Mlembi: Janice Evans
Tsiku La Chilengedwe: 26 Kulayi 2021
Sinthani Tsiku: 16 Novembala 2024
Anonim
Opioid antidiarrheal medications: Loperamide and diphenoxylate
Kanema: Opioid antidiarrheal medications: Loperamide and diphenoxylate

Zamkati

Loperamide ingayambitse kusintha koopsa kapena kovulaza mumtima mwanu, makamaka kwa anthu omwe atenga zochulukirapo kuposa zomwe zavomerezedwa. Uzani dokotala wanu ngati mwakhalapo ndi nthawi yayitali ya QT (vuto la mtima losowa lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), kugunda kwapang'onopang'ono kapena kosasinthasintha, kapena potaziyamu wotsika m'magazi anu. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: amiodarone (Nexterone, Pacerone), chlorpromazine, haloperidol (Haldol), methadone (Dolophine, Methadose), moxifloxacin (Avelox), pentamidine (Nebupent, Pentam) , procainamide, quinidine (mu Nuedexta), sotalol (Betapace, Betapace AF), thioridazine, ndi ziprasidone (Geodon). Dokotala wanu angakuuzeni kuti musatenge loperamide ngati mukumwa mankhwala aliwonsewa kapena ngati muli ndi izi. Ngati mukumane ndi izi mwazizindikiro mukamamwa loperamide, itanani dokotala wanu nthawi yomweyo kapena alangizeni mnzanu kapena womusamalira kuti ayimbire foni zam'deralo ku 911: kuthamanga, kusakhazikika, kapena kugunda kwamtima; chizungulire; mutu wopepuka; kusamvera; kapena kukomoka.


Kutenga zochuluka kuposa kuchuluka kwa loperamide kumatha kuyambitsa mavuto amtima omwe atha kukhala owopsa kapena kupha. Musatenge mlingo wokulirapo, tengani pafupipafupi, kapena mutenge kwa nthawi yayitali kuposa momwe adanenera dokotala kapena monga akunenera phukusili.

Loperamide ayenera ayi apatsidwe mwana wosakwana zaka ziwiri chifukwa chowopsa kupuma kwambiri komanso mavuto amtima.

Loperamide yosalembetsedwa (pa-a-counter) imagwiritsidwa ntchito poletsa kutsekula m'mimba (zotupa zotayirira zomwe zimabwera mwadzidzidzi ndipo nthawi zambiri zimakhala zosakwana milungu iwiri), kuphatikiza kutsegula m'mimba kwa apaulendo. Mankhwala a loperamide amagwiritsidwanso ntchito poletsa kutsekula m'mimba komanso kutsekula m'mimba komwe kumakhudzana ndi matenda am'matumbo (IBD; momwe matumbo onse kapena gawo la m'matumbo amatupa, kukwiya, kapena zilonda). Loperamide ya mankhwala imagwiritsidwanso ntchito kuchepetsa kuchuluka kwa madzimadzi mwa anthu omwe ali ndi ileostomies (opareshoni kuti apange mpata wonyansa kuti atuluke m'thupi kupyola m'mimba). Loperamide ali mgulu la mankhwala otchedwa antidiarrheaal agents. Zimagwira pochepetsa kuchepa kwa madzi ndi ma electrolyte m'matumbo ndikuchepetsa kuyendetsa matumbo kuti muchepetse kuchuluka kwa matumbo.


Loperamide imabwera ngati piritsi, kapisozi, komanso kuyimitsidwa kapena yankho (madzi) akamamwa. Loperamide yolembetsedwa (pa-kauntala) loperamide nthawi zambiri imatengedwa nthawi yomweyo matumbo akamayenda koma osaposa kuchuluka kwamaola 24 otchulidwa pamwambapa. Loperamide wamankhwala nthawi zina amatengedwa panthawi yake (kamodzi kapena kangapo patsiku). Tsatirani malangizo omwe ali phukusi kapena pakulemba kwanu mosamala, ndipo funsani dokotala wanu kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani loperamide monga momwe mwalamulira.

Ngati mukupatsa mwana wanu loperamide, werengani zolembedwazo mosamala kuti muwonetsetse kuti ndi mankhwala oyenera msinkhu wa mwanayo. Loperamide ayenera ayi Kupatsidwa kwa mwana wosakwanitsa zaka ziwiri. Chongani phukusi phukusi kuti mudziwe kuchuluka kwa mankhwala omwe mwanayo amafunikira. Ngati mukudziwa kuchuluka kwa mwana wanu, perekani mlingo wofanana ndi kulemera kwake pa tchati. Ngati simukudziwa kulemera kwa mwana wanu, perekani mlingo wofanana ndi msinkhu wa mwana wanu. Funsani dokotala wa mwana wanu ngati simukudziwa kuchuluka kwa mankhwala omwe mungapatse mwana wanu.


Ngati mukumwa loperamide madzi, musagwiritse ntchito supuni ya banja kuti muyese mlingo wanu. Gwiritsani ntchito chikho choyezera chomwe chinabwera ndi mankhwalawo kapena gwiritsani ntchito supuni yopangidwa makamaka kuyeza mankhwala amadzimadzi.

Ngati mukumwa loperamide chifukwa chotsekula m'mimba ndipo matenda anu akukula kwambiri kapena ngati kutsekula kwanu kumatenga nthawi yopitilira maola 48, siyani kumwa mankhwalawa ndikuyimbira dokotala.

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

Musanatenge loperamide,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la loperamide, mankhwala ena aliwonse, kapena zosakaniza zilizonse za mankhwala a loperamide. Onetsetsani phukusi la mndandanda wa mndandanda wa zosakaniza.
  • 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: maantibayotiki monga clarithromycin (Biaxin, mu PrevPac) ndi erythromycin (EES, Ery-Tab, Eryc, ena); ma antifungal ena monga itraconazole (Onmel, Sporanox) ndi ketoconazole; cimetidine (Tagamet), gemfibrozil (Lopid); quinine (Qualaquin), ranitidine (Zantac), ritonavir (Norvir, ku Kaletra), kapena saquinavir (Invirase). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • Uzani dokotala ngati mwakhalapo kapena munayamba mwakhalapo ndi ulcerative colitis (momwe zilonda zimakhalira m'matumbo zomwe zimapweteka ndi kutsegula m'mimba). kapena colitis (kutupa kwa m'matumbo komwe kumayambitsidwa ndi mabakiteriya ena). Komanso, uzani dokotala ngati muli ndi malungo, magazi kapena ntchofu mu chopondapo, ndowe zakuda, kapena kupweteka m'mimba kopanda kutsekula m'mimba. Dokotala wanu angakuuzeni kuti musatenge loperamide kapena mupatseni mwana wanu ngati muli ndi chimodzi mwazinthuzi.
  • auzeni adotolo ngati mwadwala matenda a immunodeficiency syndrome (Edzi) kapena ngati mwakhalapo ndi matenda a chiwindi.
  • Uzani dokotala wanu komanso wamankhwala ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga loperamide, itanani dokotala wanu.
  • muyenera kudziwa kuti mankhwalawa atha kukupangitsani kuti muzisinza komanso kuzungulirani. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Imwani madzi ambiri kapena madzi ena omveka m'malo mwa madzi omwe amataya m'mimba.

Ngati mukumwa mankhwala a loperamide, 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.

Loperamide angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kudzimbidwa
  • kutopa

Ngati inu kapena wina amene mukumwa loperamide mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

  • zidzolo
  • khungu lofiira, losenda kapena lotupa
  • ming'oma
  • kuyabwa
  • kupuma
  • kuvuta kupuma
  • malungo
  • kupweteka m'mimba kapena kutupa
  • mipando yamagazi

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
  • kulephera kukodza
  • kukomoka
  • kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
  • kusayankha
  • chisokonezo
  • kuchepa kwa ophunzira
  • kupuma pang'onopang'ono komanso kosazama
  • kupuma movutikira

Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kumwa mankhwalawa.

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.

  • Imodium®
  • Imodium® AD
  • Zotengera®
  • K-Pek II®
  • Kao-Paverin®
  • Zosankha 1-D®
  • Maalox® Anti-Kutsekula m'mimba
  • Pepto® Kutsekula m'mimba
  • Imodium® Mpumulo wa Zizindikiro Zambiri (wokhala ndi Loperamide, Simethicone)
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