Clarithromycin

Umxholo

• Ngaphambi kokuba uthathe i-clarithromycin,
• I-Clarithromycin 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-Clarithromycin isetyenziselwa ukunyanga usulelo oluthile lwebhaktiriya, njenge-pneumonia (usulelo lwemiphunga), i-bronchitis (usulelo lweetyhubhu ezikhokelela emiphungeni), kunye nosulelo lweendlebe, i-sinus, ulusu kunye nomqala. Isetyenziselwa ukunyanga nokukhusela ukusasazwa Mycobacterium avium Usulelo oluntsonkothileyo (i-MAC) [uhlobo losulelo lwemiphunga oluhlala luchaphazela abantu abanentsholongwane kaGawulayo (i-HIV)].Isetyenziswa ngokudibanisa namanye amayeza ukuphelisa H. pylori, ibhaktiriya ebangela izilonda. I-Clarithromycin ikudidi lwamayeza abizwa ngokuba yi-macrolide antibiotics. Isebenza ngokumisa ukukhula kweentsholongwane.

I-Antibiotic efana ne-clarithromycin ayizukusebenzela ukubanda, umkhuhlane, okanye olunye usulelo lwentsholongwane. Ukuthatha i-antibiotics xa ingadingeki kwandisa umngcipheko wokufumana usulelo kamva oluchasayo unyango lwe-antibiotic.

I-Clarithromycin iza njengethebhulethi, ukukhutshwa okwandisiweyo (ukusebenza ixesha elide), kunye nokumiswa (ulwelo) ukuthatha ngomlomo. Ithebhulethi rhoqo kunye nolwelo zihlala zithathwa kunye okanye ngaphandle kokutya qho nge-8 (kathathu ngemini) ukuya kwiiyure ezili-12 (kabini ngemini) kangangeentsuku ezisi-7 ukuya kwezi-14. Ithebhulethi ekhutshiweyo ihlala ithathwa ngokutya rhoqo kwiiyure ezingama-24 (kanye ngemini) kangangeentsuku ezisi-7 ukuya kwezi-14. Ugqirha wakho unokukuxelela ukuba uthathe i-clarithromycin ixesha elide kuxhomekeke kwimeko yakho. Thatha i-clarithromycin 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-clarithromycin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Hlanganisa ukunqunyanyiswa kakuhle phambi kokusetyenziswa kokuxuba amayeza ngokulinganayo.

Ginya iipilisi ezisebenza ixesha elide; ungahluleli, ungahlaleli, okanye uzityumze.

Kuya kufuneka uqale uzive ungcono ngeentsuku zokuqala zonyango kunye ne-clarithromycin. Ukuba iimpawu zakho aziphucuki okanye ziba mbi, tsalela ugqirha wakho.

Thatha i-clarithromycin de ugqibe amayeza, nokuba uziva ungcono. Ukuba uyeka ukuthatha i-clarithromycin kungekudala, okanye weqe amathamo, usulelo lwakho alunakuphathwa ngokupheleleyo kwaye ibhaktiriya inokumelana namayeza okubulala iintsholongwane.

I-Clarithromycin ikwasetyenziswa ngamanye amaxesha ukunyanga ezinye iintlobo zosulelo kubandakanya isifo seLyme (usulelo olunokuthi lukhule emva kokuba umntu elunywe likhalane), i-cryptosporidiosis (usulelo olubangela urhudo), isifo sokukrala kwikati (usulelo olunokuthi lukhule emva umntu uyalunywa okanye ukrwitshiwe yikati), isifo seLegionnaires, (uhlobo losuleleko lwemiphunga), kunye nepertussis (isikhohlela; isifo esibi esinokubangela ukukhohlela kakhulu). Ngamanye amaxesha kusetyenziswa ukuthintela usulelo lwentliziyo kwizigulana ezinamazinyo okanye ezinye iinkqubo. Thetha nogqirha wakho malunga neengozi zokusebenzisa la mayeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-clarithromycin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uyaliwa yi-clarithromycin, azithromycin (Zithromax, Zmax), erythromycin (EES, Eryc, Erythrocin, PCE, abanye), telithromycin (ayifumaneki e-US; Ketek), naliphi na iyeza, izithako kumalungiselelo e-clarithromycin. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-cisapride (Propulsid; ayifumaneki e-US), colchicine (Colcrys, Mitigare) ukuba unesifo sezintso okanye sesibindi, i-dihydroergotamine (DHE 45, Migranal), ergotamine (Ergomar, eCafergot, eMigergot), lomitapide (Juxtapid), lovastatin (kwi-Advicor), pimozide (Orap), okanye simvastatin (Flolipid, Zocor, eVytorin). Ugqirha wakho uya kukuxelela ukuba ungathathi i-clarithromycin ukuba uthatha elinye okanye ngaphezulu kwala mayeza.
• xelela ugqirha wakho ukuba ukhe wanayo i-jaundice (ukutyheli kwesikhumba okanye amehlo) okanye ezinye iingxaki zesibindi ngelixa uthatha i-clarithromycin. Ugqirha wakho uya kukuxelela ukuba ungathathi i-clarithromycin.
• 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: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); ii-benzodiazepines ezithile ezifana ne-alprazolam (Xanax), midazolam, kunye ne-triazolam (Halcion); bromocriptine (Parlodel); ii-calcium channel blocker ezinje nge-amlodipine (Norvasc, eCaduet, eLotrel), diltiazem (Cardizem, Cartia, Tiazac), nifedipine (Adalat, Afeditab CR), kunye neverapamil (Calan, Verelan, eTarka, abanye); carbamazepine (Epitol, Tegretol, Teril, nabanye); icolchicine (iiColcrys, iMitigare); amayeza athile e-HIV afana ne-atazanavir (Reyataz), didanosine (Videx), efavirenz (Sustiva, e-Atripla), etravirine (Intelence), nevirapine (Viramune), nelfinavir (Viracept), ritonavir (Norvir, e Kaletra), saquinavir (Invirase ), kunye ne-zidovudine (AZT, Retrovir); amayeza athile okubetha kwentliziyo ngokungaqhelekanga njenge-amiodarone (Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide, quinidine (eNuedexta), kunye ne-sotalol (iBetapace, iSorine); ukunciphisa amayeza e-cholesterol (ii-statins) ezinjenge-atorvastatin (Lipitor, eCaduet), kunye nepravastatin (Pravachol); ililostazol; icyclosporine (Gengraf, Neoral, Sandimmune); iDarifenacin (Enablex); idigoxin (iDigitek, iLanoxin); erlotinib (iTarceva); eszopiclone (iLunesta); i-fluconazole (iDiflucan); i-insulin; itraconazole (Onmel, Sporanox); i-maraviroc (i-Selzentry); imethylprednisolone (iMedrol); omeprazole (Prilosec); amayeza omlomo weswekile afana nateglinide (Starlix), pioglitazone (Actos, eActoplus Met, eDuetact), repaglinide (Prandin, e Prandimet), kunye ne rosiglitazone (Avandia, e Avandamet, e Avandaryl); phenobarbital; phenytoin (iDilantin, iPhenytek); iquetiapine (iSeroquel); i-ranitidine (iZantac); irifabutin (Mycobutin); irifampin (Rifadin, Rimactane, eRifater, eRifamate); irifapentine (Priftin); sildenafil (Revatio, Viagra); itacrolimus (Astagraf, Prograf); i-theophylline (i-Elixophyllin, i-Theo-24, iTochron); tadalafil (Adcirca, Cialis); itolterodine (Detrol); ivalproate (iDepacon); vardenafil (Levitra, Staxyn); kunye nevinblastine. Amanye amayeza amaninzi anokusebenzisana ne-clarithromycin, ngoko xelela ugqirha wakho malunga nawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokufuna ukutshintsha 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 ukhe wanethuba elide le-QT (ingxaki yentliziyo enqabileyo enokubangela ukuba utyhafe okanye ukubetha kwentliziyo ngokungaqhelekanga), i-ventricular arrhythmia (izingqisho zentliziyo engaqhelekanga), inqanaba eliphantsi lemagniziyam okanye i-potassium egazini lakho, myasthenia gravis ( MG; ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubuthathaka bemisipha), okanye ukuba ukhe wanesifo sokubetha kwentliziyo ngokungaqhelekanga, isifo semithambo yegazi (ukunciphisa imithambo yegazi enikezela igazi entliziyweni), okanye izintso, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa uthatha i-clarithromycin, biza ugqirha wakho. I-Clarithromycin inokwenzakalisa umntwana ongekazalwa.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-clarithromycin.
• Kuya kufuneka uyazi ukuba i-clarithromycin inokukwenza ube nesiyezi, udideke, okanye uphazamiseke. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.

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.

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

• urhudo
• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• isilungulela
• irhasi
• utshintsho kwincasa
• intloko ebuhlungu

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

• Intlungu yesifuba, ukuphefumla okufutshane, ukukhathazeka ngokuphefumla, iintlungu okanye ubuthathaka kwicala lomzimba wakho, okanye intetho egudileyo
• urhudo olunzima olunamanzi okanye ilindle elinegazi (ukuya kuthi ga kwiinyanga ezimbini emva konyango lwakho)
• irhashalala
• urhwebo
• ukurhawuzelela
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ubunzima bokuphefumla okanye ukugwinya
• ukudinwa
• Ukuxobuka okanye ukudumba kolusu
• ifiva
• mthubi ulusu okanye amehlo
• ukudinwa kakhulu
• ukopha okungaqhelekanga okanye ukugruzuka
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• umchamo omnyama-mnyama
• Iimpawu ezinjengomkhuhlane
• ngokukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
• ubuthathaka bemisipha njengobunzima bokuhlafuna, ukuthetha, okanye ukwenza imisebenzi yemihla ngemihla
• umbono kabini

I-Clarithromycin 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. Gcina iipilisi kubushushu begumbi kwaye kude nokukhanya, ubushushu obungaphezulu, kunye nokufuma (hayi kwigumbi lokuhlambela). Sukufaka efrijini ukumiswa. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma. Lahla nakuphi na ukumiswa okungasetyenziswanga emva kweentsuku ezili-14.

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:

• isisu esibuhlungu
• isicaphucaphu
• ukugabha
• urhudo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-clarithromycin.

Ithebhulethi yokukhululwa eyandisiweyo ayinyibiliki esiswini emva kokuginya. Ikhupha kancinci iyeza njengoko lidlula kwinkqubo yakho yokwetyisa. Unokuqaphela ukutyabeka kwethebhulethi kwisitulo. Oku kuqhelekile kwaye akuthethi ukuba awufumananga idosi epheleleyo yamayeza.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Umyalelo wakho mhlawumbi awuyi kuphinda ugcwaliswe. Ukuba usenempawu zosulelo emva kokuba ugqibe i-clarithromycin, tsalela umnxeba ugqirha wakho.

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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