Diclofenac iyo Misoprostol

Qanacsan

• Haweenka uur qaadi kara guud ahaan waa inaysan qaadan diclofenac iyo misoprostol. Si kastaba ha noqotee, adiga iyo dhakhtarkaagu waxaad go'aansan kartaan in diclofenac iyo iskudhafka misoprostol loo baahan yahay si loo daaweeyo xaaladaada. Markaas waa inaad:
• Kahor qaadashada diclofenac iyo misoprostol,
• Diclofenac iyo misoprostol 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 astaamaha soo socda ama kuwa lagu xusay qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah. Ha u qaadan diclofenac iyo misoprostol inta aad dhakhtarkaaga kala hadlayso.
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Dumarka bukaanka ah:

Ha u qaadan diclofenac iyo misoprostol haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad uur yeelato ama aad u maleyneyso inaad uur leedahay inta aad qaadaneyso diclofenac iyo misoprostol, jooji qaadashada daawada isla markaana wac dhakhtarkaaga isla markiiba. Diclofenac iyo misoprostol waxay sababi karaan dhicis (uur lumis), dhiig bax daran, ama dhasha dhicis ah (ilmuhu goor hore buu dhashaa) haddii la qaato inta uurka la leeyahay.

Haweenka uur qaadi kara guud ahaan waa inaysan qaadan diclofenac iyo misoprostol. Si kastaba ha noqotee, adiga iyo dhakhtarkaagu waxaad go'aansan kartaan in diclofenac iyo iskudhafka misoprostol loo baahan yahay si loo daaweeyo xaaladaada. Markaas waa inaad:

• Oggolaan inaad isticmaasho hab lagu kalsoonaan karo oo xakameynta dhalmada inta lagu jiro daweyntaada iyo ugu yaraan 1 bil ama hal wareeg caadadeed daaweyntaada ka dib;
• Qaado baaritaan dhiig oo taban uurka ugu dambeyn 2 usbuuc kahor intaadan bilaabin qaadashada diclofenac iyo misoprostol;
• bilaabaan qaadashada dawada kaliya maalinta labaad ama saddexaad ee caadada soo socota ee xigta.

Dhammaan bukaanada:

Dadka qaata daawooyinka anti-inflammatory nonsteroidal anti-inflammatory (NSAIDs) (oo aan ahayn asbiriin) sida diclofenac iyo iskudhafka misoprostol waxay yeelan karaan halista ugu sareysa ee wadno qabad ama istaroog marka loo eego dadka aan qaadan daawooyinkan. Dhacdooyinkan waxay dhici karaan digniin la'aan waxayna sababi karaan dhimasho. Khatartani way ka sii badnaan kartaa dadka qaata NSAIDs muddo dheer. Ha u isticmaalin NSAID sida diclofenac iyo misoprostol oo isku dhafan haddii aad dhawaan wadno xanuun ku qabatay, ilaa dhakhtarkaagu kuu faro mooyee. U sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ah uu qabo ama uu waligiis ku dhacay cudur wadne, wadno-qabad, ama istaroog, haddii aad sigaar cabtaan, iyo haddii aad qabateen ama waligiin aad qabateen kolestarool sare, dhiig kar, ama kaadi macaan Hel gargaar caafimaad oo deg-deg ah isla markiiba haddii aad isku aragto mid ka mid ah astaamaha soo socda: laabta oo xanuunta, neefta oo ku qabata, daciifnimo oo ku timaadda qayb ka mid ah jirka ama dhinaceeda, ama hadal dabacsan

Haddii aad mari doontid halbowlaha xididdada wadnaha (CABG, nooc qalliin wadnaha ah), waa inaadan qaadin diclofenac iyo misoprostol isla qalliinka ka hor ama ka dib.

NSAIDs sida diclofenac waxay sababi karaan nabarro, dhiig bax, ama godad caloosha ama xiidmaha. Misoprostol waxaa lagu daraa diclofenac si loo ilaaliyo caloosha iyo xiidmaha, laakiin lagama yaabo inay ka hortagto dhammaan dhaawacyada soo gaara qaybahaas jirka. Dhibaatooyinka caloosha iyo xiidmaha ayaa laga yaabaa inay soo baxaan wakhti kasta inta lagu jiro daweynta, waxay dhici karaan digniin la'aan astaamo, waxayna sababi karaan dhimasho. Khatartu way ka sii badnaan kartaa dadka qaata NSAIDs waqti dheer, da 'weyn, da' caafimaad qaba, sigaar cabba, ama caba khamri tiro badan inta ay qaadanyaan diclofenac iyo misoprostol. U sheeg dhakhtarkaaga haddii aad qaadato mid ka mid ah daawooyinka soo socda: daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); asbiriin; NSAID-yada kale sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); steroids-ka afka laga qaato sida dexamethasone, methylprednisolone (Medrol), iyo prednisone (Rayos); xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), iyo sertraline (Zoloft); ama serotonin norepinephrine reuptake inhibitors (SNRIs) sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), iyo venlafaxine (Effexor XR). U sheeg dhakhtarkaaga haddii aad wax dhiig ah ka hayso calooshaada ama mindhicirada ama haddii aad isku aragto mid ka mid ah astaamahan: matagidda walax dhiig leh ama u eg qaxwaha, dhiigga saxarada, ama saxarada madow iyo kuwa tarry. ka hor intaadan bilaabin daaweyntaada diclofenac iyo misoprostol. Dhakhtarkaaga ayaa u badan inuu kuu sheego inaadan qaadan diclofenac iyo misoprostol. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa nabarro ama cillad dhiig-bax ah qabto. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada diclofenac iyo misoprostol una wac dhakhtarkaaga: calool xanuun, laab xanuun, matag walax dhiig leh ama u eg qaxwaha, dhiig saxarada ku jira, ama saxaro madow iyo kuwa tarry ah.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa si taxadar leh ula socon doona astaamahaaga waxaana macquul ah inuu amro baaritaano gaar ah si loo hubiyo jawaabta jirkaaga ee diclofenac iyo misoprostol. Hubso inaad u sheegto dhakhtarkaaga sida aad dareemaysid si dhakhtarkaagu u qori karo xaddiga saxda ah ee daaweynta si loogu daaweeyo xaaladdaada iyada oo ay ugu jirto khatarta ugu hooseysa ee waxyeelooyinka halista ah.

Ha siinin daawadan qof kale, gaar ahaan haweeney uur qaadi karta ama uur qaadi karta.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha ee diclofenac iyo misoprostol iyo Tilmaamaha guud ee dawooyinka ee NSAIDs marka aad bilaabayso daaweyntaada iyo mar kasta oo aad dib u buuxiso dawadaada. 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 soo saaraha si aad uga hesho warqadda macluumaadka bukaanka iyo Tilmaamaha Daawaynta.

Isku-darka diclofenac iyo misoprostol waxaa loo isticmaalaa in lagu yareeyo xanuunka, jilicsanaanta, bararka, iyo qallafsanaanta ay keento osteoarthritis (arthritis-ka ay keento burburka dahaarka kala-goysyada) iyo rheumatoid arthritis (arthritis-ka oo ay keento bararka dahaadhka xubnaha) bukaanka khatarta sare ugu jira inay yeeshaan boogaha caloosha. Diclofenac wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan NSAIDs. Waxay ku shaqeysaa iyadoo la joojinayo soo saarista jirka ee walax sababa xanuun iyo caabuq. Misoprostol waxay ku jirtaa nooc dawooyin ah oo loo yaqaan 'prostaglandins'. Waxay ka hortagtaa boogaha ay keento diclofenac iyadoo ilaalinaysa xuubka caloosha iyo yaraynta wax soo saarka aashitada caloosha.

Isku diclofenac iyo misoprostol waxay u yimaadaan sidii kiniin afka lagu qaato. Caadi ahaan waxaa lagu qaataa cuntada laba ilaa afar jeer maalintii. Si lagaaga caawiyo inaad xasuusato inaad qaadato diclofenac iyo misoprostol, qaado qiyaastii isla waqtiyadii 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 diclofenac iyo misoprostol isku-darka 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 kala qaybin, calalin, ama burburin. Ha qaadan kiniinno jabay ama dhaawacmay.

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

Kahor qaadashada diclofenac iyo misoprostol,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay diclofenac (Cambiya, Flector, Pennsaid, Solaraze, Voltaren XR, Zipsor, Zorvolex), misoprostol (Cytotec), aspirin ama NSAIDs kale sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); prostaglandins sida alprostadil (Caverject, Edex, Muse), karboprost (Hemabate), dinoprostone (Cervidil, Prepidil, Prostin E2) iyo mifepristone (Korlym, Mifeprex); daawooyin kale, ama mid ka mid ah maaddooyinka aan firfircooneyn ee ku jira kiniinnada diclofenac iyo misoprostol. Weydii farmashiistahaaga liiska waxyaabaha aan firfircooneyn.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku 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 daawooyinka ku qoran qaybta DIGNIINTA MUHIIMKA ah iyo mid ka mid ah kuwan soo socda: xannibaadayaasha angiotensin-converting enzyme (ACE) sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, Prestalia), quinapril (Accupril, Quinaretic), ramipril (Altace), iyo trandolapril (Mavik, Tarka); xannibaadayaasha 'angiotensin receptor blockers' sida candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta), iyo valsartan (Exforge HCT); antibiyootikada; beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), iyo propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Geograf, Neoral, Sandimmune); digoxin (Lanoxin); durayaasha ('kaniiniyada biyaha'); insulin iyo dawooyinka afka laga qaato ee sonkorowga; daawooyinka qalalka; methotrexate (Otrexup, Rasuvo, Trexall); lithium (Lithobid); phenobarbital; rifampin (Rifadin, Rimacatane, gudaha Rifamate, Rifater); tacrolimus (Astagraf, Envarsus XR, Prograf); iyo voriconazole (Vfend). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyinka kale waxay la falgalaan diclofenac iyo misoprostol, marka hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• la hadal dhakhtarkaaga haddii aad u baahan tahay inaad qaadato antacid inta lagu jiro daweyntaada diclofenac iyo misoprostol. Waa inaadan qaadan dawada antiacids ee ay kujiraan magnesium (Mylanta, kuwa kale). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad qaadan karto antacid ay ku jiraan aluminium ama kaalshiyam.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qabtid mid ka mid ah xaaladaha lagu xusay qaybta DIGNIINTA MUHIIMKA ah ama xannuunada mindhicirka oo barara (barar ku dhaca xuubka xiidmaha oo sababi kara shuban dhiig leh iyo casiraad). neefta, gaar ahaan haddii aad sidoo kale leedahay duuf badan ama duuf badan ama burooyinka sanka (barar ku dhaca xuubka sanka); lupus (xaalad jirku ku weeraro in badan oo ka mid ah unugyadiisa iyo xubnaheeda, badanaa oo ay ku jiraan maqaarka, kala-goysyada, dhiigga, iyo kelyaha); hepatatic porphyria (koror aan caadi ahayn ee xaddiga maaddooyinka dabiiciga ah qaarkood ee beerka sameeyo); wadnaha oo istaaga; beerka ama kalyaha xanuun; ama barar gacmaha, cagaha, anqawyada, ama lugaha hoose.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• haddii aad qalliin samaynayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso diclofenac iyo misoprostol.

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

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.

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

• shuban
• gaas ama dibiro
• calool istaag

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ama kuwa lagu xusay qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah. Ha u qaadan diclofenac iyo misoprostol inta aad dhakhtarkaaga kala hadlayso.

• miisaanka oo kordha
• neefta oo ku qabata ama neefsashada oo ku adkaata
• barar caloosha, anqawyada, cagaha, ama lugaha
• daal fara badan
• tamar la’aan
• cuncun
• calool xanuun
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• hurdi maqaarka ama indhaha
• astaamaha hargabka oo kale ah
• maqaarka cirro leh
• garaaca wadnaha
• madax xanuun
• qoor adag
• cune xanuun
• murqo xanuun
• jahwareer
• dareenka iftiinka
• qandho
• finanka
• finan
• finan
• bararka indhaha, wajiga, dibnaha, carrabka, cunaha, gacmaha, ama gacmaha
• dhib liqidda
• xabeeb
• dhiigbax aan caadi ahayn oo siilka ah
• kaadi daruuro, midab leh, ama dhiig leh
• dhabar xanuun
• kaadi adag ama xanuun badan

Diclofenac iyo misoprostol waxay sababi karaan 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).

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:

• calool xanuun
• matagid
• shuban
• jahwareer
• lulmid
• murqaha oo hooseeya
• gariir aan la koontarooli karin qayb ka mid ah jirka
• qalal
• neefta oo ku qabata
• qandho
• dhakhso, garaacid, ama garaaca wadnaha oo gaabis ah
• dawakhaad
• miyir beelid

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso diclofenac iyo misoprostol.

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.

• Arthrotec^® (ay ku jiraan Diclofenac, Misoprostol)