Diclofenac

Umxholo

• Ngaphambi kokuba uthathe i-diclofenac,
• I-Diclofenac 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 zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane uncedo lonyango olungxamisekileyo. Musa ukuthatha enye i-diclofenac de uthethe nogqirha wakho.
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Abantu abathatha ii-nonsteroidal anti-inflammatory drug (NSAIDs) (ngaphandle kwe-aspirin) ezinjenge-diclofenac 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-diclofenac ukuba usandula ukuba nesifo 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 uza kuba nomthambo we-coronary bypass graft (CABG; uhlobo lotyando lwentliziyo), akufuneki uthathe i-diclofenac kanye ngaphambi okanye emva kotyando.

Ii-NSAID ezinje nge-diclofenac 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 utywala kakhulu ngelixa bethatha i-diclofenac. 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 unayo okanye wakha waba nezilonda, ukopha esiswini okanye emathunjini, okanye ezinye iingxaki zokopha. Ukuba uhlangabezana naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-diclofenac kwaye ubize ugqirha wakho: iintlungu zesisu, ukuqaqanjelwa yintliziyo, ukugabha into enegazi okanye ebonakala ngathi yindawo yekhofi, igazi esitulweni, 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-diclofenac. 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-diclofenac 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) ukufumana isiKhokelo seyeza.

Iipilisi ze-Diclofenac (iZipsor, iZorvolex) kunye neetafile (Cataflam) zisetyenziselwa ukunciphisa iintlungu ezinobulali ukuya kweziphakathi. Iipilisi zokukhupha ezandisiweyo ze-Diclofenac (i-Voltaren XR), iipilisi (Cataflam), kunye neepilisi zokulibaziseka zokukhululwa (ziyafumaneka ngokubanzi) zisetyenziselwa ukuphelisa iintlungu, ukuthamba, ukudumba, kunye nokuqina okubangelwa yi-osteoarthritis (isifo samathambo esibangelwe kukuwohloka komtya amalungu), kunye ne-rheumatoid arthritis (isifo samathambo esibangelwa kukudumba kwethambo lamalungu). Iipilisi zokukhupha ezandisiweyo ze-Diclofenac kunye neepilisi zokukhupha ukulibaziseka zikwasetyenziselwa ukunyanga i-ankylosing spondylitis (isifo samathambo esichaphazela ikakhulu umqolo). Amacwecwe e-Diclofenac (Cataflam) ayasetyenziselwa ukunyanga amaxesha okuba sexesheni. Isisombululo se-Diclofenac (eCambia) sisetyenziselwa ukunyanga iintloko kubantu abadala, kodwa asinakusetyenziselwa ukuthintela i-migraines okanye ukunyanga ezinye iintlobo zentloko. UDiclofenac ukwiklasi yamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.

I-Diclofenac iza njengethebhulethi, kunye ne-capsule egcwaliswe lulwelo, i-gelatin capsule enzima, ithebhulethi ekhululayo (esebenza ixesha elide), ukukhutshwa okulibazisekileyo (ukukhupha amayeza emathunjini) ithebhulethi, kunye neepakethi zomgubo wesisombululo ( uxutywe namanzi) kwaye uthathwe ngomlomo. Iipilisi ze-Diclofenac ezigcwele ulwelo zihlala zithathwa amaxesha amane ngemini kwaye i-diclofenac gelatin capsules ezinzima zihlala zithathwa kathathu ngemini kwisisu esingenanto. Iipilisi zokukhupha ezandisiweyo zeDiclofenac zihlala zithathwa kanye ngemini, kwaye kwiimeko ezinqabileyo zithathwa kabini ngemini, ukuba ziyafuneka ukulawula iintlungu. Amacwecwe e-Diclofenac kunye ne-diclofenac yeepilisi zokulibaziseka zokukhululwa zihlala zithathwa izihlandlo ezi-2, ezi-3, okanye ezi-4 ngosuku. Isisombululo seDiclofenac sithathwa ngaphandle kokutya njengonyango olunye lwethamo lokuphelisa iintlungu zentloko ye-migraine. Ukuba uxelelwe ukuba uthathe i-diclofenac rhoqo, yithathe malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-diclofenac ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Iimveliso ze-diclofenac ezahlukileyo zikhupha amayeza ngokwahlukileyo emzimbeni wakho kwaye azinakusetyenziswa ngokungafaniyo. Thatha kuphela imveliso ye-diclofenac emiselwe ngugqirha wakho kwaye ungatshintsheli kwimveliso ye-diclofenac eyahlukileyo ngaphandle kokuba ugqirha wakho esithi kufanele.

Ugqirha wakho unokuhlengahlengisa idosi yeyeza ngexesha lonyango lwakho kuxhomekeke kwimpendulo yakho kunyango. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho nge-diclofenac.

Ukuba uthatha ipowder ngesisombululo, kuya kufuneka uyixube namanzi ngaphambi kokuba uyithathe. Ukudibanisa amayeza, kuqala susa ipakethi enye kumqolo weepakethi ezintathu eziqhotyoshelweyo. Beka iipunipoons ezi-2 ukuya kwezi-4 (1 ukuya kwezi-2 ii-ounces; 30-60 mL) amanzi kwindebe. Yongeza imixholo yepakethi uze udibanise kakuhle. Sela wonke lo mxube ngoko nangoko. Lahla ipakethi engenanto kumgqomo wenkunkuma ongenakufikelelwa ngabantwana nakwizilwanyana zasekhaya.

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

Ngaphambi kokuba uthathe i-diclofenac,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-diclofenac (ikwafumaneka njenge-Solaraze kunye ne-Pennsaid, e-Arthrotec), i-aspirin okanye ezinye ii-NSAID ezinje nge ibuprofen (Advil, Motrin) kunye ne naproxen (Aleve, Naprosyn), nawaphi na amanye amayeza, okanye Izinto ezingasebenziyo kwimveliso ye-diclofenac oceba ukuyithatha. Buza usokhemesti wakho okanye ujonge isikhokelo sonyango uluhlu lwezinto ezingasebenziyo. Ukuba uza kuthatha iipilisi ze-diclofenac (i-Zipsor), xelela ugqirha wakho ukuba ngaba uxabisa iiprothini ezinjengeenkomo ezinjengezo zifumaneka kubisi, inyama yenkomo, okanye i-gelatin.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: i-acetaminophen (iTylenol, kwezinye iimveliso), ii-inhibitors eziguqula i-angiotensin (ACE) ezifana ne-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec , kwiVaseretic), fosinopril, lisinopril (kwiZestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), kunye neTrandolapr, eTarka); ii-angiotensin receptor blockers ezinje nge-azilsartan (Edarbi, e-Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e Azor, kwiBenicar HCT, eTribenzor), telmisartan (Micardis, eMicardis HCT, eTwynsta); ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kunye nepropranolol (Hemangeol, Inderal, Innopran); icyclosporine (Gengraf, Neoral, Sandimmune); idigoxin (Lanoxin); umchamo ('iipilisi zamanzi'); i-insulin kunye nonyango lomlomo lweswekile; lithium (Lithobid); amayeza okuxhuzula; methotrexate (Otrexup, Rasuvo, Trexall), rifampin (Rifadin, Rimactane, eRifamate, eRifater), kunye nevoriconazole (Vfend). Uninzi lwamanye amayeza anokusebenzisana ne-diclofenac, ke qiniseka ukuba uxelele ugqirha wakho ngawo onke amayeza owathathayo nokuba akabonakali kolu luhlu. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanayo nayiphi na imiqathango ekhankanywe kwicandelo LESILUMKISO ELIBALULEKILEYO okanye isifuba, ingakumbi ukuba uhlala unezinto ezixineneyo okanye iimpumlo ezivuzayo okanye iipolyps zempumlo (ukudumba kwempumlo yempumlo); porphyria (ukwanda okungaqhelekanga kwinani lezinto ezithile zendalo ezenziwe sisibindi); ukumelwa yintliziyo; ukudumba kwezandla, iinyawo, amaqatha, okanye imilenze esezantsi; okanye isibindi okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. I-Diclofenac inokwenzakalisa umntwana ongekazalwa kwaye ibangele iingxaki ekuhanjisweni ukuba ithathwa malunga neeveki ezingama-20 okanye kamva ngexesha lokukhulelwa. Musa ukuthatha i-diclofenac ujikeleze okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe njalo ngugqirha wakho. Ukuba ukhulelwa ngelixa uthatha i-diclofenac, tsalela umnxeba ugqirha wakho.
• thetha nogqirha wakho malunga nobungozi kunye nezibonelelo zokuthatha i-diclofenac 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-diclofenac.
• ukuba une-phenylketonuria (PKU; imeko ezuzwe njengelifa apho ukutya kufuneka kulandelwe ukuthintela ukudodobala kwengqondo), kuya kufuneka uyazi ukuba umgubo wesisombululo uqukethe i-aspartame, umthombo we-phenylalanine.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Umgubo wesisombululo uhlala uthathwa njengoko kufuneka kwi-migraine. Ukuba uthatha nayiphi na imveliso ye-diclofenac kwaye ulibale ukuthatha idosi, 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-Diclofenac inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

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

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane uncedo lonyango olungxamisekileyo. Musa ukuthatha enye i-diclofenac de uthethe nogqirha wakho.

• ukuzuza ubunzima obungachazwanga
• ukuphefumla kancinci okanye ukuphefumla nzima
• ukudumba kwesisu, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa kakhulu
• ukunqongophala kwamandla
• isicaphucaphu
• Ukuphelelwa ngumdla wokutya
• ukurhawuzelela
• iintlungu kwinxalenye ephezulu yesisu
• mthubi ulusu okanye amehlo
• Iimpawu ezinjengomkhuhlane
• ifiva
• amadyungudyungu
• irhashalala
• urhwebo
• ukudumba kwamehlo, ubuso, ulwimi, imilebe, umqala, iingalo, okanye izandla
• ubunzima bokuphefumla okanye ukugwinya
• ukudinwa
• ulusu oluthuthu
• ukubetha kwentliziyo ngokukhawuleza
• kunamafu, kucace umbala, okanye umchamo onegazi
• umqolo obuhlungu
• ukuchama kunzima okanye kubuhlungu

I-Diclofenac 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 zokudlula ngaphezulu zinokubandakanya:

• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• enegazi, emnyama, okanye ilindle
• ukugabha into enegazi okanye ebonakala ngathi yindawo yekhofi
• ukozela
• ukuphefumla okucothayo, okungekho nzulu, okanye okungaqhelekanga
• ukulahleka kwengqondo

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.

• ECambia^®
• ICataflam^®¶
• IVoltaren XR^®¶
• I-Zipsor^®
• Zorvolex^®

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