Glyburide uye Metformin

Zvemukati

• Usati watora glyburide uye 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.
• Glyburide uye metformin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:
• 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 usatore glyburide uye 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 kwekukurumidzira); coma; kana chirwere chemwoyo kana chechiropa. 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. Unogona kumbomira kutora glyburide uye metformin kusvikira wapora.

Kana iwe uri kuvhiyiwa, kusanganisira kuvhiya mazino, kana chero nzira hombe yekurapa, udza chiremba kuti uri kutora glyburide uye 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 glyburide uye metformin isati yaitwa uye mirira maawa makumi mana kuti utangezve kurapwa. Chiremba wako anokuudza chaizvo nguva yaunofanirwa kurega kutora glyburide uye metformin uye paunofanira kutanga kuitora zvakare.

Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, rega kutora glyburide uye 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 mumaoko ako kana mutsoka.

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. Kunwa doro uchitora glyburide uye metformin zvakare hazviwanzo kukonzeresa zviratidzo sekutsva (kutsvuka kwechiso), kutemwa nemusoro, kusvotwa, kurutsa, kurwadziwa pachipfuva, kushaya simba, kuona kwakashata, kuvhiringidzika kwepfungwa, kudikitira, kudzipa, kunetseka kufema, uye kushushikana. Kumbira chiremba wako kuti doro rakadii rakachengeteka kunwa iwe paunenge uchitora glyburide uye 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 glyburide uye metformin. Taura nachiremba wako nezve njodzi dzekutora glyburide uye metformin.

Iko kusanganiswa kwe glyburide uye metformin inoshandiswa kurapa rudzi rwechipiri chirwere cheshuga (mamiriro umo muviri usingashandise insulin zvakajairika uye nekudaro haugone kudzora huwandu hweshuga muropa) mune vanhu vane chirwere cheshuga chisingagoni kudzorwa nekudya uye kurovedza muviri chete Glyburide ndeyekirasi yemishonga inonzi sulfonylureas, uye metformin iri mukirasi yemishonga inonzi biguanides. Glyburide inoderedza shuga yeropa nekukonzeresa kuti pancreas ibudise insulin (chinhu chechisikigo chinodiwa kuputsa shuga mumuviri) uye kubatsira muviri kushandisa insulin zvakanaka. Mushonga uyu unongobatsira chete kudzikisa shuga yeropa muvanhu vane miviri inoburitsa insulin zvakasikwa. Metformin inobatsira muviri wako kudzora huwandu hweshuga (shuga) muropa rako. Iyo inoderedza huwandu hweshuga yaunotora kubva muchikafu chako uye huwandu hweshuga inogadzirwa nechiropa chako. Inobatsirawo muviri wako kushandisa insulin pachayo zvakanyanya. Glyburide uye metformin hazvishandiswe kurapa rudzi rwe1 chirwere cheshuga (mamiriro umo muviri usingaburitse insulin uye nekudaro haugone kudzora huwandu hweshuga muropa) kana chirwere cheshuga ketoacidosis (chakakomba mamiriro anogona kuitika kana shuga yepamusoro yeropa isina kurapwa ).

Glyburide uye metformin mubatanidzwa unouya sehwendefa rekutora nemuromo. Inowanzoendeswa kamwe chete kana kaviri zuva nezuva nekudya. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora glyburide uye metformin chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako angangotanga iwe pane yakaderera dosi yeglyburide uye metformin uye inogona zvishoma nezvishoma kuwedzera yako dosi, kwete kupfuura kamwe chete pavhiki mbiri. zvinoenderana nemhinduro yako. Chengetedza ropa rako glucose zvakanyanya.

Glyburide uye metformin musanganiswa inodzora chirwere cheshuga asi hairape. Ramba uchitora glyburide uye metformin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora glyburide uye metformin pasina kutaura nachiremba wako.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

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

Usati watora glyburide uye metformin,

• udza chiremba wako uye wemishonga kana uri weergoria kune glyburide, metformin, chero chipi zvacho chinogadzirwa muglyburide uye metformin mapiritsi, kana chero mimwe mishonga. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora bosentan (Tracleer). Chiremba wako anogona kukuudza kuti usatore glyburide kana uri kutora mushonga uyu.
• 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 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); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); asipurini kana mamwe asiri -steroidal anti-anogumbura (NSAIDs) senge ibuprofen (Advil, Motrin) kana naproxen (Aleve, Naprosyn); 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), kana verapamil (Calan, Covera, Verelan, in Tarka); chloramphenicol; cimetidine (Tagamet); clarithromycin (Biaxin, muPrevpac); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); disopyramide (Norpace); diuretics ('mapiritsi emvura'); fluconazole (Diflucan); fluoxetine (Prozac, Sarafem, Selfemra); furosemide (Lasix); hormone replacement therapy; insulin kana imwe mishonga yechirwere cheshuga; isoniazid (Laniazid, muRifamate, muRifater); MAO inhibitors senge isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate); mishonga yekurwara, asima, uye dzihwa; mishonga yekurwara kwepfungwa uye kuda kurutsa; miconazole (Lotrimin, Monistat, vamwe); morphine (MS Contin, vamwe); niacin; mishonga yekudzivirira pamuromo (mapiritsi ekudzivirira kubereka); muromo steroid senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); phenytoin (Dilantin, Phenytek); probenecid (Benemid, muColbenemid); procainamide; quinidine (muNuedexta); quinine; quinolone uye fluoroquinolone maantibiotiki senge cinoxacin (haichawanikwi muUS, Cinobac), ciprofloxacin (Cipro), enoxacin (haichawanikwi muUS, Penetrex), gatifloxacin, levofloxacin (Levaquin), lomefloxacin (haisisipo muUS , Maxaquin), moxifloxacin (Avelox), nalidixic acid (haichawanikwi muUS, NegGram), norfloxacin (haichawanikwi muUS, Noroxin), ofloxacin (haisisiri kuwanikwa muUS, Floxin), sparfloxacin (haisisipo inowanikwa muUS, Zagam), trovafloxacin uye alatrofloxacin mubatanidzwa (haichawanikwi muUS, Trovan); ranitidine (Zantac); rifampin; marwadzo e salicylate anodzora akadai se choline magnesium trisalicylate, choline salicylate (Arthropan), diflunisal, magnesium salicylate (Doan's, vamwe), kana salsalate (Argesic, Disalcid, Salgesic); sulfa mishonga inorwisa mabhakitiriya senge cotrimoxazole (Bactrim, Septra); sulfasalazine (Azulfidine); mishonga yehutachiona; triamterene (Dyrenium, muMaxzide, nevamwe); trimethoprim (Primsol, muBactrim, muna Septra); kana vancomycin (Vancocin, vamwe).
• pamusoro pemamiriro ezvinhu akanyorwa muchikamu CHENYANZISO CHENYANZISO, udza chiremba wako kana iwe kana chero nhengo yemhuri yako uine kana wakambove nekushomeka kweG6PD. taurirawo chiremba wako kana iwe kana wakambove nedambudziko rehomoni rinosanganisira adrenal, pituitary, kana thyroid gland; kana yakaoma kana isingagumi metabolic acidosis.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora glyburide uye metformin, fonera chiremba wako.
• ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Glyburide uye metformin inogona kuita kuti ganda rako ribate chiedza chezuva.
• 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.

Usati watanga kutora glyburide uye metformin, bvunza chiremba wako zvaunofanira kuita kana ukakanganwa kutora dosi kana netsaona kutora imwe dosi. Nyora aya madhairekitori pasi kuti iwe ugone kutarisa kwavari gare gare.

Semitemo yakajairwa, tora iyo yakarasika dhizai nekukurumidza kana uchinge uchayeuka izvozvo. 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.

Glyburide uye metformin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kurwadziwa nemudumbu
• kusvotwa kana kurutsa
• manyoka
• dzungu

Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:

• kurwadziwa pachipfuva
• mapundu
• yero yeganda kana maziso
• zvituru-zvine zvituru
• weti yakasviba
• kurwadziwa kuchikamu chepamusoro chepamusoro chedumbu
• kubuda ropa zvisina kujairika kana kupwanya
• kupindwa nechando
• huro inorwadza
• kuzvimba kwemaziso, kumeso, miromo, rurimi kana huro

Mune kumwe kuongorora, vanhu vakatora mushonga wakafanana neglyburide kurapa chirwere chavo cheshuga vaigona kufa nematambudziko emoyo kupfuura vanhu vaibatwa ne insulin uye dhayeti shanduko.

Glyburide uye 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. 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.

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

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
• 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 kune glyburide uye metformin 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.

• Glucovance^® (iine Glyburide, Metformin)