Munyori: Clyde Lopez
Zuva Rekusika: 18 Chikunguru 2021
Gadziridza Zuva: 1 Chikunguru 2024
Anonim
Cardiac Pharmacology (5) | Ivabradine with Mnemonic
Vhidhiyo: Cardiac Pharmacology (5) | Ivabradine with Mnemonic

Zvemukati

Ivabradine inoshandiswa kurapa vamwe vanhu vakuru vane kukundikana kwemoyo (mamiriro umo moyo usingakwanise kupomba ropa rakaringana kune mamwe mativi emuviri) kudzikisa njodzi yekuti mamiriro avo achawedzera uye anoda kurapwa muchipatara. Iyo zvakare inoshandiswa kurapa imwe mhando yemoyo kukundikana muvana vane mwedzi mitanhatu yekukura uye vakuru nekuda kwecardiomyopathy (mamiriro umo mhasuru yemwoyo inoshaya simba nekukudziridzwa). Ivabradine iri mukirasi yemishonga inonzi hyperpolarization-activated cyclic nucleotide-gated (HCN) chiteshi blockers. Inoshanda nekudzora kurova kwemoyo kuti moyo ugone kupomba ropa rakawanda kuburikidza nemuviri nguva yega painorova.

Ivabradine inouya sehwendefa uye semhinduro yemuromo (mvura) kutora nemuromo. Kazhinji inotorwa nechikafu kaviri pazuva. Tora ivabradine panguva dzakatenderedza nguva dzakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora ivabradine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma zvacho, kana kuitora kakawanda kupfuura zvakatemwa nachiremba wako.


Mamwe mapiritsi evabradine anouya netambo pasi pakati. Kana chiremba wako akakuudza kuti utore hafu yepiritsi, rityore zvakanaka pamutsara. Tora hafu yepiritsi sezvakarairwa, uye chengeta imwe hafu yedosi yako inotevera.

Shandisa sirinji yemuromo (mudziyo wekuyera) uye kapu yemushonga kuyera nenzira kwayo uye tora yako dhizaini yeababradine solution. Kumbira wako wemishonga wemukombe wemushonga kana imwe isina kusanganiswa nemushonga wako. Wemishonga wako anokupa sirinji yemuromo inoshanda zvakanyanya kuyera dosi yako. Bvisa zvese mhinduro kubva kuma ampule (s) mumukombe wemishonga. Edzai muyero wako kubva pamukombe wemishonga uchishandisa sirinji yemuromo. Tevedza rairo dzemugadziri nezve mashandisiro uye nekuchenesa sirinji yemuromo. Kumbira chiremba wako kana wemishonga kana iwe uine kana paine mibvunzo.

Kana iwe ukarutsa kana kupfira kunze mushure mekutora ivabradine, usatore imwe dosi. Enderera yako yenguva dzose dosing purogiramu.

Chiremba wako anogona kuwedzera kana kudzikisa dosi yako mushure memasvondo maviri zvichienderana nekuti mushonga unoshanda sei kwauri, uye nemhedzisiro yaunosangana nayo. Ive neshuwa yekuudza chiremba wako kuti uri kunzwa sei panguva yekurapwa kwako neivabradine.


Ivabradine inodzora zviratidzo zvekutadza kwemoyo asi isingarape. Ramba uchitora ivabradine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora ivabradine usina kutaura nachiremba wako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa neivabradine uye pese paunozadza mushonga wako Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

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

Usati watora ivabradine,

  • udza chiremba wako uye wemishonga kana uri weergoria kune ivabradine, chero mimwe mishonga, kana chero chinongedzo mumapiritsi eibabradine uye mhinduro yemumuromo. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako kana uri kutora mamwe maantibhakitiriya akadai seClithithromycin (Biaxin, muPrevpac) uye telithromycin (Ketek), mamwe maantifungal akadai seitraconazole (Onmel, Sporanox), mamwe hutachiona hweHIV protease inhibitors senge nelfinavir (Viracept), uye nefazodone. Chiremba wako angangokuudza kuti usatora ivabradine kana uri kutora imwe kana yakawanda yemishonga iyi.
  • 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: amiodarone (Nexterone, Pacerone); beta blockers senge atenolol (Tenormin, muTenoretic), carteolol, labetalol (Trandate), metoprolol (Lopressor, Toprol XL, muDutoprol), nadolol (Corgard, Corzide), propranolol (Inderal, InnoPran XL, Hemangeol, muInderide), sotalol (Betapace, Sorine, Sotylize), uye timolol; digoxin (Lanoxin); diltiazem (Cardizem, Cartia, Tiazac, nevamwe); phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rifamate, Rifater, Rimactane); uye verapamil (Calan, Verelan, muTarka). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neivabradine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana uine kusagadzikana kana kunonoka kurova kwemoyo, yakaderera BP, pacemaker, zviratidzo zvekutadza kwemoyo izvo zvichangobva kuwedzera zvakanyanya, kana chirwere chechiropa. Chiremba wako angangokuudza kuti usatora ivabradine.
  • udza chiremba wako kana iwe wakambove kana chero mamwe matambudziko emoyo.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Iwe haufanire kuve nepamuviri iwe uri kutora ivabradine. Taura nachiremba wako nezve nzira dzekudzivirira kuberekwa dzaunogona kushandisa panguva yekurapa kwako. Kana ukaita nhumbu uchitora ivabradine fonera chiremba wako.
  • iwe unofanirwa kuziva kuti ivabradine inogona kukanganisa chiono chako, kunyanya kana kupenya kwechiedza chakakukomberedza kuchinja. Izvi zvinogona kusanganisira kuona mavara akajeka, madenderedzwa akajeka akatenderedza mwenje, mwenje yakajeka, kuona zvakapetwa, uye mamwe matambudziko asina kujairika nemaonero ako. Aya matambudziko ekuona anowanzoitika paunotanga kutora ivabradine uye anowanzoenda mushure memwedzi mishoma yekurapwa nemushonga uyu. Usafambisa mota, kunyanya husiku, kana kushandisa michina kusvikira iwe waziva kuti mushonga uyu unokubata sei.

Usadye grapefruit kana kunwa muto wemazambiringa uchinwa mushonga uyu.


Kana iwe ukakanganwa muyero weivabradine, ruka iro rakarasika dhizaini uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchida kurapwa,

  • nekukurumidza, zvisina kujairika, kana kurova kurova kwemoyo
  • kunonoka kana kumira kurova kwemoyo
  • kurwadziwa pachipfuva kana kumanikidza
  • kuwedzera kufema kwekufema
  • dzungu
  • kuneta zvakanyanya
  • kushaya simba
  • kuzvimba kwechiso, huro, rurimi, miromo, uye maziso
  • kunetseka kumedza kana kufema
  • hoarseness

Ivabradine inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge 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). Rasa chero mhinduro isina kushandiswa yemuromo yakasara mumukombe wemishonga kana ampule.

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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • kunonoka kurova kwemoyo
  • dzungu
  • kuneta zvakanyanya
  • kushaya simba

Chengetedza zvese zvakagadzwa nachiremba wako. Chiremba wako anozotarisa kurova kwemoyo wako uye kuwedzerwa kweropa nguva nenguva kuti aongorore mhinduro yemuviri wako kune ivabradine.

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.

  • Corlanor®
Yekupedzisira Yakagadziridzwa - 06/15/2019

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