Clarithromycin

Zamkati

• Musanatenge clarithromycin,
• Clarithromycin angayambitse mavuto. 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:
• Zizindikiro za bongo zingaphatikizepo izi:

Clarithromycin amagwiritsidwa ntchito pochiza matenda ena a bakiteriya, monga chibayo (matenda am'mapapo), bronchitis (matenda amachubu omwe amapita m'mapapo), ndi matenda am'makutu, sinus, khungu, ndi pakhosi. Amagwiritsidwanso ntchito pochizira komanso kupewa kufalitsa Mycobacterium avium Matenda ovuta (MAC) [mtundu wamatenda am'mapapo omwe nthawi zambiri amakhudza anthu omwe ali ndi kachilombo ka HIV (HIV)].Amagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athetse H. pylori, bakiteriya amene amayambitsa zilonda zam'mimba. Clarithromycin ali mgulu la mankhwala otchedwa macrolide antibiotics. Zimagwira ntchito poletsa kukula kwa mabakiteriya.

Maantibayotiki monga clarithromycin sangagwire ntchito ya chimfine, chimfine, kapena matenda ena a ma virus. Kutenga maantibayotiki ngati sakufunika kumawonjezera chiopsezo chanu chotenga matenda pambuyo pake omwe amalephera kulandira mankhwala.

Clarithromycin imabwera ngati piritsi, piritsi lotulutsa nthawi yayitali, komanso kuyimitsidwa (madzi) kuti mutenge pakamwa. Piritsi lokhazikika komanso madzi nthawi zambiri amatengedwa popanda chakudya chilichonse 8 (katatu patsiku) mpaka maola 12 (kawiri patsiku) masiku 7 mpaka 14. Piritsi lotulutsira nthawi zambiri limamwedwa ndi chakudya maola 24 (kamodzi patsiku) masiku 7 mpaka 14. Dokotala wanu angakuuzeni kuti mutenge clarithromycin kwa nthawi yayitali kutengera momwe mulili. Tengani clarithromycin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani clarithromycin ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Sambani kuyimitsidwa bwino musanagwiritse ntchito kusakaniza mankhwala mofanana.

Kumeza mapiritsi otenga nthawi yayitali; osagawana, kutafuna, kapena kuwaphwanya.

Muyenera kuyamba kumva bwino m'masiku ochepa oyamba a mankhwala ndi clarithromycin. Ngati zizindikiro zanu sizikukula kapena kuwonjezeka, itanani dokotala wanu.

Tengani clarithromycin mpaka mutsirize mankhwala, ngakhale mutakhala bwino. Mukasiya kumwa clarithromycin posachedwa, kapena kudumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kulimbana ndi maantibayotiki.

Clarithromycin imagwiritsidwanso ntchito nthawi zina kuchiza matenda ena opatsirana kuphatikiza matenda a Lyme (matenda omwe amatha kuyamba munthu akulumidwa ndi nkhupakupa), cryptosporidiosis (matenda omwe amayambitsa kutsekula m'mimba), matenda amphaka (matenda omwe amatha kuyamba munthu walumidwa kapena kukandidwa ndi mphaka), matenda a Legionnaires, (mtundu wamatenda am'mapapo), ndi pertussis (chifuwa chachikulu); matenda akulu omwe angayambitse chifuwa chachikulu). Nthawi zina amagwiritsidwanso ntchito kupewa matenda amtima mwa odwala omwe ali ndi mano kapena njira zina. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge clarithromycin,

• uzani dokotala ndi wazamankhwala ngati muli ndi vuto la clarithromycin, azithromycin (Zithromax, Zmax), erythromycin (EES, Eryc, Erythrocin, PCE, ena), telithromycin (sikupezeka ku US; Ketek), mankhwala ena aliwonse, kapena mankhwala aliwonse zosakaniza mu kukonzekera kwa clarithromycin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukumwa cisapride (Propulsid; sikupezeka ku US), colchicine (Colcrys, Mitigare) ngati muli ndi matenda a impso kapena chiwindi, dihydroergotamine (DHE 45, Migranal), ergotamine (Ergomar, ku Cafergot, ku Migergot), lomitapide (Juxtapid), lovastatin (mu Advicor), pimozide (Orap), kapena simvastatin (Flolipid, Zocor, ku Vytorin). Dokotala wanu angakuuzeni kuti musamwe clarithromycin ngati mukumwa mankhwala amodzi kapena angapo.
• Uzani dokotala wanu ngati mwakhalapo ndi jaundice (khungu lachikasu kapena maso) kapena mavuto ena a chiwindi mukamamwa clarithromycin. Dokotala wanu angakuuzeni kuti musatenge clarithromycin.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); benzodiazepines monga alprazolam (Xanax), midazolam, ndi triazolam (Halcion); bromocriptine (Parlodel); calcium blockers monga amlodipine (Norvasc, ku Caduet, ku Lotrel), diltiazem (Cardizem, Cartia, Tiazac), nifedipine (Adalat, Afeditab CR), ndi verapamil (Calan, Verelan, ku Tarka, ena); carbamazepine (Epitol, Tegretol, Teril, ena); colchicine (Colcrys, Mitigare); mankhwala ena a HIV monga atazanavir (Reyataz), didanosine (Videx), efavirenz (Sustiva, ku Atripla), etravirine (Intelence), nevirapine (Viramune), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), saquasevir (Invirase ), ndi zidovudine (AZT, Retrovir); mankhwala ena osagunda pamtima monga amiodarone (Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide, quinidine (ku Nuedexta), ndi sotalol (Betapace, Sorine); mankhwala ochepetsa mafuta m'thupi (ma statins) monga atorvastatin (Lipitor, ku Caduet), ndi pravastatin (Pravachol); chilonda; cyclosporine (Gengraf, Neoral, Sandimmune); darifenacin (Enablex); digoxin (Digitek, Lanoxin); erlotinib (Tarceva); eszopiclone (Lunesta); fluconazole (Diflucan); insulini; itraconazole (Onmel, Sporanox); nthawi (Selzentry); methylprednisolone (Medrol); omeprazole (Prilosec); mankhwala akumwa ashuga monga nateglinide (Starlix), pioglitazone (Actos, ku Actoplus Met, ku Duetact), repaglinide (Prandin, ku Prandimet), ndi rosiglitazone (Avandia, ku Avandamet, ku Avandaryl); phenobarbital; phenytoin (Dilantin, Phenytek); quetiapine (Seroquel); ranitidine (Zantac); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifater, ku Rifamate); rifapentine (Priftin); sildenafil (Revatio, Viagra); tacrolimus (Astagraf, Prograf); theophylline (Elixophyllin, Theo-24, Theochron); tadalafil (Adcirca, Cialis); mavitamini (Detrol); valproate (Depacon); vardenafil (Levitra, Staxyn); ndi vinblastine. Mankhwala ena ambiri amathanso kulumikizana ndi clarithromycin, chifukwa chake uzani dokotala wanu za mankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani adotolo ngati mwakhala ndi nthawi yayitali ya QT (vuto losowa la mtima lomwe lingayambitse kukomoka kapena kugunda kwamtima mosasinthasintha), ventricular arrhythmia (mayendedwe achilendo amtima), mulingo wotsika wa magnesium kapena potaziyamu m'magazi anu, myasthenia gravis ( MG; kusokonezeka kwamanjenje komwe kumayambitsa kufooka kwa minofu), kapena ngati mwakhala mukumenya mtima mosasinthasintha, matenda amitsempha (kuchepa kwa mitsempha yamagazi yomwe imabweretsa magazi pamtima), kapena impso, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga clarithromycin, itanani dokotala wanu. Clarithromycin itha kuvulaza mwana wosabadwayo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa clarithromycin.
• muyenera kudziwa kuti clarithromycin imatha kukupangitsani kukhala ozunguzika, osokonezeka, kapena osokonezeka. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

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.

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

• kutsegula m'mimba
• nseru
• kusanza
• kupweteka m'mimba
• kutentha pa chifuwa
• mpweya
• sintha kukoma
• mutu

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

• kupweteka pachifuwa, kupuma movutikira, kupuma movutikira, kupweteka kapena kufooka pambali pa thupi lanu, kapena mawu osalankhula
• Kutsekula m'mimba kwambiri ndimadzi amadzi kapena magazi (mpaka miyezi iwiri mutalandira chithandizo)
• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• ukali
• khungu losenda kapena lotupa
• malungo
• chikasu cha khungu kapena maso
• kutopa kwambiri
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• mkodzo wamtundu wakuda
• zizindikiro ngati chimfine
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• kufooka kwa minofu monga kuvuta kutafuna, kuyankhula, kapena kuchita zinthu za tsiku ndi tsiku
• masomphenya awiri

Clarithromycin 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. Sungani mapiritsi kutentha kwa firiji komanso kutali ndi kuwala, kutentha kwambiri, ndi chinyezi (osati kubafa). Osatengera kuyimitsidwa m'firiji. Sungani kutentha komanso kutentha pang'ono ndi chinyezi. Chotsani kuyimitsidwa kulikonse komwe sikugwiritsidwe ntchito patatha masiku 14.

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:

• kupweteka m'mimba
• nseru
• kusanza
• kutsegula m'mimba

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti aone momwe thupi lanu likuyankhira ku clarithromycin.

Piritsi lotulutsidwalo silimasungunuka m'mimba mutatha kumeza. Amatulutsa mankhwalawa pang'onopang'ono akamadutsa m'mimba mwanu. Mutha kuwona zokutira piritsi mu chopondapo. Izi ndi zachilendo ndipo sizitanthauza kuti simunalandire mankhwala okwanira.

Musalole kuti aliyense azimwa mankhwala anu. Mankhwala anu mwina sangabwererenso. Ngati muli ndi zizindikilo za matenda mukamaliza clarithromycin, itanani dokotala wanu.

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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