Kutumiza

Zamkati

• Musanatenge verapamil,
• Verapamil ikhoza kuyambitsa zovuta. 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:

Verapamil imagwiritsidwa ntchito pochiza kuthamanga kwa magazi ndikuwongolera angina (kupweteka pachifuwa). Mapiritsi omwe amatulutsidwa nthawi yomweyo amagwiritsidwanso ntchito payekha kapena ndi mankhwala ena kuti ateteze ndikuchiritsa kugunda kwamtima kosafunikira. Verapamil ali mgulu la mankhwala otchedwa calcium-channel blockers. Zimagwira mwa kumasula mitsempha yamagazi kuti mtima usachite kupopa mwamphamvu. Zimalimbikitsanso kupezeka kwa magazi ndi mpweya pamtima ndikuchepetsa zochitika zamagetsi pamtima kuwongolera kugunda kwa mtima.

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.

Verapamil amabwera ngati piritsi, piritsi lotulutsa nthawi yayitali, kapisozi womasulira (wotenga nthawi yayitali) woti atenge pakamwa. Piritsi lomwe limakhalapo nthawi zambiri limamwedwa katatu kapena kanayi patsiku. Mapiritsi otulutsidwa ndi makapisozi amatengedwa kamodzi kapena kawiri patsiku. Tengani ma verapamil mozungulira nthawi yomweyo tsiku lililonse. Zida zina za verapamil ziyenera kutengedwa m'mawa ndi zina zikagona. Funsani dokotala wanu nthawi yabwino kuti mumwe mankhwala anu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani verapamil ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa ndi makapisozi athunthu. Osazitafuna kapena kuziphwanya. Funsani wamankhwala wanu ngati mapiritsi atha kugawanika pakati, popeza malangizowo amasiyanasiyana ndi malonda.

Ngati simungathe kumeza makapisozi otulutsidwa nthawi yayitali mutha kutsegula mosamalitsa kapisozi ndikuwaza zonse zomwe zili mkatikati mwa supuni ya maapulo. Maapulosi sayenera kukhala otentha, ndipo ayenera kukhala ofewa mokwanira kuti amezeke popanda kutafuna. Kumeza maapulo msanga popanda kutafuna, ndiyeno imwani kapu yamadzi ozizira kuti muwonetsetse kuti mwameza mankhwala onsewo. Osasunga chisakanizocho kuti mugwiritse ntchito mtsogolo.

Dokotala wanu mwina angakuyambitseni pa verapamil yochepa ndipo pang'onopang'ono muwonjezere mlingo wanu.

Verapamil imayang'anira arrhythmias, kuthamanga kwa magazi, ndi angina koma sachiza izi. Pitilizani kutenga verapamil ngakhale mukumva bwino. Osasiya kumwa verapamil osalankhula ndi dokotala.

Verapamil imagwiritsidwanso ntchito kuthana ndi mavuto ena amtima. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanatenge verapamil,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la verapamil, mankhwala ena aliwonse, kapena zosakaniza zilizonse za verapamil. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: alpha blockers monga prazosin (Minipress); antifungals monga itraconazole (Onmel, Sporanox) ndi ketoconazole (Nizoral); aspirin; zotchinga beta monga atenolol (Tenormin, mu Tenoretic), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), propranolol (Inderal, Innopran, ku Inderide), ndi timolol (Blocadren, ku Timolide); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cimetidine (Tagamet); clarithromycin (Biaxin, mu Prevpac); cyclosporine (Neoral, Sandimmune); digoxin (Lanoxin); disopyramide (Norpace); okodzetsa ('' mapiritsi amadzi ''); erythromycin (EES, Eryc, Erythrocin); ntchentche; ma virus ena a HIV protease monga indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); quinidine (mu Nuedexta); lifiyamu (Lithobid); mankhwala ochizira kuthamanga kwa magazi; nefazodone; phenobarbital; pioglitazone (Actos, ku Duetact, ku Oseni); rifampin (Rifadin, Rimactane); telithromycin (Ketek); ndi theophylline (Theochron, Theolair, Uniphyl). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi verapamil, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• 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; mtima kulephera; mtima, chiwindi, kapena matenda a impso; kusokonekera kwa minofu (matenda obadwa nawo omwe amachititsa kuti minofu ifooke pang'onopang'ono); kapena myasthenia gravis (vuto lomwe limafooketsa minofu ina).
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga verapamil, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito verapamil.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa zakumwa zoledzeretsa mukamamwa mankhwala ndi verapamil. Verapamil imatha kuyambitsa zovuta zakumwa zoledzeretsa komanso zakanthawi.

Lankhulani ndi dokotala wanu za kudya zipatso zamtengo wapatali kapena kumwa madzi amphesa mukamamwa mankhwalawa.

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.

Verapamil ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kudzimbidwa
• kutentha pa chifuwa
• chizungulire kapena mutu wopepuka
• mutu

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

• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• kugunda kochedwa mtima
• kukomoka
• kusawona bwino
• zidzolo
• nseru
• kutopa kwambiri
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• zizindikiro ngati chimfine
• malungo

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:

• chizungulire
• kusawona bwino
• pang'onopang'ono, mofulumira, kapena kugunda kwa mtima kosasinthasintha
• kugwidwa
• chisokonezo
• kuvuta kupuma kapena kumeza

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu amayenera kufufuzidwa pafupipafupi kuti mudziwe yankho lanu ku verapamil. Dokotala wanu amathanso kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku verapamil.

Ngati mukumwa mapiritsi otalikirapo (Covera HS), 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.

• Kalani^®
• Kalani^® Chidwi
• Covera^® HS
• Isoptin^®¶
• Verelan^®
• Verelan^® PM

• Tarka^® (okhala ndi trandolapril ndi verapamil)

• Iproveratril Hydrochloride

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