Mlembi: Janice Evans
Tsiku La Chilengedwe: 26 Kulayi 2021
Sinthani Tsiku: 14 Novembala 2024
Anonim
Lidocaine and Mexiletine - Class IB Antiarrhythmics Mechanism of Action, Side Effects & Indications
Kanema: Lidocaine and Mexiletine - Class IB Antiarrhythmics Mechanism of Action, Side Effects & Indications

Zamkati

Mankhwala osokoneza bongo, ofanana ndi mexiletine, akuti akuwonjezera ngozi zakufa kapena matenda amtima, makamaka kwa anthu omwe adadwala mtima mzaka ziwiri zapitazi. Mexiletine itha kuwonjezera mwayi wokhala ndi arrhythmias (kugunda kwamtima kosafunikira) ndipo sizinatsimikizidwe kuti zithandiza anthu opanda arrhythmias owopsa kuti akhale ndi moyo wautali. Mexiletine ayenera kugwiritsidwa ntchito pokhapokha ngati ali ndi matenda owopsa.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mexiletine.

Mexiletine imagwiritsidwa ntchito pochiza mitundu ina yama ventricular arrhythmias (mitima yachilendo). Mexiletine ali mgulu la mankhwala otchedwa antiarrhythmics. Zimagwira ntchito poletsa zida zina zamagetsi mumtima kuti zikhazikike pamtima.

Mexiletine amabwera ngati kapisozi woti atenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku, maola 8 aliwonse. Anthu ena amatha kumwa kawiri patsiku, maola 12 aliwonse, ma arrhythmias awo atalamulidwa ndi mexiletine. Mexiletine ayenera kumwedwa ndi chakudya kapena mankhwala ophera tizilombo popewa kukhumudwa m'mimba. Tengani mexiletine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani mexiletine chimodzimodzi monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.


Mutha kukhala muchipatala mukayamba mankhwala anu ndi mexiletine. Dokotala wanu adzakuyang'anirani mosamala panthawiyi komanso bola ngati mupitiliza kumwa mexiletine. Dokotala wanu mwina angakuyambitseni pa mexiletine pang'ono pang'ono pang'onopang'ono ndikuwonjezera kapena kuchepa mlingo wanu, osapitilira kamodzi masiku awiri kapena atatu.

Mexiletine amawongolera ma arrhythmias koma sawachiritsa. Pitirizani kumwa mexiletine ngakhale mukumva bwino. Osasiya kumwa mexiletine osalankhula ndi dokotala. Mukasiya mwadzidzidzi kumwa mexiletine, matenda anu akhoza kukulirakulira.

Mexiletine imagwiritsidwanso ntchito pochiza matenda ashuga (kuwonongeka kwa mitsempha yoyambitsidwa ndi matenda ashuga). 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 mexiletine,

  • Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la mexiletine, lidocaine, mankhwala ena aliwonse, kapena zina zilizonse mu mexiletine. Funsani wamankhwala wanu kuti awonetse 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: acetazolamide (Diamox); zotayidwa-magnesium hydroxide (Gaviscon, Maalox, Mylanta, ena); amiodarone (Cordarone, Pacerone); atropine (ku Lomotil, ku Lonox, ku Motofen); bupropion (Wellbutrin, Zyban); mankhwala okhala ndi khofi (Cafergot, Esgic, Esgic Plus, Fioricet, NoDoz, Norgesic, ena); mankhwala a chlorpheniramine (Chlor-Trimeton); cimetidine (Tagamet); clomipramine (Anafranil); okodzetsa ('mapiritsi amadzi'); fluoroquinolones monga ciprofloxacin (Cipro), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ndi ofloxacin (Floxin); haloperidol (Haldol); methenamine (Hiprex, Urex); metoclopramide (Reglan); mankhwala osokoneza bongo opweteka; phenobarbital; phenytoin (Dilantin, Phenytek); potaziyamu citrate (Urocit-K); mankhwala (Rythmol); rifampin (Rifadin, Rimactane); ritonavir (Norvir, ku Kaletra); ma serotonin reuptake inhibitors (SSRIs) osankhidwa monga duloxetine (Cymbalta), fluoxetine (Prozac, Sarafem), fluvoxamine, ndi paroxetine (Paxil); sodium bicarbonate (Soda Mint, soda); theophylline (Theolair, Theochron, Uniphyl); ndi ticlopidine (Ticlid). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi mexiletine, chifukwa chake onetsetsani kuti mumauza dokotala za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • auzeni adotolo ngati mwadwalapo mtima, kulephera mtima, kuthamanga magazi, matenda a chiwindi, kapena khunyu.
  • uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa mexiletine, itanani dokotala wanu.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa mexiletine.
  • muyenera kudziwa kuti mexiletine imatha kukupangitsani kukhala ozunguzika kapena opepuka. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.

Lankhulani ndi dokotala wanu zakumwa zakumwa za caffeine mukamamwa mankhwalawa.


Uzani dokotala wanu ngati ndinu wosadya nyama kapena ngati mumakonda kudya zipatso zambiri za citrus, cranberries, masamba, nyama, kapena mkaka. Ngati simudya kawirikawiri zakudya izi, pitilizani zakudya zanu zachizolowezi.

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.

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

  • nseru
  • kusanza
  • kutentha pa chifuwa
  • kusintha kwa njala
  • mutu wopepuka kapena chizungulire
  • kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
  • kutayika kwa mgwirizano
  • dzanzi kapena kumva kulasalasa
  • mutu
  • kusawona bwino
  • manjenje
  • zovuta kuyankhula
  • kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
  • zidzolo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

  • kugunda kwamtima kosasintha
  • kupweteka pachifuwa
  • kutopa kwambiri
  • kutuluka mwachilendo kapena kuphwanya
  • kusowa mphamvu
  • kupweteka kumtunda chakumanja kwam'mimba
  • chikasu cha khungu kapena maso
  • zizindikiro ngati chimfine

Mexiletine angayambitse mavuto ena. 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.

Zizindikiro za bongo zingaphatikizepo:

  • Kusinza
  • chisokonezo
  • nseru
  • kukomoka
  • chizungulire
  • dzanzi kapena kumva kulasalasa
  • pang'onopang'ono, mofulumira, kapena kugunda kwa mtima kosasinthasintha
  • chikomokere
  • imfa yadzidzidzi

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira pa mexiletine.

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.

  • Mexitil®

Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.

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