Nifedipine

Zamkati

• Musanatenge nifedipine,
• Nifedipine angayambitse 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:

Nifedipine amagwiritsidwa ntchito pochiza kuthamanga kwa magazi ndikuwongolera angina (kupweteka pachifuwa). Nifedipine ali mgulu la mankhwala otchedwa calcium-channel blockers. Amachepetsa kuthamanga kwa magazi mwakutsitsimutsa mitsempha yamagazi kuti mtima usachite kupopa mwamphamvu. Imayang'anira kupweteka pachifuwa powonjezera kupezeka kwa magazi ndi mpweya pamtima.

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.

Nifedipine amabwera ngati kapisozi komanso piritsi lotulutsa nthawi yayitali kuti atenge pakamwa. Kapsule nthawi zambiri amatengedwa katatu kapena kanayi patsiku. Piritsi lotulutsidwalo liyenera kutengedwa kamodzi tsiku lililonse m'mimba yopanda kanthu, mwina ola limodzi musanadye kapena maola awiri mutadya. Kukuthandizani kukumbukira kukumbukira kutenga nifedipine, imwani nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani nifedipine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa otalikiratu; osagawana, kutafuna, kapena kuwaphwanya.

Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa nifedipine ndipo pang'onopang'ono muwonjezere mlingo wanu, makamaka kamodzi pamasiku 7 mpaka 14.

Ngati amatengedwa pafupipafupi, nifedipine amawongolera kupweteka pachifuwa, koma samaletsa kupweteka pachifuwa akangoyamba. Dokotala wanu akhoza kukupatsani mankhwala osiyanasiyana mukamamva kupweteka pachifuwa.

Nifedipine amalamulira kuthamanga kwa magazi komanso kupweteka pachifuwa (angina) koma sawachiritsa. Pitirizani kumwa nifedipine ngakhale mukumva bwino. Osasiya kumwa nifedipine osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Nifedipine imagwiritsidwanso ntchito nthawi zina kuchiza matenda asanakwane komanso matenda a Raynaud. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge nifedipine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la nifedipine, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu nifedipine. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mumamwa kapena mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: acarbose (Precose); maanticoagulants ('oonda magazi') monga warfarin (Coumadin, Jantoven); antifungals monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ndi ketoconazole (Nizoral); zotchinga beta monga atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), propranolol (Inderal, Innopran, ku Inderide), ndi timolol); carbamazepine (Carbatrol, Epitol, Tegretol); cimetidine (Tagamet); digoxin (Lanoxin); diltiazem (Cardizem); doxazosin (Cardura); erythromycin (EES, E-Mycin, Erythrocin); fentanyl (Actiq, Duragesic, Fentora); zachilengedwe (Tambocor); HIV protease inhibitors kuphatikiza amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); metformin (Glucophage); nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); quinidine (mu Nuedexta); quinupristin ndi dalfopristin (Synercid); rifampin (Rifadin, ku Rifamate, ku Rifater, Rimactane); rifapentine (Priftin); tacrolimus (Astagraf SL, Prograf); valproic acid (Depakene); ndi verapamil (Calan, Covera, Verelan, ku Tarka). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• auzeni dokotala ngati mwakhala mukuchepetsako kapena kutsekeka kwa gawo lanu lam'mimba kapena china chilichonse chomwe chimapangitsa kuti chakudya chiziyenda pang'onopang'ono m'thupi lanu; kapena matenda a mtima, chiwindi, kapena impso. Uzani dokotala wanu ngati mwakhala ndi infarction ya myocardial infarction (MI) m'masabata awiri apitawa.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga nifedipine, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kugwiritsa ntchito makapisozi a nifedipine ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa makapisozi a nifedipine chifukwa siotetezeka ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa nifedipine.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa nifedipine. Mowa ungapangitse mavuto kuchokera ku nifedipine kukulirakulira.

Osamamwa madzi amphesa kapena kudya zipatso zamphesa masiku atatu isanakwane komanso mukamamwa nifedipine.

Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium, tsatirani malangizowa mosamala.

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.

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

• mutu
• nseru
• chizungulire kapena mutu wopepuka
• kuchapa
• kutentha pa chifuwa
• kugunda kwamtima mwachangu
• kukokana kwa minofu
• kudzimbidwa
• chifuwa
• amachepetsa kuthekera kwakugonana

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

• kutupa kwa nkhope, maso, milomo, lilime, manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• kukomoka
• zidzolo
• chikasu cha khungu kapena maso
• kuwonjezeka kwafupipafupi kapena kuuma kwa kupweteka pachifuwa (angina)

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, kutali ndi kuwala, komanso 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:

• chizungulire
• kugunda kwamtima mwachangu
• kuchapa
• manjenje
• nseru
• kusanza
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kusawona bwino
• kukomoka

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire nifedipine.

Ngati mukumwa mapiritsi otulutsidwa (Afeditab CR, Procardia XL), mutha kuwona china chake chomwe chikuwoneka ngati piritsi pampando wanu. Ili ndiye chipolopolo chopanda kanthu, ndipo izi sizitanthauza kuti simunalandire mankhwala anu onse.

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.

• Adalat^®¶
• Adalat^® CC
• Kutsatsa^® CR
• Zachilengedwe^® XL
• Nifeditab^® CR^¶
• Ndondomeko^®¶
• Ndondomeko^® XL

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