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Why has Ranitidine Been Banned
Daim Duab: Why has Ranitidine Been Banned

Zoo Siab

[Tshaj tawm 04/01/2020]

ISSUE: FDA tau tshaj tawm tias nws tau thov cov kws lag luam kom thim tag nrho cov tshuaj thiab cov tshuaj noj (OTC) ranitidine tshuaj los ntawm lub khw tam sim ntawd.

Qhov no yog qhov tshiab tshaj plaws hauv kev tshawb nrhiav txuas mus ntxiv ntawm cov tog paug uas hu ua N-Nitrosodimethylamine (NDMA) hauv cov tshuaj ranitidine (feem ntau paub los ntawm hom npe Zantac). NDMA yog yam tshwm sim rau neeg lub cev (cov tshuaj uas yuav ua rau mob cancer). FDA tau txiav txim siab tias qhov tsis muaj zog hauv qee cov khoom lag luam ranitidine nce sijhawm thiab thaum khaws cia ntau dua chav sov yuav ua rau cov neeg siv khoom muaj qhov tsis txaus ntseeg ntawm qhov tsis txaus no. Raws li qhov kev thov tam sim no tshem tawm kev lag luam, cov khoom lag luam ranitidine yuav tsis muaj rau cov tshuaj tshiab lossis qub uas twb muaj lawm lossis kev siv tshuaj OTC hauv Asmeskas.

ROV QAB ZIB: Ranitidine yog ib qho kev thaiv keeb kwm-2, uas ua rau cov kua qaub tsim los ntawm lub plab. Daim ntawv sau tshuaj ranitidine raug pom zoo rau ntau lub cim, suav nrog kev kho mob thiab kev tiv thaiv ntawm qhov mob ntawm lub plab thiab txoj hnyuv thiab kev kho tus kab mob gastroesophageal reflux.


LUS:

  • Cov neeg siv khoom: FDA tseem tawm tswv yim rau cov neeg siv tshuaj OTC ranitidine kom tsis txhob noj ib qho tshuaj los yog kua uas lawv muaj tam sim no, pov tseg lawv kom zoo thiab tsis yuav ntau dua; rau cov neeg uas xav mus txuas ntxiv kho lawv tus mob, lawv yuav tsum txiav txim siab siv lwm cov khoom lag luam OTC pom zoo.
  • Cov neeg mob: Cov neeg mob uas siv cov tshuaj ranitidine yuav tsum tham nrog lawv tus kws saib xyuas kev noj qab haus huv txog lwm txoj kev kho mob ua ntej txiav tawm cov tshuaj, vim tias muaj ntau cov tshuaj pom zoo rau tib yam lossis siv zoo li ranitidine uas tsis coj tib yam kev phom sij los ntawm NDMA. Txog niaj hnub no, FDA txoj kev sim tsis pom NDMA nyob rau hauv famotidine (Pepcid), cimetidine (Tagamet), esomeprazole (Nexium), lansoprazole (Prevacid) lossis omeprazole (Prilosec).
  • Cov neeg tau txais kev pab thiab cov neeg mob:Vim tias qhov kev tiv thaiv kab mob kev nkeeg thoob plaws niaj hnub no, FDA pom zoo kom cov neeg mob thiab cov neeg siv tsis noj lawv cov tshuaj rau qhov chaw muab tshuaj rov qab tab sis ua raws li FDA cov lus qhia pom zoo, muaj nyob rau ntawm: https://bit.ly/3dOccPG, uas suav nrog txoj hauv kev kom muaj kev nyab xeeb pov tseg cov tshuaj no hauv tsev.

Yog xav paub ntaub ntawv ntau ntxiv mus saib FDA tus vev xaib ntawm: http://www.fda.gov/Safety/MedWatch/SafetyInformation thiab http://www.fda.gov/Drugs/DrugSafety.


Ranitidine yog siv los kho cov mob rwj; gastroesophageal reflux disease (GERD), qhov xwm txheej uas rov qab ntws ntawm cov kua qaub los ntawm lub plab ua rau kub siab thiab raug mob ntawm cov yeeb nkab cov zaub mov (txoj hlab nqos mov); thiab cov mob uas lub plab ua rau muaj cov kua qaub ntau heev, xws li Zollinger-Ellison syndrome. Txoj kev siv tshuaj (over-the-counter ranitidine) yog siv los tiv thaiv thiab kho cov tsos mob ntawm lub plawv kub uas cuam tshuam nrog cov kua qaub ua rau lub plab thiab lub plab zom mov. Ranitidine nyob hauv chav kawm ntawm cov tshuaj hu ua H2 blockers. Nws txo qis ua haujlwm ntawm cov kua qaub hauv lub plab.

Ranitidine los ua ib ntsiav tshuaj, ntsiav tshuaj effervescent, effervescent granules, thiab kua phoov los noj ntawm qhov ncauj. Feem ntau nws yuav tsum noj ib zaug ib hnub thaum mus pw lossis ob rau plaub zaug ib hnub. Tus nqi tshuaj ho-tshuaj yog ib ntsiav tshuaj los noj ntawm qhov ncauj. Feem ntau nws yuav noj ib zaug lossis ob zaug ib hnub. Txhawm rau tiv thaiv cov tsos mob, nws noj 30 mus rau 60 feeb ua ntej noj mov lossis haus cov zaub mov uas ua rau kub siab. Ua raws cov lus qhia ntawm koj daim ntawv yuav tshuaj los yog cov ntawv ntim lub ntim tshuaj, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj ranitidine raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.


Dissolve ranitidine effervescent ntsiav tshuaj thiab granules hauv lub khob puv (6 txog 8 ounces [180 txog 240 millilitres]) dej ua ntej haus.

Tsis txhob noj cov tshuaj rau hauv lub sijhawm ntau tshaj 2 lub lis piam tshwj tsis yog koj tus kws kho mob hais kom koj.Yog tias cov tsos mob ntawm lub siab, mob plab kem plab, lossis lub plab ua rau ntev dua 2 asthiv, tsum tsis txhob noj cov tshuaj ranitidine thiab hu rau koj tus kws kho mob.

Ranitidine kuj tseem siv qee lub sijhawm los kho cov mob ntshav hauv plab thiab tiv thaiv kev mob plab, ua kom lub plab puas tsuaj los ntawm kev siv cov tshuaj tua kabmob tsis muaj kabmob (NSAIDs), thiab kev cia siab rau lub plab cov kua qaub thaum tshuaj loog. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev 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 cov tshuaj ranitidine,

  • qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj ua xua rau ranitidine lossis lwm yam tshuaj noj.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj noj Nco ntsoov hais txog ib qho ntawm cov hauv qab no: anticoagulants ('ntshav thinners') xws li warfarin (Coumadin); thiab triazolam (Halcion). 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 lossis tau muaj kab mob hu ua porphyria, phenylketonuria, lossis lub raum lossis mob siab.
  • 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 cov tshuaj ranitidine, hu rau koj tus kws kho mob.

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.

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

  • mob taub hau
  • cem quav
  • zawv plab
  • xeev siab
  • ntuav
  • mob plab

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

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.

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

Ua ntej muaj kev sim ntsuas, qhia rau koj tus kws kho mob thiab cov neeg ua haujlwm hauv chav kuaj pom tias koj noj cov tshuaj ranitidine.

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.

  • Ntuas®
  • Zantac®
  • Zantac® 75
  • Zantac® EFFERdose®
  • Zantac® Syrup

Cov khoom muaj npe khoom no tsis nyob rau ntawm kev ua lag luam. Muaj lwm cov kev xaiv uas siv tau.

Kawg Kho - 04/15/2020

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