ʻO Clopidogrel

Anter

• Ma mua o ka lawe ʻana i ka clopidogrel,
• ʻO Clopidogrel ke kumu o nā hopena. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Pono e hoʻololi ʻia ʻo Clopidogrel i kahi ʻano hana i kou kino i hiki iā ia ke mālama i kou ʻano. ʻAʻole hoʻololi kekahi poʻe i ka clopidogrel i kona ʻano hana i ke kino a me kekahi poʻe ʻē aʻe. Ma muli o ka holo ʻole o ka lāʻau i kēia poʻe, aia paha lākou i ka nui o ka makaʻu o ka puʻuwai a i ʻole ka hahau. Loaʻa nā hoʻāʻo e ʻike ai i ka poʻe i loaʻa ka pilikia e hoʻololi i ka clopidogrel i kahi ʻano hana. E kamaʻilio me kāu kauka inā e hoʻāʻo ʻia ʻoe. Inā loaʻa ʻoe i kahi pilikia e hoʻohuli iā clopidogrel i kāna ʻano hana, hiki i kāu kauka ke hoʻololi i kāu lāʻau o clopidogrel a i ʻole e haʻi iā ʻoe ʻaʻole e lawe i ka clopidogrel.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me clopidogrel a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu i ka lawe ʻana i ka clopidogrel.

Hoʻohana wale ʻia ʻo Clopidogrel a i ʻole me ka aspirin e pale aku ai i nā pilikia koʻikoʻi a hoʻoweliweli paha me ka naʻau a me nā kīʻaha koko i ka poʻe i loaʻa i ka maʻi hahau, ka puʻuwai puʻuwai, a i ʻole ka ʻehaʻeha o ka umauma. Hoʻopili pū kēia me ka poʻe i loaʻa i ka corutanary coronary interven (PCI; angioplasty; kahi ʻano o ke ʻoki puʻuwai) e pili ana i ka hoʻokomo ʻana i nā stent coronary (nā paipu metala i hoʻokau ʻia i loko o nā kīʻaha koko clogged e hoʻomaikaʻi i ke kahe o ke koko) a i ʻole nā ​​mea i loaʻa i ke aʻa koko corona (CABG; a ʻano ʻoki kino puʻuwai). Hoʻohana ʻia ʻo Clopidogrel e pale i nā pilikia koʻikoʻi a hoʻoweliweli paha me ka naʻau a me nā kīʻaha koko i ka poʻe i loaʻa i ka maʻi ākea ākea (ka maikaʻi ʻole o ke kahe o nā kīʻaha koko e hāʻawi i ke koko i nā wāwae). Aia ʻo Clopidogrel i kahi papa o nā lāʻau i kapa ʻia nā lāʻau antiplatelet. Hana ia ma ka pale ʻana i nā platelet (kahi ʻano o ke kele koko) mai ka hōʻiliʻili ʻana a me ke kūkulu ʻana i nā clots e hiki ai ke hōʻeha i ka puʻuwai a i ʻole ka hahau.

Hele mai ʻo Clopidogrel ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. Lawe iā clopidogrel ma kahi o ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pono i ka clopidogrel e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E kōkua ʻo Clopidogrel i ka pale ʻana i nā pilikia koʻikoʻi me kou puʻuwai a me nā kīʻaha koko inā ʻoe e lawe i ka lāʻau. E hoʻomau i ka lawe ʻana i ka clopidogrel ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka clopidogrel me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū ʻoe i ka lawe ʻana i ka clopidogrel, nui aʻe ka makaʻu e loaʻa paha ʻoe i ka puʻuwai a i ʻole hahau. Inā loaʻa iā ʻoe kahi stent, aia kekahiʻoi aku ka kiʻekiʻe aʻe i hiki iā ʻoe ke hoʻomohala i kahi kōkō i loko o ka stent inā kū koke ʻoe i ka lawe ʻana i ka clopidogrel.

Hoʻohana ʻia ʻo Clopidogrel i kekahi manawa i mea e pale aku ai i ke kahe o ke koko i ka poʻe me ka fibrillation atrial (kahi ʻano e kūʻē ka puʻuwai me ka pololei). E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau no kāu maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka clopidogrel,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka clopidogrel, prasugrel (Effient), ticlopidine, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea hana i nā papa clopidogrel. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hōʻoia e haʻi i kekahi o kēia mau mea: anticoagulants ('nā mea hōʻemi koko') e like me warfarin (Coumadin, Jantoven); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin), a me naproxen (Aleve, Naprosyn); cilostazol; esomeprazole (Nexium); etravirine (Intelence); omeprazole (Prilosec, Prilosec OTC, Zegerid); kekahi mau lāʻau lapaʻau opiate no ka kohā e like me codeine (i Triacin-C, ma Tuzistra XR, a me nā mea ʻē aʻe) a i ʻole hydrocodone (Hycodan, Tussicaps) a i ʻole no ka ʻeha e like me codeine (i Fioricet, i Trezix), fentanyl (Actiq, Duragesic, Subsys, a me nā mea ʻē aʻe. ), hydrocodone (Hysingla, Zohydro, ma Anexsia, ma Norco), meperidine (Demerol), morphine (Duramorph, Kadian), a i ʻole oxycodone (i Percocet, i Roxicet, a me nā mea ʻē aʻe); repaglinide (Prandin, ma Prandimet); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, ma Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), a me sertraline (Zoloft); a me nā mea koho serotonin / norepinephrine reuptake (SNRIs) e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), sibutramine (ʻaʻole loaʻa hou i ka US.; Meridia), a me venlafaxine (Effexor). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• E haʻi i kāu kauka inā loaʻa iā ʻoe nā ulcer kahe (ʻeha i ka pale o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi e kahe ana), ke kahe ʻana o ka lolo i loko o ka lolo, a i ʻole nā ​​ʻano kumu ʻē aʻe e hiki ai ke kahe nui. E haʻi paha kāu kauka iā ʻoe ʻaʻole ʻoe e lawe i ka clopidogrel.
• e haʻi i kāu kauka inā ʻeha ʻoe i kēia manawa a inā loaʻa a loaʻa paha ʻoe i ka maʻi ate a me nā puʻupaʻa a i ʻole nā ​​ʻano maʻi e hiki ai ke kahe i ke koko, me nā pilikia o ka ʻōpū e like me nā ulcer.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka clopidogrel, e kāhea i kāu kauka.
• inā ke ʻoki ʻia ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka clopidogrel E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka clopidogrel ma kahi o 5 mau lā ma mua o kou ʻoki ʻana e hōʻalo i ke kahe nui ʻana i ka wā o ke kaha. E haʻi aku kāu kauka iā ʻoe i ka manawa e hoʻomaka ai e lawe hou i ka clopidogrel ma hope o kāu ʻoki ʻana.
• pono ʻoe e ʻike he maʻalahi paha kou i ke kahe a i ʻole no kahi manawa lōʻihi ma mua o ka wā maʻamau ʻoiai ʻoe e lawe ana i ka clopidogrel. E makaʻala i ka ʻoki a hōʻeha paha iā ʻoe iho iā ʻoe e lawe ana i ka clopidogrel.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

ʻO Clopidogrel ke kumu o nā hopena. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• luhi nui loa
• ʻeha poʻo
• ʻūpā
• nausea
• ka luaʻi
• ʻeha ka ʻōpū
• pāhoehoe
• ihu ihu

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

• hives
• hūwī
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
• hulahula
• pahu noho ʻeleʻele a lohi hoʻi
• koko ʻulaʻula i nā noho
• luaʻi koko
• ka luaʻi e like me nā pā kope
• kahe koko ʻole ʻana a palapū paha
• mimi ʻākala a ʻeleʻele paha
• ʻolelo lohi a paʻakikī paha
• ka nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae
• nā hoʻololi i ka hihiʻo
• fiva
• pokole o ka hanu
• puʻuwai wikiwiki
• ʻili mae
• nā pālani poni a kahe paha ma lalo o ka ʻili
• huikau
• melemele o ka ʻili a me nā maka
• ka hopu ʻana

ʻO Clopidogrel ke kumu o nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

• ʻāpā ʻaʻano ʻole a hoʻokahe koko paha

Mālama i nā manawa āpau me kāu kauka.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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