Valsartan ndi Sacubitril

Zamkati

• Musanatenge valsartan ndi sacubitril,
• Valsartan ndi sacubitril zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE OTHANDIZA, pitani kuchipatala nthawi yomweyo:

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Musatenge kuphatikiza kwa valsartan ndi sacubitril ngati muli ndi pakati. Mukakhala ndi pakati mukamamwa valsartan ndi sacubitril, lekani kumwa valsartan ndi sacubitril ndikuyimbira dokotala nthawi yomweyo. Kuphatikiza kwa valsartan ndi sacubitril kumatha kubweretsa imfa kapena kuvulaza koopsa kwa mwana wosabadwa atatengedwa m'miyezi 6 yapita yoyembekezera.

Kuphatikiza kwa valsartan ndi sacubitril nthawi zambiri kumagwiritsidwa ntchito limodzi ndi mankhwala ena kuti muchepetse chiopsezo chakufa ndi kuchipatala kwa akulu omwe ali ndi mitundu ina ya kulephera kwa mtima. Kuphatikiza kwa valsartan ndi sacubitril kumagwiritsidwanso ntchito kuthana ndi mitundu ina ya kulephera kwa mtima kwa ana azaka chimodzi kapena kupitilira apo. Valsartan ali mgulu la mankhwala otchedwa angiotensin II receptor antagonists. Zimagwira ntchito poletsa kuchitapo kanthu kwa zinthu zina zachilengedwe zomwe zimalimbitsa mitsempha yamagazi, kulola kuti magazi aziyenda bwino komanso kuti mtima uzipopa bwino kwambiri. Sacubitril ili mgulu la mankhwala otchedwa neprilysin inhibitors. Zimagwira ntchito kuthandizira kuwongolera kuchuluka kwamagazi.

Kuphatikiza kwa valsartan ndi sacubitril kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku kapena wopanda chakudya. Kukuthandizani kukumbukira kukumbukira kuphatikiza valsartan ndi sacubitril, tengani mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani valsartan ndi sacubitril ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati inu kapena mwana wanu simungathe kumeza mapiritsiwo, wamankhwala anu amatha kukonzekera mankhwalawa ngati kuyimitsidwa pakamwa (madzi). Sambani botolo la kuyimitsidwa musanafike mlingo uliwonse.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa valsartan ndi sacubitril ndipo pang'onopang'ono muwonjezere mlingo wanu.

Kuphatikiza kwa valsartan ndi sacubitril kumawongolera kulephera kwa mtima koma sikuchiritsa. Pitirizani kutenga valsartan ndi sacubitril ngakhale mukumva bwino. Osasiya kumwa valsartan ndi sacubitril osalankhula ndi dokotala.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanatenge valsartan ndi sacubitril,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto (kutupa kwa nkhope, milomo, lilime, kapena mmero, kapena kupuma movutikira) kwa valsartan, ena angiotensin receptor blockers (ARB) monga azilsartan (Edarbi, ku Edarbyclor), 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); ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (ku Prinzide, ku Zestoretic), moexipril (Univasc, in Unopic) , ku Prestalia), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace), kapena trandolapril (Mavik, ku Tarka); sacubitril; mankhwala ena aliwonse; kapena chilichonse chosakaniza m'mapiritsi a valsartan ndi sacubitril. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu ngati muli ndi matenda ashuga (shuga wambiri m'magazi) ndipo mukumwa aliskiren (Tekturna, Tekturna HCT). Dokotala wanu angakuuzeni kuti musatenge valsartan ndi sacubitril; ngati muli ndi matenda ashuga komanso mukumwa aliskiren. Komanso uzani dokotala wanu kapena wamankhwala ngati mukugwiritsa ntchito ACE inhibitor monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (ku Prinzide, mu Zestoretic), moexipril (Univasc, in Uniretic ), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace), kapena trandolapril (Mavik, ku Tarka), kapena ngati mwasiya kutenga choletsa cha ACE mkati mwa maola 36 apitawa. Dokotala wanu angakuuzeni kuti musatenge valsartan ndi sacubitril ngati mukutenganso ACE-inhibitor.
• 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 izi: ARB monga azilsartan (Edarbi, ku Edarbyclor), 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); aspirin ndi mankhwala ena osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn) ndi COX-2 inhibitors monga celecoxib (Celebrex); okodzetsa ('mapiritsi amadzi'), kuphatikiza ma diuretiki osungira potaziyamu monga amiloride (Midamor), spironolactone (Aldactone, ku Aldactazide), ndi triamterene (Dyrenium, ku Dyazide, ku Maxzide); gemfibrozil (Lopid); mankhwala ena ochizira kuthamanga kwa magazi kapena vuto la mtima; lifiyamu (Lithobid); ndi zowonjezera potaziyamu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwakhala ndi cholowa angioedema (cholowa chomwe chimayambitsa kutupa mmanja, m'mapazi, kumaso, panjira, kapena m'matumbo); matenda a shuga kapena impso, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati mukuyamwitsa. Osamayamwa mukamwa valsartan ndi sacubutril.
• muyenera kudziwa kuti valsartan ndi sacubutril zimatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa valsartan ndi sacubitril. Pofuna kupewa vutoli, nyamuka pabedi pang'onopang'ono, ndikupumitsa mapazi ako pansi kwa mphindi zochepa usanayime.
• muyenera kudziwa kuti kutsegula m'mimba, kusanza, kusamwa madzi okwanira, ndi thukuta kwambiri kumatha kuyambitsa kutsika kwa magazi, komwe kumatha kuyambitsa mutu wopepuka komanso kukomoka. Uzani dokotala wanu ngati muli ndi mavuto awa kapena mukulitse pakuthandizira.

Musagwiritse ntchito potengera mchere wokhala ndi potaziyamu osalankhula ndi dokotala. Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium, tsatirani malangizowa mosamala.

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.

Valsartan ndi sacubitril zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chifuwa
• kutopa kwambiri

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE OTHANDIZA, pitani kuchipatala nthawi yomweyo:

• zidzolo
• kuyabwa
• kutupa kwa milomo, lilime, nkhope, kapena pakhosi
• kuvuta kupuma

Kuphatikiza kwa valsartan ndi sacubitril kumatha 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. Sungani mapiritsi kutentha kwa firiji komanso kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Sungani botolo la kuyimitsidwa pakamwa kutentha kwapakati kwa masiku 15; musaziyike mufiriji.

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 ku valsartan ndi sacubitril.

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.

• Entresto^®