Piroxicam

Zamkati

• Musanamwe piroxicam,
• Piroxicam ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa piroxicam mpaka mutalankhula ndi dokotala.

Anthu omwe amamwa mankhwala osagwiritsa ntchito zotupa (ma NSAID) (kupatula aspirin) monga piroxicam 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. Musatenge NSAID monga piroxicam ngati mwangodwala kumene mtima, pokhapokha mutalangizidwa ndi dokotala wanu. 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 piroxicam musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga piroxicam amatha kuyambitsa zilonda zam'mimba, 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 mukamamwa piroxicam.Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); kapena serotonin norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), ndi venlafaxine (Effexor XR). Komanso uzani dokotala ngati mwakhalapo ndi zilonda kapena kutuluka magazi m'mimba kapena m'matumbo kapena matenda ena otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa piroxicam ndikuyimbira dokotala: kupweteka m'mimba, kutentha pa chifuwa, kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi, magazi mu chopondapo, kapena mipando yakuda ndi yodikira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'anira matenda anu mosamala ndipo mwina adzaitanitsa mayeso ena kuti muwone momwe thupi lanu limayankhira piroxicam. 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 amakupatsirani pepala lazidziwitso zaopanga (Medication Guide) mukayamba mankhwala ndi piroxicam ndipo nthawi iliyonse mukamadzaza 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/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Piroxicam imagwiritsidwa ntchito kuti muchepetse kupweteka, kufatsa, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi (nyamakazi yomwe imayambitsa kuwonongeka kwa malo am'magazi) ndi nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsidwa ndikutupa kwa malo olumikizirana mafupa). Piroxicam ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Piroxicam imabwera ngati kapisozi woti umutenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Tengani piroxicam mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani piroxicam ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Piroxicam ikuthandizani kuwongolera zizindikilo zanu koma sichiza matenda anu. Zitha kutenga masabata 8 mpaka 12 kapena kupitilira apo musanalandire piroxicam.

Piroxicam imagwiritsidwanso ntchito nthawi zina kuchiza nyamakazi ya gouty (kuukira kwa zopweteka zolumikizana komanso kutupa komwe kumayambitsidwa ndi kuphatikiza kwa zinthu zina m'malo olumikizirana mafupa) ndi ankylosing spondylitis (nyamakazi yomwe imakhudza msana). Nthawi zina amagwiritsidwanso ntchito kuthana ndi kupweteka kwa minofu ndi kutupa, kupweteka msambo, komanso kupweteka pambuyo pochita opaleshoni kapena pobereka. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Musanamwe piroxicam,

• auzeni dokotala kapena wamankhwala ngati muli ndi vuto la piroxicam, aspirin, kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), mankhwala ena aliwonse, kapena chilichonse chosagwira ntchito mu makapisozi a piroxicam. 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, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril ( mu Zestoretic), moexipril (Univasc), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers (ARBs) monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar ku Azor, ku Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (ku Exforge HCT); zotchinga beta monga atenolol (Tenormin, mu Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, Innopran); okodzetsa ('mapiritsi amadzi'); lifiyamu (Lithobid); mankhwala a shuga; methotrexate (Otrexup, Rasuvo, Trexall); ndi phenytoin (Dilantin, Phenytek). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira.
• uzani dokotala wanu ngati mwakhalapo ndi mphumu, makamaka ngati mumakhalanso ndi mphuno yambiri kapena yothamanga kapena zotumphukira (kutupa kwa m'mphuno); mtima kulephera; kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi; kapena chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Piroxicam imatha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa zovuta pakubereka ngati imamwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musamamwe piroxicam mozungulira kapena mutakhala ndi pakati pamasabata 20, pokhapokha mutakuwuzani kuti muchite izi ndi dokotala. Mukakhala ndi pakati mukatenga piroxicam, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga piroxicam 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 piroxicam.

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.

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

• kutsegula m'mimba
• kudzimbidwa
• mpweya
• mutu
• chizungulire
• kulira m'makutu

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

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

Piroxicam imatha kubweretsa 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 za bongo zingaphatikizepo izi:

• kusowa mphamvu
• Kusinza
• kukhumudwa m'mimba
• kusanza
• kupweteka m'mimba
• chimbudzi chamagazi, chakuda, kapena chochedwa
• kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi
• kuvuta kupuma
• chikomokere (kutaya chidziwitso kwakanthawi)

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.

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