Munyori: Marcus Baldwin
Zuva Rekusika: 15 Chikumi 2021
Gadziridza Zuva: 15 Mbudzi 2024
Anonim
Verapamil || Mechanism, side effects and uses
Vhidhiyo: Verapamil || Mechanism, side effects and uses

Zvemukati

Verapamil inoshandiswa kurapa kukwirisa kweropa uye kudzora angina (kurwadziwa pachipfuva). Mahwendefa ekuburitsa nekukasira anoshandiswawo ega kana nemimwe mishonga kudzivirira uye kubata zvisina kujairika kurova kwemoyo. Verapamil iri mukirasi yemishonga inonzi calcium-chiteshi blockers. Inoshanda nekuzorodza tsinga dzeropa saka moyo haufanire kupomba zvakanyanya. Izvo zvinowedzerawo kupihwa kweropa neoksijeni kumoyo uye kunononoka kuita kwemagetsi mumoyo kudzora kurova kwemoyo.

Kuwedzera kweropa BP chiitiko chakajairika uye kana chikasarapwa, chinogona kukonzera kukuvara kwehuropi, moyo, tsinga dzeropa, itsvo nedzimwe nhengo dzemuviri. Kukuvara kwenhengo idzi kunogona kukonzera chirwere chemoyo, chirwere chemwoyo, kukundikana kwemoyo, sitiroko, itsvo kutadza, kurasikirwa kwemaonero, uye mamwe matambudziko. Kunze kwekutora mishonga, kuita mararamiro ehupenyu kuchabatsira zvakare kudzora yako BP. Shanduko idzi dzinosanganisira kudya chikafu chisina mafuta nemunyu, kuchengetedza huremu hune hutano, kudzidzira maminetsi makumi matatu mazuva mazhinji, kusasvuta, uye kushandisa doro zvine mwero.


Verapamil inouya sehwendefa, yakawedzera-kuburitsa (yakareba-inoshanda) piritsi, uye yakawedzerwa-kuburitsa (refu-inoshanda) kapuleti kutora nemuromo. Hwendefa rakajairwa rinowanzo kutorwa katatu kana kana pazuva. Mahwendefa akasunungurwa-akasunungurwa uye macapsule anowanzo kutorwa kamwe kana kaviri pazuva. Tora verapamil panguva dzakatenderedza nguva imwechete (ma) mazuva ese. Zvimwe zvigadzirwa zveverapamil zvinofanirwa kutorwa mangwanani uye zvimwe panguva yekurara. Kumbira chiremba wako kuti inguvai yakanakisa yekuti utore mushonga wako. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora verapamil chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza mahwendefa akawedzerwa-kuburitsa uye makapisi akazara Usatsvage kana kuvatswanya. Bvunza wako wemishonga kana mapiritsi anogona kupatsanurwa nepakati, sezvo iwo marayiridzo anosiyana nechigadzirwa.

Kana iwe usingakwanise kumedza akawedzerwa-kuburitswa makaputa iwe unogona kunyatso kuvhura iyo kapuleti uye kumwaya zvese zvirimo pane chipunu chemaapuraizi. Applesauce haifanire kunge ichipisa, uye inofanira kunge yakapfava zvekumedzwa pasina kutsenga. Medza maapuraizi ipapo ipapo usina kutsenga, uye wonwa girazi remvura inotonhorera kuti uve nechokwadi chekuti wamedza mushonga wese. Usachengetedze musanganiswa kuti ushandise mune ramangwana.


Chiremba wako angangotanga iwe padosi yakaderera yeverapamil uye zvishoma nezvishoma uwedzere yako dose.

Verapamil inodzora arrhythmias, yakakwira BP, uye angina asi hairape aya mamiriro. Ramba uchitora verapamil kunyangwe iwe uchinzwa zvakanaka. Usarega kutora verapamil usina kutaura nachiremba wako.

Verapamil zvakare dzimwe nguva inoshandiswa kurapa mamwe matambudziko emoyo. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

Mushonga uyu dzimwe nguva unonyorerwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora verapamil,

  • udza chiremba wako uye wemishonga kana uri weergoria kune verapamil, chero mimwe mishonga, kana chero zvigadzirwa muverapamil. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: alpha blockers senge prazosin (Minipress); antifungals senge itraconazole (Onmel, Sporanox) uye ketoconazole (Nizoral); aspirin; beta blockers senge atenolol (Tenormin, muTenoretic), metoprolol (Lopressor, Toprol XL, muDutoprol), nadolol (Corgard, muCorzide), propranolol (Inderal, Innopran, muInderide), uye timolol (Blocadren, muTimolide); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cimetidine (Tagamet); clarithromycin (Biaxin, muPrevpac); cyclosporine (Neoral, Sandimmune); digoxin (Lanoxin); disopyramide (Norpace); diuretics ('' mapiritsi emvura ''); erythromycin (EES, Eryc, Erythrocin); flecainide; zvimwe hutachiona hweHIV protease inhibitors senge indinavir (Crixivan), nelfinavir (Viracept), uye ritonavir (Norvir, muKaletra); quinidine (muNuedexta); lithium (Lithobid); mishonga yekurapa yakakwira BP; nefazodone; phenobarbital; pioglitazone (Actos, muDuetact, muOseni); rifampin (Rifadin, Rimactane); telithromycin (Ketek); uye theophylline (Theochron, Theolair, Uniphyl). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neverapamil, saka ive shuwa yekuudza 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 iwe kana wakambove nekudzikama kana kuvhara kwegadziriro yako yekugaya kana chero imwe mamiriro ezvinhu anokonzeresa chikafu kuti chifambe kuburikidza neyakagaya system yako zvishoma nezvishoma; kutadza kwemoyo; mwoyo, chiropa, kana chirwere cheitsvo; tsandanyama dystrophy (nhaka chirwere chinokonzera zvishoma nezvishoma kupera simba tsandanyama); kana myasthenia gravis (mamiriro anoita kuti dzimwe mhasuru dzishaye simba).
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora verapamil, danaidza chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba wako kana chiremba wemazino kuti urikutora verapamil.
  • taura nachiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa panguva yekurapa kwako neverapamil. Verapamil inogona kukonzera mhedzisiro yedoro kuti ive yakanyanya uye irefu-inogara.

Taura nachiremba wako nezve kudya grapefruit kana kunwa jisi remuzambiringa paunenge uchitora mushonga 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.

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

  • kuvimbiswa
  • chirungurira
  • dzungu kana hurema
  • musoro

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

  • kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
  • kunetseka kufema kana kumedza
  • kunonoka kurova kwemoyo
  • kufenda
  • kusaona zvakanaka
  • mapundu
  • kusvotwa
  • kuneta zvakanyanya
  • kubuda ropa zvisina kujairika kana kupwanya
  • kushaya simba
  • kurasikirwa nenzara
  • kurwadziwa kumusoro kwepamusoro chikamu chedumbu
  • yero yeganda kana maziso
  • furu-kunge zviratidzo
  • kupindwa nechando

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 uye kusvika 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 wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. 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. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-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:

  • dzungu
  • kusaona zvakanaka
  • inononoka, inokurumidza, kana isina kujairika kurova kwemoyo
  • pfari
  • kuvhiringidzika
  • kunetseka kufema kana kumedza

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Ropa rako rinofanirwa kuongororwa nguva nenguva kuti uone mhinduro yako kuverapamil. Chiremba wako anogona zvakare kuraira kumwe kuongorora kwebazi kuti utarise mhinduro yemuviri wako kuverapamil.

Kana iwe uri kutora mamwe akawedzeredzwa-kuburitsa mapiritsi (Covera HS), iwe unogona kuona chimwe chinhu chinoratidzika kunge hwendefa mune chako chigaro. Iri rinongova ndiro remahwendefa risina chinhu, uye izvi hazvireve kuti hauna kuwana dhosi rako rakazara remushonga.

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.

  • Calan®
  • Calan® SR
  • Covera® HS
  • Isoptin®
  • Verelan®
  • Verelan® PM
  • Tarka® (iine trandolapril uye verapamil)
  • Iproveratril Hydrochloride

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 10/15/2017

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