Nimodipine
Qanacsan
- Kahor qaadashada nimodipine,
- Nimodipine 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 astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah
Kaabsollada Nimodipine iyo dareeraha waa in afka lagu qaataa. Haddii aad miyir beesho ama aad wax liqi kari weydo, waxaa daawada lagugu siin karaa tuubo quudin oo la galiyo sankaaga ama si toos ah calooshaada. Nimodipine marna lama siinayo xididka (xididka), maxaa yeelay tani waxay sababi kartaa waxyeelo halis ah ama naf-gooyn ah ama dhimasho.
Nimodipine waxaa loo isticmaalaa in lagu yareeyo dhaawaca maskaxda ee ay sababi karto dhiig bax subarachnoid (dhiig bax ku dhaca maskaxda ku hareeraysan taas oo dhacda marka xidid dhiig oo daciif ah maskaxda ku qarxaan). Nimodipine wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'calcium channel blockers'. Waxay ku shaqeysaa iyada oo nasinaysa xididdada dhiigga ee maskaxda si ay ugu oggolaato dhiig badan inuu ugu qulqulo aagagga waxyeellada gaadhay.
Nimodipine wuxuu u yimaadaa sida kaabsol iyo xalka afka (dareeraha) si afka looga qaato ama loo siiyo tuubada quudinta. Badanaa waxaa la qaataa 4tii saacadoodba mar 21 maalmood oo xiriir ah. Daaweynta nimodipine waa in loo bilaabaa sida ugu dhakhsaha badan ee suurtogalka ah, ugu dambeyn 96 saacadood ka dib marka dhiig bax subarachnoid dhaco. Nimodipine waa in lagu qaadaa calool madhan, ugu yaraan 1 saac cuntada ka hor ama 2 saacadood ka dib cuntada Raac tilmaamaha ku qoran warqadda daawadaada si taxaddar leh, oo weydii dhakhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado nimodipine sida saxda ee lagu faray.Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.
Kaabsoolka gebi ahaanba biyo ku liq.
Waa muhiim inaad dhamayso dhamaan koorsadaada daaweynta nimodipine. Sii wad inaad qaadato nimodipine xitaa haddii aad dareento fiicnaan. Ha u joojin qaadashada nimodipine adiga oo aan la hadlin dhakhtarkaaga.
Daawadan waxaa loo qori karaa adeegsi kale. Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada nimodipine,
- u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay nimodipine, daawooyin kale, ama wax kasta oo ku jira kaabsullada nimodipine ama xalka afka. Weydii dhakhtarkaaga ama farmashiistaha liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanayso mid ka mid ah daawooyinka soo socda: daawooyinka qaarkood ee antifungal oo ay ku jiraan itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), iyo voriconazole (Vfend); clarithromycin (Biaxin); dawooyinka qaarkood ee HIV oo ay ku jiraan indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), iyo saquinavir (Invirase); nefazodone; iyo telithromycin (Ketek). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan nimodipine.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, nafaqada nafaqada, iyo fiitamiinada aad qaadaneyso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwa soo socda: armodafinil (Nuvigil); alprazolam (Niravam, Xanax); amiodarone (Cordarone, Pacerone, Nexterone); atazanavir (Reyataz), bosentan (Tracleer); cimetidine (Tagamet); conivaptan (Vaprisol); cyclosporine (Gengraf, Neoral, Sandimmune); delavirdine (Rescriptor); diltiazem (Cardizem, Dilacor, Tiazac); isku darka dalfopristin / quinupristin (Synercid); efavirenz (Sustiva, oo ku taal Atripla); erythromycin (EES, E-Mycin); etravirine (Intelence); fluconazole (Diflucan); fluoxetine (Prozac, Sarafem, oo ku taal Symbyax); isoniazid (gudaha Rifater, gudaha Rifamate); daawooyinka dhiig karka ama cudurada wadnaha oo ay kujiraan durayaasha ('kaniiniyada biyaha'): daawooyinka qaarkood ee cagaarshowga oo ay kujiraan boceprevir (Victrelis) iyo telaprevir (Incivek); dawooyinka qaarkood ee suuxdinta oo ay ku jiraan carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital (Luminal), iyo phenytoin (Dilantin); modafinil (Provigil); nafcillin (Nallpen); p-pillerka (kaniiniyada xakameynta dhalmada); fosfodiesterase (PDE-5) xakameeyayaasha oo ay ku jiraan sildenafil (Revatio, Viagra), tadalafil (Cialis), iyo vardenafil (Levitra, Staxyn); pioglitazone (Actos, ee Actoplus Met, Duetact, Oseni); posaconazole (Noxafil); prednisone (Rayos); rifampin (Rifadin, Rifater, Rimactane, oo ku yaal Rifamate); rufinamide (Banzel); valproic acid (Depakene); verapamil (Calan, Covera, Tarka, Verelan); iyo vemurafenib (Zelburaf). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara nimodipine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanayso xitaa haddii aysan ka muuqan liiskan. 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 Echinacea iyo johannesört wort.
- u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabto cudurka beerka.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanayso nimodipine, wac dhakhtarkaaga.
Ha cabin casiir canab ah ama ha cunin canab canab inta aad qaadanayso nimodipine.
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.
Nimodipine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- madax xanuun
- shuban
- lallabbo
- murqo xanuun
- finan
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah
- dawakhaad
- madax wareer
- garaaca wadnaha oo gaabis ah ama dhakhso ah
- bararka gacmaha, gacmaha, cagaha, ama lugaha
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 iftiinka iyo kuleylka badan iyo qoyaanka (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. Dhakhtarkaaga ayaa si taxaddar leh ula socon doona cadaadiska dhiiggaaga inta aad ku daweyneyso nimodipine.
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.
- Nimotop®¶
- Sifee®
¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.
Markii ugu dambeysay ee dib loo eegay - 11/15/2017