Metformin

Zvemukati

• Usati watora metformin,
• Mushonga uyu unogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.
• Metformin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya, usaende, enda uye udzoke, kana usatange kwenguva yakati mushure mekunge watanga kutora metformin:
• 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 uchinge uchinge uchinge uchiona,
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira hypoglycemia zviratidzo pamwe neinotevera:

Metformin haigone kukonzera yakakomba, inotyisa hupenyu mamiriro inonzi lactic acidosis. Udza chiremba wako kana iwe uine chirwere cheitsvo. Chiremba wako angangokuudza kuti usatora metformin. Zvakare, udza chiremba wako kana iwe uri pamusoro pemakore makumi matanhatu nemashanu uye kana wakamborwara nemoyo; sitiroko; chirwere cheshuga ketoacidosis (shuga yeropa iyo yakaringana kukonzera zviratidzo zvakakomba uye inoda kurapwa kwekukurumidza); coma; kana chirwere chemwoyo kana chechiropa. Kutora mimwe mishonga ine metformin kunogona kuwedzera njodzi yeacicic acidosis. Udza chiremba wako kana uri kutora acetazolamide (Diamox), dichlorphenamide (Keveyis), methazolamide, topiramate (Topamax, muQsymia), kana zonisamide (Zonegran).

Udza chiremba wako kana iwe uchangobva kuve nechero cheanotevera mamiriro, kana kana iwe uchikudziridza iwo panguva yekurapa: hutachiona hwakakomba; manyoka akakura, kurutsa, kana kupisa muviri; kana kana iwe ukanwa zvakanyanyisa kushomeka kupfuura zvakajairwa chero chikonzero. Iwe unogona kumbomira kutora metformin kusvikira iwe wapora.

Kana iwe uri kuvhiyiwa, kusanganisira kuvhiya mazino, kana chero nzira hombe yekurapa, udza chiremba kuti uri kutora metformin. Zvakare, udza chiremba wako kana iwe uchironga kuita chero x-ray maitiro mune dhayi jekiseni, kunyanya kana iwe uchinwa kana wakambonwa yakawanda doro kana uine kana uine chirwere chechiropa kana moyo kutadza. Ungangoda kumira kutora metformin usati waitwa uye mirira maawa makumi mana nemasere kuti utangezve kurapwa. Chiremba wako anokuudza chaizvo paunofanira kurega kutora metformin uye paunofanira kutanga kuitora zvakare.

Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, rega kutora metformin uye udane chiremba wako nekukurumidza: kuneta zvakanyanya, kushaya simba, kana kusagadzikana; kusvotwa; kurutsa; kurwadziwa mudumbu; kuderera kwechido; kufema kwakadzama uye nekukurumidza kana kufema kwekufema; dzungu; musoro wakareruka; kukurumidza kana kunonoka kurova kwemoyo; kutsetseka kweganda; kurwadziwa kwemhasuru; kana kunzwa kutonhora, kunyanya mumaoko ako kana tsoka.

Udza chiremba wako kana uchigara uchinwa doro kana dzimwe nguva unonwa yakawanda doro munguva pfupi (kudhakwa). Kunwa doro kunowedzera mukana wako wekuvandudza lactic acidosis kana kunogona kukonzera kudzikira kweshuga yeropa. Kumbira chiremba wako kuti doro rakadii rakachengeteka kunwa iwe paunenge uchitora metformin.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozoraira mimwe bvunzo usati uye panguva yekurapa kuti utarise kuti itsvo dzako dziri kushanda sei uye mhinduro yemuviri wako kune metformin. Taura nachiremba wako nezve njodzi (s) yekutora metformin.

Metformin inoshandiswa yoga kana nemimwe mishonga, kusanganisira insulin, kurapa rudzi rwechipiri chirwere cheshuga (mamiriro umo muviri usingashandise insulin zvakajairika uye, nekudaro, haugone kudzora huwandu hweshuga muropa). Metformin iri mukirasi yemishonga inonzi biguanides. Metformin inobatsira kudzora huwandu hweshuga (shuga) muropa rako. Iyo inoderedza huwandu hweshuga yaunotora kubva muchikafu chako uye huwandu hweshuga inogadzirwa nechiropa chako. Metformin inowedzerawo mhinduro yemuviri wako kune insulini, chinhu chechisikigo chinodzora huwandu hweshuga muropa. Metformin haina kushandiswa kurapa chirwere cheshuga cheshuga (mamiriro umo muviri usingaburitse insulin uye nekudaro haugone kudzora huwandu hweshuga muropa).

Nekufamba kwenguva, vanhu vane chirwere cheshuga uye shuga yakakwira muropa vanogona kukura zvakakomba kana kutyisidzira hupenyu, kusanganisira chirwere chemwoyo, 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.

Metformin inouya semvura, piritsi, uye yakawedzera-kuburitsa (yakareba-inoshanda) piritsi yekutora nemuromo. Mvura yacho inowanzo kutorwa pamwe nekudya kamwe chete kana kaviri pazuva. Iyo piritsi yenguva dzose inowanzo kutorwa pamwe nekudya kaviri kana katatu pazuva. Iyo yakawedzeredzwa-kuburitsa piritsi inowanzo kutorwa kamwe zuva nezuva nekudya kwemanheru. Kuti ikubatsire kuyeuka kutora metformin, tora iyo kutenderera panguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora metformin chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza metformin yakawedzera-kusunungura mahwendefa akazara; usatsemure, kutsenga, kana kuvapwanya.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi ye metformin uye zvishoma nezvishoma wedzera yako dosi kwete kakawanda kupfuura kamwe chete kwega kwevhiki 1-2. Iwe unozofanirwa kuongorora shuga yako yeropa zvakanyatsonaka kuti chiremba wako azokwanisa kutaura kuti metformin iri kushanda sei.

Metformin inodzora chirwere cheshuga asi hairape. Ramba uchitora metformin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora metformin 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 metformin,

• udza chiremba wako uye wemishonga kana uri weergisi kune metformin, chero zvigadzirwa zvemetformin mvura kana mapiritsi, kana chero mimwe mishonga. Kumbira mushonga wako wemishonga kana kutarisa ruzivo rwemurwere wemugadziri kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzerwa nezvehutano, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura chero yeanotevera: amiloride (Midamor); angiotensin-inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin, muLotrel), captopril, enalapril (Vasotec, muVaseretic), fosinopril, lisinopril (muZestoretic), moexipril (Univasc), perindopril (Aceon) , ramipril (Altace), uye trandolapril (Mavik); beta-blockers senge atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, muCorzide), uye propranolol (Hemangeol, Inderal, InnoPran); calcium chiteshi blockers senge amlodipine (Norvasc), diltiazem (Cardizem, Cartia, Diltzac, vamwe), felodipine, isradipine, nicardipine (Cardene), nifedipine (Adalat, Afeditab CR, Procardia), nimodipine (Nymalize), nisoldipine (Sular), uye verapamil (Calan, Covera, Verelan, muTarka); cimetidine (Tagamet); digoxin (Lanoxin); diuretics ('mapiritsi emvura'); furosemide (Lasix); hormone replacement therapy; insulin kana imwe mishonga yechirwere cheshuga; isoniazid (Laniazid, muRifamate, muRifater); mishonga yeasthma uye dzihwa; mishonga yekurwara kwepfungwa uye kuda kurutsa; mishonga yechirwere chetachiona; morphine (MS Contin, vamwe); niacin; mishonga yekudzivirira pamuromo ('mapiritsi ekudzivirira kubereka'); muromo steroid senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); phenytoin (Dilantin, Phenytek); procainamide; quinidine (muNuedexta); quinine; ranitidine (Zantac); triamterene (Dyrenium, muMaxzide, nevamwe); trimethoprim (Primsol); kana vancomycin (Vancocin). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe kana wakambove nechero chirwere, kunyanya izvo zvataurwa muchikamu CHINOKOSHA CHENYENZO.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora metformin, dana chiremba wako.
• udza chiremba wako kana iwe uchidya zvishoma kana kurovedza muviri kupfuura zvakajairwa. Izvi zvinogona kukanganisa shuga yako yeropa. Chiremba wako anokupa rairo kana izvi zvikaitika.

Ive neshuwa yekutevera zvese zvekurovedza muviri uye zvekudya zvinokurudzirwa zvakaitwa nachiremba wako kana wezvekudya. Zvakakosha kudya kudya kunovaka muviri.

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.

Metformin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya, usaende, enda uye udzoke, kana usatange kwenguva yakati mushure mekunge watanga kutora metformin:

• manyoka
• kuzvimba
• kurwadziwa nemudumbu
• gasi
• kugaya
• kuvimbiswa
• isingafadzi esimbi kuravira mumuromo
• chirungurira
• musoro
• kubwinya kweganda
• nzara inoshanduka
• kurwadziwa kwemhasuru

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 uchinge uchinge uchinge uchiona,

• kurwadziwa pachipfuva
• mapundu

Metformin 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 nechiedza, kupisa 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 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 hypoglycemia zviratidzo pamwe neinotevera:

• kuneta zvakanyanya
• kushaya simba
• kusagadzikana
• kurutsa
• kusvotwa
• kurwadziwa nemudumbu
• kuderera kwechido
• kufema kwakadzama, nekukurumidza
• mweya wekufema
• dzungu
• musoro wakareruka
• nekukurumidza zvisingaite kana kunonoka kurova kwemoyo
• kubwinya kweganda
• kurwadziwa kwemhasuru
• kunzwa kutonhora

Chiremba wako anokuudza maitiro ekutarisa mhinduro yako kumushonga uyu nekuyera huwandu hweshuga yeropa kumba. Tevedza rairo idzi zvakanyatsonaka.

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

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.

• Fortamet^®
• Glucophage^®
• Glumetza^®
• Riomet^®
• Trijardy^® (semubatanidzwa chigadzirwa chine Empagliflozin, Linagliptin, Metformin)

• Actoplus Met^® (iine Metformin, Pioglitazone)
• Avandamet^® (iine Metformin, Rosiglitazone)
• Invokamet^® (iine Canagliflozin, Metformin)
• Janumet^® (iine Metformin, Sitagliptin)
• Jentadueto^® (iine Linagliptin, Metformin)
• Kazano^® (iine Alogliptin, Metformin)
• Kombiglyze^® XR (ine Metformin, Saxagliptin)
• Metaglip^® (iine Glipizide, Metformin)^¶
• Prandimet^® (iine Metformin, Repaglinide)
• Qternmet^® XR (iine Dapagliflozin, Metformin, Saxagliptin), Segluromet^® (iine Ertugliflozin, Metformin)
• Synjardy^® (iine Empagliflozin, Metformin)
• Xigduo^® XR (iine Dapagliflozin, Metformin)

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