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PALLAS Trial Demotes Dronedarone for Atrial Fibrillation
Daim Duab: PALLAS Trial Demotes Dronedarone for Atrial Fibrillation

Zoo Siab

Koj yuav tsum tsis txhob noj cov tshuaj dronedarone yog tias koj muaj lub plawv tsis ua haujlwm nyhav. Dronedarone yuav ua rau muaj kev pheej hmoo tuag ntxiv rau cov neeg uas muaj lub plawv tsis ua haujlwm nyhav. Qhia rau koj tus kws kho mob yog tias koj lub plawv tsis ua haujlwm uas hnyav txaus ua rau ua pa luv thaum koj so, tom qab siv dag zog me me, lossis tom qab ua haujlwm ib ce. Kuj qhia koj tus kws kho mob yog tias koj tau mus pw hauv tsev kho mob rau lub plawv tsis muaj zog nyob rau lub hli dhau los txawm tias koj xis nyob me ntsis. Koj tus kws kho mob yuav tsis sau ntawv rau dronedarone rau koj.

Koj yuav tsum tsis txhob noj cov tshuaj dronedarone yog tias koj muaj atrial fibrillation (lub plawv tsis txaus uas ua rau lub plawv dhia ceev ceev thiab tsis xwm yeem) uas yuav tsis lossis hloov tsis tau rov qab mus rau qhov kev mob plawv ib txwm. Dronedarone yuav ua rau muaj kev pheej hmoo tuag, mob hlab ntsha tawg, thiab yuav tsum tau mus pw hauv tsev kho mob hauv cov neeg muaj mob atrial fibrillation mus tas li. Koj tus kws kho mob yuav kuaj xyuas koj lub plawv ntu tsawg kawg txhua 3 lub hlis thaum koj noj dronedarone. Hu rau koj tus kws kho mob tam sim ntawd yog tias lub plawv nres nrawm lossis nrawm thaum koj noj dronedarone.


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 dronedarone 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.

Dronedarone yog siv los kho cov neeg uas tam sim no muaj kev tsis txaus siab lub plawv, tab sis tau muaj atrial fibrillation yav dhau los. Dronedarone txo qis kev pheej hmoo tias cov neeg uas muaj tus mob no yuav tsum tau mus pw hauv tsev kho mob los kho atrial fibrillation. Dronedarone yog nyob hauv chav kawm ntawm cov tshuaj hu ua antiarrhythmics. Nws ua haujlwm los ntawm kev pab lub plawv kom nplawm.

Dronedarone los ua ib ntsiav tshuaj noj ntawm qhov ncauj. Nws feem ntau yog noj ob zaug hauv ib hnub, nrog noj thaum sawv ntxov thiab noj hmo. Noj dronedarone 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 dronedarone raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.


Koj tus kws kho mob yuav sau ntawv tawm qee cov tshuaj kom txo qhov kev pheej hmoo ntawm mob stroke thaum koj noj dronedarone. Noj cov tshuaj no raws nraim li qhia thaum kho koj.

Dronedarone yuav pab tswj tau koj lub plawv dhia nkaus xwb tsuas yog koj tseem noj nws. Txuas ntxiv noj cov tshuaj dronedarone txawm hais tias koj tus kheej zoo thiab tau zoo ntev.Tsis txhob tsum tsis txhob haus tshuaj dronedarone tsis tham nrog koj tus kws kho 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 dronedarone,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau dronedarone, lwm yam tshuaj noj, lossis lwm yam tshuaj hauv cov tshuaj dronedarone. 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 yog tias koj tau noj ib qho tshuaj hauv qab no: qee yam tshuaj tiv thaiv kab mob xws li amitriptyline (hauv Limbitrol), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor ), protriptyline (Vivactil), thiab trimipramine (Surmontil); qee cov tshuaj tua kab mob xws li itraconazole (Sporanox), ketoconazole (Nizoral), lossis voriconazole (Vfend); clarithromycin (Biaxin); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (E.E.S., E-Mycin, Erythrocin); cov tshuaj noj rau lub plawv tsis xwm yeem xws li amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), propafenone (Rythmol), quinidine, thiab sotalol (Betapace); nefazodone; phenothiazine tshuaj rau kev mob hlwb lossis xeev siab; ritonavir (Norvir); lossis telithromycin (Ketek). Koj tus kws kho mob yuav qhia koj kom tsis txhob noj cov tshuaj dronedarone yog tias koj noj ib lossis ntau hom tshuaj no.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob sau tseg thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, thiab cov khoom noj zoo uas koj noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: anticoagulants (ntshav cov ntshav) xws li dabigatran (Pradaxa) thiab warfarin (Coumadin); beta blockers xws li atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), thiab propranolol (Inderal); calcium channel blockers xws li diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), thiab verapamil (Calan, Covera, Isoptin, Verelan); carbamazepine (Epitol, Equetro, Tegretol); cov tshuaj ua kom ntshav qab zib (statins) xws li atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), thiab simvastatin (Zocor); digoxin (Lanoxicaps, Lanoxin); cov tshuaj tiv thaiv kab mob (dej tshuaj); phenobarbital; phenytoin (Dilantin); phom phom (Rifadin, Rimactane); xaiv serotonin reuptake inhibitors (SSRIs) xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), thiab sertraline (Zoloft); sirolimus (Rapamune); thiab tacrolimus (Prograf). 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 koj tus kws kho mob tias yam tshuaj ntsuab koj noj, tshwj xeeb tshaj yog St. John wort.
  • qhia rau koj tus kws kho mob yog tias koj muaj lwm yam kev mob plawv xws li lub plawv dhia ceev lossis qeeb, ntu QT ntu ntev (mob plawv uas yuav ua rau lub plawv dhia tsis xwm yeem, tsaus muag, lossis cia li tuag kiag), kab mob siab, lossis yog koj muaj mob rau daim siab lossis mob ntsws cov teeb meem uas tsim tawm tom qab siv tshuaj amiodarone (Pacerone). Koj tus kws kho mob yuav hais kom koj tsis txhob noj cov tshuaj dronedarone.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis tau muaj dua lwm yam mob.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Koj yuav tsum siv kev tswj kom tsis txhob muaj menyuam thaum lub sijhawm kho nrog dronedarone. Tham nrog koj tus kws kho mob txog kev tiv thaiv kev xeeb tub uas yuav ua haujlwm rau koj. Yog tias koj cev xeeb tub thaum noj cov tshuaj dronedarone, hu rau koj tus kws kho mob tam sim ntawd. Dronedarone tuaj yeem tsim kev puas tsuaj rau tus me nyuam hauv plab.
  • koj yuav tsum tsis txhob pub niam mis thaum kho koj tus mob nrog dronedarone.
  • tham nrog koj tus kws kho mob txog cov kev pheej hmoo thiab cov txiaj ntsig ntawm kev haus dronedarone yog tias koj muaj hnub nyoog 65 xyoos lossis laus dua. Qee tus neeg laus yuav tsum tsis txhob haus tshuaj dronedarone vim tias nws tsis zoo lossis muaj txiaj ntsig zoo li lwm yam tshuaj uas tuaj yeem siv los kho tus mob ib yam.

Tsis txhob noj txiv kab ntxwv qaub lossis haus cov txiv kab ntxwv kua txiv thaum noj cov tshuaj no.


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

Hla lub tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj. Tsis txhob ua kom dhau los siv lub koob tsis nco lossis noj ob zaug kom ua rau koob tshuaj ploj.

Dronedarone 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:

  • zawv plab
  • Kev mob siab
  • tsis muaj zog
  • ua pob
  • liab

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, lossis cov uas tau teev tseg rau hauv ntu CEEB TOOM TSEEM CEEB, tsum tsis txhob noj dronedarone thiab hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:

  • txog siav
  • teeb meem nqos lossis ua pa
  • hawb pob
  • hauv siab nruj
  • hnoos qhuav
  • hnoos tau hnoos qeev frothy
  • pw tsis tsaug zog vim ua pa nyuaj
  • yuav tsum tau txhawb koj tus kheej kom muaj tog hauv ncoo kom ua pa thaum tsaus ntuj
  • qhov hnyav nce (ntawm 5 lossis ntau dua phaus) hauv lub sijhawm luv luv
  • o ntawm lub qhov muag, ntsej muag, daim di ncauj, caj pas, tes, taw lossis ceg
  • lub plawv dhia qeeb
  • tsaus muag
  • ua npaws
  • cov tsos mob khaub thuas zoo li
  • daj ntawm daim tawv nqaij lossis qhov muag
  • khaus
  • doog ntshav los ntshav tsis txawv
  • xeev siab
  • ntuav
  • tsis qab los noj mov
  • mob hauv sab saud hauv plab
  • nkees lossis tsis muaj lub zog
  • tej yam txawv txawv ntawm cov zis
  • lub teeb xim tso quav
  • mob taub hau heev li
  • cia li ua tiav lossis ib nrab ntawm qhov tsis pom kev
  • tsis muaj zog lossis loog ntawm ib sab caj npab lossis txhais ceg
  • nyuaj xav kom meej meej, nco ntsoov, lossis kawm yam tshiab

Dronedarone 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.

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).

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

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.

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 mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj yam kuaj sim koj lub cev teb rau dronedarone.

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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Kho Dua Tshiab - 08/15/2018

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