Umbhali: Joan Hall
Umhla Wokudalwa: 1 Eyomdumba 2021
Hlaziya Umhla: 23 Eyenkanga 2024
Anonim
Piroxicam - Mechanism, side effects, precautions & uses
Ividiyo: Piroxicam - Mechanism, side effects, precautions & uses

Umxholo

Abantu abathatha amayeza angasebenziyo (anti-inflammatory) (ii-NSAIDs) (ngaphandle kwe-aspirin) ezinje nge-piroxicam 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 efana ne-piroxicam ukuba usandula ukubanjwa sisifo 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 ipiroxicam kanye phambi okanye emva kotyando.


Ii-NSAID ezinje nge-piroxicam zinokubangela izilonda, ukuphuma kwegazi, 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 izixa ezikhulu zotywala ngelixa uthatha i-piroxicam.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 ukhe wakha waba nezilonda okanye ukopha esiswini okanye emathunjini okanye ezinye iingxaki zokopha. Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-piroxicam kwaye ubize ugqirha wakho: iintlungu zesisu, ukuqaqanjelwa yintliziyo, ukugabha into enegazi okanye ekhangeleka ngathi yindawo yekhofi, igazi elisezantsi, 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-piroxicam. 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-piroxicam 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-Piroxicam 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). IPiroxicam ikudidi lwamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.


I-Piroxicam iza njengecapsule ukuyithatha ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Thatha i-piroxicam 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 i-piroxicam ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

IPiroxicam iya kunceda ukulawula iimpawu zakho kodwa ayizukuyinyanga imeko yakho. Ingathatha iiveki ezisi-8 ukuya kwezi-12 okanye nangaphezulu ngaphambi kokuba uve isibonelelo esipheleleyo se-piroxicam.

I-Piroxicam ngamanye amaxesha isetyenziselwa ukunyanga isifo samathambo (uhlaselo lwentlungu edibeneyo kunye nokudumba okubangelwa kukwakhiwa kwezinto ezithile kumalungu) kunye ne-ankylosing spondylitis (isifo samathambo esichaphazela kakhulu umqolo). Ngamanye amaxesha kusetyenziswa ukunciphisa iintlungu zemisipha kunye nokudumba, iintlungu zokuya exesheni, kunye nentlungu emva kotyando okanye ukubeleka. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

Ngaphambi kokuba uthathe ipiroxicam,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-piroxicam, 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-piroxicam. 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); i-angiotensin receptor blockers (ARBs) ezinje nge-azilsartan (Edarbi, e-Edarbyclor), i-candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar e-Azor, kwi-Benicar HCT, e-Tribenzor), e-telmisartan (Micardis, e-Micardis HCT, e-Twynsta), nase-valsartan (kwi-Exforge HCT); ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kunye nepropranolol (Hemangeol, Inderal, Innopran); umchamo ('iipilisi zamanzi'); lithium (Lithobid); amayeza seswekile; imethotrexate (Otrexup, Rasuvo, Trexall); kunye ne phenytoin (Dilantin, Phenytek). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akujonge ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ubukhe wanaso na isifo sombefu, ngakumbi ukuba uhlala uzivalele okanye uvuza impumlo okanye iipolyps zempumlo (ukudumba kwenwebu yempumlo); ukumelwa yintliziyo; ukudumba kwezandla, iinyawo, amaqatha, okanye imilenze esezantsi; okanye isibindi okanye isifo sezintso.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. IPiroxicam inokwenzakalisa umntwana ongekazalwa kwaye ibangele iingxaki ngokuhanjiswa ukuba ithathwa malunga neeveki ezingama-20 okanye kamva xa ukhulelwe. Musa ukuthatha ipiroxicam ujikeleze okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe njalo ngugqirha wakho. Ukuba ukhulelwa ngelixa uthatha i-piroxicam, tsalela umnxeba ugqirha wakho.
  • thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha ipiroxicam 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-piroxicam.

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.

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

  • urhudo
  • ukuqhina
  • irhasi
  • intloko ebuhlungu
  • isiyezi
  • kukhala ezindlebeni

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikhankanyiweyo kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko. Musa ukuthatha enye ipiroxicam de uthethe nogqirha wakho.

  • iingxaki zombono
  • ukuzuza ubunzima obungachazwanga
  • ukuphefumla kancinci okanye ukuphefumla nzima
  • ukudumba esiswini, emaqatheni, ezinyaweni, okanye emilenzeni
  • ifiva
  • amadyungudyungu
  • intlungu edibeneyo
  • irhashalala
  • ukurhawuzelela
  • urhwebo
  • ukudumba kwamehlo, ubuso, imilebe, ulwimi, umqala, iingalo, okanye izandla
  • ubunzima bokuphefumla okanye 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

IPiroxicam 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:

  • ukunqongophala kwamandla
  • ukozela
  • isisu esimoshakele
  • ukugabha
  • isisu esibuhlungu
  • enegazi, emnyama, okanye ilindle
  • ukugabha into enegazi okanye ebonakala ngathi yindawo yekhofi
  • ubunzima bokuphefumla
  • isiqaqa (ukulahleka kwengqondo ixesha elithile)

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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Ukuhlaziywa kokugqibela-03/15/2021

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