Ranolazine
Qanacsan
- Kahor qaadashada ranolazine,
- Ranolazine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:
- Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:
Ranolazine waxaa loo isticmaalaa kaligiis ama daawooyin kale si loogu daaweeyo angina daba dheeraatay (laab xanuun joogto ah ama cadaadis la dareemo marka wadnaha uusan helin oksijiin ku filan). Ranolazine wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan anti-anginals. Qaabka saxda ah ee ranolazine u shaqeeyo lama yaqaan waqtigan.
Ranolazine waxay u timaadaa sidii kiniin la sii daayay (muddo dheer) oo afka lagu qaato. Waxaa badanaa la qaataa ama cunno la'aanba laba jeer maalintii. Qaado ranolazine qiyaastii isla waqtiyadaas maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado ranolazine sida saxda ah ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.
Kiniiniyada oo dhan liq; ha jebin, calalin, ama burburin.
Dhakhtarkaagu wuxuu kuugu bilaabi doonaa qadar yar oo ranolazine ah wuxuuna si tartiib tartiib ah u kordhin doonaa qiyaastaada.
Ha u qaadan ranolazine si aad u daweyso weerar lama filaan ah oo ah angina. Dhakhtarkaaga ayaa kuu sheegi doona waxa aad samaynayso haddii aad la kulanto weerar ku dhaca angina. Hubso inaad fahantay tilmaamahan.
Ranolazine wuxuu kaa caawin karaa xakameynta xaaladaada laakiin ma daaweyn doono. Sii wad inaad qaadato ranolazine xitaa haddii aad ladnaan dareento. Ha u joojin qaadashada ranolazine adigoon la hadlin dhakhtarkaaga.
Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada ranolazine,
- u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay ranolazine, dawooyinka kale, ama mid ka mid ah maaddooyinka ku jira kiniiniyada sii-deynta ee ranolazine. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga haddii aad qaadanayso mid ka mid ah daawooyinka soo socda: antifungals sida itraconazole (Onmel, Sporanox) iyo ketoconazole (Nizoral); clarithromycin (Biaxin, gudaha Prevpac); daawooyinka lagu daaweeyo fayraska difaaca jirka ee dadka (HIV) ama cillad la'aanta cudurka (AIDS) sida indinavir (Crixivan), lopinavir iyo ritonavir (Kaletra); nelfinavir (Viracept), ritonavir (Norvir, Kaletra, Viekira Pak, kuwa kale), iyo saquinavir (Invirase); nefazodone; daawooyinka suuxdinta sida carbamazepine (Carbatrol, Equetro, Tegretol, kuwa kale), phenobarbital, iyo phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); iyo rifapentin (Priftin). Sidoo kale u sheeg dhakhtarkaaga haddii aad qaadanaysid johannesört. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan ranolazine haddii aad qaadanaysid mid ama in kabadan oo kamid ah daawooyinkan ama alaabada dhirta.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: amiodarone (Cordarone, Nexterone, Pacerone); dawooyinka lidka diiqadda sida amitriptyline, clomipramine (Anafranil), iyo desipramine (Norpramin); iyo imipramine (Tofranil); daawooyinka lagu daaweeyo kolestaroolka sare sida atorvastatin (Lipitor, in Caduet), lovastatin (Altoprev, in Advicor), iyo simvastatin (Zocor, in Simcor, in Vytorin); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); diltiazem (Cardizem, Dilacor, Tiazac, kuwa kale); dofetilide; (Tikosyn); erythromycin (EES, Erythrocin, PCE); fluconazole (Diflucan); dawooyinka cudurada maskaxda sida haloperidol (Haldol), risperidone (Risperdal), thioridazine, iyo ziprasidone (Geodon); metformin (Fortamet, Glumetza, in Glucovance, kuwa kale); quinidine (oo ku taal Nuedexta); sirolimus (Rapamune); sotalol (Betapace, Sorine); tacrolimus (Astagraf, Envarsus XR, Prograf); iyo verapamil (Calan, Covera, Verelan, kuwa kale). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara ranolazine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan ama liiska kore.
- u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabto cudurka beerka. Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan qaadan ranolazine.
- u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ah uu leeyahay ama uu waligiis soo maray qadar dheeri ah oo QT ah (dhibaato wadnaha oo dhif ah oo u horseedi karta miyir beelid ama wadno garaac aan caadi ahayn) ama wadne garaac, gaabis ah, ama aan caadi ahayn. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa soo aragtay cillad aan caadi ahayn oo loo yaqaan 'electrocardiogram' (ECG: baaritaan lagu diiwaangelinayo dhaqdhaqaaqa korantada ee wadnaha), heerarka hoose ee macdanta dhiigga ee dhiigga ku jirta, ama cudurka kalyaha.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid ranolazine, wac dhakhtarkaaga.
- waa inaad ogaataa in ranolazine ay kaa dhigi karto madax wareer iyo madax-jab. Baabuur ha wadin, ha ku shaqeynin mishiinno, hana ka qaybgalin nashaadaadka u baahan feejignaanta maskaxda iyo isku-duwidda illaa aad ka ogaato sida ay daawadani kuu saameyneyso
Ha cabbin casiir canab ah ama ha cunin waxyaabaha ka soo baxa bambeelmada inta aad qaadanaysid dawadan.
Ka gudub qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.
Ranolazine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- lallabbo
- calool istaag
- madax xanuun
- dawakhaad
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:
- dhakhso, garaacid, ama wadno garaac aan caadi ahayn
- neefsashada oo adkaata
- miyir beelid
Ranolazine wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.
Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).
Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.
Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org
Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.
Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:
- lallabbo
- matagid
- dawakhaad
- jahwareer
- aragti labalaab ah
- xanuun, gubasho, kabuubyo, ama xoqid meel kasta oo jirka ka mid ah
- miyir beelid
- gariir aan la koontarooli karin qayb ka mid ah jirka
- hadalka oo adkaada
- wax arag ama maqal codad aan jirin
Dhammaan ballamaha la dhig dhakhtarkaaga.
Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.
Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.
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