Propranolol (Mtima)

Zamkati

• Musanagwiritse ntchito propranolol,
• Propranolol imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo:

Osasiya kumwa propranolol osalankhula ndi dokotala poyamba. Ngati propranolol itayimitsidwa mwadzidzidzi, imatha kupweteka pachifuwa kapena kudwala kwamtima mwa anthu ena.

Propranolol imagwiritsidwa ntchito pochiza kuthamanga kwa magazi, kusakhazikika kwamitima ya mtima, pheochromocytoma (chotupa pachingwe chaching'ono pafupi ndi impso), mitundu ina ya kunjenjemera, ndi hypertrophic subaortic stenosis (matenda am'mimba). Amagwiritsidwanso ntchito kupewa angina (kupweteka pachifuwa), mutu waching'alang'ala, komanso kukonza kupulumuka pambuyo podwala mtima. Propranolol ali mgulu la mankhwala otchedwa beta blockers. Zimagwira ntchito pochepetsa mitsempha yamagazi ndikuchepetsa kugunda kwa mtima kuti magazi aziyenda bwino komanso amachepetsa kuthamanga kwa magazi.

Kuthamanga kwa magazi ndizofala ndipo ngati sanalandire chithandizo, kumatha kuwononga ubongo, mtima, mitsempha, impso ndi ziwalo zina za thupi. Kuwonongeka kwa ziwalozi kumatha kuyambitsa matenda amtima, matenda amtima, kulephera kwa mtima, sitiroko, impso kulephera, kusawona bwino, ndi mavuto ena. Kuphatikiza pa kumwa mankhwala, kusintha moyo wanu kumathandizanso kuchepetsa kuthamanga kwa magazi. Zosinthazi zikuphatikiza kudya zakudya zopanda mafuta ambiri komanso mchere, kukhalabe ndi thanzi labwino, kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri, osasuta, komanso kumwa mowa pang'ono.

Propranolol imabwera ngati piritsi, yankho (madzi), komanso kapisozi womasulira (wotenga nthawi yayitali) woti atenge pakamwa. Pulogalamu yotulutsa propranolol kapule (dzina lake: Inderal LA) nthawi zambiri imamutenga kamodzi patsiku. Capsule yotulutsidwa motalikirapo (Innopran XL, Inderal XL) nthawi zambiri amatengedwa nthawi yogona ndipo amayenera kumwedwa nthawi zonse popanda kapena kudya nthawi iliyonse. Mapiritsi a propranolol kapena yankho lomwe lingachitike akhoza kumwa kawiri, katatu, kapena kanayi patsiku.Tengani propranolol mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani propranolol ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

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

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

Musanagwiritse ntchito propranolol,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la mankhwala a propranolol, mankhwala ena aliwonse, kapena zosakaniza zilizonse za mankhwala a propranolol. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: ACE inhibitors; Maantacid okhala ndi aluminium (Maalox, Mylanta, ena); anticoagulants ('' oonda magazi '') monga warfarin (Coumadin, Jantoven); calcium blockers monga diltiazem (Cardizem, Cartia, Tiazac, ena), nicardipine (Cardene), nifedipine (Adalat, Procardia XL), ndi nisoldipine (Sular); cholestyramine (Prevalite); cimetidine; ciprofloxacin (Cipro); mankhwala enaake; colestipol (Colestid); diazepam (Diastat, Valium); digoxin (Lanoxin); fluvoxamine (Luvox); haloperidol (Haldol); HMG-CoA reductase inhibitors (cholesterol-yotsitsa othandizira) monga lovastatin (Altoprev, Mevacor, in Advicor) ndi pravastatin (Pravachol); isoniazid (mu Rifamate, ku Rifater); mankhwala a kukhumudwa monga bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem, Selfemra), imipramine (Tofranil), ndi paroxetine (Brisdelle, Paxil, Pexeva); fluconazole (Diflucan); mankhwala a mutu waching'alang'ala monga rizatriptan (Maxalt) ndi zolmitriptan (Zomig); Mankhwala a kuthamanga kwa magazi monga clonidine (Catapres, Kapvay, ku Clorpres), doxazosin (Cardura), prazosin (Minipress), ndi terazosin; mankhwala a khunyu monga phenytoin (Dilantin, Phenytek) ndi phenobarbital; mankhwala ena am'magazi osagwirizana monga amiodarone (Cordarone, Nexterone, Pacerone), propafenone (Rythmol), ndi quinidine (ku Nuedexta); monoamine oxidase (MAO) zoletsa monga phenelzine (Nardil); montelukast (Singulair); mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga indomethacin (Indocin, Tivorbex); theophylline (Theo-24, Theochron, Uniphyl); kuperekanso; rifampin (Rifadin, Rimactane, ku Rifater, ku Rifamate); ritonavir (Norvir, ku Kaletra, ku Viekira Pak); teniposide (Vumon); thioridazine; ticlopidine; tolbutamide; mankhwala opatsirana pogwiritsa ntchito tricyclic; ndi zileuton (Zyflo). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi mphumu kapena matenda ena am'mapapo; mtima, chiwindi, kapena matenda a impso; matenda ashuga; chifuwa chachikulu; kapena mavuto a chithokomiro.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga propranolol, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa propranolol.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa propranolol. Mowa umatha kuwonjezera kuchuluka kwa propranolol mthupi lanu.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.

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.

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

• chizungulire kapena mutu wopepuka
• kutopa
• kutsegula m'mimba
• kudzimbidwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kuvuta kupuma kapena kumeza
• zidzolo
• khungu kapena khungu
• ming'oma
• kuyabwa
• kutupa kwa nkhope, mmero, lilime, kapena milomo
• kumva kukomoka
• kunenepa
• kugunda kwamtima kosasintha

Propranolol imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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. Zisunge kutentha komanso kutali ndi kuwala, 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 kochedwa mtima

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

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.

• Zachilendo^®¶
• Zachilendo^® LA
• Zachilendo^® XL
• InnoPran^®¶
• InnoPran^® XL
• Pronol^®¶

• Kuchokera pansi^® (yokhala ndi Hydrochlorothiazide, Propranolol)
• Kuchokera pansi^® LA (yokhala ndi Hydrochlorothiazide, Propranolol)^¶

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