Kunzwisisa Nzira Yokusachengetedza Kushandisa Voltaren Gel
Voltaren Gel (diclofenac) ndiyo yekutanga kurapa mazita ekunyorwa kwemaosteoarthritis anogamuchirwa neDFA. Voltaren Gel, mishonga isingashandisi-kupisa inoputika mupepetiki, inowanzoshandiswa pamabvi nemaoko. Heano mazita gumi anokosha iwe unofanirwa kuziva pamusoro peGeltaren Gel maererano nekushandiswa kwakachengeteka uye kubudirira.
1. Voltaren Gel inogona kubudirira kugadzirisa marwadzo uye ine unhu hwakanaka hwekuchengeteka
Izvo zvinogadziriswa zveVoltaren Gel, iyo inenge 1 muzana diclofenac sodium mu-topical gel yakaumbwa, ine 94 muzana pasi pezwi diclofenac .
Somugumisiro, dambudziko rekudzivirira kwemimba uye nemigumisiro yemigumisiro inobatanidza nemuromo NSAIDs inonyanya kuderera nehuwandu hwemashoko.
2. Kubudirira uye kuchengetedzwa kweGeltaren Gel kwakadzidziswa usati wagamuchirwa
Chirongwa cheDAA chaive chakavakirwa pane zvidzidzo zvakasiyana-siyana, kusanganisira maitiro maviri akaisa maitiro, maviri-mapofu, e-placebo-controlled controlled efficacy uye mwedzi 12 wekuchengetedzwa kwekuchengetedza. Pashure pemavhiki masere ekurapa mukudzidza kwakanaka kwevanhu vane maoko osteoarthritis , maitiro ekurwadziwa akaderedzwa ne 46 muzana. Mune chidzidzo chevhiki gumi nemaviri yevanhu vane maziso omudonzvo, maGeltaren anowedzera marwadzo ekurwa nema 51 kubva muzana.
3. Kukanganisa kwakaipa kunogona kuitika ne Voltaren Gel
Kukanganisa kwakaipisisa kunowanikwa mumakiriniki ekuedzwa kwaiva maitiro ekushandiswa kwepaiti mu 7% yevadzidzi vanoongorora vakabata neVoltaren Gel. Iyo inorondedzera ruzivo rweVoltaren Gel inopa nyevero uye zvidziviriro zvekukanganisa kwakaipisisa zvakare.
Nenguva yakareba hutungamiri hweNSAIDs hunogona kukonzera kupora papillary necrosis uye imwe kukuvadzwa kwechirwere. Vakwegura, vanhu vane simba rakaoma rekunyengedzera, kukanganisa mwoyo, chiropa chisingaiti, uye avo vanotora diuretics uye ACE inhibitors vanofanira kungwarira pavanoshandisa Voltaren Gel. Hypertension inogona kuitika nekurapa kweNSAID, zvichiita kuti zvive zvakakosha kuongorora kuteura ropa.
Kusachengetedza kwemhepo uye edema kunogonawo kuitika. Kana mwana anphylactoid achiitika, kushandiswa kunofanira kubviswa pakarepo. NSAIDs inogona kukonzera zviitiko zvakakomba zveganda, zvakare, kusanganisira exfoliative dermatitis, Stevens-Johnson syndrome, uye chepidermal necrolysis, inogona kuuraya.
Muna 2009, FDA yakagadzirisa maratidziro eVoltaren Gel kuisa ruzivo pamusoro pemigumo inogona kuitika. Iko zvino inodaro, "Mumiririro wekutsvaga kwemashoko, zviitiko zvezvinodhaka-induced hepatotoxicity zvakaziviswa mumwedzi wokutanga, uye mune dzimwe nguva, mwedzi miviri yekutanga yerapi, asi inogona kuitika chero nguva panguva yekurapa ne diclofenac." Postmarketing surveillance yakashuma zviitiko zvekukanganisa zvakanyanya, kusanganisira chiropa necrosis, jaundice, kuzadzika hepatitis uye uye pasina jaundice, uye kusakundika kwechiropa.Umwe humwe uhu hunoitika hunoita kuti kuurayiwa kana kuwedzerwa kwechiropa.Varapi vanofanira kuongorora zvirwere zveprisimasi nguva nenguva kune varwere vanowana chirwere chenguva refu ne diclofenac, nokuti zvakanyanya hepatotoxicity inogona kukura pasina prodrome yekusiyanisa zviratidzo. "
4. Nyeredzi nyevero dzinowirirana kune dzose NSAID dzakange dzawedzerwa ku Voltaren Gel
Black box warnings are alert doctors and patients to the most severe side effects.
Voltaren Gel ine mabhii maviri emabhosi ekuyeuchidza ayo anowanikwa kune NSAID dzose. Chekutanga ndechokuti, sekumwe kweNSAIDs, pangave nehuwandu hwehutachiwana hwehutachiona kana hwehutano hwehutano hwemwoyo, kurwisa mwoyo , kana kurohwa nekushandiswa kweVoltaren Gel. Izvi zvinogona kuitika pasina kunyeverwa. Ngozi yako inogona kunge yakakwirira kana iwe uchitora NSAID kwenguva yakareba kana pamatareji akakwirira. Kana iwe uri mungozi yezviitiko zvemoyo uye urohwa, haufaniri kutora mishonga iyi. Hazvifanirwe kushandiswa pakurwadziwa kwekutambudzika mushure mekunge kana mushure mekugadzirisa arteria nekupora chirongwa chekuberekwa (CABG).
Kushandiswa kweNSAID kunogona kukonzera njodzi yakakura yezviitiko zvepamuviri zvakakomba zvinogona kusanganisira kubuda ropa , zvipembenene, uye kuputika kwemudumbu nemukumbo.
Izvi zviitiko zvinotambudza zvinogona kuitika pasina kunyeverwa uye zvingangodaro zvinouraya. Iwe uri pangozi kana iwe wakwegura kana une nhoroondo yepasptic ulcer chirwere kana kubuda kwepuropa.
5. Vamwe vanhu havafaniri kushandisa Voltaren Gel
Kunze kwemapoka ari pangozi yakawanda inoratidzwa mumabhenekeri emabhokisi madema, Voltaren Gel haifaniri kushandiswa nevanhu vane huzivi hwe hypersensitivity kune diclofenac. Icho hachifaniriwo kushandiswa nevanhu vakagadzira mweya, urticaria, kana kugadzirisa zvirwere zvese mushure mekutora aspirin kana NSAIDs. Ichi chigadzirwa chinogona kukonzera kushandiswa kunonokeredzwa ovulation, izvo zvingave zvine hanya kana iwe uri mukadzi anoda kutora pamuviri. Kana iwe uri nepamuviri, haufaniri kushandisa Voltaren Gel mushure memasvondo makumi matatu ekugumburwa sezvo zvingaita kuti fetal heart isakanganise.
6. Unofanira kupedza kushandisa Voltaren Gel pamwe nedzimwe NSAIDs
Voltaren Gel haifaniri kushandiswa pamwe nemuromo NSAIDs kana aspirin nekuda kwehuwandu hwekuitika kwezviitiko zvinotambudza. Ngozi yemigumisiro inowedzera nekuwedzera kuwedzerwa kwezvinhu zvinoshandiswa muNSAID. Kungofanana nekodzero yekasiki NSAID kamuti haikwanise kushandiswa nemuromo NSAIDs, mbiri dzakasiyana-siyana dzeNSAID dzemuromo hadzifaniri kutorwa pamwechete. Taura nachiremba wako nezvekushandisa madhigirii ediki aspirin.
7. Voltaren Gel haifaniri kushandiswa pamwe chete nemishonga yeganda
Kana uri kushandisa zvipfeko kana shisi yezuva, usashandise Voltaren Gel panguva imwe chete. Iko kusanganisa hakuna kuongororwa uye, kana mazamu epoti akabatanidzwa, pane inogona kuchinja kuti Voltaren Gel inobvumira sei uye inobatwa.
8. Voltaren Gel inowanzobatsira vanhu vasingagoni kutora NSAID dzomuromo
Mushure mokunge makangodzidza kuti Voltaren Gel isingashandiswa sei uye ndiani asingafaniri kuishandisa, ungangodaro unofunga kuti ndiani anofanira kuishandisa. Vanhu vakamboona miviri yemigumisiro kubva mumuromo maNSAID zviri pachena kuti ndivo vanozobatsirwa zvikuru kubva kuGoltaren Gel. Kana iwe uchifunga kuti iwe unogona kunge wakagadzirira Voltaren Gel, kurukura nachiremba wako kuti uone kana zvakakodzera iwe.
9. Dzidzai dheti yakakodzera
Usamboshandisa zvakadarika zvinopfuura chiyero chakarayirwa. Nhamba yose yeVoltaren Gel haifaniri kudarika makiromita 32 pazuva, pamusoro pezvose zvinosanganiswa. Voltaren Gel inofanira kuyerwa pamutsetse wepa dosing reusable unoiswa-chiyero kune 2-gramu kana 4-gram mark yakakodzera. Pamusoro penzvimbo dzakadzika, shandisa gel (4 gramu) munzvimbo yakakanganiswa kanomwe zuva nezuva. Usashandisa kupfuura magiramu 16 zuva rega rega kune ani zvake akabatanidzwa. Pamusoro penzvimbo dzakakwirira, shandisa gel (2 gramu) munzvimbo yakakanganiswa kanhi zuva nezuva. Usashandisa kanopfuura 8 gram zuva rega rega kumunhu wese ane hutano hwemashure ekumusoro.
10. Dzidza kuchengetedza zvakachengeteka kweVoltaren Gel
Iwe unoda kudzivisa kuwana iyi mishonga mumaziso ako, muromo, maronda akazaruka, kana nzvimbo dzine utachiona. Kunze kwekuti iwe uri kuisa iyo pamaoko ako, shambidza maoko ako pakarepo mushure mekushanda. Usashamba kana kuchenesa nzvimbo inobatwa kweawa imwe uye usaisa nguo pamusoro payo kwemaminitsi gumi. Iwe unofanirwa kudzivisa chiedza chezuva uye chiedza chemazuva mushure mekushanda uye iwe haufaniri kupisa sangano rinoporerwa.
Shoko Rinobva
Kunyanya kusarudzwa kusarudzwa kune vanhu vane arthritis, zviri nani. Kuwanika kwekugadzirwa kwemashoko eVottaren kwakakosha kune vanhu vasingakwanisi kutsungirira NSAID dzemuromo kune chimwe chikonzero kana chimwe. Ngwarira kuti zvose zviri mumuromo uye zvinyorwa zveNSAID zvinotakura zvinetso zvakafanana.
Kunobva:
> Diclofenac Topical (marwadzo osteoarthritis). MedlinePlus. https://medlineplus.gov/druginfo/meds/a611002.html.
> Voltaren Gel. Kunyora Mashoko . FDA. Yakarongwa muna May 2016. https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/022122s010lbl.pdf.