Dronedarone

Qanacsan

• Kahor qaadashada dronedarone,
• Dronedarone 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, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, jooji qaadashada dronedarone una wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

Waa inaadan qaadin dawada dronedarone haddii aad qabtid wadno xanuun daran. Dronedarone wuxuu kordhin karaa halista dhimashada dadka qaba wadno xanuun daran. U sheeg dhakhtarkaaga haddii aad qabtid wadno-istaag daran oo daran oo sababi kara neefsasho la'aan intaad nasashada ku jirto, qaddar yar oo jimicsi ah ka dib, ama dhaqdhaqaaq jireed ka dib. Sidoo kale u sheeg dhakhtarkaaga haddii isbitaal la dhigay isbitaalka wadnaha oo istaagay bishii ugu dambeysay xitaa haddii aad ladnaaneyso. Dhakhtarkaagu kuu qori maayo dronedarone.

Waa inaadan qaadin daawada dronedarone haddii aad qabtid wadna garaac wadnaha ah (wadna garaac wadnaha ah oo sababi kara garaaca wadnaha inuu dhakhso iyo si aan caadi ahayn u noqdo) taas oo aan dib loogu noqon karin ama aan dib loogu celin karin wadnaha garaac caadi ah. Dronedarone wuxuu kordhin karaa halista dhimashada, istaroogga, iyo baahida loo qabo in isbitaal la dhigo dadka qaba fibrillation joogto ah. Dhakhtarkaaga ayaa hubin doona garaaca wadnahaaga ugu yaraan 3dii biloodba mar intaad qaadaneysid dronedarone. Isla markiiba wac dhakhtarkaaga haddii garaaca wadnahaagu uu noqdo mid deg deg ah ama aan caadi ahayn inta aad qaadanaysid dawada dronedarone.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilawdo daaweynta dronedarone iyo waqti kasta oo aad dib u buuxiso daawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa websaydhka Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Daawada loo yaqaan 'Dronedarone' waxaa loo isticmaalaa in lagu daaweeyo dadka hadda leh garaaca wadnaha oo caadi ah, laakiin horay u lahaa fibrillation atrial ah. Dronedarone wuxuu yareynayaa halista dadka qaba xaaladan ay u baahan doonaan in isbitaal la dhigo si loo daweeyo fibrillation-ka jirka. Dronedarone wuxuu ku jiraa nooc daawo ah oo loo yaqaan 'antiarrhythmics'. Waxay ku shaqeysaa iyadoo ka caawineysa wadnaha inuu si caadi ah u garaaco.

Dronedarone wuxuu u yimaadaa kiniin ahaan afka laga qaato. Badanaa waxaa la qaataa laba jeer maalintii, iyada oo la cunayo subaxa iyo cashada. Qaado dronedarone qiyaastii isla waqtiyadiiba 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 dronedarone 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.

Dhakhtarkaagu wuxuu kuu qori karaa daawooyinka qaarkood si loo yareeyo qatarta istaroogga inta aad qaadanaysid dronedarone. U qaado daawadan sida saxda ah ee lagu faray muddada daaweyntaada.

Dronedarone ayaa kaa caawin doonta inaad xakameyso garaaca wadnahaaga kaliya inta aad ka qaadaneyso qaadashada. Sii wad inaad qaadatid dawada dronedarone xitaa haddii aad fiicnaato oo aad fiicnaan dareentay muddo dheer.Ha u joojin qaadashada dawada dronedarone adigoon la hadlin dhakhtarkaaga.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada dronedarone,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay dronedarone, daawooyin kale, ama wax ka mid ah maaddooyinka ku jira kiniinnada dronedarone. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanayso mid ka mid ah daawooyinka soo socda: dawooyinka murugada qaarkood sida amitriptyline (Limbitrol), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor) ), protriptyline (Vivactil), iyo trimipramine (Surmontil); antifungals qaarkood sida itraconazole (Sporanox), ketoconazole (Nizoral), ama voriconazole (Vfend); clarithromycin (Biaxin); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (E.E.S, E-Mycin, Erythrocin); daawooyinka loogu talagalay garaaca wadnaha oo aan joogto ahayn sida amiodarone (Cordarone, Pacerone), Addepyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), propafenone (Rythmol), quinidine, iyo sotalol (Betapace); nefazodone; daawooyinka loo yaqaan 'phenothiazine' ee cudurada maskaxda ama lallabbo; ritonavir (Norvir); ama telithromycin (Ketek). Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan qaadan dronedarone haddii aad qaadanaysid mid ama in kabadan oo daawooyinkan ah.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinada, iyo nafaqada nafaqada aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: daawooyinka xinjirowga lidka ku ah (dhiig khafiifiyeyaasha) sida dabigatran (Pradaxa) iyo warfarin (Coumadin); beta beta blockers sida atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), iyo propranolol (Inderal); Kaalshiyamka kaaliyayaasha sida diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), iyo verapamil (Calan, Covera, Isoptin, Verelan); carbamazepine (Epitol, Equetro, Tegretol); daawooyinka kalastarolka ka yareeya (statins) sida atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), iyo simvastatin (Zocor); digoxin (Lanoxicaps, Lanoxin); durayaasha (kaniiniyada biyaha); phenobarbital; phenytoin (Dilantin); rifampin (Rifadin, Rimactane); xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), iyo sertraline (Zoloft); sirolimus (Rapamune); iyo tacrolimus (Prograf). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
• u sheeg dhakhtarkaaga haddii aad qabtid dhibaatooyin kale oo wadnaha ah sida garaaca wadnaha oo dhakhso ah ama gaabis ah, qadar dheer oo QT ah (dhibaato wadnaha ah oo sababi karta garaaca wadnaha oo aan joogto ahayn, suuxdin, ama geeri lama filaan ah), cudur beerka ah, ama haddii aad yeelatay beerka ama sambabada dhibaatooyinka soo kordhay ka dib qaadashada amiodarone (Pacerone). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan dronedarone.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dareentay xaalado caafimaad oo kale.
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Waa inaad isticmaashaa xakameynta dhalmada oo waxtar leh inta lagu guda jiro daaweynta dronedarone. Kala hadal dhakhtarkaaga hababka xakameynta dhalmada ee adiga kuu shaqeyn doona. Haddii aad uur yeelato intaad qaadanaysid dawada dronedarone, wac dhakhtarkaaga isla markiiba. Daawada loo yaqaan 'Dronedarone' ayaa laga yaabaa inay waxyeelo uurjiifka.
• waa inaadan naas nuujin inta aad ka daaweyneyso dronedarone.
• kala hadal dhakhtarkaaga khataraha iyo faa'iidooyinka qaadashada dawada dronedarone haddii aad tahay 65 sano jir ama ka weyn. Qaar ka mid ah dadka waayeelka ah waa inaysan qaadan dronedarone maxaa yeelay ma ahan mid amaan ah ama waxtar u leh daawooyinka kale ee loo isticmaali karo in lagu daaweeyo isla xaaladaas.

Ha cunin canab canab ah ama ha cabin casiir canab ah inta aad qaadanaysid dawadan.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Ka gudub qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Ha isku dayin inaad ka kabato qiyaasta aad seegtay ama aad qaadatid laba jibbaar si aad uhesho mid aad seegtay.

Dronedarone wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• shuban
• laabjeex
• daciifnimo
• finan
• guduudasho

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, jooji qaadashada dronedarone una wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• neefta oo ku qabata
• dhib liqidda ama neefsashada
• taahid
• ceshan laabta
• qufac qalalan
• qufacayo xabka xiiran
• dhibaato xagga hurdada ah dhibaatooyin xagga neefsashada ah
• u baahan tahay inaad barkinta barkimo dheeri ah ku xirtid si aad u neefsatid habeenkii
• miisaanka oo kordha (oo ah 5 rodol ama ka badan) muddo gaaban gudaheed
• barar indhaha, wajiga, dibnaha, cunaha, gacmaha, cagaha ama lugaha
• garaaca wadnaha oo gaabis ah
• miyir beelid
• qandho
• astaamaha hargabka oo kale ah
• hurdi maqaarka ama indhaha
• cuncun
• nabar ama dhiig bax aan caadi ahayn
• lallabbo
• matagid
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• daal ama tamar la’aan
• kaadi aan madadaalo lahayn
• saxaro midab khafiif ah leh
• madax xanuun daran oo lama filaan ah
• aragga oo si dhammaystiran u dhinta ama qayb ahaan
• daciifnimo ama kabuubyo gacan ama lug ah
• Dhibaato xagga fikirka ah, xusuusashada, ama barashada waxyaalo cusub

Daawada Dronedarone waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

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).

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

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.

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.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu dalban karaa tijaabooyin shaybaarro qaarkood ah si loo hubiyo jawaabta jirkaaga ee dronedarone.

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.

• Multaq^®