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Heart failure - Treatment - Hydralazine and Isosorbide Dinitrate
Daim Duab: Heart failure - Treatment - Hydralazine and Isosorbide Dinitrate

Zoo Siab

Isosorbide cov ntsiav tshuaj tso tawm tam sim yog siv rau kev tswj hwm ntawm mob angina (mob hauv siab) hauv cov neeg muaj mob rau txoj hlab ntshav (txoj hlab ntshav me uas xa ntshav mus rau lub plawv). Isosorbide ncua ntev-tso tawm (ua haujlwm ntev) cov ntsiav tshuaj thiab nthuav tawm tshuaj ntsiav tau siv rau kev tswj hwm ntawm lub hauv siab hauv cov neeg uas muaj mob rau cov hlab ntsha. Isosorbide tsuas yog siv los tiv thaiv angina; nws tsis tuaj yeem siv los kho qhov mob hnoos ntawm angina thaum nws tau pib. Isosorbide yog nyob hauv chav kawm ntawm cov tshuaj hu ua vasodilators. Nws ua haujlwm los ntawm kev so lub cev cov ntshav kom lub plawv tsis tas yuav ua haujlwm nyuaj thiab yog li tsis tas yuav siv oxygen ntau.

Isosorbide los ua lub ntsiav tshuaj, lub cev tawm ntev (ua haujlwm ntev) lub ntsiav tshuaj, thiab ncua tshuaj ntsiav kom ntev los noj ntawm qhov ncauj. Cov ntsiav tshuaj feem ntau yog noj ob lossis peb zaug ib hnub. Cov ntsiav tshuaj ncua-tso tawm feem ntau yog noj ib hnub ib zaug thaum sawv ntxov. Cov tshuaj ntsiav ncua-tso tawm feem ntau yog noj ib hnub ib zaug.

Nqos cov ntsiav tshuaj txuas-tso tawm lossis tshuaj ntsiav tag nrho; tsis txhob zuaj, zom, lossis faib lawv. 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 isosorbide raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.


Isosorbide tswj kev mob hauv siab tab sis tsis tuaj yeem kho tus mob coronary artery. Kav tsij noj isosorbide txuas ntxiv txawm hais tias koj xis neej. Tsis txhob noj isosorbide tsis tas tham nrog koj tus kws kho mob.

Isosorbide tej zaum yuav tsis ua haujlwm zoo tom qab koj tau noj nws qee lub sijhawm lossis yog tias koj tau noj ntau zaug. Koj tus kws kho mob yuav teem sijhawm koj cov koob tshuaj kom nws muaj lub sijhawm nyob hauv txhua hnub thaum koj tsis raug isosorbide. Yog tias koj lub hauv siab mob tshwm sim ntau, ntev dua, lossis mob hnyav dua txhua lub sijhawm thaum kho, hu rau koj tus kws kho mob.

Isosorbide ntsiav tshuaj kuj tseem siv nrog lwm cov tshuaj los kho lub plawv tsis ua hauj lwm. 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 isosorbide,

  • qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj muaj kev fab tshuaj rau isosorbide; nitroglycerin ntsiav tshuaj, thaj ua rau thaj, lossis tshuaj pleev; lwm cov tshuaj noj, lossis ib qho twg ntawm cov khoom xyaw hauv isosorbide ntsiav tshuaj, ntsiav tshuaj tso tawm tom qab, lossis tshuaj ntsiav ncua ntev. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
  • qhia rau koj tus kws kho mob yog tias koj tau noj lossis nyuam qhuav noj riociguat (Adempas) lossis phosphodiesterase inhibitor (PDE-5) xws li avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), thiab vardenafil (Levitra, Staxyn). Tej zaum koj tus kws khomob yuav qhia koj kom tsis txhob noj isosorbide yog tias koj noj ib qho ntawm cov tshuaj no.
  • 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 txhua yam ntawm cov hauv qab no: tshuaj aspirin; beta blockers xws li atenolol (Tenormin, Tenoretic), carteolol, labetalol (Trandate), metoprolol (Lopressor, Toprol-XL, hauv Dutoprol, hauv Lopressor HCT), nadolol (Corgard, hauv Corzide), propranolol (Hemangeol, Inderal, Innopran) , sotalol (Betapace, Sorine, Sotylize), thiab timolol; calcium channel blockers xws li amlodipine (Norvasc, hauv Amturnide, hauv Tekamlo), diltiazem (Cardizem, Cartia, Dilt-CD, lwm tus), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), thiab verapamil (Calan) , Covera, Verelan); ergot-hom tshuaj xws li bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergotamine (hauv Cafergot, hauv Migergot), methylergonovine (Methergine), methysergide hauv Asmeskas), thiab pergolide (Permax; tsis muaj nyob hauv Asmeskas); tshuaj kho ntshav siab, plawv nres, lossis lub plawv dhia tsis xwm yeem. 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 lub cev qhuav dej, yog tias koj nyuam qhuav mob plawv, lossis yog tias koj tau lossis muaj lub plawv tsis ua haujlwm sai, tsis muaj ntshav siab, lossis hypertrophic cardiomyopathy (ua rau lub plawv dhia).
  • 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 isosorbide, 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 isosorbide.
  • nug koj tus kws kho mob txog kev haus cawv zoo thaum koj siv tshuaj isosorbide. Cawv yuav ua rau muaj kev phiv los ntawm isosorbide tsis zoo.
  • koj yuav tsum paub tias isosorbide tuaj yeem ua rau kiv taub hau, lub teeb tob hau, thiab tsaus muag thaum koj tau sawv ntawm qhov chaw nrawm dua, lossis lub sijhawm twg los tau, tshwj xeeb yog tias koj tau haus dej haus cawv. Txhawm rau zam qhov teeb meem no, maj mam sawv, pw koj ob txhais taw hauv pem teb li ob peb feeb ua ntej sawv ntsug. Ua kom ceev faj ntxiv kom tsis txhob poob thaum koj kho mob nrog isosorbide.
  • koj yuav tsum paub tias koj tuaj yeem hnov ​​mob taub hau txhua txhua hnub thaum lub sijhawm kho nrog isosorbide. Cov mob taub hau no tuaj yeem yog qhov qhia tias cov tshuaj ua haujlwm zoo li nws yuav tsum ua. Tsis txhob sim hloov lub sijhawm lossis txoj kev uas koj noj isosorbide kom tsis txhob mob taub hau vim tias tom qab ntawd cov tshuaj yuav tsis ua haujlwm zoo li. Koj tus kws kho mob yuav hais kom koj coj lub tshuaj pab kho qhov mob taub hau.

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.

Isosorbide yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias muaj ib qho ntawm cov tsos mob no lossis cov uas tau teev tseg rau hauv TSHWJ XEEB PRECAUTIONS tshwj xeeb yog qhov hnyav lossis tsis ploj mus:

  • xeev siab

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 sai lossis tau txais kev kho mob kub ceev:

  • ntsuas hauv siab mob hauv siab tuaj
  • ua pob
  • khaus
  • khaus
  • ua pa nyuaj lossis nqos

Isosorbide tuaj yeem ua rau muaj kev phiv ntxiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum koj tseem 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.

Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:

  • mob taub hau
  • tsis meej pem
  • ua npaws
  • kiv taub hau
  • lub plawv dhia lossis cov phus plawv dhia
  • xeev siab
  • ntuav
  • ntshav zawv plab
  • tsaus muag
  • txog siav
  • hws
  • yaug
  • daim tawv nqaij txias, nplaum
  • tsis muaj peev xwm txav tau lub cev
  • tsis nco qab (tsis nco qab rau lub sijhawm ib ntus)
  • qaug dab peg

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.

  • Dilatrate®-SR
  • Imdur®
  • Ismo®
  • Ismotic®
  • Isoditrate®
  • Isordil®
  • Monoket®
  • BiDil® (uas muaj Hydralazine thiab Isosorbide Dinitrate)
  • ISDN
  • ISMN

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

Kawg Kho - 09/15/2019

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