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Chlorothiazide, Hydrochlorothiazide, and Metolazone - Thiazide Diuretics
Daim Duab: Chlorothiazide, Hydrochlorothiazide, and Metolazone - Thiazide Diuretics

Zoo Siab

Chlorothiazide tsuas yog siv ib leeg los yog ua ke nrog lwm cov tshuaj los kho ntshav siab. Chlorothiazide yog siv los kho edema (ua kom lub cev tawm ntawm lub cev; cov dej ntau dhau hauv cov ntaub so ntswg hauv lub cev) tshwm sim los ntawm ntau yam teebmeem mob, suav nrog mob plawv, raum, thiab kab mob siab thiab kho edema los ntawm kev siv qee yam tshuaj suav nrog estrogen thiab corticosteroids. Chlorothiazide nyob hauv ib chav kawm ntawm cov tshuaj hu ua diuretics ('dej ntsiav tshuaj'). Nws ua hauj lwm los ntawm kev ua kom lub raum rhuav tshem cov dej tsis muaj txiaj ntsig thiab ntsev los ntawm lub cev mus rau hauv cov zis.

Ntshav siab yog cov mob uas ib txwm muaj, thiab thaum tsis raug kho nws tuaj yeem ua kev puas tsuaj rau lub hlwb, lub plawv, hlab ntsha, raum, thiab lwm qhov hauv lub cev. Kev puas tsuaj rau cov kabmob no yuav ua rau mob plawv, lub plawv nres, lub plawv tsis ua haujlwm, mob hlab ntsha tawg, raum tsis ua haujlwm, tsis pom kev, thiab lwm yam teebmeem. Ntxiv nrog rau kev noj tshuaj, hloov kev ua neej kuj tseem yuav pab tswj hwm koj cov ntshav siab. Cov kev hloov pauv no suav nrog kev noj zaub mov kom muaj rog thiab ntsev tsawg, tswj kev noj qab haus huv, ua kom lub cev tsawg kawg 30 feeb feem ntau hnub, tsis haus luam yeeb, thiab haus cawv kom tsis txaus.


Chlorothiazide los ua ib ntsiav tshuaj thiab ncua (ua kua) los noj ntawm qhov ncauj. Feem ntau nws yuav noj ib zaug lossis ob zaug ib hnub. Thaum siv los kho kev mob ntshav siab, noj tshuaj chlorothiazide ncig lub sijhawm (cov) tib neeg txhua hnub. Thaum siv los kho edema, chlorothiazide yuav tau noj txhua hnub lossis tsuas yog qee hnub ntawm lub lim tiam. Noj cov tshuaj no nrog noj mov lossis noj khoom txom ncauj. 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. Siv tshuaj chlorothiazide raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Chlorothizide tswj hwm ntshav siab thiab edema tab sis tsis kho cov mob no. Txuas ntxiv noj cov tshuaj chlorothiazide txawm tias koj xis nyob. Tsis txhob tsum tsis txhob noj cov tshuaj chlorothiazide uas tsis tham nrog koj tus kws kho mob.

Chlorothiazide kuj tseem siv tau los kho cov neeg mob ntshav qab zib insipidus thiab qee qhov kev cuam tshuam electrolyte thiab tiv thaiv lub raum pob zeb hauv cov neeg mob uas muaj calcium ntau nyob hauv lawv cov ntshav. 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 qee zaum sau tseg rau lwm qhov kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj cov tshuaj chlorothiazide,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau chlorothiazide, sulfonamide tshuaj tua kab mob, penicillin, lwm yam tshuaj, lossis lwm yam tshuaj hauv chlorothiazide ntsiav tshuaj lossis ncua kev kawm. Nug koj tus kws muag tshuaj lossis tshawb xyuas cov ntaub ntawv ntawm tus neeg mob rau cov npe ntawm cov khoom sib xyaw.
  • 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 tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: barbiturates xws li phenobarbital thiab secobarbital (Seconal); corticosteroids xws li betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, lwm tus), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednis lwm tus), prednisone (Deltasone, Meticorten, Sterapred, lwm tus), thiab triamcinolone (Aristocort, Azmacort); corticotropin (ACTH H.P., Acthar Gel); digoxin (Lanoxin); tshuaj insulin thiab tshuaj noj rau ntshav qab zib, lithium (Lithobid), tshuaj kho ntshav siab lossis mob mob; thiab nonsteroidal anti-inflammatory tshuaj (NSAIDs) xws li ibuprofen (Advil, Motrin, lwm tus) thiab naproxen (Aleve, Naprosyn, lwm tus). 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.
  • yog tias koj noj cholestyramine lossis colestipol, noj lawv 1 teev ua ntej lossis 4 teev tom qab noj chlorothiazide.
  • qhia koj tus kws kho mob yog tias koj muaj mob raum. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj tshuaj chlorothiazide.
  • qhia rau koj tus kws kho mob yog tias koj tau ua lossis puas tau mob hawb pob, mob ntshav qab zib, mob ntshav siab, cov kab mob lupus erythematosus (SLE, mob mob mus ntev), mob gout, lossis mob siab, lossis mob parathyroid.
  • 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 chlorothiazide, hu rau koj tus kws kho mob tam sim ntawd.
  • npaj ua kom tsis txhob muaj qhov phom sij lossis tsis haum rau lub hnub ci thiab hnav khaub ncaws tiv thaiv, tsom iav, thiab tshuaj pleev thaiv hnub. Chlorothiazide tuaj yeem ua rau koj cov tawv nqaij tawv rau hnub ci.
  • koj yuav tsum paub tias chlorothiazide tuaj yeem ua rau kiv taub hau, mob taub hau me ntsis, thiab tsaus muag thaum koj sawv nrawm dhau ntawm txoj haujlwm dag. Qhov no yog qhov ntau dua thaum koj xub pib noj tshuaj chlorothiazide. Txhawm rau zam qhov teeb meem no, sawv saum txaj maj mam so, tso koj ob txhais taw tso rau hauv pem teb li ob peb feeb ua ntej sawv ntsug. Cawv yuav ntxiv rau cov kev mob tshwm sim.

Yog tias koj tus kws kho mob tau sau daim ntawv noj ntsev kom qab ntsev lossis ntsev tsawg, lossis noj lossis haus ntau ntxiv cov zaub mov muaj protein ntau (piv txwv li, tsawb, prunes, raisins, thiab kua txiv kab ntxwv) hauv koj cov zaub mov noj, ua raws cov lus qhia no kom 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 txog sijhawm rau koj cov tshuaj txuas ntxiv, hla cov koob tshuaj ploj thiab txuas ntxiv koj cov sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • nquag tso zis
  • mob leeg pob txha
  • qhov muag plooj
  • cem quav
  • zawv plab
  • ntuav
  • tsis qab los noj mov
  • mob taub hau
  • plaub hau poob

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

  • qhov ncauj qhuav; nqhis dej; xeev siab; ntuav; tsis muaj zog, nkees; tsaug zog; nyob tsis tswm; tsis meej pem; leeg tsis muaj zog, mob, lossis mob plab; lub plawv dhia ceev ceev thiab lwm yam cim ntawm lub cev qhuav dej thiab electrolyte tsis txaus
  • ua npaws
  • hlwv lossis tev tawv
  • ua pa nyuaj lossis nqos
  • khaus
  • ua pob
  • khaus
  • daj ntawm daim tawv nqaij lossis qhov muag

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 thauv nws tuaj nrog hauv, kaw kom nruj thiab ncav cuag cov menyuam yaus. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej). Tsis txhob cia lub qhov ncauj tawm kom khov.

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 mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj cov ntshav siab yuav tsum kuaj xyuas tsis tu ncua, thiab kuaj ntshav yuav tsum ua qee zaus.

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 tshuaj chlorothiazide.

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.

  • Chlotride®
  • Diuril®
  • Aldochlor® (uas muaj Chlorothiazide, Methyldopa)
  • Diupres® (muaj Chlorothiazide, Reserpine)

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

Kawg Kho - 06/15/2017

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