Mawallafi: Virginia Floyd
Ranar Halitta: 10 Agusta 2021
Sabuntawa: 14 Nuwamba 2024
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PALLAS Trial Demotes Dronedarone for Atrial Fibrillation
Video: PALLAS Trial Demotes Dronedarone for Atrial Fibrillation

Wadatacce

Bai kamata ku sha dronedarone ba idan kuna da ciwon zuciya mai tsanani. Dronedarone na iya ƙara haɗarin mutuwa a cikin mutanen da ke fama da ciwon zuciya mai tsanani. Faɗa wa likitanka idan kana da ciwon zuciya wanda ya isa ya haifar da rashin numfashi yayin da kake hutawa, bayan ɗan motsa jiki, ko bayan duk wani motsa jiki. Har ila yau, gaya wa likitanka idan an kwantar da ku a asibiti don ciwon zuciya a cikin watan da ya gabata koda kuwa kuna jin daɗi. Likitan ku ba zai rubuta muku dronedarone ba.

Bai kamata ku sha dronedarone ba idan kuna da fibrillation na atrial (cututtukan zuciya wanda zai iya haifar da bugun zuciya da sauri da rashin tsari) wanda ba zai yiwu ba ko ba za a juya shi zuwa yanayin zuciya na yau da kullun ba. Dronedarone na iya ƙara haɗarin mutuwa, bugun jini, da buƙatar a kwantar da mutane a cikin mutane da ke fama da cutar atrial na dindindin. Likitan ku zai duba zafin zuciyar ku a kalla kowane wata 3 yayin da kuke shan dronedarone. Kira likitan ku nan da nan idan bugun zuciyar ku ya zama mai sauri ko wanda bai dace ba yayin da kuke shan dronedarone.


Likitan ku ko likitan magunguna zai ba ku takaddun bayanan mai haƙuri (Jagoran Magunguna) lokacin da kuka fara magani tare da dronedarone kuma duk lokacin da kuka sake cika takardar sayan magani. Karanta bayanan a hankali kuma ka tambayi likitanka ko likitan magunguna idan kana da wasu tambayoyi. Hakanan zaka iya ziyarci gidan yanar gizon Abinci da Magunguna (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ko kuma gidan yanar gizon masana'anta don samun Jagoran Magunguna.

Ana amfani da Dronedarone don magance mutanen da a halin yanzu suke da saurin zuciya, amma sun sami fibrillation a baya. Dronedarone yana rage haɗarin cewa mutanen da suke da wannan yanayin zasu buƙaci a kai su asibiti don magance fibrillation na atrial. Dronedarone yana cikin rukunin magunguna da ake kira antiarrhythmics. Yana aiki ta hanyar taimaka wa zuciya don bugawa kullum.

Dronedarone ya zo a matsayin kwamfutar hannu don ɗauka ta bakin. Yawanci ana shan shi sau biyu a rana, tare da abincin safe da na yamma. Dauki dronedarone kusan sau ɗaya a kowace rana. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Dauki dronedarone daidai yadda aka umurta. Kar ka ɗauki ƙari ko ƙasa da shi ko ka sha shi sau da yawa fiye da yadda likitanka ya tsara.


Kwararka na iya tsara wasu magunguna don rage haɗarin bugun jini yayin da kake shan dronedarone. Thisauki wannan magani daidai kamar yadda aka umurta yayin jiyya.

Dronedarone zai taimaka wajen sarrafa bugun zuciyar ka kawai muddin ka ci gaba da shan shi. Ci gaba da shan dronedarone ko da kun ji daɗi kuma kun ji daɗi na dogon lokaci.Kada ka daina shan dronedarone ba tare da yin magana da likitanka ba.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin shan dronedarone,

  • gaya wa likitanka da likitan harka idan kana rashin lafiyan dronedarone, duk wasu magunguna, ko kuma wani sinadarai a cikin allunan dronedarone. Tambayi likitan ku ko bincika Littafin Magunguna don jerin abubuwan haɗin.
  • gaya wa likitanka idan kana shan wasu magungunan: ), samfurin bayyana (Vivactil), da trimipramine (Surmontil); wasu maganin rigakafi irin su itraconazole (Sporanox), ketoconazole (Nizoral), ko voriconazole (Vfend); clarithromycin (Biaxin); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (E.E.S., E-Mycin, Erythrocin); magunguna don bugun zuciya mara tsari kamar amiodarone (Cordarone, Pacerone), disspyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), propafenone (Rythmol), quinidine, da sotalol (Betapace); nefazodone; magunguna na phenothiazine don tabin hankali ko tashin zuciya; ritonavir (Norvir); ko telithromycin (Ketek). Likitanku na iya gaya muku kada ku sha dronedarone idan kuna shan ɗaya ko fiye daga waɗannan magunguna.
  • gaya wa likitanka da likitan kantin ku wasu irin takaddun magani da magunguna marasa magani, bitamin, da kayan abinci mai gina jiki da kuke sha ko shirin sha. Tabbatar da ambaci wani daga cikin masu zuwa: masu hana yaduwar jini (masu kara jini) kamar dabigatran (Pradaxa) da warfarin (Coumadin); masu hana beta kamar atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), da propranolol (Inderal); masu toshe hanyar amfani da alli kamar diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), da verapamil (Calan, Covera, Isoptin, Verelan); carbamazepine (Epitol, Equetro, Tegretol); magungunan rage cholesterol (statins) kamar atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), da simvastatin (Zocor); digoxin (Lanoxicaps, Lanoxin); diuretics (kwayoyin kwayoyi); sashin jiki; phenytoin (Dilantin); rifampin (Rifadin, Rimactane); masu zaɓin maganin serotonin (SSRIs) kamar citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), da sertraline (Zoloft); sirolimus (Rapamune); da tacrolimus (Prograf). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa.
  • gaya wa likitanka irin kayan ganyen da kake sha, musamman St. John’s wort.
  • gaya wa likitanka idan kana da wasu matsalolin zuciya kamar saurin sauri ko jinkirin bugun zuciya, dogon tazara ta QT (matsalar zuciya da ka iya haifar da bugun zuciya mara kyau, suma, ko mutuwa kwatsam), cutar hanta, ko kuma idan kana da hanta ko huhu matsalolin da suka samo asali bayan shan amiodarone (Pacerone). Kwararka na iya gaya maka kada ka sha dronedarone.
  • gaya wa likitanka idan kana da ko ka taɓa samun wasu yanayin kiwon lafiya.
  • gaya wa likitanka idan kana da ciki ko ka shirya yin ciki. Dole ne ku yi amfani da tasirin haihuwa mai amfani yayin maganin ku tare da dronedarone. Yi magana da likitanka game da hanyoyin hana haihuwa waɗanda zasu yi aiki a gare ku. Idan kun kasance ciki yayin shan dronedarone, kira likitanku nan da nan. Dronedarone na iya cutar da ɗan tayi.
  • ya kamata ku ba nono-ciyar yayin jiyya tare da dronedarone.
  • yi magana da likitanka game da haɗari da fa'idar shan dronedarone idan ka kai shekara 65 ko sama da haka. Wasu tsofaffi kada su sha dronedarone saboda ba shi da aminci ko tasiri kamar sauran magunguna da za a iya amfani da su don magance wannan yanayin.

Kada ku ci ɗan itacen inabi ko shan ruwan anab yayin shan wannan magani.


Sai dai idan likitanku ya gaya muku in ba haka ba, ci gaba da abincinku na yau da kullun.

Tsallake kashi da aka rasa kuma ci gaba da tsarin jadawalin ku na yau da kullun. Kada ayi ƙoƙarin yin abin da aka rasa ko kuma a sha kashi biyu domin cike wanda aka rasa.

Dronedarone na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

  • gudawa
  • ƙwannafi
  • rauni
  • kurji
  • ja

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun, ko waɗanda aka jera a cikin Sashin GARGADI MAI MUHIMMAN, daina shan dronedarone kuma kira likitanku nan da nan ko ku sami magani na gaggawa:

  • karancin numfashi
  • wahalar haɗiye ko numfashi
  • kumburi
  • matse kirji
  • tari bushewa
  • tari mai danshi
  • wahalar bacci saboda matsalar numfashi
  • buƙatar buƙatar kanka da karin matashin kai don numfashi da dare
  • riba mai nauyi (na fam 5 ko fiye) a cikin gajeren lokaci
  • kumburin idanu, fuska, lebe, maƙogwaro, hannaye, ƙafa ko ƙafa
  • bugun zuciya
  • suma
  • zazzaɓi
  • cututtuka masu kama da mura
  • rawaya fata ko idanu
  • ƙaiƙayi
  • ƙwanƙwasawa ko jini
  • tashin zuciya
  • amai
  • rasa ci
  • zafi a cikin ɓangaren dama na ciki
  • kasala ko rashin kuzari
  • duhun dare na fitsari
  • kujerun launuka masu haske
  • kwatsam tsananin ciwon kai
  • kwatsam cikakke ko rashi hangen nesa
  • rauni ko ƙarancin hannu ko ƙafa
  • wahalar tunani a fili, tunawa, ko koyon sababbin abubuwa

Dronedarone na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin shan wannan magani.

Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).

Ajiye wannan maganin a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Ajiye shi a zafin jiki na ɗaki kuma nesa da yawan zafin rana da danshi (ba cikin gidan wanka ba).

Yana da mahimmanci a kiyaye dukkan magunguna ba tare da gani ba kuma yara su isa kamar yadda kwantena da yawa (kamar masu ba da maganin kwaya na mako-mako da waɗanda suke don maganin ido, creams, faci, da kuma inhalers) ba sa jure yara kuma yara ƙanana na iya buɗe su cikin sauƙi. Don kare ƙananan yara daga guba, koyaushe kulle maɓallan aminci kuma nan da nan sanya magani a cikin amintaccen wuri - wanda ke sama da nesa kuma daga ganinsu kuma ya isa. http://www.upandaway.org

Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku. Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.

Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Kwararka na iya yin odar wasu gwaje-gwajen gwaje-gwaje don bincika amsar jikinka ga dronedarone.

Kar ka bari wani ya sha maganin ka. Tambayi likitan ku duk wata tambaya da kuke da ita game da sake shigar da takardar sayan ku.

Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.

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Arshen Bita - 08/15/2018

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