IMetformin

Umxholo

• Ngaphambi kokuba uthathe i-metformin,
• Eli yeza linokubangela utshintsho kwiswekile yegazi lakho. Kuya kufuneka uyazi iimpawu zeswekile esezantsi kunye ephezulu yegazi kwaye wenzeni ukuba unayo le miqondiso.
• I-Metformin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima, musa ukuhamba, hamba uye ubuye, okanye ungaqali kangangexesha elithile emva kokuba uqale ukuthatha i-metformin:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu zokudlula ngaphezulu zinokubandakanya iimpawu zehypoglycemia kunye noku kulandelayo:

I-Metformin isenokungafane ibangele imeko enobungozi, esongela ubomi ebizwa ngokuba yi-lactic acidosis. Xelela ugqirha wakho ukuba unesifo sezintso. Ugqirha wakho uya kukuxelela ukuba ungathathi i-metformin. Kwakhona, xelela ugqirha wakho ukuba ungaphezulu kweminyaka engama-65 ubudala kwaye ukuba ukhe wahlaselwa sisifo sentliziyo; ukubetha; I-ketoacidosis yeswekile (iswekile esegazini ephezulu ngokwaneleyo ukuba ibangele iimpawu ezinzima kwaye ifuna unyango olungxamisekileyo); isiqaqa; okanye isifo sentliziyo okanye sesibindi. Ukuthatha amanye amayeza nge-metformin kunokunyusa umngcipheko we-lactic acidosis. Xelela ugqirha wakho ukuba uthatha i-acetazolamide (Diamox), dichlorphenamide (Keveyis), methazolamide, topiramate (Topamax, eQsymia), okanye zonisamide (Zonegran).

Xelela ugqirha wakho ukuba ngaba ubusandula ukufumana ezi meko zilandelayo, okanye ukuba uziphuhlisa ngexesha lonyango: usulelo olubi; urhudo oluqatha, ukugabha, okanye umkhuhlane; okanye ukuba usela amanzi angaphantsi kunesiqhelo ngaso nasiphi na isizathu. Kuya kufuneka uyeke ukuthatha i-metformin de ube uphinde wachacha.

Ukuba wenza utyando, kubandakanya utyando lwamazinyo, okanye nayiphi na inkqubo ephambili yonyango, xelela ugqirha ukuba uthatha i-metformin. Kwakhona, xelela ugqirha wakho ukuba uceba ukwenza nayiphi na inkqubo ye-x-ray apho idayi ifakwa khona, ngakumbi ukuba uyasela okanye wakha wasela utywala kakhulu okanye unesifo sesibindi okanye ukusilela kwentliziyo. Kuya kufuneka uyeke ukuthatha i-metformin ngaphambi kwenkqubo kwaye ulinde iiyure ezingama-48 ukuqala kwakhona unyango. Ugqirha wakho uya kukuxelela ngokuthe ngqo xa kufuneka uyeke ukuthatha i-metformin kwaye kufuneka uqale nini ukuyithatha kwakhona.

Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-metformin kwaye ubize ugqirha ngoko nangoko: ukudinwa kakhulu, ubuthathaka okanye ukungonwabi; isicaphucaphu; ukugabha; isisu esibuhlungu; ukunciphisa ukutya; ukuphefumla ngokunzulu nangokukhawuleza okanye ukuphefumla kancinci; isiyezi; intloko emhlophe; ngokukhawuleza okanye ukubetha kwentliziyo; ukutyibilika kolusu; iintlungu zemisipha; okanye uzive ubanda, ngakumbi ezandleni nasezinyaweni.

Tshela ugqirha wakho ukuba uhlala usela utywala okanye ngamanye amaxesha usela izixa ezikhulu zotywala ngexesha elifutshane (ukuzinkcinkca ngotywala). Ukusela utywala kukonyusa umngcipheko wokuba ne-lactic acidosis okanye kunokubangela ukwehla kweswekile egazini. Buza ugqirha wakho ukuba bungakanani utywala obukhuselekileyo xa usela i-metformin.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile ngaphambi nangexesha lonyango ukujonga ukuba zisebenza kakuhle kangakanani izintso zakho kunye nempendulo yomzimba wakho kwimetformin. Thetha nogqirha wakho malunga nomngcipheko (s) wokuthatha i-metformin.

I-Metformin isetyenziswa yodwa okanye namanye amayeza, kubandakanya i-insulin, ukunyanga isifo seswekile sesi-2 (imeko apho umzimba ungasebenzisi i-insulin ngesiqhelo kwaye, ngenxa yoko, ayinakho ukulawula isixa seswekile egazini). I-Metformin ikwiklasi yeziyobisi ezibizwa ngokuba zii-biguanides. I-Metformin inceda ukulawula inani leswekile (iswekile) egazini lakho. Iyanciphisa inani leswekile oyifunxayo ekutyeni kwakho kunye nenani leswekile eyenziwe sisibindi sakho. I-Metformin ikwandisa impendulo yomzimba wakho kwi-insulin, into yendalo elawula inani leswekile egazini. I-Metformin ayisetyenziswanga ukunyanga uhlobo lweswekile (imeko apho umzimba ungayivelisi i-insulin kwaye ngenxa yoko awunakho ukulawula isixa seswekile esegazini).

Ixesha elingaphezulu, abantu abanesifo seswekile kunye neswekile ephezulu yegazi banokuba neengxaki ezinzulu okanye ezisongela ubomi, kubandakanya isifo sentliziyo, ukubetha, iingxaki zezintso, ukonakala kwemithambo-luvo kunye neengxaki zamehlo. Ukuthatha amayeza, ukwenza utshintsho kwindlela yokuphila (umzekelo, ukutya, ukwenza umthambo, ukuyeka ukutshaya), kunye nokujonga iswekile yegazi rhoqo kunokunceda ukulawula isifo seswekile kunye nokuphucula impilo yakho. Olu nyango lunokunciphisa amathuba akho okuhlaselwa sisifo sentliziyo, ukubetha, okanye ezinye iingxaki ezinxulumene nesifo seswekile ezinje ngokusilela kwezintso, ukulimala kwentliziyo (ukubindeka, imilenze ebandayo okanye iinyawo; ukunciphisa amandla ezesondo kumadoda nabasetyhini), iingxaki zamehlo, kubandakanya notshintsho okanye ukulahleka kombono, okanye isifo seentsini. Ugqirha wakho kunye nabanye ababoneleli ngempilo bayakuthetha nawe ngeyona ndlela yokulawula isifo sakho seswekile.

IMetformin iza njengamanzi, ithebhulethi, kunye nokukhutshwa okwandisiweyo (ukusebenza ixesha elide) ukuba kuthathwe ngomlomo. Umbane uhlala uthathwa kunye nokutya kube kanye okanye kabini ngosuku. Ithebhulethi yesiqhelo ihlala ithathwa ngokutya kabini okanye kathathu ngemini. Ithebhulethi yokukhululwa eyandisiweyo ihlala ithathwa kube kanye yonke imihla kunye nesidlo sangokuhlwa. Ukukunceda ukhumbule ukuthatha i-metformin, yithathe ngexesha elifanayo (ii) mihla le. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-metformin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Swallow metformin iipilisi ezandisiweyo zokukhutshwa; ungahluleli, ungahlaleli, okanye uzityumze.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-metformin kwaye ngokuthe ngcembe wandise idosi yakho hayi rhoqo rhoqo kube kanye kwiiveki ezi-1-2. Uya kudinga ukubeka esweni iswekile yegazi lakho ngononophelo ukuze ugqirha wakho abe nakho ukuxelela ukuba isebenza njani i-metformin.

IMetformin ilawula isifo seswekile kodwa ayisinyangi. Qhubeka nokuthatha i-metformin nokuba uziva uphilile. Ungayeki ukuthatha i-metformin ngaphandle kokuthetha nogqirha wakho.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokuba uthathe i-metformin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-metformin, nasiphi na isithako se-metformin engamanzi okanye iipilisi, okanye nawaphi na amanye amayeza. Buza usokhemesti wakho okanye ujonge ulwazi lomenzi wesigulana uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: amiloride (Midamor); i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, eLotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (in Zestoretic), moexipril (Univasc), perindopril (Aceon) , ramipril (Altace), kunye netrandolapril (Mavik); ii-beta-blockers ezinje nge-atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, eCorzide), kunye nepropranolol (Hemangeol, Inderal, InnoPran); iicalcium channel blocker ezinje ngeamlodipine (Norvasc), diltiazem (Cardizem, Cartia, Diltzac, others), felodipine, isradipine, nicardipine (Cardene), nifedipine (Adalat, Afeditab CR, Procardia), nimodipine (Nymalize), nisoldipine (Sular), kunye neverapamil (Calan, Covera, Verelan, eTarka); cimetidine (iTagamet); idigoxin (Lanoxin); umchamo ('iipilisi zamanzi'); i-furosemide (iLasix); Unyango lwehormone; i-insulin okanye amanye amayeza eswekile; isoniazid (Laniazid, eRifamate, eRifater); amayeza umbefu kunye nemikhuhlane; amayeza okugula ngengqondo kunye nesicaphucaphu; amayeza ngenxa sifo; morphine (MS Contin, ezinye); niacin; izinto zokucwangcisa ngomlomo (’iipilisi zoqingqo-nzala); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); phenytoin (iDilantin, iPhenytek); ukuvelisa; quinidine (kwiNuedexta); ikwinine; i-ranitidine (iZantac); triamterene (Dyrenium, eMaxzide, abanye); itrimethoprim (Primsol); okanye i-vancomycin (Vancocin). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ubukhe wanayo na imeko yonyango, ngakumbi abo bakhankanyiweyo kwicandelo LESILUMKISO ELIBALULEKILEYO.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-metformin, biza ugqirha wakho.
• xelela ugqirha wakho ukuba utya kancinci okanye usebenze kakhulu kunesiqhelo. Oku kunokuchaphazela iswekile yegazi lakho. Ugqirha wakho uya kukunika imiyalelo ukuba oku kuyenzeka.

Qiniseka ukuba ulandela yonke imithambo kunye nezincomo zokutya ezenziwe ngugqirha wakho okanye ugqirha otya ukutya. Kubalulekile ukutya ukutya okusempilweni.

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.

Eli yeza linokubangela utshintsho kwiswekile yegazi lakho. Kuya kufuneka uyazi iimpawu zeswekile esezantsi kunye ephezulu yegazi kwaye wenzeni ukuba unayo le miqondiso.

I-Metformin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima, musa ukuhamba, hamba uye ubuye, okanye ungaqali kangangexesha elithile emva kokuba uqale ukuthatha i-metformin:

• urhudo
• ukudumba
• isisu esibuhlungu
• irhasi
• ukuqunjelwa
• ukuqhina
• ukungathandeki kwesinyithi emlonyeni
• isilungulela
• intloko ebuhlungu
• Ukuhluza ulusu
• iinzipho utshintsho
• iintlungu zemisipha

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

• iintlungu zesifuba
• irhashalala

I-Metformin 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 obungaphaya, 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 iimpawu zehypoglycemia kunye noku kulandelayo:

• ukudinwa kakhulu
• ubuthathaka
• ukungonwabi
• ukugabha
• isicaphucaphu
• isisu esibuhlungu
• ukunciphisa ukutya
• ukuphefumla okunzulu, okukhawulezayo
• ukuqhawukelwa ngumphefumlo
• isiyezi
• intloko elula
• ukukhawuleza kwentliziyo okanye ukubetha kwentliziyo
• Ukuhluza ulusu
• iintlungu zemisipha
• ndiziva ndibanda

Ugqirha wakho uya kukuxelela indlela yokujonga impendulo yakho kweli yeyeza ngokulinganisa amanqanaba eswekile yegazi ekhaya. Landela le miyalelo ngononophelo.

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

Kufuneka usoloko unxibe isacholo esichaza isifo seswekile ukuze uqiniseke ukuba ufumana unyango olufanelekileyo ngexesha likaxakeka.

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.

• Fortamet^®
• Iswekile yeglucophage^®
• IGlumetza^®
• IRiomet^®
• Trijardy^® (njengemveliso yokudibanisa equlathe iEmpagliflozin, iLinagliptin, iMetformin)

• Actoplus Met^® (Iqulethe iMetformin, iPioglitazone)
• I-Avandamet^® (iqulethe iMetformin, iRosiglitazone)
• I-Invokamet^® (Iqulethe iCanagliflozin, iMetformin)
• IJanumet^® (iqulethe iMetformin, iSitagliptin)
• Jentadueto^® (Equlathe iLinagliptin, Metformin)
• Kazano^® (iqulethe iAlogliptin, iMetformin)
• UKombiglyze^® I-XR (iqulethe iMetformin, iSaxagliptin)
• Imetaglip^® (iqulethe iGlipizide, iMetformin)^¶
• Prandimet^® (Iqulethe iMetformin, Repaglinide)
• Qternmet^® XR (equlathe iDapagliflozin, Metformin, Saxagliptin), Segluromet^® (Equlathe i-Ertugliflozin, iMetformin)
• Ungqinelwano^® (Iqulethe i-Empagliflozin, Metformin)
• Xigduo^® XR (equlathe iDapagliflozin, Metformin)

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