Amiodarone

Umxholo

• Ngaphambi kokuba uthathe i-amiodarone,
• I-Amiodarone 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 zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

I-Amiodarone inokubangela umonakalo wemiphunga onokuba nobuzaza okanye usongele ubomi. Tshela ugqirha wakho ukuba ukhe wanalo naluphi na uhlobo lwesifo semiphunga okanye ukuba ukhe wakha ukonakala kwemiphunga okanye iingxaki zokuphefumla ngelixa uthatha i-amiodarone. Ukuba unazo naziphi na kwezi mpawu zilandelayo, biza ugqirha wakho kwangoko: umkhuhlane, ukuphefumla kancinci, ukuvutha, ezinye iingxaki zokuphefumla, ukukhohlela, okanye ukukhohlela okanye ukuchitha igazi.

I-Amiodarone inokubangela nokonakala kwesibindi. Xelela ugqirha wakho ukuba ukhe unesifo sesibindi. Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: isicaphucaphu, ukugabha, umchamo omnyama, ukudinwa kakhulu, ubumthubi besikhumba okanye amehlo, ukurhawuzelela, okanye iintlungu kwinxalenye ephezulu yesisu.

I-Amiodarone inokubangela ukuba i-arrhythmia (isigqi senhliziyo esingaqhelekanga) ibe nzima okanye ingabangela ukuba uhlakulele i-arrhythmias entsha. Xelela ugqirha wakho ukuba wakhe wanesiyezi okanye waqaqanjelwa yintloko okanye wawa isiqaqa ngenxa yokuba ukubetha kwentliziyo yakho bekucotha kakhulu kwaye ngaba ukhe wanamanqanaba asezantsi e-potassium okanye yemagniziyam egazini lakho; Intliziyo okanye isifo se-thyroid; okanye naziphi na iingxaki ngesingqi sentliziyo yakho ngaphandle kwesiqhelo esinyangwayo. Xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uthatha nawaphi na amayeza alandelayo: ii-antifungals ezifana ne-fluconazole (Diflucan), ketoconazole (Nizoral), kunye ne-itraconazole (Onmel, Sporanox); i-azithromycin (iZithromax, iZmax); iibhloko ze-beta ezinje ngepropranolol (Hemangeol, Inderal, Innopran); iicalcium block blockers ezinjenge diltiazem (Cardizem, Cartia, Diltzac, Tiazac, others), kunye ne-verapamil (Calan, Covera, Verelan, eTarka); i-cisapride (iPropulsid; ayifumaneki e-US); i-clarithromycin (i-Biaxin); iklonidine (Catapres, Kapvay); umchamo ('iipilisi zamanzi'); dofetilide (iTikosyn); i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin); i-fluoroquinolone antibiotics efana ne-ciprofloxacin (Cipro), levofloxacin (Levaquin), lomefloxacin (ayifumaneki e-US), moxifloxacin (Avelox), norfloxacin (ayifumaneki e-US), ofloxacin, kunye ne-sparfloxacin (ayifumaneki e-US); amanye amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-digoxin (i-Lanoxin), i-disopyramide (i-Norpace), i-flecainide, i-ivabradine (i-Corlanor), i-phenytoin (i-Dilantin, i-Phenytek), i-procainamide, i-quinidine (kwi-Nuedexta), kunye ne-sotalol (i-Betapace, i-Sorine, i-Sotylize); kunye ne-thioridazine. Ukuba unayo nayiphi na kwezi mpawu zilandelayo, biza ugqirha ngokukhawuleza: isiqaqa; ukukhawuleza, ukucotha, okanye ukubetha kwentliziyo; okanye uziva ukuba intliziyo yakho ibalekile ukubetha.

Uya kulaliswa esibhedlele iveki enye okanye ngaphezulu xa uqala unyango lwakho nge-amiodarone. Ugqirha wakho uya kukujonga ngononophelo ngeli xesha kwaye okoko uqhubeka nokuthatha i-amiodarone. Ugqirha wakho uya kukuqala kwiqondo eliphezulu le-amiodarone kwaye ngokuthe ngcembe unciphise idosi yakho njengoko iyeza liqala ukusebenza. Ugqirha wakho unokunciphisa idosi ngexesha lonyango lwakho ukuba uvelisa iziphumo ebezingalindelekanga. Landela izikhokelo zikagqirha wakho ngononophelo.

Sukuyeka ukuthatha i-amiodarone ngaphandle kokuthetha nogqirha wakho. Unokufuna ukuba ujongwe ngokusondeleyo okanye ulaliswe esibhedlele xa uyeka ukuthatha i-amiodarone. I-Amiodarone inokuhlala emzimbeni wakho kangangexesha elithile emva kokuba uyekile ukuyithatha, ugqirha wakho uyakukujonga ngononophelo ngeli xesha.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile, ezinje ngovavanyo lwegazi, ii-X-reyi, kunye nee-electrocardiograms (EKGs, iimvavanyo ezirekhoda umsebenzi wombane wentliziyo) ngaphambi kwaye ngexesha lonyango lwakho ukuze uqiniseke ukuba kukhuselekile kuwe ukuthatha i-amiodarone kunye jonga impendulo yomzimba wakho kunyango.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-amiodarone kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo.Ungasifumana isiKhokelo seMithi kwiwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Thetha nogqirha wakho malunga neengozi zokuthatha i-amiodarone.

I-Amiodarone isetyenziselwa ukunyanga nokukhusela iintlobo ezithile zezinto ezinobuzaza, ezisongela ubomi be-ventricular arrhythmias (uhlobo oluthile lwesingqisho sentliziyo esingaqhelekanga xa amanye amayeza engancedi okanye engenakunyamezeleka. ukuphumla izihlunu zentliziyo ezigqithisileyo.

I-Amiodarone iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Ungathatha i-amiodarone nokuba ungatya okanye ungatyi, kodwa qiniseka ukuyithatha ngendlela efanayo ngalo lonke ixesha, kwaye ulandele umkhombandlela kwileyibhile yakho kagqirha, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-amiodarone ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

I-Amiodarone ngamanye amaxesha isetyenziselwa ukuphatha ezinye iintlobo ze-arrhythmias. 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-amiodarone,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-amiodarone, iodine, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-amiodarone. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane 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 amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: ii-anticoagulants ('igazi elincinci') njenge dabigatran (Pradaxa) kunye ne warfarin (Coumadin, Jantoven); amayeza athile athoba i-cholesterol njenge-atorvastatin (Lipitor, eCaduet, eLiptruzet), cholestyramine (Prevalite), lovastatin (Altoprev, kwi-Advicor), kunye ne-simvastatin (iZocor, eSimcor, eVytorin); icimetidine; iklopidogrel (iPlavix); icyclosporine (Gengraf, Neoral, Sandimmune); dextromethorphan (iyeza kumalungiselelo amaninzi okukhwehlela); fentanyl (Actiq, Duragesic, Fentora, nabanye); I-HIV protease inhibitors efana ne-indinavir (Crixivan) kunye ne-ritonavir (Norvir, e-Kaletra, e-Viekira Pak); ledipasvir kunye nesofosbuvir (Harvoni); lithium (Lithobid); iloratadine (Claritin); amayeza eswekile okanye ukuxhuzula; imethotrexate (Otrexup, Rasuvo, Trexall); amayeza e-narcotic entlungu; irifampin (Rifadin, Rimactane, eRifamate, eRifater); kunye ne-sofosbuvir (Solvaldi) kunye ne-simeprevir (Olysio). Uninzi lwamanye amayeza anokusebenzisana ne-amiodarone, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
• xelela ugqirha wakho ukuba unorhudo okanye ukhe wanayo nayiphi na imiqathango ekhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye iingxaki ngoxinzelelo lwegazi.
• xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Thetha nogqirha wakho ukuba ucwangcisa ukukhulelwa ngexesha lonyango lwakho kuba i-amiodarone inokuhlala emzimbeni wakho ixesha elithile emva kokuyeka ukuyithatha. Ukuba ukhulelwa ngelixa uthatha i-amiodarone, tsalela umnxeba kwangoko. I-Amiodarone inokubangela ingozi kumntwana.
• xelela ugqirha wakho ukuba uncelisa. Musa ukuncancisa ngelixa uthatha i-amiodarone.
• thetha nogqirha wakho malunga nemingcipheko yokuthatha eli yeza ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-amiodarone kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziselwa ukuphatha imeko efanayo.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo okanye utyando lwamehlo lwe-laser, xelela ugqirha wakho okanye ugqirha wamazinyo ukuba uthatha i-amiodarone.
• cwangcisa ukuthintela ukukhanya elangeni okanye kwelanga ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, izibuko zelanga kunye nelanga. I-Amiodarone inokwenza ulusu lwakho lubuthathaka kwilanga. Ulusu olubonakalisiweyo lunokujika lube luhlaza-bumvi kwaye alunakubuyela esiqhelweni nasemva kokuba uyeke ukuthatha eli yeza.
• Kuya kufuneka uyazi ukuba i-amiodarone inokubangela iingxaki kumbono kubandakanya ukungaboni ngxi. Qiniseka ukuba uvavanywa rhoqo ngamehlo ngexesha lonyango lwakho kwaye ubize ugqirha wakho ukuba amehlo akho omile, anomdla ekukhanyeni, ukuba ubona iihalos, okanye umbono ongacacanga okanye naziphi na ezinye iingxaki ngombono wakho.
• Kuya kufuneka uyazi ukuba i-amiodarone inokuhlala emzimbeni wakho kangangeenyanga ezimbalwa emva kokuba uyekile ukuyithatha. Ungaqhubeka nokufumana iziphumo ebezingalindelekanga ze-amiodarone ngeli xesha. Qiniseka ukuba uxelela wonke umboneleli wezonyango okunyangayo okanye omisela naliphi na iyeza ngeli xesha usandula ukuyeka ukuthatha i-amiodarone.

Musa ukusela ijusi yamagilebhisi ngelixa uthatha eli yeza.

Tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yokulinganisa Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• ukuqhina
• Ukuphelelwa ngumdla wokutya
• intloko ebuhlungu
• ukwehla kwesondo
• ubunzima bokulala okanye ukulala
• ukugungxula
• utshintsho kwisakhono sokungcamla kunye nevumba
• utshintsho kwisixa samathe

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• irhashalala
• ukunciphisa umzimba okanye ukuzuza
• ukungazinzi
• ubuthathaka
• uvalo
• ukucaphuka
• ukunganyamezelani kubushushu okanye kubanda
• ukucheba iinwele
• ukubila okugqithisileyo
• utshintsho kumjikelo wokuya exesheni
• ukudumba ngaphambili kwentamo (goiter)
• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukushukuma okungalawulekiyo kwilungu lomzimba
• kunciphise uxinzelelo
• iintshukumo ongenakuzilawula
• ukulungelelaniswa okungalunganga okanye ukuhamba nzima
• ukuba ndindisholo okanye ukubetha ezandleni, emilenzeni nasezinyaweni
• ubuthathaka bemisipha

I-Amiodarone 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 nokukhanya, ubushushu obuninzi 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
• isicaphucaphu
• ukungaboni kakuhle
• intloko elula
• isiqaqa

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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