Indomethacin

Zamkati

• Kuti mugwiritse ntchito indomethacin suppositories, tsatirani izi:
• Musanayambe kumwa mankhwala osokoneza bongo,
• Indomethacin imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa indomethacin mpaka mutalankhula ndi dokotala.
• Zizindikiro za bongo zingaphatikizepo izi:

Anthu omwe amamwa mankhwala osagwiritsa ntchito ma antisteroidal anti-inflammatory (NSAIDs) (kupatula aspirin) monga indomethacin atha kukhala pachiwopsezo chachikulu chodwala matenda a mtima kapena sitiroko kuposa anthu omwe samamwa mankhwalawa. Izi zitha kuchitika mosazindikira ndipo zitha kuyambitsa imfa. Izi zitha kukhala zazikulu kwa anthu omwe amatenga ma NSAID kwa nthawi yayitali. Musatenge NSAID monga indomethacin ngati mwangodwala kumene mtima, pokhapokha mutalangizidwa ndi dokotala wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adadwalapo kapena adadwalapo mtima, matenda amtima, kapena sitiroko, ngati mumasuta, komanso 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, kapena kusalankhula bwino.

Ngati mukukhala ndi mtsempha wamagazi wodutsa (CABG; mtundu wa opareshoni yamtima), simuyenera kumwa indomethacin musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga indomethacin amatha kuyambitsa 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 amatenga ma NSAID kwa nthawi yayitali, ali okalamba, ali ndi thanzi labwino, kapena amamwa mowa wambiri mukamamwa indomethacin. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; ma NSAID ena monga diflunisal (Dolobid), ibuprofen (Advil, Motrin) ndi 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). Komanso uzani dokotala ngati mwakhalapo ndi zilonda kapena kutuluka magazi m'mimba kapena m'matumbo kapena matenda ena otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa mankhwala a indomethacin ndikumuimbira foni dokotala: kupweteka m'mimba, kutentha pa chifuwa, kusanza komwe kumagazi kapena kumawoneka ngati malo a khofi, magazi mu chopondapo, kapena mipando yakuda ndi yodikira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'anira matenda anu mosamala ndipo mwina adzaitanitsa mayeso ena kuti muwone momwe thupi lanu likuyankhira ku indomethacin. Onetsetsani kuti muuze dokotala momwe mukumvera kotero kuti dokotala wanu 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 kulandira mankhwala ndi indomethacin 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) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Indomethacin imagwiritsidwa ntchito kuti muchepetse kupweteka pang'ono, kufatsa, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi (nyamakazi yomwe imayambitsa kuwonongeka kwa malo am'magazi), nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsidwa ndi kutupa kwa zimfundo), ndi ankylosing spondylitis (nyamakazi yomwe imakhudza msana). Indomethacin imagwiritsidwanso ntchito kuthana ndi kupweteka paphewa komwe kumayambitsidwa ndi bursitis (kutupa kwa thumba lodzaza madzi paphewa) ndi tendinitis (kutupa kwa minofu yolumikiza minofu ndi fupa). Indomethacin makapisozi omwe amatulutsidwa mwachangu, kuyimitsidwa (madzi) ndi ma suppositories amagwiritsidwanso ntchito pochiza matenda am'mimba a gouty (ziwopsezo zopweteka zolumikizana komanso kutupa komwe kumayambitsidwa ndi kuphatikiza kwa zinthu zina m'malo olumikizirana). Indomethacin ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Indomethacin imabwera ngati kapisozi, kapisozi wotalika (wotenga nthawi yayitali), ndikuyimitsidwa kuti atenge pakamwa komanso ngati suppository yogwiritsidwa ntchito mozungulira. Makapisozi a Indomethacin ndi madzi nthawi zambiri amatengedwa kawiri kapena kanayi patsiku. Indomethacin suppositories nthawi zambiri amagwiritsidwa ntchito kawiri kapena kanayi tsiku lililonse. Makapisozi otulutsidwa nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Makapisozi a Indomethacin, makapisozi otulutsidwa nthawi yayitali, ndi kuyimitsidwa kuyenera kutengedwa ndi chakudya, mukangomaliza kudya, kapena ndi maantacid. Tengani indomethacin mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani indomethacin ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza lonse makapisozi kumasulidwa lonse; osagawana, kutafuna, kapena kuwaphwanya.

Sambani kuyimitsidwa bwino musanagwiritse ntchito kusakaniza mankhwala mofanana.

Dokotala wanu akhoza kusintha mlingo wa mankhwala anu mukamamwa mankhwala. Nthawi zina, dokotala wanu amatha kukupatsani mankhwala ochepa a indomethacin ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo pa sabata. Nthawi zina, dokotala wanu amatha kukuyambitsani pa indomethacin pa mlingo wocheperako ndikuchepetsa mlingo wanu mukamayang'anira matenda anu. Tsatirani malangizowa mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso.

Kuti mugwiritse ntchito indomethacin suppositories, tsatirani izi:

1. Chotsani chovundikiracho.
2. Sindikizani nsonga ya suppository m'madzi.
3. Gona kumanzere kwako ndikukweza bondo lako lamanja pachifuwa chako. (Munthu wamanzere ayenera kugona kumanja ndikukweza bondo lakumanzere.)
4. Pogwiritsa ntchito chala chanu, ikani suppository pafupifupi 1 inchi (2.5 masentimita) mu rectum. Iigwire m'malo mwa mphindi zochepa.
5. Imirirani pafupi mphindi 15. Sambani m'manja mwanu ndikuyambiranso ntchito zanu zanthawi zonse.
6. Muyenera kuyesa kusunga chovalacho m'malo mwake ndikupewa kuyendetsa matumbo kwa ola limodzi mutayika chovalacho.

Indomethacin nthawi zina amagwiritsidwanso ntchito kuthana ndi malungo, kupweteka, ndi kutupa komwe kumayambitsidwa ndi mitundu yambiri yazinthu kapena kuvulala, kuchepetsa calcium mu magazi, ndikuchiza mtundu wina wamagazi ochepa. 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.

Musanayambe kumwa mankhwala osokoneza bongo,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la indomethacin, aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), mankhwala ena aliwonse, kapena chilichonse chosagwira ntchito mu makapisozi a indomethacin, kuyimitsidwa, kutulutsa kwina makapisozi, kapena suppositories. Funsani wamankhwala wanu kuti awonetse mndandanda wazinthu zosagwira.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe ali mgawo la CHENJEZO CHENJEZO ndi zina mwa izi: ma enzyme otembenuza angiotensin (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril ( mu Zestoretic), moexipril (Univasc, mu Uniretic), perindopril (Aceon, mu Prestalia), quinapril (Accupril, mu Accuretic, 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 (ku Diovan HCT, ku Exforge); zotchinga beta monga atenolol (Tenormin, mu Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi') monga triamterene (Dyrenium, mu Dyazide); lifiyamu (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); phenytoin (Dilantin, Phenytek); ndi probenecid (Probalan, mu Col-Probenecid). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi mphumu, makamaka ngati nthawi zambiri mumakhala ndi zotupa kapena zotumphukira kapena zotumphukira (kutupa kwa m'mphuno); mtima kulephera; kugwidwa; Matenda a Parkinson; kukhumudwa kapena matenda amisala; kapena chiwindi kapena matenda a impso. Ngati mukugwiritsa ntchito indomethacin suppositories, uzani dokotala wanu ngati mwakhala ndi proctitis (kutupa kwa thumbo) kapena mwakhala mukutuluka magazi m'matumbo posachedwa.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Indomethacin imatha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ikamamwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musamwe indomethacin mozungulira kapena mutakhala ndi pakati pamasabata 20, pokhapokha mutakuwuzani kuti muchite izi ndi dokotala wanu. Mukakhala ndi pakati mukatenga indomethacin, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga indomethacin ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa mankhwala a indomethacin chifukwa siabwino ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa mankhwala a indomethacin.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa mowa mukamamwa mankhwala a indomethacin. Mowa umatha kukulitsa mavuto amtundu wa indomethacin.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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.

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

• mutu
• chizungulire
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• kuyabwa kwa rectum
• kumverera kosalekeza kwakufunika kofuna kutulutsa matumbo
• kulira m'makutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa indomethacin mpaka mutalankhula ndi dokotala.

• kunenepa kopanda tanthauzo
• kupuma movutikira kapena kupuma movutikira
• kutupa pamimba, akakolo, mapazi, kapena miyendo
• malungo
• matuza
• zidzolo
• kuyabwa
• ming'oma
• kutupa kwa maso, nkhope, lilime, milomo, mmero, kapena manja
• kuvuta kupuma kapena kumeza
• ukali
• khungu lotumbululuka
• kugunda kwamtima mwachangu
• kutopa kwambiri
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• nseru
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• zizindikiro ngati chimfine
• chikasu cha khungu kapena maso
• mitambo, yotulutsa mtundu, kapena mkodzo wamagazi
• kupweteka kwa msana
• pokodza kovuta kapena kowawa
• kusawona bwino kapena mavuto ena openya

Indomethacin 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.

Zizindikiro za bongo zingaphatikizepo izi:

• nseru
• kusanza
• mutu
• chizungulire
• chisokonezo
• kutopa kwambiri
• kumva kufota, kumenyedwa, kutentha, kapena kukwawa pakhungu
• kugwidwa

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa mankhwala a indomethacin.

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.

• Indocin^®
• Tivoribe^®