Dronedarone

Zamkati

• Musanatenge dronedarone,
• Dronedarone imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA, siyani kumwa dronesarone ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

Simuyenera kumwa dronesarone ngati muli ndi vuto la mtima. Dronedarone imatha kuwonjezera ngozi zakufa kwa anthu omwe ali ndi vuto la mtima. Uzani dokotala wanu ngati muli ndi vuto la mtima lomwe limalepheretsa kupuma movutikira mukamapuma, mutachita masewera olimbitsa thupi pang'ono, kapena mutachita masewera olimbitsa thupi. Muuzeni dokotala wanu ngati mudagonekedwa mchipatala chifukwa cha kulephera kwa mtima mwezi watha ngakhale mukumva bwino. Dokotala wanu sangakupatseni dronesarone.

Musamamwe dronearone ngati muli ndi matenda a atrial fibrillation (matenda a mtima omwe angayambitse kugunda kwamtima mwachangu komanso mosasinthasintha) komwe sikungatembenuzidwe kukhala kachiyero kamtima. Dronedarone imatha kuonjezera ngozi yakufa, kupwetekedwa, komanso kufunika kochulukitsidwa kuchipatala mwa anthu omwe ali ndi mafinya osatha. Dokotala wanu amayang'ana kayendedwe ka mtima wanu osachepera miyezi itatu iliyonse mukamamwa dronearone. Itanani dokotala wanu nthawi yomweyo ngati mtima wanu ukugunda mwachangu kapena mosasinthasintha mukamamwa dronesarone.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi dronedarone 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.

Dronedarone imagwiritsidwa ntchito pochizira anthu omwe pakadali pano ali ndi vuto la mtima, koma adakhalapo ndi matenda a atrial m'mbuyomu. Dronedarone amachepetsa chiopsezo kuti anthu omwe ali ndi vutoli adzafunika kupita kuchipatala kuti akachiritse matenda a atrial. Dronedarone ali mgulu la mankhwala otchedwa antiarrhythmics. Zimagwira ntchito pothandiza mtima kugunda bwino.

Dronedarone imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku, ndi chakudya cham'mawa komanso chakudya chamadzulo. Tengani dronearone mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani dronedarone ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukupatsani mankhwala kuti muchepetse chiopsezo cha sitiroko mukamamwa dronearone. Tengani mankhwalawa ndendende momwe mwalangizira mukamalandira chithandizo.

Dronedarone ikuthandizani kuwongolera kugunda kwanu pokhapokha mutapitiliza kuwatenga. Pitirizani kutenga dronedarone ngakhale mutakhala bwino komanso mwakhala bwino kwa nthawi yayitali.Osasiya kumwa dronesarone osalankhula ndi dokotala.

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

Musanatenge dronedarone,

• Uzani dokotala ndi wazamankhwala ngati muli ndi matupi awo sagwirizana ndi dronearone, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a dronedarone. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani adotolo ngati mukumwa mankhwala aliwonse awa: amitriptyline (mu Limbitrol), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor ), protriptyline (Vivactil), ndi trimipramine (Surmontil); antifungals ena monga itraconazole (Sporanox), ketoconazole (Nizoral), kapena voriconazole (Vfend); clarithromycin (Biaxin); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (EES, E-Mycin, Erythrocin); mankhwala a kugunda kwamtima kosasinthasintha monga amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), propafenone (Rythmol), quinidine, ndi sotalol (Betapace); nefazodone; phenothiazine mankhwala amisala kapena nseru; mwambo (Norvir); kapena telithromycin (Ketek). Dokotala wanu angakuuzeni kuti musamamwe dronesarone ngati mukumwa mankhwala amodzi kapena angapo.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: maanticoagulants (ochepetsa magazi) monga dabigatran (Pradaxa) ndi warfarin (Coumadin); zotchinga beta monga atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); zotsekemera za calcium monga diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), ndi verapamil (Calan, Covera, Isoptin, Verelan); carbamazepine (Epitol, Equetro, Tegretol); mankhwala ochepetsa mafuta m'thupi (ma statins) monga atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), ndi simvastatin (Zocor); digoxin (Lanoxicaps, Lanoxin); okodzetsa (mapiritsi amadzi); phenobarbital; phenytoin (Dilantin); rifampin (Rifadin, Rimactane); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); mankhwala (Rapamune); ndi tacrolimus (Prograf). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati muli ndi vuto lina lililonse la mtima monga kugunda kwamtima mwachangu kapena pang'ono, nthawi yayitali ya QT (vuto la mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), matenda a chiwindi, kapena ngati mwakhala ndi chiwindi kapena mapapo mavuto omwe adayamba atatenga amiodarone (Pacerone). Dokotala wanu akhoza kukuwuzani kuti musatenge dronesarone.
• uzani dokotala wanu ngati mwakhalapo kapena munakhalapo ndi matenda ena aliwonse.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Muyenera kugwiritsa ntchito njira yolerera yothandizidwa ndi dronedarone. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Mukakhala ndi pakati mukamamwa dronesarone, itanani dokotala wanu mwachangu. Dronedarone itha kuvulaza mwana wosabadwayo.
• simuyenera kuyamwitsa mukamamwa mankhwala a dronesarone.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga dronesarone ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba ena sayenera kumwa dronesarone chifukwa siotetezeka kapena yothandiza monga mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.

Musadye zipatso zamphesa kapena kumwa madzi amphesa mukamamwa mankhwalawa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musayese kupanga ndalama zomwe mwaphonya kapena kumwa mlingo wawiri kuti mupange zomwe mwaphonya.

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

• kutsegula m'mimba
• kutentha pa chifuwa
• kufooka
• zidzolo
• kufiira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA, siyani kumwa dronesarone ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• kupuma movutikira
• zovuta kumeza kapena kupuma
• kupuma
• kufinya pachifuwa
• chifuwa chowuma
• kukhosomola ntchofu zotsekemera
• kuvuta kugona chifukwa cha mavuto apuma
• muyenera kudzikongoletsa ndi mapilo owonjezera kuti mupume usiku
• kunenepa (kwa mapaundi 5 kapena kupitilira apo) munthawi yochepa
• kutupa kwa maso, nkhope, milomo, mmero, manja, mapazi kapena miyendo
• kuchepa kwa mtima
• kukomoka
• malungo
• zizindikiro ngati chimfine
• chikasu cha khungu kapena maso
• kuyabwa
• kuvulaza kapena kutuluka mwachilendo
• nseru
• kusanza
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• kutopa kapena kusowa mphamvu
• mdima wodabwitsa mkodzo
• mipando yoyera
• mutu wopweteka mwadzidzidzi
• kutaya mwadzidzidzi kwathunthu kapena pang'ono pang'ono
• kufooka kapena kufooka kwa mkono kapena mwendo
• kuvuta kuganiza bwino, kukumbukira, kapena kuphunzira zinthu zatsopano

Dronedarone 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).

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

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.

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 akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira dronesarone.

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.

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