Cimetidine

Zamkati

• Musanamwe cimetidine,
• Cimetidine ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

Cimetidine imagwiritsidwa ntchito pochizira zilonda; matenda a reflux a gastroesophageal (GERD), vuto lomwe kubwerera kwa asidi kuchokera m'mimba kumayambitsa kutentha kwa mtima ndi kuvulala kwa chitoliro cha chakudya (esophagus); ndi mikhalidwe yomwe m'mimba imatulutsa asidi wambiri, monga matenda a Zollinger-Ellison. Cimetidine yogulitsira imagwiritsidwa ntchito popewa ndikuchiza zipsinjo za kutentha pa chifuwa zomwe zimayambitsidwa ndi kudzimbidwa kwa asidi ndi m'mimba wowawasa. Cimetidine ali mgulu la mankhwala otchedwa H₂ zotchinga. Amachepetsa kuchuluka kwa asidi opangidwa m'mimba.

Cimetidine imabwera ngati piritsi komanso madzi oti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku nthawi yogona kapena kawiri kapena kanayi patsiku ndikudya komanso nthawi yogona. Cimetidine wa pa pepala nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku ndi kapu yamadzi. Pofuna kupewa zizindikilo, amatengedwa mkati mwa mphindi 30 musanadye kapena kumwa zakudya zomwe zimayambitsa kutentha pa chifuwa. Tsatirani malangizo omwe mwapatsidwa ndi mankhwala anu kapena phukusi mosamala, ndipo funsani dokotala wanu kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani cimetidine ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Musamwe cimetidine wa pa-counter kwa nthawi yayitali kuposa masabata awiri pokhapokha dokotala atakuwuzani. Ngati zizindikiro za kutentha pa chifuwa, asidi kudzimbidwa, kapena m'mimba wowawasa zimatenga nthawi yayitali kuposa milungu iwiri, siyani kumwa cimetidine ndikuyimbira dokotala.

Cimetidine imagwiritsidwanso ntchito nthawi zina pochiza zilonda zopsinjika, ming'oma ndi kuyabwa, ndi ma virus, komanso kupewa chibayo cha pneumonia panthawi ya kupweteka. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanamwe cimetidine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la cimetidine kapena mankhwala aliwonse.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); antidepressants (elevator elevator) monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), , ndi trimipramine (Surmontil); chlordiazepoxide (Librium); clopidogrel (Plavix), diazepam (Valium); lidocaine wa (Xylocaine); metronidazole (Flagyl); nifedipine (Adalat, Procardia); phenytoin (Dilantin); propranolol (mawonekedwe); ndi theophylline (Theobid, Theo-Dur). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa maantacid (Maalox, Mylanta, Tums), digoxin (Lanoxin), ketoconazole (Nizoral), kapena mchere wachitsulo, tengani maola awiri cimetidine isanachitike.
• auzeni adotolo ngati mudakhalako kapena mudakhalapo ndi kachilombo ka HIV (kachilombo ka HIV), muli ndi matenda a immunodeficiency (AIDS), kapena matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga cimetidine, itanani dokotala wanu.

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.

Cimetidine ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kutsegula m'mimba
• chizungulire
• Kusinza
• kukulitsa mawere

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

• chisokonezo
• chisangalalo
• kukhumudwa
• manjenje
• kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)

Cimetidine ikhoza 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).

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.

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

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.

Musalole kuti wina aliyense amwe 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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