Munyori: William Ramirez
Zuva Rekusika: 23 Gunyana 2021
Gadziridza Zuva: 13 Mbudzi 2024
Anonim
Tadalafil - Mechanism, side effects, precautions & uses
Vhidhiyo: Tadalafil - Mechanism, side effects, precautions & uses

Zvemukati

Tadalafil (Cialis) inoshandiswa kurapa erectile kudzvinyirira (ED, kushaya simba; kutadza kuwana kana kuchengeta erection), uye zviratidzo zvebenign prostatic hyperplasia (BPH; iyo yakawedzera prostate) iyo inosanganisira kunetseka kuita weti (kuzeza, kudonhedza, kushaya simba, uye isina kukwana bladder ichidurura), zvinorwadza weti, uye weti kuwanda uye kukurumidza mune vakuru varume. Tadalafil (Adcirca) inoshandiswa kugadzirisa kugona kwekurovedza muviri kune vanhu vane pulmonary arterial hypertension (PAH; kuwedzerwa kweropa mumidziyo inotakura ropa kuenda kumapapu, zvichikonzera kupfupika kwemweya, dzungu, uye kuneta). Tadalafil iri mukirasi yemishonga inonzi phosphodiesterase (PDE) inhibitors. Inoshanda kurapa kusagadzikana kwe erectile nekuwedzera kuyerera kweropa kuenda kunhengo yemurume panguva yekusimudzira pabonde. Uku kuwedzerwa kweropa kuyerera kunogona kukonzera kumisikidzwa. Tadalafil inobata PAH nekuzorodza tsinga dzeropa mumapapu kubvumira ropa kuyerera zviri nyore.

Kana iwe uri kutora tadalafil kurapa erectile dysfunction, iwe unofanirwa kuziva kuti haina kurapa erectile kusagadzikana kana kuwedzera chishuwo chepabonde. Tadalafil haidziviriri kubata pamuviri kana kupararira kwezvirwere zvepabonde zvakadai sehutachiona hwehutachiona hwehutachiona hweHIV.


Tadalafil inouya sehwendefa kutora nemuromo. Inogona kutorwa pamwe kana pasina chikafu.

Kana iwe uri kutora tadalafil kurapa erectile kudzvinyirira, tevera zvirevo zvechiremba wako uye nhungamiro mundima ino. Kune nzira mbiri dzakasiyana dzekutora tadalafil, kungave zuva nezuva kana pane panodiwa hwaro. Taura nachiremba wako nezve iyo dosing purogiramu yakakunakira iwe. Tadalafil dzimwe nguva inotorwa sezvinodiwa, kazhinji maminetsi makumi matatu usati waita bonde uye kwete kazhinji kanopfuura kamwe chete maawa makumi maviri nemana. Chiremba wako achakubatsira iwe kusarudza yakanakisa nguva yekuti iwe utore tadalafil usati waita zvepabonde. Tadalafil zvakare dzimwe nguva inotorwa kamwe pazuva zuva rega rega isingatarise nguva yekuita bonde. Unogona kuyedza kuita bonde chero nguva pakati pemadhosi. Kana iwe uri kutora tadalafil pane yakajairwa nguva, tora iyo panguva yakatenderedza nguva yakafanana zuva rega rega. Kana iwe uine mamwe mamiriro ehutano kana uri kutora imwe mishonga, chiremba wako anogona kukuudza iwe kuti utore tadalafil kashoma kazhinji kana anogona kuraira muyero wezasi kutorwa kamwe pazuva. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora tadalafil chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.


Kana iwe uri kutora tadalafil kurapa PAH kana BPH, tevera zvirevo zvechiremba wako uye nhungamiro mundima ino. Iwe unofanirwa kutora tadalafil kamwe chete pazuva. Tora ese mahwendefa edosi rako rezuva nezuva pane imwe nguva zuva rega rega; usaparadzanise mahwendefa ekutora seyakasiyana madhayeti. Tora tadalafil panenge panguva imwe chete zuva rega rega. Kana iwe uchitova kutora mishonga yekurapa BPH, chiremba wako anogona kukuudza kuti usiye kutora yako imwe mishonga kamwe chete zuva rimwe usati watanga kurapwa ne tadalafil. Tevedza zvirevo zvechiremba wako zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise.

Kana iwe uri kutora tadalafil ye erectile kudzvinyirira, chiremba wako angangotanga iwe paavhareji muyero we tadalafil uye kuwedzera kana kudzikisa dosi yako zvichienderana nemhinduro yako kumushonga. Udza chiremba wako kana tadalafil isiri kushanda zvakanaka kana kana uri kusangana nemhedzisiro.

Kana iwe uri kutora tadalafil yePAH, iwe unofanirwa kuziva kuti tadalafil inodzora PAH asi hairape. Ramba uchitora tadalafil kunyangwe iwe uchinzwa zvakanaka. Usarega kutora tadalafil usina kutaura nachiremba wako.


Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora tadalafil,

  • udza chiremba wako uye wemishonga kana iwe uri weergoria kune tadalafil, chero mimwe mishonga, kana chero chinhu chinowanikwa mumatafura e tadalafil. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako kana iwe uri kutora kana uchangobva kutora riociguat (Adempas) kana nitrate senge isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), uye nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, vamwe). MaNitrate anouya semapiritsi, zvinyorwa zvidiki (pasi perurimi) mahwendefa, mapiritsi, zvigamba, pastes uye mafuta. Kumbira chiremba wako kana iwe usina chokwadi kana paine imwe yemishonga yako ine nitrate. Chiremba wako angangokuudza kuti usatore tadalafil kana uri kutora nitrate.
  • udza chiremba wako kana uri kutora zvinodhaka mumigwagwa zvine nitrate ('poppers') senge amyl nitrate, butyl nitrate, kana nitrite paunenge uchitora tadalafil. Chiremba wako angangokuudza kuti usatore tadalafil kana uri kutora zvinodhaka mumigwagwa zvine nitrate.
  • iwe unofanirwa kuziva kuti tadalafil inowanikwa pasi pezita rezita Adcirca neCialis. Iwe unofanirwa kurapwa chete nechimwe chezvigadzirwa izvi panguva.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: alpha blockers senge alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride (Avodart, muJalyn), prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax, muJalyn), uye terazosin; amiodarone (Cordarone, Pacerone); mamwe maantifungal akadai fluconazole (Diflucan), griseofulvin (Grifulvin, Gris-PEG), itraconazole (Onmel, Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegel), uye voriconazole (Vfend); aprepitant (Simbisa); bosentan (Tracleer); carbamazepine (Carbatrol, Epitol, Tegretol, Teril, nevamwe); clarithromycin (Biaxin, muPrevpac); diltiazem (Cardizem, Cartia, Tiazac, nevamwe); efavirenz (Sustiva, muAtripla); erythromycin (EES, E-Mycin, Erythrocin); HIV protease inhibitors inosanganisira indinavir (Crixivan), nelfinavir (Viracept), uye ritonavir (Norvir, muKaletra), lovastatin (Altocor, muAdvicor); mishonga yehigh blood pressure; nefazodone; nevirapine (Viramune); mimwe mishonga kana kurapwa kwe erectile dysfunction; mimwe mishonga kana kurapwa kwePAH; phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, muRifamate, muRifater); sertraline (Zoloft); telithromycin (Ketek); uye verapamil (Calan, Covera, Verelan, muTarka). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana iwe uchisvuta; kana iwe wakambove nekumisikidzwa kwakatora anopfuura maawa mana; uye kana uchangobva kuita manyoka, kurutsa, kusanwa mvura yakakwana, kana kudikitira zvakanyanya izvo zvinogona kunge zvakakonzera kushaya simba (kurasikirwa nemvura yakawanda yemuviri. Uyezve udza chiremba wako kana wakambove kana wakambova nemapapu chirwere (PVOD; kuvharika kwemitsipa mumapapu); chero mamiriro ezvinhu anokanganisa chimiro chepenisi; chirwere cheshuga; cholesterol yakakwira; yakakwira kana yakaderera BP sitiroko; maronda mudumbu; chirwere chekubuda ropa; matambudziko ekupararira kweropa; maseru eropa matambudziko senge sickle cell anemia (chirwere chemasero matsvuku eropa), multiple myeloma (cancer yemasero eplasma), kana leukemia (cancer yechena masero eropa); kana moyo, itsvo, kana chirwere chechiropa. Uyezve udza chiremba wako kana iwe kana chero nhengo yemhuri yako uine kana wakambove uine chirwere cheziso senge retinitis pigmentosa (mamiriro eziso anogarwa nhaka anokonzera kurasikirwa kwemaonero) kana wakamboona kamwe kamwe chiono chakakomba chakakomba kurasikirwa, kunyanya kana iwe ukaudzwa kuti kurasikirwa kwechiono kwakakonzerwa nekuvhara kweropa kuyerera kune tsinga dzinokubatsira iwe kuona.
  • kana iwe uri mukadzi uye uri kutora tadalafil kurapa PAH, udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora tadalafil, dana chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora tadalafil.
  • taura nachiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa panguva yekurapa kwako ne tadalafil. Kana iwe ukanwa yakawanda doro (kupfuura magirazi mashanu ewaini kana shanu shoti yewhisky) paunenge uchitora tadalafil unowanzo kuve nemimwe mhedzisiro yetadalafil senge dzungu, kutemwa nemusoro, kukurumidza kurova kwemoyo, uye yakaderera BP. .
  • kana iwe uri kutora tadalafil kurapa kusagadzikana kwe erectile, udza chiremba wako kana iwe wakambokurudzirwa nachiremba wezvehutano kuti usaite zvepabonde nekuda kwezvikonzero zvekurapa kana kana iwe wakambove nekurwadziwa kwepfupa panguva yebonde. Kuita zvepabonde kunogona kunge kuri kushushikana pamoyo wako, kunyanya kana uine chirwere chemwoyo. Kana mukawana bhokisi marwadzo, dzungu, kana kumira mwoyo panguva bonde, dana chiremba wako pakarepo kana kuwana chimbichimbi kurapwa, uye kudzivisa bonde kusvikira chiremba wako anokuudza zvimwe.
  • udza vese vanokupa hutano kuti urikutora tadalafil. Kana iwe ukazomboda kurapwa kwekukurumidzira kwedambudziko remwoyo, vanokupa hutano vanokubata iwe vanofanirwa kuziva pawakapedzisira kutora tadalafil.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.

Kana iwe uri kutora tadalafil ye erectile kudzvinyirira pane yakajairwa purogiramu, tora iyo yakarasika dhizai nekukurumidza kana iwe uchingo rangarira icho Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dhivhosi yakapetwa kana inopfuura imwe dhizaini pazuva kuti uwane imwe yakarasika.

Kana iwe uri kutora tadalafil yePAH kana BPH, tora iyo yakarasika dhizai nekukurumidza kana uchinge uchayeuka izvozvo. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Tadalafil inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • musoro
  • indigestion kana chirungurira
  • kusvotwa
  • manyoka
  • kufashaira
  • kurwadziwa mudumbu, musana, mhasuru, maoko, kana makumbo
  • kukosora

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • kuderera kamwe kamwe kana kurasikirwa kwemaonero (ona pazasi kuti uwane rumwe ruzivo)
  • kusaona zvakanaka
  • shanduko pakuona kwemavara (kuona bhuruu tinge pazvinhu kana kunetsekana kutaurira mutsauko pakati pebhuruu negirini)
  • kuderera nekukurumidza kana kurasikirwa kwekunzwa (ona pazasi kuti uwane rumwe ruzivo)
  • kurira munzeve
  • erection inogara kwenguva refu kupfuura maawa mana
  • dzungu
  • kurwadziwa pachipfuva
  • mikoko
  • mapundu
  • kunetseka kufema kana kumedza
  • kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
  • kuputika kana kubvisa ganda

Vamwe varwere vakaona kurasikirwa kamwe kamwe kwevamwe kana kwavo kwese kuona mushure mekutora tadalafil kana imwe mishonga yakafanana netadalafil. Iko kurasikirwa kwechiratidzo kwaive kwechigarire mune dzimwe nguva. Hazvizivikanwe kana kurasikirwa kwemaonero kwakakonzerwa nemushonga. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitora tadalafil, dana chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidza. Usatore mimwe mibairo yetadalafil kana mishonga yakafanana sildenafil (Revatio, Viagra) kana vardenafil (Levitra) kusvikira iwe wataura nachiremba wako.

Vamwe varwere vakaona kudzikira kamwe kamwe kana kurasikirwa kwekunzwa mushure mekutora tadalafil kana imwe mishonga yakafanana netadalafil. Kurasikirwa kwekunzwa kwaiwanzo sanganisira nzeve imwe chete uye yaisawanzo gadziridza apo mushonga wainge wamiswa. Hazvizivikanwe kana kurasikirwa kwekunzwa kwakakonzerwa nemushonga. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitora tadalafil, dana chiremba wako nekukasira. Usatore mimwe mibairo yetadalafil kana mimwe mishonga yakadai sildenafil (Revatio, Viagra) kana vardenafil (Levitra) kusvikira wataura nachiremba wako.

Tadalafil inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo runowanikwawo pamhepo pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Chengetedza zvese zvakagadzwa nachiremba wako.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Adcirca®
  • Cialis®
Yakagadziridzwa Yakagadziridzwa - 04/15/2016

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