Munyori: Clyde Lopez
Zuva Rekusika: 21 Chikunguru 2021
Gadziridza Zuva: 17 Mbudzi 2024
Anonim
Canagliflozin, Dapagliflozin, and Empagliflozin - Sodium Glucose Cotransporter Inhibitors
Vhidhiyo: Canagliflozin, Dapagliflozin, and Empagliflozin - Sodium Glucose Cotransporter Inhibitors

Zvemukati

Empagliflozin inoshandiswa pamwe nekudya uye kurovedza muviri, uye dzimwe nguva nemimwe mishonga, kudzikisa huwandu hweshuga yeropa mune vanhu vane chirwere cheshuga cheshuga (mamiriro umo shuga yeropa yakanyanyisa nekuti muviri haugadzi kana kushandisa insulin zvakajairika). Empagliflozin inoshandiswawo kudzikisa njodzi yesitiroko, chirwere chemwoyo, kana kufa kune vanhu vane chirwere cheshuga chechipiri pamwe nemoyo uye neropa chirwere chirwere. Iri mukirasi yemishonga inonzi sodium-glucose co-transporter 2 (SGLT2) inhibitors. Empagliflozin inoderedza shuga yeropa nekukonzera itsvo kubvisa yakawanda glucose mumurini. Izvo hazvishandiswe kurapa mhando 1 chirwere cheshuga (mamiriro umo muviri usingaburitse insulin uye, nekudaro, haugone kudzora huwandu hweshuga muropa) kana chirwere cheshuga ketoacidosis (chakakomba mamiriro anogona kukura kana shuga yepamusoro yeropa isina kurapwa ).

Nekufamba kwenguva, vanhu vane chirwere cheshuga uye shuga yakakwira muropa vanogona kukura zvakanyanya kana kutyisidzira hupenyu, kusanganisira chirwere chemoyo, sitiroko, matambudziko eitsvo, kukuvara kwemitsipa uye matambudziko eziso. Kutora mishonga (s), kugadzirisa mararamiro (semuenzaniso, kudya, kurovedza muviri, kurega kusvuta), uye kugara uchiongorora shuga yako yeropa kunogona kubatsira kubata chirwere cheshuga uye kugadzirisa hutano hwako. Iyi kurapa inogona zvakare kudzikisira mikana yako yekuve nekurwadziwa kwemoyo, sitiroko, kana zvimwe zvinetso zvine chekuita neshuga senge itsvo kutadza, kukuvara kwemitsipa (chiveve, kutonhora makumbo kana tsoka; kudzikira kugona bonde kune varume nevakadzi), matambudziko eziso, kusanganisira shanduko. kana kurasikirwa kwemaonero, kana chingamu chirwere. Chiremba wako nevamwe vanopa hutano vachataura newe nezvenzira yakanakisa yekurapa chirwere cheshuga.


Empagliflozin inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva mangwanani kana kana pasina chikafu. Tora empagliflozin panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora empagliflozin chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi ye empagliflozin uye wedzera yako dose sezvazvinodiwa.

Empagliflozin inodzora mhando 2 chirwere cheshuga asi haichirape. Ramba uchitora empagliflozin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora empagliflozin 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 empagliflozin,

  • udza chiremba wako uye wemishonga kana iwe uri weergoria kune empagliflozin, chero mimwe mishonga, kana chero chinhu chinogadzirwa mumapiritsi empagliflozin. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: angiotensin-inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin, muLotrel), captopril, enalapril (Vasotec, muVaseretic), fosinopril, lisinopril (muZestoretic), moexipril (Univasc, Uniretic), perindopril (Aceon, muPrestalia), quinapril (Accupril, muAccuretic, muQuinaretic), ramipril (Altace), uye trandolapril (Mavik, muTarka); angiotensin receptor blockers senge azilsartan (Edarbi, muEdbybyclor), candesartan (Atacand, muAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, muAvalide), losartan (Cozaar, muHyzaar), olmesartan (Benicar, muAzor, muBenicar HCT, muTribenzor), telmisartan (Micardis, muMicardis HCT, muTwynsta), uye valsartan (Diovan, muDiovan HCT, muEexforge); asipurini uye mamwe asiri -steroidal anti-anogumbura mishonga (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); digoxin (Lanoxin); diuretics ('mapiritsi emvura'); kana insulin kana mishonga yemumuromo yechirwere cheshuga senge chlorpropamide (Diabinese), glimepiride (Amaryl, muDuetact), glipizide (Glucotrol), glyburide (DiaBeta, Glynase, muGlucovance), tolazamide, uye tolbutamide. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana iwe uri pane dialysis uye kana iwe uine kana wakambove uine chirwere cheitsvo. Chiremba wako anogona kukuudza kuti usatora empagliflozin.
  • udza chiremba wako kana uchigara uchinwa doro kana dzimwe nguva uchinwa yakawanda doro munguva pfupi (kudhakwa kunwa) kana uri pane yakaderera sodium kudya. Zvakare, udza chiremba wako kana iwe kana wakambove neweti yehutachiona hutachiona kana matambudziko nekuita weti, yakaderera BP, cholesterol yakakwira, kutadza kwemoyo, chirwere chepancreatic kusanganisira pancreatitis (kuzvimba kwepancreas) kana kuti wakavhiyiwa pancreas, mbiriso hutachiona munzvimbo yekubereka, kana chirwere chechiropa. Kana iwe uri murume, udza chiremba wako kana usati wadzingiswa. Udza chiremba wako kana iwe uri kudya zvishoma nekuda kwechirwere, kuvhiyiwa, kana shanduko mukudya kwako kana kana iwe usingakwanise kudya kana kunwa zvakajairika nekuda kwekusvotwa, kurutsa, manyoka, kana kana iwe ukava wakasviba kubva mukuva muzuva rakareba .
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Usamwisa mwana paunenge uchitora empagliflozin. Kana iwe ukava nepamuviri uchitora empagliflozin, fonera chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora empagliflozin.
  • doro rinogona kukonzera shanduko muropa shuga. Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchitora canagliflozin.
  • iwe unofanirwa kuziva kuti empagliflozin inogona kukonzeresa dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Kana uine dambudziko iri, fonera chiremba wako. Dambudziko iri rakajairika paunotanga kutora empagliflozin. Kuti udzivise dambudziko iri, simuka pamubhedha zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka
  • bvunza chiremba wako zvekuita kana iwe ukarwara, ukava nehutachiona kana fivha, ukawana kushushikana kusingawanzo, kana kukuvara. Aya mamiriro anogona kukanganisa shuga yako yeropa uye huwandu hwe empagliflozin iwe yaungangoda.

Ive neshuwa yekutevera zvese zvekurovedza muviri uye zvekudya zvinokurudzirwa zvakaitwa nachiremba wako kana wezvekudya. Zvakakosha kudya kudya kunovaka muviri uye kurovedza muviri nguva dzose. Tevedza rairo yechiremba wako nezve kunwa mvura yakakwana zuva rese iwe uchinge uri pamushonga uyu.


Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Mushonga uyu unogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.

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

  • kuita weti yakawanda, kusanganisira nehusiku
  • kuwedzera nyota

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

  • kazhinji, kukurumidza, kupisa, kana kurwadza weti
  • weti ine makore, tsvuku, pingi, kana shava
  • kurwadziwa kwepamuviri kana musana
  • (mune vakadzi) kunhuhwirira kwemukadzi, chena kana yero yenyuchi kubuda (kungave kune bundu kana kutaridzika sekottage chizi), kana kusangana nekutsi kwemukadzi
  • (mune varume) kutsvuka, kuchenesa, kana kuzvimba kwenhengo yemurume; mapundu panhengo yesikarudzi; kusvibiswa kunhuwa kubva peni; kana kurwadziwa paganda rakatenderedza nhengo yemurume
  • kunzwa kuneta, kushaya simba, kana kusagadzikana; pamwe nefivha uye kurwadziwa, hunyoro, kutsvuka, uye kuzvimba kwenhengo dzesikarudzi kana nzvimbo iri pakati pesikarudzi nerekure
  • furu-kunge zviratidzo

Kana iwe ukasangana nechimwe cheanotevera zviratidzo, rega kutora empagliflozin uye kufonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • mapundu
  • mikoko
  • kuvava
  • kunetseka kumedza kana kufema
  • kuzvimba kwechiso, huro, rurimi, miromo, muromo, kana maziso
  • hoarseness

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona ketoacidosis, rega kutora empagliflozin uye kufonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidza. Kana zvichikwanisika, tarisa ketoni mumuguta wako kana uine zviratidzo izvi, kunyangwe shuga yako yeropa iri pasi pe250 mg / dL:

  • kusvotwa
  • kurutsa
  • dumbu-nzvimbo kurwadziwa
  • kuneta
  • kunetseka kufema

Empagliflozin 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).

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

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.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online 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 uye murabhoritari. Mashuga eropa rako anofanirwa kuongororwa nguva nenguva kuti uone mhinduro yako kune empagliflozin. Chiremba wako anozoraira mamwe mabvunzo ebhu, kusanganisira glycosylated hemoglobin (HbA1c), kuti utarise mhinduro yako kune empagliflozin. Chiremba wako anokuudzawo maitiro ekutarisa mhinduro yako kumushonga uyu nekuyera huwandu hweshuga yeropa kumba. Tevedza rairo idzi zvakanyatsonaka.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti uri kutora empagliflozin. Nekuda kwemabatiro anoita mushonga uyu, weti yako inogona kuyedza kuita glucose.

Iwe unofanirwa kugara uchipfeka cheshuga chitupa chiziviso kuti uve nechokwadi chekuti unowana kurapwa kwakakodzera mune emergency.

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.

  • Jardiance®
  • Glyxambi® (semubatanidzwa chigadzirwa chine Empagliflozin uye Linagliptin)
  • Synjardy® (semubatanidzwa chigadzirwa chine Empagliflozin neMetformin)
Yekupedzisira Yakagadziridzwa - 04/15/2020

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