ʻO Glyburide a me Metformin

Anter

• Ma mua o ka lawe ʻana i ka glyburide a me 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 Glyburide a me ka metformin ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
• 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 ʻaʻole e lawe i ka glyburide a me 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 ulia pōpilikia); he koma; aiʻole ka maʻi puʻuwai a i ʻole ate. 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 glyburide a me ka metformin a hiki i kou wā e ola hou ai.

Inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, a i ʻole nā ​​ʻano hana olakino nui, e haʻi i ke kauka ke lawe nei ʻoe i ka glyburide a me 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 glyburide a me 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 glyburide a me ka metformin a i ka wā e hoʻomaka ai ʻoe e lawe hou.

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka glyburide a me ka metformin a kāhea koke aku i kāu kauka: ka luhi nui, nāwaliwali, a me ka hōʻoluʻolu ʻole paha; 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 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. ʻO ka inu ʻana i ka waiʻona i ka wā e lawe ana i ka glyburide a me ka metformin no ka mea hiki ʻole ke kumu i nā ʻōuli e like me ka pīpī ʻana (ʻulaʻula o ka maka), ʻeha poʻo, nausea, luaʻi, ʻeha o ka umauma, nāwaliwali, ʻike ʻole i ka blur, ʻike i ka huikau o ka noʻonoʻo, sweating, choking, paʻakikī hanu, a me ka hopohopo. E nīnau i kāu kauka i ka nui o ka waiʻona e palekana i ka inu ʻana ke lawe nei ʻoe i ka glyburide a me 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 glyburide a me ka metformin. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka glyburide a me ka metformin.

Hoʻohana ʻia ka hui pū ʻana o ka glyburide a me ka metformin e mālama i ka maʻi maʻamau ʻo 2 (kahi e hoʻohana kino ʻole ai ke kino i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i loko o ke koko) i ka poʻe i hiki ʻole ke kāohi ʻia ka maʻi diabetes e ka papaʻai a hoʻoikaika wale. ʻO Glyburide kahi papa o nā lāʻau i kapa ʻia ʻo sulfonylureas, a aia ʻo metformin i kahi papa lāʻau i kapa ʻia ʻo biguanides. Hoʻohaʻahaʻa ʻo Glyburide i ke kō i ke kō ma o ka hana ʻana i ka pancreas e hana i ka insulin (kahi mea kūlohelohe e pono ai e wāwahi i ke kō i ke kino) a kōkua i ke kino e hoʻohana pono i ka insulin. E kōkua wale kēia lāʻau i ka hoʻohaʻahaʻa ʻana i ke kō i ke kanaka i nā kino e hana kūlohelohe i ka insulin. Kōkua ʻo Metformin i kou kino e kaohi 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. Kōkua pū ia i kou kino e hoʻohana pono i kāna iho insulin. ʻAʻole hoʻohana ʻia ʻo Glyburide a me metformin e mālama ai i ka maʻi diabetes type 1 (kahi a ke kino e hana ʻole ai i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i loko o ke koko) a i ʻole ka ketoacidosis diabetic (kahi kūlana koʻikoʻi e kū ʻia inā ʻaʻole mālama ʻia ke kō kiʻekiʻe. ).

ʻO Glyburide a me metformin hoʻohui e hele mai ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi i ʻelua mau manawa i kēlā me kēia lā me nā meaʻai. 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 i ka glyburide a me ka metformin 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 hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haahaa o glyburide a me metformin a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 2 pule. kaukaʻi ʻia i kāu pane. E kiaʻi pono i kāu glucose koko.

Mālama ʻo Glyburide a me metformin hoʻohui i ka maʻi kō akā ʻaʻole ia e hoʻōla. E hoʻomau i ka lawe ʻana i ka glyburide a me ka metformin inā ʻoluʻolu ʻoe. Mai hooki i ka lawe ʻana i ka glyburide a me 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.

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 ka glyburide a me ka metformin,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka glyburide, metformin, kekahi o nā mea hoʻohui i ka glyburide a me ka metformin papa, a i ʻole nā ​​lāʻau ʻē aʻe. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
• e haʻi i kāu kauka inā ʻoe e lawe bosentan (Tracleer). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka glyburide inā ʻoe e lawe i kēia lāʻau.
• 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 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); anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); aspirin a i ʻole nā ​​lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn); 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), a i ʻole verapamil (Calan, Covera, Verelan, i Tarka); chloramphenicol; cimetidine (Tagamet); clarithromycin (Biaxin, i Prevpac); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); disopyramide (Norpace); diuretics ('pills wai'); fluconazole (Diflucan); fluoxetine (Prozac, Sarafem, Selfemra); 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 mea hoʻopuka MAO e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate); nā lāʻau no nā maʻi āpau, hānō, a me nā anu; nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; miconazole (Lotrimin, Monistat, nā mea ʻē aʻe); morphine (MS Contin, nā mea ʻē aʻe); niacin; nā pale pale waha (nā pā kaohi hānau); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); phenytoin (Dilantin, Phenytek); probenecid (Benemid, ma Colbenemid); procainamide; quinidine (i Nuedexta); quinine; quinolone a me fluoroquinolone antibiotic e like me cinoxacin (ʻaʻole i loaʻa i ka US, Cinobac), ciprofloxacin (Cipro), enoxacin (ʻaʻole loaʻa hou i ka US, Penetrex), gatifloxacin, levofloxacin (Levaquin), lomefloxacin (ʻaʻohe loaʻa i ka US. , Maxaquin), moxifloxacin (Avelox), nalidixic acid (ʻaʻole loaʻa i ka US, NegGram), norfloxacin (ʻaʻole loaʻa hou ma US, Noroxin), ofloxacin (ʻaʻole loaʻa hou ma US, Floxin), sparfloxacin (ʻaʻohe loaʻa ma ka US, Zagam), trovafloxacin a me ka hoʻohui alatrofloxacin (ʻaʻole loaʻa hou ma ka US, Trovan); ranitidine (Zantac); rifampin; nā mea ʻeha salicylate e like me choline magnesium trisalicylate, choline salicylate (Arthropan), diflunisal, magnesium salicylate (Doan's, kekahi mau mea ʻē aʻe), a i ʻole salsalate (Argesic, Disalcid, Salgesic); nā lāʻauʻaeʻa sulfa e like me cotrimoxazole (Bactrim, Septra); sulfasalazine (Azulfidine); lāʻau lapaʻau thyroid; triamterene (Dyrenium, ma Maxzide, kekahi); trimethoprim (Primsol, ma Bactrim, ma Septra); a i ʻole vancomycin (Vancocin, nā mea ʻē aʻe).
• i ka hoʻohui ʻana i nā kūlana i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e haʻi i kāu kauka inā loaʻa a loaʻa paha kekahi o kou ʻohana i ka hemahema o G6PD (kahi ʻano hoʻoilina e luku ai i nā hunaola ʻulaʻula a i ʻole anemia hemolytic) e haʻi aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe nā maʻi hormonone e pili ana i ka adrenal, pituitary, a i ʻole ka thyroid gland; a i ʻole acidosis metabolic koʻikoʻi a i ʻole maʻi mau.
• 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 glyburide a me metformin, e kāhea i kāu kauka.
• e hoʻolālā e hōʻalo i ka hōʻike kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a komo i nā lole pale, nā aniani aniani, a me ka sunscreen. Hiki iā Glyburide a me metformin ke hana i kou ʻili i ka lā.
• 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.

Ma mua o kou hoʻomaka ʻana e lawe i ka glyburide a me ka metformin, e nīnau aku i kāu kauka i ka mea e hana ai inā ʻoe e poina i ka lawe ʻana i kahi lāʻau, a i ʻole loaʻa paha i kahi lāʻau keu. E kākau i kēia mau ʻōkuhi i lalo i hiki iā ʻoe ke nānā iā lākou ma hope.

Ma ke ʻano he rula 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 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 Glyburide a me ka metformin ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha ka ʻōpū
• nausea a luaʻi paha
• pāhoehoe
• ʻūpā

Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

• ʻeha ka umauma
• hūwī
• melemele o ka ʻili a me nā maka
• nā noho waihoʻoluʻu kukui
• mimi ʻeleʻele
• ʻeha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū
• kahe koko ʻole ʻana a palapū paha
• fiva
• eha ka 'ā'ī
• pehu o nā maka, maka, lehelehe, alelo, a puʻu paha

I hoʻokahi o nā noi ʻana, ʻo ka poʻe i lawe i ka lāʻau e like me ka glyburide e mālama ai i ko lākou maʻi diabetes, ʻoi aku ka make o nā pilikia puʻuwai ma mua o ka poʻe i mālama ʻia me ka insulin a me nā loliʻai.

Hiki iā Glyburide a me metformin ke kumu 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:

• ka hopu ʻana
• nalowale o ka ʻike
• 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 ka glyburide a me ka metformin e ke ana ʻana i kāu pae kō kō i ka home. E hāhai pono i kēia mau ʻōkuhi.

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.

• Glucovance^® (i loaʻa ʻo Glyburide, Metformin)