Alireza

Zamkati

• Musanatenge celecoxib,
• Celecoxib itha kuyambitsa zovuta zina. 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. Osatenganso celecoxib mpaka mutalankhula ndi dokotala.
• Zizindikiro za bongo zingaphatikizepo:

Anthu omwe amamwa mankhwala osokoneza bongo (NSAIDs) (kupatula aspirin) monga celecoxib 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. Musatenge NSAID monga celecoxib 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 celecoxib nthawi yomweyo isanakwane kapena pambuyo pake.

Ma NSAID monga celecoxib 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 celecoxib. Uzani dokotala ngati mumamwa mowa wambiri kapena ngati mumamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; ma NSAID ena monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); kapena serotonin norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Pristiq), duloxetine (Cymbalta), ndi venlafaxine (Effexor XR). Komanso uzani dokotala ngati mwakhalapo ndi zilonda kapena kutuluka magazi m'mimba kapena m'matumbo kapena matenda ena otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa celecoxib ndikuyimbira dokotala: 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 ku celecoxib. 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 amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi celecoxib 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) kapena tsamba laopanga kuti mupeze Medication Guide.

Celecoxib imagwiritsidwa ntchito kuthana ndi ululu, kufatsa, kutupa ndi kuuma komwe kumayambitsidwa ndi nyamakazi (nyamakazi yomwe imayambitsa kuwonongeka kwa malo am'magazi), nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsidwa ndi kutupa kwa zimfundo), ndi ankylosing spondylitis (nyamakazi zimakhudza msana). Celecoxib imagwiritsidwanso ntchito kuchiza nyamakazi ya nyamakazi (mtundu wa nyamakazi yomwe imakhudza ana) mwa ana azaka 2 kapena kupitirira. Celecoxib imagwiritsidwanso ntchito kuthana ndi msambo komanso kuthana ndi zowawa zina zazifupi kuphatikiza zopweteka zomwe zimachitika chifukwa chovulala, opaleshoni ndi njira zina zamankhwala kapena mano, kapena matenda omwe amakhala kwakanthawi kochepa. Celecoxib ali mgulu la ma NSAID otchedwa COX-2 inhibitors. Zimagwira ntchito poletsa kupanga thupi kwa chinthu chomwe chimayambitsa kupweteka komanso kutupa.

Celecoxib imabwera ngati kapisozi woti atenge pakamwa. Ma capsule a Celecoxib nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Ngati mukumwa mpaka 200 mg wa makapisozi a celecoxib nthawi imodzi, mutha kumwa mankhwalawo popanda chakudya.Ngati mukumwa mopitilira 200 mg ya makapisozi a celecoxib nthawi imodzi, muyenera kumwa mankhwalawa ndi chakudya. Funsani dokotala wanu kapena wamankhwala ngati simukudziwa ngati mukufuna kumwa mankhwala anu ndi chakudya. Kukuthandizani kukumbukira kukumbukira kutenga ma capsule a celecoxib, tengani nthawi yofanana tsiku lililonse.

Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani celecoxib ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati simungathe kumeza makapisozi kapena ngati mukupereka mankhwalawa kwa mwana, mutha kutsegula makapisoziwo ndikuwaza zomwe zili mkatimo ka supuni ya tiyi kapena maapulosi otentha. Mutha kukonzekera chisakanizo ndikusungira kwa maola 6 mufiriji. Mukakonzeka kumwa mankhwala anu, imwani zonsezo. Kenako imwani madzi kuti mutsukire kusakanikirako ndipo onetsetsani kuti mwameza zonsezo.

Celecoxib imagwiritsidwanso ntchito pochita opaleshoni ndi mankhwala ena kuti achepetse kuchuluka kwa tizilombo toyambitsa matenda (kukula kosazolowereka) m'matumbo (matumbo akulu) ndi rectum mwa odwala omwe ali ndi mabanja adenomatous polyposis (momwe mazana amazana kapena masauzande amtundu wa polyp amapanga mu colon ndi khansara itha kukhala). 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.

Musanatenge celecoxib,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la celecoxib, aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), mankhwala a sulfa, mankhwala ena aliwonse, kapena chilichonse chosagwiritsidwa ntchito m'mapiritsi a celecoxib. 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 mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO CHENJEZO ndi zina mwa izi: ma enzyme otembenuza angiotensin (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Epaned, Vasotec, in Vaseretic), fosinopril, lisinopril (Qbrelis, mu Zestoretic), moexipril (Univasc), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Quinaretic), ramipril (Altace), ndi trandolapril (ku Tarka); angiotensin receptor blockers monga candesartan (Atacand, ku Atacand HCT), eprosartan, irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, ku Benicar HCT, ku Tribenzor), telmisartan Micard , ku Micardis HCT, ku Twynsta), ndi valsartan (Dioavan, ku Entresto, ku Exforge HCT); atomoxetine (Strattera); zotchinga beta monga atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Kapspargo Sprinkle, Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); fluconazole (Diflucan); lifiyamu (Lithobid); methotrexate (Otrexup, Rasuvo, Reditrex, Trexall); ndi pemtrexed (Alimta, Pemfexy). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi celecoxib, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• 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); kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi; mtima kulephera; kapena chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Celecoxib itha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa zovuta pakubereka ngati itatengedwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musatenge celecoxib mozungulira kapena pambuyo pa masabata 20 apakati, pokhapokha mukauzidwa kuti muchite izi ndi dokotala wanu. Mukakhala ndi pakati mukatenga celecoxib, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa celecoxib.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukumwa celecoxib, 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.

Celecoxib itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mpweya kapena kuphulika
• chikhure
• zizindikiro zozizira
• kudzimbidwa
• chizungulire
• matenda opatsirana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu. Osatenganso celecoxib mpaka mutalankhula ndi dokotala.

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

Celecoxib ingayambitse 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:

• kusowa mphamvu
• Kusinza
• nseru
• kusanza
• kupweteka m'mimba
• kusanza komwe ndi kwamagazi kapena kumawoneka ngati malo a khofi
• wamagazi kapena wakuda, malo obisalira
• kutaya chidziwitso
• ming'oma
• zidzolo
• kutupa kwa maso, nkhope, lilime, milomo, mmero, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Magazi anu ayenera kuyang'aniridwa pafupipafupi mukamalandira chithandizo.

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.

• Zamgululi^®
• Alireza^®¶

• Consensi^® (yokhala ndi Amlodipine, Celecoxib)

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