Amiodarone
Zoo Siab
- Ua ntej noj tshuaj amiodarone,
- Amiodarone yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais hauv qab no, lossis cov uas teev rau hauv seem ceeb toom ceeb toom, hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:
- Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:
Amiodarone yuav ua rau lub ntsws ua rau lub cev tuaj yeem ua rau hnyav lossis tuag taus. Qhia rau koj tus kws kho mob yog tias koj tau lossis tau muaj mob ntsws txhua lub sijhawm lossis yog koj ib txwm muaj mob ntsws lossis ua pa nyuaj thaum noj amiodarone. Yog koj muaj cov tsos mob li hais hauv qab no, hu rau koj tus kws kho mob tam sim ntawd: ua npaws, ua tsis taus pa, hawb pob, lwm yam teeb meem ua pa, hnoos, lossis hnoos lossis nti ntshav.
Amiodarone kuj tseem tuaj yeem ua rau lub siab puas tsuaj. Qhia rau koj tus kws kho mob yog tias koj tau lossis muaj kab mob siab dua. Yog koj pom muaj cov tsos mob li hais hauv qab no, hu rau koj tus kws kho mob tam sim ntawd: xeev ntuav, ntuav, tso zis muaj xim dub, nkees ntau dhau, ua rau daim tawv nqaij lossis ob lub qhov muag, khaus, lossis mob ntawm sab sauv sab hauv lub plab.
Amiodarone tuaj yeem ua rau koj lub cev tsis xwm yeem (lub plawv tsis xwm yeem) txhawm rau txhawm rau lossis tuaj yeem ua rau koj tsim muaj qhov pib tshiab. Qhia rau koj tus kws kho mob yog tias koj tau kiv taub hau lossis kiv taub hau lossis tsaus muag vim tias koj lub plawv dhia qeeb heev thiab yog tias koj muaj lossis tsis tau muaj poov tshuaj lossis magnesium tsawg ntawm koj cov ntshav; mob plawv lossis cov thyroid mob; lossis ib qho teeb meem nrog koj lub plawv atherosclerosis lwm yam tshaj li qhov arrhythmia uas tau kho. Qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj noj ib qho twg ntawm cov tshuaj hauv qab no: tshuaj tua kab mob xws li fluconazole (Diflucan), ketoconazole (Nizoral), thiab itraconazole (Onmel, Sporanox); azithromycin (Zithromax, Zmax); beta blockers xws li propranolol (Hemangeol, Inderal, Innopran); calcium channel blockers xws li diltiazem (Cardizem, Cartia, Diltzac, Tiazac, lwm tus), thiab verapamil (Calan, Covera, Verelan, hauv Tarka); cisapride (Propulsid; tsis muaj nyob hauv Asmeskas); clarithromycin (Biaxin); clonidine (Catapres, Kapvay); diuretics ('dej tshuaj'); dofetilide (Tikosyn); erythromycin (E.E.S., E-Mycin, Erythrocin); cov tshuaj tua kab mob fluoroquinolone xws li ciprofloxacin (Cipro), levofloxacin (Levaquin), lomefloxacin (tsis muaj nyob hauv Asmeskas), moxifloxacin (Avelox), norfloxacin (tsis muaj nyob hauv Asmeskas), ofloxacin, thiab sparfloxacin (tsis muaj nyob hauv US); lwm cov tshuaj rau lub plawv dhia tsis xws li digoxin (Lanoxin), disopyramide (Norpace), flecainide, ivabradine (Corlanor), phenytoin (Dilantin, Phenytek), procainamide, quinidine (hauv Nuedexta), thiab sotalol (Betapace, Sorine,); thiab thioridazine. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd: pom kev tsaus muag; tsaus muag; lub plawv dhia nrawm, qeeb, lossis khiav ceev; los yog zoo li koj lub siab hla dhau lawm.
Koj yuav nyob pw hauv tsev kho mob ntev ib lub hlis lossis ntev dua thaum koj pib kho mob nrog tshuaj amiodarone. Koj tus kws kho mob yuav saib xyuas koj kom zoo nyob rau lub sijhawm no thiab kom ntev li koj tseem noj tshuaj amiodarone. Koj tus kws kho mob yuav pib noj tshuaj ntau ntau ntawm amiodarone thiab maj mam txo koj cov tshuaj ntau dua thaum cov tshuaj pib ua haujlwm. Koj tus kws kho mob tuaj yeem txo koj cov tshuaj ntau dua nyob hauv kev kho mob yog tias koj muaj kev mob tshwm sim. Ua raws nraim li koj tus kws kho mob cov lus qhia.
Tsis txhob tsum noj tshuaj amiodarone yam tsis tau tham nrog koj tus kws kho mob. Koj yuav tsum tau saib xyuas kom zoo lossis tau pw hauv tsev kho mob thaum koj tsis noj tshuaj amiodarone. Amiodarone yuav nyob hauv koj lub cev rau qee lub sijhawm tom qab koj tsum tsis noj, yog li koj tus kws kho mob yuav saib xyuas koj zoo nyob rau lub sijhawm no.
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 qee yam kev kuaj mob, xws li kuaj ntshav, xoo hluav taws xob, thiab electrocardiograms (EKGs, kev ntsuas uas tau sau cov hluav taws xob kev ua haujlwm hauv lub plawv) ua ntej thiab thaum kho koj kom ntseeg tau tias nws muaj kev nyab xeeb rau koj noj tshuaj amiodarone thiab Kuaj koj lub cev kev teb rau cov tshuaj.
Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Phau Ntawv Qhia Tshuaj Kho Mob) thaum koj pib kho tshuaj amiodarone 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 tseem tuaj yeem nrhiav tau Phau Ntawv Qhia Tshuaj Kho Mob los ntawm FDA lub vev xaib: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.
Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev noj tshuaj amiodarone.
Amiodarone yog siv los kho thiab tiv thaiv qee yam mob hnyav, tuag taus ventricular arrhythmias (tej yam mob txawv txav ntawm lub plawv dhia thaum lwm yam tshuaj tsis pab lossis tsis tuaj yeem tsis haum. Amiodarone yog nyob hauv chav kawm ntawm cov tshuaj hu ua antiarrhythmics. relaxing overactive mob plawv cov leeg.
Amiodarone los ua ib ntsiav tshuaj noj ntawm qhov ncauj. Feem ntau nws yuav noj ib zaug lossis ob zaug ib hnub. Koj tuaj yeem noj tshuaj amiodarone nrog nrog lossis tsis muaj zaub mov noj, tab sis nco ntsoov coj nws tib txoj kev txhua lub sijhawm. Ua raws 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 rau qee qhov koj tsis nkag siab. Noj tshuaj amiodarone raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.
Amiodarone kuj tseem siv qee yam los kho lwm hom arrhythmias. 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 tshuaj amiodarone,
- qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau amiodarone, iodine, lwm yam tshuaj, lossis lwm yam tshuaj hauv amiodarone ntsiav tshuaj. 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 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 txog cov tshuaj teev tseg rau hauv seem tseem ceeb ceeb toom thiab ib qho ntawm cov hauv qab no: tshuaj tiv thaiv kev ntxhov siab ('lub siab sawv') xws li trazodone (Oleptro); anticoagulants ('cov ntshav ua kom ntshav') xws li dabigatran (Pradaxa) thiab warfarin (Coumadin, Jantoven); qee cov roj (cholesterol) txo cov tshuaj xws li atorvastatin (Lipitor, hauv Caduet, hauv Liptruzet), cholestyramine (Prevalite), lovastatin (Altoprev, hauv Advicor), thiab simvastatin (Zocor, hauv Simcor, hauv Vytorin); cimetidine; clopidogrel (Plavix); cyclosporine (Gengraf, Neoral, Sandimmune); dextromethorphan (ib qho tshuaj hauv ntau qhov hnoos); fentanyl (Actiq, Duragesic, Fentora, lwm tus); HIV protease inhibitors xws li indinavir (Crixivan) thiab ritonavir (Norvir, hauv Kaletra, hauv Viekira Pak); cojipasvir thiab sofosbuvir (Harvoni); lithium (Lithobid); loratadine (Claritin); tshuaj noj rau ntshav qab zib lossis qaug dab peg; methotrexate (Otrexup, Rasuvo, Trexall); cov tshuaj yeeb tshuaj rau qhov mob; phom phom (Rifadin, Rimactane, hauv Rifamate, hauv Rifater); thiab sofosbuvir (Solvaldi) nrog simeprevir (Olysio). Ntau lwm cov tshuaj tuaj yeem cuam tshuam nrog tshuaj amiodarone, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no. 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 mob raws plab lossis muaj lossis puas tau muaj cov kev mob tshwm sim dhau los ntawm Kev Ceeb Toom Tshaj Tawm lossis teeb meem nrog koj cov ntshav siab.
- qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Tham nrog koj tus kws kho mob yog tias koj npaj yuav ua cev xeeb tub thaum kho koj vim tias amiodarone yuav nyob hauv koj lub cev rau qee lub sijhawm tom qab koj tsum tsis noj. Yog tias koj cev xeeb tub thaum noj cov tshuaj amiodarone, hu rau koj tus kws kho mob tam sim ntawd. Amiodarone tuaj yeem ua rau mob me nyuam hauv plab.
- qhia rau koj tus kws kho mob yog tias koj pub mis niam rau menyuam. Tsis txhob pub mis noj thaum koj tab tom noj tshuaj amiodarone.
- tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev noj cov tshuaj no yog tias koj muaj hnub nyoog 65 xyoos lossis laus dua. Cov neeg laus dua yuav tsum tsis txhob noj tshuaj amiodarone vim tias nws tsis zoo lossis muaj txiaj ntsig zoo li lwm cov tshuaj uas siv los kho tib yam mob.
- yog tias koj muaj kev phais, suav nrog kev phais hniav lossis kho qhov muag laser, qhia koj tus kws kho mob lossis kws kho hniav uas koj siv tshuaj amiodarone.
- npaj ua kom tsis txhob muaj qhov phom sij lossis tsis raug rau lub hnub lossis hnub ci hnub thiab hnav khaub ncaws tiv thaiv, tsom iav, thiab tshuaj pleev thaiv hnub. Amiodarone yuav ua rau koj cov tawv nqaij tiv tshav ntuj. Tshaj tawm ntawm daim tawv nqaij yuav dhau los ua xim xiav-grey thiab yuav tsis rov zoo li qub txawm tias koj tau noj yam tshuaj no.
- koj yuav tsum paub tias amiodarone tuaj yeem ua teeb meem tsis pom kev suav nrog nrog dig muag mus tas li. Nco ntsoov muaj kev kuaj qhov muag tsis tu ncua thaum kho koj tus mob thiab hu rau koj tus kws kho mob yog tias koj lub qhov muag qhuav, qhov muag pom kev, yog tias koj pom halos, lossis qhov muag plooj lossis lwm yam teeb meem ntawm koj lub zeem muag.
- koj yuav tsum paub tias amiodarone yuav nyob hauv koj lub cev tau ntau lub hlis tom qab koj tsum tsis noj. Koj tseem tuaj yeem muaj cov kev mob tshwm sim ntawm amiodarone nyob rau lub sijhawm no. Nco ntsoov qhia rau txhua tus kws saib xyuas kev noj qab haus huv uas kho koj lossis sau ntawv noj tshuaj rau koj lub sijhawm no uas koj nyuam qhuav noj tshuaj amiodarone.
Tsis txhob haus kua txiv txiv kab ntxwv qaub thaum koj tseem noj hom tshuaj no.
Hla lub tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.
Amiodarone yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- cem quav
- tsis qab los noj mov
- mob taub hau
- tsawg tsav sib deev
- teeb meem tsis tsaug zog los yog pw tsaug zog
- yaug
- cov kev hloov pauv hauv qhov muaj peev xwm saj thiab tsw
- hloov pauv hauv cov qaub ncaug
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais hauv qab no, lossis cov uas teev rau hauv seem ceeb toom ceeb toom, hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:
- ua pob
- poob los sis nce ntxiv
- nyob tsis tswm
- tsis muaj zog
- kev tshee
- txob taus
- intolerance rau cua sov lossis txias
- thinning plaub hau
- tawm hws ntau dhau
- hloov kev coj khaub ncaws
- o rau sab xub ntiag ntawm caj dab (goiter)
- o ntawm tes, taw, pob taws, lossis ceg qis
- kev tswj tsis tau ib qho ntawm lub cev
- tsis muaj kev xav ntau
- kev txav zog uas koj tsis tuaj yeem tswj hwm
- kev koom ua ke tsis zoo lossis teeb meem taug kev
- loog lossis tingling hauv tes, ceg, thiab taw
- leeg tsis muaj zog
Amiodarone yuav ua rau muaj lwm cov kev phiv. 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 lub teeb, tshaj cua sov 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.
Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:
- lub plawv dhia qeeb
- xeev siab
- qhov muag plooj
- lub teeb ci ntsa iab
- tsaus muag
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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