Meclofenamate

Zamkati

• Musanatenge meclofenamate,
• Meclofenamate angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa meclofenamate mpaka mutalankhula ndi dokotala wanu.
• Zizindikiro zakupitilira muyeso zingaphatikizepo:

[Wolemba 10/15/2020]

Omvera: Wogula, Wodwala, Wothandizira Zaumoyo, Pharmacy

NKHANI: FDA ikuchenjeza kuti kugwiritsa ntchito ma NSAID pafupifupi masabata 20 kapena pambuyo pake pathupi kumatha kuyambitsa mavuto osowa koma a impso mwa mwana wosabadwa. Izi zitha kubweretsa kuchepa kwa amniotic madzimadzi ozungulira mwanayo komanso zovuta zomwe zingachitike.

Kwa ma NSAID amtundu wa mankhwala, FDA ikufuna kusintha pakufotokozera zambiri kuti afotokoze kuopsa kwa mavuto a impso mwa makanda osabadwa omwe amabweretsa amniotic fluid.

Kwa ma NSAID owonjezera pa-counter (OTC) omwe amagwiritsidwa ntchito kuti agwiritsidwe ntchito kwa akulu, FDA isinthanso zolemba za Drug Facts, zomwe zimapezeka pa: http://bit.ly/2Uadlbz. Malembowa achenjeza kale kuti apewe kugwiritsa ntchito ma NSAID m'miyezi itatu yapitayi yapakati chifukwa mankhwala akhoza kuyambitsa mavuto kwa mwana wosabadwa kapena zovuta pakubereka. Malembo a Drug Facts amalangiza kale amayi apakati ndi oyamwitsa kuti akafunse akatswiri azaumoyo asanagwiritse ntchito mankhwalawa.

MALANGIZO:

NSAIDs

• ndi gulu la mankhwala omwe amapezeka mwa mankhwala ndi OTC. Ndi ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri popweteka ndi malungo.
• amagwiritsidwa ntchito pochiza matenda monga nyamakazi, kupweteka kwa msambo, mutu, chimfine, ndi chimfine.
• amagwira ntchito poletsa kupanga mankhwala ena m'thupi omwe amayambitsa kutupa.
• amapezeka okha komanso kuphatikiza mankhwala ena. Zitsanzo za NSAID zimaphatikizapo aspirin, ibuprofen, naproxen, diclofenac, ndi celecoxib.

Zotsatira zoyipa za NSAID zimaphatikizapo: kupweteka m'mimba, kudzimbidwa, kutsegula m'mimba, mpweya, kutentha pa chifuwa, nseru, kusanza, ndi chizungulire.

Malangizo:

Ogulitsa / Odwala

• Ngati muli ndi pakati, musagwiritse ntchito ma NSAID pamasabata 20 kapena mtsogolo pokhapokha mutalangizidwa kutero ndi akatswiri azaumoyo chifukwa mankhwalawa amatha kubweretsa mavuto kwa mwana wanu wosabadwa.
• Mankhwala ambiri a OTC amakhala ndi ma NSAID, kuphatikiza omwe amagwiritsidwa ntchito kupweteka, chimfine, chimfine, ndi kusowa tulo, chifukwa chake ndikofunikira kuwerenga zolemba za Drug Facts, zomwe zimapezeka pa: http://bit.ly/2Uadlbz, kuti mudziwe ngati mankhwala ali ndi NSAIDs.
• Lankhulani ndi dokotala wanu kapena wamankhwala ngati muli ndi mafunso kapena nkhawa za NSAID kapena mankhwala omwe ali nawo.
• Mankhwala ena, monga acetaminophen, amapezeka kuti athetse ululu ndi malungo nthawi yapakati. Lankhulani ndi wamankhwala wanu kapena wamankhwala kuti akuthandizeni kusankha zomwe zingakhale zabwino.

Ophunzira Zaumoyo

• A FDA amalimbikitsa kuti akatswiri azaumoyo aziletsa kukhazikitsa NSAID pakati pa masabata 20 mpaka 30 atakhala ndi pakati ndikupewa kuwalembera patatha milungu 30 ali ndi pakati. Ngati chithandizo cha NSAID chatsimikizika kuti ndi chofunikira, muchepetse kugwiritsa ntchito mankhwala ocheperako komanso nthawi yayifupi kwambiri. Ganizirani za kuwunika kwa ultrasound kwa amniotic fluid ngati chithandizo cha NSAID chimapitilira maola 48 ndikusiya NSAID ngati oligohydramnios ikupezeka. A FDA akuchenjeza kuti kugwiritsa ntchito ma NSAID mozungulira milungu isanu ndi iwiri kubereka kapena pambuyo pake pathupi kumatha kuyambitsa vuto la impso lomwe limabweretsa oligohydramnios ndipo, nthawi zina, kuwonongeka kwa impso.
• Zotsatira zoyipazi zimawoneka, pafupifupi, patatha masiku angapo mpaka atalandira chithandizo, ngakhale oligohydramnios sananene kawirikawiri patangotha ​​maola 48 kuchokera pomwe NSAID idayamba.
• Oligohydramnios nthawi zambiri, koma osati nthawi zonse, amasinthidwa ndikusiya mankhwala.
• Zovuta za oligohydramnios zazitali zimatha kuphatikizira mgwirizano wamiyendo ndikuchedwa kukhwima m'mapapo. Nthawi zina pamsika wokhudzana ndi vuto la impso zosabereka, njira zowononga monga kusinthitsa magazi kapena dialysis zimafunikira.
• Ngati chithandizo cha NSAID chikuwoneka chofunikira pakati pa masabata 20 mpaka 30 atakhala ndi pakati, muchepetse kugwiritsa ntchito mankhwala ochepetsa kwambiri komanso nthawi yayifupi kwambiri. Monga momwe zafotokozedwera m'malemba a NSAID, pewani kupereka ma NSAID pamasabata 30 ndipo pambuyo pake mukakhala ndi pakati chifukwa chowonjezera chiwopsezo chotsekera msanga kwa fetus ductus arteriosus.
• Malangizo omwe ali pamwambapa sakugwira ntchito pamlingo wochepa wa aspirin wa 81 mg woyenera pazinthu zina zapakati.
• Ganizirani za kuwunika kwa ultrasound kwa amniotic fluid ngati chithandizo cha NSAID chimapitilira maola 48. Siyani NSAID ngati oligohydramnios imachitika ndikutsatira malinga ndi kuchipatala.

Kuti mumve zambiri pitani patsamba la FDA ku: http://www.fda.gov/Safety/MedWatch/SafetyInformation ndi http://www.fda.gov/Drugs/DrugSafety.

Anthu omwe amamwa mankhwala osokoneza bongo (NSAIDs) (kupatula aspirin) monga meclofenamate atha kukhala ndi chiopsezo 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. 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 meclofenamate musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga meclofenamate amatha kuyambitsa zilonda, kutuluka 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 akamamwa meclofenamate. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin); aspirin; ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); kapena steroids yamlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone). Komanso muuzeni dokotala ngati mwakhalapo ndi zilonda zam'mimba, kutuluka magazi m'mimba kapena m'matumbo, kapena matenda ena otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa meclofenamate ndikuyimbira dokotala wanu: kupweteka m'mimba, kutentha pa chifuwa, kusanza komwe kuli magazi 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'anitsitsa zizindikiro zanu mosamala ndipo mwina adzaitanitsa mayeso ena kuti muwone momwe thupi lanu likuyankhira pa meclofenamate. 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 mankhwala ndi meclofenamate 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) kuti mupeze Chithandizo cha Mankhwala.

Meclofenamate amagwiritsidwa ntchito kuti athetse ululu, kukoma mtima, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsa kuwonongeka kwa malo am'magazi) ndi nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsidwa ndi kutupa kwa zimfundo). Amagwiritsidwanso ntchito kuthana ndi mitundu ina ya ululu wofatsa pang'ono, kuphatikiza kupweteka msambo (kupweteka komwe kumachitika musanachitike kapena nthawi yakusamba). Ikhoza kugwiritsidwanso ntchito kuchepetsa kutaya magazi mwa amayi omwe ali ndi vuto lalikulu lakumwa msambo. Meclofenamate ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Meclofenamate amabwera ngati kapisozi woti atenge pakamwa. Nthawi zambiri amatengedwa katatu kapena kanayi patsiku chifukwa cha nyamakazi, katatu patsiku chifukwa chotaya magazi msambo, kapena maola 4 kapena 6 pakufunika zowawa. Meclofenamate imatha kutengedwa ndi chakudya kapena mkaka kuti iteteze nseru. Ngati mumamwa meclofenamate pafupipafupi, imwani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani meclofenamate ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukumwa meclofenamate kuti muchepetse magazi akutha msambo, magazi anu ayenera kuchepa mukamalandira mankhwala. Itanani dokotala wanu ngati magazi anu sakuchepa kapena ngati mukuwona kapena kutuluka magazi pakati pa msambo.

Ngati mukumwa meclofenamate kuti muchepetse matenda a nyamakazi, zizindikilo zanu zimatha kuyamba kusintha m'masiku ochepa. Zitha kutenga masabata awiri kapena atatu kapena kupitilira apo kuti mumve phindu lonse la meclofenamate.

Meclofenamate imagwiritsidwanso ntchito pochizira ankylosing spondylitis (nyamakazi yomwe imakhudza msana), gouty nyamakazi (ululu wophatikizana womwe umayambitsidwa ndi kupangika kwa zinthu zina m'malo olumikizirana mafupa), ndi nyamakazi ya psoriatic (nyamakazi yomwe imachitika ndimatenda okhalitsa zomwe zimayambitsa kukulira ndi kutupa). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa pochiza matenda anu.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge meclofenamate,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la meclofenamate, aspirin, kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), mankhwala ena aliwonse, kapena zina zilizonse zosagwira mu makapisozi a meclofenamate. 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 atchulidwa mgulu la CHENJEZO CHENJEZO ndi zina mwa izi: ma enzyme otembenuza angiotensin (ACE) monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril ( Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), ndi trandolapril (Mavik); okodzetsa ('mapiritsi amadzi'); lifiyamu (Eskalith, Lithobid); ndi methotrexate (Rheumatrex). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mu gawo LOFUNIKITSA CHENJEZO kapena mphumu, makamaka ngati mumakhalanso ndi mphuno kapena zotumphukira kapena zotumphukira (kutupa kwa mphuno); kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi; kapena chiwindi kapena matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, makamaka ngati muli m'miyezi ingapo yapitayo ya mimba yanu, mukukonzekera kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga meclofenamate, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga meclofenamate ngati muli ndi zaka 75 kapena kupitilira apo. Musamamwe mankhwalawa kwa nthawi yayitali kapena pamlingo waukulu kuposa momwe dokotala wanu akuuzira.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa meclofenamate.

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.

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

• kutsegula m'mimba
• kudzimbidwa
• mpweya
• zilonda mkamwa
• mutu
• kulira m'makutu

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

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

Meclofenamate 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).

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 zakupitilira muyeso zingaphatikizepo:

• khalidwe lomwe silimveka
• kubvutika
• kugwidwa
• kuchepa pokodza

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.

• Meclodium^®¶
• Meclomen^®¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.