Amiodarone

Zamkati

• Asanatenge amiodarone,
• Amiodarone angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zalembedwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo:

Amiodarone imatha kuwononga mapapu omwe atha kukhala owopsa kapena owopsa. Uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo kapena ngati mwakhalapo ndi vuto la m'mapapo kapena kupuma mukamamwa amiodarone. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: malungo, kupuma movutikira, kupuma, mavuto ena opuma, kutsokomola, kapena kutsokomola kapena kulavulira magazi.

Amiodarone amathanso kuwononga chiwindi. Uzani dokotala wanu ngati mwakhalapo kapena mukudwala matenda a chiwindi. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: nseru, kusanza, mkodzo wamdima wakuda, kutopa kwambiri, chikasu cha khungu kapena maso, kuyabwa, kapena kupweteka kumtunda kwakumimba.

Amiodarone imatha kupangitsa kuti arrhythmia (yachilendo yamtima wanu) ichepetse kapena ingapangitse kuti mukhale ndi arrhythmias yatsopano. Uzani dokotala wanu ngati munakhalapo ndi chizungulire kapena mutu wopepuka kapena munakomoka chifukwa kugunda kwa mtima kwanu kunali kochedwa kwambiri ndipo ngati munakhalapo ndi potaziyamu kapena magnesium m'magazi anu; matenda a mtima kapena chithokomiro; kapena mavuto aliwonse ndi mungoli wamtima wanu kupatula arrhythmia yomwe ikuchiritsidwa. Uzani dokotala wanu komanso wamankhwala ngati mukumwa mankhwala aliwonse awa: maantifungal monga fluconazole (Diflucan), ketoconazole (Nizoral), ndi itraconazole (Onmel, Sporanox); azithromycin (Zithromax, Zmax); zotchinga beta monga propranolol (Hemangeol, Inderal, Innopran); zotchinga calcium monga diltiazem (Cardizem, Cartia, Diltzac, Tiazac, ena), ndi verapamil (Calan, Covera, Verelan, ku Tarka); cisapride (Propulsid; sikupezeka ku US); clarithromycin (Biaxin); clonidine (Catapres, Kapvay); okodzetsa ('mapiritsi amadzi'); dofetilide (Tikosyn); erythromycin (EES, E-Mycin, Erythrocin); maantibayotiki a fluoroquinolone monga ciprofloxacin (Cipro), levofloxacin (Levaquin), lomefloxacin (sikupezeka ku US), moxifloxacin (Avelox), norfloxacin (sikupezeka ku US), ofloxacin, ndi sparfloxacin (sikupezeka ku US); Mankhwala ena a kugunda kwamtima kosasinthasintha monga digoxin (Lanoxin), disopyramide (Norpace), flecainide, ivabradine (Corlanor), phenytoin (Dilantin, Phenytek), procainamide, quinidine (ku Nuedexta), ndi sotalol (Betapace, Sorine, Sotylize); ndi thioridazine. Ngati muli ndi zizindikiro izi, pitani kuchipatala msanga: mutu wopepuka; kukomoka; kuthamanga, kudekha, kapena kugunda kwamtima; kapena kumva kuti mtima wanu wadumpha.

Mutha kukhala muchipatala sabata limodzi kapena kupitilira apo mukayamba chithandizo chanu ndi amiodarone. Dokotala wanu adzakuyang'anirani mosamala panthawiyi komanso malinga ngati mupitiliza kutenga amiodarone. Dokotala wanu angakuyambitseni ndi amiodarone kwambiri ndipo pang'onopang'ono muchepetse mlingo wanu pamene mankhwala akuyamba kugwira ntchito. Dokotala wanu amachepetsa kuchuluka kwa mankhwala anu mukamakhala ndi mavuto. Tsatirani malangizo a dokotala mosamala.

Osasiya kumwa amiodarone osalankhula ndi dokotala. Mungafunike kuyang'aniridwa kwambiri kapena kuchipatala mukasiya kumwa amiodarone. Amiodarone amatha kukhala mthupi mwako kwakanthawi mutasiya kumwa, kotero dokotala wanu adzakuyang'anirani mosamala panthawiyi.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso ena, monga kuyesa magazi, ma X-ray, ndi ma electrocardiograms (EKGs, mayeso omwe amalemba zamagetsi mumtima) musanachitike komanso mukamalandira chithandizo kuti mutsimikizire kuti zili bwino kuti mutenge amiodarone ndi onani momwe thupi lanu likuyankhira mankhwala.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso zaopanga (Medication Guide) mukayamba mankhwala ndi amiodarone ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso.Muthanso kupeza Buku la Mankhwala kuchokera patsamba la FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Lankhulani ndi dokotala wanu za kuopsa kotenga amiodarone.

Amiodarone amagwiritsidwa ntchito pochizira ndi kupewa mitundu ina yayikulu yamatenda am'mimba (mtundu wina wamiyimbidwe yachilendo yamankhwala pomwe mankhwala ena samathandiza kapena sangalekerere. Amiodarone ali mgulu la mankhwala otchedwa antiarrhythmics. kumasula mitima ya mtima yokhazikika.

Amiodarone amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Mutha kutenga amiodarone mwina ndi chakudya kapena opanda, koma onetsetsani kuti mumadya momwemo nthawi iliyonse. Tengani amiodarone ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Amiodarone nthawi zina amagwiritsidwa ntchito pochizira mitundu ina ya arrhythmias. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Asanatenge amiodarone,

• uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi amiodarone, ayodini, mankhwala ena aliwonse, kapena zina mwazomwe zimaphatikizidwa pamapiritsi a amiodarone. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO CHENJEZO ndi zina mwazi: antidepressants ('mood lifters') monga trazodone (Oleptro); maanticoagulants ('oonda magazi') monga dabigatran (Pradaxa) ndi warfarin (Coumadin, Jantoven); mankhwala ena ochepetsa mafuta m'thupi monga atorvastatin (Lipitor, ku Caduet, ku Liptruzet), cholestyramine (Prevalite), lovastatin (Altoprev, ku Advicor), ndi simvastatin (Zocor, ku Simcor, ku Vytorin); cimetidine; clopidogrel (Plavix); cyclosporine (Gengraf, Neoral, Sandimmune); dextromethorphan (mankhwala ambiri okonzekera chifuwa); fentanyl (Actiq, Duragesic, Fentora, ena); HIV protease inhibitors monga indinavir (Crixivan) ndi ritonavir (Norvir, ku Kaletra, ku Viekira Pak); ledipasvir ndi sofosbuvir (Harvoni); lifiyamu (Lithobid); loratadine (Claritin); mankhwala a shuga kapena kugwidwa; methotrexate (Otrexup, Rasuvo, Trexall); mankhwala osokoneza bongo opweteka; rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); ndi sofosbuvir (Solvaldi) wokhala ndi simeprevir (Olysio). Mankhwala ena ambiri amatha kulumikizana ndi amiodarone, onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunikire kusintha mlingo wa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• auzeni adotolo ngati mukusekula m'mimba kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgulu la CHENJEZO LACHENJEZO kapena mavuto am'magazi anu.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Lankhulani ndi dokotala ngati mukufuna kutenga pakati mukamalandira chithandizo chifukwa amiodarone amatha kukhala mthupi lanu kwakanthawi mutasiya kumwa. Mukakhala ndi pakati mukatenga amiodarone, itanani dokotala wanu mwachangu. Amiodarone amatha kuvulaza mwana.
• Uzani dokotala wanu ngati mukuyamwitsa. Osamayamwa mukamamwa amiodarone.
• lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa amiodarone chifukwa siotetezeka kapena yothandiza ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano kapena opaleshoni yamaso a laser, uzani dokotala kapena dokotala kuti mukumwa amiodarone.
• konzekerani kupeŵa kuwonekera kosafunikira kapena kwakanthawi kwa kuwala kwa dzuwa kapena zowunikira ndi kuvala zovala zodzitetezera, magalasi a dzuwa, ndi zoteteza ku dzuwa. Amiodarone imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa. Khungu lotseguka limatha kukhala labuluu ndipo silingabwerere mwakale ngakhale mutasiya kumwa mankhwalawa.
• Muyenera kudziwa kuti amiodarone imatha kuyambitsa mavuto amaso kuphatikiza khungu losatha. Onetsetsani kuti mumakhala ndi mayeso amaso nthawi zonse mukamalandira chithandizo ndipo itanani dokotala ngati maso anu adzauma, kuwunika kuwala, ngati muwona ma halos, kapena kusawona bwino kapena zovuta zina ndi masomphenya anu.
• muyenera kudziwa kuti amiodarone amatha kukhala mthupi lanu kwa miyezi ingapo mutasiya kumwa. Mutha kupitiliza kukhala ndi zovuta za amiodarone panthawiyi. Onetsetsani kuti mumauza aliyense wothandizira zaumoyo amene amakuchitirani kapena kukupatsani mankhwala aliwonse panthawiyi kuti mwasiya kumwa amiodarone.

Musamwe madzi amphesa pamene mukumwa mankhwalawa.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• kudzimbidwa
• kusowa chilakolako
• mutu
• kuchepa pagalimoto
• kuvuta kugona kapena kugona
• kuchapa
• kusintha pakutha kulawa ndi kununkhiza
• kusintha kwa malovu amate

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zalembedwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• zidzolo
• kuonda kapena phindu
• kusakhazikika
• kufooka
• manjenje
• kupsa mtima
• tsankho kutentha kapena kuzizira
• tsitsi lochepera
• thukuta kwambiri
• kusintha kwa msambo
• kutupa kutsogolo kwa khosi (goiter)
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kuchepa kwa ndende
• mayendedwe omwe simungathe kuwongolera
• kusagwirizana bwino kapena kuyenda movutikira
• dzanzi kapena kumva kulasalasa m'manja, miyendo, ndi mapazi
• kufooka kwa minofu

Amiodarone angayambitse mavuto ena. 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:

• kugunda kochedwa mtima
• nseru
• kusawona bwino
• wamisala
• kukomoka

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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