Mitu ya Diclofenac (actinic keratosis)

Zamkati

• Musanagwiritse ntchito gel osakaniza diclofenac,
• Diclofenac gel osakaniza angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:

Anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo (NSAIDs) (kupatula aspirin) monga topical diclofenac (Solaraze) atha kukhala ndi chiopsezo chachikulu chodwala matenda a mtima kapena sitiroko kuposa anthu omwe sagwiritsa ntchito mankhwalawa. Izi zitha kuchitika mosazindikira ndipo zitha kuyambitsa imfa. Izi zitha kukhala zazikulu kwa anthu omwe amagwiritsa ntchito ma NSAID kwa nthawi yayitali. Musatenge NSAID monga mutu wa diclofenac ngati mwangodwala kumene mtima, pokhapokha mutalangizidwa ndi dokotala wanu. Uzani dokotala wanu ngati inu kapena aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda amtima, matenda a mtima, kapena sitiroko; ngati mumasuta; ndipo ngati mwakhalapo ndi cholesterol, kuthamanga magazi, kapena matenda ashuga. Pezani chithandizo chadzidzidzi nthawi yomweyo ngati mungakhale ndi izi: kupweteka pachifuwa, kupuma movutikira, kufooka gawo limodzi kapena mbali ina ya thupi lanu, kapena kusalankhula bwino.

Ngati mukukhala ndi mtsempha wamagazi wodutsa (CABG; mtundu wa opareshoni yamtima), simuyenera kugwiritsa ntchito topic diclofenac (Solaraze) musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga topical diclofenac (Solaraze) amatha kuyambitsa kutupa, zilonda zam'mimba, magazi, kapena mabowo m'mimba kapena m'matumbo. Mavutowa amatha nthawi iliyonse akamalandira chithandizo, atha kuchitika popanda zidziwitso, ndipo atha kupha. Chiwopsezo chikhoza kukhala chachikulu kwa anthu omwe amagwiritsa ntchito ma NSAID kwa nthawi yayitali, ndi okalamba, ali ndi thanzi labwino, amasuta, kapena amamwa mowa akamagwiritsa ntchito diclofenac. Uzani dokotala wanu ngati muli ndi zina mwaziwopsezozi ngati muli ndi zilonda kapena zotuluka magazi m'mimba kapena m'matumbo, kapena matenda ena otuluka magazi. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; ma NSAID ena monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); kapena serotonin norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), ndi venlafaxine (Effexor XR). Ngati mukukumana ndi zina mwazizindikiro izi, siyani kugwiritsa ntchito diclofenac yam'mutu ndikuimbira foni dokotala: kupweteka m'mimba, kutentha pa chifuwa, kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi, magazi mu chopondapo, kapena mipando yakuda ndi yodikira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'anitsitsa zizindikiro zanu mosamala ndipo mwina amatenga magazi anu ndikuitanitsa mayeso ena kuti muwone momwe thupi lanu limayankhira ku diclofenac (Solaraze). Onetsetsani kuti muuze dokotala momwe mukumvera kotero kuti adokotala angakupatseni mankhwala oyenera kuti athetse vuto lanu omwe ali pachiwopsezo chachikulu cha zotsatirapo zoyipa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi diclofenac yam'mutu ndipo nthawi iliyonse mukamadzaza 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) kuti mupeze Chithandizo cha Mankhwala.

Diclofenac topical gel (Solaraze) amagwiritsidwa ntchito pochizira actinic keratosis (zotupa, zotupa pakhungu zomwe zimayambitsidwa ndi dzuwa). Diclofenac ali mgulu la mankhwala otchedwa nonsteroidal anti-inflammatory drugs (NSAIDs). Momwe gel doflofenac imagwirira ntchito pochizira actinic keratosis sichidziwika.

Diclofenac imapezekanso ngati madzi (Pennsaid) ndi gel (Voltaren) omwe amagwiritsidwa ntchito pakhungu pochiza matenda a nyamakazi. Izi zimangopereka chidziwitso chokha cha diclofenac gel (Solaraze) ya actinic keratosis. Ngati mukugwiritsa ntchito imodzi mwazomwe zimapangidwira osteoarthritis, werengani monograph yomwe ili ndi mutu wa diclofenac topical (kupweteka kwa mafupa).

Diclofenac yapakhungu ya actinic keratosis imabwera ngati gel (Solaraze) kuyika pakhungu. Amagwiritsidwa ntchito kudera lomwe lakhudzidwa kawiri patsiku kwa masiku 60 mpaka 90. Ikani gel osakaniza diclofenac nthawi zofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito gel osakaniza diclofenac ndendende monga mwalamulo. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito gelisi ya diclofenac kuti mutsegule mabala pakhungu, matenda, kapena khungu lofiira, lakhungu, kapena khungu.

Diclofenac gel osakaniza ndi ntchito kokha pakhungu. Samalani kuti musamamwe mankhwala m'maso mwanu.

Sambani m'manja musanagwiritse gel osakaniza diclofenac. Kenako gwiritsani zala zanu kuti musamalire bwino gel osakaniza pagawo lililonse lomwe lakhudzidwa. Gwiritsani ntchito gel osakwanira kuphimba malowa kwathunthu. Mukatsiriza kuthira gel osamba m'manja. Samalani kuti musakhudze maso kapena mphuno musanasambe m'manja.

Mkhalidwe wanu ukhoza kuyamba kusintha patatha masiku 30 akuchiritsidwa, koma zimatha kutenga masiku 30 mutatha chithandizo musanawone kuchiritsidwa kwathunthu kwa dera lomwe lakhudzidwa kapena phindu lonse la gel osakaniza a diclofenac. Pitirizani kugwiritsa ntchito gel ya diclofenac ngakhale mutayamba kusintha. Osasiya kugwiritsa ntchito mankhwalawa osalankhula ndi dokotala.

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

Musanagwiritse ntchito gel osakaniza diclofenac,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la diclofenac (Cambia, Flector, Voltaren, Pennsaid, Zipsor, Zorvolex, in Arthrotec), aspirin, kapena ma NSAID ena; mankhwala ena aliwonse; kapena chilichonse chosakaniza mu diclofenac gel. 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: zoletsa ma angiotensin zotembenuza enzyme (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, Prinzide and Zestoretic) , moexipril (Univasc, mu Uniretic), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers monga candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, ku Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (mu Exforge HCT); aspirin kapena mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); okodzetsa ('mapiritsi amadzi'); ndi mankhwala ena omwe amathiridwa pakhungu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• lankhulani ndi dokotala musanagwiritse ntchito zoteteza ku khungu kapena zodzoladzola pakhungu lomwe likumwa mankhwala a diclofenac gel.
• uzani dokotala wanu ngati mwakhalapo ndi mphumu, makamaka ngati mwakhala mukukulunga kapena kutuluka mphuno kapena tizilombo tamphuno (kutupa kwa m'mphuno), kulephera kwa mtima, kapena matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Diclofenac itha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ngati idzagwiritsidwe ntchito pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musagwiritse ntchito gel osakaniza a diclofenac mozungulira kapena pakatha milungu makumi awiri muli ndi pakati, pokhapokha mukauzidwa ndi dokotala wanu. Mukakhala ndi pakati pogwiritsa ntchito diclofenac gel, itanani dokotala wanu.
• konzekerani kupewa kuwonetsedwa ndi kuwala kwenikweni kwa dzuwa (nyali zadzuwa) komanso kuvala zovala zoteteza komanso magalasi a dzuwa mukamamwa mankhwala a diclofenac gel.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ikani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito gel osakaniza kuti mupange mlingo wosowa.

Diclofenac gel osakaniza angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kuyabwa, khungu kapena khungu louma, kupsa mtima, kutupa, kapena kuthamanga komwe mudagwiritsa ntchito mankhwalawa
• kupweteka, kuwotcha, dzanzi, kapena kumva kulasalasa kwa khungu lothandizidwa
• minofu, olowa, kapena kupweteka kwa msana
• mutu

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

• ming'oma
• zidzolo
• kuyabwa
• zovuta kumeza
• ukali
• kunenepa kopanda tanthauzo
• kupuma movutikira kapena kupuma movutikira
• kutupa pamimba, akakolo, mapazi, kapena miyendo

Diclofenac gel osakaniza angayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri, ndi chinyezi (osati kubafa). Musalole kuti diclofenac gel angozizira.

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.

Ngati wina ameza gel osakaniza diclofenac, imbani foni ku dera lanu ku 1-800-222-1222. Ngati wovulalayo wagwa kapena sakupuma, itanani oyang'anira zadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti wina aliyense agwiritse ntchito 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.

• Dzuwa^® Gel osakaniza