Quinidine

Zamkati

• Musanatenge quinidine,
• Quinidine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Kumwa mankhwala osokoneza bongo, kuphatikizapo quinidine, kumawonjezera ngozi zakufa. Uzani dokotala wanu ngati muli ndi matenda amtima monga vuto la valavu kapena kulephera kwa mtima (HF; momwe mtima sungapope magazi okwanira mbali zina za thupi). Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kugunda kwamtima mosasinthasintha kapena kupweteka pachifuwa.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito quinidine. Quinidine imatha kuwonjezera mwayi wokhala ndi arrhythmias (kugunda kwamtima kosafanana) ndipo sizinatsimikizidwe kuti zithandiza anthu opanda arrhythmias owopsa kuti akhale ndi moyo wautali.

Quinidine amagwiritsidwa ntchito pochiza mitundu ingapo yamagundidwe amtima osakhazikika. Quinidine ali mgulu la mankhwala otchedwa antiarrhythmic mankhwala. Zimagwira ntchito popangitsa mtima wanu kugonjetsedwa ndi zochitika zosazolowereka.

Quinidine imabwera ngati piritsi (quinidine sulphate) ndi piritsi lotulutsa nthawi yayitali (quinidine gluconate) kuti mutenge pakamwa. Mapiritsi a Quinidine sulphate nthawi zambiri amatengedwa maola 6 aliwonse. Mapiritsi otulutsidwa a quinidine gluconate nthawi zambiri amatengedwa maola 8 kapena 12 aliwonse. Tengani quinidine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani quinidine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Piritsi lotulutsira limatha kugawidwa pakati. Kumeza mapiritsi athunthu kapena theka lonse; musatafune kapena kuwaphwanya.

Quinidine amathandizira kuwongolera matenda anu koma sangachiritse. Pitirizani kumwa quinidine ngakhale mukumva bwino. Osasiya kumwa quinidine osalankhula ndi dokotala.

Quinidine amagwiritsidwanso ntchito pochiza malungo. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Musanatenge quinidine,

• uzani dokotala wanu komanso wazamankhwala ngati muli ndi vuto la quinidine, quinine, kapena mankhwala aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe mumalandira kapena mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: acetazolamide; amiodarone (Nexterone, Pacerone); mankhwala opatsirana pogonana; zotseka za calcium monga diltiazem (Cardizem, Cartia, Diltzac, ena), felodipine, nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine, kapena verapamil (Calan, Covera, Verelan, ku Tarka); cimetidine (Tagamet HB); mankhwala a codeine; digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); ketoconazole; mankhwala a matenda amisala monga haloperidol (Haldol), perphenazine, ndi thioridazine; methazolamide; mexiletine; phenobarbital; phenytoin (Dilantin, Phenytek); mankhawala (Hemangeol, Inderal, Innopran); sodium bicarbonate (Arm and Hammer Baking Soda, ku Zegerid OTC); ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi quinidine, chifukwa chake onetsetsani kuti mumauza dokotala za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati muli ndi chipika cha mtima (momwe magetsi samadutsira mwachizolowezi kuchokera kuzipinda zapamwamba za mtima kupita kuzipinda zapansi) kapena adakhalapo kapena adakhalapo ndi immune thrombocytopenia (ITP; idiopathic thrombocytopenic purpura; vuto lomwe lingachitike zimayambitsa kuvulaza kapena kutuluka magazi mosavuta chifukwa chamapulateleti ochepa m'magazi) kapena myasthenia gravis (vuto lamanjenje lomwe limafooketsa minofu). Dokotala wanu angakuuzeni kuti musatenge quinidine.
• uzani dokotala wanu ngati mwakhalapo ndi nthawi yayitali ya QT (zomwe zimawonjezera chiopsezo chokhala ndi kugunda kwamtima kosafunikira komwe kumatha kukomoka kapena kufa mwadzidzidzi); kugunda pang'onopang'ono; magazi ochepa a calcium, magnesium kapena potaziyamu m'magazi anu; kapena chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga quinidine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa quinidine.

Musamwe madzi amphesa mukamamwa mankhwalawa. Osasintha kuchuluka kwa mchere muzakudya zanu osalankhula ndi adotolo.

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.

Quinidine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• nseru
• kusanza
• Kupweteka
• malungo
• chizungulire
• wamisala
• mutu
• kutopa
• kufooka
• zidzolo
• kuvuta kugona
• kunjenjemera

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kulira m'makutu kapena kutayika kwakumva
• masomphenya amasintha (kusawona bwino kapena kuzindikira kuwala)
• chisokonezo
• kutuluka mwachilendo kapena kuphwanya
• kusowa kwa njala, nseru, maso achikaso kapena khungu, kupweteka kumtunda wakumanja kwa m'mimba, kapena mkodzo wakuda

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.

Zizindikiro za bongo zingaphatikizepo:

• kugunda kwamtima kosasintha
• kutsegula m'mimba
• kusanza
• mutu
• kulira m'makutu kapena kutayika kwakumva
• masomphenya amasintha (kusawona bwino kapena kuzindikira kuwala)
• chisokonezo

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzafunika kudziwa yankho lanu ku quinidine.

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.

• Zamtima^®¶
• Cin-Quin^®¶
• Duraquin^®¶
• Quinact^®¶
• Quinaglute^®¶
• Quinalan^®¶
• Nthawi yopumira^®¶
• Quinidex^®¶
• Quinora^®¶

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