Valsartan iyo Sacubitril

Qanacsan

• Kahor qaadashada valsartan iyo sacubitril,
• Valsartan iyo sacubitril waxay sababi karaan 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 taxaddarrada qaaska ah, isla markiiba wac dhakhtarkaaga:

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Ha qaadan isku-darka valsartan iyo sacubitril haddii aad uur leedahay. Haddii aad uur yeelato inta aad qaadanaysid valsartan iyo sacubitril, jooji qaadashada valsartan iyo sacubitril isla markaana wac dhakhtarkaaga isla markiiba. Isku darka valsartan iyo sacubitril ayaa sababi kara dhimasho ama dhaawac halis ah uurjiifka markii la qaato 6-dii bilood ee ugu dambeysay uurka.

Isku darka valsartan iyo sacubitril waxaa badanaa loo isticmaalaa iyadoo lagu darayo daawooyin kale si loo yareeyo halista dhimashada iyo isbitaal dhigista dadka qaangaarka ah ee leh noocyo gaar ah oo wadnaha ah. Isku darka valsartan iyo sacubitril ayaa sidoo kale loo isticmaalaa in lagu daaweeyo noocyo gaar ah oo wadno xanuun ah oo carruurta 1 sano jir ah iyo wixii ka weyn. Valsartan waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'angiotensin II receptor antagonists'. Waxay ku shaqeysaa iyadoo la xayirayo ficillada walxaha dabiiciga ah qaarkood ee adkeeya xididdada dhiigga, taasoo u oggolaaneysa in dhiiggu si habsami leh u qulqulo iyo wadnaha oo si wax-ku-ool ah u garaaca. Sacubitril wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'neprilysin inhibitors'. Waxay u shaqeysaa inay ka caawiso xakamaynta mugga dhiigga.

Isku darka valsartan iyo sacubitril wuxuu u yimaadaa kiniin afka laga qaato. Caadi ahaan waxaa la qaataa laba jeer maalintii cunno ama la'aan. Si lagaaga caawiyo inaad xasuusato inaad qaadato isku darka valsartan iyo sacubitril, qaado qiyaastii isla waqtiyadan 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 valsartan iyo sacubitril sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Haddii adiga ama ilmahaagu aad liqi kari weydaan kiniiniyada, farmashiistahaagu wuxuu u diyaarin karaa dawadan inuu yahay ka joojin afka ah (dareere). Si fiican u rux dhalada ka joojinta ka hor qiyaas kasta.

Dhakhtarkaagu wuxuu kugu bilaabi karaa qadar yar oo ah valsartan iyo sacubitril wuxuuna si tartiib tartiib ah u kordhiyaa qiyaastaada.

Isku darka valsartan iyo sacubitril wuxuu xakameynayaa wadnaha oo istaaga laakiin ma daaweynayo. Sii wad inaad qaadato valsartan iyo sacubitril xitaa haddii aad caafimaad dareento. Ha u joojin qaadashada valsartan iyo sacubitril adigoon dhaqtarkaaga la hadlin.

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 valsartan iyo sacubitril,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay (bararka wajigaaga, bushimahaaga, carrabkaaga, ama cunahaaga, ama neefsashada oo dhib ku ah) valsartan, xannibaadayaasha kale ee qaata daawadayaasha 'angiotensin receptor blockers' (ARB) sida azilsartan (Edarbi, in Edarbyclor), candesartan (Atacand, Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, Micardis HCT, in Twynsta); angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, Vaseretic), fosinopril, lisinopril (gudaha Prinzide, Zestoretic), moexipril (Univasc, in Uniretic), per , Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), ama trandolapril (Mavik, Tarka); sacubitril; daawooyin kale; ama mid ka mid ah maaddooyinka ku jira kiniiniyada valsartan iyo sacubitril. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad sonkorow qabto (sonkorta dhiigga oo sarreeya) oo aad qaadanayso aliskiren (Tekturna, Tekturna HCT). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan valsartan iyo sacubitril; haddii aad sonkorow qabto oo aad sidoo kale qaadatid aliskiren. Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanayso dawada ACE sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Prinzide, Zestoretic), moexipril (Univasc, in Uniretic ), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), ama trandolapril (Mavik, in Tarka), ama haddii aad joojisay qaadashada ACE ka hortagga 36 saac ee ugu dambeeyay. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan valsartan iyo sacubitril haddii aad sidoo kale qaadanayso ACE-inhibitor.
• 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 waxyaabaha soo socda: ARB sida azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta); asbiriin iyo dawooyinka kale ee nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn) iyo daawooyinka xulashada COX-2 sida selecoxib (Celebrex); diuretics ('kaniiniyada biyaha'), oo ay kujiraan diuretics-ka ilaaliya jirka sida amiloride, gemfibrozil (Lopid); daawooyin kale oo lagu daaweeyo dhiig karka ama dhibaatada wadnaha; lithium (Lithobid); iyo kaalshiyamta. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa yeelatay cudurka anjioedema ee la iska dhaxlo (xaalad la iska dhaxlo oo sababa dhacdooyin barar ah gacmaha, cagaha, wejiga, marinka hawada, ama xiidmaha); sonkorow ama kalyo, ama beer xanuun.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso. Ha nuujin naaska inta aad qaadanayso valsartan iyo sacubutril.
• waa inaad ogaataa in valsartan iyo sacubutril ay sababi karaan dawakhaad, madax-wareer, iyo miyir beel markii aad dhaqso uga soo kacdid booska jiifka. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo qaadashada valsartan iyo sacubitril. Si looga caawiyo inaad ka fogaato dhibaatadan, sariirta uga deg tartiib tartiib, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.
• waa inaad ogaataa in shubanka, matagga, cabitaanka cabitaanno kugu filan, iyo dhidid badan ay sababi karaan hoos u dhac ku yimaada cadaadiska dhiigga, kaasoo sababi kara madax-wareer iyo miyir beelid. U sheeg dhakhtarkaaga haddii aad qabtid mid ka mid ah dhibaatooyinkan ama aad horumariso inta lagu jiro daaweyntaada.

Ha isticmaalin bedel milix leh oo ay ku jiraan macdanta potassium adiga oo aan la hadlin dhakhtarkaaga. Haddii dhakhtarkaagu kuu qoro cunto milixdu ku yar tahay ama ay ku yar tahay soodhiyamku, si taxaddar leh u raac tilmaamahaas.

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Valsartan iyo sacubitril waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• qufac
• daal xad dhaaf ah

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta taxaddarrada qaaska ah, isla markiiba wac dhakhtarkaaga:

• finan
• cuncun
• bararka bushimaha, carrabka, wejiga, ama cunaha
• neefsashada oo adkaata

Isku darka valsartan iyo sacubitril wuxuu sababi karaa 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. Kiniiniga ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku dhigin musqusha). Ku kaydi dhalada ka-hakin afka ah heerkulka qolka illaa 15 maalmood; ha qaboojiyaha gelin.

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. Dhakhtarkaaga ayaa laga yaabaa inuu amro tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee valsartan iyo sacubitril.

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.

• Entresto^®