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Emanera contains a medicine called esomeprazole magnesium dihydrate. This belongs to a group of medicines called "proton pump inhibitors". They work by reducing the amount of acid that your stomach produces.
Emanera is used to treat the following conditions:
Adults and young people aged 12 years and above
- Gastro-esophageal reflux disease (GERD). This is where acid from the stomach escapes into the gullet (the tube which connects your throat to your stomach) causing pain, inflammation and heartburn.
- Ulcers in the stomach or upper part of the gut (intestine) that are infected with bacteria called "Helicobacter pylori". If you have this condition, your doctor may also prescribe antibiotics to treat the infection and allow the ulcer to heal.
Adults
- Stomach ulcers caused by medicines called NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). Emanera can also be used to stop stomach ulcers from forming if you are taking NSAIDs.
- Too much acid in the stomach caused by a growth in the pancreas (Zollinger-Ellison syndrome).
- Prolonged treatment after prevention of rebleeding of ulcers with intravenous esomeprazole.
Do not take Emanera if:
- You are allergic (hypersensitive) to esomeprazole or any of the other ingredients of Emanera listed in section 6.
- You are allergic to other proton pump inhibitor medicines (e.g. pantoprazole, lansoprazole, rabeprazole, omeprazole).
- You are taking a medicine containing nelfinavir (used to treat HIV).
Do not take Emanera if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Emanera.
Take special care with Emanera
Talk to your doctor or pharmacist before taking Emanera if:
- You have severe liver problems.
- You have severe kidney problems.
Emanera may hide the symptoms of other diseases. Therefore, if any of the following happen to you before you start taking Emanera or while you are taking it, talk to your doctor straight away:
- You lose a lot of weight for no reason and have problems swallowing.
- You get stomach pain or indigestion.
- You begin to vomit food or blood.
- You pass black stools (blood-stained faeces).
If you have been prescribed Emanera "on demand" you should contact your doctor if your symptoms continue or change in character.
If diarrhoea occurs during the treatment with Emanera contact your doctor immediately, as treatment with proton pump inhibitors may lead to a slightly increased risk of gastrointestinal infections such as Salmonella and Campylobacter.
Taking a proton pump inhibitor like Emanera, especially over a period of more than one year, may slightly increase your risk of fracture in the hip, wrist or spine. Tell your doctor if you have osteoporosis or if you are taking corticosteroids (which can increase the risk of osteoporosis).
Taking medicines and Emanera
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is because Emanera can affect the way some medicines work and some medicines can have an effect on Emanera.
Do not take Emanera Capsules if you are taking a medicine containing nelfinavir (used to treat HIV).
Tell your doctor or pharmacist if you are taking any of the following medicines:
- Atazanavir (used to treat HIV).
- Ketoconazole, itraconazole or voriconazole (used to treat infections caused by a fungus).
- Digoxin (used to treat heart problems).
- Erlotinib (used to treat cancer).
- Citalopram, imipramine or clomipramine (used to treat depression).
- Diazepam (used to treat anxiety, relax muscles or in epilepsy).
- Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to monitor you when you start or stop taking Emanera.
- Medicines that are used to thin your blood, such as warfarin. Your doctor may need to monitor you when you start or stop taking Emanera.
- Cilostazol (used to treat intermittent claudication – a pain in your legs when you walk which is caused by an insufficient blood supply).
- Cisapride (used for indigestion and heartburn).
- Methotrexate (a chemotherapy medicine used in high doses to treat cancer) – if you are taking a high dose of methotrexate, your doctor may temporarily stop your Emanera treatment.
- Clopidogrel (used to prevent blood clots (thrombi)).
- Tacrolimus (organ transplantation).
- Rifampicin (to treat tuberculosis).
- St John’s Wort (Hypericum perforatum) (used to treat depression).
If your doctor has prescribed the antibiotics amoxicillin and clarithromycin as well as Emanera to treat ulcers caused by Helicobacter pylori infection, it is very important that you tell your doctor if you are taking any other medicines.
Taking Emanera with food and drink
You can take your capsules with food or on an empty stomach.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Your doctor will decide whether you can take Emanera during this time.
It is not known if Emanera passes into breast milk. Therefore, you should not take Emanera if you are breastfeeding.
Driving and using machines
Emanera is not likely to affect you being able to drive or use any tools or machines. However, side effects such as dizziness and blurred vision may uncommonly or rarely occur (see section 4). If affected, you should not drive or use machines.
Important information about some of the ingredients of Emanera
Emanera contains sucrose. If you have been told by your doctor that you have an intolerance to some sugars, talk to your doctor before taking this medicine.
Always take Emanera exactly as your doctor or pharmacist has told you. You should check with your doctor or pharmacist if you are not sure.
- Emanera gastro-resistant capsules are not recommended for children less than 12 years old.
- If you are taking this medicine for a long time, your doctor will want to monitor you (particularly if you are taking it for more than a year).
- If your doctor has told you to take this medicine as and when you need it, tell your doctor if your symptoms change.
Taking this medicine
- You can take your capsules at any time of the day.
- You can take your capsules with food or on an empty stomach.
- Swallow your capsules whole with a drink of water. Do not chew or crush the capsules. This is because the capsules contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets.
What to do if you have trouble swallowing the capsules
· If you have trouble swallowing the capsules:
- Open the capsule and empty the pellets into half a glass of still (nonfizzy) water. Do not use any other liquids.
- Then drink the mixture straight away or within 30 minutes. Always stir the mixture just before drinking it.
- To make sure that you have drunk all of the medicine, rinse the glass very well with half a glass of water and drink it. The solid pieces contain the medicine - do not chew or crush them.
· If you cannot swallow at all, the pellets can be mixed with some water and put into a syringe. They can then be given to you through a tube directly into your stomach ("gastric tube").
How much to take
- Your doctor will tell you how many capsules to take and how long to take them for. This will depend on your condition, how old you are and how well your liver works.
- The usual doses are given below.
To treat heartburn caused by gastro-esophageal reflux disease (GERD):
Adults and children aged 12 or above:
- If your doctor has found that your food pipe (gullet) has been slightly damaged, the usual dose is one Emanera 40 mg gastro-resistant capsule once a day for 4 weeks. Your doctor may tell you to take the same dose for a further 4 weeks if your gullet has not yet healed.
- The usual dose once the gullet has healed is one Emanera 20 mg gastro-resistant capsule once a day.
- If your gullet has not been damaged, the usual dose is one Emanera 20 mg gastro-resistant capsule each day. Once the condition has been controlled, your doctor may tell you to take your medicine as and when you need it, up to a maximum of one Emanera 20 mg gastro-resistant capsule each day.
- If you have severe liver problems, your doctor may give you a lower dose.
To treat ulcers caused by Helicobacter pylori infection and to stop them coming back:
- Adults and young people aged 12 or above: the usual dose is one Emanera 20 mg gastro-resistant capsule twice a day for one week.
- Your doctor will also tell you to take antibiotics for example amoxicillin and clarithromycin.
To treat stomach ulcers caused by NSAIDs (Non-Steroidal Anti-Inflammatory Drugs):
- Adults aged 18 and above: the usual dose is one Emanera 20 mg gastro-resistant capsule once a day for 4 to 8 weeks.
To prevent stomach ulcers if you are taking NSAIDs (Non-Steroidal Anti-Inflammatory Drugs):
- Adults aged 18 and above: the usual dose is one Emanera 20 mg gastro-resistant capsule once a day.
To treat too much acid in the stomach caused by a growth in the pancreas (Zollinger-Ellison syndrome):
- Adults aged 18 and above: the usual dose is one Emanera 40 mg gastro-resistant capsule twice a day.
- Your doctor will adjust the dose depending on your needs and will also decide how long you need to take the medicine for. The maximum dose is 80 mg twice a day.
Prolonged treatment after prevention of rebleeding of ulcers with intravenous esomeprazole:
- Adults aged 18 and above: the usual dose is one Emanera 40 mg capsule once a day for 4 weeks.
If you take more Emanera than you should
If you take more Emanera than prescribed by your doctor, talk to your doctor or pharmacist straight away.
If you forget to take Emanera
- If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose.
- Do not take a double dose (two doses at the same time) to make up for a forgotten dose.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Technical error
Keep out of the reach and sight of children.
Do not use Emanera after the expiry date which is stated on the packaging after EXP. The expiry date refers to the last day of that month.
Do not store above 30 °C.
Store in the original package in order to protect from moisture.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
- The active substance is esomeprazole. Each gastro-resistant capsule, hard, contains 20 mg or 40 mg esomeprazole (as esomeprazole magnesium dihydrate).
- The other ingredients are sugar spheres (sucrose and maize starch), povidone K30, sodium lauril sulfate, polyvinyl alcohol, titanium dioxide (E171), macrogol, talc, heavy magnesium carbonate, polysorbate 80 and methacrylic acid – ethyl acrylate copolymer (1:1) dispersion 30 per cent in pellets in the capsule, and gelatine, titanium dioxide (E171) and red iron oxide (E172) in the capsule shell.
KRKA, d.d., Novo mesto, Šmarješka cesta 6, 8501 Novo mesto, Slovenia
ﯾﺤﺘﻮي إﯾﻤﺎﻧﯿﺮا ﻋﻠﻰ ﻣﺎدة ﻓﻌﺎﻟﺔ ﺗﺴﻤﻰ إزوﻣﯿﺒﺮازول ﻣﻐﻨﯿﺴﯿﻮم داﯾﮭﯿﺪرات. ھﺬه اﻟﻤﺎدة اﻟﻔﻌﺎﻟﺔ ﺗﻨﺘﻤﻲ إﻟﻰ ﻣﺠﻤﻮﻋﺔ دواﺋﯿﺔ ﺗﺴﻤﻰ "ﻣﺜﺒﻄﺎت ﻣﻀﺨﺔ اﻟﺒﺮوﺗﻮن." ﺗﻌﻤﻞ ھﺬه اﻟﻤﺠﻤﻮﻋﺔ ﻋﻠﻰ اﻟﺘﻘﻠﯿﻞ ﻣﻦ اﻟﺤﻤﺾ اﻟﺬي ﺗﻨﺘﺠﮫ
ﻣﻌﺪﺗﻚ.
ﯾﺴﺘﺨﺪم إﯾﻤﺎﻧﯿﺮا ﻟﻌﻼج اﻟﺤﺎﻻت اﻟﺘﺎﻟﯿﺔ:
ﻟﻠﺒﺎﻟﻐﯿﻦ وﻟﻤﻦ أﻋﻤﺎرھﻢ ﻓﻮق ﺳﻦ اﻟﺜﺎﻧﯿﺔ عشر:
- ﻣﺮض اﻟﺠﺰر اﻟﻤﻌﺪي اﻟﻤﺮﯾﺌﻲ )ﺟﯿﺮد.( ﻓﻲ ھﺬا اﻟﻤﺮض ﯾﺘﺴﺮب اﻟﺤﻤﺾ ﻣﻦ اﻟﻤﻌﺪة إﻟﻰ اﻟمرئ ) اﻷﻧﺒﻮب اﻟﺬي ﯾﺼﻞ ﺑﯿﻦ ﺣﻠﻘﻚ و ﻣﻌﺪﺗﻚ ( ﻣﻤﺎ ﯾﺆدي إﻟﻰ اﻟﺸﻌﻮر ﺑﺎﻷﻟﻢ وﺣﺪوث اﻻﻟﺘﮭﺎب و اﻟﺤﺮﻗﺎن.
- اﻟﺘﻘﺮﺣﺎت اﻟﺘﻲ ﺗﺼﯿﺐ اﻟﻤﻌﺪة أو اﻟﺠﺰء اﻟﻌﻠﻮي ﻣﻦ اﻟﺠﮭﺎز اﻟﮭﻀﻤﻲ )اﻷﻣﻌﺎء( اﻟﻤﺼﺎب ﺑﺎﻹﻧﺘﺎن اﻟﻤﺴﻤﻰ ﺑـ "ھﯿﻠﯿﻜﻮﺑﺎﻛﺘﺮ ﺑﯿﻠﻮري." إذا ﻛﻨﺖ ﻣﺼﺎﺑﺎً ﺑﮭﺬه اﻟﺤﺎﻟﺔ، ﻓﻤﻦ اﻟﻤﻤﻜﻦ أن ﯾﺼﻒ ﻟﻚ اﻟﻄﺒﯿﺐ ﻣﻀﺎداً ﺣﯿﻮﯾﺎً ﻟﻌﻼج اﻹﻧﺘﺎن وﻟﻠﺴﻤﺎح ﻟﻠﺘﻘﺮﺣﺎت ﺑﺎﻟﺸﻔﺎء.
ﻟﻠﺒﺎﻟﻐﯿﻦ:
- ﻗﺮﺣﺎت اﻟﻤﻌﺪة اﻟﻨﺎﺗﺠﺔ ﺑﺴﺒﺐ اﺳﺘﺨﺪام اﻟﻤﺴﻜﻨﺎت )اﻟﻌﻘﺎﻗﯿﺮ ﻏﯿﺮ اﻟﺴﺘﯿﺮوﯾﺪﯾﺔ اﻟﻤﻀﺎدة ﻟﻼﻟﺘﮭﺎﺑﺎت.( إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪم اﻟﻤﺴﻜﻨﺎت ﻏﯿﺮ اﻟﺴﺘﯿﺮوﯾﺪﯾﺔ اﻟﻤﻀﺎدة ﻟﻼﻟﺘﮭﺎﺑﺎت، ﻣﻦ اﻟﻤﻤﻜﻦ أن ﯾﺴﺘﺨﺪم إﯾﻤﺎﻧﯿﺮا ﻟﻤﻨﻊ ﺗﻜﻮن ﻗﺮﺣﺎت اﻟﻤﻌﺪة ﻟﺪﯾﻚ.
- زﯾﺎدة ﻛﻤﯿﺔ اﻟﺤﻤﺾ اﻟﻤﻮﺟﻮد ﻓﻲ اﻟﻤﻌﺪة اﻟﻨﺎﺗﺞ ﻋﻦ ﺗﻀﺨﻢ ﻓﻲ اﻟﺒﻨﻜﺮﯾﺎس )ﻣﺘﻼزﻣﺔ زوﻟﯿﻨﺠﺮ إﻟﯿﺴﻮن.(
- اﻟﻌﻼج اﻟﻤﻤﺘﺪ ﻟﻤﻨﻊ ﺗﻜﺮار ﻧﺰﯾﻒ اﻟﺘﻘﺮﺣﺎت ﺑﺎﺳﺘﺨﺪام دواء إزوﻣﯿﺒﺮازول اﻟﻤﻌﻄﻰ ﻋﻦ طﺮﯾﻖ اﻟﻮرﯾﺪ.
ﻻ ﺗﺴﺘﺨﺪم إﯾﻤﺎﻧﯿﺮا إذا ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ:
- إذا ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺣﺴﺎﺳﯿﺔ )ﻓﺮط اﻟﺤﺴﺎﺳﯿﺔ( ﻣﻦ دواء إﯾﺰوﻣﯿﺒﺮازول أو ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺣﺴﺎﺳﯿﺔ اﻟﻤﻜﻮﻧﺎت اﻷﺧﺮى ﻹﯾﻤﺎﻧﯿﺮا و اﻟﻤﺬﻛﻮرة ﻓﻲ ﻓﻘﺮة 6 ﻣﻦ ھﺬه اﻟﻨﺸﺮة.
- إذا ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺣﺴﺎﺳﯿﺔ ﻣﻦ اﻷدوﯾﺔ اﻷﺧﺮى اﻟﻤﺜﺒﻄﺔ ﻟﻤﻀﺨﺔ اﻟﺒﺮوﺗﻮن )ﻣﺜﻞ ﺑﺎﻧﺘﻮﺑﺮازول، ﻻﻧﺰوﺑﺮازول، راﺑﯿﺒﺮازول، أوﻣﯿﺒﺮازول(
- إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪم دواء ﯾﺤﺘﻮي ﻋﻠﻰ ﻣﺎدة اﻟﻨﯿﻠﻔﯿﻨﺎﻓﯿﺮ) اﻟﻤﺴﺘﺨﺪم ﻟﻌﻼج ﻓﯿﺮوس ﻧﻘﺺ اﻟﻤﻨﺎﻋﺔ.(
ﻻ ﺗﻘﻢ ﺑﺎﺳﺘﺨﺪام إﯾﻤﺎﻧﯿﺮا إذا ﻛﺎﻧﺖ ﺗﻨﻄﺒﻖ ﻋﻠﯿﻚ أﺣﺪ اﻟﺤﺎﻻت اﻟﻤﺬﻛﻮرة ﺳﺎﺑﻘﺎ. إذا ﻛﻨﺖ ﻏﯿﺮ ﻣﺘﺄﻛﺪ ﻓﻘﻢ ﺑﺴﺆال طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ ﻗﺒﻞ اﺳﺘﺨﺪام إﯾﻤﺎﻧﯿﺮا.
اﺗﺒﻊ ﻋﻨﺎﯾﺔ ﺧﺎﺻﺔ ﻣﻊ إﯾﻤﺎﻧﯿﺮا
ﺗﺤﺪث ﻣﻊ طﺒﯿﺒﻚ أو ﻣﻊ اﻟﺼﯿﺪﻟﻲ ﻗﺒﻞ اﺳﺘﺨﺪام إﯾﻤﺎﻧﯿﺮا إذا ﻛﻨﺖ:
- ﺗﻌﺎﻧﻲ ﻣﻦ ﻣﺸﺎﻛﻞ ﺣﺎدة ﻓﻲ اﻟﻜﺒﺪ
- ﺗﻌﺎﻧﻲ ﻣﻦ ﻣﺸﺎﻛﻞ ﺣﺎدة ﻓﻲ اﻟﻜﻠﻰ.
ﻣﻦ اﻟﻤﻤﻜﻦ أن ﯾﺨﻔﻲ إﯾﻤﺎﻧﯿﺮا ﺑﻌﺾ اﻷﻋﺮاض ﻟﺒﻌﺾ اﻷﻣﺮاض. ﻟﺬﻟﻚ إذا ﺣﺪث ﻣﻌﻚ أي ﻣﻦ اﻟﻤﺸﺎﻛﻞ اﻟﺘﺎﻟﯿﺔ
ﻗﺒﻞ ﺗﻨﺎوﻟﻚ ﻹﯾﻤﺎﻧﯿﺮا أو أﺛﻨﺎء ﻓﺘﺮة ﺗﻨﺎوﻟﻚ ﻟﮫ، ﺗﺤﺪث ﻣﻊ طﺒﯿﺒﻚ ﻣﺒﺎﺷﺮة:
- إذا ﺧﺴﺮت ﻛﻤﯿﺔ ﻛﺒﯿﺮة ﻣﻦ اﻟﻮزن ﺑﺪون ﺳﺒﺐ أو إذا ﻋﺎﻧﯿﺖ ﻣﻦ ﻣﺸﺎﻛﻞ ﻓﻲ اﻟﺒﻠﻊ.
- إذا ﻋﺎﻧﯿﺖ ﻣﻦ أﻟﻢ ﻓﻲ اﻟﻤﻌﺪة أو ﺗﻌﺴﺮ ﻓﻲ اﻟﮭﻀﻢ.
- إذا ﺑﺪأت ﺗﻘﯿﺆ اﻟﺪم أو اﻟﻄﻌﺎم.
- إذا ﻗﻤﺖ ﺑﺈﺧﺮاج ﺑﺮاز أﺳﻮد )ﺑﺮاز ﻣﻠﻄﺦ ﺑﺎﻟﺪم(
إذا ﺗﻢ وﺻﻒ إﯾﻤﺎﻧﯿﺮا ﻟﻚ "ﻛﻌﻨﺪ اﻟﻠﺰوم"، ﯾﺠﺐ ﻋﻠﯿﻚ اﻻﺗﺼﺎل ﺑﻄﺒﯿﺒﻚ إذا اﺳﺘﻤﺮت اﻷﻋﺮاض اﻟﺘﻲ ﺗﻌﺎﻧﻲ
ﻣﻨﮭﺎ، أو إذا ﺗﻐﯿﺮت ﺧﺼﺎﺋﺺ ھﺬه اﻷﻋﺮاض.
إذا ﺣﺪث ﻣﻌﻚ إﺳﮭﺎل ﺧﻼل ﻓﺘﺮة اﺳﺘﺨﺪاﻣﻚ ﻹﯾﻤﺎﻧﯿﺮا، ﻓﯿﺠﺐ ﻋﻠﯿﻚ اﻻﺗﺼﺎل ﺑﻄﺒﯿﺒﻚ ﻓﻮرا، ﻷن اﻟﻌﻼج ﺑﺎﻷدوﯾﺔ اﻟﻤﺜﺒﻄﺔ ﻟﻤﻀﺨﺔ اﻟﺒﺮوﺗﻮن ﻗﺪ ﺗﺆدي إﻟﻰ زﯾﺎدة ﺧﻄﺮ اﻹﺻﺎﺑﺔ ﺑﻌﺪوى اﻟﺠﮭﺎز اﻟﮭﻀﻤﻲ ﻣﺜﻞ اﻟﺴﺎﻟﻤﻮﻧﯿﻼ
و ﻛﺎﻣﯿﺒﯿﻠﻮﺑﯿﻜﺘﺮ.
ﻗﺪ ﯾﺆدي اﺳﺘﺨﺪام اﻷدوﯾﺔ اﻟﻤﺜﺒﻄﺔ ﻟﻤﻀﺨﺔ اﻟﺒﺮوﺗﻮن ﻣﺜﻞ إﯾﻤﺎﻧﯿﺮا إﻟﻰ زﯾﺎدة ﺧﻄﺮ اﻻﺻﺎﺑﺔ ﺑﻜﺴﻮر ﻓﻲ اﻟﺤﻮض أو اﻟﻤﻌﺼﻢ أو اﻟﻌﻤﻮد اﻟﻔﻘﺮي، ﺧﺎﺻﺔ إذا اﺳﺘﺨﺪﻣﺖ ﻟﻔﺘﺮة طﻮﯾﻠﺔ ﺗﺘﺠﺎوز اﻟﺴﻨﺔ. اﺧﺒﺮ طﺒﯿﺒﻚ إذا ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ھﺸﺎﺷﺔ اﻟﻌﻈﺎم أو ﻛﻨﺖ ﺗﺴﺘﺨﺪم أدوﯾﺔ اﻟﺴﺘﯿﺮوﯾﺪات اﻟﻘﺸﺮﯾﺔ )اﻟﺘﻲ ﺑﺪورھﺎ ﻣﻦ اﻟﻤﻤﻜﻦ أن ﺗﺆدي إﻟﻰ زﯾﺎدة ﺧﻄﺮ
اﻻﺻﺎﺑﺔ ﺑﮭﺸﺎﺷﺔ اﻟﻌﻈﺎم
اﺳﺘﺨﺪام اﻷدوﯾﺔ اﻷﺧﺮى ﻣﻊ إﯾﻤﺎﻧﯿﺮا
اﻟﺮﺟﺎء ﻣﻨﻚ اﺧﺒﺎر طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪم أي أدوﯾﺔ أﺧﺮى، ﺑﻤﺎ ﻓﻲ ذﻟﻚ اﻷدوﯾﺔ اﻟﺘﻲ ﺗﺴﺘﺨﺪﻣﮭﺎ ﻣﻦ ﻏﯿﺮ وﺻﻔﺔ طﺒﯿﺔ. ھﺬا ﺑﺴﺒﺐ أن إﯾﻤﺎﻧﯿﺮا ﻗﺪ ﯾﺆﺛﺮ ﻋﻠﻰ ﻋﻤﻞ ﺑﻌﺾ اﻷدوﯾﺔ ﻛﻤﺎ أن ﺑﻌﺾ اﻷدوﯾﺔ ﻗﺪ ﺗﺆﺛﺮ
ﻋﻠﻰ ﻋﻤﻞ إﯾﻤﺎﻧﯿﺮا.
ﻻ ﺗﻘﻢ ﺑﺎﺳﺘﺨﺪام ﻛﺒﺴﻮﻻت إﯾﻤﺎﻧﯿﺮا إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪم دواء ﯾﺤﺘﻮي ﻋﻠﻰ ﻣﺎدة اﻟﻨﯿﻠﻔﯿﻨﺎﻓﯿﺮ )اﻟﻤﺴﺘﺨﺪم ﻟﻌﻼج
ﻓﯿﺮوس ﻧﻘﺺ اﻟﻤﻨﺎﻋﺔ.(
اﺧﺒﺮ طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪم أي ﻣﻦ ھﺬه اﻷدوﯾﺔ:
- أﺗﺎزاﻧﺎﻓﯿﺮ )اﻟﻤﺴﺘﺨﺪم ﻟﻌﻼج ﻓﯿﺮوس ﻧﻘﺺ اﻟﻤﻨﺎﻋﺔ.(
- اﻟﻜﯿﺘﻮﻛﻮﻧﺎزول، اﻻﯾﺘﺮاﻛﻮﻧﺎزول أو ﻓﻮرﯾﻜﻮﻧﺎزول )اﻟﺘﻲ ﺗﺴﺘﺨﺪم ﻟﻌﻼج اﻻﻟﺘﮭﺎﺑﺎت اﻟﺘﻲ ﺗﺴﺒﺒﮭﺎ اﻟﻔﻄﺮﯾﺎت.(
- اﻟﺪﯾﺠﻮﻛﺴﯿﻦ )اﻟﻤﺴﺘﺨﺪم ﻟﻌﻼج ﻣﺸﺎﻛﻞ اﻟﻘﻠﺐ.(
- إﯾﺮﻟﻮﺗﯿﻨﯿﺐ )اﻟﻤﺴﺘﺨﺪم ﻟﻌﻼج اﻟﺴﺮطﺎن.(
- ﺳﯿﺘﺎﻟﻮﺑﺮام، إﯾﻤﯿﺒﺮاﻣﯿﻦ أو ﻛﻠﻮﻣﯿﺒﺮاﻣﯿﻦ )اﻟﺘﻲ ﺗﺴﺘﺨﺪم ﻟﻌﻼج اﻻﻛﺘﺌﺎب.(
- دﯾﺎزﯾﺒﺎم )اﻟﻤﺴﺘﺨﺪم ﻟﻌﻼج اﻟﻘﻠﻖ، أو ارﺗﺨﺎء اﻟﻌﻀﻼت أو اﻟﺼﺮع.( - ﻓﯿﻨﯿﺘﻮﯾﻦ )اﻟﻤﺴﺘﺨﺪم ﻓﻲ اﻟﺼﺮع.( إذا ﻛﻨﺖ ﺗﺘﻨﺎول اﻟﻔﯿﻨﯿﺘﻮﯾﻦ، ﻓﺴﻮف ﯾﺤﺘﺎج طﺒﯿﺒﻚ إﻟﻰ ﻣﺮاﻗﺒﺔ وﺿﻌﻚ اﻟﺼﺤﻲ ﻋﻨﺪ اﻟﺒﺪء أو اﻟﺘﻮﻗﻒ ﻋﻦ ﺗﻨﺎول إﯾﻤﺎﻧﯿﺮا.
- ﻣﺴﯿﻼت اﻟﺪم، ﻣﺜﻞ اﻟﻮارﻓﺎرﯾﻦ. ﺳﻮف ﯾﺤﺘﺎج طﺒﯿﺒﻚ إﻟﻰ ﻣﺮاﻗﺒﺔ وﺿﻌﻚ اﻟﺼﺤﻲ ﻋﻨﺪ اﻟﺒﺪء أو اﻟﺘﻮﻗﻒ ﻋﻦ ﺗﻨﺎول إﯾﻤﺎﻧﯿﺮا.
- ﺳﯿﻠﻮﺳﺘﺎزول )اﻟﻤﺴﺘﺨﺪم ﻟﻌﻼج اﻟﻌﺮج اﻟﻤﺘﻘﻄﻊ – اﻟﻤﻌﺎﻧﺎة ﻣﻦ أﻟﻢ ﻓﻲ اﻟﺴﺎﻗﯿﻦ ﻋﻨﺪ اﻟﻤﺸﻲ اﻟﻨﺎﺗﺞ ﻋﻦ ﻋﺪم ﻛﻔﺎﯾﺔ اﻣﺪادات اﻟﺪم ﻟﻠﺴﺎﻗﯿﻦ.(
- ﺳﯿﺴﺎﺑﺮﯾﺪ )اﻟﻤﺴﺘﺨﺪم ﻟﻌﺴﺮ اﻟﮭﻀﻢ واﻟﺤﺮﻗﺎن.(
- اﻟﻤﯿﺜﻮﺗﺮﯾﻜﺴﯿﺖ )ﻋﻼج ﻛﯿﻤﯿﺎﺋﻲ ﯾﺴﺘﺨﺪم ﺑﺠﺮﻋﺎت ﻋﺎﻟﯿﺔ ﻟﻌﻼج اﻟﺴﺮطﺎن(
- إذا ﻛﻨﺖ ﺗﺘﻨﺎول ﺟﺮﻋﺔ ﻋﺎﻟﯿﺔ ﻣﻦ اﻟﻤﯿﺜﻮﺗﺮﯾﻜﺴﯿﺖ، ﻓﺈن طﺒﯿﺒﻚ ﻗﺪ ﯾﻮﻗﻒ ﻣﺆﻗﺘﺎ ﻋﻼﺟﻚ ﺑﺈﯾﻤﺎﻧﯿﺮا.
- ﻛﻠﻮﺑﯿﺪوﻗﺮل )اﻟﺬي ﯾﺴﺘﺨﺪم ﻟﻤﻨﻊ ﺗﺠﻠﻂ اﻟﺪم )اﻟﺨﺜﺮة اﻟﺪﻣﻮﯾﺔ.((
- اﻟﺘﺎﻛﺮوﻟﯿﻤﻮس )اﻟﻤﺴﺘﺨﺪم ﻣﻊ زراﻋﺔ اﻷﻋﻀﺎء(
- رﯾﻔﺎﻣﺒﯿﺴﯿﻦ )ﻟﻌﻼج ﻣﺮض اﻟﺴﻞ.(
- ﻧﺒﺘﺔ ﺳﺎﻧﺖ ﺟﻮن )ھﺎﯾﺒﯿﺮﯾﻜﻢ ﺑﯿﺮﻓﻮراﺗﻮم( )اﻟﻤﺴﺘﺨﺪﻣﺔ ﻟﻌﻼج اﻻﻛﺘﺌﺎب(
إذا وﺻﻒ ﻟﻚ طﺒﯿﺒﻚ ﻣﻀﺎدا ﺣﯿﻮﯾﺎ ﻣﺜﻞ اﻷﻣﻮﻛﺴﯿﺴﯿﻠﻠﯿﻦ أو اﻟﻜﻼرﯾﺜﺮﻣﺎﯾﺴﯿﻦ ﻣﻊ إﯾﻤﺎﻧﯿﺮا ﻟﻌﻼج اﻟﻘﺮﺣﺔ اﻟﺘﻲ
ﺗﻨﺸﺄ ﺑﺴﺒﺐ ﻋﺪوى ھﻠﯿﻜﻮﺑﺎﻛﺘﯿﺮ ﺑﺎﯾﻠﻮري، ﻓﻤﻦ اﻟﻤﮭﻢ أن ﺗﺨﺒﺮ طﺒﯿﺒﻚ إذا ﻛﻨﺖ ﺗﺘﻨﺎول أدوﯾﺔ أﺧﺮى.
اﺳﺘﺨﺪام إﯾﻤﺎﻧﯿﺮا ﻣﻊ اﻷﻛﻞ واﻟﺸﺮب
ﯾﻤﻜﻨﻚ ﺗﻨﺎول اﻟﻜﺒﺴﻮﻻت ﻣﻊ اﻷﻛﻞ أو ﻋﻠﻰ ﻣﻌﺪة ﻓﺎرﻏﺔ.
اﻟﺤﻤﻞ و اﻟﺮﺿﺎﻋﺔ
إذا ﻛﻨﺘﻲ ﺣﺎﻣﻼً أو ﻣﺮﺿﻌﺎً أو ﺗﻌﺘﻘﺪﯾﻦ ﺑﺄﻧﻚ ﻗﺪ ﺗﻜﻮﻧﯿﻦ ﺣﺎﻣﻼً أو ﺗﺨﻄﻄﯿﻦ ﻟﻠﺤﻤﻞ، ﻓﯿﺠﺐ ﻋﻠﯿﻚ ﺳﺆال طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ ﻗﺒﻞ اﻟﺒﺪء ﺑﺎﺳﺘﺨﺪام ھﺬا اﻟﺪواء. طﺒﯿﺒﻚ ﺳﻮف ﯾﻘﺮر ﻣﺎ إذا ﻛﺎن ﺑﺈﻣﻜﺎﻧﻚ اﺳﺘﺨﺪام إﯾﻤﺎﻧﯿﺮا ﺧﻼل ھﺬه اﻟﻔﺘﺮة أم ﻻ. ﻟﯿﺲ ﻣﻦ اﻟﻤﻌﻠﻮم ﻣﺎ إذا ﻛﺎن إﯾﻤﺎﻧﯿﺮا ﯾﻔﺮز ﻣﻊ ﺣﻠﯿﺐ اﻟﺜﺪي أم ﻻ. ﻟﺬﻟﻚ ﻻ ﺗﺘﻨﺎوﻟﻲ إﯾﻤﺎﻧﯿﺮا إذا ﻛﻨﺖ ﺗﻤﺎرﺳﯿﻦ اﻟﺮﺿﺎﻋﺔ اﻟﻄﺒﯿﻌﯿﺔ
اﻟﻘﯿﺎدة و اﺳﺘﺨﺪام اﻵﻻت
ﻟﯿﺲ ﻣﻦ اﻟﻤﻌﺘﺎد أن ﯾﺆﺛﺮ إﯾﻤﺎﻧﯿﺮا ﻋﻠﻰ اﻟﻘﺪرة ﻋﻠﻰ اﻟﻘﯿﺎدة أو اﺳﺘﺨﺪام اﻵﻻت. و ﻟﻜﻦ ھﻨﺎك ﺑﻌﺾ اﻷﻋﺮاض اﻟﺠﺎﻧﺒﯿﺔ ﻹﯾﻤﺎﻧﯿﺮا ﻣﺜﻞ اﻟﺪوﺧﺔ وﻋﺪم وﺿﻮح اﻟﺮؤﯾﺔ اﻟﺘﻲ ﻗﺪ ﺗﺤﺪث ﻧﺎدرا )اﻧﻈﺮ اﻟﻔﻘﺮة .(4 إذا أﺻﺎﺑﺘﻚ ھﺬه اﻷﻋﺮاض، ﻓﯿﺠﺐ ﻋﻠﯿﻚ اﻟﺘﻮﻗﻒ ﻋﻦ اﻟﻘﯿﺎدة او اﺳﺘﺨﺪام اﻵﻻت.
معلومات مهمة عن بعض محتويات إيمانيرا
إﯾﻤﺎﻧﯿﺮا ﯾﺤﺘﻮي ﻋﻠﻰ اﻟﺴﻜﺮوز. إذا ﻛﺎن ﻗﺪ أﺧﺒﺮك اﻟﻄﺒﯿﺐ أﻧﻚ ﻣﺼﺎب ﺑﻌﺪم اﻟﻘﺪرة ﻋﻠﻰ ﺗﺤﻤﻞ ﺑﻌﺾ أﻧﻮاع اﻟﺴﻜﺮ، ﻓﻘﻢ ﺑﺈﺧﺒﺎر طﺒﯿﺒﻚ ﻗﺒﻞ اﻟﺒﺪء ﺑﺘﻨﺎول ھﺬا اﻟﺪواء
ﻗﻢ ﺑﺘﻨﺎول إﯾﻤﺎﻧﯿﺮا ﺗﻤﺎﻣﺎ ﻛﻤﺎ وﺻﻒ ﻟﻚ اﻟﻄﺒﯿﺐ أو اﻟﺼﯿﺪﻟﻲ. اﻟﺮﺟﺎء ﻣﻨﻚ ﻣﺮاﺟﻌﺔ طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ إذا ﻛﻨﺖ
ﻏﯿﺮ ﻣﺘﺄﻛﺪ ﻣﻦ طﺮﯾﻘﺔ اﺳﺘﺨﺪام ھﺬا اﻟﻌﻼج.
- ﻻ ﯾﻨﺼﺢ ﺑﺎﺳﺘﺨﺪام ﻛﺒﺴﻮﻻت إﯾﻤﺎﻧﯿﺮا اﻟﻤﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻟﻸطﻔﺎل ﺗﺤﺖ ﺳﻦ .12
- إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪم إﯾﻤﺎﻧﯿﺮا ﻟﻤﺪة طﻮﯾﻠﺔ، ﻓﺴﻮف ﯾﻘﻮم طﺒﯿﺒﻚ ﺑﻤﺘﺎﺑﻌﺘﻚ )ﺧﺎﺻﺔ إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪﻣﮫ ﻟﻤﺪة أﻛﺜﺮ ﻣﻦ ﺳﻨﺔ.(
- إذا ﻗﺎل ﻟﻚ طﺒﯿﺒﻚ ﺑﺄن ﺗﺴﺘﺨﺪم ھﺬا اﻟﺪواء ﻋﻨﺪ اﻟﻠﺰوم، ﻓﻘﻢ ﺑﺎﺧﺒﺎر طﺒﯿﺒﻚ إذا واﺟﮭﻚ أي ﺗﻐﯿﺮ ﻓﻲ أﻋﺮاض
اﻟﻤﺮض.
طﺮﯾﻘﺔ ﺗﻨﺎول ھﺬا اﻟﺪواء
- ﺗﺴﺘﻄﯿﻊ ﺗﻨﺎول ﻛﺒﺴﻮﻻﺗﻚ ﻓﻲ أي وﻗﺖ ﻣﻦ اﻟﯿﻮم.
- ﺗﺴﺘﻄﯿﻊ ﺗﻨﺎول ﻛﺒﺴﻮﻻﺗﻚ ﻣﻊ اﻷﻛﻞ أو ﻋﻠﻰ ﻣﻌﺪة ﻓﺎرﻏﺔ.
- ﻗﻢ ﺑﺒﻠﻊ اﻟﻜﺒﺴﻮﻟﺔ ﻛﺎﻣﻠﺔ ﻣﻊ ﺷﺮب اﻟﻤﺎء. ﻻ ﺗﻘﻢ ﺑﻤﻀﻎ أو ﺳﺤﻖ اﻟﻜﺒﺴﻮﻻت. ﻷن ھﺬه اﻟﻜﺒﺴﻮﻻت ﺗﺤﺘﻮي ﻋﻠﻰ ﺣﺒﯿﺒﺎت ﻣﻐﻠﻔﺔ ﺗﻘﻮم ﺑﺤﻤﺎﯾﺔ اﻟﺪواء ﻣﻦ أن ﯾﺘﻌﺮض ﻟﻠﺘﻜﺴﺮ ﺑﻮاﺳﻄﺔ اﻟﺤﻤﺾ اﻟﻤﻮﺟﻮد ﻓﻲ اﻟﻤﻌﺪة. و ﻣﻦ اﻟﻤﮭﻢ أن ﻻ ﺗﺘﻌﺮض ھﺬه اﻟﻜﺮﯾﺎت ﻟﻠﻀﺮر
ﻣﺎ اﻟﺬي ﯾﺠﺐ ﻋﻠﯿﻚ اﻟﻘﯿﺎم ﺑﮫ إذا واﺟﮭﺘﻚ ﺻﻌﻮﺑﺔ ﻓﻲ ﺑﻠﻊ ھﺬه اﻟﻜﺒﺴﻮﻻت؟
إذا واﺟﮭﺘﻚ ﺻﻌﻮﺑﺔ ﻓﻲ ﺑﻠﻊ ھﺬه اﻟﻜﺒﺴﻮﻻت:
- ﻗﻢ ﺑﻔﺘﺢ اﻟﻜﺒﺴﻮﻟﺔ و ﺿﻊ اﻟﺤﺒﯿﺒﺎت ﻓﻲ ﻧﺼﻒ ﻛﺄس ﻣﻦ اﻟﻤﺎء )ﻣﺎء ﻏﯿﺮﻏﺎزي.( ﻻ ﺗﻘﻢ ﺑﺎﺳﺘﺨﺪام أي ﺳﻮاﺋﻞ أﺧﺮى ﻏﯿﺮ اﻟﻤﺎء.
- ﺛﻢ ﻗﻢ ﺑﺸﺮب ھﺬا اﻟﺨﻠﯿﻂ ﻣﺒﺎﺷﺮة أو ﺧﻼل ﻧﺼﻒ ﺳﺎﻋﺔ. ﻗﻢ داﺋﻤﺎ ﺑﺘﺤﺮﯾﻚ اﻟﺨﻠﯿﻂ ﻗﺒﻞ اﻟﺸﺮب ﻣﺒﺎﺷﺮة.
- ﻗﻢ ﺑﺸﻄﻒ اﻟﻜﺄس ﺟﯿﺪا ﺑﺎﺳﺘﺨﺪام ﻧﺼﻒ ﻛﺄس ﻣﻦ اﻟﻤﺎء، ﻟﺘﺘﻤﻜﻦ ﻣﻦ اﻟﺘﺄﻛﺪ أﻧﻚ ﻗﻤﺖ ﺑﺸﺮب اﻟﺪواء ﻛﺎﻣﻼ. اﻟﻘﻄﻊ اﻟﺼﻠﺒﺔ ﺗﺤﺘﻮي ﻋﻠﻰ اﻟﺪواء ﻟﺬﻟﻚ ﻻ ﺗﻘﻢ ﺑﻤﻀﻐﮭﺎ أو ﺳﺤﻘﮭﺎ .
- أﻣﺎ إذا ﻛﻨﺖ ﻻ ﺗﺴﺘﻄﯿﻊ اﻟﺒﻠﻊ ﻧﮭﺎﺋﯿﺎ، ﻓﺈﻧﮫ ﻣﻦ اﻟﻤﻤﻜﻦ أن ﺗُﻤﺰج ھﺬه اﻟﺤﺒﯿﺒﺎت ﻣﻊ اﻟﻤﺎء ﺛﻢ ﺗﻮﺿﻊ ﻓﻲ ﺣﻘﻨﮫ طﺒﯿﺔ. ﺑﻌﺪ ذﻟﻚ ﻣﻦ اﻟﻤﻤﻜﻦ إﻋﻄﺎؤك إﯾﺎھﺎ ﻋﻦ طﺮﯾﻖ أﻧﺒﻮب ﯾﺪﺧﻞ ﻣﺒﺎﺷﺮة ﻟﻠﻤﻌﺪة.
ﻣﺎ ھﻲ اﻟﻜﻤﯿﺔ اﻟﺘﻲ ﯾﻠﺰﻣﻚ ﺗﻨﺎوﻟﮭﺎ؟
- ﺳﻮف ﯾﻘﻮم طﺒﯿﺒﻚ ﺑﺈﺧﺒﺎرك ﻋﻦ ﻋﺪد اﻟﻜﺒﺴﻮﻻت اﻟﺘﻲ ﯾﺠﺐ ﻋﻠﯿﻚ ﺗﻨﺎوﻟﮭﺎ وﻣﺪة اﻹﺳﺘﻤﺮار ﺑﺘﻨﺎوﻟﮭﺎ. وھﺬا ﯾﻌﺘﻤﺪ ﻋﻠﻰ ﺣﺎﻟﺘﻚ اﻟﺼﺤﯿﺔ و ﻋﻤﺮك و اﻟﻮﺿﻊ اﻟﺼﺤﻲ ﻟﻠﻜﺒﺪ ﻟﺪﯾﻚ.
- ﺗﻢ ذﻛﺮ اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ادناة:
ﻟﻌﻼج اﻟﺤﺮﻗﺔ اﻟﻨﺎﺗﺠﺔ ﻋﻦ ﻣﺮض اﻟﺠﺰر اﻟﻤﻌﺪي اﻟﻤﺮﯾﺌﻲ )ﺟﯿﺮد:(
ﻟﻠﺒﺎﻟﻐﯿﻦ و ﻟﻸطﻔﺎل ﻓﻮق ﺳﻦ :12
- إذا وﺟﺪ طﺒﯿﺒﻚ أن أﻧﺒﻮب اﻟﻄﻌﺎم )اﻟمرئ) اﻟﺨﺎص ﺑﻚ ﻗﺪ ﺗﻌﺮض ﻟﻘﻠﯿﻞ ﻣﻦ اﻟﻀﺮر، ﻓﺈن اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 40 ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ ﻟﻤﺪة 4 أﺳﺎﺑﯿﻊ. ﻣﻦ اﻟﻤﻤﻜﻦ أن ﯾﻄﻠﺐ ﻣﻨﻚ اﻟﻄﺒﯿﺐ أﺧﺬ ﻧﻔﺲ اﻟﺠﺮﻋﺔ ﻟﻤﺪة أرﺑﻊ أﺳﺎﺑﯿﻊ إﺿﺎﻓﯿﺔ إذا ﻟﻢ ﯾﺘﻢ ﺷﻔﺎء المرئ ﺑﺸﻜﻞ ﻛﺎﻣﻞ.
- اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﻨﺪﻣﺎ ﯾﺘﻢ ﺷﻔﺎء اﻟﺤﻨﺠﺮة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20 ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ.
- أﻣﺎ إذا ﻛﺎﻧ المرئ ﻏﯿﺮ ﻣﺘﻀﺮر، ﻓﺈن اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20 ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ.
- إذا ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﻣﺸﻜﻠﺔ ﺣﺎدة ﻓﻲ اﻟﻜﺒﺪ، ﻓﺴﻮف ﯾﻘﻮم طﺒﯿﺒﻚ ﺑﺈﻋﻄﺎﺋﻚ ﺟﺮﻋﺔ أﺻﻐﺮ ﻣﻦ اﻟﻤﻌﺘﺎد.
لعلاج التقرحات الناتجة عن العدوى المسماة بهيليكوباكتر بايلوري ولمنعها من العودة مجددا:
ﻟﻠﺒﺎﻟﻐﯿﻦ و ﻟﻸطﻔﺎل ﻓﻮق ﺳﻦ :12 اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20
ﻣﻠﺠﻢ ﻣﺮﺗﯿﻦ ﯾﻮﻣﯿﺎ ﻟﻤﺪة أﺳﺒﻮع واﺣﺪ.
- ﺳﻮف ﯾﻄﻠﺐ ﻣﻨﻚ طﺒﯿﺒﻚ أﯾﻀﺎ اﺳﺘﺨﺪام ﻣﻀﺎد ﺣﯿﻮي ﻣﺜﻞ أﻣﻮﻛﺴﯿﺴﯿﻠﯿﻦ و ﻛﻼرﯾﺜﺮوﻣﺎﯾﺴﯿﻦ.
ﻟﻌﻼج ﺗﻘﺮﺣﺎت اﻟﻤﻌﺪة اﻟﻨﺎﺗﺠﺔ ﻋﻦ اﺳﺘﺨﺪام اﻟﻤﺴﻜﻨﺎت )اﻟﻌﻘﺎﻗﯿﺮ ﻏﯿﺮ اﻟﺴﺘﯿﺮوﯾﺪﯾﺔ اﻟﻤﻀﺎدة ﻟﻼﻟﺘﮭﺎﺑﺎت:(
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20 ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ ﻟﻤﺪة 4 إﻟﻰ 8 أﺳﺎﺑﯿﻊ.
ﻟﻠﻮﻗﺎﯾﺔ ﻣﻦ ﺗﻘﺮﺣﺎت اﻟﻤﻌﺪة اﻟﻨﺎﺗﺠﺔ ﻋﻦ اﺳﺘﺨﺪام اﻟﻤﺴﻜﻨﺎت )اﻟﻌﻘﺎﻗﯿﺮ ﻏﯿﺮ اﻟﺴﺘﯿﺮوﯾﺪﯾﺔ اﻟﻤﻀﺎدة ﻟﻼﻟﺘﮭﺎﺑﺎت:(
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20
ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ.
ﻟﻌﻼج زﯾﺎدة ﻛﻤﯿﺔ اﻟﺤﻤﺾ اﻟﻤﻮﺟﻮد ﻓﻲ اﻟﻤﻌﺪة اﻟﻨﺎﺗﺞ ﻋﻦ ﺗﻀﺨﻢ ﻓﻲ اﻟﺒﻨﻜﺮﯾﺎس )ﻣﺘﻼزﻣﺔ زوﻟﯿﻨﺠﺮ إﻟﯿﺴﻮن:(
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 40 ﻣﻠﺠﻢ ﻣﺮﺗﯿﻦ ﯾﻮﻣﯿﺎ. ﺳﻮف ﯾﻘﻮم طﺒﯿﺒﻚ ﺑﺘﻌﺪﯾﻞ اﻟﺠﺮﻋﺔ ﺑﻨﺎء ﻋﻠﻰ اﺣﺘﯿﺎﺟﺎﺗﻚ، ﻛﻤﺎ أﻧﮫ ﺳﻮف ﯾﻘﻮم ﺑﺘﺤﺪﯾﺪ اﻟﻤﺪة اﻟﻜﺎﻓﯿﺔ اﻟﺘﻲ ﯾﺠﺐ ﻋﻠﯿﻚ أﺧﺬ اﻟﻌﻼج ﺧﻼﻟﮭﺎ. ﻋﻠﻤﺎ أن اﻟﺠﺮﻋﺔ اﻟﻘﺼﻮى ﻟﮭﺬا اﻟﺪواء ﻋﺒﺎره ﻋﻦ 80 ﻣﻠﺠﻢ ﻣﺮﺗﯿﻦ ﯾﻮﻣﯿﺎ.
اﻟﻌﻼج اﻟﻤﻤﺘﺪ ﻟﻤﻨﻊ ﺗﻜﺮار ﻧﺰﯾﻒ اﻟﺘﻘﺮﺣﺎت ﺑﺎﺳﺘﺨﺪام دواء إزوﻣﯿﺒﺮازول اﻟﻤﻌﻄﻰ ﻋﻦ طﺮﯾﻖ اﻟﻮرﯾﺪ:
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 40 ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ ﻟﻤﺪة 4 أﺳﺎﺑﯿﻊ.
إذا ﻗﻤﺖ ﺑﺘﻨﺎول ﻛﻤﯿﺔ أﻛﺒﺮ ﻣﻦ اﻟﻼزم ﻣﻦ إﯾﻤﺎﻧﯿﺮا
إذا ﻗﻤﺖ ﺑﺘﻨﺎول إﯾﻤﺎﻧﯿﺮا ﺑﻜﻤﯿﺔ أﻛﺒﺮ ﻣﻦ اﻟﻜﻤﯿﺔ اﻟﻤﻮﺻﻮﻓﺔ ﻟﻚ ﻣﻦ ﻗﺒﻞ اﻟﻄﺒﯿﺐ، ﻓﺈﻧﮫ ﻣﻦ اﻟﻮاﺟﺐ ﻋﻠﯿﻚ إﺧﺒﺎر طﺒﯿﺒﻚ أواﻟﺼﯿﺪﻟﻲ ﻓﻮرا
ﻟﻠﺒﺎﻟﻐﯿﻦ و ﻟﻸطﻔﺎل ﻓﻮق ﺳﻦ :12 اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20
ﻣﻠﺠﻢ ﻣﺮﺗﯿﻦ ﯾﻮﻣﯿﺎ ﻟﻤﺪة أﺳﺒﻮع واﺣﺪ.
- ﺳﻮف ﯾﻄﻠﺐ ﻣﻨﻚ طﺒﯿﺒﻚ أﯾﻀﺎ اﺳﺘﺨﺪام ﻣﻀﺎد ﺣﯿﻮي ﻣﺜﻞ أﻣﻮﻛﺴﯿﺴﯿﻠﯿﻦ و ﻛﻼرﯾﺜﺮوﻣﺎﯾﺴﯿﻦ.
ﻟﻌﻼج ﺗﻘﺮﺣﺎت اﻟﻤﻌﺪة اﻟﻨﺎﺗﺠﺔ ﻋﻦ اﺳﺘﺨﺪام اﻟﻤﺴﻜﻨﺎت )اﻟﻌﻘﺎﻗﯿﺮ ﻏﯿﺮ اﻟﺴﺘﯿﺮوﯾﺪﯾﺔ اﻟﻤﻀﺎدة ﻟﻼﻟﺘﮭﺎﺑﺎت:(
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20 ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ ﻟﻤﺪة 4 إﻟﻰ 8 أﺳﺎﺑﯿﻊ.
ﻟﻠﻮﻗﺎﯾﺔ ﻣﻦ ﺗﻘﺮﺣﺎت اﻟﻤﻌﺪة اﻟﻨﺎﺗﺠﺔ ﻋﻦ اﺳﺘﺨﺪام اﻟﻤﺴﻜﻨﺎت )اﻟﻌﻘﺎﻗﯿﺮ ﻏﯿﺮ اﻟﺴﺘﯿﺮوﯾﺪﯾﺔ اﻟﻤﻀﺎدة ﻟﻼﻟﺘﮭﺎﺑﺎت:(
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 20 ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ.
ﻟﻌﻼج زﯾﺎدة ﻛﻤﯿﺔ اﻟﺤﻤﺾ اﻟﻤﻮﺟﻮد ﻓﻲ اﻟﻤﻌﺪة اﻟﻨﺎﺗﺞ ﻋﻦ ﺗﻀﺨﻢ ﻓﻲ اﻟﺒﻨﻜﺮﯾﺎس )ﻣﺘﻼزﻣﺔ زوﻟﯿﻨﺠﺮ
إﻟﯿﺴﻮن:(
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 40
ﻣﻠﺠﻢ ﻣﺮﺗﯿﻦ ﯾﻮﻣﯿﺎ. - ﺳﻮف ﯾﻘﻮم طﺒﯿﺒﻚ ﺑﺘﻌﺪﯾﻞ اﻟﺠﺮﻋﺔ ﺑﻨﺎء ﻋﻠﻰ اﺣﺘﯿﺎﺟﺎﺗﻚ، ﻛﻤﺎ أﻧﮫ ﺳﻮف ﯾﻘﻮم ﺑﺘﺤﺪﯾﺪ اﻟﻤﺪة اﻟﻜﺎﻓﯿﺔ اﻟﺘﻲ ﯾﺠﺐ
ﻋﻠﯿﻚ أﺧﺬ اﻟﻌﻼج ﺧﻼﻟﮭﺎ.
ﻋﻠﻤﺎ أن اﻟﺠﺮﻋﺔ اﻟﻘﺼﻮى ﻟﮭﺬا اﻟﺪواء ﻋﺒﺎره ﻋﻦ 80 ﻣﻠﺠﻢ ﻣﺮﺗﯿﻦ ﯾﻮﻣﯿﺎ.
اﻟﻌﻼج اﻟﻤﻤﺘﺪ ﻟﻤﻨﻊ ﺗﻜﺮار ﻧﺰﯾﻒ اﻟﺘﻘﺮﺣﺎت ﺑﺎﺳﺘﺨﺪام دواء إزوﻣﯿﺒﺮازول اﻟﻤﻌﻄﻰ ﻋﻦ طﺮﯾﻖ اﻟﻮرﯾﺪ:
- ﻟﻠﺒﺎﻟﻐﯿﻦ ﻣﻦ ﻋﻤﺮ 18 ﻓﻤﺎ ﻓﻮق: اﻟﺠﺮﻋﺔ اﻟﻤﻌﺘﺎدة ﻋﺒﺎرة ﻋﻦ ﻛﺒﺴﻮﻟﺔ واﺣﺪة ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة ﻣﻦ إﯾﻤﺎﻧﯿﺮا 40
ﻣﻠﺠﻢ ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ ﻟﻤﺪة 4 أﺳﺎﺑﯿﻊ.
إذا ﻗﻤﺖ ﺑﺘﻨﺎول ﻛﻤﯿﺔ أﻛﺒﺮ ﻣﻦ اﻟﻼزم ﻣﻦ إﯾﻤﺎﻧﯿﺮا
إذا ﻗﻤﺖ ﺑﺘﻨﺎول إﯾﻤﺎﻧﯿﺮا ﺑﻜﻤﯿﺔ أﻛﺒﺮ ﻣﻦ اﻟﻜﻤﯿﺔ اﻟﻤﻮﺻﻮﻓﺔ ﻟﻚ ﻣﻦ ﻗﺒﻞ اﻟﻄﺒﯿﺐ، ﻓﺈﻧﮫ ﻣﻦ اﻟﻮاﺟﺐ ﻋﻠﯿﻚ إﺧﺒﺎر طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ ﻓﻮرا
إذا ﻧﺴﯿﺖ أن ﺗﺘﻨﺎول إﯾﻤﺎﻧﯿﺮا
- إذا ﺣﺼﻞ أن ﻧﺴﯿﺖ ﺟﺮﻋﺔ ﻣﻦ إﯾﻤﺎﻧﯿﺮا، ﻓﻘﻢ ﺑﺄﺧﺬ ھﺬه اﻟﺠﺮﻋﺔ ﺣﺎل ﺗﺬﻛﺮك ﻟﮭﺎ. وﻟﻜﻦ إذا ﺗﺬﻛﺮﺗﮭﺎ ﻓﻲ وﻗﺖ ﻗﺮﯾﺐ ﻣﻦ وﻗﺖ اﻟﺠﺮﻋﺔ اﻟﺘﺎﻟﯿﺔ، ﻓﻘﻢ ﺑﺘﺨﻄﻲ وﺣﺬف اﻟﺠﺮﻋﺔ اﻟﻤﻨﺴﯿﺔ.
- ﻻ ﺗﻘﻢ أﺑﺪا ﺑﺄﺧﺬ ﺟﺮﻋﺔ ﻣﻀﺎﻋﻔﺔ ) ﺟﺮﻋﺘﯿﻦ ﻓﻲ ﻧﻔﺲ اﻟﻮﻗﺖ( ﻟﻠﺘﻌﻮﯾﺾ ﻋﻦ اﻟﺠﺮﻋﺔ اﻟﻤﻨﺴﯿﺔ.
إذا ﻛﺎن ﻟﺪﯾﻚ ﻣﺰﯾﺪ ﻣﻦ اﻷﺳﺌﻠﺔ ﺣﻮل طﺮﯾﻘﺔ اﺳﺘﺨﺪام ھﺬا اﻟﺪواء، ﻓﻘﻢ ﺑﺴﺆال طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ.
إﯾﻤﺎﻧﯿﺮا ﻣﻦ اﻟﻤﻤﻜﻦ أن ﯾﺴﺒﺐ أﻋﺮاﺿﺎً ﺟﺎﻧﺒﯿﺔ ﻣﺜﻠﮫ ﻣﺜﻞ ﺟﻤﯿﻊ اﻷدوﯾﺔ، وﻟﻜﻦ ھﺬه اﻷﻋﺮاض ﻻ ﺗﺤﺪث ﻟﺠﻤﯿﻊ
اﻷﺷﺨﺎص اﻟﺬﯾﻦ ﯾﺴﺘﺨﺪﻣﻮن ھﺬا اﻟﺪواء.
ﺗﻘﺴﻢ اﻷﻋﺮاض اﻟﺠﺎﻧﺒﯿﺔ إﻟﻰ اﻟﻤﺠﻤﻮﻋﺎت اﻟﺘﺎﻟﯿﺔ ﺑﻨﺎء ﻋﻠﻰ ﺗﻜﺮار ﺣﺪوﺛﮭﺎ:
ﺗﺆﺛﺮ ﻋﻠﻰ أﻛﺜﺮ ﻣﻦ ﻣﺴﺘﺨﺪم واﺣﺪ ﻣﻦ ﻛﻞ 10 ﻣﺴﺘﺨﺪﻣﯿﻦ | ﺷﺎﺋﻌﺔ ﺟﺪا: |
ﺗﺆﺛﺮ ﻋﻠﻰ ) 1 إﻟﻰ (10 ﻣﺴﺘﺨﺪم ﻣﻦ ﻛﻞ 100 ﻣﺴﺘﺨﺪم | ﺷﺎﺋﻌﺔ: |
ﺗﺆﺛﺮ ﻋﻠﻰ ) 1 إﻟﻰ (10 ﻣﺴﺘﺨﺪم ﻣﻦ ﻛﻞ 1000 ﻣﺴﺘﺨﺪم | ﻏﯿﺮ ﺷﺎﺋﻌﺔ: |
ﺗﺆﺛﺮ ﻋﻠﻰ ) 1 إﻟﻰ (10 ﻣﺴﺘﺨﺪم ﻣﻦ ﻛﻞ 10000 ﻣﺴﺘﺨﺪم | ﻧﺎدرة: |
ﺗﺆﺛﺮ ﻋﻠﻰ أﻗﻞ ﻣﻦ ﻣﺴﺘﺨﺪم واﺣﺪ ﻣﻦ ﻛﻞ 10000 ﻣﺴﺘﺨﺪم | ﻧﺎدرة ﺟﺪا: |
ﻻ ﯾﻤﻜﻦ ﺗﻘﺪﯾﺮ ﺗﻜﺮار ﺣﺪوﺛﮭﺎ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت اﻟﻤﺘﻮﻓﺮة ﺣﺎﻟﯿﺎ | ﻏﯿﺮ ﻣﻌﺮوف: |
إذا ﻻﺣﻈﺖ ﺣﺪوث أي ﻣﻦ اﻷﻋﺮاض اﻟﺠﺎﻧﺒﯿﺔ اﻟﺨﻄﯿﺮة اﻟﺘﺎﻟﯿﺔ، ﻓﻘﻢ ﺑﺎﻟﺘﻮﻗﻒ ﻋﻦ اﺳﺘﺨﺪام إﯾﻤﺎﻧﯿﺮا و اﺗﺼﻞ
ﺑﻄﺒﯿﺒﻚ ﻓﻮرا
- ﺻﻔﯿﺮ ﻣﻔﺎﺟﺊ، ﺗﻮرم ﻓﻲ اﻟﺸﻔﺘﯿﻦ أواﻟﻠﺴﺎن أواﻟﺤﻠﻖ أو اﻟﺠﺴﻢ، طﻔﺢ اﻟﺠﻠﺪي، إﻏﻤﺎء أو ﺻﻌﻮﺑﺎت ﻓﻲ اﻟﺒﻠﻊ (أﻋﺮاض ﺣﺴﺎﺳﯿﺔ ﺣﺎدة.(-
- اﺣﻤﺮار ﻓﻲ اﻟﺠﻠﺪ ﻣﻊ ظﮭﻮر ﺑﺜﻮر أو ﺗﻘﺸﺮ. ﻗﺪ ﯾﻜﻮن ھﻨﺎك أﯾﻀﺎ ﺗﻘﺮﺣﺎت ﺷﺪﯾﺪة وﻧﺰﯾﻒ ﻓﻲ اﻟﺸﻔﺘﯿﻦ واﻟﻌﯿﻨﯿﻦ واﻟﻔﻢ واﻷﻧﻒ واﻷﻋﻀﺎء اﻟﺘﻨﺎﺳﻠﯿﺔ. ھﺬه اﻷﻋﺮاض ﻣﻦ اﻟﻤﻤﻜﻦ أن ﺗﻜﻮن ﻧﺎﺗﺠﺔ ﻋﻦ "ﻣﺘﻼزﻣﺔ ﺳﺘﯿﻔﻨﺰ ﺟﻮﻧﺴﻮن" أو "اﻧﺤﻼل اﻟﺒﺸﺮة اﻟﺴﺎم."
- اﺻﻔﺮار ﻓﻲ اﻟﺠﻠﺪ، ﺑﻮل داﻛﻦ و ﺗﻌﺐ، ھﺬه اﻷﻋﺮاض ﻣﻦ اﻟﻤﻤﻜﻦ أن ﺗﻜﻮن أﻋﺮاض ﻣﺸﺎﻛﻞ ﻓﻲ اﻟﻜﺒﺪ.
ھﺬه اﻷﻋﺮاض ﻧﺎدرة، و ﻗﺪ ﺗﺆﺛﺮ ﻋﻠﻰ ﻣﺴﺘﺨﺪم واﺣﺪ ﻣﻦ ﻛﻞ 10000 ﻣﺴﺘﺨﺪم.
أﻋﺮاض ﺟﺎﻧﺒﯿﺔ أﺧﺮى:
ﺷﺎﺋﻌﺔ:
- ﺻﺪاع
- ﺗﺄﺛﯿﺮات ﻋﻠﻰ اﻟﻤﻌﺪة أو اﻷﻣﻌﺎء:
- إﺳﮭﺎل، آﻻم ﻓﻲ اﻟﻤﻌﺪة، إﻣﺴﺎك، رﯾﺢ )ﻏﺎزات.(
- ﺷﻌﻮر ﺑﺎﻹﻋﯿﺎء )اﻟﻐﺜﯿﺎن( أو اﻹﺻﺎﺑﺔ ﺑﺎﻹﻋﯿﺎء )اﻟﺘﻘﯿﺆ.(
ﻏﯿﺮ ﺷﺎﺋﻌﺔ:
- ﺗﻮرم ﻓﻲ اﻟﻘﺪﻣﯿﻦ واﻟﻜﺎﺣﻠﯿﻦ
- اﺿﻄﺮاب ﻓﻲ اﻟﻨﻮم )اﻷرق(
- دوﺧﺔ، اﻟﺸﻌﻮر ﺑﻮﺧﺰات ﻣﺜﻞ "اﻷﻗﻼم أو اﻷﺑﺮ"، اﻟﺸﻌﻮر ﺑﺎﻟﻨﻌﺎس
- اﻟﺸﻌﻮر ﺑﺎﻟﺪوار )دوﺧﺔ(
- ﺟﻔﺎف ﻓﻲ اﻟﻔﻢ
- ﺗﻐﯿﯿﺮات ﻓﻲ ﺗﺤﺎﻟﯿﻞ اﻟﺪم اﻟﺨﺎﺻﺔ ﻓﻲ وظﺎﺋﻒ اﻟﻜﺒﺪ
- طﻔﺢ ﺟﻠﺪي، طﻔﺢ ﺟﻠﺪي ﻋﻘﺪي )ﺧﻼﯾﺎ اﻟﻨﺤﻞ( ﺣﻜﺔ ﻓﻲ اﻟﺠﻠﺪ
- ﻛﺴﺮ ﻓﻲ اﻟﺤﻮض، أو اﻟﻤﻌﺼﻢ أو اﻟﻌﻤﻮد اﻟﻔﻘﺮي )إذا اﺳﺘﺨﺪم إﯾﻤﺎﻧﯿﺮا ﺑﺠﺮﻋﺎت ﻋﺎﻟﯿﺔ و ﻟﻔﺘﺮات طﻮﯾﻠﺔ(
نادرة:
- ﻣﺸﺎﻛﻞ ﻓﻲ اﻟﺪم ﻣﺜﻞ اﻧﺨﻔﺎض ﻋﺪد ﺧﻼﯾﺎ اﻟﺪم اﻟﺒﯿﻀﺎء أو اﻟﺼﻔﺎﺋﺢ اﻟﺪﻣﻮﯾﺔ. ھﺬه اﻟﻤﺸﺎﻛﻞ ﻣﻦ اﻟﻤﻤﻜﻦ أن ﺗﺴﺒﺐ ﺿﻌﻒ، أوﻛﺪﻣﺎت أو زﯾﺎدة ﻓﻲ اﺣﺘﻤﺎﻟﯿﺔ اﻟﺘﻌﺮض ﻟﻠﻌﺪوى.
- اﻧﺨﻔﺎض ﻣﺴﺘﻮى اﻟﺼﻮدﯾﻮم ﻓﻲ اﻟﺪم. ﻣﻤﺎ ﻗﺪ ﯾﺴﺒﺐ ﺿﻌﻒ، ﺗﻘﯿﺆ وﺗﺸﻨﺠﺎت.
- اﻟﺸﻌﻮر ﺑﺎﻟﺘﮭﯿﺞ، اﻻرﺗﺒﺎك أو اﻻﻛﺘﺌﺎب.
- ﺗﻐﯿﺮ ﻓﻲ اﻟﻤﺬاق.
- ﻣﺸﺎﻛﻞ ﻓﻲ اﻟﻨﻈﺮ ﻣﺜﻞ ﻋﺪم وﺿﻮح اﻟﺮؤﯾﺔ
- ﺷﻌﻮر ﻣﻔﺎﺟﺊ ﺑﺎﻟﺼﻔﯿﺮ و ﺿﯿﻖ اﻟﺘﻨﻔﺲ ) ﺗﺸﻨﺞ ﻗﺼﺒﻲ.(
- اﻟﺘﮭﺎب داﺧﻞ اﻟﻔﻢ.
- ﻋﺪوى ﺗﺴﻤﻰ ﺑـ )ﻣﺮض اﻟﻘﻼع( و ﻗﺪ ﺗﺼﯿﺐ اﻟﺠﮭﺎز اﻟﮭﻀﻤﻲ و ﺗﺘﺴﺒﺐ ﺑﮭﺎ اﻟﻔﻄﺮﯾﺎت.
- ﻣﺸﺎﻛﻞ ﻓﻲ اﻟﻜﺒﺪ، ﺑﻤﺎ ﻓﻲ ذﻟﻚ اﻟﯿﺮﻗﺎن اﻟﺬي ﻗﺪ ﯾﺘﺴﺒﺐ ﻓﻲ اﺻﻔﺮار اﻟﺠﻠﺪ، و ﺑﻮل داﻛﻦ و ﺗﻌﺐ.
- ﺗﺴﺎﻗﻂ اﻟﺸﻌﺮ.
- طﻔﺢ ﺟﻠﺪي ﻋﻨﺪ اﻟﺘﻌﺮض ﻟﺸﻌﺔ اﻟﺸﻤﺲ.
- أﻟﻢ ﻓﻲ اﻟﻤﻔﺎﺻﻞ أو أﻟﻢ ﻓﻲ اﻟﻌﻀﻼت.
- اﻟﺸﻌﻮر ﺑﺎﻟﻤﺮض و ﻧﻘﺺ ﻓﻲ اﻟﻄﺎﻗﺔ ﺑﺸﻜﻞ ﻋﺎم.
- زﯾﺎدة ﻓﻲ اﻟﺘﻌﺮق.
ﻧﺎدرة ﺟﺪاً:
- اﻟﺘﻐﯿﺮات ﻓﻲ ﺗﻌﺪاد اﻟﺪم ﺑﻤﺎ ﻓﻲ ذﻟﻚ ﻧﺪرة اﻟﻤﺤﺒﺒﺎت )ﻋﺪم وﺟﻮد ﺧﻼﯾﺎ اﻟﺪم اﻟﺒﯿﻀﺎء( واﻧﺨﻔﺎض ﻓﻲ ﻋﺪد ﻛﺮﯾﺎت اﻟﺪم اﻟﺤﻤﺮاء واﻟﺒﯿﻀﺎء، وﻛﺬﻟﻚ اﻟﺼﻔﺎﺋﺢ اﻟﺪﻣﻮﯾﺔ )ﻗﻠﺔ اﻟﻜﺮﯾﺎت اﻟﺸﺎﻣﻠﺔ.(
- اﻟﻌﺪوان.
- اﺑﺼﺎر، واﻟﺸﻌﻮر أو ﺳﻤﻊ اﻷﺷﯿﺎء اﻟﺘﻲ ﻟﯿﺴﺖ ھﻨﺎك )اﻟﮭﻠﻮﺳﺔ.(
- ﻣﺸﺎﻛﻞ ﺣﺎدة ﻓﻲ اﻟﻜﺒﺪ ﻗﺪ ﺗﺆدي إﻟﻰ ﻓﺸﻞ اﻟﻜﺒﺪ واﻟﺘﮭﺎب اﻟﺪﻣﺎغ. - طﻔﺢ ﺟﻠﺪي ﺷﺪﯾﺪ ﻣﻔﺎﺟﺊ اﻟﻈﮭﻮر أو ﺗﺤﻮﺻﻞ اﻟﺠﻠﺪ أو ﺗﻘﺸﯿﺮه. ھﺬا ﻗﺪ ﯾﺘﺮاﻓﻖ ﻣﻊ ارﺗﻔﺎع ﻓﻲ درﺟﺔ
- اﻟﺤﺮارة وآﻻم ﻓﻲ اﻟﻤﻔﺎﺻﻞ )اﻟﺤﻤﺎﻣﻰ ﻋﺪﯾﺪ اﻷﺷﻜﺎل، ﻣﺘﻼزﻣﺔ ﺳﺘﯿﻔﻦ ﺟﻮﻧﺴﻮن، اﻧﺤﻼل اﻟﺒﺸﺮة اﻟﺴﻤﻲ.(
- ﺿﻌﻒ اﻟﻌﻀﻼت.
- ﻣﺸﺎﻛﻞ ﻓﻲ اﻟﻜﻠﻰ اﻟﺤﺎد.
- ﺗﻀﺨﻢ اﻟﺜﺪي ﻟﺪى اﻟﺮﺟﺎل.
ﻏﯿﺮ ﻣﻌﺮوف:
- إذا ﻛﻨﺖ ﺗﺴﺘﺨﺪم إﯾﻤﺎﻧﯿﺮا ﻷﻛﺜﺮ ﻣﻦ ﺛﻼث أﺷﮭﺮ ﻓﺈﻧﮫ ﻣﻦ اﻟﻤﺤﺘﻤﻞ أن ﯾﻨﺨﻔﺾ ﻟﺪﯾﻚ ﻣﺴﺘﻮى اﻟﻤﻐﻨﯿﺴﯿﻮم ﻓﻲ اﻟﺪم. اﻧﺨﻔﺎض ﻣﺴﺘﻮﯾﺎت اﻟﻤﻐﻨﯿﺴﯿﻮم ﻓﻲ اﻟﺪم ﻗﺪ ﯾﻈﮭﺮ ﻋﻠﻰ ﺷﻜﻞ ﺗﻌﺐ، اﻧﻘﺒﺎﺿﺎت ﻻ إرادﯾﺔ ﻓﻲ اﻟﻌﻀﻼت، ارﺗﺒﺎك ، ﺗﺸﻨﺠﺎت، دوﺧﺔ، وزﯾﺎدة ﻣﻌﺪل ﺿﺮﺑﺎت اﻟﻘﻠﺐ. إذا ﺗﻌﺮﺿﺖ ﻷﺣﺪ ھﺬه اﻷﻋﺮاض ﻓﺎﻟﺮﺟﺎء ﻣﻨﻚ إﺑﻼغ طﺒﯿﺒﻚ ﻓﻮرا. اﻧﺨﻔﺎض ﻣﺴﺘﻮﯾﺎت اﻟﻤﻐﻨﯿﺴﯿﻮم ﻓﻲ اﻟﺪم ﻗﺪ ﯾﺆدي أﯾﻀﺎ إﻟﻰ اﻧﺨﻔﺎض ﻓﻲ
- ﻣﻌﺪل اﻟﻤﻐﻨﯿﺴﯿﻮم أو اﻟﻜﺎﻟﺴﯿﻮم ﻓﻲ اﻟﺪم. ﻣﻦ اﻟﻤﻤﻜﻦ أن ﯾﻘﺮر ﻟﻚ طﺒﯿﺒﻚ ﻋﻤﻞ ﻓﺤﻮﺻﺎت دورﯾﺔ ﻟﻠﺪم ﻟﻤﺮاﻗﺒﺔ ﻣﺴﺘﻮﯾﺎت اﻟﻤﻐﻨﯿﺴﯿﻮم ﻟﺪﯾﻚ.
- اﻟﺘﮭﺎب ﻓﻲ اﻟﺠﮭﺎز اﻟﮭﻀﻤﻲ ) ﯾﺆدي إﻟﻰ اﻻﺳﮭﺎل).
ﻗﺪ ﯾﺆﺛﺮ إﯾﻤﺎﻧﯿﺮا ﻓﻲ ﺣﺎﻻت ﻧﺎدرة ﻋﻠﻰ ﻛﺮﯾﺎت اﻟﺪم اﻟﺒﯿﻀﺎء ﻣﻤﺎ ﯾﺴﺒﺐ ﻧﻘﺺ ﻓﻲ اﻟﻤﻨﺎﻋﺔ. إذا ﺗﻌﺮﺿﺖ ﻟﻺﺻﺎﺑﺔ ﺑﺎﻟﻌﺪوى ﻣﻊ أﻋﺮاض ﻣﺜﻞ ارﺗﻔﺎع درﺟﺔ اﻟﺤﺮارة ﻣﻊ ﺗﺪھﻮر ﺣﺎد ﻓﻲ ﺣﺎﻟﺘﻚ اﻟﺼﺤﯿﺔ أو ارﺗﻔﺎع ﻓﻲ درﺟﺔ اﻟﺤﺮارة ﻣﻊ أﻋﺮاض ﻣﻮﺿﻌﯿﺔ ﻟﻠﻌﺪوى ﻣﺜﻞ أﻟﻢ ﻓﻲ اﻟﺮﻗﺒﺔ أو اﻟﺤﻠﻖ أو اﻟﻔﻢ أو ﺻﻌﻮﺑﺔ ﻓﻲ اﻟﺘﺒﻮل، ﻓﻤﻦ اﻟﻮاﺟﺐ ﻋﻠﯿﻚ اﺳﺘﺸﺎرة طﺒﯿﺒﻚ ﻓﻲ أﻗﺮب ﻓﺮﺻﺔ ﻣﻤﻜﻨﺔ ﺣﺘﻰ ﯾﺘﻤﻜﻦ ﻣﻦ إﺟﺮاء ﺗﺤﻠﯿﻞ ﻟﻠﺪم ﻻﺳﺘﺒﻌﺎد اﺻﺎﺑﺘﻚ ﺑﺎﻧﺨﻔﺎض ﻓﻲ ﻣﻌﺪل ﻛﺮﯾﺎت اﻟﺪم اﻟﺒﯿﻀﺎء ﻓﻲ اﻟﺪم. ﻣﻦ اﻟﻤﮭﻢ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻚ أن ﺗﻌﻄﻲ ﻣﻌﻠﻮﻣﺎت ﻛﺎﻣﻠﺔ ﻋﻦ اﻟﺪواء اﻟﺬي ﺗﺴﺘﺨﺪﻣﮫ ﻓﻲ ھﺬا اﻟﻮﻗﺖ.
ﻻ ﺗﻘﻠﻖ ﻣﻦ ھﺬه اﻟﻘﺎﺋﻤﺔ ﻟﻸﻋﺮاض اﻟﺠﺎﻧﺒﯿﺔ اﻟﻤﺤﺘﻤﻠﺔ. ﻓﻤﻦ اﻟﻤﺤﺘﻤﻞ أن ﻻ ﺗﺘﻌﺮض ﻷي واﺣﺪة ﻣﻨﮭﺎ. إذا ﺗﺤﻮﻟﺖ أي ﻣﻦ ھﺬي اﻷﻋﺮاض ﻟﺪﯾﻚ إﻟﻰ أﻋﺮاض ﺧﻄﯿﺮة أو إذا ﺗﻌﺮﺿﺖ ﻷﻋﺮاض ﺟﺎﻧﺒﯿﺔ ﻏﯿﺮ ﻣﺬﻛﻮرة ﻓﻲ اﻟﻨﺸﺮة، ﻓﺎﻟﺮﺟﺎء ﻣﻨﻚ إﺧﺒﺎر طﺒﯿﺒﻚ أو اﻟﺼﯿﺪﻟﻲ.
- اﺣﻔﻈﮫ ﺑﻌﯿﺪا ﻋﻦ ﻣﺘﻨﺎول اﻷطﻔﺎل.
- ﻻ ﺗﺴﺘﺨﺪم إﯾﻤﺎﻧﯿﺮا ﺑﻌﺪ اﻧﺘﮭﺎء ﻣﺪة ﺻﻼﺣﯿﺘﮫ اﻟﻤﺬﻛﻮرة ﻋﻠﻰ اﻟﻐﻼف. ﺗﺎرﯾﺦ اﻟﺼﻼﺣﯿﺔ ﯾﻌﻨﻲ آﺧﺮ ﯾﻮم ﻣﻦ اﻟﺸﮭﺮ اﻟﻤﻜﺘﻮب ﻋﻠﻰ اﻟﻐﻼف.
- ﻻ ﺗﺤﻔﻈﮫ ﻓﻲ درﺟﺔ ﺣﺮارة أﻋﻠﻰ ﻣﻦ 30 درﺟﺔ ﻣﺌﻮﯾﺔ.
- اﺣﻔﻈﮫ ﻓﻲ ﻏﻼﻓﮫ اﻷﺻﻠﻲ ﻟﺤﻤﺎﯾﺘﮫ ﻣﻦ اﻟﺮطﻮﺑﺔ. - ﯾﺠﺐ أن ﻻ ﯾﺘﻢ اﻟﺘﺨﻠﺺ ﻣﻦ اﻷدوﯾﺔ ﻋﻦ طﺮﯾﻖ ﻣﯿﺎه اﻟﺼﺮف اﻟﺼﺤﻲ أو اﻟﻨﻔﺎﯾﺎت اﻟﻤﻨﺰﻟﯿﺔ. إﺳﺄل اﻟﺼﯿﺪﻟﻲ ﻋﻦ طﺮﯾﻘﺔ اﻟﺘﺨﻠﺺ ﻣﻦ اﻷدوﯾﺔ اﻟﺘﻲ ﻟﻢ ﺗﻌﺪ ﺑﺤﺎﺟﺘﮭﺎ. ھﺬه اﻹﺟﺮاءات ﺗﺴﺎﻋﺪ ﻋﻠﻰ اﻟﺤﻔﺎظ ﻋﻠﻰ اﻟﺒﯿﺌﺔ.
ﻋﻠﻰ ﻣﺎذا ﯾﺤﺘﻮي إﯾﻤﺎﻧﯿﺮا
-اﻟﻤﺎدة اﻟﻔﻌﺎﻟﺔ ھﻲ إزوﻣﯿﺒﺮازول. ﻛﻞ ﻛﺒﺴﻮﻟﺔ ﻣﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة، ﺻﻠﺒﺔ، ﺗﺤﺘﻮي ﻋﻠﻰ 20 ﻣﻠﺠﻢ أو 40 ﻣﻠﺠﻢ إزوﻣﯿﺒﺮازول )ﻣﺜﻞ إزوﻣﯿﺒﺮازول ﺛﻨﺎﺋﻲ ھﯿﺪرات اﻟﻤﻐﻨﯿﺴﯿﻮم.(
-اﻟﻤﻜﻮﻧﺎت اﻷﺧﺮى ﻋﺒﺎرة ﻋﻦ ﻣﺠﺎﻻت اﻟﺴﻜﺮ )اﻟﺴﻜﺮوز وﻧﺸﺎ اﻟﺬرة(، ﺑﻮﻓﯿﺪون ﻛﻲ 30، ﺻﻮدﯾﻮم ﻟﻮرﯾﻠﺴﻠﻔﯿﺖ، ﺑﻮﻟﻲ ﻓﯿﻨﯿﻞ اﻟﻜﺤﻮل، ﺗﯿﺘﺎﻧﯿﻮم داﯾﻮﻛﺴﯿﺪ )اي (171، ﻣﺎﻛﺮوﻗﻮل، ﺗﺎﻟﻚ، ﻣﻐﻨﯿﺴﯿﻮم ﻛﺮﺑﻮﻧﯿﺖ اﻟﺜﻘﯿﻞ، ﺑﻮﻟﯿﺴﻮرﺑﯿﺖ 80 و ﺣﻤﺾ اﻟﻤﯿﺜﻜﺮﯾﻠﯿﻚ- إﯾﺜﯿﻞ أﻛﺮﯾﻠﯿﺖ ﻛﻮﺑﻮﻟﯿﻤﺮ (1:1) دﯾﺴﺒﯿﺮﺳﯿﻮن 30 ﻟﻜﻞ ﻣﺌﺔ ﺣﺒﯿﺒﺔ ﻓﻲ اﻟﻜﺒﺴﻮﻟﺔ، ﺟﯿﻼﺗﯿﻦ، ﺗﯿﺘﺎﻧﯿﻮم داﯾﻮﻛﺴﯿﺪ )إي (171 و أوﻛﯿﺪ اﻟﺤﺪﯾﺪ اﻷﺣﻤﺮ )إي (172 ﻓﻲ اﻟﻐﻼف اﻟﺨﺎرﺟﻲ ﻟﻠﻜﺒﺴﻮﻟﺔ.
ﺟﺴﻢ وﻏﻄﺎء اﻟﻜﺒﺴﻮﻟﺔ اﻟﻤﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة 20 ﻣﻠﺠﻢ ﺻﻠﺐ ﻣﺎﺋﻞ ﻟﻠﻮن اﻟﻮردي ﻗﻠﯿﻼ. اﻟﻜﺒﺴﻮﻟﺔ ﺗﺤﺘﻮي ﻋﻠﻰ ﺣﺒﯿﺒﺎت ﺑﯿﻀﺎء إﻟﻰ ﺷﺒﮫ ﺑﯿﻀﺎء. ﺟﺴﻢ وﻏﻄﺎء اﻟﻜﺒﺴﻮﻟﺔ اﻟﻤﻘﺎوﻣﺔ ﻟﻠﻤﻌﺪة 40 ﻣﻠﺠﻢ ﺻﻠﺐ ﺧﺎرج ﻟﻠﻮن اﻟﻮردي ﻗﻠﯿﻼ. اﻟﻜﺒﺴﻮﻟﺔ ﺗﺤﺘﻮي ﻋﻠﻰ ﺣﺒﯿﺒﺎت ﺑﯿﻀﺎء إﻟﻰ ﺷﺒﮫ ﺑﯿﻀﺎء.
اﻟﻜﺒﺴﻮﻻت ﻣﺘﻮﻓﺮة ﻓﻲ ﻋﻠﺒﺔ ﺗﺤﺘﻮي ﻋﻠﻰ 28 ﻛﺒﺴﻮﻟﺔ.
ﺳﻠﻮﻓﯿﻨﯿﺎ ، 8501 Novo mesto، Šmarješka cesta 6، Novo mesto، d.d.،KRKA
