Nitroglycerin Sublingual

Zamkati

• Musanamwe kapena kugwiritsa ntchito nitroglycerin,
• Nitroglycerin ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la SPECIAL PRECAUTIONS ndizovuta kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Mapiritsi ang'onoang'ono a Nitroglycerin amagwiritsidwa ntchito pochiza ma angina (kupweteka pachifuwa) mwa anthu omwe ali ndi matenda amitsempha (kuchepa kwa mitsempha yamagazi yomwe imapereka magazi pamtima). Amagwiritsidwanso ntchito ntchito zisanachitike zomwe zitha kuyambitsa zigawo za angina pofuna kuteteza kuti angina isachitike. Nitroglycerin ili mgulu la mankhwala otchedwa vasodilators. Zimagwira ntchito potsekula mitsempha yam'magazi kotero mtima safunika kugwira ntchito molimbika motero safuna mpweya wochuluka.

Nitroglycerin imabwera ngati piritsi laling'ono kuti mutenge pansi pa lilime. Mapiritsi nthawi zambiri amatengedwa ngati pakufunika, mwina mphindi 5 kapena 10 zinthu zisanachitike zomwe zingayambitse angina kapena chizindikiro choyamba cha kuukira. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani nitroglycerin chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Nitroglycerin mwina singagwire bwino ntchito mutayigwiritsa ntchito kwakanthawi kapena ngati mwamwa mankhwala ambiri. Tengani mapiritsi ochepa omwe amafunikira kuti muchepetse kupweteka kwanu. Ngati angina yanu imachitika pafupipafupi, imatenga nthawi yayitali, kapena imakula kwambiri nthawi iliyonse mukamalandira chithandizo, itanani dokotala wanu.

Lankhulani ndi dokotala wanu momwe mungagwiritsire ntchito mapiritsi a nitroglycerin pochiza angina. Dokotala wanu angakuuzeni kuti mukhale pansi ndikumwa mlingo umodzi wa nitroglycerin mukayamba kuukira. Ngati zizindikilo zanu sizikusintha kwambiri kapena zikakulirakulira mukamamwa mankhwalawa mungauzidwe kuti mupemphe thandizo kwadzidzidzi nthawi yomweyo. Ngati zizindikiro zanu sizingathe mutangomwa mlingo woyamba, dokotala wanu angakuuzeni kuti mutenge mlingo wachiwiri pakadutsa mphindi 5 komanso wachitatu mphindi 5 mutatha kumwa kachiwiri. Itanani thandizo lachipatala nthawi yomweyo ngati kupweteka kwa chifuwa chanu sikunathe patatha mphindi 5 mutalandira mankhwala achitatu.

Osatafuna, kuphwanya, kapena kumeza mapiritsi a nitroglycerin. M'malo mwake, ikani piritsi pansi pa lilime lanu kapena pakati pa tsaya lanu ndi chingamu ndikuyembekezera kuti lisungunuke. Mutha kumva kutentha kapena kugunda pakamwa panu piritsi lisungunuka. Izi si zachilendo koma si chizindikiro kuti piritsi likugwira ntchito. Osadandaula kuti piritsi silikugwira ntchito ngati simukumva kutentha kapena kumva kulasalasa.

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

Musanamwe kapena kugwiritsa ntchito nitroglycerin,

• auzeni dokotala ndi wazamankhwala ngati simukugwirizana ndi zigamba za nitroglycerin, makapisozi, mapiritsi, mafuta, kapena utsi; mankhwala ena aliwonse; kapena chilichonse mwazomwe zimaphatikizidwa m'mapiritsi a nitroglycerin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo ngati mukumwa riociguat (Adempas) kapena ngati mukumwa kapena mwatenga posachedwapa phosphodiesterase inhibitor (PDE-5) monga avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), ndi vardenafil (Levitra, Staxyn). Dokotala wanu angakuuzeni kuti musamwe nitroglycerin ngati mukumwa imodzi mwa mankhwalawa.
• 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: aspirin; zotchinga beta monga atenolol (Tenormin), carteolol, labetalol (Trandate, ku Normozide, ku Trandate HCT), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betapace, Sorine ), ndi timolol; calcium blockers monga amlodipine, diltiazem (Cardizem, Cartia, Diltzac, ena), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Adalat, Afeditab CR, Procardia), ndi verapamil (Calan, Covera, Verelan, ku Tarka) ; okodzetsa (mapiritsi amadzi); mankhwala amtundu wa ergot monga bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHH 45, Migranal), ergoloid mesylates (Hydergine), ergotamine (ku Cafergot, ku Migergot), ndi methylergonovine (Methergine) heparin; mankhwala othamanga magazi, kulephera kwa mtima, kapena kugunda kwamtima mosasinthasintha. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• muyenera kudziwa kuti mapiritsi a nitroglycerin amatha kusungunuka mosavuta pakamwa panu ngati mukumwa mankhwala omwe amayambitsa pakamwa pouma monga antihistamines; antidepressants monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipramine (Surmontiline); ipratropium (Atrovent); kapena mankhwala a matenda opweteka a m'mimba, matenda oyenda, matenda a Parkinson, zilonda zam'mimba, kapena mavuto amikodzo. Izi zikachitika, gwiritsani ntchito chopangira malovu kapena kutafuna chingamu kuti muwonjezere malovu mkamwa mwanu kuti phale lisungunuke.
• uzani dokotala wanu ngati mwangodwala kumene mtima komanso ngati muli ndi kuchepa kwa magazi (magazi ofiira ochepa) kapena vuto lililonse lomwe limayambitsa kupanikizika mu chigaza chanu. Dokotala wanu angakuuzeni kuti musamwe nitroglycerin.
• Uzani dokotala wanu ngati mukuganiza kuti mutha kuchepa madzi m'thupi ndipo ngati mwakhalapo ndi mtima, kuthamanga magazi, kapena hypertrophic cardiomyopathy (kukulitsa kwa minofu ya mtima).
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa nitroglycerin, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa nitroglycerin.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa nitroglycerin. Mowa umatha kukulitsa mavuto obwera kuchokera ku nitroglycerin.
• muyenera kudziwa kuti nitroglycerin imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka msanga pamalo abodza, kapena nthawi iliyonse, makamaka ngati mwakhala mukumwa mowa. Pofuna kupewa vutoli, dzukani pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zochepa musanayimirire. Samalani kuti musagwere mukamamwa mankhwala a nitroglycerin.
• muyenera kudziwa kuti mutha kumva kupweteka mutu mukamamwa mankhwala a nitroglycerin. Mutuwu ukhoza kukhala chizindikiro kuti mankhwalawa akugwira ntchito moyenera. Musayese kusintha nthawi yomwe mumamwa nitroglycerin kuti mupewe kupweteka kwa mutu chifukwa mankhwalawa mwina sagwiranso ntchito.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mapiritsi amtundu wa Nitroglycerin amatengedwa nthawi zambiri kuti athetse ma angina; osazitenga nthawi zonse.

Nitroglycerin ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la SPECIAL PRECAUTIONS ndizovuta kapena sizichoka:

• kuchapa

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

• kusawona bwino
• pakamwa pouma
• zotupa, zotupa, kapena khungu
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• nseru
• kusanza
• kufooka
• thukuta
• khungu lotumbululuka

Manenedwe ang'onoang'ono a Nitroglycerin amatha kuyambitsa 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 m'chidebe chomwe munabwera, mutsekedwa mwamphamvu mutagwiritsa ntchito, komanso komwe ana sangakwanitse. 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:

• mutu
• chisokonezo
• malungo
• chizungulire
• kugunda pang'onopang'ono kapena kugunda kwamtima
• masomphenya amasintha
• nseru
• kusanza
• kutsegula m'mimba
• kukomoka
• kupuma movutikira
• thukuta
• kuchapa
• kozizira, khungu lamadzi
• kutaya mphamvu yosuntha thupi
• chikomokere (kutaya chidziwitso kwakanthawi)
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu.

Musanapite kukayezetsa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito manenedwe a nitroglycerin.

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.

• Nitrostat^®