Glyburide thiab Metformin
Zoo Siab
- Ua ntej noj glyburide thiab metformin,
- Cov tshuaj no tuaj yeem hloov pauv hauv koj cov piam thaj hauv ntshav. Koj yuav tsum paub cov tsos mob uas muaj ntshav qab zib thiab ntshav qab zib thiab yuav ua li cas yog tias koj muaj cov tsos mob no.
- Glyburide thiab metformin yuav ua rau muaj kev mob tshwm sim. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- Yog koj muaj cov tsos mob li hais los no lossis cov uas teev rau hauv seem ceeb toom ceeb toom, hu rau koj tus kws kho mob tam sim ntawd:
- Cov tsos mob ntawm overdose tej zaum yuav muaj xws li hypoglycemia cov tsos mob raws li nram qab no:
Metformin yuav ua rau mob hnyav hnyav, kom tuag taus uas hu ua lactic acidosis. 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 glyburide thiab metformin. Thiab, qhia rau koj tus kws kho mob yog tias koj muaj hnub nyoog tshaj 65 xyoos thiab yog tias koj tau muaj mob plawv dua; hlab ntshav tawm; mob ntshav qab zib ketoacidosis (ntshav qab zib uas siab txaus ua rau cov tsos mob hnyav thiab xav tau kev kho mob sai); coma; lossis mob plawv lossis kab mob siab. Qhia rau koj tus kws kho mob yog tias koj noj tshuaj acetazolamide (Diamox), dichlorphenamide (Keveyis), methazolamide, topiramate (Topamax, hauv Qsymia), lossis zonisamide (Zonegran).
Qhia rau koj tus kws kho mob yog tias koj nyuam qhuav muaj mob li hais los no, lossis yog tias koj tsim kho lawv thaum kho: mob hnyav; raws plab heev, ntuav, lossis kub taub hau; lossis yog koj haus cov kua dej tsawg dua li ib txwm tau vim li cas. Tej zaum koj yuav tsum tsis noj tshuaj glyburide thiab metformin kom txog rau thaum koj zoo.
Yog tias koj tab tom muaj kev phais, suav nrog kev phais kho hniav, lossis ib qho kev kho mob tseem ceeb, qhia rau tus kws kho mob tias koj tab tom noj glyburide thiab metformin. Thiab, qhia rau koj tus kws kho mob yog tias koj npaj yuav muaj cov txheej txheem xoo hluav taws xob hauv qhov zas xim uas tau txhaj, tshwj xeeb yog tias koj haus lossis ib txwm haus cawv ntau dhau lossis muaj lossis muaj kab mob siab lossis lub siab tsis ua haujlwm. Koj yuav tsum tau tsum tsis txhob noj glyburide thiab metformin ua ntej ntawm txoj kev thiab tos 48 teev kom rov qab kho. Koj tus kws kho mob yuav qhia koj raws nraim thaum twg koj yuav tsum tsis noj glyburide thiab metformin thiab thaum twg koj yuav tsum pib noj ntxiv.
Yog koj muaj cov tsos mob li hais hauv qab no, tsum tsis noj glyburide thiab metformin thiab hu rau koj tus kws kho mob tam sim ntawd: nkees heev, qaug zog, lossis tsis xis nyob; xeev siab; ntuav; mob plab; tsis qab los noj mov; sib sib zog nqus thiab nrawm nrawm lossis ua tsis taus pa; kiv taub hau; lub teeb ci ntsa iab; lub plawv dhia nrawm lossis qeeb; ntws tawm ntawm daim tawv nqaij; mob leeg; lossis hnov txias hauv koj txhais tes lossis taw.
Qhia rau koj tus kws kho mob yog tias koj nquag haus cawv lossis qee zaum haus cawv ntau hauv lub sijhawm luv (haus cawv). Kev haus dej cawv ua rau koj muaj feem yuav muaj cov kab mob lactic acidosis los sis ua rau kom cov ntshav qab zib tsawg dua. Kev haus dej haus cawv thaum noj glyburide thiab metformin kuj tsis tshua pom zoo ua rau cov tsos mob xws li dej ntws yaug (liab ntsej muag), mob taub hau, xeev siab, ntuav, mob hauv siab, tsis muaj zog, plooj tsis pom kev, tsis meej pem, tawm hws, txhawm chim, ua tsis taus pa, thiab ntxhov siab. Nug koj tus kws kho mob tias haus dej haus cawv ntau npaum li cas thaum koj tab tom noj glyburide thiab metformin.
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 ua ntej thiab thaum kho nws los kuaj saib koj ob lub raum ua haujlwm tau zoo li cas thiab koj lub cev teb li glyburide thiab metformin li cas. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev noj glyburide thiab metformin.
Kev sib xyaw ntawm glyburide thiab metformin yog siv los kho hom ntshav qab zib 2 (mob uas lub cev tsis siv insulin ib txwm thiab yog li tsis tuaj yeem tswj cov piam thaj hauv ntshav) hauv cov neeg uas muaj ntshav qab zib tsis tuaj yeem tswj tau los ntawm kev noj zaub mov zoo thiab tawm dag zog ib leeg. Glyburide belongs rau ib chav kawm ntawm cov tshuaj hu ua sulfonylureas, thiab metformin yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua biguanides. Glyburide txo qis cov ntshav qab zib los ntawm kev ua rau lub cev ua cov kua dej los tsim cov tshuaj insulin (ib yam khoom hauv lub cev uas xav tau kom zom cov piam thaj hauv lub cev) thiab pab lub cev siv cov insulin zoo. Cov tshuaj no tsuas yog pab txo cov ntshav qab zib hauv cov neeg uas lawv lub cev tsim cov tshuaj insulin lawm xwb. Metformin pab koj lub cev tswj cov piam thaj hauv koj cov ntshav. Nws txo qis piam thaj uas koj nqus los ntawm koj cov zaub mov thiab cov piam thaj hauv koj lub siab. Nws kuj tseem pab koj lub cev siv nws cov insulin zoo dua. Glyburide thiab metformin tsis yog siv los kho ntshav qab zib hom 1 (mob uas lub cev tsis tsim cov tshuaj insulin thiab yog li tsis tuaj yeem tswj cov piam thaj hauv ntshav) lossis ntshav qab zib ketoacidosis (mob hnyav uas yuav tshwm sim yog tias ntshav qab zib tsis kho )).
Glyburide thiab metformin ua ke los ua ib ntsiav tshuaj los noj ntawm qhov ncauj. Nws feem ntau yog noj ib mus rau ob zaug txhua hnub nrog zaub mov noj. 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 glyburide thiab metformin raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.
Koj tus kws kho mob tej zaum yuav pib koj rau tsawg kawg ntawm glyburide thiab metformin thiab tej zaum yuav maj mam nce koj cov koob tshuaj, tsis yog ntau tshaj ib zaug txhua 2 asthiv. raws li koj cov lus teb. Saib xyuas koj cov ntshav qabzib kom zoo.
Glyburide thiab metformin ua ke tswj ntshav qab zib tab sis nws tsis kho nws. Txuas ntxiv noj cov tshuaj glyburide thiab metformin txawm hais tias koj xis neej. Tsis txhob tsum noj glyburide thiab metformin yam tsis tau tham nrog koj tus kws kho mob.
Nug koj tus kws muag tshuaj lossis tus kws kho mob txog cov ntawv luam ntawm cov ntaub ntawv tsim tawm rau tus neeg 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 glyburide thiab metformin,
- qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau glyburide, metformin, ib qho ntawm cov khoom xyaw hauv glyburide thiab metformin ntsiav tshuaj, lossis lwm yam tshuaj noj. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
- qhia rau koj tus kws kho mob yog tias koj noj bosentan (Tracleer). Koj tus kws kho mob yuav qhia koj kom tsis txhob noj glyburide yog tias koj noj yam 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 qee yam ntawm cov hauv qab no: amiloride (Midamor); angiotensin-converting enzyme (ACE) inhibitors xws li benazepril (Lotensin, hauv Lotrel), captopril, enalapril (Vasotec, hauv Vaseretic), fosinopril, lisinopril (hauv Zestoretic), moexipril (Univasc), perindopril (Aceon), quin , ramipril (Altace), thiab trandolapril (Mavik); anticoagulants ('ntshav thinners') xws li warfarin (Coumadin, Jantoven); cov tshuaj aspirin lossis lwm cov tshuaj tiv thaiv tsis haum (NSAIDs) xws li ibuprofen (Advil, Motrin) lossis naproxen (Aleve, Naprosyn); beta-blockers xws li atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, hauv Corzide), thiab propranolol (Hemangeol, Inderal, InnoPran); calcium channel blockers xws li amlodipine (Norvasc), diltiazem (Cardizem, Cartia, Diltzac, lwm tus), felodipine, isradipine, nicardipine (Cardene), nifedipine (Adalat, Afeditab CR, Procardia), lossis verapamil (Calan, Covera, Verelan, hauv Tarka); chloramphenicol; cimetidine (Tagamet); clarithromycin (Biaxin, hauv Prevpac); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); disopyramide (Norpace); diuretics ('dej tshuaj'); fluconazole (Diflucan); fluoxetine (Prozac, Sarafem, Selfemra); furosemide (Lasix); kev hloov kho tshuaj; insulin lossis lwm yam tshuaj rau ntshav qab zib; isoniazid (Laniazid, hauv Rifamate, hauv Rifater); MAO inhibitors xws li isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), thiab tranylcypromine (Parnate); tshuaj rau kev ua xua, hawb pob, thiab mob khaub thuas; tshuaj rau kev mob hlwb thiab xeev siab; miconazole (Lotrimin, Monistat, lwm tus); morphine (MS Txuas ntxiv, lwm tus); niacin; qhov ncauj tiv thaiv tsis tau noj (tshuaj txwv); qhov ncauj steroids xws li dexamethasone, methylprednisolone (Medrol), thiab prednisone (Rayos); phenytoin (Dilantin, Phenytek); probenecid (Benemid, hauv Colbenemid); procainamide; quinidine (hauv Nuedexta); quinine; tshuaj tua kab mob quinolone thiab fluoroquinolone xws li cinoxacin (tsis muaj nyob hauv Asmeskas, Cinobac), ciprofloxacin (Cipro), enoxacin (tsis muaj nyob hauv Asmeskas, Penetrex), gatifloxacin, levofloxacin (Levaquin), lomefloxacin (tsis muaj nyob hauv Asmeskas , Maxaquin), moxifloxacin (Avelox), nalidixic acid (tsis muaj nyob hauv Asmeskas, NegGram), norfloxacin (tsis muaj nyob hauv Asmeskas, Noroxin), ofloxacin (tsis muaj nyob hauv Asmeskas, Floxin), sparfloxacin (tsis muaj nyob hauv Asmeskas muaj nyob hauv Asmeskas, Zagam), trovafloxacin thiab alatrofloxacin ua ke (tsis muaj nyob hauv Asmeskas, Trovan); ranitidine (Zantac); rab phom; salicylate mob mob xws li choline magnesium trisalicylate, choline salicylate (Arthropan), diflunisal, magnesium salicylate (Doan's, lwm tus), lossis salsalate (Argesic, Disalcid, Salgesic); cov tshuaj tua kab mob sulfa xws li cotrimoxazole (Bactrim, Septra); sulfasalazine (Azulfidine); cov tshuaj ua cov thyroid; triamterene (Dyrenium, hauv Maxzide, lwm tus); trimethoprim (Primsol, hauv Bactrim, hauv Septra); lossis vancomycin (Vancocin, lwm tus).
- ntxiv rau cov xwm txheej teev tseg hauv Kev TSEEM CEEB TSEEM CEEB, qhia rau koj tus kws kho mob yog tias koj lossis koj cov neeg hauv tsev neeg tau muaj G6PD tsis txaus (ib qho mob uas tau muaj los ua rau cov ntshav liab tau puas los yog mob ntshav qab zib ua kom ntshav sai); kuj qhia koj tus kws kho mob yog tias koj tau lossis muaj dua li cov kev muaj kabmob tsis cuam tshuam nrog adrenal, pituitary, lossis thyroid caj pas; lossis mob hnyav los yog mob ntev ua kom muaj mob ntawm cov metabolism.
- 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 glyburide thiab metformin, hu rau koj tus kws kho mob.
- 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. Glyburide thiab metformin yuav ua rau koj cov tawv nqaij tiv tshav ntuj.
- qhia rau koj tus kws kho mob yog tias koj noj tsawg dua lossis kev tawm dag zog ntau dua li ib txwm. Qhov no tuaj yeem cuam tshuam koj cov ntshav qab zib. Koj tus kws kho mob yuav qhia koj yog tias qhov no tshwm sim.
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. Nws yog ib qho tseem ceeb rau kev noj zaub mov muaj txiaj ntsig kev noj qab haus huv.
Ua ntej koj pib noj cov tshuaj glyburide thiab metformin, nug koj tus kws kho mob seb yuav ua li cas yog tias koj tsis nco qab noj tshuaj lossis noj tshuaj ntxiv lossis noj ib qho tshuaj ntxiv. Sau cov lus qhia no sab hauv kom koj tuaj yeem xa lawv tom qab.
Raws li txoj cai dav dav, 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.
Cov tshuaj no tuaj yeem hloov pauv hauv koj cov piam thaj hauv ntshav. Koj yuav tsum paub cov tsos mob uas muaj ntshav qab zib thiab ntshav qab zib thiab yuav ua li cas yog tias koj muaj cov tsos mob no.
Glyburide thiab metformin yuav ua rau muaj kev mob tshwm sim. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- mob plab
- xeev ntuav lossis ntuav
- zawv plab
- kiv taub hau
Yog koj muaj cov tsos mob li hais los no lossis cov uas teev rau hauv seem ceeb toom ceeb toom, hu rau koj tus kws kho mob tam sim ntawd:
- mob hauv siab
- ua pob
- daj ntawm daim tawv nqaij lossis qhov muag
- lub teeb xim ua kom nruj
- tsaus zis
- mob ntawm sab xis sab hauv ntawm lub plab
- ntshav txawv lossis doog ntshav
- ua npaws
- mob caj pas
- o ntawm lub qhov muag, ntsej muag, daim di ncauj, nplaig, lossis caj pas
Hauv ib txoj kev tshawb nrhiav, cov neeg uas tau noj tshuaj zoo ib yam li glyburide los kho lawv cov ntshav qab zib muaj feem ntau yuav tuag ntawm cov teeb meem plawv dua li cov neeg tau kho nrog insulin thiab kev hloov pauv zaub mov.
Glyburide thiab metformin yuav ua rau muaj kev phiv ntxiv lwm yam. 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 overdose tej zaum yuav muaj xws li hypoglycemia cov tsos mob raws li nram qab no:
- qaug dab peg
- tsis nco qab
- nkees heev
- tsis muaj zog
- tsis xis nyob
- ntuav
- xeev siab
- mob plab
- tsis qab los
- sib sib zog nqus, ua pa ceev ceev
- txog siav
- kiv taub hau
- lub teeb ci ntsa iab
- tsis zoo nkauj lub plawv dhia lossis lub plawv dhia qeeb
- yaug ntawm daim tawv nqaij
- mob leeg
- hnov txias
Koj tus kws kho mob yuav qhia koj seb yuav soj ntsuam koj cov lus teb rau glyburide thiab metformin li cas los ntawm kev ntsuas koj cov piam thaj hauv ntshav hauv tsev. Ua raws li cov lus qhia no kom zoo.
Koj yuav tsum hnav txoj hlua tes uas muaj ntshav qab zib kom paub tseeb tias koj tau txais kev kho mob tau zoo thaum muaj xwm txheej ceev.
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.
- Cauj® (uas muaj Glyburide, Metformin)