Mea Kākau: Virginia Floyd
Lā O Ka Hana: 5 Aukake 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Metoclopramide - Mechanism, precautions, side effects & uses
Wikiō: Metoclopramide - Mechanism, precautions, side effects & uses

Anter

Lawe paha i ka metoclopramide e hoʻomohala i kahi pilikia o ka mākala i kapa ʻia ʻo tardive dyskinesia. Inā hoʻomohala ʻoe i ka dyskinesia lohi, e neʻe ʻoe i kou mau mākala, ʻo ia hoʻi nā mākala i kou alo i nā ʻano maʻamau. ʻAʻole hiki iā ʻoe ke kaohi a hoʻopaʻa i kēia mau neʻe. ʻAʻole hiki ke hele aku ʻo Tkiveive dyskinesia ʻoiai ma hope o kou hoʻōki ʻana i ka lawe ʻana i ka metoclopramide. ʻO ka lōʻihi o kou lawe ʻana i ka metoclopramide, ʻo ka nui o ka makaʻu e hoʻomohala ʻoe i ka diskinesia lohi. No laila, e ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e lawe i ka metoclopramide ma mua o 12 mau pule. ʻOi aku ka nui o ka makaʻu āu e hoʻomohala ai i ka diskinesia lohi inā lawe ʻoe i nā lāʻau no ka maʻi noʻonoʻo, inā he maʻi diabetes ʻoe, a inā he ʻelemākule ʻoe, ʻoiai inā he wahine ʻoe. Kāhea koke i kāu kauka inā hoʻomohala ʻoe i nā neʻe ʻole o ke kino i hiki ʻole ke kaohi, keu hoʻi i ka lepe o ka lehelehe, ka ʻūlū ʻana o ka waha, ka nau ʻana, ka makaʻu ʻana, ke kuʻi ʻana, ke kīloi ʻana i kou alelo, ka blinking, ka neʻe ʻana o ka maka, a i ka hoʻoluliluli ʻana i nā lima a me nā wāwae.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke Alakaʻi Medication) ke hoʻomaka ʻoe i ka lāʻau me metoclopramide 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 o ka lawe ʻana i ka metoclopramide.

Hoʻohana ʻia ka Metoclopramide e hōʻoluʻolu i ka puʻuwai puʻuwai a me ka wikiwiki i ka hoʻōla ʻana o nā ulcer a me nā ʻeha ma ka esophagus (Tube e hoʻopili ana i ka waha i ka ʻōpū) i ka poʻe i loaʻa i ka maʻi reflux gastroesophageal (GERD; ke ʻano e kahe hope ai ka waikawa mai ka ʻōpū i kumu i ka ʻūʻā a me ʻeha o ka esophagus) ʻaʻole i maikaʻi me nā lāʻau ʻē aʻe. Hoʻohana ʻia ka Metoclopramide e hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e ka ʻōpū o ka ʻōpū i loko o ka poʻe i loaʻa i ka maʻi diabetes. Hoʻopili kēia mau ʻōuli me ka nausea, ka luaʻi, ka puʻuwai puʻuwai, ka nele o ka makemake, a me ka manaʻo o ka piha i lōʻihi ma hope o ka ʻai ʻana. Aia ʻo Metoclopramide i loko o ka papa o nā lāʻau i kapa ʻia he agokokika. Hana ia ma ka wikiwiki i ka neʻe ʻana o ka meaʻai ma o ka ʻōpū a me nā ʻōpū.

Hele mai ka Metoclopramide ma ke ʻano he papa, kahi papa hoʻohaʻahaʻa waha (hoʻoheheʻe ʻia), a me kahi hopena (wai) e lawe ma ka waha. Lawe ʻia ia i 4 manawa i ka lā ma ka ʻōpū hakahaka, 30 mau minuke ma mua o kēlā me kēia pāʻina a me ka wā moe. Ke hoʻohana ʻia ka metoclopramide e mālama i nā ʻōuli o GERD, e hoʻemi ʻia pinepine ʻia ia, keu hoʻi inā kū nā ʻōuli ma kekahi mau manawa o ka 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 metoclopramide 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.


Inā ʻoe e lawe i ka papa hoʻohiehie waha, e hoʻohana i nā lima maloʻo e hemo i ka papa mai ka pūʻolo ma mua pono o kou lawe ʻana i kāu lāʻau. Inā haki a haki paha ka papa, hoʻolei a lawe i kahi papa hou mai ka pūʻolo. Wehe mālie i ka papa a kau koke i luna o kou alelo. E hoʻoheheʻe pinepine ka papa ma kahi o hoʻokahi minuke a hiki ke ale ʻia me ka lawai.

Inā ʻoe e lawe i ka metoclopramide e mālama i nā ʻōuli o ka waiho ʻana o ka ʻōpū lohi i hopena ʻia e ka maʻi diabetes, pono ʻoe e ʻike ʻaʻole e hoʻomaikaʻi hou kāu mau ʻōuli i ka manawa hoʻokahi. E ʻike paha ʻoe i ka hoʻomaikaʻi o kou nausea i ka wanaʻao o kāu lapaʻau a hoʻomau i ka hoʻomaikaʻi i nā pule he 3 e hiki mai ana. ʻO kou luaʻi ʻana a me kou nalo ʻana o ka makemake ʻole e hoʻomaikaʻi hou i ka wanaʻao i kāu lapaʻau ʻana, akā lōʻihi paha ka lōʻihi o kou hele ʻana i kou manaʻo.

E hoʻomau i ka lawe ʻana i ka metoclopramide inā ʻoe e ʻoluʻolu. Mai hōʻoki i ka lawe ʻana i ka metoclopramide me ke kamaʻilio ʻole ʻana me kāu kauka. Hiki paha iā ʻoe ke ʻike i nā ʻōuli no ka haʻalele ʻana e like me ka lualua, ka pīhoihoi, a me ke poʻo hina ke kū ʻoe i ka lawe ʻana i ka metoclopramide.


Hoʻohana ʻia ʻo Metoclopramide i kekahi manawa e mālama i nā ʻōuli o ka hoʻolele ʻana o ka ʻōpū i ka poʻe e ola nei mai kekahi ʻano o ke ʻoki, a pale aku i ka nausea a me ka luaʻi i ka poʻe e mālama ʻia me chemotherapy no ka maʻi ʻaʻai. E noi i kāu kauka e pili ana i ka makaʻu o ka hoʻohana ʻana i kēia lāʻau e mālama ai i kou ʻano.

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 metoclopramide,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka metoclopramide, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka papa metoclopramide a i ʻole ka hopena. E noi i kāu kauka a kauka paha a e 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 ʻōlelo pono i kekahi o kēia mau mea: acetaminophen (Tylenol, nā mea ʻē aʻe); antihistamines; aspirin; atropine (i Lonox, i Lomotil); cyclosporine (Gengraf, Neoral, Sandimmune); nā barbiturates e like me pentobarbital (Nembutal), phenobarbital (Luminal), a me secobarbital (Seconal); digoxin (Lanoxicaps, Lanoxin); haloperidol (Haldol); insulin; ipratropium (Atrovent); lithium (Eskalith, Lithobid); levodopa (ma Sinemet, ma Stalevo); nā lāʻau no ka hopohopo, ke kahe o ke koko, nā maʻi huhū o ka naʻau, ka neʻe ʻana, ka nausea, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia urinary; monoamine oxidase (MAO) mea kāohi, me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate); nā lāʻau narcotic no ka ʻeha; nā mea hoʻonanea; paina moe; tetracycline (Bristacycline, Sumycin); a i ʻole nā ​​tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono paha iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa paha iā ʻoe kahi blockage, kahe ʻana ke kahe, a he waimaka paha i loko o kou ʻōpū a i ʻole nā ​​ʻōpū. pheochromocytoma (ʻōpuʻu ma kahi gland liʻiliʻi kokoke i nā puʻupaʻa); aiʻole ka hopu ʻana. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka metoclopramide.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā ʻoe ka maʻi ʻo Parkinson (PD; kahi maʻi o ka ʻōnaehana hopohopo e hoʻopilikia ai i ka neʻe ʻana, ka mālama ʻana i nā mākala, a me ke kaulike); ke koko kiʻekiʻe; kaumaha; maʻi ʻaʻai umauma; hānō; nele ka glucose-6-phosphate dehydrogenase (G-6PD) (kahi maʻi koko hoʻoilina); NADH cytochrome B5 hōʻemi hemahema (kahi maʻi koko hoʻoilina); 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 ka metoclopramide, e kāhea i kāu kauka.
  • e kamaʻilio i kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i ka metoclopramide inā he 65 ou mau makahiki a ʻoi paha. ʻAʻole pono nā mākua kahiko e lawe i ka metoclopramide, ke hoʻohana ʻole ʻia ia e mālama i ka ʻōpū lohi o ka ʻōpū, no ka mea ʻaʻole palekana a maikaʻi ʻole paha e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana ʻia e mālama ai i kēlā mau ʻano.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka metoclopramide.
  • pono ʻoe e ʻike i kēia lāʻau ʻana e hiamoe ai ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana ʻana o ka wai ʻona ʻoiai ʻoe e lawe nei i kēia lāʻau. Hiki i ka waiʻona ke hana i nā hopena ʻino o ka metoclopramide i ʻoi aku ka maikaʻi.

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

  • hiamoe
  • luhi nui loa
  • nāwaliwali
  • ʻeha poʻo
  • ʻūpā
  • pāhoehoe
  • nausea
  • ka luaʻi
  • hoʻonui ka umauma a hoʻokuʻu paha
  • hala ha awina
  • hoʻemi i ka moekolohe
  • urination pinepine
  • hiki ʻole ke kaohi i ka urination

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

  • ʻo ka ʻūlili o nā mākala, ʻo ia hoʻi i ka ā ā ā ʻāʻī
  • pilikia pilikia ʻōlelo
  • kaumaha
  • e noʻonoʻo nei e pili ana i ka hōʻino a pepehi paha iā ʻoe iho
  • fiva
  • ʻoʻoleʻa o ka mākala
  • huikau
  • wikiwiki, lohi, a i ʻole kūpikipikiʻi ʻole
  • ka houʻu ʻana
  • hoʻomaha ʻole
  • hopohopo a i ʻole jitteriness
  • hoohaunaele
  • paʻakikī e hiamoe a hiamoe paha
  • e holoholo ana
  • kālele wāwae
  • neʻe lohi a paʻakikī paha
  • helehelena hakahaka
  • luliluli ʻole ʻana i kahi ʻāpana o ke kino
  • paʻakikī e mālama i kāu kaulike
  • hūwī
  • hives
  • ka pehu o nā maka, ka maka, ka lehelehe, ke alelo, ka waha, ka ʻāʻī, nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • loaʻa kaumaha kaumaha
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • kani kani kiʻekiʻe ke hanu nei
  • pilikia pilikia ʻike

Hiki i ka Metoclopramide ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe 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 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:

  • hiamoe
  • huikau
  • ka hopu ʻana
  • ʻokoʻa, neʻe ʻole e kāohi ʻia
  • nele i ka ikaika
  • kala ʻalani polū o ka ʻili
  • ʻeha poʻo
  • pokole o ka hanu

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.

  • ʻO Clopra®
  • Maxolon®
  • ʻO Metozolv® ODT
  • Reglan®

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

Nānā Hou - 10/15/2018

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