ʻO Diltiazem
Anter
- Ma mua o ka lawe ʻana i diltiazem,
- Hoʻokumu paha ʻo Diltiazem 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.
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ʻo Diltiazem e mālama i ke kahe kiʻekiʻe a e kaohi i ka angina (ʻeha o ka umauma). Aia ʻo Diltiazem i kahi papa o nā lāʻau i kapa ʻia he blockers calcium-channel. Hana ia me ka hoʻomaha ʻana i nā kīʻaha koko no laila ʻaʻole pono e puʻuwai ka puʻuwai e like me ka paʻakikī. Hoʻonui ia i ka lako o ke koko a me ka oxygen i ka puʻuwai.
ʻO ke kahe koko kiʻekiʻe kahi kūlana maʻamau, a ke mālama ʻole ʻia hiki ke hōʻino 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 Diltiazem ma ke ʻano he papa, he kīʻaha hoʻolōʻihi (hana lōʻihi), a me kahi capsule hoʻolōʻihi ʻia e lawe ma ka waha. Lawe pinepine ʻia ka papa maʻamau ʻekolu a ʻehā mau manawa o ka lā. Lawe pinepine ʻia ka capsule hoʻokuʻu hoʻokuʻu a hoʻokahi paha i hoʻokahi manawa i ka lā. E noi i kāu kauka lāʻau inā pono ʻoe e lawe i ka diltiazem me ka ʻole o ka meaʻai, no ka mea e loli paha nā ʻōlelo aʻo me kēlā me kēia huahana. Lawe i ka diltiazem 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. Lawe pololei i diltiazem 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 capsules hoʻokuʻu lōʻihi a me nā papa holoʻokoʻa; mai nahu a paopao iā lākou.
E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa o diltiazem a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku ma mua o hoʻokahi manawa i kēlā me kēia 7 a 14 mau lā inā ʻoe e lawe nei i ka papa hoʻolōʻihi lōʻihi a i ʻole ka capsule a ʻaʻole ʻoi aku ma mua o hoʻokahi manawa i kēlā me kēia 1 a 2 mau lā inā ʻoe ke lawe nei i ka papa maʻamau.
Inā lawe mau ʻia, hiki i ka diltiazem ke kaohi i ka ʻeha o ka umauma, akā ʻaʻole ia e hoʻokū i ka ʻeha o ka umauma ke hoʻomaka ia. Hāʻawi paha kāu kauka iā ʻoe i kahi lāʻau ʻokoʻa e lawe ai inā ʻeha kou umauma.
Mālama ʻo Diltiazem i ke koko kiʻekiʻe a me ka ʻeha o ka umauma (angina) akā ʻaʻole ia e hoʻōla iā lākou. Lawe ʻia i 2 mau pule ma mua o kou ʻike i ka pono piha o diltiazem. E hoʻomau i ka lawe diltiazem ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i diltiazem me ke kamaʻilio ʻole ʻana me kāu kauka.
Hoʻohana ʻia ʻo Diltiazem i kekahi manawa e mālama i kekahi ʻano o nā arrhythmia (nā puʻuwai puʻuwai ʻokoʻa). 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 diltiazem,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka diltiazem, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka diltiazem. 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: atazanavir (Reyataz); nā benzodiazepines e like me midazolam (Versed) a me triazolam (Halcion); beta blockers e like me atenolol (Tenormin, ma Tenoretic), labetalol, metoprolol (Lopressor, Toprol XL, ma Dutoprol), nadolol (Corgard, ma Corzide), a me propranolol (Inderal, Innopran, ma Inderide); buspirone; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cimetidine (Tagamet); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); lovastatin (Altoprev, Mevacor, i Advicor); quinidine (i Nuedexta); a me rifampin (Rifadin, ma Rifamate, ma Rifater, Rimactane). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Pili pū paha nā lāʻau ʻē aʻe he nui me diltiazem, 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 a loaʻa paha ʻoe i kahi infarction myocardial (MI); kahi ʻiki a blockage paha o kāu ʻōnaehana digestive a i ʻole kekahi ʻano ʻano ʻē aʻe e neʻe mālie ai ka meaʻai ma o kāu ʻōnaehana digestive. haʻahaʻa ke koko; aiʻole ka puʻuwai, ka ate, a me nā maʻi puʻupaʻa.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i diltiazem, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i kāu kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka diltiazem.
Inā kau kauka i ka paakai haʻahaʻa a paʻakai paʻakai paha, e hāhai pono i kēia mau kuhikuhi.
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 paha ʻo Diltiazem 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
- ʻōhinu
- ʻeha poʻo
- nāwaliwali
- ʻūlū puʻuwai
- ka luaʻi
- pāhoehoe
- kōpaʻa
- paheʻe ihu
- ʻūhā
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.
- pehu o ka maka, maka, lehelehe, alelo, lima, lima, wāwae, kuʻekuʻe wāwae, a i ʻole nā wāwae lalo
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- maule ana
- hūwī
- melemele o ka ʻili a me nā maka
- nausea
- luhi loa
- kahe koko ʻole ʻana a palapū paha
- nele i ka ikaika
- nalo ʻai ʻole
- ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- nā ʻōuli like flu
- hoʻonui i ka pinepine a i ʻole ke koʻikoʻi o ka ʻeha o ka umauma (angina)
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.
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
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.
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:
- lohi, wikiwiki, a i ʻole kuʻi puʻuwai puʻuwai
- maule ana
- paʻakikī i ka hanu ʻana
- ka hopu ʻana
- ʻūpā
- huikau
- nausea
- ka luaʻi
- hoʻonui sweating
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Pono e nānā pinepine i kou kaomi koko e hoʻoholo i kāu pane i ka diltiazem.
E noi paha kāu kauka iā ʻoe e nānā i kāu pulse (helu naʻau) i kēlā me kēia lā a e haʻi iā ʻoe i ka wikiwiki o ia. Inā lohi kāu pulse ma mua o ka mea pono, e kāhea i kāu kauka no nā ʻōkuhi no ka lawe ʻana i diltiazem i kēlā lā. E noi i kāu kauka a kauka paha e aʻo iā ʻoe pehea e nānā ai i kāu pulse.
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.
- Cardizem®
- Cardizem® CD
- Cardizem® LA
- Cardizem® SR¶
- Cartia® XT
- Dilacor® XR
- Kukui-CD®
- ʻO Diltzac®
- ʻO Taztia® XT
- Tiamate®¶
- Tiazac®
- ʻO Teczem® (me Diltiazem, Enalapril)¶
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 10/15/2017