Gemfibrozil

Zamkati

• Musanatenge gemfibrozil,
• Gemfibrozil angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Gemfibrozil imagwiritsidwa ntchito posintha zakudya (kuletsa mafuta m'thupi ndi mafuta) kuti muchepetse kuchuluka kwa cholesterol ndi triglycerides (mafuta ena) m'magazi mwa anthu ena omwe ali ndi ma triglycerides omwe ali pachiwopsezo cha matenda a kapamba (zomwe zimakhudza kapamba, gland yomwe imatulutsa timadzi togwetsera chakudya ndi mahomoni owongolera shuga wamagazi). Gemfibrozil imagwiritsidwanso ntchito kwa anthu omwe ali ndi mitundu yotsika kwambiri ya lipoprotein (HDL; 'cholesterol wabwino') ndi milingo yocheperako ya lipoprotein (LDL; 'cholesterol yoyipa') ndi milingo ya triglyceride yochepetsa chiopsezo cha matenda amtima. Gemfibrozil ali mgulu la mankhwala opangira lipid otchedwa fibrate. Zimagwira ntchito pochepetsa kupanga kwa triglycerides m'chiwindi.

Gemfibrozil amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku, mphindi 30 chakudya cham'mawa komanso chamadzulo. Tengani gemfibrozil mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani gemfibrozil ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Gemfibrozil amawongolera ma triglycerides apamwamba ndi HDL yotsika, koma sawachiritsa. Pitirizani kutenga gemfibrozil ngakhale mukumva bwino. Osasiya kumwa gemfibrozil osalankhula ndi dokotala.

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

Musanatenge gemfibrozil,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la gemfibrozil, mankhwala ena aliwonse, kapena chilichonse mwazomwe zimaphatikizidwa m'mapiritsi a gemfibrozil. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala ngati mukumwa dasabuvir (ku Viekira Pak), simvastatin (Zocor, ku Vytorin), kapena repaglinide (Prandin, ku Prandimet). Dokotala wanu angakuuzeni kuti musamwe gemfibrozil mukamamwa mankhwala aliwonse.
• 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: atorvastatin (Lipitor, ku Caduet), bosentan (Tracleer), colchicine (Colcrys, Mitigare, ku Col-Probenecid), dabrafenib (Tafinlar), enzalutamide (Xtandi), ezetimibe (Zetia, ku Vytorin ), fluvastatin (Lescol), glyburide (Diabeta, Glynase, ku Glucovance), irinotecan (Camptosar, Onivyde), loperamide (Imodium), lovastatin (Altoprev), montelukast (Singulair), olmesartan (Benicar, ku Azor, Tribenzor), (Abraxane, Taxol), pioglitazone (Actos, ku Actoplus Met, Duetact, Oseni), pitavastatin (Livalo), pravastatin (Pravachol), rifampin (Rifadin, Rimactane, ku Rifamate, Rifater), rosiglitazone (Avandia), rosuv) , valsartan (Diovan, ku Entresto, Exforge), ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena amathanso kulumikizana ndi gemfibrozil, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• ngati mukumwa colestipol (Colestid), imwani mankhwalawa kutatsala maola awiri musanadutse maola 2 kuchokera ku gemfibrozil.
• Uzani dokotala wanu ngati muli ndi matenda a impso, chiwindi, kapena ndulu. Dokotala wanu angakuuzeni kuti musatenge gemfibrozil.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga gemfibrozil, itanani dokotala wanu.

Idyani chakudya chochepa cha mafuta, cholesterol. Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Mutha kuchezanso tsamba la National Cholesterol Education Program (NCEP) kuti mumve zambiri za zakudya pa http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

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.

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

• kupweteka m'mimba
• kutentha pa chifuwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• kupweteka kwa minofu, kufatsa, kapena kufooka
• kusawona bwino

Mankhwala otchedwa clofibrate (Atromid-S; sakupezeka ku US), omwe amafanana ndi gemfibrozil, amadziwika kuti amayambitsa khansa, matenda a ndulu, komanso kupweteka m'mimba komwe kumayambitsa appendectomy. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Gemfibrozil ikhoza kuyambitsa 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. 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:

• kukokana m'mimba
• kutsegula m'mimba
• kulumikizana ndi minofu
• nseru
• kusanza

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira gemfibrozil.

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.

• Lopid^®