Metformin

Anter

• Ma mua o ka lawe ʻana i ka metformin,
• Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.
• Hiki i ka Metformin ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli, mai hele, hele aku a hoʻi mai, a mai hoʻomaka paha no kekahi manawa ma hope o kou hoʻomaka ʻana e lawe i ka metformin:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau pōpilikia.
• Hiki i nā ʻōuli o ka overdose ke komo pū me nā ʻōuli hypoglycemia a me nā mea aʻe:

ʻAʻole hiki i ka Metformin ke hana i kahi ʻano koʻikoʻi, hoʻoweliweli i ke ola i kapa ʻia ʻo lactic acidosis. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi puʻuwai. E haʻi paha kāu kauka iā ʻoe mai lawe i ka metformin. Eia kekahi, e haʻi i kāu kauka inā ʻoi aku ʻoe i 65 mau makahiki a inā ʻoe i loaʻa i ka puʻuwai puʻuwai; hahau ʻana; ketoacidosis diabetic (kō kō i ke kiʻekiʻe e hana i nā ʻōuli koʻikoʻi a koi ʻia i ka lāʻau lapaʻau olakino); he koma; aiʻole ka maʻi puʻuwai a i ʻole ate. ʻO ka lawe ʻana i kekahi mau lāʻau ʻē aʻe me ka metformin hiki ke hoʻonui i ka makaʻu o ka lactic acidosis. E haʻi i kāu kauka inā lawe ʻoe i ka acetazolamide (Diamox), dichlorphenamide (Keveyis), methazolamide, topiramate (Topamax, ma Qsymia), a i ʻole zonisamide (Zonegran).

E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā ʻano aʻe, a i ʻole inā hoʻomohala ʻoe iā lākou i ka wā o ka mālama ʻana: maʻi nui; ʻōpū nui loa, ka luaʻi, a i ʻole ke kuni; aiʻole inā inu ʻoe i ka wai liʻiliʻi ma mua o ka maʻamau no kekahi kumu. Hiki paha iā ʻoe ke haʻalele i ka lawe ʻana i ka metformin a hiki i kou wā e ola hou ai.

Inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, a i ʻole nā ​​ʻano hana olakino nui, e haʻi i ke kauka e lawe nei ʻoe i ka metformin. Eia kekahi, e haʻi i kāu kauka inā ʻoe e hoʻolālā e hana i kahi kaʻina hana x-ray kahi e hoʻopili ʻia ai ke kala, keu hoʻi inā inu ʻoe a inu paha i ka nui o ka waiʻona a i ʻole loaʻa a loaʻa paha i ka maʻi ate a i ʻole ʻole ka puʻuwai Pono paha ʻoe e haʻalele i ka lawe ʻana i ka metformin ma mua o ke kaʻina hana a kali i 48 mau hola e hoʻomaka hou i ka lāʻau. E haʻi pololei kāu kauka iā ʻoe i ka manawa hea ʻoe e haʻalele ai i ka lawe ʻana i ka metformin a i ka wā e hoʻomaka ai ʻoe e lawe hou.

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hoʻōki i ka lawe ʻana i ka metformin a kāhea koke aku i kāu kauka: ka luhi nui loa, nāwaliwali, a me ka hōʻoluʻolu ʻole; nausea; ka luaʻi; ʻeha ka ʻōpū; hoʻemi i ka makemake; hanu hohonu a wikiwiki hoʻi a i ʻole ka liʻiliʻi o ka hanu; ʻūpā; ʻālohilohi; wikiwiki a lohi paha ke kuʻi o ka puʻuwai; kahe ʻana o ka ʻili; ʻeha ʻeha; aiʻole ke anuanu, keu hoʻi i kou mau lima a me kou mau wāwae.

E haʻi i kāu kauka inā inu pinepine ʻoe i ka waiʻona a i kekahi manawa inu i ka nui o ka waiʻona i loko o kahi manawa pōkole (inu inu inu). Hoʻonui ka inu ʻana i ka waiʻona i kou makaʻu i ka hoʻomohala ʻana i ka lactic acidosis a i ʻole ke kumu o ka emi ʻana o ke kō kō. E nīnau i kāu kauka i ka nui o ka palekana o ka waiʻona i kou wā e lawe ana i ka metformin.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua ma mua a i ka wā o ka mālama ʻana e nānā i ke ʻano o ka maikaʻi o kāu mau puʻupaʻa a me ka pane o kou kino i ka metformin. E kamaʻilio me kāu kauka e pili ana i ka makaʻu (s) o ka lawe ʻana i ka metformin.

Hoʻohana wale ʻia ʻo Metformin a i ʻole me nā lāʻau ʻē aʻe, e like me ka insulin, e mālama ai i ka maʻi maʻamau ʻo 2 (kahi e hoʻohana ʻole ai ke kino i ka insulin maʻamau a, no laila, ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko). Aia ʻo Metformin i ka papa o nā lāʻau i kapa ʻia ʻo biguanides. Kōkua ʻo Metformin i ka mālama ʻana i ka nui o ka glucose (kō) i loko o kou koko. Hoʻoemi ia i ka nui o nā glucose āu e lawe ai mai kāu meaʻai a me ka nui o ka glucose i hana ʻia e kou ake. Hoʻonui pū ka Metformin i ka pane o kou kino i ka insulin, kahi mea kūlohelohe e kaohi i ka nui o ka glucose i ke koko. ʻAʻole hoʻohana ʻia ʻo Metformin e mālama ai i ka maʻi diabetes type 1 (kahi e hana ʻole ai ke kino i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko).

I ka hala ʻana o ka manawa, hiki i ka poʻe i loaʻa i ka maʻi diabetes a me ke kō kō ke kiʻekiʻe ke hoʻomohala i nā pilikia koʻikoʻi a i ʻole hoʻoweliweli i ke ola, e like me ka maʻi puʻuwai, ka hahau, nā pilikia o ka puʻupaʻa, nā ʻeha o ke aʻa, a me nā pilikia o ka maka. ʻO ka lawe ʻana i nā lāʻau (s), ka hoʻololi ʻana i ka nohona (e laʻa me ka papaʻai, hoʻoikaika kino, haʻalele i ka puhipaka), a me ka nānā pinepine ʻana i kāu kō kō e kōkua paha i ka mālama ʻana i kāu maʻi kō. Hoʻoemi paha kēia hoʻomaʻamaʻa i kou manawa e loaʻa ai ka puʻuwai puʻuwai, hahau ʻana, a i ʻole nā ​​pilikia e pili ana i ka maʻi diabetes e like me ka hōʻino ʻana o ka puʻuwai, nā ʻāʻī nerve (numb, nā wāwae anu a i ʻole nā ​​wāwae; hoʻemi i ka hiki i ka wahine i nā kāne a me nā wahine), nā pilikia o ka maka, me nā loli. a i ʻole ka nalo ʻana o ka ʻike, a i ʻole ka maʻi gum. E kamaʻilio pū kāu kauka a me nā mea lawelawe ʻē aʻe iā ʻoe e pili ana i ke ala maikaʻi loa e mālama ai i kāu maʻi diabetes.

Hele mai ʻo Metformin ma ke ʻano he wai, papa, a me kahi papa hoʻolōʻihi lōʻihi (hana lōʻihi) e lawe ma ka waha. Lawe pinepine ʻia ka wai me nā meaʻai i hoʻokahi a ʻelua mau manawa i ka lā. Lawe pinepine ʻia ka papa maʻamau me nā ʻai i ʻelua a ʻekolu paha manawa o ka lā. Lawe pinepine ʻia ka papa hoʻolōʻihi lōʻihi i kēlā me kēia lā me ka ʻaina ahiahi. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka metformin, e lawe a puni 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 metformin 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 ka metformin i hoʻonui ʻia i ka papa holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haahaa o metformin a hoʻonui iki i kāu lāʻau ma mua o hoʻokahi manawa i kēlā me kēia 1-2 pule. Pono ʻoe e kiaʻi pono i kāu kō kō i hiki ai i kāu kauka ke haʻi i ka maikaʻi o ka hana ʻana o ka metformin.

Mālama ʻo Metformin i ka maʻi diabetes akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka metformin inā ʻoluʻolu ʻoe. Mai hōʻoki i ka lawe ʻana i ka metformin me ke kamaʻilio ʻole ʻana me kāu kauka.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea 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 metformin,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka metformin, kekahi o nā mea hoʻohui o ka wai metformin a i ʻole nā ​​papa, a i ʻole nā ​​lāʻau ʻē aʻe. E noi i kāu kauka lāʻau a nānā paha i ka ʻike hoʻomanawanui o ka mea hana no kahi papa inoa o nā mea hoʻohui.
• e haʻi i kāu kauka a me ka mea lapaʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole ʻē aʻe, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei. E ʻike pono i kekahi o kēia mau mea: amiloride (Midamor); Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, i Lotrel), captopril, enalapril (Vasotec, i Vaseretic), fosinopril, lisinopril (i Zestoretic), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril) , ramipril (Altace), a me trandolapril (Mavik); beta-blockers e like me atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, ma Corzide), a me propranolol (Hemangeol, Inderal, InnoPran); calcium blockers blockers e like me amlodipine (Norvasc), diltiazem (Cardizem, Cartia, Diltzac, a me nā mea ʻē aʻe), felodipine, isradipine, nicardipine (Cardene), nifedipine (Adalat, Afeditab CR, Procardia), nimodipine (Nymalize), nisoldipine (Sular), and verapamil (Calan, Covera, Verelan, in Tarka); cimetidine (Tagamet); digoxin (Lanoxin); diuretics ('pills wai'); furosemide (Lasix); hōʻano hou hormonone; ka insulin a i ʻole nā ​​lāʻau ʻē aʻe no ka maʻi kō; isoniazid (Laniazid, ma Rifamate, ma Rifater); nā lāʻau no ka hānō a me nā anu; nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; nā lāʻau no ka maʻi thyroid; morphine (MS Contin, nā mea ʻē aʻe); niacin; nā pale pale waha ('pills birth pills'); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); phenytoin (Dilantin, Phenytek); procainamide; quinidine (i Nuedexta); quinine; ranitidine (Zantac); triamterene (Dyrenium, ma Maxzide, kekahi); trimethoprim (Primsol); a i ʻole vancomycin (Vancocin). 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 a loaʻa paha iā ʻoe kekahi ʻano olakino, ʻoi aku hoʻi i kēlā mau mea i ʻōlelo ʻia i ka ʻ IMlelo Aʻo IMPORTANT.
• 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 metformin, e kāhea i kāu kauka.
• e haʻi i kāu kauka inā ʻai ʻoe i ka liʻiliʻi a i ʻole ka hoʻoikaika kino ma mua o ka maʻamau. Hiki i kēia ke hoʻololi i kāu kō kō. E hāʻawi aku kāu kauka iā ʻoe i nā ʻōkuhi inā kū kēia.

E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. He mea nui ka ʻai ʻana i ka papaʻai olakino.

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 kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.

Hiki i ka Metformin ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli, mai hele, hele aku a hoʻi mai, a mai hoʻomaka paha no kekahi manawa ma hope o kou hoʻomaka ʻana e lawe i ka metformin:

• pāhoehoe
• ʻōhūhū
• ʻeha ka ʻōpū
• ʻenekini
• hoʻomālō
• kōpaʻa
• ʻono mea hao maikaʻi ʻole i ka waha
• puʻuwai puʻuwai
• ʻeha poʻo
• ʻōpala o ka ʻili
• loli ke kui
• ʻeha mākala

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

• ʻeha ka umauma
• hūwī

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

Hiki i nā ʻōuli o ka overdose ke komo pū me nā ʻōuli hypoglycemia a me nā mea aʻe:

• luhi loa
• nāwaliwali
• hoʻoluhi
• ka luaʻi
• nausea
• ʻeha ka ʻōpū
• hoʻēmi ʻai
• hohonu, hanu wikiwiki
• pokole o ka hanu
• ʻūpā
• ʻālohilohi
• ʻoi aku ka wikiwiki a me ka wikiwiki o ka puʻuwai
• ʻōpala o ka ʻili
• ʻeha mākala
• ʻano anuanu

E haʻi aku kāu kauka iā ʻoe pehea e nānā ai i kāu pane i kēia lāʻau ma ke ana ʻana i kāu kiʻekiʻe kō kō i ka home. E hāhai pono i kēia mau ʻōkuhi.

Inā ʻoe e lawe i nā papa hoʻokuʻu lōʻihi, 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.

Pono ʻoe e ʻaʻa mau i ke kūpeʻe kuhi diabetic e ʻike pono i ka loaʻa ʻana o kahi lāʻau kūpono i kahi ulia pōpilikia.

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.

• Fortamet^®
• Glucophage^®
• ʻO Glumetza^®
• Riomet^®
• Trijardy^® (ma ke ʻano he huahana i hui ʻia me Empagliflozin, Linagliptin, Metformin)

• ʻO Metoplus Met^® (me Metformin, Pioglitazone)
• ʻO Avandamet^® (me Metformin, Rosiglitazone)
• Kāhea^® (nona ka Canagliflozin, Metformin)
• Janumet^® (i loaʻa iā Metformin, Sitagliptin)
• ʻO Jentadueto^® (loaʻa iā Linagliptin, Metformin)
• Kazano^® (nona ka Alogliptin, Metformin)
• ʻO Kombiglyze^® XR (loaʻa ʻo Metformin, Saksagliptin)
• Pākuʻi kiʻi^® (nona ka Glipizide, Metformin)^¶
• ʻO Prandimet^® (i loaʻa iā Metformin, Repaglinide)
• ʻO Qternmet^® XR (nona ka Dapagliflozin, Metformin, Saxagliptin), Segluromet^® (i loaʻa ʻo Ertugliflozin, Metformin)
• Synjardy^® (nona ka Empagliflozin, Metformin)
• Xigduo^® XR (loaʻa ʻo Dapagliflozin, Metformin)

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