Mea Kākau: Janice Evans
Lā O Ka Hana: 26 Iulai 2021
HōʻAno Hou I Ka Lā: 14 Nowemapa 2024
Anonim
Lidocaine and Mexiletine - Class IB Antiarrhythmics Mechanism of Action, Side Effects & Indications
Wikiō: Lidocaine and Mexiletine - Class IB Antiarrhythmics Mechanism of Action, Side Effects & Indications

Anter

ʻO nā lāʻau antiarrhythmic, e like me ka mexiletine, ua hōʻike ʻia e hoʻonui i ka hopena o ka make a me ka puʻuwai puʻuwai, keu hoʻi i ka poʻe i loaʻa i ka puʻuwai puʻuwai i loko o 2 mau makahiki i hala. Hiki i ka Mexiletine ke hoʻonui i ka manawa o ka loaʻa ʻana o ka arrhythmias (nā puʻuwai puʻuwai ʻole) a ʻaʻole i hōʻoia ʻia e kōkua i ka poʻe me ka ʻole o nā arrhythmias hoʻoweliweli e ola lōʻihi. Pono e hoʻohana ʻia ʻo Mexiletine e mālama wale ai i ka poʻe me nā arrhythmia ola weliweli.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i ka mexiletine.

Hoʻohana ʻia ʻo Mexiletine e mālama i kekahi ʻano o nā arrhythmia ventricular (nā puʻuwai puʻuwai ʻokoʻa). Aia ʻo Mexiletine i kahi papa o nā lāʻau i kapa ʻia antiarrhythmics. Hana ia ma ke kāpae ʻana i kekahi mau hōʻailona uila i ka puʻuwai e hoʻokūpaʻa i ka mele o ka puʻuwai.

Hele mai ʻo Mexiletine ma ke ʻano he capsule e lawe ma ka waha. Lawe pinepine ʻia ia ʻekolu manawa i ka lā, i kēlā me kēia 8 hola. Hiki i kekahi poʻe ke lawe iā ia i ʻelua mau manawa i kēlā me kēia lā, i kēlā me kēia 12 hola, ke kaohi ʻia o kā lākou arrhythmia me ka mexiletine. Pono e lawe ʻia ʻo Mexiletine me ka meaʻai a i ʻole ka antacid e pale ai i ka huhū o ka ʻōpū. Lawe mexiletine ma nā 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 mexiletine 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 hoʻokipa ʻia paha ʻoe i ka hale maʻi ke hoʻomaka ʻoe i kāu mālama ʻana me ka mexiletine. E nānā pono kāu kauka iā ʻoe i kēia manawa a no ka mea ke hoʻomau ʻoe i ka lawe mexiletine. E hoʻomaka paha kāu kauka iā ʻoe ma ka awelika o ka mexiletine a hoʻonui a hoʻemi i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 2 a 3 mau lā.

Mālama ʻo Mexiletine i nā arrhythmias akā ʻaʻole ia e hoʻōla iā lākou. E hoʻomau i ka lawe mexiletine inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka mexiletine me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka lawe ʻana i ka mexiletine, e māhuahua paha kou ʻano.

Hoʻohana ʻia ʻo Mexiletine e mālama i ka neuropathy diabetic (hōʻino nā nerve i hoʻokumu ʻia e ka maʻi diabetes). E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou 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 mexiletine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka mexiletine, ka tutupocaine, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea hoʻohui i ka mexiletine. E noi i kāu kauka 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 haʻi pono i kekahi o kēia mau mea: acetazolamide (Diamox); aluminika-magnesium hydroxide (Gaviscon, Maalox, Mylanta, a me nā mea ʻē aʻe); amiodarone (Cordarone, Pacerone); atropine (i Lomotil, i Lonox, i Motofen); bupropion (Wellbutrin, Zyban); nā lāʻau i loaʻa i ka caffeine (Cafergot, Esgic, Esgic Plus, Fioricet, NoDoz, Norgesic, a me nā mea ʻē aʻe); chlorpheniramine (Chlor-Trimeton); cimetidine (Tagamet); clomipramine (Anafranil); diuretics ('pills wai'); fluoroquinolones e like me ciprofloxacin (Cipro), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), a me ofloxacin (Floxin); haloperidol (Haldol); methenamine (Hiprex, Urex); metoclopramide (Reglan); nā lāʻau narcotic no ka ʻeha; phenobarbital; phenytoin (Dilantin, Phenytek); potassium citrate (Urocit-K); propafenone (Rythmol); rifampin (Rifadin, Rimactane); ritonavir (Norvir, ma Kaletra); ʻo kekahi mau mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me duloxetine (Cymbalta), fluoxetine (Prozac, Sarafem), fluvoxamine, a me paroxetine (Paxil); sodium bicarbonate (Soda Mint, baking soda); theophylline (Theolair, Theochron, Uniphyl); a me ka ticlopidine (Ticlid). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka mexiletine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
  • e haʻi i kāu kauka inā loaʻa paha iā ʻoe ka puʻuwai puʻuwai, ka puʻuwai puʻuwai, ke koko haʻahaʻa, nā maʻi ate, a me ka hopu ʻana.
  • 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 mexiletine, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka mexiletine.
  • pono ʻoe e ʻike i ka make ʻana o ka mexiletine iā ʻoe a poniuniu paha. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • e haʻi i kāu kauka inā hoʻohana ʻoe i nā huahana paka. Hiki i ka uahi paka ʻana ke hōʻemi i ka pono o kēia lāʻau.

E kamaʻilio me kāu kauka e pili ana i ka inu ʻana i nā mea inu me ka caffeine ke lawe ʻoe i kēia lāʻau.


E haʻi aku i kāu kauka inā he mea ʻai ʻoe a inā ʻai pinepine ʻoe i nā hua citrus, cranberry, nā mea kanu, nā ʻiʻo, a me nā huahana waiū. Inā ʻaʻole ʻoe e ʻai pinepine i ka nui o kēia mau meaʻai, 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.

Hoʻokumu ʻo Mexiletine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • ka luaʻi
  • puʻuwai puʻuwai
  • loli i ka makemake
  • lightheadedness a ʻūpā paha
  • ke hoʻoluliluli nei i kahi ʻāpana o kou kino i hiki ʻole iā ʻoe ke kāohi
  • nalo o ke kūlike
  • numbness a i ʻole tingling sensation
  • ʻeha poʻo
  • ʻike hihi
  • hopohopo
  • paʻakikī e ʻōlelo
  • ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • hūwī

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

  • kuʻi puʻuwai ʻole
  • ʻeha ka umauma
  • luhi loa
  • kahe koko ʻole ʻana a palapū paha
  • nele i ka ikaika
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • melemele o ka ʻili a me nā maka
  • nā ʻōuli like flu

Hoʻokumu paha ʻo Mexiletine i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.


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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • hiamoe
  • huikau
  • nausea
  • maule ana
  • ʻūpā
  • numbness a i ʻole tingling sensation
  • lohi, wikiwiki, a i ʻole kuʻi puʻuwai puʻuwai
  • koma
  • make koke

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka mexiletine.

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.

  • ʻO Mexitil®

ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.

Nānā Hou - 08/15/2016

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