Diclofenac ndi Misoprostol

Zamkati

• Amayi omwe amatha kutenga pakati sayenera kumwa diclofenac ndi misoprostol. Komabe, inu ndi dokotala mutha kusankha kuti kuphatikiza kwa diclofenac ndi misoprostol ndikofunikira kuthana ndi vuto lanu. Zikatero muyenera:
• Musanamwe diclofenac ndi misoprostol,
• Diclofenac ndi misoprostol zimatha 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 ndi misoprostol kenanso mpaka mutalankhula ndi dokotala.
• Zizindikiro za bongo zingaphatikizepo:

Kwa odwala achikazi:

Musamamwe diclofenac ndi misoprostol ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati kapena mukuganiza kuti mutha kutenga pakati mukatenga diclofenac ndi misoprostol, lekani kumwa mankhwalawo ndipo itanani dokotala wanu mwachangu. Diclofenac ndi misoprostol zimatha kuyambitsa kuperewera (kutaya mimba), kutaya magazi kwambiri, kapena kubadwa msanga (mwana amabadwa molawirira kwambiri) akamutenga mukakhala ndi pakati.

Amayi omwe amatha kutenga pakati sayenera kumwa diclofenac ndi misoprostol. Komabe, inu ndi dokotala mutha kusankha kuti kuphatikiza kwa diclofenac ndi misoprostol ndikofunikira kuthana ndi vuto lanu. Zikatero muyenera:

• avomerezeni kugwiritsa ntchito njira yodalirika yolerera pamene mukumwa mankhwala komanso kwa mwezi umodzi kapena kusamba kamodzi mukalandira chithandizo;
• kuyezetsa magazi moyipa pakadutsa milungu iwiri musanadye diclofenac ndi misoprostol;
• kuyamba kumwa mankhwala okha pa tsiku lachiwiri kapena lachitatu la yotsatira msambo.

Kwa odwala onse:

Anthu omwe amamwa mankhwala osagwiritsa ntchito mankhwala opatsirana pogonana (NSAIDs) (kupatula aspirin) monga kuphatikiza kwa diclofenac ndi misoprostol atha kukhala ndi chiopsezo 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. Musagwiritse ntchito NSAID monga diclofenac ndi misoprostol kuphatikiza 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 ndi misoprostol musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga diclofenac amatha kuyambitsa zilonda, kutuluka magazi, kapena mabowo m'mimba kapena m'matumbo. Misoprostol amatengedwa limodzi ndi diclofenac kuteteza m'mimba ndi m'matumbo, koma sizingalepheretse kuwonongeka konse kwa ziwalo za thupi. Mavuto am'mimba ndi m'matumbo amatha kukula nthawi iliyonse akamalandira chithandizo, zitha kuchitika popanda zidziwitso, ndipo zimatha kupha. Chiwopsezo chikhoza kukhala chachikulu kwa anthu omwe amatenga ma NSAID kwa nthawi yayitali, ali okalamba, ali ndi thanzi labwino, amasuta, kapena amamwa mowa wambiri akamamwa diclofenac ndi misoprostol. 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). Uzani dokotala wanu ngati muli ndi magazi m'mimba kapena m'mimba kapena ngati muli ndi izi: kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi, magazi m'mipando, kapena mipando yakuda ndi yodikira. musanayambe mankhwala anu ndi diclofenac ndi misoprostol. Dokotala wanu mwina angakuuzeni kuti musamwe diclofenac ndi misoprostol. Komanso uzani dokotala ngati mwakhalapo ndi zilonda kapena matenda otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa diclofenac ndi misoprostol ndipo itanani dokotala wanu: kupweteka m'mimba, kutentha pa chifuwa, kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi, magazi mu mpando, 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 ndi misoprostol. Onetsetsani kuti muuze dokotala momwe mukumvera kotero kuti dokotala wanu angakupatseni mankhwala oyenera kuti athetse vuto lanu omwe ali pachiwopsezo chachikulu cha zotsatirapo zoyipa.

Osamapereka mankhwalawa kwa wina aliyense, makamaka mayi yemwe ali ndi pakati kapena amene angatenge mimba.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga za diclofenac ndi misoprostol ndi General Medication Guide ya NSAID mukamayamba mankhwala anu komanso nthawi iliyonse mukamadzaza 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) kapena tsamba laopanga kuti mupeze pepala lazidziwitso za odwala komanso Chithandizo cha Mankhwala.

Kuphatikiza kwa diclofenac ndi misoprostol kumagwiritsidwa ntchito kuti muchepetse ululu, kukoma mtima, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi (nyamakazi yomwe imayambitsidwa chifukwa cha kuwonongeka kwa malo am'magazi) mwa odwala omwe ali pachiwopsezo chachikulu chotenga zilonda zam'mimba. Diclofenac ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa kupanga thupi kwa chinthu chomwe chimayambitsa kupweteka komanso kutupa. Misoprostol ali mgulu la mankhwala otchedwa prostaglandins. Imaletsa zilonda zoyambitsidwa ndi diclofenac poteteza kuyamwa kwa m'mimba ndikuchepetsa kupangika kwa asidi m'mimba.

Kuphatikiza kwa diclofenac ndi misoprostol kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kawiri kapena kanayi patsiku. Kukuthandizani kukumbukira kukumbukira kutenga diclofenac ndi misoprostol, imwani mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani kuphatikiza kwa diclofenac ndi misoprostol ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya. Musamwe mapiritsi omwe athyoka kapena kuwonongeka.

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

Musanamwe diclofenac ndi misoprostol,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la diclofenac (Cambia, Flector, Pennsaid, Solaraze, Voltaren XR, Zipsor, Zorvolex), misoprostol (Cytotec), aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); ma prostaglandins monga alprostadil (Caverject, Edex, Muse), carboprost (Hemabate), dinoprostone (Cervidil, Prepidil, Prostin E2) ndi mifepristone (Korlym, Mifeprex); mankhwala aliwonse, kapena chilichonse chosagwira ntchito m'mapiritsi a diclofenac ndi misoprostol. Funsani wamankhwala wanu kuti awonetse mndandanda wazinthu zosagwira.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo mankhwala aliwonse omwe ali mgulu la CHENJEZO LACHENJEZO ndi zina mwa izi: ma enzyme otembenuza angiotensin (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 Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers monga candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, ku Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (mu Exforge HCT); maantibayotiki; 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 (Geograf, Neoral, Sandimmune); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); insulin ndi mankhwala akumwa ashuga; mankhwala a khunyu; methotrexate (Otrexup, Rasuvo, Trexall); lifiyamu (Lithobid); phenobarbital; rifampin (Rifadin, Rimacatane, ku Rifamate, ku Rifater); tacrolimus (Astagraf, Envarsus XR, Prograf); ndi voriconazole (Vfend). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena amatha kulumikizana ndi diclofenac ndi misoprostol, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• lankhulani ndi dokotala ngati mukufuna kumwa mankhwalawa mukamamwa mankhwala a diclofenac ndi misoprostol. Simuyenera kumwa ma antiacids omwe ali ndi magnesium (Mylanta, ena). Dokotala wanu angakuuzeni kuti mutha kumwa mankhwala omwe ali ndi aluminium kapena calcium.
• uzani dokotala ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO kapena matenda opatsirana am'matumbo (kutupa kwa matumbo omwe angayambitse matenda otsekula m'mimba kapena magazi); mphumu, makamaka ngati mumakhalanso ndi mphuno kapena zotumphukira kapena zotumphukira (kutupa kwa m'mphuno); lupus (matenda omwe thupi limalimbana ndi ziwalo ndi ziwalo zake zambiri, nthawi zambiri kuphatikiza khungu, mafupa, magazi, ndi impso); hepatic porphyria (kuwonjezeka kwachilendo kwa zinthu zina zachilengedwe zopangidwa ndi chiwindi); mtima kulephera; chiwindi kapena matenda a impso; kapena kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi.
• uzani dokotala wanu ngati mukuyamwitsa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa diclofenac ndi misoprostol.

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.

Diclofenac ndi misoprostol zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• mpweya kapena kuphulika
• kudzimbidwa

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 ndi misoprostol kenanso mpaka mutalankhula ndi dokotala.

• kunenepa kopanda tanthauzo
• kupuma movutikira kapena kupuma movutikira
• kutupa pamimba, akakolo, mapazi, kapena miyendo
• kutopa kwambiri
• kusowa mphamvu
• kuyabwa
• kukhumudwa m'mimba
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• zizindikiro ngati chimfine
• khungu lotumbululuka
• kugunda kwamtima mwachangu
• mutu
• khosi lolimba
• chikhure
• kupweteka kwa minofu
• chisokonezo
• kutengeka ndi kuwala
• malungo
• matuza
• zidzolo
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, mmero, mikono, kapena manja
• zovuta kumeza
• ukali
• kutuluka kwachilendo kwachilendo
• mitambo, yotulutsa mtundu, kapena mkodzo wamagazi
• kupweteka kwa msana
• pokodza kovuta kapena kowawa

Diclofenac ndi misoprostol zimatha 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).

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:

• kupweteka m'mimba
• kusanza
• kutsegula m'mimba
• chisokonezo
• Kusinza
• kutsika kwa minofu
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugwidwa
• kupuma movutikira
• malungo
• kuthamanga, kugunda, kapena kugunda kwapang'onopang'ono
• chizungulire
• kukomoka

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa diclofenac ndi misoprostol.

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.

• Arthrotec^® (okhala ndi Diclofenac, Misoprostol)