Nimodipine

Zamkati

• Asanatenge nimodipine,
• Nimodipine 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:

Makapisozi Nimodipine ndi madzi ayenera kumwedwa pakamwa. Ngati simukudziwa kapena simungathe kumeza, mutha kupatsidwa mankhwalawo kudzera mu chubu chodyetsera chomwe chimayikidwa m'mphuno mwanu kapena m'mimba mwanu. Nimodipine sayenera kuperekedwa kudzera m'mitsempha (mumtsempha), chifukwa izi zimatha kuyambitsa zovuta kapena zoopsa kapena kufa.

Nimodipine imagwiritsidwa ntchito pochepetsa kuwonongeka kwaubongo komwe kumatha kuyambitsidwa ndi kukha magazi kwa subarachnoid (kutuluka magazi m'malo ozungulira ubongo omwe amapezeka pomwe chotengera chamagazi chofooka mu ubongo chimaphulika). Nimodipine ali mgulu la mankhwala otchedwa calcium channel blockers. Zimagwira ntchito potsekula mitsempha yamagazi muubongo kuti magazi ambiri aziyenda m'malo owonongeka.

Nimodipine imabwera ngati kapisozi ndi yankho lakamwa (madzi) kumwa pakamwa kapena kuperekedwa kudzera mu chubu chodyetsera. Nthawi zambiri amatengedwa maola anayi aliwonse masiku 21 motsatizana. Chithandizo cha nimodipine chiyenera kuyambika posachedwa, pasanathe maola 96 kutha kwa magazi. Nimodipine ayenera kumwa osadya kanthu, osachepera ola limodzi musanadye kapena maola awiri mutatha kudya Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti akufotokozereni gawo lomwe simukumvetsa. Tengani nimodipine ndendende monga momwe adauzira.Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse ndi madzi.

Ndikofunika kumaliza maphunziro anu onse ndi nimodipine. Pitirizani kumwa nimodipine ngakhale mukumva bwino. Osasiya kumwa nimodipine osalankhula ndi dokotala.

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

Asanatenge nimodipine,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la nimodipine, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a nimodipine kapena yankho la pakamwa. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala aliwonse awa: mankhwala ena oletsa mafungal kuphatikizapo itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), ndi voriconazole (Vfend); clarithromycin (Biaxin); mankhwala ena a HIV kuphatikiza indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); nefazodone; ndi telithromycin (Ketek). Dokotala wanu angakuuzeni kuti musamwe nimodipine.
• Uzani dokotala ndi wazamankhwala mankhwala ena omwe mumalandira ndi mankhwala omwe simukulembera, zowonjezera zakudya, ndi mavitamini omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: aprepitant (Emend); armodafinil (Nuvigil); alprazolam (Niravam, Xanax); amiodarone (Cordarone, Pacerone, Nexterone); atazanavir (Reyataz), bosentan (Wowononga); cimetidine (Tagamet); conivaptan (Vaprisol); cyclosporine (Gengraf, Neoral, Sandimmune); delavirdine (Wolemba); diltiazem (Cardizem, Dilacor, Tiazac); dalfopristin / quinupristin kuphatikiza (Synercid); efavirenz (Sustiva, ku Atripla); erythromycin (EES, E-Mycin); etravirine (Kutengeka); fluconazole (Diflucan); fluoxetine (Prozac, Sarafem, mu Symbyax); isoniazid (mu Rifater, ku Rifamate); mankhwala a kuthamanga kwa magazi kapena matenda amtima kuphatikiza okodzetsa ('mapiritsi amadzi'): mankhwala ena a hepatitis kuphatikiza boceprevir (Victrelis) ndi telaprevir (Incivek); mankhwala ena okomoka kuphatikiza carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital (Luminal), ndi phenytoin (Dilantin); modafinil (Provigil); nafcillin (Nallpen); njira zakulera zam'kamwa (mapiritsi olera); phosphodiesterase (PDE-5) inhibitors kuphatikiza sildenafil (Revatio, Viagra), tadalafil (Cialis), ndi vardenafil (Levitra, Staxyn); pioglitazone (Actos, mu Actoplus Met, ku Duetact, ku Oseni); posaconazole (Noxafil); prednisone (Rayos); rifampin (Rifadin, Rifater, Rimactane, mu Rifamate); rufinamide (Banzel); valproic acid (Depakene); verapamil (Calan, Covera, Tarka, Verelan); ndi vemurafenib (Zelburaf). Mankhwala ena ambiri amathanso kulumikizana ndi nimodipine, 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 pazotsatira.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka Echinacea ndi St. John's wort.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga nimodipine, itanani dokotala wanu.

Osamamwa madzi amphesa kapena kudya zipatso zamphesa mukamamwa nimodipine.

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.

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

• mutu
• kutsegula m'mimba
• nseru
• kupweteka kwa minofu
• zidzolo

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

• chizungulire
• wamisala
• kugunda pang'onopang'ono kapena mwachangu
• kutupa kwa mikono, manja, mapazi, kapena miyendo

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 kutalikirana ndi kutentha komanso 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.

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu amayang'anira kuthamanga kwa magazi kwanu mosamala mukamamwa mankhwala a nimodipine.

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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