Kugwiritsa ntchito nthawi yomwe ikufunika kuti mudziwe zofunikira zogwiritsa ntchito Aleve kapena naproxen kungakuthandizeni kupeŵa zotsatira ndi mavuto.
Aleve ( mankhwala othandizira naproxen) ndi mankhwala omwe sali-steroidal anti-inflammatory (NSAID) omwe amagwiritsidwa ntchito popereka ululu, kuchepetsa kutentha kwa thupi, komanso kuchepa kutupa. Chifukwa cha zochita zake zotsutsa-kutupa, naproxen -ngati atchulidwa kapena kugula pamwamba pazomwe zingakhale zothandiza ngati mbali ya mankhwala anu chifukwa cha ululu wammbuyo kapena matenda a nyamakazi; izi zikuphatikizanso onse omwe amatchedwa spylylitis ankylosing (mawonekedwe a kutupa nyamakazi) ndi osteoarthritis.
Naproxen ingagulidwe pa-a-counter ku sitolo yanu ya mankhwala komwe mumakhala ngati brand Aleve, kapena monga generic. Koma malinga ndi zizindikiro zomwe mumapereka, dokotala wanu angadziwe kuti mlingo wapamwamba ukhoza kukhala wokonzeka. Zikatero, akhoza kukupatsani mankhwala.
Kodi Nthawi zambiri mungatenge bwanji Naproxen?
Ngati mukugwiritsira ntchito naproxen kupweteka, malangizo omwe ali pamapangidwe amapereka mapiritsi limodzi maola asanu ndi atatu kapena 12 malinga ngati muli ndi zizindikiro. Chizindikirocho chidzakuuzeni kuti ndi bwino kutenga mapiritsi awiri mkati mwa ora loyambirira, koma kuti si kwanzeru kutenga maola oposa asanu ndi awiri kapena khumi ndi awiri alionse, kapena atatu pa ola lililonse la 24.
Drugs.com amalimbikitsa kutenga 440 mg pakamwa pa ola loyamba ngati pakufunika, ndiyeno 220 mg pakamwa ma ora asanu ndi atatu kapena 12, komanso, monga momwe mukufunira. Amanenanso kuti mlingo woyenera kwambiri sungakhale oposa 440 mg pa nthawi iliyonse ya ola limodzi kapena 12, kapena 660 pa nthawi iliyonse ya maola 24.
Zinthu zimasintha ngati dokotala akufotokoza kupweteka kwa khosi kapena kumbuyo kwa naproxen. Zikatero, Drugs.com imanena kuti mlingo woyamba wa naproxen wokhazikika ukhoza kukhala pakati pa 500 ndi 1000 mg, malingana ndi ngati pulogalamuyi ndiwotulutsidwa mwamsanga kapena mtundu wotulutsidwa. Amanenanso kuti mapiritsi otulutsidwa othamangitsidwa sakuvomerezedwa chifukwa cha ululu waukulu.
Pambuyo pa mlingo woyamba uja (koma pa tsiku loyamba) malangizowo ndikutenga 275 mg ya pulogalamu yomweyo pakamwa maola asanu ndi limodzi mphambu zisanu ndi atatu, kapena 550 pamlomo pakadutsa maola khumi ndi awiri (1250) pamlingo woyenera kuti adziwe chizindikiro. Koma kumbukirani kuti mlingo waukulu wa pulogalamu yomwe imatengedwa tsiku loyamba ndi 1375 mg. Pa masiku otsatira, ndi 1100 mg.
Pamapiritsi oyang'aniridwa tsiku loyamba (pambuyo pa mlingo woyamba), mukhoza kukula kufika 1500mg. Koma pamasiku otsatirawa, malangizi ndi kubweretsa mlingo mpaka 1000mg kapena pansipa.
Onani kuti mlingo umodzi wa Aleve uli ndi 200mg naproxen ndi 20mg sodium.
Mlingo wa Naproxen Information for Arthritis Related Spine Conditions
Kwa osteo ndi / kapena kutupa nyamakazi , mankhwala ovomerezeka a naproxen ndi otsika.
Ponena za mapiritsi otuluka mwamsanga, Drugs.com imatenga pakati pa 250 ndi 500mg pakamwa kawiri patsiku. Kenaka, kuyambira tsiku lachiwiri, mukhoza kuwonjezera mlingo kufika pa 1500mg pamlomo. Pali chenjezo kwa odwala ena-mlingo wa mlingowu ukhoza kukhala wotetezeka kwa miyezi sikisi.
Kodi mukutenga (kapena kuganizira kutenga) naproxen kwa ankylosing spondylitis? Ngati ndi choncho, mlingo woyenera wa 750mg kufika 1000mg pakamwa kamodzi patsiku, kapena 375 mpaka 500mg pakamwa pakamwa patsiku.
Ndipo kwa osteoarthritis, malingaliro ali pakati pa 750mg mpaka 1000mg pamlomo kamodzi pa tsiku.
Kuiwala Kutenga Naproxen
Ngati mwaphonya mlingo, tengani imodzi mwamsanga mukakumbukira. Chokhachokha chingakhale pamene nthawi yotsatira ili pafupi. Zikatero, dikirani mpaka nthawi yoti mutenge. Khalani pafupi ndi nthawi yanu ya dosing nthawi zonse ndipo musamamwe mankhwalawa mobwerezabwereza.
Kusunga Naproxen
Sungani mosamala seloxen yanu poiika motsekedwa mkati mwa chidebe, idatuluka kutentha ndi chinyezi. Izi zikutanthauza kusasunga mu bafa. Komanso, naproxen iyenera kusungidwa kutentha. Ikani izo ngati zatha, kapena simukusowa.
Mukhoza kumufunsa wamankhwala wanu njira yabwino kwambiri yochitira zimenezo. Sungani anawo kuti asapitirize.
Njira yogwirira ntchito ya Naproxen
Mankhwala onse m'kalasi ya NSAID, kuphatikizapo naproxen, amagwira ntchito makamaka poletsa kulembedwa kwa mankhwala m'thupi lotchedwa prostaglandins . Iyi ndiyo njira yaikulu yomwe mankhwalawa amaperekera chithandizo. (Ngati mukufuna, prostaglandins ndi zinthu zomwe zimayambitsa, kutulutsa kutupa ndi ululu umene umachokera.)
Kuganizira za Chitetezo cha Naproxen
Anthu ambiri-kuphatikizapo akatswiri ambiri azaumoyo-ali ndi chitsimikizo chakuti kutenga naproxen nthawi zambiri kumakhala kotetezeka.
Kaya mukuzindikira kapena ayi, komabe chogwiritsira ntchito pa naproxen si choyenera kwa aliyense. Naproxen yakhala ikuphatikizidwa ndi tsamba loopsa, komanso lakupha, GI, impso, ndi mtima. (Tidzakambirana momveka bwino za pansipa.)
Chifukwa zotsatira zogwirizanitsa ndi mankhwalawa opweteka nthawi zambiri zimakhala zovuta kwambiri, ndibwino kutenga ndalama zokhazokha, chifukwa nthawi yochepa kwambiri imafunika.
Dokotala wanu ndi munthu wabwino kwambiri kuti akuthandizeni kudziwa momwe mungatengere komanso nthawi zambiri (monga mankhwala alionse). Ngati sakupezeka kuti aziyankhula nanu, tsatirani malangizo pa phukusi mosamala kwambiri, ndipo / kapena funsani msika wanu. Koma musati mutenge ndalama zochepa kuposa ndalama zomwe mumalangizidwa, ndipo pitirizani ndifupipafupi.
Zingakhale Zovuta Kwambiri Zochitika
Monga ululu wopweteka kwambiri wothandizira komanso wotsutsa-kutupa, naproxen ikhozanso kuwonetsa thanzi lanu.
Choyamba, pali kuthekera kosavomerezeka. Izi zingawonetse ngati ming†™ oma, kutupa kwa nkhope, mphumu, kutupa khungu, kutsekemera, kapena kudabwa. Ngati ngakhale chimodzi mwa zizindikirozi chikuchitika, lekani kutenga naproxen ndikufuna thandizo lachipatala.
Chotsatira ndicho chodziwika bwino ndi choopsa kwambiri pambali ya magazi m'mimba. Ndikofunika kukhalabe maso-ngati mukuwona zizindikiro za magazi, funani kuchipatala mwamsanga. Kuchita zimenezi kungapulumutse moyo wanu.
Ndipo chachitatu ndi mbiri yowopsa ya mtima wa kutenga NSAID iliyonse. Malingana ndi Gregory Curfman, MD, Mkonzi Wamkulu, Harvard Health Publications, tawonapo, zaka 12 zapitazi, umboni wosonyeza kuti kutenga NSAIDs kumayambitsa matenda a mtima wanu. Zoopsa za umoyo zomwe amauza zimaphatikizapo kupweteka kwa mtima, kufooka kwa mtima ndi kupweteka; vuto lina lomwe limayambitsa kuthamanga kwa magazi.
Malinga ndi kafukufuku wafukufuku, a FDA, mu 2015, adafuna opanga kulimbikitsa machenjezo awo okhudzana ndi zoopsa za CV pa mapepala a NSAID ndi kulemba. Kulembapo tsopano kukuyenera kukudziwitsani kuti chiopsezo chanu cha matenda a mtima ndi kupwetekedwa mtima chingakule, ngakhale mutagwiritsa ntchito NSAID kwa milungu ingapo, ndipo mlingo wapamwamba womwe umatengedwa kwa nthawi yaitali ukhoza kukhala wovuta.
Curfman akufotokozanso kuti kwa odwala omwe kale ali ndi matenda a mtima, kutenga naproxen mwina si maganizo abwino. Izi zikhoza kuwonjezera, akuti, omwe alibe matenda a mtima.
Izi zinati, pamene phunziro la Denmark la 2016 linapeza mgwirizano pakati pa mankhwala a ibuprofen kapena a diclofenac yochepa komanso ngozi yoyamba ya chochitika cha mtima, iwo sanathe kuzindikira mgwirizano uliwonse pakati pa naproxen ndi zochitika zoterezi. Aspirin akadakali chiopsezo chachikulu cha NSAID.
Zizindikilo zoti ziziyang'ana zomwe zingasonyeze zochitika zamtima zimaphatikizapo kuyendayenda kapena zovuta zokhudzana ndi mtima wanu, monga kupweteka pachifuwa, kufooka, mpweya wochepa, mawu osalankhula kapena masomphenya kapena vuto la kusinthana. Kusunga madzi ndi chizindikiro china chimene mukusowa chithandizo chamankhwala mwamsanga.
Zovuta Zina Zotheka
Kuwonongeka kwa chiwindi ndi vuto lina lomwe lingatheke kutenga naproxen kapena NSAID ina. Zizindikiro za vuto la chiwindi zimaphatikizapo kunyoza, kusanza, kulakalaka chakudya, kuyabwa, chikasu cha khungu ndi / kapena maso, zizindikiro zofanana ndi chimfine ndi mitsempha yamdima. Ngati muli ndi zina mwa izi, lekani kutenga naproxen ndikufunsanso kuchipatala mwamsanga.
Ndipo potsiriza, pali mndandanda wa zovuta zina zomwe zingakhale zosazolowereka kapena zocheperapo kusiyana ndi zomwe tayankhula pamwambapa. (Onetsetsani kuti mndandandawu suli wathunthu, kotero ngati mukufuna kudziwa zambiri onani Chithandizo cha Drugs.com.) Lankhulani ndi dokotala mwamsanga ngati mungathe kuchita chimodzimodzi mwazizindikirozi:
- kudzimbidwa , kutsegula m'mimba kapena gasi
- zilonda m'kamwa
- muli ndi ludzu kwambiri
- mutu
- chizungulire kapena chapamwamba
- kugona
- mavuto ogona
- kuwotcha kapena kugwedeza m'manja kapena miyendo
- mumamva ngati muli ndi chimfine
- kumveka m'makutu kapena mavuto ena akumva.
Kodi Muyenera Kutenga Naproxen?
Zingakhale zoonekeratu tsopano kuti chifukwa cha chithunzi chanu chonse cha thanzi komanso kafukufuku watsopano pa NSAIDs naproxen sikuti mungathe kupumula kupweteka.
Inde, ngati muli ndi zifukwa zomwe tazitchula poyamba (matenda a mtima, kupweteka kwa m'mimba, mavuto a m'mimba, matenda a chiwindi) kutenga naproxen sikungakhale malingaliro abwino konse, chifukwa chidzakupatsani chiopsezo chakufa. Koma apa pali zinthu zina zochepa.
Kodi muli ndi pakati kapena mukukonzekera? Ngati ndi choncho, muyenera kulankhula ndi dokotala musanayambe naproxen. Mankhwalawa angayambitse zolepheretsa kubadwa pamene atengedwa m'miyezi itatu yotsiriza ya mimba. Ikhoza kudutsa mkaka wa m'mawere kwa mwana woyamwitsa ndikuvulaza.
Pakati pa mizere imeneyi, kupereka naproxen kwa mwana wosapitirira zaka 2 sikuvomerezedwa, kupatula monga mwadokotala wanu.
Mwachiwonekere ngati muli ndi mbiri ya mavuto a mtima, kuvula magazi, kuthamanga kwa magazi, kupweteka kwapso, mavuto a impso, mazira a magazi kapena zilonda zam'mimba, kuganiziranso naproxen mwina ndi kotheka kwambiri. Apanso, izi ndizo chifukwa zingapangitse mowopsa kuti mukhale ndi mtima, kapena imfa. (Onani m'munsimu kuti mudziwe zambiri.) Ndipo kutenga chilichonse cha naproxen kokha kapena pambuyo pa mtima kupitirira ntchito sikunakonzedwe.
Pamene tinkakambirana pamwambapa, NSAID zimabwera ndi chiopsezo cha zilonda zam'mimba, kutuluka magazi m'mimba komanso mavuto ena a GI. Zotsatirapo izi ndizoopsa kwambiri. Kumbukirani kuti akhoza kuchitika nthawi iliyonse, ndipo akhoza kusonyeza popanda chenjezo lapitalo. Nzika zakuya zikhoza kukhala pachiopsezo chachikulu. Kotero ngati muli ndi mavuto a GI, gwiritsani ntchito ndi dokotala kuti mupeze yankho loyenera lopumitsa ululu.
Ndiponso, kumwa ndi naproxen sizikusakanikirana. Mowa womwe umagwiritsidwa ntchito ndi naproxen ndi njira ina yowonjezerapo chiopsezo cha mimba ndi matenda a GI.
Zinthu zina zomwe zingapangitse ngozi yanu kuti zikhale ndi zotsatira zovulaza za mphutsi zakuphatikizapo mphumu, mphuno m'mphuno, kutuluka kwa magazi komanso kutsekemera, kusuta, khungu lomwe limakhala ndi dzuwa, komanso monga momwe matenda a chiwindi ndi chiwindi amatchulidwa kale.
Kuyanjana kwa Mankhwala Osokoneza Bongo ndi Kuwonongedwa Kwambiri
Takhala tikulankhula pang'ono za kusakaniza mowa ndi naproxen; ndizo ayi-ayi! Koma ngati mutenga mitundu ina ya mankhwala, kaya ndi (mankhwala) opweteka kapena ndi mankhwala osokoneza bongo omwe mumatha kumangoganizira mofulumira. (Mankhwala ambiri a OTC ali ndi NSAID, ngakhale kuti siwo mtundu wa ntchito yogwira ntchito yomwe ikugulitsidwa, kapena pamasamba a mankhwala.) Pa chifukwa ichi, ndikofunikira kuwerenga malemba onse a mankhwala (OTC ndi olemba) musanawasakanize. Onetsetsani kuti mukupeza mlingo umodzi wokha wa NSAID nthawi yoyenera (monga tafotokozera kumayambiriro kwa nkhaniyi.)
Ngati mukuganiza kuti mwataya kale, funsani 911 kapena malo olamulira poizoni.
Khulupirirani kapena ayi, kusakaniza zakudya zowonjezera zakudya, zitsamba, mankhwala osangalatsa, ndi / kapena khofi zingagwirizane ndi naproxen ndikusintha momwe zimagwirira ntchito m'thupi lanu. Lankhulani ndi wothandizira zaumoyo wanu za kuchuluka kwa kuchuluka kwa mankhwala ndi / kapena njira zina zopweteka zopweteka.
Ndipo nthawi zonse kambiranani ndi dokotala ngati mukufuna kapena muyenera kusiya kumwa mankhwala.
Pamodzi ndi mankhwala ndi zinthu zina zomwe takambirana m'nkhani ino, pansipa pali mndandanda wa mankhwala omwe angagwirane ntchito ndi naproxen molakwika. Onetsetsani kuti mufunsane ndi dokotala kapena katswiri wa mankhwala ngati mankhwala ena kapena mndandandawu, kapena ngati mutenga mankhwala ena kapena mankhwala osokoneza bongo:
- mowa
- alendronate, kuti ateteze mafupa
- NSAID zina, kuphatikizapo aspirin . Ngati mumagwiritsa ntchito aspirin nthawi yaitali, mwayi wanu wamagazi m'mimba ukuwonjezeka.
- mankhwala ena odana ndi kutupa (monga ibuprofen kapena prednisone)
- entecavir, chifukwa cha matenda a chiwindi-B
- cidofovir, yotengedwa ndi matenda opatsirana ndi odwala kachilombo ka HIV
- cyclosporine, operekedwa kuti asamuke odwala
- mapiritsi a madzi ( diuretics )
- Mankhwala a magazi, monga ACE inhibitors
- Odwala magazi monga Coumadin , kapena mankhwala ena amachiza kapena kuteteza magazi
- methotrexate, chemotherapy mankhwala
- pemetrexed, mankhwala a chemotherapy
- mankhwala omwe ali ndi feverfew, adyo, ginger, kapena ginkgo biloba
- mankhwala a lithiamu monga Eskolith Lithobid
Mawu Ochokera
Naproxen ikhoza kukhala yothandiza pa vuto lanu, koma kuti muzigwiritsa ntchito bwino kwambiri muyenera kuligwiritsa ntchito bwino. Mosasamala kanthu kuti mungapeze naproxen yanu pamsewu kapena ngati mankhwala kuchokera kwa dokotala, onetsetsani kuti mukutsatira malangizo a mlingo ndikuzindikira zotsatira zowonongeka ndi kuyanjana. Ngati mukumva kuti chinachake sichili bwino, funsani dokotala wanu.
> Zotsatira:
> Curfman, G., MD, Mkonzi Wamkulu. FDA imalimbikitsa chenjezo kuti ma NSAID amachulukitsa matenda a mtima ndi ngozi ya pangozi. Zolemba za Harvard Publications. Sukulu ya Zamankhwala ya Harvard. July 2015. http://www.health.harvard.edu/blog/fda-strengthens-kuphunzira-that-nsaids-increase-heart-attack-and-stroke-risk-201507138138
> Naproxen. Webusaiti ya Drugs.com. Ndasinthidwa komaliza: April 2017. https://www.drugs.com/naproxen.html
> Sondergaard KB, Weeke P, Wissenberg M, et al. Ntchito yosagwiritsa ntchito mankhwala osokoneza bongo imayenderana ndi chiopsezo chowonjezereka cha kumangidwa kwa mtima kwa chipatala. European Heart Journal - Maganizo a Pharmacotherapy. Dec 2016. https://academic.oup.com/ehjcvp/article/doi/10.1093/ehjcvp/pvw041/2739709/Non-steroidal-anti-inflammatory-drug-use-is