Glimepiride

Zvemukati

• Usati watora glimepiride,
• Mushonga uyu unogona kukonzera shanduko muropa rako shuga. Iwe unofanirwa kuziva zviratidzo zveshuga yakadzika uye yakakwira yeropa uye zvekuita kana iwe uine izvi zviratidzo.
• Glimepiride inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira hypoglycemia zviratidzo pamwe neinotevera:

Glimepiride inoshandiswa pamwe nekudya uye kuita maekisesaizi, uye dzimwe nguva nemimwe mishonga, kurapa rudzi rwechipiri chirwere cheshuga (mamiriro umo muviri usingashandise insulin zvakajairika uye, nekudaro, haugone kudzora huwandu hweshuga muropa). Glimepiride inoderedza shuga yeropa nekukonzeresa kuti pancreas ibudise insulin (chinhu chechisikigo chinodiwa kuputsa shuga mumuviri) nekubatsira muviri kushandisa insulin zvakanaka. Mushonga uyu unongobatsira chete kudzikisa shuga yeropa muvanhu vane miviri inoburitsa insulin zvakasikwa. Glimepiride haishandiswe kurapa rudzi rwekutanga chirwere cheshuga (mamiriro umo muviri usingaburitse insulin uye, nekudaro, haugone kudzora huwandu hweshuga muropa) kana chirwere cheshuga ketoacidosis (chinetso chakakomba chinogona kuitika kana shuga yepamusoro yeropa isina kurapwa ).

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.

Glimepiride inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva nekudya kwekuseni kana kwekutanga kudya kukuru kwezuva. Kuti ikubatsire kuyeuka kutora glimepiride, tora iyo kwakatenderedza nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora glimepiride chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako angangotanga iwe pane yakaderera dosi ye glimepiride uye zvishoma nezvishoma wedzera yako dose kana zvichidikanwa. Mushure mekutora glimepiride kwenguva yakati, glimepiride inogona kutadza kudzora shuga rako reropa uye sezvayakaita pakutanga kwekurapa kwako. Chiremba wako anogona kugadzirisa dhizaini yemishonga yako pazvinenge zvichidiwa kuitira kuti mushonga unyatsoshanda kwauri. Ive neshuwa yekuudza chiremba wako kuti uri kunzwa sei uye kana yako shuga yeropa mhedzisiro mhedzisiro yave yakakwira kana kudzika pane zvakajairwa chero nguva panguva yekurapwa kwako.

Glimepiride inobatsira kudzora shuga yeropa asi hairape chirwere cheshuga. Ramba uchitora glimepiride kunyangwe iwe uchinzwa zvakanaka. Usarega kutora glimepiride usina kutaura nachiremba wako.

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

Usati watora glimepiride,

• udza chiremba wako uye wemishonga kana uri weergoria kune glimepiride, chero mimwe mishonga, kana chero chinhu chinowanikwa mu glimepiride. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• 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 anticoagulants ('ropa rakatetepa') senge warfarin (Coumadin); asipurini uye mamwe asiri -steroidal anti-anogumbura mishonga (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); beta blockers senge atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), uye propranolol (Inderal); chloramphenicol; clarithromycin (Biaxin); disopyramide (Norpace); diuretics ('mapiritsi emvura'); fluconazole (Diflucan); fluoxetine (Prozac, Sarafem); hormone kutsiva kurapa uye mahormone ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, mapiritsi, uye majekiseni); insulin kana mimwe mishonga yekurapa shuga yakakwira muropa kana chirwere cheshuga; isoniazid (INH); MAO inhibitors senge isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate); mishonga yeasthma uye dzihwa; mishonga yekurwara kwepfungwa uye kuda kurutsa; miconazole (Monistat); niacin; muromo steroid senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone); phenytoin (Dilantin); probenecid (Benemid); quinolone uye fluoroquinolone maantibiotiki senge cinoxacin (Cinobac), ciprofloxacin (Cipro), enoxacin (Penetrex), gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Aveloxin) ), ofloxacin (Floxin), sparfloxacin (Zagam), trovafloxacin uye alatrofloxacin mubatanidzwa (Trovan); rifampin (Rifadin); marwadzo e-salicylate anodzora akadai se choline magnesium trisalicylate, choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan's, vamwe), uye salsalate (Argesic, Disalcid, Salgesic); sulfa mishonga inorwisa mabhakitiriya senge co-trimoxazole (Bactrim, Septra); sulfasalazine (Azulfidine); uye mishonga yetachiona. Uyezve iva nechokwadi chekuudza chiremba wako kana wemishonga kana iwe ukamira kutora chero mishonga uchitora glimepiride Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe kana wakambove nekushomeka kweG6PD (iyo nhaka nhaka inokonzeresa kukurumidza kuparadzwa kwemasero matsvuku eropa kana hemolytic anemia); kana uine hutachiona hwehomoni inosanganisira iyo adrenal, pituitary, kana thyroid gland; kana kana iwe uine moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora glimepiride, fonera chiremba wako.
• taura nachiremba wako nezve njodzi uye zvakanakira kutora glimepiride kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakuru vakuru havafanirwe kutora glimepiride nekuti haina kuchengetedzeka kana kushanda semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora glimepiride.
• bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchitora glimepiride. Doro rinogona kuita kuti mhedzisiro kubva glimepiride iwedzere. Kunwa doro uchitora glimepiride zvakare kunogona kukonzera zviratidzo sekutsva (kutsvuka kwechiso), kutemwa nemusoro, kusvotwa, kurutsa, kurwadziwa pachipfuva, kushaya simba, kuona kwakakanganiswa, kusagadzikana kwepfungwa, kudikitira, kudzipa, kunetseka kufema, uye kunetseka.
• ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Glimepiride inogona kuita kuti ganda rako ribate chiedza chezuva.
• 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 glimepiride iwe yaungangoda.

Ive neshuwa yekutevera zvese zvekurovedza muviri uye zvekudya zvinokurudzirwa zvakaitwa nachiremba wako kana wezvekudya. Zvakakosha kudya chikafu chine hutano, kurovedza muviri nguva dzose, uye kuonda kana zvichidikanwa.

Usati watanga kutora glimepiride, bvunza iwe chiremba zvaunofanira kuita kana ukakanganwa kutora dose. Nyora madhairekisheni pasi kuti iwe ugone kunongedzera kwavari gare gare.

Semitemo yakajairwa, tora iyo yakarasika dhizai nekukurumidza kana uchinge uchayeuka izvozvo. Kana ingangove inguva yeiyo inotevera dosi, ruka iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu.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.

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

• dzungu
• kusvotwa

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

• yero yeganda kana maziso
• zvituru-zvine zvituru
• weti yakasviba
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu
• kupwanya kusingawanzo kana kubuda ropa
• manyoka
• kupindwa nechando
• huro inorwadza

Glimepiride 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).

Mune kumwe kuongorora, vanhu vakatora mushonga wakafanana ne glimepiride kurapa chirwere chavo cheshuga vaigona kufa nematambudziko emoyo kupfuura vanhu vaibatwa ne insulin uye dhayeti shanduko. Taura nachiremba wako nezve njodzi dzekutora glimepiride.

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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira hypoglycemia zviratidzo pamwe neinotevera:

• pfari
• kurasikirwa kwekuziva

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Yako yekutsanya mashuga eropa uye glycosylated hemoglobin (HbA1c) inofanira kuongororwa nguva nenguva kuti uone mhinduro yako kune glimepiride. Chiremba wako anogona kuraira mamwe marabhoritari bvunzo kuti atarise mhinduro yako kune glimepiride. Chiremba wako anokuudzawo maitiro ekutarisa mhinduro yako kumushonga uyu nekuyera huwandu hweshuga yeropa kumba. Tevedza rairo idzi zvakanyatsonaka.

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.

• Amaryl^®

• Avandaryl^® (iine Glimepiride, Rosiglitazone)
• Duetact^® (iine Glimepiride, Pioglitazone)