Esomeprazole

Zamkati

• Musanatenge esomeprazole,
• Esomeprazole ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, itanani dokotala nthawi yomweyo, kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Mankhwala a esomeprazole amagwiritsidwa ntchito pochiza matenda a gastroesophageal reflux (GERD), vuto lomwe kubwerera kwa asidi kuchokera m'mimba kumayambitsa kutentha kwa mtima komanso kuvulala kwam'mero ​​(chubu pakati pakhosi ndi m'mimba) mwa akulu ndi ana 1 chaka azaka zakubadwa kapena kupitilira apo. Mankhwala a esomeprazole amagwiritsidwa ntchito kuthana ndi kuwonongeka kwa GERD kwa akulu ndi ana azaka 1 zakubadwa kapena kupitilira apo. Mankhwala a esomeprazole amagwiritsidwa ntchito kulola kuti kholalo lichiritse ndikupewa kuwonongeka kwapadera kwa achikulire omwe ali ndi GERD. Mankhwala a esomeprazole amagwiritsidwanso ntchito kuchepetsa mwayi woti anthu omwe amamwa mankhwala osagwiritsa ntchito zotupa (NSAIDs) adzadwala zilonda (zilonda mkatikati mwa m'mimba kapena m'matumbo) mwa akulu. Amagwiritsidwanso ntchito ndi mankhwala ena kuchiza ndikupewa kubwerera kwa zilonda zam'mimba zoyambitsidwa ndi mtundu wina wa mabakiteriya (H. pylori) mwa akuluakulu. Mankhwala a esomeprazole amagwiritsidwanso ntchito kuthana ndi vuto lomwe m'mimba limatulutsa asidi wambiri monga matenda a Zollinger-Ellison mwa akulu. Kulemba kwapadera (pa-a-counter) esomeprazole amagwiritsidwa ntchito pochizira kutentha kwa mtima pafupipafupi (kutentha pa chifuwa komwe kumachitika pafupifupi masiku awiri kapena kupitilira apo pa sabata) mwa akulu. Esomeprazole ali mgulu la mankhwala otchedwa proton pump inhibitors. Zimagwira ntchito pochepetsa kuchuluka kwa asidi opangidwa m'mimba.

Mankhwala a esomeprazole amabwera ngati kutulutsidwa kochedwa (kumatulutsa mankhwala m'matumbo kuti athane ndi kuwonongeka kwa mankhwala ndi zidulo zam'mimba) kapisozi woti atenge pakamwa kapena kutsegula, kusakaniza ndi madzi, ndikupereka kudzera mu chubu chodyetsera, komanso mapaketi zakuchedwa kutulutsidwa (amatulutsa mankhwalawo m'matumbo kuti ateteze kuwonongeka kwa mankhwalawo ndi zidulo zam'mimba) granules zakuyimitsidwa (kusakanizidwa ndi madzi) kutenga pakamwa kapena kupereka kudzera mu chubu chodyetsera. Kulemba pamankhwala (pa-a-counter) esomeprazole kumabwera ngati kapisozi wotulutsidwa mochedwa komanso piritsi kuti mutenge pakamwa. Mankhwala a esomeprazole amatengedwa kamodzi patsiku osachepera ola limodzi musanadye. Mankhwala a esomeprazole akagwiritsidwa ntchito pochiza matenda ena m'mimba amapangitsa asidi wambiri, amatengedwa kawiri patsiku. Ma capsule ndi mapiritsi osalembedwera omwe amachedwa kutulutsidwa nthawi zambiri amatengedwa kamodzi patsiku m'mawa osachepera ola limodzi asanadye masiku 14 motsatizana. Ngati kuli kofunikira, mankhwala owonjezera a masiku 14 akhoza kubwerezedwa, osati kangapo kamodzi pamiyezi 4.

Tengani esomeprazole mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani esomeprazole ndendende monga momwe adauzira. Musatenge pang'ono kapena pang'ono kapena muzitenga pafupipafupi kuposa kapena kwa nthawi yayitali kuposa momwe adanenera dokotala kapena zomwe zanenedwa phukusili.

Kumeza makapisozi lonse; osagawana, kutafuna, kapena kuwaphwanya. Ngati simungathe kumeza kapisozi, ikani supuni imodzi ya maapulosi osalala ndi ofewa mu mphika wopanda kanthu. Tsegulani kapisozi umodzi wa esomeprazole ndikusakaniza mosamala ma pellets pa maapulosi. Sakanizani ma pellets ndi maapulosi ndi kumeza supuni yonse ya supuni ya maapulosi ndi ma pellet nthawi yomweyo. Osaphwanya kapena kutafuna timitengo tazipatsozo. Osasunga ma pellets ndi ma applesauce kuti mugwiritse ntchito mtsogolo.

Ngati mukumwa granules kuti muyimitse pakamwa, muyenera kusakaniza ndi madzi musanagwiritse ntchito. Ngati mukugwiritsa ntchito paketi ya 2.5- kapena 5-mg, ikani supuni 1 ya madzi (5 ml) yamadzi mumtsuko. Ngati mukugwiritsa ntchito paketi ya 10-, 20-, kapena 40-mg, ikani supuni imodzi (15 mL) yamadzi mumtsuko. Onjezerani zomwe zili mu paketi ya ufa ndikugwedeza. Yembekezani mphindi ziwiri kapena zitatu kuti mulole chisakanizo chiwoneke, ndikuyambiranso chisakanizo. Imwani chisakanizo chonse pasanathe mphindi 30. Ngati chosakanikiracho chikakanirira pachidebecho, tsanulirani madzi ambiri mumtsukowo, sungani ndi kumwa zosakaniza zonse nthawi yomweyo.

Timadontho ndi zomwe zili mu makapisozi omwe amachedwa kutulutsidwa zimatha kuperekedwa kudzera mu chubu chodyetsera. Ngati muli ndi chubu chodyetsera, funsani dokotala kapena wamankhwala momwe mungamwe mankhwalawo. Tsatirani malangizowa mosamala.

Musatenge esomeprazole yopanda kulembedwa kuti muchepetse matenda akumwa. Zitha kutenga masiku 1 mpaka 4 kuti mumve bwino mothandizidwa ndi mankhwalawo. Itanani dokotala wanu ngati matenda anu akukula kapena sakukula pambuyo pa masiku 14 kapena ngati zizindikiro zanu zibwerera posachedwa kuposa miyezi 4 mukamaliza mankhwala anu. Musatenge esomeprazole yopanda kulembedwa kwa masiku 14 kapena kudzichitira nokha ndi esomeprazole kangapo kamodzi pamwezi 4 musanalankhule ndi dokotala.

Pitirizani kumwa mankhwala esomeprazole, ngakhale mutakhala bwino. Itanani dokotala wanu ngati zizindikiro zanu zikuipiraipira kapena sizikusintha panthawiyi. Osasiya kumwa esomeprazole osalankhula ndi dokotala.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanatenge esomeprazole,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la esomeprazole, dexlansoprazole (Dexilant), lansoprazole (Prevacid, ku Prevpac), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix), rabeprazole (AcipHex), mankhwala ena aliwonse, kapena mankhwala aliwonse zosakaniza mu makapisozi a esomeprazole kapena ufa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukumwa rilpivirine (Edurant, ku Complera, Odefsey). Dokotala wanu angakuuzeni kuti musamwe esomeprazole ngati mukumwa mankhwalawa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zakudya zina zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); ma antifungal ena monga ketoconazole (Nizoral) ndi voriconazole (Vfend); cilostazol (Pletal); clopidogrel (Plavix); diazepam (Valium); digoxin (Lanoxicaps, Lanoxin); okodzetsa ('mapiritsi amadzi'); erlotinib (Tarceva); zowonjezera zitsulo; mankhwala ena a kachirombo ka HIV (monga HIV) monga atazanavir (Reyataz), nelfinavir (Viracept), ndi saquinavir (Invirase); methotrexate (Rheumatrex, Trexall); mycophenolate mofetil (Cellcept); rifampin (Rifadin, mu Rifater); ndi tacrolimus (Prograf). 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. Dokotala wanu angakuuzeni kuti musatenge wort ya St. John mukamamwa esomeprazole.
• ngati mukufuna kumwa esomeprazole yopanda kulembedwa, uzani dokotala ngati kutentha kwa mtima kwatha miyezi itatu kapena kupitilira apo, ngati mwatenga esomeprazole yopanda kulembetsa kwa nthawi yayitali kuposa momwe tafotokozera paphukusi, kapena ngati mwakumana ndi izi: mutu wopepuka, thukuta, kapena chizungulire komanso kutentha kwa chifuwa; kupweteka pachifuwa kapena kupweteka m'mapewa; kupuma movutikira kapena kupuma; ululu womwe umafalikira m'manja mwanu, khosi, kapena mapewa; kuwonda kosadziwika; nseru; kusanza, makamaka ngati masanzi ali ndi magazi; kupweteka m'mimba; zovuta kumeza chakudya kapena kupweteka mukameza chakudya; kapena chimbudzi chakuda kapena chamagazi. Mutha kukhala ndi vuto lalikulu lomwe silingachiritsidwe ndi mankhwala osalembedwa.
• auzeni dokotala ngati mwakhalapo ndi magnesium yotsika m'magazi anu, mavitamini B-12 ochepa m'thupi lanu, kufooka kwa mafupa, matenda amthupi (momwe thupi limagwirira ziwalo zake, zomwe zimapangitsa kutupa ndi kutayika of function) monga systemic lupus erythematosus, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga esomeprazole, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa esomeprazole ngati muli ndi zaka 70 kapena kupitilira apo. Musamamwe mankhwalawa kwa nthawi yayitali kuposa momwe mumalangizidwira pa mankhwala kapena ndi dokotala.

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.

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

• mutu
• nseru
• kutsegula m'mimba
• mpweya
• kudzimbidwa
• pakamwa pouma
• Kusinza

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

• matuza kapena khungu losenda
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kugunda kwamtima kosazolowereka, mwachangu, kapena kothamanga
• kutopa kwambiri
• chizungulire
• wamisala
• kutuluka kwa minofu, kukokana, kapena kufooka
• jitteriness
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugwidwa
• kutsegula m'mimba koopsa ndi ndowe zamadzi, kupweteka m'mimba, kapena malungo omwe samatha
• zidzolo pamasaya kapena mikono yomwe imazindikira kuwala kwa dzuwa
• kuchulukitsa kapena kuchepa pokodza, magazi mkodzo, kutopa, nseru, kusowa kwa njala, malungo, zotupa, kapena kupweteka kwamalumikizidwe

Anthu omwe amatenga ma proton pump inhibitors monga esomeprazole atha kuthyoka manja, chiuno, kapena msana kuposa anthu omwe samamwa mankhwalawa. Anthu omwe amatenga ma proton pump inhibitors amathanso kukhala ndi fundic gland polyps (mtundu wokula m'mimba). Zowopsa izi ndizabwino kwambiri kwa anthu omwe amamwa kwambiri mankhwalawa kapena amawamwa chaka chimodzi kapena kupitilira apo. Lankhulani ndi dokotala wanu za chiopsezo chotenga esomeprazole.

Esomeprazole 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. 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 izi:

• chisokonezo
• Kusinza
• kusawona bwino
• kugunda kwamtima mwachangu
• nseru
• thukuta
• kuchapa
• mutu
• pakamwa pouma

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labotale musanachitike komanso mukamalandira chithandizo, makamaka ngati muli ndi matenda otsekula m'mimba kwambiri.

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

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.

• Nexium^®
• Nexium^® 24HR

• Vimovo^® (yokhala ndi Esomeprazole, Naproxen)