Atorvastatin

Zamkati

• Musanatenge atorvastatin,
• Atorvastatin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mwakumana nazo zilizonse, itanani dokotala wanu kapena pitani kuchipatala mwachangu:

Atorvastatin imagwiritsidwa ntchito limodzi ndi zakudya, kuchepa thupi, komanso kuchita masewera olimbitsa thupi kuti muchepetse chiopsezo cha mtima komanso kupwetekedwa mtima komanso kuchepetsa mwayi woti kuchitidwa opaleshoni yamtima kwa anthu omwe ali ndi matenda amtima kapena omwe ali pachiwopsezo chodwala matenda amtima. Atorvastatin imagwiritsidwanso ntchito kuchepetsa kuchuluka kwa zinthu zamafuta monga low-density lipoprotein (LDL) cholesterol ('bad cholesterol') ndi triglycerides m'magazi ndikuwonjezera kuchuluka kwa kachulukidwe ka lipoprotein (HDL) cholesterol ('cholesterol wabwino' ') m'magazi. Atorvastatin itha kugwiritsidwanso ntchito kuchepetsa kuchuluka kwa cholesterol ndi zinthu zina zamafuta m'magazi mwa ana ndi achinyamata azaka 10 mpaka 17 zakubadwa omwe ali ndi heterozygous hypercholesterolemia (cholowa chobadwa nacho chomwe cholesterol sichitha kuchotsedwa mthupi nthawi zonse). Atorvastatin ali mgulu la mankhwala otchedwa HMG-CoA reductase inhibitors (ma statins). Zimagwira pochepetsa kuchepa kwa cholesterol m'thupi kuti muchepetse kuchuluka kwa mafuta m'thupi omwe angakule pamakoma a mitsempha ndikuletsa magazi kupita kumtima, ubongo, ndi ziwalo zina za thupi.

Kuwonjezeka kwa cholesterol ndi mafuta m'mbali mwa mitsempha yanu (njira yotchedwa atherosclerosis) imachepetsa kutuluka kwa magazi, chifukwa chake, mpweya umapatsa mtima wanu, ubongo, ndi ziwalo zina za thupi lanu. Kutsitsa magazi anu wama cholesterol ndi mafuta ndi atorvastatin kwawonetsedwa kuti kumateteza matenda amtima, angina (kupweteka pachifuwa), stroko, ndi matenda amtima.

Atorvastatin imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Tengani atorvastatin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani atorvastatin ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa atorvastatin ndikuwonjezera mlingo wanu pang'onopang'ono, osapitilira kamodzi milungu iwiri kapena iwiri iliyonse.

Pitirizani kumwa atorvastatin ngakhale mukumva bwino. Osasiya kumwa atorvastatin osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge atorvastatin,

• uzani adotolo ndi wazamankhwala ngati muli ndi vuto la atorvastatin, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a atorvastatin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: Mankhwala oletsa antifungal monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); boceprevir (Wopambana); cimetidine (Tagamet); clarithromycin (Biaxin); mankhwala okhala ndi cobicistat (Stribild); colchicine (Colcrys); digoxin (Lanoxin); efavirenz (Sustiva, ku Atripla); njira zakulera zam'kamwa (mapiritsi olera); mankhwala ena ochepetsa mafuta m'thupi monga fenofibrate (Tricor), gemfibrozil (Lopid), ndi niacin (nicotinic acid, Niacor, Niaspan); ma virus ena a HIV protease monga darunavir (Prezista), fosamprenavir (Lexiva), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), saquinavir (Invirase), ndi tipranavir (Aptivus); mankhwala omwe amaletsa chitetezo cha mthupi monga cyclosporine (Neoral, Sandimmune); rifampin (Rifadin, Rimactane); spironolactone (Aldactone); ndi telaprevir (Incivek). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena amathanso kulumikizana ndi atorvastatin, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati muli ndi matenda a chiwindi. Dokotala wanu adzaitanitsa mayeso a labotale kuti awone momwe chiwindi chanu chikugwirira ntchito ngakhale simukuganiza kuti muli ndi matenda a chiwindi. Dokotala wanu angakuwuzeni kuti musatenge atorvastatin ngati mwakhala ndi matenda a chiwindi kapena ngati mayesero akuwonetsa kuti mwina mukukhala ndi matenda a chiwindi.
• uzani dokotala ngati mumamwa zakumwa zoledzeretsa zoposa 2 tsiku lililonse, ngati muli ndi zaka 65 kapena kupitirira, ngati mudadwalapo chiwindi, komanso ngati mwakhala mukumva kupweteka kapena kufooka kwa minofu; matenda ashuga, khunyu, kuthamanga kwa magazi, matenda a chithokomiro kapena impso.

• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Simuyenera kutenga pakati mukamamwa atorvastatin. Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza. Mukakhala ndi pakati mukatenga atorvastatin, siyani kumwa atorvastatin ndipo itanani dokotala wanu mwachangu. Atorvastatin akhoza kuvulaza mwana wosabadwayo.

  
  

• musamamwe mkaka pamene mukumwa mankhwalawa.

• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa atorvastatin. Ngati mwagonekedwa mchipatala chifukwa chovulala kwambiri kapena matenda, uzani adotolo omwe akukuchitirani kuti mukumwa atorvastatin.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa atorvastatin. Mowa ungapangitse kuti pakhale zovuta zoyipa.

Idyani chakudya chochepa cha mafuta, cholesterol. Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Mutha kuchezanso tsamba la National Cholesterol Education Program (NCEP) kuti mumve zambiri za zakudya pa http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Pewani kumwa mowa wochuluka [wopitilira 1.2 lita (pafupifupi kotala imodzi patsiku] wa madzi amphesa mukamamwa atorvastatin.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ndi ochepera maola 12 mpaka muyeso wanu wotsatira, tulukani mlingo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Atorvastatin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kutentha pa chifuwa
• mpweya
• kupweteka pamodzi
• kuyiwala kapena kuiwalika
• chisokonezo

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mwakumana nazo zilizonse, itanani dokotala wanu kapena pitani kuchipatala mwachangu:

• kupweteka kwa minofu, kufatsa, kapena kufooka
• kusowa mphamvu
• malungo
• kupweteka pachifuwa
• nseru
• kutopa kwambiri
• kufooka
• kutuluka mwachilendo kapena kuphwanya
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• zizindikiro ngati chimfine
• mkodzo wachikuda
• chikasu cha khungu kapena maso
• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali

Atorvastatin angayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu mukamalandira chithandizo, makamaka mukayamba kuwonetsa chiwindi.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa atorvastatin.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Lipitor^®

• Zamgululi^® (yokhala ndi Amlodipine, Atorvastatin)
• Liptruzet^® (okhala ndi Atorvastatin, Ezetimibe)