Diclofenac

Zamkati

• Musanatenge diclofenac,
• Diclofenac 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 kapena pitani kuchipatala mwadzidzidzi. Musatenge diclofenac kenanso mpaka mutalankhula ndi dokotala.
• Zizindikiro za bongo zingaphatikizepo:

Anthu omwe amamwa mankhwala osokoneza bongo (NSAIDs) (kupatula aspirin) monga diclofenac atha kukhala pachiwopsezo 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 diclofenac 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 diclofenac pomwepo musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga diclofenac amatha kuyambitsa zilonda, kutuluka 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 akamamwa diclofenac. 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 muuzeni dokotala ngati mwakhalapo ndi zilonda zam'mimba, kutuluka magazi m'mimba kapena m'matumbo, kapena matenda ena otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa diclofenac ndipo itanani dokotala wanu: 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 likuyankhira diclofenac. 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 adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi diclofenac ndipo nthawi iliyonse mukadzaza 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) kuti mupeze Chithandizo cha Mankhwala.

Makapisozi a Diclofenac (Zipsor, Zorvolex) ndi mapiritsi (Cataflam) amagwiritsidwa ntchito kuti achepetse kupweteka pang'ono. Mapiritsi otulutsidwa a Diclofenac (Voltaren XR), mapiritsi (Cataflam), ndi mapiritsi otulutsidwa mochedwa (omwe amapezeka mwaukadaulo) amagwiritsidwa ntchito kuthana ndi ululu, kufatsa, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi (nyamakazi yoyambitsidwa ndi kuwonongeka kwa akalowa mafupa), ndi nyamakazi ya nyamakazi (nyamakazi yoyambitsidwa ndi kutupa kwa zolumikizira mafupa). Mapiritsi otulutsidwa a Diclofenac ndi mapiritsi otulutsidwa mochedwa amagwiritsidwanso ntchito pochizira ankylosing spondylitis (nyamakazi yomwe imakhudza msana). Mapiritsi a Diclofenac (Cataflam) amagwiritsidwanso ntchito pochiza msambo. Yankho la Diclofenac (Cambia) limagwiritsidwa ntchito pochiza mutu wa migraine mwa akulu, koma silingagwiritsidwe ntchito popewa migraines kapena kuthana ndi mitundu ina ya mutu. Diclofenac ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Diclofenac imabwera ngati piritsi, ndi kapisozi wodzaza madzi, kapisozi wolimba wa gelatin, piritsi lotulutsa (lotenga nthawi yayitali), kutulutsidwa mochedwa (kutulutsa mankhwala m'matumbo) piritsi, komanso mapaketi a ufa wothana nawo kusakanizidwa ndi madzi) ndi kutengedwa pakamwa. Diclofenac makapisozi odzaza madzi nthawi zambiri amatengedwa kanayi pa tsiku ndipo ma diclofenac olimba a gelatin capsules amatengedwa katatu patsiku pamimba yopanda kanthu. Mapiritsi otulutsa ma Diclofenac nthawi zambiri amatengedwa kamodzi patsiku, ndipo nthawi zambiri amatengedwa kawiri patsiku, ngati pakufunika kuthana ndi ululu. Mapiritsi a Diclofenac ndi mapiritsi otulutsa mochedwa diclofenac nthawi zambiri amatengedwa 2, 3, kapena kanayi patsiku. Yankho la Diclofenac limatengedwa popanda chakudya ngati njira imodzi yothanirana ndi ululu wa mutu waching'alang'ala. Ngati mutauzidwa kuti muzimwa diclofenac pafupipafupi, imwani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani diclofenac ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Zinthu zosiyanasiyana za diclofenac zimatulutsa mankhwala mosiyanasiyana mthupi lanu ndipo sangathe kugwiritsidwa ntchito mosinthana. Ingotengani mankhwala a diclofenac omwe dokotala wanu wakupatsani ndipo musasinthe kupita ku china cha diclofenac pokhapokha dokotala atakuuzani kuti muyenera kutero.

Dokotala wanu akhoza kusintha mlingo wa mankhwala anu mukamachiza malinga ndi momwe mumayankhira. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo cha diclofenac.

Ngati mukumwa ufawu kuti muuthetse, muyenera kusakaniza ndi madzi musanamwe. Kuti musakanize mankhwalawo, choyamba chotsani paketi imodzi pamzere wa mapaketi atatu omata. Ikani supuni 2 mpaka 4 (1 mpaka 2 ounces; 30 mpaka 60 mL) yamadzi mu chikho. Onjezerani zomwe zili mu paketi ndikusakaniza bwino. Imwani chisakanizo chonse nthawi yomweyo. Tayani phukusi lopanda kanthu mu chidebe chomwe sichingafikiridwe ndi ana ndi ziweto.

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

Musanatenge diclofenac,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la diclofenac (yomwe imapezekanso ngati Solaraze ndi Pennsaid, ku Arthrotec), aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), mankhwala ena aliwonse, kapena zosakaniza mu diclofenac mankhwala omwe mukufuna kutenga. Funsani wamankhwala wanu kapena onani chitsogozo cha mankhwala kuti muwone mndandanda wazinthu zopanda ntchito. Ngati mukumwa makapisozi a diclofenac (Zipsor), uzani dokotala ngati muli ndi vuto la ziweto (ng'ombe) monga zomwe zimapezeka mkaka, ng'ombe, kapena gelatin.
• 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 mgawo la CHENJEZO CHENJEZO ndi zina mwa izi: acetaminophen (Tylenol, m'zinthu zina), zoteteza ku angiotensin-converter enzyme (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec , mu Vaseretic), fosinopril, lisinopril (mu Zestoretic), moexipril (Univasc, mu Uniretic), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace), ndi trandolapr, ku Tarka); angiotensin receptor blockers monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, Azor, Azor, Azor mu Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta); zotchinga beta monga atenolol (Tenormin, mu Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); insulin ndi mankhwala akumwa ashuga; lifiyamu (Lithobid); mankhwala a khunyu; methotrexate (Otrexup, Rasuvo, Trexall), rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater), ndi voriconazole (Vfend). Mankhwala ena ambiri amathanso kulumikizana ndi diclofenac, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa ngakhale atakhala kuti sakupezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mu gawo LOFUNIKITSA CHENJEZO kapena mphumu, makamaka ngati mumakhalanso ndi mphuno kapena zotumphukira kapena zotumphukira (kutupa kwa mphuno); porphyria (kuwonjezeka kwachilendo kwa zinthu zina zachilengedwe zopangidwa ndi chiwindi); 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. Diclofenac itha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ikamamwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musatenge diclofenac mozungulira kapena pambuyo pa masabata 20 apakati, pokhapokha mukauzidwa kuti muchite izi ndi dokotala wanu. Mukakhala ndi pakati mukatenga diclofenac, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga diclofenac 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 diclofenac.
• ngati muli ndi phenylketonuria (PKU; mkhalidwe wobadwa nawo momwe muyenera kudya chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe), muyenera kudziwa kuti ufa wothandizila uli ndi aspartame, gwero la phenylalanine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ufa wothandizira nthawi zambiri umatengedwa ngati wofunikira pamutu wa migraine. Ngati mukumwa mankhwala ena aliwonse a diclofenac ndipo muiwala kumwa mankhwalawo, 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.

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

• kutsegula m'mimba
• kudzimbidwa
• mpweya kapena kuphulika
• 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 kapena pitani kuchipatala mwadzidzidzi. Musatenge diclofenac kenanso mpaka mutalankhula ndi dokotala.

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

Diclofenac 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. 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:

• nseru
• kusanza
• kupweteka m'mimba
• chimbudzi chamagazi, chakuda, kapena chochedwa
• kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi
• Kusinza
• kupuma pang'onopang'ono, kosazama, kapena kosasintha
• kutaya chidziwitso

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.

• Cambia^®
• Cataflam^®¶
• Voltaren XR^®¶
• Zipsor^®
• Zorvolex^®

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