Ranitidine

Zamkati

• Musanatenge ranitidine,
• Ranitidine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

[Wolemba 04/01/2020]

NKHANI: A FDA adalengeza kuti ikupempha opanga kuti achotse mankhwala onse ndi owonjezera (OTC) a ranitidine pamsika nthawi yomweyo.

Ili ndiye gawo laposachedwa pakufufuza komwe kumachitika za mankhwala omwe amadziwika kuti N-Nitrosodimethylamine (NDMA) mu mankhwala a ranitidine (omwe amadziwika kuti Zantac). NDMA ndi khansa yamagazi yamunthu (chinthu chomwe chingayambitse khansa). FDA yatsimikiza kuti kusadetsedwa kwa mankhwala ena a ranitidine kumawonjezeka pakapita nthawi ndipo ikasungidwa pamwambamwamba kuposa kutentha kungapangitse kuti ogula azikhala pazosavomerezeka zodetsazi. Chifukwa cha pempholi lofunsira kuti atulutse msika, zinthu za ranitidine sizipezeka pamankhwala atsopano kapena omwe alipo kale kapena kugwiritsa ntchito OTC ku U.S.

MALANGIZO: Ranitidine ndi blockamine ya histamine-2, yomwe imachepetsa kuchuluka kwa asidi opangidwa ndi m'mimba. Mankhwala a ranitidine amavomerezedwa pazizindikiro zingapo, kuphatikiza chithandizo ndi kupewa zilonda zam'mimba ndi m'matumbo komanso kuchiza matenda a reflux am'mimba.

Malangizo:

• Ogwiritsa: A FDA akulangizanso ogula omwe akutenga OTC ranitidine kuti asiye kumwa mapiritsi kapena madzi aliwonse omwe ali nawo pano, kuwataya moyenera osagula ena; kwa iwo omwe akufuna kupitiliza kuchiza matenda awo, ayenera kulingalira zogwiritsa ntchito zinthu zina zovomerezeka za OTC.
• Odwala: Odwala omwe amamwa mankhwala a ranitidine ayenera kulankhula ndi akatswiri awo azaumoyo za njira zina zamankhwala asanayimitse mankhwalawo, popeza pali mankhwala angapo omwe amavomerezedwa kuti agwiritsidwe ntchito mofananamo ndi ranitidine omwe alibe zoopsa zomwezi kuchokera ku NDMA. Mpaka pano, kuyesa kwa FDA sikunapeze NDMA mu famotidine (Pepcid), cimetidine (Tagamet), esomeprazole (Nexium), lansoprazole (Prevacid) kapena omeprazole (Prilosec).
• Ogulitsa ndi Odwala:Potengera mliri wapano wa COVID-19, a FDA amalimbikitsa odwala ndi ogula kuti asatenge mankhwala awo kumalo obwezera mankhwala koma amatsatira njira zomwe a FDA akuyembekeza, zomwe zimapezeka pa: https://bit.ly/3dOccPG, zomwe zimaphatikizapo njira kutaya bwino mankhwalawa kunyumba.

Kuti mumve zambiri pitani patsamba la FDA ku: http://www.fda.gov/Safety/MedWatch/SafetyInformation ndi http://www.fda.gov/Drugs/DrugSafety.

Ranitidine amagwiritsidwa ntchito pochiza zilonda; matenda a reflux a gastroesophageal (GERD), vuto lomwe kubwerera kwa asidi kuchokera m'mimba kumayambitsa kutentha kwa mtima ndi kuvulala kwa chitoliro cha chakudya (esophagus); ndi mikhalidwe yomwe m'mimba imatulutsa asidi wambiri, monga matenda a Zollinger-Ellison. Pa-the-counter ranitidine amagwiritsidwa ntchito popewa komanso kuchiza zizindikiro za kutentha pa chifuwa zomwe zimakhudzana ndi kudzimbidwa kwa asidi ndi m'mimba wowawasa. Ranitidine ali mgulu la mankhwala otchedwa H₂ zotchinga. Amachepetsa kuchuluka kwa asidi opangidwa m'mimba.

Ranitidine imabwera ngati piritsi, piritsi losalala, timadzi timene timatulutsa timadzi tokoma, komanso madzi otenga pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku nthawi yogona kapena kawiri kapena kanayi patsiku. Rititidine yapa-counter imabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Pofuna kupewa zizindikilo, amatengedwa mphindi 30 mpaka 60 asanadye kapena kumwa zakudya zomwe zimayambitsa kutentha kwa mtima. Tsatirani malangizo omwe mwapatsidwa ndi mankhwala anu kapena phukusi mosamala, ndipo funsani dokotala wanu kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ranitidine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Sungunulani mapiritsi ndi timiyala tating'onoting'ono tomwe timatulutsa madzi okwanira magalasi 6 mpaka 8 a madzi musanamwe.

Musatengere pa counter-ranitidine kwa milungu yopitilira 2 pokhapokha dokotala atakuwuzani.Ngati zizindikiro za kutentha pa chifuwa, asidi kudzimbidwa, kapena m'mimba wowawasa zimatenga nthawi yayitali kuposa milungu iwiri, siyani kumwa ranitidine ndikuyimbira dokotala.

Ranitidine imagwiritsidwanso ntchito nthawi zina kuchiza kutuluka m'mimba m'matumbo ndikupewa zilonda zamavuto, kuwonongeka kwa m'mimba chifukwa chogwiritsa ntchito mankhwala osagwiritsa ntchito ma antisteroidal (NSAIDs), komanso kulakalaka kwa asidi m'mimba panthawi ya anesthesia. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanatenge ranitidine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ranitidine kapena mankhwala aliwonse.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: anticoagulants ('opopera magazi') monga warfarin (Coumadin); ndi triazolam (Halcion). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi porphyria, phenylketonuria, kapena matenda a impso kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga ranitidine, itanani dokotala wanu.

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.

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

• mutu
• kudzimbidwa
• kutsegula m'mimba
• nseru
• kusanza
• kupweteka m'mimba

Ranitidine amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito ranitidine.

Musalole kuti wina aliyense amwe 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.

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