Clopidogrel

Zoo Siab

• Ua ntej noj clopidogrel,
• Clopidogrel yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
• Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob nram qab no, hu rau koj tus kws kho mob tam sim ntawd:
• Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

Clopidogrel yuav tsum hloov pauv mus ua ib qho kev ua mob hauv koj lub cev kom nws tuaj yeem kho koj tus mob. Qee tus neeg tsis hloov clopidogrel rau nws daim ntawv nquag hauv lub cev ib yam li lwm tus neeg. Vim tias cov tshuaj no tsis ua haujlwm zoo rau cov neeg no, lawv yuav muaj kev pheej hmoo siab los ntawm kev mob plawv lossis mob stroke. Muaj kev ntsuam xyuas los txheeb xyuas cov tib neeg uas muaj teeb meem hloov clopidogrel mus rau ib daim ntawv nquag. Tham nrog koj tus kws kho mob txog seb koj puas yuav tsum tau sim. Yog tias koj pom tias muaj teeb meem hloov clopidogrel mus rau nws daim ntawv nquag, koj tus kws kho mob yuav hloov pauv koj li tshuaj clopidogrel lossis qhia koj tsis txhob noj clopidogrel.

Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Kev Qhia Tshuaj Kho Mob) thaum koj pib kho nrog clopidogrel thiab txhua zaus koj rov ntim tshuaj rau koj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib tau Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) lossis cov chaw tsim tshuaj paus lub vev xaib kom tau txais Kev Qhia Tshuaj.

Tham nrog koj tus kws kho mob txog kev pheej hmoo ntawm kev siv tshuaj clopidogrel.

Clopidogrel tsuas yog siv ib leeg lossis nrog rau cov tshuaj aspirin txhawm rau tiv thaiv teeb meem loj lossis phom sij rau lub plawv thiab cov hlab ntsha hauv cov neeg uas muaj mob hlab ntsha tawg, mob plawv, lossis mob hauv siab. Qhov no suav nrog cov neeg uas muaj mob txha caj qaum (PCI; angioplasty; ib hom kev phais plawv) uas yuav koom nrog tso cov hlab ntshav (cov leeg txoj hlab ntshav txhaws tso rau hauv cov hlab ntshav txhaws txhawm rau txhim kho ntshav khiav) los yog leej twg muaj hlab ntshav hlab plawv o hla kev sib tsoo (CABG; a hom kev phais plawv). Clopidogrel tseem tseem siv los tiv thaiv teeb meem loj lossis tuag taus nrog lub plawv thiab cov hlab ntsha hauv cov neeg uas muaj tus kab mob peripheral arterial (kev khiav tsis zoo hauv cov hlab ntshav uas xa ntshav mus rau ceg). Clopidogrel yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua tshuaj antiplatelet. Nws ua haujlwm los ntawm kev tiv thaiv platelets (ib hom qe ntshav) los ntawm kev khaws thiab tsim cov txhaws uas tuaj yeem ua rau lub plawv nres lossis hlab ntsha tawg.

Clopidogrel los ua ib ntsiav tshuaj noj ntawm qhov ncauj. Nws feem ntau yog noj ib zaug ib hnub nrog lossis tsis muaj zaub mov. Siv clopidogrel nyob ib ncig ntawm tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj clopidogrel raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Clopidogrel yuav pab tiv thaiv teeb meem loj rau koj lub plawv thiab cov hlab ntsha tsuas yog tias koj noj tshuaj. Txuas ntxiv noj clopidogrel txawm hais tias koj tus kheej zoo. Tsis txhob tsum noj clopidogrel tsis tham nrog koj tus kws kho mob. Yog tias koj tsum tsis siv tshuaj clopidogrel, muaj kev pheej hmoo siab ntxiv tias koj yuav muaj lub plawv nres lossis mob hlab ntsha tawg. Yog tias koj muaj lub cev stent, nws tseem muaj qhov pheej hmoo siab dua uas koj tuaj yeem tsim kom muaj ntshav txhaws hauv lub cev yog tias koj tsum tsis siv tshuaj clopidogrel sai dhau.

Clopidogrel kuj tseem siv qee lub sijhawm los tiv thaiv cov ntshav txhaws hauv cov neeg mob atrial fibrillation (ib qho mob uas lub plawv dhia tsis xwm yeem). Tham nrog koj tus kws kho mob txog cov kev pheej hmoo uas yuav siv cov tshuaj no rau koj tus mob.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj clopidogrel,

• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau clopidogrel, prasugrel (Effient), ticlopidine, lwm yam tshuaj noj, lossis lwm yam tshuaj hauv clopidogrel ntsiav tshuaj. Nug koj tus kws muag tshuaj lossis tshawb xyuas Phau Ntawv Qhia Tshuaj Kho Mob rau cov npe ntawm cov khoom siv.
• qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: anticoagulants ('ntshav thinners') xws li warfarin (Coumadin, Jantoven); cov tshuaj aspirin thiab lwm cov tshuaj tiv thaiv tsis haum (NSAIDs) xws li ibuprofen (Advil, Motrin), thiab naproxen (Aleve, Naprosyn); cilostazol; esomeprazole (Nexium); etravirine (Intelence); omeprazole (Prilosec, Prilosec OTC, Zegerid); qee yam tshuaj opiate rau tshuaj hnoos xws li codeine (hauv Triacin-C, hauv Tuzistra XR, lwm tus) lossis hydrocodone (Hycodan, Tussicaps) lossis rau mob xws li codeine (hauv Fioricet, hauv Trezix), fentanyl (Actiq, Duragesic, Subsys, lwm tus) ), hydrocodone (Hysingla, Zohydro, hauv Anexsia, hauv Norco), meperidine (Demerol), morphine (Duramorph, Kadian), lossis oxygencodone (hauv Percocet, hauv Roxicet, lwm tus); repaglinide (Prandin, hauv Prandimet); xaiv serotonin reuptake inhibitors (SSRIs) xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, hauv Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), thiab sertraline (Zoloft); thiab xaiv serotonin / norepinephrine reuptake inhibitors (SNRIs) xws li desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), sibutramine (tsis muaj nyob hauv Tebchaws Meskas; Meridia), thiab venlafaxine (Effexor). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv.
• qhia rau koj tus kws kho mob yog tias koj muaj qhov txhab ntshav (uas mob tawm hauv lub plab lossis lub plab hnyuv uas tau los ntshav), los ntshav hauv lub hlwb, lossis lwm yam mob uas ua rau los ntshav ntau. Koj tus kws kho mob yuav qhia koj tias koj yuav tsum tsis txhob noj tshuaj clopidogrel.
• qhia rau koj tus kws kho mob yog tias koj nyuam qhuav raug mob thiab yog tias koj muaj lossis muaj kab mob siab lossis mob raum lossis mob uas yuav ua rau los ntshav, suav nrog teeb meem hauv plab xws li mob txhab.
• qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj cev xeeb tub thaum noj clopidogrel, hu rau koj tus kws kho mob.
• yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj clopidogrel. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj clopidogrel tsawg kawg 5 hnub ua ntej kev phais mob kom tsis txhob los ntshav ntau heev thaum phais. Koj tus kws kho mob yuav qhia koj thaum twg thiaj pib noj clopidogrel ntxiv tom qab koj phais.
• koj yuav tsum paub tias koj tuaj yeem los ntshav yooj yim dua lossis siv sijhawm ntev dua li niaj zaus thaum koj noj clopidogrel. Ceev faj tsis txhob txiav lossis ua phem rau koj tus kheej thaum koj noj clopidogrel.

Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.

Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Clopidogrel yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

• nkees dhau heev lawm
• mob taub hau
• kiv taub hau
• xeev siab
• ntuav
• mob plab
• zawv plab
• los ntswg

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob nram qab no, hu rau koj tus kws kho mob tam sim ntawd:

• khaus
• ua pob
• khaus
• ua pa nyuaj lossis nqos
• o ntawm lub ntsej muag, lub caj pas, tus nplaig, daim di ncauj, qhov muag, tes, taw, pob taws, lossis ceg qis
• txhaws qa
• dub thiab tarry quav
• liab ntshav hauv cov quav
• ntshav ntuav
• ntuav uas zoo li thaj chaw kas fes
• ntshav txawv lossis doog ntshav
• liab dawb los yog daj tso zis
• maj lossis hais lus nyuaj
• tsis muaj zog lossis loog ntawm ib sab caj npab lossis txhais ceg
• kev hloov pauv ntawm lub zeem muag
• ua npaws
• txog siav
• lub plawv dhia ceev
• daj ntseg tawv nqaij
• pleev xim ntshav lossis ua rau ntshav hauv qab daim tawv
• tsis meej pem
• daj ntawm daim tawv nqaij lossis qhov muag
• qaug dab peg

Clopidogrel tuaj yeem ua lwm cov kev phiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

• doog ntshav los ntshav tsis txawv

Khaws tag nrho cov kev teem caij ntsib nrog koj tus kws kho mob.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

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