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Meloxicam mhedzisiro uye maitiro ekuzvidzivirira

Zvinodhaka Info

Meloxicam iri generic tsamba yemishonga inoderedza marwadzo uye kuzvimba kunokonzerwa neosteoarthritis, rheumatoid arthritis, uye juvenile rheumatoid arthritis. Zvakare inowanikwa mumafarimasi pasi pezita rezita Mobic, Vivlodex, Qmiiz, uye Anjeso, meloxicam inogona kutorwa nemuromo sehwendefa, kapuleti, kuputsa piritsi, kana kumiswa nemuromo, kana inogona kuiswa jekiseni rakananga muropa neruzivo rwehutano.

Se nonsteroidal anti-inflammatory drug (NSAID) , meloxicam ndeyemhuri imwechete yemishonga inozivikanwa aspirin, ibuprofen, uye naproxen. Nekudaro, meloxicam haisi chete amped-up vhezheni yeAdvil kana Aleve. Vanhu vanofanirwa kuziva kuti meloxicam seyakanyorerwa NSAID inouya nenjodzi dzakakomba, mhedzisiro, kunyeverwa, uye kudyidzana kwezvinodhaka pane zvakajairika pamusoro peiyo-the-counter NSAIDs.

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Zvakajairika mhedzisiro meloxicam

Iwo akanyanya kujairika mhedzisiro meloxicam (inokanganisa 2% kana kudarika yevanhu vanotora mishonga) ndeaya:

Marwadzo emudumbu
Kutemwa nemusoro
Zviratidzo zvakaita sefuru
Dzungu
Nausea
Manyoka
Huro inorwadza
Kuchengetwa kwemvura
Tsaona nekudonha
Kuzvimbirwa
Kusarara
Utachiona hwepamusoro hwekufema
Urinary turakiti hutachiona
Joint kurwadziwa
Kutambudzika shure
Dumbu rakatsamwa
Kubata ropa
Mapundu
Itching
Matambudziko ekuita weti
Kusvipa

Yakakomba mhedzisiro meloxicam

Meloxicam inogona kuburitsa zvakakomba uye kunyange kutyisidzira hupenyu mhedzisiro, kunyanya kana ichishandiswa mune yakakwira madhizaini kana kwenguva yakareba. Izvi zvinosanganisira:

Kumira kurova kwemoyo
Kurohwa
Ropa rinovhara
Kuwedzera kweropa
Kuunganidzwa kwemoyo kukundikana
Kubuda ropa, maronda, kana kupora mudumbu kana ura
Kukuvara kwechiropa kana kutadza kwechiropa
Itsvo kusagadzikana kana itsvo kutadza
Anemia
Zvinetso zvekubuda ropa
Asthma inorwisa vanhu vane asthma
Zvakanyanya uye zvinogona kutyisidzira hupenyu allergic reaction senge anaphylaxis, kunetseka kufema, kana kugadzikana kwakanyanya kweganda

Zvakakomba mhedzisiro zvinoda kurapwa nekukurumidza.

Meloxicam uye kutemwa nemusoro

Musoro wemusoro chinhu chakajairika, chisiri chakakomba mhedzisiro meloxicam. Mune maviri-masvondo gumi nemaviri emakiriniki miedzo mune varwere vane osteoarthritis kana rheumatoid arthritis, pakati pe5.5% kusvika 8.3% yevanhu vanotora meloxicam vanotaura misoro.Mumiedzo yemwedzi mitanhatu, 2.6% kusvika 3.6% yevanhu vanotora meloxicam vakasangana nemusoro. Nekudaro, kutemwa nemusoro sedivi mhedzisiro hakuratidzike senge kunoenderana nedosi.

Meloxicam uye kuwedzera uremu

Kurera huremu uye kurasikirwa kwakajairika mhedzisiro meloxicam, inoonekwa mune isingasviki 2% yevanhu vanoitora. Nekudaro, kuchengetedza kwemvura (edema) chinhu chakajairika mhedzisiro, chakataurwa mu0.6% kusvika ku4.5% yevanhu vanotora meloxicam muzvidzidzo zvekiriniki. Kuruboshwe kusarapwa, edema inogona kutungamira kumatambudziko emwoyo kusanganisira congestive moyo kutadza mune vanhu vanotambura. Kuchengetwa kwemvura kunogona kuzivikanwa pamwe nekukwira kusingatsanangurike kwehuremu hwemuviri, saka huremu hwekusazvipira hunofanira kuziviswa kunachiremba anonyora kana mumwe nyanzvi yehutano.

Meloxicam ovhadhozi

SeNSAID, meloxicam overdose inogona kutungamira kumatambudziko akakomba ehutano, zvinoonekwa kubva zviitiko zvakajairika dzevanhu kuwandisa pane zvakajairika pamusoro peiyo-the-counter NSAIDs, senge aspirin kana ibuprofen. Zviratidzo zvakajairika zveNSAID kudarika ndeizvi:

Kushaya simba
Kukotsira
Nausea
Kusvipa
Dumbu kurwadziwa
Kuona kwakashata
Dzungu
Kurutsa kweropa
Dema kana yekumhara zvituru

Kunyanyisa kudarika kunogona kukonzera kukwira kweropa, itsvo kutadza, kufenda, kufenda, kufema, uye kufa. Vanhu vane chero zviratidzo zveNSAID kudarika zvinoda kurapwa nekukurumidza.

Yakareba sei meloxicam mhedzisiro mhedzisiro?

Mazhinji emhedzisiro mhedzisiro meloxicam ndezvenguva pfupi uye inozopera mushure mekunge mushonga wamiswa. Nehurombo, meloxicam anogara mumuviri kwenguva refu kupfuura mamwe maNSAID, saka mhedzisiro inogona kugara kwezuva kana maviri mushure mekupedzisira dosi. Zvimwe zvakakomba mhedzisiro, senge maronda uye kubuda kwemudumbu, zvinogona kutora nguva yakareba kuti zvigadziriswe, kunyangwe mushure mekumisa meloxicam.

Meloxicam zvinopesana & yambiro

Kufanana neyese yekunyorerwa NSAIDs, meloxicam ine njodzi dzinogona kupfuura mabhenefiti evamwe vanhu. Iyo FDA inosarudza kana mushonga wakachengeteka kune vamwe vanhu nekupa zvinopesana uye yambiro. Kana mushonga ukave nenjodzi yakakwira yemhedzisiro ine njodzi kune vamwe vanhu, ndizvo zvinopesana kune avo vanhu-ndizvo kwete kushandiswa muvarwere ivavo. Kana mushonga uine njodzi kupfuura zvakajairika mune vamwe varwere, mushonga unouya ne yambiro. Zvakanaka kutora mushonga, asi kushandisa uye kuyerwa kunoda kuongororwa kana kuchinjwa.

Allergies

Meloxicam haifanire kushandiswa mune vanhu vane kuzivikanwa kwehutachiona kune meloxicam kana mamwe maNSAID.

Coronary artery bypass graft (CABG) kuvhiya

Zvirinani kuzivikanwa sekuvhiya kwepashure kana coronary bypass, kuvhiyiwa kweCABG kunodzosera kuyerera kweropa zvakajairika kumisungo yemoyo nekutsausa tsinga yekoniyoni kana kushandisa muropa wemidziyo yeropa kuti utenderedze mutsinga wecoronary. Nekuti meloxicam inogona kukonzera kuvhara kweropa uye matambudziko emoyo, haina kumbobvira yashandiswa munguva inotungamira pakupfuura kuvhiya kana mumavhiki anotevera.

Asima

Vamwe vanhu vane asima inoshuvira asipma, inozivikanwawo se aspirin-yakawedzera chirwere chekufema (AERD). Paunopihwa aspirin kana mamwe maNSAID, avo vane AERD vanoita nezviratidzo zvekare zveasthma, sekufema uye kukosora. Izvi zvinogona kuuraya. Meloxicam haifanire kupihwa kune vanhu vane asipma-inonzwisisa asima. Vamwe vanhu vane asthma inoda kungwarira uye kuongorora kuitira kana paine kukanganisa kukuru.

Zvimwe zvehutano mamiriro

Meloxicam nedzimwe NSAID dzinogona kukuvadza mamiriro ehutano aripo, saka iyi mishonga inoda kungwarira uye kuongorora kana yakatemerwa kune vanhu vane njodzi senge:

Chirwere chemoyo
Kuunganidzwa kwemoyo kukundikana
Ropa rinovhara uye sitiroko
Maronda kana kubuda ropa mudumbu
Kuwedzera kweropa
Kuchengetwa kwemvura
Dambudziko rekubuda ropa
Zvinetso zveitsvo
Chiropa chirwere uye
Hutano hwakanyanya

Vana

Meloxicam is FDA inogamuchirwa kurapa vechidiki rheumatoid arthritis muvana vane makore maviri ekuberekwa uye vakuru. Mumatatu emakiriniki ekuedzwa, vana vakasangana nemhando dzakafanana dzemhedzisiro sevanhu vakuru, asi pamwero wakakwira.

Vakuru

Vanhu makore makumi matanhatu nemashanu zvichikwira vari panjodzi yakakwira yemhedzisiro, saka vanogona kutangwa padosi yakaderera uye kuongororwa.

Kubereka

Meloxicam inogona kukonzera kunonoka mukuvhara mazai, saka vakadzi vari kuyedza kutora nhumbu kana kurapwa kurapwa vanogona kusazonzi vanyorerwa meloxicam.

Kubata

Meloxicam haifanirwe kutorwa nevakadzi vane nhumbu mushure memasvondo makumi matatu nekuti maNSAID anokanganisa kukura kwemoyo mumwana asati azvarwa. Iko hakuna kukwana kwakaringana kuziva kana meloxicam yakachengeteka kune vakadzi kana mwana asati aberekwa mumavhiki makumi matatu ekutanga epamuviri. Vakadzi vane nhumbu kana vanofunga kubata pamuviri vanofanirwa kukurukura nezve njodzi nachiremba.

Kuyamwisa

Izvo hazvina chokwadi kana meloxicam yakachengeteka kutora panguva yekuyamwisa kana kuti yakawanda sei inopinda mumukaka wemukaka wemunhu. Vanaamai vanoyamwa vanofanirwa kutsvaga zano rezvechiremba vasati vatora meloxicam.

Kuvimba

Meloxicam haigadziri kutsamira uye haidi tapered dose kana uchimisa mushonga.

Meloxicam kudyidzana

Kutora maviri kana anopfuura madhiragi dzimwe nguva kunogona kukonzera dambudziko. Meloxicam hazvisi izvo. Nekuda kwemabatiro ainoita, meloxicam inokanganisa nhengo zhinji uye masisitimu mumuviri, kunyanya ropa, mudumbu, neitsvo. Iko kune, ipapo, nzira dzakasiyana siyana idzo meloxicam inogona kusangana nemimwe mishonga uye chikafu. Heano maitiro ekuita pfungwa kune ese avo:

Meloxicam uye NSAIDs

Sezvambotaurwa, meloxicam ndeye NSAID. Kana ikatorwa nedzimwe NSAID, kusanganisira zvinowanzoitwa aspirin kana ibuprofen, njodzi yemhedzisiro inowedzera nekuda kwekuwedzera kwavo mhedzisiro. Izvi zvinodaro nekuti ese maNSAID akawanda kana mashoma anokonzeresa mhedzisiro, kunyanya matambudziko emudumbu anosanganisira kurwadziwa nemudumbu, kubuda ropa uye maronda. Semitemo yakajairwa, kutora maNSAID maviri kana anopfuura anofanirwa kudzivirirwa kunze kwekurairwa nachiremba. Kutora mhando dzakawanda dzeNSAID kuchanonoka kuchisiya muviri wako nekukuisa pangozi yakanyanya yemhedzisiro. Acetaminophen, chinhu chinoshanda muTylenol, inogona kutsiviwa neNSAID yekurapa kurwadziwa kana kupisa muviri, asi kwete kwenguva refu kana uchitora meloxicam.

Meloxicam uye kubuda ropa

Meloxicam inopindirana nekwanisi yemuviri yekuumba ropa reropa. Nekudaro, kana meloxicam ikatorwa pamwe nevanoonda ropa senge warfarin, kune mukana wekuwedzera wekubuda ropa episodes, kunyanya kubuda mudumbu. Izvi zvinodaro nekuti maNSAID anotarisawo COX-1receptors, ayo anochengetedza mameseji edumbu. Chiremba anozoda kuongorora kuwanda kweropa mune chero munhu anotora meloxicam neropa rakapfava. SSRIs (mishonga yekudzvinyirira), SNRIs (mishonga yekudzvinyirira), uye mimwe mishonga inorwisa kenza inowedzera mukana wekubuda ropa uye kubuda kwemudumbu kana uchinge wabatanidzwa nemeloxicam.

Mimwe mishonga inonyatsosimudza njodzi yekubuda ropa mudumbu, kusanganisira corticosteroids, mamwe osteoporosis madhiragi (bisphosphonates), uye mimwe mishonga inorwisa kenza. Izvi, zvakare, zvinoda kushandiswa zvine hungwaru kana zvabatanidzwa nemeloxicam.

Kune akatiwandei pamusoro pe-e-counter dhayeti uye mishonga yemakwenzi inovhiringidza nekugwamba kweropa, senge hove mafuta, gariki, ginkgo, willow bark, krill mafuta, uye saw palmetto. Nyanzvi yezvehutano inogona kupa zano rakanaka nezvekubatanidza izvi zvinowedzerana ne meloxicam.

Meloxicam uye BP

Kukwidziridzwa kweropa rakajairika mhedzisiro meloxicam, saka kutora meloxicam kunogona kupokana nemhedzisiro yemishonga inoitirwa kudzikisa BP. Zvakare, kutora meloxicam ne ACE inhibitors uye angiotensin II receptor blockers (ARBs) - miviri yakajairika yemishonga yeropa - inowedzera njodzi yezvinetso zveitsvo uye potassium yakakwira (hyperkalemia) muvakuru kana vanhu vane matambudziko eitsvo aripo.

Mhando dzinoverengeka dzemishonga dzinokwidza kuwedzera kweropa. Kubatanidza chero ipi neipi ne meloxicam inosimudza njodzi yekukwira kweropa.

Caffeine, doro, uye chikakananda
Zvinokurudzira
Zvinodzvinyirira
Asthma mishonga
Vanodzikisira
Mapiritsi ekudzivirira kubata pamuviri
Migraine mishonga
Mimwe mishonga yekudzvinyirira anticancer
Mishonga yechirwere chePasinson

Iyi mishonga haibvumidzwe kutora nemeloxicam, asi BP inofanira kuongororwa kana uchiitora pamwechete.

Mimwe mishonga yemakwenzi inozivikanwa uye zvinowedzera zvinowedzerawo kuwedzera kweropa, senge ephedra, licorice, uye Yohimbe. Zvekare, njodzi yekukwira kweropa inowedzera kana izvi zvinowedzera zvichitorwa ne meloxicam

Meloxicam uye diuretics

Kutora meloxicam nemamwe marudzi e loop diuretics kana thiazide diuretics inogona kudzikisa masodium, ayo anogona kuve nenjodzi, kana kudzora itsvo kushanda. Kana iwe usina chokwadi kuti ndeupi rudzi rwe diuretic yauri kutora, chiremba, wemishonga, kana mumwe mupi wezvehutano anogona kubatsira kuzviziva. Therapy inoda kuongororwa uye ingangoda kuchinjwa.

Meloxicam neitsvo

Meloxicam inokanganisa zvinhu zvinodzora kuyerera kweropa muitsvo, ichichinja kuti itsvo dzinobvisa sei zvinodhaka kubva mumuviri. Izvi zvinogona kuwedzera kukuvara kune itsvo dzinokonzerwa nemamwe madhiragi, senge cyclosporine uye tacrolimus. Neimwe nzira, meloxicam inogona kudzora kugona kweitsvo kubvisa mamwe madhiragi, kunyanya lithiamu, mushonga unoshandiswa kurapa bipolar kusagadzikana, methotrexate, mushonga unoshandiswa kurapa kenza kana rheumatism, uye pemetrexed, mushonga weacancer. Izvi zvinogona kunzwika sechinhu chakanaka, asi zvinoreva kuti mishonga iyi inogara kwenguva refu mumuviri pakukwirisa, ichiwedzera huturu hwavo uye mukana wemhedzisiro. Zvakare, iyi mishonga haifanirwe kudzivirirwa chaiko, asi yavo dosing regimens ingangoda kuchinjwa.

Maitiro ekudzivirira meloxicam mhedzisiro

Kufanana nemishonga yese, meloxicam inogona kuve nemhedzisiro, kunyanya matambudziko nedumbu uye mudumbu ura. Mitemo mishoma yechigunwe inogona kubatsira kunatsiridza kusagadzikana:

Tora meloxicam sekurairwa

Tora muyero wezuva nezuva sekurairwa. Usawedzere kana kudzikisa dosi. Usatadza kurasikirwa nedosi uye, kana ukadaro, usatora imwe mishonga kuti uwane muripo wakarasika.

2. Dzivisa kutora dzimwe NSAIDs

Vazhinji vanopfuura-the-counter marwadzo ekudzora ndevekirasi imwechete yemishonga se meloxicam, kusanganisira aspirin. Ivo vane akawanda mhedzisiro mhedzisiro se meloxicam uye vanobviswa nenzira imwecheteyo, saka ipfungwa yakanaka yekuzvidzivirira paunenge uchitora meloxicam.

3. Tora meloxicam nechikafu

Meloxicam inogona kutorwa pamwe kana pasina chikafu. Kana kutora meloxicam kunounza matambudziko emudumbu, funga kutora meloxicam nechikafu. Meloxicam inogona kutorwa zvakachengeteka nemaantacids.

4. Dzivisa kutora meloxicam kwenguva refu

Iko mukana wemhedzisiro, kusanganisira zvakakomba mhedzisiro, inowedzera iyo yakareba iyo mishonga inotorwa. Kuti kuderedze mhedzisiro, meloxicam inoitirwa kutorwa pane yakaderera dhosi yeiyo pfupi nguva inogoneka yekuzadzisa tarisiro yekurapa. Kana chirwere chakadai se rheumatoid arthritis inoda kushandiswa kusingaperi kwekutapudza marwadzo, nyanzvi yehutano inogona kupa dzimwe nzira dzekushandisa kwenguva refu kwemeloxicam.

5. Dzivisa kusvuta uye doro

Kusvuta uye kunwa doro zvinomutsa njodzi yemaronda emudumbumune vanhu vanotora maNSAID senge meloxicam.

6. Udza chiremba nezvehutano hwese

Kuti uderedze njodzi yemhedzisiro, ita shuwa kuti anonyora chiremba anoziva nezveese mamiriro ekurapa apfuura neazvino, kunyanya:

Zvinetso zvemwoyo zvinosanganisira chirwere chemwoyo kana chirwere chemwoyo
Nhoroondo yekuvhara ropa kana sitiroko
Zvironda kana kubuda kwemudumbu
Kuchengetwa kwemvura
Asima
Cholesterol yakakwira
Chirwere cheshuga
Zvinetso zvechiropa kana
Zvinetso zveitsvo
Allergies kuNSAIDs

Iyo yekutsanangura chiremba ichatodawo kuziva nezve nhumbu mamiriro, kuyamwisa, kurapwa kwekubereka, kana chero zvirongwa zvekuva nepamuviri.

7. Udza chiremba nezve mishonga yese iri kutorwa

Mazhinji mhedzisiro mhedzisiro yemishonga yekunyorera se meloxicam inongokonzereswa nekubatanidza iwo nemishonga isiriyo. Kune chero munhu ane chirwere chisingaperi senge arthritis, zvinobatsira kuchengetedza runyorwa rwemishonga yese inoshandiswa. Mishonga yekunyorera, pamusoro-pe-iyo zvinodhaka, zvekudya zvekuwedzera, uye mishonga yemakwenzi, inotorwa zvese nguva nenguva kana zvisingawanzo kuverengerwa. Chengeta runyorwa urwu paruoko kuti rugone kugovaniswa nachiremba, wemishonga, kana mumwe mupi wezvehutano mushonga usati wanyorwa. Tevedzera rairo yavo kana vachiratidza zvimwe zvinodhaka, zvinowedzerwa, kana zvekudya zvinofanirwa kudzivirirwa.