Mea Kākau: Clyde Lopez
Lā O Ka Hana: 20 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Nifedipine - Mechanism, side effects and uses
Wikiō: Nifedipine - Mechanism, side effects and uses

Anter

Hoʻohana ʻia ʻo Nifedipine e mālama i ke koko kiʻekiʻe a me ka mālama ʻana i ka angina (ʻeha o ka umauma). Aia ʻo Nifedipine i kahi papa o nā lāʻau i kapa ʻia he blockers calcium-channel. Hoʻoiho ia i ke kahe o ke koko ma ka hoʻomaha ʻana i nā kīʻaha koko no laila ʻaʻole pono ka puʻuwai e pauma paʻakikī. Mālama ia i ka ʻeha o ka umauma ma ka hoʻonui ʻana i ka lako o ke koko a me ka oxygen i ka puʻuwai.

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 Nifedipine ma ke ʻano he capsule a me kahi papa hoʻolōʻihi lōʻihi (hana lōʻihi) e lawe ma ka waha. Lawe pinepine ʻia ka capsule i ʻekolu a ʻehā mau manawa o ka lā. Pono e lawe i ka papa hoʻolōʻihi hoʻolōʻihi i hoʻokahi manawa i kēlā me kēia lā ma kahi ʻōpū hakahaka, i hoʻokahi hola ma mua a i ʻole 2 mau hola ma hope o ka pāʻina ʻana. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka nifedipine, e lawe 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 pono i ka nifedipine 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 papa hoʻolōʻihi lōʻihi; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o nifedipine a hoʻonui iki i kāu lāʻau, i hoʻokahi manawa i kēlā me kēia 7 a 14 mau lā.

Inā lawe mau ʻia, kaohi ka nifedipine i ka ʻeha o ka umauma, akā ʻaʻole ia e hoʻokū i ka ʻeha o ka umauma ke hoʻomaka ia. Kauoha paha kāu kauka i kahi lāʻau ʻokoʻa e lawe ke loaʻa iā ʻoe ka ʻeha o ka umauma.

Mālama ʻo Nifedipine i ke koko kiʻekiʻe a me ka ʻeha o ka umauma (angina) akā ʻaʻole ia e hoʻōla iā lākou. E hoʻomau i ka lawe nifedipine ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka nifedipine me ke kamaʻilio ʻole ʻana me kāu kauka. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau.

Hoʻohana ʻia ʻo Nifedipine i kekahi manawa e mālama i ka hana preterm a me ka maʻi o Raynaud. E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau no kāu maʻi.

Kuhi ʻia kēia lāʻau i kekahi manawa 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 nifedipine,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka nifedipine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka nifedipine. 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, lawe ʻoe a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: acarbose (Precose); anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); nā antifungals e like me fluconazole (Diflucan), itraconazole (Onmel, Sporanox), a me ketoconazole (Nizoral); beta blockers e like me atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ma Dutoprol), nadolol (Corgard, ma Corzide), propranolol (Inderal, Innopran, ma Inderide), a me timolol); carbamazepine (Carbatrol, Epitol, Tegretol); cimetidine (Tagamet); digoxin (Lanoxin); diltiazem (Cardizem); doxazosin (Cardura); erythromycin (E.E.S., E-Mycin, Erythrocin); fentanyl (Actiq, Duragesic, Fentora); flecainide (Tambocor); Nā mea hoʻopalekana protease HIV me amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), a me ritonavir (Norvir, ma Kaletra); metformin (Glucophage); nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); quinidine (i Nuedexta); quinupristin a me dalfopristin (Synercid); rifampin (Rifadin, ma Rifamate, ma Rifater, Rimactane); rifapentine (Priftin); tacrolimus (Astagraf SL, Prograf); waikawa valproic (Depakene); a me ka verapamil (Calan, Covera, Verelan, ma Tarka). 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 i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole he kiki a blockage paha o kāu ʻōnaehana digestive a i ʻole nā ​​ʻano ʻano ʻē aʻe e neʻe mālie ai ka meaʻai ma o kāu ʻōnaehana digestive. aiʻole ka puʻuwai, ka ate, a me nā maʻi puʻupaʻa. E haʻi pū i kāu kauka inā loaʻa iā ʻoe kahi infarction myocardial (MI) i loko o nā pule he 2 i hala.
  • 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 nifedipine, e kāhea i kāu kauka.
  • e kamaʻilio me kāu kauka e pili ana i ka hoʻohana palekana o nā capsule nifedipine inā he 65 kou mau makahiki a ʻoi paha. ʻAʻole pono nā mākua kahiko e lawe i nā capsule nifedipine no ka mea ʻaʻole palekana lākou e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana e mālama ai i ke ʻano like.
  • 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 ʻoe i ka nifedipine.
  • e noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe ana i ka nifedipine. Hiki i ka waiʻona ke hana i nā hopena ʻino mai nifedipine i ʻoi aku ka maikaʻi.

Mai inu i ka wai momona a ʻai ʻole i ka hua waina i 3 mau lā ma mua a ʻoiai e lawe ana i ka nifedipine.


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

  • ʻeha poʻo
  • nausea
  • dizziness a i ʻole ʻālohilohi
  • ʻōhinu
  • puʻuwai puʻuwai
  • puʻuwai wikiwiki
  • ʻūpē mākala
  • kōpaʻa
  • ʻūhā
  • hoʻemi i ka moekolohe

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
  • 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, mai ka mālamalama, a mai kahi nui o ka wela a me ka momona (ʻaʻole i loko o 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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • ʻūpā
  • puʻuwai wikiwiki
  • ʻōhinu
  • hopohopo
  • nausea
  • ka luaʻi
  • ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • ʻike hihi
  • maule ana

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 nifedipine.

Inā ʻoe e lawe i kekahi mau papa hoʻolōʻihi (Afeditab CR, Procardia XL), e ʻike paha ʻoe i kahi mea e like me ka papa i loko o kāu pahu. ʻO kēia wale nō ka pūpū papa hakahaka, a ʻaʻole ia he manaʻo ʻaʻole i loaʻa iā ʻoe kāu kauka piha o ka lāʻau.

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.

  • Adalat®
  • Adalat® CC
  • Afeditab® CR
  • Nifedical® XL
  • Nifeditab® CR
  • ʻO Procardia®
  • ʻO Procardia® XL

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

Nānā Hou - 10/15/2017

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