Clopidogrel

Zamkati

• Musanatenge clopidogrel,
• Clopidogrel imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Clopidogrel iyenera kusinthidwa kukhala mawonekedwe a thupi lanu kuti athe kuchiza matenda anu. Anthu ena sasintha clopidogrel kukhala mawonekedwe ake mthupi komanso anthu ena. Chifukwa mankhwalawa sagwira ntchito bwino mwa anthuwa, atha kukhala pachiwopsezo chachikulu chodwala matenda amtima kapena stroke. Pali mayeso omwe amapezeka kuti azindikire anthu omwe ali ndi vuto losintha clopidogrel kukhala mawonekedwe. Lankhulani ndi dokotala wanu ngati mukuyenera kuyesedwa. Ngati mukupezeka kuti mukuvutika kutembenuza clopidogrel kukhala mawonekedwe ake, adotolo amatha kusintha kuchuluka kwa clopidogrel kapena kukuwuzani kuti musatenge clopidogrel.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi clopidogrel ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito clopidogrel.

Clopidogrel imagwiritsidwa ntchito payokha kapena ndi aspirin popewa mavuto akulu kapena owopsa pa mtima ndi mitsempha yamagazi mwa anthu omwe adadwala matenda opha ziwalo, mtima, kapena kupweteka pachifuwa. Izi zimaphatikizira anthu omwe ali ndi ma coronary intervention (PCI; angioplasty; mtundu wa opareshoni yamtima) omwe atha kuphatikizira kuyika ma stonon (ma tubes azitsulo omwe amaikidwa m'mitsempha yamagazi yotseka kuti magazi aziyenda bwino) kapena omwe ali ndi mtsempha wamagazi wolumikiza kumtengowo (CABG; a mtundu wa opaleshoni yamtima). Clopidogrel imagwiritsidwanso ntchito popewera mavuto owopsa kapena owopsa amoyo ndi mtima ndi mitsempha yamagazi mwa anthu omwe ali ndi zotumphukira zam'mimba (kufalikira kochepa m'mitsempha yamagazi yomwe imapereka magazi kumapazi). Clopidogrel ali mgulu la mankhwala otchedwa antiplatelet mankhwala. Zimagwira ntchito popewa magazi othandiza magazi kuundana (mtundu wa selo yamagazi) kuti asatolere ndikupanga kuundana komwe kungayambitse matenda amtima kapena sitiroko.

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

Clopidogrel ikuthandizani kupewa mavuto akulu ndi mtima wanu komanso mitsempha yamagazi pokhapokha mutamwa mankhwalawo. Pitirizani kutenga clopidogrel ngakhale mukumva bwino. Osasiya kumwa clopidogrel osalankhula ndi dokotala. Mukasiya kumwa clopidogrel, pali chiopsezo chachikulu choti mutha kudwala matenda a mtima kapena sitiroko. Ngati muli ndi stent, palinso chiopsezo chachikulu kuti mutha kukhala ndi magazi m'magazi ngati mutasiya kumwa clopidogrel posachedwa.

Clopidogrel imagwiritsidwanso ntchito popewera magazi kuundana mwa anthu omwe ali ndi matenda a atrial fibrillation (momwe mtima umagunda mosasinthasintha). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge clopidogrel,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la clopidogrel, prasugrel (Effient), ticlopidine, mankhwala ena aliwonse, kapena chinthu chilichonse m'mapiritsi a clopidogrel. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin), ndi naproxen (Aleve, Naprosyn); chilonda; esomeprazole (Nexium); etravirine (Kutengeka); omeprazole (Prilosec, Prilosec OTC, Zegerid); mankhwala ena opiate a chifuwa monga codeine (ku Triacin-C, ku Tuzistra XR, ena) kapena hydrocodone (Hycodan, Tussicaps) kapena ululu monga codeine (ku Fioricet, ku Trezix), fentanyl (Actiq, Duragesic, Subsys, ena ), hydrocodone (Hysingla, Zohydro, ku Anexsia, ku Norco), meperidine (Demerol), morphine (Duramorph, Kadian), kapena oxycodone (ku Percocet, ku Roxicet, ena); repaglinide (Prandin, ku Prandimet); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); ndi serotonin / norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), sibutramine (sakupezekanso ku US; Meridia), ndi venlafaxine (Effexor). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala ngati muli ndi zilonda zotuluka magazi (zilonda mkatikati mwa m'mimba kapena m'matumbo ang'onoang'ono omwe akutuluka magazi), kutuluka magazi muubongo, kapena vuto lina lililonse lomwe limayambitsa kutuluka magazi kwambiri. Dokotala wanu angakuuzeni kuti simuyenera kumwa clopidogrel.
• Uzani dokotala wanu ngati mwavulala posachedwa komanso ngati mwakhalapo ndi matenda a chiwindi kapena impso kapena vuto lililonse lomwe lingayambitse magazi, kuphatikiza mavuto am'mimba monga zilonda.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga clopidogrel, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa clopidogrel. Dokotala wanu angakuuzeni kuti musiye kumwa clopidogrel masiku osachepera asanu musanachite opareshoni yanu kuti mupewe magazi ochulukirapo panthawi yochita opaleshoni. Dokotala wanu angakuuzeni nthawi yoyambira kumwa clopidogrel mukatha opaleshoni.
• muyenera kudziwa kuti mutha kutuluka magazi mosavuta kapena kwa nthawi yayitali kuposa masiku onse mukamamwa clopidogrel. Samalani kuti musadzichepetse kapena kudzivulaza mukamamwa clopidogrel.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Clopidogrel imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutopa kwambiri
• mutu
• chizungulire
• nseru
• kusanza
• kupweteka m'mimba
• kutsegula m'mimba
• m'mphuno

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• mipando yakuda ndi yodikira
• magazi ofiira m'mipando
• masanzi amagazi
• kusanza komwe kumawoneka ngati malo a khofi
• kutuluka mwachilendo kapena kuphwanya
• mkodzo wapinki kapena wabulauni
• mawu odekha kapena ovuta
• kufooka kapena kufooka kwa mkono kapena mwendo
• kusintha kwa masomphenya
• malungo
• kupuma movutikira
• kugunda kwamtima mwachangu
• khungu lotumbululuka
• zigamba zofiirira kapena kutuluka magazi pakhungu
• chisokonezo
• chikasu cha khungu kapena maso
• kugwidwa

Clopidogrel imatha kubweretsa 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.

Zizindikiro za bongo zingaphatikizepo izi:

• kuvulaza kapena kutuluka mwachilendo

Sungani maimidwe onse ndi dokotala wanu.

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.

• Dothi^®