Propranolol (Cardiovascular)
Anter
- Ma mua o ka lawe ʻana i propranolol,
- Hiki i ka Propranolol ke hana i nā hopena ʻaoʻao. 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 ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
Mai hōʻoki i ka lawe ʻana i ka propranolol me ke kamaʻilio ʻole ʻole ʻana me kāu kauka. Inā kū koke ʻo propranolol, hiki iā ia ke hōʻeha i ka umauma a i ʻole ka hōʻeha puʻuwai i kekahi poʻe.
Hoʻohana ʻia ʻo Propranolol e mālama i ke kahe koko kiʻekiʻe, nā puʻuwai puʻuwai kūlike ʻole, pheochromocytoma (tumo ma kahi gland liʻiliʻi kokoke i nā puʻupaʻa), kekahi mau ʻano haʻalulu, a me nā hypertrophic subaortic stenosis (kahi maʻi puʻuwai puʻuwai). Hoʻohana ʻia ia e pale i ka angina (ʻeha o ka umauma), ka maʻi migraine, a me ka hoʻomaikaʻi ʻana i ke ola ma hope o ka puʻuwai puʻuwai. Aia ʻo Propranolol i kahi papa o nā lāʻau i kapa ʻia ʻo beta blockers. Hana ia e ka hoʻomaha ʻana i nā kīʻaha koko a hoʻolōʻihi i ka helu o ka puʻuwai e hoʻomaikaʻi ai i ke kahe o ke koko a hoʻemi i ke kahe o ke koko.
ʻO ke koko kiʻekiʻe kahi kūlana maʻamau a ke mālama ʻole ʻia, hiki ke hōʻeha i ka lolo, ka puʻuwai, nā kīʻaha koko, nā puʻupaʻa a me nā ʻāpana ʻē aʻe o ke kino. ʻO ka hōʻino ʻana i kēia mau ʻōpū ke kumu o ka maʻi puʻuwai, kahi puʻuwai puʻuwai, puʻuwai puʻuwai, hahau ʻana, holo pono ʻole ʻana o ka puʻuwai, nalo ʻana o ka ʻike, a me nā pilikia ʻē aʻe. Ma waho aʻe o ka lawe ʻana i ka lāʻau, kōkua ka hoʻololi ʻana i ka nohona i ke kaohi o kou kahe koko. Hoʻopili kēia mau hoʻololi i ka ʻai ʻana i ka papaʻai i haʻahaʻa i ka momona a me ka paʻakai, ka mālama ʻana i ke kaupaona olakino, hoʻoikaika kino ʻana ma ka liʻiliʻi he 30 mau minuke i ka nui o nā lā, ʻaʻole puhipaka, a me ka hoʻohana ʻana i ka wai ʻona me ke akahai.
Hele mai ʻo Propranolol ma ke ʻano he papaha, hoʻonā (wai), a ma ke ʻano he capsule hoʻolōʻihi (hana lōʻihi) e lawe ma ka waha. Lawe pinepine ʻia ka capsule propranolol hoʻokuʻu (inoa inoa: Inderal LA) i hoʻokahi manawa i ka lā. Lawe pinepine ʻia ka capsule hoʻokuʻu hoʻokuʻu (Innopran XL, Inderal XL) i ka wā moe a pono e lawe mau ʻia me ka ʻai ʻole i kēlā me kēia manawa. E lawe ʻelua, ʻekolu, a i ʻole ʻehā mau manawa i ka lā i nā papa propranolol e hana koke ana a i ʻole ka hopena.E lawe i ka propranolol ma kahi o ka manawa like (s) 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. E lawe propranolol pololei 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 ale i nā capsule hoʻolōʻihi i hoʻonui ʻia a puni; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.
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 propranolol,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka propranolol, nā lāʻau ʻē aʻe, a i ʻole nā mea hoʻohui i nā huahana propranolol. 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E haʻi pono i kekahi o kēia mau mea: ACE mea kāohi; nā antacids i loaʻa i ka alumini (Maalox, Mylanta, a me nā mea ʻē aʻe); anticoagulants ('' nā mea hōʻemi koko '') e like me warfarin (Coumadin, Jantoven); nā poloka kalipuna e like me diltiazem (Cardizem, Cartia, Tiazac, a me nā mea ʻē aʻe), nicardipine (Cardene), nifedipine (Adalat, Procardia XL), a me nisoldipine (Sular); cholestyramine (Prevalite); cimetidine; ciprofloxacin (Cipro); chlorpromazine; colestipol (Colestid); diazepam (Diastat, Valium); digoxin (Lanoxin); fluvoxamine (Luvox); haloperidol (Haldol); ʻO nā mea kāohi HMG-CoA reductase (nā mea hoʻohaʻahaʻa kolesterol) e like me lovastatin (Altoprev, Mevacor, i Advicor) a me pravastatin (Pravachol); isoniazid (i Rifamate, ma Rifater); nā lāʻau no ke kaumaha e like me bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem, Selfemra), imipramine (Tofranil), a me paroxetine (Brisdelle, Paxil, Pexeva); fluconazole (Diflucan); nā lāʻau no ka maʻi migraine e like me rizatriptan (Maxalt) a me zolmitriptan (Zomig); nā lāʻau no ke koko kiʻekiʻe e like me clonidine (Catapres, Kapvay, in Clorpres), doxazosin (Cardura), prazosin (Minipress), a me terazosin; nā lāʻau no ka hopu ʻana e like me phenytoin (Dilantin, Phenytek) a me phenobarbital; kekahi mau lāʻau no nā puʻuwai kūlike ʻole e like me amiodarone (Cordarone, Nexterone, Pacerone), propafenone (Rythmol), a me ka quinidine (i Nuedexta); monoamine oxidase (MAO) nā mea kūpale e like me phenelzine (Nardil); montelukast (Singulair); nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me indomethacin (Indocin, Tivorbex); theophylline (Theo-24, Theochron, Uniphyl); reserpine; rifampin (Rifadin, Rimactane, ma Rifater, ma Rifamate); ritonavir (Norvir, ma Kaletra, ma Viekira Pak); teniposide (Vumon); thioridazine; ticlopidine; tolbutamide; antidepressants tricyclic; a me zileuton (Zyflo). 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 a i ʻole loaʻa i ka hānō a i ʻole nā maʻi ākea ʻē aʻe. maʻi puʻuwai, ate, a hakuʻala paha; mimikō; maʻi ʻinoʻino; aiʻole nā pilikia thyroid.
- 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 propranolol, kāhea i kāu kauka.
- inā ke ʻoki nei 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 propranolol.
- e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā mea inu ʻona ʻoiai ʻoe e lawe nei i ka propranolol. Hiki i ka waiʻona ke hoʻonui i ka nui o propranolol i kou kino.
- 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.
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.
Hiki i ka Propranolol ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- dizziness a i ʻole ʻālohilohi
- luhi
- pāhoehoe
- kōpaʻa
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- hūwī
- ʻili a ʻiliʻili paha
- hives
- ʻūlili
- pehu o ka maka, puʻu, alelo, a lehelehe paha
- maule wale
- loaʻa kaupaona
- kuʻi puʻuwai ʻole
Hoʻokumu paha ʻo Propranolol i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke hoʻohana nei ʻoe 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 a mamao aku mai ka mālamalama, ka wela nui, a me ka makū (ʻaʻole i loko o 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:
- ʻūlū puʻuwai
E mālama i nā manawa a pau me kāu kauka a me ka hale hana.
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.
- Inderal®¶
- Inderal® LA
- Inderal® XL
- InnoPran®¶
- InnoPran® XL
- Pronol®¶
- Inderide® (i loaʻa Hydrochlorothiazide, Propranolol)
- Inderide® LA (nona ka Hydrochlorothiazide, Propranolol)¶
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 08/15/2017