Spironolactone
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Wadatacce
- Kafin shan spironolactone,
- Spironolactone na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
- Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun, kira likitan ku nan da nan:
- Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:
Spironolactone ya haifar da ƙari a cikin dabbobin dakin gwaje-gwaje. Yi magana da likitanka game da haɗari da fa'idodi na amfani da wannan magani don yanayinku.
Ana amfani da Spironolactone don kula da wasu marasa lafiya tare da hyperaldosteronism (jiki yana samar da aldosterone da yawa, wani yanayi mai saurin faruwa); ƙananan matakan potassium; gazawar zuciya; kuma a cikin marasa lafiya da ke dauke da kumburin ciki (ajiyar ruwa) wanda yanayi daban-daban ya haifar, ciki har da hanta, ko cutar koda. Hakanan ana amfani dashi shi kadai ko tare da wasu magunguna don magance cutar hawan jini. Spironolactone yana cikin rukunin magungunan da ake kira antagonists mai karɓar aldosterone. Yana sa koda ta cire ruwa maras amfani da sodium daga jiki zuwa cikin fitsari amma yana rage asarar sinadarin potassium a jiki.
Hawan jini cuta ce ta gama gari kuma idan ba a magance ta ba, na iya haifar da illa ga kwakwalwa, zuciya, jijiyoyin jini, kodoji da sauran sassan jiki. Lalacewa ga waɗannan gabobin na iya haifar da cututtukan zuciya, bugun zuciya, gazawar zuciya, bugun jini, gazawar koda, rashin gani, da sauran matsaloli. Ban da shan magani, yin canje-canje na rayuwa zai kuma taimaka wajen sarrafa hawan jini. Waɗannan canje-canjen sun haɗa da cin abinci mai ƙarancin mai da gishiri, kiyaye ƙimar lafiya, motsa jiki aƙalla mintuna 30 galibi, ba shan sigari ba, da shan giya daidai gwargwado.
Spironolactone ya zo a matsayin kwamfutar hannu da dakatarwa (ruwa; Carospir) don ɗauka ta bakin. Ana shan shi sau ɗaya ko sau biyu a rana. Suspensionauki dakatarwar spironolactone akai-akai ko dai tare da abinci ko ba tare da abinci kowane lokaci ba. Spauki spironolactone a kusan lokaci ɗaya (s) 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. Spauki spironolactone 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.
Girgiza maganganun baka da kyau kafin kowane amfani don haɗa magungunan daidai.
Kwararka na iya farawa a kan ƙananan kashi na spironolactone kuma a hankali ya ƙara yawan ku.
Spironolactone Allunan da dakatarwa sun ba da magani daban a jikinku kuma ba za a iya maye gurbin juna ba. Takeauki samfurin spironolactone kawai wanda likitanka ya umurta kuma kada ku canza zuwa samfurin spironolactone daban sai dai idan likitanku ya ce ya kamata.
Spironolactone yana sarrafa cutar hawan jini, kumburin ciki, kasalar zuciya, da hyperaldosteronism amma ba ya warkar da waɗannan yanayin. Yana iya ɗaukar kimanin makonni 2 ko ya fi tsayi kafin cikakken tasirin spironolactone ya auku. Ci gaba da ɗaukar spironolactone ko da kun ji daɗi. Kada ka daina shan spironolactone ba tare da yin magana da likitanka ba.
Ana amfani da Spironolactone tare da wasu magunguna don magance balaga (yanayin da ke haifar da yara shiga balaga da wuri, wanda ke haifar da haɓaka halayen jima'i ga 'yan mata galibi ƙananan shekaru 8 kuma yara maza galibi ba su kai shekaru 9 ba. ) ko myasthenia gravis (MG, wata cuta wacce jijiyoyi basa aiki yadda yakamata kuma marasa lafiya na iya fuskantar rauni; dushewa; asarar daidaito tsakanin tsoka; da kuma matsalolin hangen nesa, magana, da kuma kula da mafitsara). Hakanan za'a iya amfani da Spironolactone don kula da wasu mata marasa lafiya da gashin fuska mara kyau. Yi magana da likitanka game da yiwuwar haɗarin amfani da wannan magani don yanayinku.
Wannan magani ana ba da umarnin wasu lokuta don wasu amfani; nemi likita ko likitan magunguna don ƙarin bayani.
Kafin shan spironolactone,
- gaya wa likitan ku da likitan ku idan kuna rashin lafiyan spironolactone; duk wasu magunguna; ko kowane ɗayan abubuwan sinadaran a cikin allunan spironolactone. Tambayi likitan ku kan jerin kayan hadin.
- gaya wa likitanka idan kana shan eplerenone (Inspra). Likitanku na iya gaya muku kar ku ɗauki spironolactone idan kuna shan wannan magani.
- gaya wa likitanka da likitan kantin ku irin magunguna da magunguna marasa magani, bitamin, kayan abinci mai gina jiki, da kayan ganyen da kuke sha ko shirin sha. Tabbatar da ambaci ɗayan masu zuwa: aminoglycoside antibiotics kamar amikacin, gentamicin, kanamycin, neomycin (Neo-Rx, Neo-Fradin), streptomycin, da tobramycin (Tobi); maganin hana yaduwar enzyme na angiotensin (ACE) kamar su benazepril (Lotensin, a Lotrel), captopril (Capoten), enalapril (Vasotec), fosinopril, lisinopril (a Prinzide, a Zestoretic), moexipril (Univasc, in Uniretic), perind Aceon), quinapril (Accupril, a Accuretic, a Quinaretic), ramipril (Altace), da trandolapril (Mavik, a Tarka); angiotensin II antagonists (angiotensin receptor blockers; ARBs) kamar azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, a Atacand HCT), eprosartan (Teveten, a Teveten HCT), irbesartan (Avapro, a Avalide), losartan (Cozaar, a cikin Hyzaar), olmesartan (Benicar, a Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, a Micardis HCT), da valsartan (Diovan, a Diovan HCT, Exforge); aspirin da sauran cututtukan cututtukan ƙwayoyin cuta (NSAIDS) kamar ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex), da naproxen (Aleve, Naprosyn); barbiturates irin su phenobarbital; cholestyramine (Prevalite); cisplatin; digoxin (Lanoxin); diuretics ('kwayayen ruwa') gami da masu ƙyamar fatara irin su amiloride (Midamor) da triamterene (Dyrenium, a Dyazide, a Maxzide); heparin ko low-molecular-nauyi heparin enoxaparin (Lovenox); lithium (Lithobid); magunguna don magance hawan jini; magungunan narcotic don ciwo; maganin baki kamar dexamethasone, methylprednisolone (Medrol), da prednisone (Rayos); kari na potassium; da trimethoprim (Primsol, a cikin Bactrim).
- gaya wa likitanka idan kana da cutar Addison ko wasu yanayi da ka iya haifar da hawan jini mai yawa na potassium, ko cutar koda. Likitanku na iya gaya muku kar ku ɗauki spironolactone.
- gaya wa likitanka idan kana da cutar hanta.
- gaya wa likitanka idan kana da ciki, ko ka shirya yin ciki, ko kuma kana shayarwa. Idan kun kasance ciki yayin shan spironolactone, kira likitan ku.
- idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likita ko likitan hakori cewa kuna shan spironolactone.
- ya kamata ka sani cewa shan giya tare da wannan magani na iya haifar da dizzness, lightheadnessness, da suma yayin da ka tashi da sauri daga wurin kwance. Yi magana da likitanka game da shan giya yayin shan spironolactone.
Bi umarnin likitanku don abincinku, gami da shawara don rage-gishiri (sodium) abinci da shirin motsa jiki na yau da kullun. Guji maye gurbin gishirin da ke dauke da potassium yayin shan wannan magani. Yi magana da likitanka game da yawan abinci mai wadataccen potassium (misali, ayaba, prunes, zabibi, da ruwan lemu) waɗanda za ku iya samu a cikin abincinku.
Doseauki kashi da aka rasa da zarar kun tuna shi. Koyaya, idan kusan lokaci ne don maganin ku na gaba, tsallake kashi da aka rasa kuma ci gaba da tsarin jadawalin ku na yau da kullun. Kar a sha kashi biyu domin biyan wanda aka rasa.
Spironolactone na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
- amai
- gudawa
- ciwon ciki ko ciwon mara
- nono ya kara girma ko mai zafi a cikin maza ko mata
- lokacin al'ada
- zubar jini na farji a bayan-gama al’ada (‘bayan canjin rayuwa’, karshen lokacin al’ada duk wata) mata
- wahalar ci gaba ko cin nasara
- zurfafa murya
- kara girman gashi a sassan jiki
- bacci
- gajiya
- rashin natsuwa
Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun, kira likitan ku nan da nan:
- rauni na tsoka, ciwo, ko raɗaɗi
- zafi, ƙonewa, ƙwanƙwasawa, ko girgiza a hannu ko ƙafa
- rashin iya motsa hannu ko kafafu
- canje-canje a cikin bugun zuciya
- rikicewa
- tashin zuciya
- matsanancin gajiya
- bushewar baki, ƙishirwa, jiri, rashin nutsuwa, ciwon kai, ko wasu alamun rashin ruwa a jiki
- zubar jini ko rauni
- rashin kuzari
- rasa ci
- zafi a cikin ɓangaren dama na ciki
- rawaya fata ko idanu
- cututtuka masu kama da mura
- kurji
- amya
- ƙaiƙayi
- wahalar numfashi ko haɗiyewa
- amai jini
- jini a cikin kujeru
- rage fitsari
- suma
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).
Aje 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.
Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:
- bacci
- rikicewa
- kurji
- tashin zuciya
- amai
- jiri
- gudawa
- tingling a hannaye da kafafu
- asarar sautin tsoka
- rauni ko nauyi a kafafu
- mara tsari ko jinkirin bugun zuciya
Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitanku zai ba da umarnin wasu gwaje-gwajen gwaje-gwaje don bincika amsar jikinku ga spironolactone.
Kafin yin gwajin gwaji, gaya wa likitanku da ma'aikatan dakin gwaje-gwaje cewa kuna shan spironolactone.
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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- Carospir®