Ticagrelor

Zamkati

• Musanatenge ticagrelor,
• Ticagrelor imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Ticagrelor imatha kuyambitsa magazi owopsa kapena owopsa. Uzani dokotala wanu ngati mwakhalapo kapena muli ndi vuto lomwe limakupangitsani kutuluka magazi mosavuta kuposa zachilendo; ngati mwachitidwa opaleshoni kapenanso mwavulala mwanjira iliyonse; kapena ngati mwakhalapo ndi zilonda zam'mimba; kutuluka magazi m'mimba, matumbo, kapena ubongo; sitiroko kapena mini-stroke; vuto lomwe lingayambitse magazi m'matumbo mwanu monga ma polyps (kukula kosazolowereka mkati mwa matumbo akulu); kapena matenda a chiwindi. Uzani dokotala wanu komanso wamankhwala ngati mukumwa mankhwala omwe angayambitse magazi kuphatikizapo ma anticoagulants (owonda magazi) monga warfarin (Coumadin, Jantoven); heparin; mankhwala ena ochizira kapena kuteteza magazi kuundana; kapena kugwiritsa ntchito pafupipafupi mankhwala osagwiritsa ntchito zotupa monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve). Dokotala wanu mwina sangakupatseni ticagrelor ngati mungafunike kuchitidwa opaleshoni yamtima (mtundu wina wa opareshoni ya mtima) nthawi yomweyo. Mukamatenga ticagrelor, mwina mudzaphwanya ndi kutuluka magazi mosavuta kuposa masiku onse kapena kutuluka magazi kwa nthawi yayitali kuposa masiku onse ndipo mwina mumakhala ndi magazi otuluka m'mphuno. Komabe, ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kutuluka magazi komwe sikungafotokozedwe, koopsa, kosatha, kapena kosalamulirika; pinki kapena bulauni mkodzo; ofiira kapena akuda, malo obisalira; kusanza komwe kuli kwamagazi kapena komwe kumawoneka ngati malo a khofi; kapena kutsokomola magazi kapena magazi kuundana.

Ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, kapena mtundu uliwonse wa zamankhwala, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito ticagrelor. Dokotala wanu angakuuzeni kuti musiye kumwa ticagrelor masiku osachepera asanu musanachite opaleshoni yanu.

Dokotala wanu angakuuzeni kuti mutenge aspirin yochepa (yosakwana 100 mg) mukamamwa mankhwala, koma kumwa aspirin kwambiri kungalepheretse ticagrelor kugwira ntchito momwe iyenera kukhalira. Mankhwala ambiri ogulitsa (OTC) amakhala ndi aspirin, chifukwa chake onetsetsani kuti mwawerenga zolemba zonse mosamala. Musatenge ma aspirin owonjezera kapena mankhwala okhala ndi ma aspirin mukamachiza ndi ticagrelor osalankhula ndi dokotala.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi ticagrelor 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) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito ticagrelor.

Ticagrelor imagwiritsidwa ntchito kupewa kupwetekedwa mtima kapena kuwopsa kwa mtima kapena kupwetekedwa, kapena kufa kwa anthu omwe adadwala mtima kapena omwe ali ndi coronary syndrome (ACS; kutsekeka kwa magazi kulowa mumtima). Amagwiritsidwanso ntchito popewera magazi kuundana mwa anthu omwe alandila zonunkhira (ma tubes azitsulo omwe amaikidwa m'mitsempha yamitsempha yotsekedwa kuti athetse magazi) kuti athetse ACS. Ticagrelor imagwiritsidwa ntchito pochepetsa chiopsezo chodwala matenda a mtima koyamba kapena kupwetekedwa kwa anthu omwe ali pachiwopsezo cha matenda amitsempha (CAD; amachepetsa magazi kupita mumtima). Amagwiritsidwanso ntchito kuchepetsa chiwopsezo cha sitiroko ina yowopsa mwa anthu omwe akudwala sitiroko pang'ono kapena pang'ono (TIA; ministerroke). Ticagrelor ali mgulu la mankhwala otchedwa antiplatelet mankhwala. Zimagwira ntchito popewa magazi othandiza magazi kuundana (mtundu wa selo yamagazi) kuti asatolere ndikupanga kuundana komwe kungayambitse matenda amtima kapena sitiroko.

Ticagrelor imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kawiri patsiku. Tengani ticagrelor mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ticagrelor ndendende monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukulephera kumeza mapiritsi a ticagrelor, mutha kuphwanya piritsi ndikusakaniza ndi madzi. Imwani chisakanizocho nthawi yomweyo, kenako mudzaze galasi ndi madzi ndikuyambitsa ndikumweranso chisakanizo nthawi yomweyo.Ngati muli ndi chubu cha nasogastric (NG), dokotala wanu kapena wamankhwala akufotokozerani momwe mungakonzekerere ticagrelor kuti mupereke kudzera mu chubu cha NG.

Ticagrelor ikuthandizani kupewa mavuto akulu ndi mtima wanu komanso mitsempha yamagazi pokhapokha mutamwa mankhwalawo. Pitirizani kutenga ticagrelor ngakhale mukumva bwino. Osasiya kumwa ticagrelor osalankhula ndi dokotala. Mukasiya kumwa ticagrelor, pali chiopsezo chachikulu kuti mutha kudwala matenda a mtima kapena kupwetekedwa mtima. Ngati muli ndi stent, palinso chiopsezo chachikulu kuti mutha kukhala ndi magazi m'magazi ngati mutasiya kumwa ticagrelor posachedwa.

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

Musanatenge ticagrelor,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la ticagrelor, mankhwala ena aliwonse, kapena chilichonse chogwiritsidwa ntchito m'mapiritsi a ticagrelor. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze 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 mwatchula mankhwala omwe atchulidwa mu gawo la CHENJEZO CHENJEZO ndi zina mwa izi: maantibayotiki monga clarithromycin (Biaxin, mu PrevPak) ndi telithromycin (Ketek); mankhwala antifungal monga itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), ndi voriconazole (Vfend); mankhwala ochepetsa mafuta m'thupi monga lovastatin (Altoprev, mu Advicor) ndi simvastatin (Zocor, ku Simcor, ku Vytorin); digoxin (Lanoxin); mankhwala othamanga magazi; mankhwala a kachilombo ka HIV (monga kachilombo ka HIV) monga atazanavir (Reyataz, ku Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, ku Viekira Pak), ndi saquinavir (Invirase); mankhwala ogwidwa ngati carbamazepine (Carbatrol, Equetro, Tegretol, ena), phenobarbital, ndi phenytoin (Dilantin); nefazodone; mankhwala opioid (mankhwala osokoneza bongo) opweteka monga hydrocodone (mu Hydrocet, ku Vicodin, ena), morphine (Avinza, Kadian, MSIR, ena), kapena oxycodone (OxyContin, ku Percocet, ku Roxicet, ena); ndi rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwakhala mukugunda pamtima mosasunthika komwe sikungakonzedwe ndi pacemaker, mtundu wamatenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda omwe amakhudza m'mapapo ndi mlengalenga) kapena mphumu.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga ticagrelor, itanani dokotala wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ticagrelor imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chizungulire
• nseru

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• kupuma movutikira komwe kumachitika mukamapuma, mutachita masewera olimbitsa thupi pang'ono, kapena mutachita masewera olimbitsa thupi
• kupweteka pachifuwa
• kuthamanga, kuchepa, kugunda, kapena kugunda kwamtima mosasinthasintha
• zidzolo
• kutupa kwa nkhope, mmero, lilime, milomo, ndi maso

Ticagrelor imatha 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 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.

Zizindikiro za bongo zingaphatikizepo izi:

• magazi
• nseru
• kusanza
• kutsegula m'mimba
• kugunda kwamtima kosasintha

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ticagrelor.

Musanapite kukayezetsa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito ticagrelor.

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.

• Brilinta^®