydrochloride

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