Tus Sau: Marcus Baldwin
Hnub Kev Tsim: 15 Lub Rau Hlis Ntuj 2021
Hloov Hnub: 19 Lub Kawm Ob Hlis Ntuj 2024
Anonim
Verapamil || Mechanism, side effects and uses
Daim Duab: Verapamil || Mechanism, side effects and uses

Zoo Siab

Verapamil yog siv los kho ntshav siab thiab tswj hwm angina (mob hauv siab). Cov ntsiav tshuaj tso tawm sai sai kuj tseem siv ib leeg lossis nrog lwm cov tshuaj los tiv thaiv thiab kho lub plawv dhia tsis xwm yeem. Verapamil nyob rau hauv chav kawm ntawm cov tshuaj noj hu ua calcium-channel blockers. Nws ua haujlwm los ntawm kev so lub cev cov hlab ntshav kom lub plawv tsis tas yuav nqus tsis nyuaj. Nws kuj tseem nce cov mov thiab cov pa oxygen rau lub plawv thiab maj mam ua hluav taws xob ua haujlwm hauv lub plawv kom tswj tau lub plawv dhia.

Ntshav siab yog cov mob uas ib txwm muaj thiab thaum tsis kho, tuaj yeem ua 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.


Verapamil los ua ib ntsiav tshuaj, ua kom ntev ntxiv (ua yeeb yam ntev) lub ntsiav tshuaj, thiab muab tshuaj ntsiav (ntev ntev) los noj ntawm qhov ncauj. Cov ntsiav tshuaj tsis tu ncua yog feem ntau noj peb mus rau plaub zaug hauv ib hnub. Cov ua kom ntev-tso tawm ntsiav tshuaj thiab tsiav tshuaj feem ntau noj ib zaug lossis ob zaug ib hnub. Siv verapamil nyob rau tib lub sijhawm (s) txhua txhua hnub. Qee cov khoom lag luam verapamil yuav tsum noj thaum sawv ntxov thiab lwm tus thaum yuav mus pw. Nug koj tus kws kho mob saib lub sijhawm zoo tshaj plaws rau koj yog siv tshuaj rau koj li cas. 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 verapamil raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Nqos cov ntsiav tshuaj ncua ntev-tso tawm thiab tshuaj ntsiav tag nrho. Tsis txhob zom lossis txhuam lawv. Nug koj tus kws muag tshuaj yog tias cov ntsiav tshuaj tuaj yeem faib ua ib nrab, vim cov lus qhia sib txawv raws li khoom.

Yog tias koj tsis tuaj yeem nqos cov tshuaj ntsiav uas tso tawm ntev ntev koj yuav tsum tau ua tib zoo qhib cov tshuaj ntsiav thiab nphoo rau tag nrho cov ntsiab lus mus rau ib rab diav ntawm applesauce. Cov applesauce yuav tsum tsis txhob kub, thiab nws yuav tsum mos mos ua kom nqos tsis tau ntxo. Nqos cov txiv tsawb tam sim ntawd yam tsis ntxo, thiab haus ib khob dej txias kom ntseeg tau tias koj tau haus txhua yam tshuaj. Tsis txhob muab cov khoom sib xyaw rau kev siv yav tom ntej.


Koj tus kws kho mob tej zaum yuav pib koj rau qhov qis ntawm verapamil thiab maj mam ntxiv koj cov tshuaj.

Verapamil tswj arrhythmias, ntshav siab, thiab angina tab sis tsis kho cov mob no. Txuas ntxiv noj verapamil txawm hais tias koj tus kheej zoo. Tsis txhob tsum tsis noj verapamil tsis tas tham nrog koj tus kws kho mob.

Qee zaum Verapamil kuj tseem siv los kho lwm yam teeb meem mob plawv. 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 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 verapamil,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau verapamil, lwm yam tshuaj, lossis lwm yam tshuaj hauv verapamil. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj tias yam tshuaj twg thiab cov ntawv yuav tshuaj, cov vitamins, thiab cov khoom noj muaj txiaj ntsig koj noj lossis npaj yuav noj. Nco ntsoov hais ib yam ntawm cov hauv qab no: alpha blockers xws li prazosin (Minipress); antifungals xws li itraconazole (Onmel, Sporanox) thiab ketoconazole (Nizoral); tshuaj aspirin; beta blockers xws li atenolol (Tenormin, hauv Tenoretic), metoprolol (Lopressor, Toprol XL, hauv Dutoprol), nadolol (Corgard, hauv Corzide), propranolol (Inderal, Innopran, hauv Inderide), thiab timolol (Blocadren, hauv Timolide); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cimetidine (Tagamet); clarithromycin (Biaxin, hauv Prevpac); cyclosporine (Neoral, Sandimmune); digoxin (Lanoxin); disopyramide (Norpace); tshuaj tso ntshav ('' tshuaj ntsiav dej '); erythromycin (E.E.S., Eryc, Erythrocin); flecainide; tej yam kab mob HIV protease inhibitors xws li indinavir (Crixivan), nelfinavir (Viracept), thiab ritonavir (Norvir, hauv Kaletra); quinidine (hauv Nuedexta); lithium (Lithobid); tshuaj kho mob ntshav siab; nefazodone; phenobarbital; pioglitazone (Actos, hauv Duetact, hauv Oseni); phom phom (Rifadin, Rimactane); telithromycin (Ketek); thiab theophylline (Theochron, Theolair, Uniphyl). 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. Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog verapamil, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj koj noj, txawm tias tsis tshwm nyob rau hauv daim ntawv no.
  • 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 tau lossis muaj ib txoj kev nqaim lossis txhaws ntawm koj lub plab lossis lwm yam mob uas ua rau cov zaub mov txav mus los rau hauv koj lub plab zom mov qeeb dua; lub plawv dhia; mob plawv, mob siab, lossis mob raum; cov leeg ua haujlwm (mob caj ces uas ua rau cov leeg ua haujlwm tsis muaj zog); lossis myasthenia gravis (mob uas ua rau qee cov leeg tsis muaj zog).
  • 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 verapamil, hu rau koj tus kws kho mob.
  • yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia koj tus kws kho mob lossis kws kho hniav uas koj noj verapamil.
  • tham nrog koj tus kws kho mob txog kev siv dej cawv muaj kev nyab xeeb thaum koj kho verapamil. Verapamil tuaj yeem ua rau kom cov cawv ntawm lub cawv hnyav dua thiab kav ntev.

Tham nrog koj tus kws kho mob txog kev noj txiv kab ntxwv qaub lossis haus kua txiv thaum lub sijhawm noj cov tshuaj no.


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.

Verapamil tuaj yeem ua rau tshwm sim. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • cem quav
  • Kev mob siab
  • kiv taub hau lossis tsaus ntais
  • mob taub hau

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

  • o ntawm tes, taw, pob taws, lossis ceg qis
  • ua pa nyuaj lossis nqos
  • lub plawv dhia qeeb
  • tsaus muag
  • qhov muag plooj
  • ua pob
  • xeev siab
  • nkees heev
  • ntshav txawv lossis doog ntshav
  • tsis muaj lub zog
  • tsis qab los noj mov
  • mob hauv sab saud hauv plab
  • daj ntawm daim tawv nqaij lossis qhov muag
  • cov tsos mob khaub thuas zoo li
  • ua npaws

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:

  • kiv taub hau
  • qhov muag plooj
  • qeeb, ceev, lossis lub plawv dhia tsis xwm yeem
  • qaug dab peg
  • tsis meej pem
  • ua pa nyuaj lossis nqos

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 los txiav txim koj cov lus teb rau verapamil. Koj tus kws kho mob yuav xaj qee qhov kuaj sim kuaj koj lub cev cov lus teb rau verapamil.

Yog tias koj noj qee cov tshuaj txuas ntxiv (Covera HS), koj tuaj yeem pom qee yam zoo li ntsiav tshuaj hauv koj cov quav. Nov tsuas yog lub plhaub tshuaj pliav pliav xwb, thiab qhov no tsis txhais tau tias koj tsis tau txais koj cov tshuaj tag nrho.

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.

  • Calan®
  • Calan® SR
  • Nyiaj Pov Xyooj® HS
  • Isoptin®
  • Verelan®
  • Verelan® PM
  • Tarka® (muaj cov tshuaj trandolapril thiab verapamil)
  • Iproveratril Hydrochloride

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

Kho Dua Tshiab - 10/15/2017

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