Tus Sau: Marcus Baldwin
Hnub Kev Tsim: 15 Lub Rau Hlis Ntuj 2021
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Statin Side Effects | Atorvastatin, Rosuvastatin, Simvastatin Side Effects & Why They Occur
Daim Duab: Statin Side Effects | Atorvastatin, Rosuvastatin, Simvastatin Side Effects & Why They Occur

Zoo Siab

Simvastatin siv ua ke nrog kev noj zaub mov zoo, poob phaus, thiab kev tawm dag zog kom txo qis kev pheej hmoo ntawm lub plawv thiab mob hlab ntsha tawg thiab txhawm rau txo txoj hmoo tias kev phais plawv yuav xav tau rau cov neeg muaj kab mob plawv lossis cov uas muaj pheej hmoo mob plawv. Simvastatin kuj tseem siv los txo qis cov rog ntxiv xws li roj lipoprotein tsawg (LDL) cov roj (('cholesterol tsis zoo')) thiab triglycerides hauv cov ntshav thiab ua rau cov roj lipoprotein (HDL) ntau dua cov roj cholesterol (' 'cov roj (cholesterol) zoo' nyob rau hauv cov ntshav. Simvastatin kuj tseem siv tau los txo qis cov roj cholesterol thiab lwm cov roj ntsha hauv cov ntshav hauv cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog 10 txog 17 xyoo uas muaj mob heterozygous hypercholesterolemia (qhov mob uas muaj caj ces tsis tuaj yeem tshem tawm ntawm lub cev ib txwm).Simvastatin nyob hauv chav kawm ntawm cov tshuaj hu ua HMG-CoA reductase inhibitors (statins). Nws ua haujlwm los ntawm kev ua haujlwm qeeb hauv cov roj cholesterol hauv lub cev kom txo qis cov roj cholesterol uas tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha thiab thaiv cov ntshav txaus rau lub plawv, lub hlwb thiab lwm qhov hauv lub cev.


Kev ua kom tiav cov roj (cholesterol) thiab cov rog ua ke raws phab ntsa ntawm koj cov hlab ntsha (ib qho txheej txheem hu ua atherosclerosis) txo cov ntshav txaus thiab vim li ntawd, cov pa oxygen rau koj lub plawv, lub hlwb thiab lwm qhov hauv koj lub cev. Kev txo qis koj cov ntshav cov roj (cholesterol) thiab cov rog nrog simvastatin tau qhia txog kev tiv thaiv kab mob plawv, mob angina (mob hauv siab), ntshav tawm, thiab lub plawv.

Simvastatin los ua ib ntsiav tshuaj thiab ua rau kev ncua los noj ntawm qhov ncauj. Cov ntsiav tshuaj feem ntau noj ib hnub ib zaug nyob rau yav tsaus ntuj. Lub sijhawm muab ncua yog ib txwm coj ib hnub ib hnub nyob rau yav tsaus ntuj ntawm lub plab khoob. Noj simvastatin 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 simvastatin raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Co co kom zoo yog tsawg kawg yog 20 feeb ua ntej txhua zaus siv.

Yog tias koj yuav noj cov tshuaj simvastatin, tsis txhob siv ib rab diav hauv tsev los ntsuas koj li tshuaj. Cov tshuaj ntsuab hauv tsev tsis yog qhov ntsuas ntsuas tau raug, thiab koj yuav tau txais cov tshuaj ntau dhau los yog noj tshuaj tsis txaus yog tias koj ntsuas koj qhov koob tshuaj nrog ib me nyuam diav. Hloov chaw, siv cov cuab yeej ntsuas uas ntsuas pom tseeb xws li rab diav tshuaj lossis qhov ncauj qhov ntswg. Nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj xav tau kev pabcuam tau txais lossis siv lub ntsuas ntsuas.


Koj tus kws kho mob yuav pib koj simvastatin qis dua thiab maj mam nce koj cov koob tshuaj, tsis pub ntau tshaj ib zaug txhua 4 asthiv.

Txuas mus noj cov tshuaj simvastatin ntxiv txawm hais tias koj tus kheej zoo. Tsis txhob tsum noj simvastatin tsis tas 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 simvastatin,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau simvastatin, lwm yam tshuaj noj, lossis lwm yam tshuaj hauv simvastatin ntsiav tshuaj lossis qhov ncauj ncua. Nug koj tus kws kho mob lossis kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
  • qhia rau koj tus kws kho mob yog tias koj noj tshuaj tua kab mob xws li itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil) thiab voriconazole (Vfend); clarithromycin (Biaxin, hauv Prevpac); cov tshuaj cobicistat-uas muaj tshuaj (Stribild); cyclosporine (Gengraf, Neoral, Sandimmune); danazol; erythromycin (E.E.S., E-Mycin, Erythrocin); gemfibrozil (Lopid); HIV protease inhibitors xws li atazanavir (Reyataz), darunavir (Prezista), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (hauv Kaletra), nelfinavir (Viracept), ritonavir (Norvir, hauv Kaletra), saquinav thiab tipranavir (Aptivus); nefazodone; telaprevir (Incivek); thiab telithromycin (Ketek). Koj tus kws kho mob tej zaum yuav qhia koj kom tsis txhob noj simvastatin yog tias koj noj 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: amiodarone (Cordarone, Pacerone); amlodipine (Norvasc, hauv Caduet, hauv Lotrel); anticoagulants ('ntshav thinners') xws li warfarin (Coumadin, Jantoven); colchicine (Colcrys); digoxin (Digitek, Lanoxicaps, Lanoxin); diltiazem (Cardizem, Dilacor, Tiazac); dronedarone (Multaq); lwm cov tshuaj noj roj kom tsawg xws li fenofibrate (Tricor), lomitapide (Juxtapid), thiab niacin (nicotinic acid, Niacor, Niaspan); ranolazine (Ranexa); thiab verapamil (Calan, Covera, Isoptin, Verelan). 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. Lwm cov tshuaj yuav tuaj yeem cuam tshuam nrog simvastatin, 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.
  • qhia koj tus kws kho mob yog tias koj muaj kab mob siab. Koj tus kws kho mob yuav kuaj ntshav kuaj seb koj lub siab ua haujlwm li cas txawm hais tias koj tsis xav tias koj muaj kab mob siab. Tej zaum koj tus kws kho mob yuav qhia koj kom tsis txhob simvastatin yog tias koj muaj kab mob siab lossis yog tias kev tshuaj ntsuam pom tias koj yuav ua kab mob siab.
  • qhia rau koj tus kws kho mob yog tias koj haus ntau tshaj ob khob cawv hauv ib hnub, yog tias koj muaj hnub nyoog 65 xyoos lossis laus dua, lossis yog tias koj yog Neeg Esxias, tshwj xeeb tshaj yog tias koj yog neeg Suav. Kuj qhia koj tus kws kho mob yog tias koj tau lossis tsis tau muaj dua lub qog tsis txaus siab, mob ntshav qab zib, qaug dab peg, mob nqaij lossis tsis muaj zog, ntshav siab, lossis mob raum.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Koj yuav tsum tsis txhob cev xeeb tub thaum lub sij hawm kho nrog simvastatin. 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 simvastatin, tsum tsis txhob noj cov tshuaj simvastatin thiab hu rau koj tus kws kho mob tam sim ntawd. Simvastatin tuaj yeem tsim kev puas tsuaj rau tus menyuam hauv plab.
  • qhia rau koj tus kws kho mob yog tias koj pub mis niam rau menyuam. Koj yuav tsum tsis txhob pub niam mis thaum koj tab tom noj simvastatin.
  • yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj simvastatin. Yog tias koj tau mus pw hauv tsev kho mob vim raug mob hnyav lossis kis tus mob, qhia tus kws kho mob uas kho koj tias koj tab tom noj simvastatin.
  • nug koj tus kws kho mob txog kev haus cawv zoo thaum koj tseem noj tshuaj simvastatin. Cawv yuav ua rau muaj kev phom sij loj tshwm sim.

Noj zaub mov tsis muaj roj thiab roj tsawg. Nco ntsoov ua raws li tag nrho cov kev tawm dag zog thiab kev noj haus pom zoo ua los ntawm koj tus kws kho mob lossis tus kws qhia noj zaub mov. Koj tseem tuaj yeem mus saib tau Lub Txheej Txheem Kev Kawm Cholesterol (NCEP) lub vev xaib kom paub ntaub ntawv qhia txog zaub mov ntxiv ntawm http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.


Tsis txhob haus kua txiv txiv kab ntxwv qaub thaum noj simvastatin.

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 cov sijhawm noj tshuaj tas li. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

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

  • cem quav
  • mob plab
  • xeev siab
  • mob taub hau
  • nco ploj lossis hnov ​​qab
  • tsis meej pem
  • khaus lossis tawv nqaij liab

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais hauv qab no, hu rau koj tus kws kho mob tam sim ntawd lossis nrhiav kev pab kho mob maj nrawm.

  • mob leeg, mob siab, lossis tsis muaj zog nrog lossis tsis muaj ua npaws lossis tsis muaj zog
  • tsaus zis liab
  • tsis tso zis tsawg
  • tsis muaj lub zog, nkees, lossis qaug zog
  • tsis qab los noj mov
  • mob hauv sab saud hauv plab
  • daj ntawm daim tawv nqaij lossis qhov muag
  • cov zis dub zoo nkauj
  • ua npaws lossis ua daus no
  • yaug
  • hlwv
  • ua pob
  • khaus
  • khaus
  • o ntawm lub ntsej muag, lub caj pas, tus nplaig, daim di ncauj, qhov muag, tes, taw, pob taws, lossis ceg qis
  • ua pa nyuaj lossis nqos
  • txhaws qa
  • mob tej pob txha
  • rhiab rwg mus rau lub teeb

Cov tshuaj no tuaj yeem tsim lwm cov kev mob tshwm sim. 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 cov ntsiav tshuaj nyob ntawm chav sov thiab kom deb ntawm cov cua sov tshaj thiab noo noo (tsis nyob hauv chav dej). Khaws cov kev txwv tawm hauv chav sov. Tsis txhob cia kom khov lossis tso tub yees rau ncua kev kawm ntawv. Nco ntsoov siv qhov kev ncua tsis pub dhau 30 hnub ntawm kev qhib lub raj mis thiab muab cov tshuaj ntxiv tom qab 30 hnub.

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 tuaj yeem xaj yam kev kuaj ntshav kuaj mob lub sijhawm kho, tshwj xeeb yog tias koj muaj cov tsos mob ntawm daim siab.

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 cov tshuaj simvastatin.

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.

  • Xauj®
  • Zocor®
  • Juvisync® (muaj Simvastatin, Sitagliptin)
  • Simcor® (uas muaj Niacin, Simvastatin)
  • Vytorin® (muaj Ezetimibe, Simvastatin)

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

Kawg Kho - 01/15/2020

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