Simvastatin

Zvemukati

• Usati watora simvastatin,
• Simvastatin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza kana kuwana rubatsiro rwekukurumidzira rwekurapa.

Simvastatin inoshandiswa pamwechete nekudya, kurema-kurasikirwa, uye kurovedza muviri kudzikisa njodzi yekurwara nemoyo uye sitiroko uye kudzikisa mukana wekuti kuvhiyiwa kwemoyo kuchadikanwa kune vanhu vane chirwere chemwoyo kana vari panjodzi yekurwara nechirwere chemwoyo. Simvastatin inoshandiswawo kudzikisa huwandu hwemafuta akadai seapasi-density lipoprotein (LDL) cholesterol ('' bad cholesterol '') uye triglycerides muropa uye kuwedzera huwandu hweiyo yepamusoro-density lipoprotein (HDL) cholesterol (' 'cholesterol yakanaka' ') muropa. Simvastatin inogona zvakare kushandiswa kudzikisa huwandu hwecholesterol uye zvimwe zvinhu zvine mafuta muropa muvana nevechiri kuyaruka vane makore gumi kusvika gumi nemanomwe vane mhuri heterozygous hypercholesterolemia (mamiriro enhaka umo cholesterol isingakwanise kubviswa mumuviri zvakajairika).Simvastatin iri mukirasi yemishonga inonzi HMG-CoA reductase inhibitors (statins). Inoshanda nekudzora kugadzirwa kwecholesterol mumuviri kudzikisa huwandu hwecholesterol iyo inogona kuvaka pamadziro etsinga uye ichivhara kuyerera kweropa kuenda kumoyo, huropi, uye zvimwe zvikamu zvemuviri.

Kuunganidzwa kwecholesterol nemafuta padivi pemadziro etsinga dzako (maitiro anozivikanwa seatherosclerosis) anoderedza kuyerera kweropa uye, nekudaro, iyo oksijeni inopa kune wako moyo, huropi, uye zvimwe zvikamu zvemuviri wako. Kuderedza huwandu hweropa rako remafuta akawandisa nemafuta ane simvastatin yakaratidzirwa kudzivirira chirwere chemwoyo, angina (kurwadziwa muchipfuva), sitiroko, uye kurwiswa kwemoyo.

Simvastatin inouya sehwendefa uye sekumiswa kutora nemuromo. Mahwendefa acho anowanzo kutorwa kamwe chete pazuva manheru. Kumiswa kwacho kunowanzo kutorwa kamwe pazuva pazuva remanheru pane chisina chinhu mudumbu. Tora simvastatin panenge panguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora simvastatin chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Shake kumiswa zvakanaka kwemasekondi makumi maviri isati yashandiswa.

Kana iwe uchizotora simvastatin kumiswa, usashandise kiyi yetea teaspoon kuyera dosi yako. Mashupuni emhuri haasi ekuyera chaiwo, uye unogona kuwana mishonga yakawandisa kana isina kukwana mishonga kana ukayera dosi rako nepuniji yemumba. Panzvimbo iyoyo, shandisa mudziyo wekuyera wakatarwa senge chipunu chemushonga kana sirinji yemumuromo. Kumbira chiremba wako kana wemishonga kana iwe uchida rubatsiro kuwana kana kushandisa chimbo chekuyera.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi ye simvastatin uye zvishoma nezvishoma wedzera yako dosi, kwete kanopfuura kamwe chete pavhiki ina.

Ramba uchitora simvastatin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora simvastatin usina kutaura nachiremba wako.

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

Usati watora simvastatin,

• udza chiremba wako uye wemishonga kana uri weergoria kune simvastatin, chero mimwe mishonga, kana chero chinongedzo mumapiritsi e simvastatin kana kumiswa kwemuromo. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
• udza chiremba wako kana uri kutora antifungal mishonga yakadai seitraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil) uye voriconazole (Vfend); clarithromycin (Biaxin, muPrevpac); cobicistat-ine mishonga (Stribild); cyclosporine (Gengraf, Neoral, Sandimmune); danazol; erythromycin (EES, E-Mycin, Erythrocin); gemfibrozil (Lopid); HIV protease inhibitors senge atazanavir (Reyataz), darunavir (Prezista), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept), ritonavir (Norvir, muKaletra), saquinavir (Invirase) tipranavir (Aptivus); nefazodone; telaprevir (Incivek); uye telithromycin (Ketek). Chiremba wako anogona kukuudza kuti usatora simvastatin kana iwe uri kutora iyi mishonga.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: amiodarone (Cordarone, Pacerone); amlodipine (Norvasc, muCaduet, muLotrel); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); colchicine (Colcrys); digoxin (Digitek, Lanoxicaps, Lanoxin); diltiazem (Cardizem, Dilacor, Tiazac); dronedarone (Multaq); imwe cholesterol-inoderedza mishonga yakadai se fenofibrate (Tricor), lomitapide (Juxtapid), uye niacin (nicotinic acid, Niacor, Niaspan); ranolazine (Ranexa); uye verapamil (Calan, Covera, Isoptin, Verelan). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga inogona zvakare kusangana pamwe ne simvastatin, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana iwe une chirwere chechiropa. Chiremba wako acharaira kuongororwa kweropa kuti aone kuti chiropa chako chiri kushanda sei kunyangwe iwe usingafunge kuti une chirwere chechiropa. Chiremba wako angangokuudza kuti usatore simvastatin kana uine chirwere chechiropa kana kana bvunzo dzichiratidza kuti unogona kunge uchirwara nechiropa.
• udza chiremba wako kana iwe uchinwa zvinopfuura zviviri zvinwiwa zvinodhaka pazuva, kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura, kana iwe uri muAsia, kunyanya kana uri Chinese. Uyezve udza chiremba wako kana iwe kana wakambove nehutachiona husingaiti, chirwere cheshuga, kugumburwa, musuru aches kana kushaya simba, yakaderera BP, kana chirwere cheitsvo.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe haufanire kuve nepamuviri panguva yekurapa kwako ne simvastatin. Taura nachiremba wako nezvenzira dzekudzivirira kuberekwa dzinokushandira. Kana iwe ukava nepamuviri uchitora simvastatin, rega kutora simvastatin uye udane chiremba wako nekukurumidza. Simvastatin inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwa paunenge uchitora simvastatin.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora simvastatin. Kana iwe uri muchipatara nekuda kwekukuvara kwakakomba kana hutachiona, udza chiremba uyo anokubata iwe kuti uri kutora simvastatin.
• bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchitora simvastatin. Doro rinogona kuwedzera njodzi yemhedzisiro.

Idya yakaderera-mafuta, yakaderera-cholesterol chikafu. Ive neshuwa yekutevera zvese zvekurovedza muviri uye zvekudya zvinokurudzirwa zvakaitwa nachiremba wako kana wezvekudya. Iwe unogona zvakare kushanyira iyo National Cholesterol Dzidzo Chirongwa (NCEP) webhusaiti kune rumwe ruzivo rwekudya pa http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Dzivisa kunwa muto wemazambiringa paunenge uchitora simvastatin.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Nekudaro, kana iri nguva ingangoita yeyadhi inotevera, ruka iro rakarasika uye ramba uchiita chirongwa cheyakajairwa. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• kuvimbiswa
• kurwadziwa nemudumbu
• kusvotwa
• musoro
• ndangariro kurasikirwa kana kukanganwa
• kuvhiringidzika
• ganda kana kutsvuka

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza kana kuwana rubatsiro rwekukurumidzira rwekurapa.

• kurwadziwa kwemhasuru, unyoro, kana kushaya simba uine kana usina kupisa kana kushaya simba
• weti tsvuku yakasviba
• kuderera kwekuita weti
• kushaya simba, kuneta, kana kushaya simba
• kurasikirwa nenzara
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu
• yero yeganda kana maziso
• weti yakasviba
• kupisa kana kutonhora
• kufashaira
• mhoni
• mapundu
• mikoko
• kuvava
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• kunetseka kufema kana kumedza
• hoarseness
• kurwadza kwemajoini
• kunzwisisika kuchiedza

Mushonga uyu unogona kukonzera mimwe 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. Chengetedza mahwendefa pakushambidza kwemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Chengetedza kuturika pakushambidzika kwemukati. Usaisa chando kana kuita firiji kumisa kwacho. Ive neshuwa yekushandisa kumisa mukati memazuva makumi matatu ekuvhura bhodhoro uye kurasa chero mishonga yasara mushure memazuva makumi matatu.

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.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mamwe marabhoritari bvunzo panguva yekurapa kwako, kunyanya kana iwe ukaita zviratidzo zvekukuvara kwechiropa.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi veirabhoritari kuti uri kutora simvastatin.

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.

• Flolipid^®
• Zocor^®

• Juvisync^® (iine Simvastatin, Sitagliptin)^¶
• Simcor^® (iine Niacin, Simvastatin)
• Vytorin^® (iine Ezetimibe, Simvastatin)

^¶ Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.