Esomeprazole

Umxholo

• Ngaphambi kokuba uthathe i-esomeprazole,
• I-Esomeprazole inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana enye yeempawu, tsalela ugqirha ngokukhawuleza, okanye ufumane uncedo lonyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

I-esomeprazole ye-prescription isetyenziselwa ukunyanga iimpawu zesifo se-gastroesophageal reflux (GERD), imeko apho ukubuyela umva kwe-asidi esiswini kubangela ukutsha kwentliziyo kunye nokwenzakala okunokwenzeka kwi-esophagus (ityhubhu phakathi komqala nesisu) kubantu abadala nasebusweni unyaka omnye. yobudala nangaphezulu. I-esomeprazole kagqirha isetyenziselwa ukunyanga umonakalo ovela kwi-GERD kubantu abadala kunye nabantwana kwinyanga enye ubudala nangaphezulu. I-esomeprazole ye-prescription isetyenziselwa ukuvumela umqala ukuba uphilise kwaye uthintele omnye umonakalo kubantu abadala abane-GERD. I-esomeprazole kagqirha ikwasetyenziselwa ukunciphisa amathuba okuba abantu abathatha amachiza angasebenziyo okulwa nokudumba (i-NSAID) baya kuba nezilonda (izilonda kulusu lwesisu okanye amathumbu) kubantu abadala. Ikwasetyenziswa namanye amayeza ukunyanga nokukhusela ukubuya kwezilonda zesisu ezibangelwa luhlobo oluthile lweebhaktiriya (H. pylori) kubantu abadala. I-esomeprazole kagqirha ikwasetyenziselwa ukunyanga iimeko apho isisu sivelisa i-asidi eninzi njengeZollinger-Ellison syndrome kubantu abadala. Unprescription (over-the-counter) esomeprazole isetyenziselwa ukunyanga ukutsha kwentliziyo (isitshisa esibuhlungu esenzeka okungenani iintsuku ezi-2 okanye ngaphezulu ngeveki) kubantu abadala. I-Esomeprazole ikudidi lwamayeza abizwa ngokuba yiproton pump inhibitors. Isebenza ngokunciphisa inani le-asidi eyenziwe esiswini.

I-esomeprazole yonyango iza njengokulibaziseka-ukukhutshwa (kukhupha iyeza emathunjini ukuthintela ukwaphuka kwamayeza ngesisu asidi) iphilisi oyithathe ngomlomo okanye ukuvula, ukuxuba namanzi, kunye nokunikezela ngombhobho wokutyisa, nanjengezipakethe yokukhululwa kokulibaziseka (kukhupha iyeza emathunjini ukuthintela ukwaphuka kwamayeza ngesisu esiswini) igranules yokumiswa (ukudityaniswa namanzi) ukuthatha ngomlomo okanye ukunikezela ngombhobho wokutya. Ukubhalwa okungabhalwanga (ngaphezulu kwekhawuntari) i-esomeprazole iza njengepilisi ebambezelekileyo kunye nepilisi eziza kuthathwa ngomlomo. I-esomeprazole yommiselo ihlala ithathwa kanye ngemini ubuncinci iyure enye ngaphambi kokutya. Xa i-esomeprazole kagqirha isetyenziselwa ukunyanga iimeko ezithile apho isisu senza i-asidi eninzi, sithathwa kabini ngemini. Iicapsule kunye neetafile ezingafakwanga kugunyaziso ezibambezelayo zikhutshwa kanye ngemini kusasa ubuncinci iyure enye ngaphambi kokutya kangangeentsuku ezili-14 zilandelelana. Ukuba kukho imfuneko, unyango lweentsuku ezili-14 lunokuphindwa, hayi rhoqo kunakuqala rhoqo kwiinyanga ezi-4.

Thatha i-esomeprazole 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-esomeprazole ngokuchanekileyo njengoko kuyalelwe. Sukuyithatha ngaphezulu okanye ngaphantsi okanye uyithathe rhoqo okanye ngaphezulu okanye ixesha elide kunokuba umiselwe ngugqirha wakho okanye uxelwe kwiphakheji.

Ginya zonke iifomsile; ungahluleli, ungahlaleli, okanye uzityumze. Ukuba awukwazi ukuginya iphilisi, beka icephe eli-1 le-applesauce epholileyo, ethambileyo kwisitya esingenanto. Vula iphilisi enye ye-esomeprazole kwaye ufefe ngononophelo iipellets kwiapilesauce. Hlanganisa iipellets kunye neapilesauce kwaye uginye yonke icephe le-apilesauce kunye nomxube wepelethi kwangoko. Sukutyumza okanye ukuhlafuna iipelle kwiapilesauce. Sukuzigcina iipellets kunye neapilesauce ukuze uzisebenzise kamva.

Ukuba uthatha igranules zokumiswa ngomlomo, kuya kufuneka uyixube namanzi ngaphambi kokuyisebenzisa. Ukuba usebenzisa ipakethi eyi-2.5- okanye 5-mg, beka icephe e-1 (5 ml) yamanzi kwisitya. Ukuba usebenzisa ipakethi ye-10-, 20-, okanye 40-mg, beka icephe eli-1 (15 mL) lamanzi kwisitya. Yongeza imixholo yepakethi yomgubo kwaye uxhokonxe. Lindela imizuzu emi-2 ukuya kwemi-3 ukuvumela umxube ukuba unyibilike, kwaye uphinde uvuselele umxube. Sela lo mxube kwimizuzu engama-30. Ukuba kukho nawuphi na umxube onamathele kwisitya, galela amanzi ngakumbi kwisitya, xovula kwaye usele wonke umxube kwangoko.

Iigranu kunye nemixholo yeepilisi zokulibaziseka ezikhutshiweyo zinokukhutshwa zombini ngombhobho wokutya. Ukuba unayo ityhubhu yokondla, buza ugqirha wakho okanye usokhemesti ukuba ulithatha njani na iyeza. Landela loo miyalelo ngononophelo.

Musa ukuthatha i-esomeprazole engabhaliswanga ukuze uncede ngokukhawuleza iimpawu zentlungu. Kungathatha i-1 ukuya kwiintsuku ezi-4 ukuba uve isibonelelo esipheleleyo samayeza. Fowunela ugqirha wakho ukuba iimpawu zakho ziya zisiba mbi okanye aziphucuki emva kweentsuku ezili-14 okanye ukuba iimpawu zakho zibuya kwakamsinya kuneenyanga ezi-4 emva kokugqiba unyango. Musa ukuthatha i-esomeprazole engabhaliswanga ixesha elingaphezulu kweentsuku ezili-14 okanye uzinyange nge-esomeprazole rhoqo ngaphezulu kwenyanga ezi-4 ungakhange uthethe nogqirha wakho.

Qhubeka nokuthatha i-esomeprazole kagqirha, nokuba uziva uphilile. Shayela ugqirha wakho ukuba iimpawu zakho ziba nzima okanye zingaphuculisi ngeli xesha. Sukuyeka ukuthatha i-esomeprazole ungakhange uthethe 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-esomeprazole,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-esomeprazole, dexlansoprazole (Dexilant), lansoprazole (Prevacid, Prevpac), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix), rabeprazole (AcipHex), nawaphi na amanye amayeza, okanye izithako kwiifomsile ze-esomeprazole okanye umgubo. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-rilpivirine (Edurant, eComplera, Odefsey). Ugqirha wakho uya kukuxelela ukuba ungathathi i-esomeprazole ukuba uthatha la mayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nolungabhaliswanga, iivithamini, kunye nesongezelelo sesondlo osithathayo okanye oceba ukusithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin); izinto ezithile zokubulala ukungunda ezifana ne-ketoconazole (Nizoral) kunye ne-voriconazole (Vfend); Iililostazol (Pletal); iklopidogrel (iPlavix); diazepam (Valium); i-digoxin (iLanoxicaps, iLanoxin); umchamo ('iipilisi zamanzi'); erlotinib (iTarceva); izongezo zentsimbi; amayeza athile kwintsholongwane (i-HIV) enjenge-atazanavir (Reyataz), nelfinavir (Viracept), kunye ne-saquinavir (i-Invirase); imethotrexate (Rheumatrex, Trexall); mycophenolate mofetil (Cellcept); irifampin (Rifadin, kwiRifater); kunye netacrolimus (Prograf). 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. Ugqirha wakho unokukuxelela ukuba ungathathi i-wort yase-St John ngelixa uthatha i-esomeprazole.
• Ukuba uceba ukuthatha i-esomeprazole engabhaliswanga, xelela ugqirha wakho ukuba isilungulela sokuqhaqhazela sihlale iinyanga ezintathu okanye nangaphezulu, ukuba uthathe i-esomeprazole engabhaliswanga ixesha elide kunokuba kuchaziwe kwiphakheji, okanye ukuba ukhe wafumana naziphi na kwezi mpawu zilandelayo: ukukhanya kwentloko, ukubila, okanye isiyezi kunye nokuqaqamba kwentliziyo yakho; iintlungu zesifuba okanye iintlungu zamagxa; ukuphefumla kancinci okanye ukuvutha; intlungu esasazeka kwiingalo zakho, entanyeni, okanye emagxeni; ukwehla kobunzima obungachazwanga; isicaphucaphu; ukugabha, ngakumbi ukuba umgabho lowo unegazi; isisu esibuhlungu; ubunzima bokuginya ukutya okanye iintlungu xa uginya ukutya; okanye ilindle elimnyama okanye elinegazi. Unokuba kwimeko enzima kakhulu engenakunyangwa ngamayeza angabhaliswanga.
• xelela ugqirha wakho ukuba unawo amanqanaba aphantsi e-magnesium egazini lakho, amanqanaba asezantsi e-vitamin B-12 emzimbeni wakho, i-osteoporosis, isifo se-autoimmune (imeko apho umzimba uhlasela amalungu ayo, ubangela ukudumba kunye nelahleko of function) njenge systemic lupus erythematosus, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa uthatha i-esomeprazole, tsalela ugqirha wakho.
• thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-esomeprazole ukuba uneminyaka engama-70 ubudala okanye ngaphezulu. Sukuthatha la mayeza ixesha elide kunokuba ucetyisiwe kwileyibhile yemveliso okanye ngugqirha wakho.

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

• intloko ebuhlungu
• isicaphucaphu
• urhudo
• irhasi
• ukuqhina
• umlomo owomileyo
• ukozela

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana enye yeempawu, tsalela ugqirha ngokukhawuleza, okanye ufumane uncedo lonyango olungxamisekileyo:

• i-blisters okanye i-peeling skin
• urhwebo
• irhashalala
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• ngokungaqhelekanga, ngokukhawuleza, okanye ukubetha kwentliziyo
• ukudinwa kakhulu
• isiyezi
• intloko elula
• ukuxhamla izihlunu, iicampu, okanye ubuthathaka
• jita
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukuxhuzula
• urhudo oluqatha ngamanqatha amanzi, iintlungu zesisu, okanye umkhuhlane ongapheliyo
• irhashalala ezidleleni okanye kwiingalo ezibuthathaka elangeni
• ukwanda okanye ukunciphisa ukuchama, igazi kumchamo, ukukhathala, isicaphucaphu, ukuphelelwa ngumdla, umkhuhlane, irhashalala, okanye iintlungu ezidibeneyo

Abantu abathatha iiproton pump inhibitors ezinje nge-esomeprazole banokubakho ngakumbi ekuqhekekeni ezihlahleni, ezinqeni, okanye emqolo kunabantu abangathathi nanye kula mayeza. Abantu abathatha iiproton pump inhibitors banokuphuhlisa i-fundic gland polyps (uhlobo lokukhula kwisisu esiswini). Le mingcipheko iphezulu kubantu abathatha idosi ephezulu yala mayeza okanye bawathathe unyaka omnye okanye ngaphezulu. Thetha nogqirha wakho malunga nomngcipheko wokuthatha i-esomeprazole.

I-Esomeprazole 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:

• ukudideka
• ukozela
• ukungaboni kakuhle
• ukubetha kwentliziyo ngokukhawuleza
• isicaphucaphu
• ukubila
• ukugungxula
• intloko ebuhlungu
• umlomo owomileyo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unoku-odola iimvavanyo ezithile zaselebhu ngaphambi kunye nangexesha lonyango lwakho, ngakumbi ukuba unorhudo oluqatha.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-esomeprazole.

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.

• Nexium^®
• Nexium^® 24HR

• IVimovo^® (Equlathe i-Esomeprazole, iNaproxen)