Oya. Ntabwo Ciprodex igicamuraciro cy'ijisho ibaho. Ciprodex ni imiti y'amatwi (otic) isukwa, kandi label yayo ya FDA ivuga neza ko itemewe gukoreshwa mu ijisho. Niba rero ubaza niba Ciprodex ifite umutekano ku maso, igisubizo ni oya: shyiramo amazi mu gihe cy'iminota 15 hanyuma uhamagare umuganga.

TL;DR: Ibintu by'ingenzi ugomba kwibuka

  • Ciprodex ni imiti y'amatwi, kandi label ya FDA irabitangaza mu buryo bugaragara: GUKORESHWA MU MATWI GUSA (Iyi produits ntiyemewe gukoreshwa mu maso.) Ntabwo yo kurunguruka.
  • Ni ikoreshwa ry'ibinyabwo mu ntore zidasanzwe, atari solution y'amaso ifunguye.
  • Dexamethasone ni yo igice cy'umubiri cyihanganira nabi cyane, atari imiti yica udukoko.
  • Igicamuraciro cyakoreshejwe mu jisho bidasanzwe: shyiramo amazi meza cyangwa saline mu gihe cy'iminota 15, hanyuma uhamagare.
  • Indwara y'amaso y'ukuri isaba produit yagenewe kandi yemewe ku maso.

Ntabwo Ciprodex igicamuraciro cy'ijisho ibaho: label ya FDA irabibujije gukoreshwa mu maso

Ciprodex igicamuraciro cy'ijisho ntabwo ari produit ushobora kugura, kandi icupa uri mu kabati kawe ntishobora na rimwe gushyirwa mu ijisho. Ciprodex ni igicamuraciro cyuzuye ciprofloxacin 0.3% na dexamethasone 0.1%. Label ya DailyMed kuri Ciprodex otic suspension irakomeza iyi nshingano mu buryo bugaragara: GUKORESHWA MU MATWI GUSA (Iyi produit ntiyemewe gukoreshwa mu maso.) Ntabwo yo kurunguruka.

Ibyo siho ibintu byihishe mu kanini gato. Ubuzima bumwe bwagurishijwe mu inyigo y'abaganga ya FDA (NDA 021537), igaragaza ibikorwa bibiri byonyine byemewe, byombi mu matwi: otitis media ikaze mu bana bafite amezi 6 kuzamuka bafite imiyoboro y'amatwi, na otitis externa ikaze, cyangwa 'swimmer's ear', ku barwayi bafite amezi 6 kuzamuka harimo abakuze n'abageze mu za bukuru. Ntabwo hari igikorwa cy'ijisho. Dosage yemejwe iravuga bimwe: igicamuraciro 4 (0.14 mL) mu gitwi cyahohotse inshuro ebyiri ku munsi, zifite amasaha agera kuri 12, mu gihe cy'iminsi 7. Ubu ni ubunini bwakorewe umuyoboro w'igitwi.

Ciprodex si imiti yica udukoko ikoreshwa kenshi, ni imiti y'amatwi gusa

Itandukaniro rya Ciprodex otic na ophthalmic ntaho riherereye mu by'amategeko. Ntabwo ikoreshwa mu maso ryigeze rigeragezwa cyangwa ryemerwa na FDA, bityo "ntiyemewe gukoreshwa mu maso" bisobanura ko itarigeze igeragerezwa, ntabwo bisobanura ko idafite label. Kuyishyira mu ijisho ntibishobora gufata inzira y'ikiguzi izwi. Ni ukwishyira mu kaga kuburyo nta muntu ufite amakuru kubyo.

Zirikana ibiri iruhande rw'icyo kimenyetso ku label: Ntabwo yo kurunguruka. Kwibuzanya ni ku murongo n'uburyo bukoreshejwe, atari kubera ko imiti itari ikomeye. Ciprodex ni igice cy'indi miti nk'iyindi miti y'amatwi yandikiwe n'abaganga, kandi umukora ibicuruzwa abona ko kwishira mu kantu hanze y'umuyoboro w'amatwi ari ikibazo cy'ubuzima, atari uburyo bwo gukoresha. Inyigo y'imiti irabwira abaganga ko bahamagaza muganga ubwo ari bwo bwose niba produit yanyowe mu buryo bw'impanuka cyangwa hakorewe overdose.

Impamvu ebyiri z'inyigo zifite agaciro hano aho bitavugwa kumurongo. Impanuka zikomeye kandi rimwe na rimwe zapfa zishobora kuba kubera quinolones, zimwe nyuma y'igicamuraciro cya mbere. Kandi gukoresha iyi produit bishobora gutera kwiyongera kw'ibinyabwo bitari muri rusange, harimo imyanda n'ibihumyo.

Igicamuraciro cy'amatwi n'igicamuraciro cy'amaso bikozwe mu buryo butandukanye

Itandukaniro ry'igicamuraciro cy'amatwi na maso ntaho riherereye mu gukora, ahubwo ni mu gutanga. Produits zo mu maso zishobora kuba zifunguye hafi ya pH y'amarira, zikaba zifite ubunini bwo kutumuka ku rubuga rwa cornea, kandi zakozwe muburyo bwiza cyane kandi ku rwego rw'ibinyabwo ibitwi bidashobora kwaka. Ciprodex ni igicamuraciro, bisobanura ibinyabwo bidafungutse mu binyabwo bikwirakwira. Urubuga rw'amaso rukomeye rwihanganira iyo texture. Cornea ntabwo bikora.

Steroid ni ikibazo cya kabiri, kibonetse cyihariye. Ibinyabwo byica udukoko na steroid bikoreshwa mu maso bifite urugero kandi bikagenzurwa n'umuganga w'amaso kubera impamvu: gukoresha steroid mu maso kenshi cyangwa igihe kinini bifitanye isano no kwiyongera kw'amazi mu ijisho, indwara z'amaso, kwigwigana no gukomera cyangwa kwiyongera kw'indwara tutazi uko yakomeje.

Dore ibyo impapuro nyinshi zidakubwirira: urwo rutonde rwa steroid ni pharmacologie y'ikiraramo, ntabwo ari ibisubizo by'inyigo zakozwe kuri Ciprodex mu ijisho. Ntabwo inyigo z'umutekano mu maso kuri iyi produit zibaho, kandi icyo ni ikibazo. Igicamuraciro kimwe cyakoreshejwe mu buryo bw'impanuka, gikoreshejwe hakiri kare, cyarangiye. Kwongera kuyikoresha ni ugukina ku rwego rw'ibimenyetso.

Shyiramo amazi mbere: iminota 15 ya mbere ifite agaciro kuruta imiti

Niba Ciprodex yaguye mu ijisho ryawe mu buryo bw'impanuka, tanga kumva mbere yo kurangiza gusoma iki gice. MedlinePlus iragira inama ko usukamo umuyoboro mwiza w'amazi meza cyangwa saline mu gihe cy'iminota 15, kandi uhumvire ubufasha bwihutirwa igihe cyose ikintu cyose cy'ubukorikori kigiriye mu ijisho.

Kura ibikoresho by'amaso mbere yo gusukamo, kandi ntuzabinyeze. Koresha umutwe wawe kugirango amazi atemba hanze y'ijisho ridafite ikibazo. Ntuyikore, ntugerageze gukwirakwiza ikintu icyo ari cyo cyose, kandi ntushyire igicamuraciro cy'amaso kindi hejuru mu gihe uri gusukamo.

Shyiramo iminota 15 ku isaha. Hampfi buri muntu wese ararangira kare, akenshi hafi yiminota 60, kubera ko ububabare buragabanuka kandi bikumva birangiye. Igihe gusukamo birangiye, hamagara umuganga wawe cyangwa US Poison Help kuri 1-800-222-1222 aho gutegereza kureba uko bikomeza mu ijoro. Kandi uhagarike gukoresha iyo icupa mu ijisho burundu. Ibyo ukora kubijyanye n'ibindi bikoreshwa by'amatwi bigaragara mu FAQ hepfo.

Ntabwo buri muntu wese akeneye kwihutira kwa muganga, ariko bamwe barabikeneye

Igihe gusukamo birangiye, ibyo ugomba gukora niba igicamuraciro cy'amatwi cyaguye mu ijisho ryawe biraba ikibazo cyo gutondeka. Hari urwego, kandi urugero rwo hagati rwirimo abantu benshi.

Hamagara 911 cyangwa ujye mu iduka ry'ubutabazi ubu nyihita:

  • Urabona ibihimba by'amaso cyangwa iminwa byifashe, impinduka, cyangwa ikibazo cyo guhumeka nyuma yo kwishyira mu kaga, kubera ko label ivuga ku impanuka z'ubuvuzi kubera quinolones.
  • Ububabare bw'amaso, ubururu, ubwonko bw'amaso cyangwa kwishimishiriza urumuri birakomeza nyuma yo gusukamo iminota 15 yose.
  • Urabona impinduka yose mu kwihumvura cyangwa guta ubwonko.
  • Ushaka gukurikiza inama ya MedlinePlus, ivuga ko igenzura ryihutirwa kuburyo bwo kwinjira mu ijisho.

Koresha gahunda yo gusura mu cyumweru gitaha niba:

  • Ibimenyetso byose byarakuze nyuma yo gusukamo, ariko ushaka ko ijisho rigenzurwa.
  • Uririmbaho ibikoresho by'amaso.
  • Ufite amateka y'ikibazo cy'amaso, glaucoma, cyangwa ukunda kwishushanya na steroid.
  • Uri kuvurwa indwara y'amaso y'ukuri idakomeza kwiyongera.

Vugana n'umuganga mbere yo gutangira niba:

  • Uri gutekereza gukoresha Ciprodex yasigaye kubw'ikibazo cy'amaso.
  • Wahawe Ciprodex ku kazana kubw'ikibazo cy'amaso.
  • Uvura umwana kandi utari uzi neza ni ikipe ki.

Imyaka ihindura ibintu bike kuruta uko ibikorwa bifitanye isano. Igicamuraciro kimwe cyakoreshejwe mu buryo bw'impanuka ku mwana mu gihe cyo kuvura imiyoboro y'amatwi, cyarangiye akoreshwa mu rwego rw'isuku no kureba. Kwishira mu kintu inshuro nyinshi mu ijisho, ku myaka yose, ni impamvu yo kugenzurwa n'umuganga w'amaso mu gihe kimwe.

Niba ijisho ryawe ari ikibazo, ukeneye igisubizo cyihariye

Ciprodex ihagarara hafi cane n'ibinyabwo byica udukoko na steroid mu maso nka Tobradex, kandi "otic" byoroshye gusoma nka "optic" ku label ya farumasi iri kure. Soma kaye mbere y'igicamuraciro cya mbere kandi wibuke ijambo otic cyangwa ophthalmic. Niba wasabye produit otic kubw'ikibazo cy'amaso, ntuyikoreshe. Hamagara farumasi n'umuganga kandi ubisobanure cyangwa ubisubize.

Noneho uhindure uko ubikoreye. Shira ibipapuro by'amatwi n'ibipapuro by'amaso ahantu hatandukanye, mu makaye yabo y'umwimerere, kubera ko amakosa akomeza kubaho mu kabati rimwe ryo mu bwogero. Zirikana ko igicamuraciro cy'amaso cyica udukoko gikeneye ko yanditswe n'umuganga muri Amerika, kandi Ciprodex ntiboneka mu rwego rwo hejuru kandi, bityo kubona produit nziza bisobanura gusabwa kubona.

Niba ukeneye iyo mvugana vuba, August's $39 online urgent care visit iguhuza n'umuganga ufite uruhushya rwo muri Amerika washobora gusuzuma ibimenyetso byawe kandi ugahabwa uburenganzira igihe bikwiye. Umuganga ni we wemeza ibikwiye. Wibazwe kandi ku bibazo: gusura kuri video ntishobora kureba cornea yawe hamwe na slit lamp, bityo ububabare, kwishimishiriza urumuri cyangwa impinduka yose mu kwihumvura isaba ubuvuzi bwo mu maso.

Ibibazo bisanzwe bibazwa

Ciprofloxacin iraje nk'igicamuraciro cy'amaso, nicyo mpamvu ntashobora gukoresha Ciprodex mu ijisho ryanjye?

Oya. Ciprofloxacin ophthalmic solution (brand Ciloxan) ni produit itandukanye yemewe na FDA ikoreshwa mu ndwara z'amaso zatewe n'ibakteri n'uburibwe bwa cornea, kandi ntirimo dexamethasone. Ikibazo cya ciprofloxacin ophthalmic vs Ciprodex kigaragara mu binyabwo n'icyo steroid cyiyongereye, atari molekul ye ciprofloxacin ubwayo. Imitego yica udukoko imwe, ihindurwa burundu, ihindurwa burundu.

Ciprodex ifite umutekano ku maso y'umwana ukoresha imiyoboro y'amatwi?

Oya. Kwibuzanya k'amatwi ni kimwe mu bana, kandi Ciprodex yemewe kuva ku mezi 6 kugeza ku maso gusa. Niba igicamuraciro kigeze mu ijisho ry'umwana, ubafate ku ruhande kandi usuke amazi y'akazuyaze kuva ku ruhande rw'imbere kugera hanze, ugamije gusukamo gikomeye aho gufata amasaha. Hamagara muganga wigisha nubwo umwana yigize.

Nshobora gukoresha Ciprodex yasigaye kubw'amaso y'umuhondo?

Oya. Koresha conjunctivitis iragaragara, kandi nta miti yica udukoko ikurura ibikoresho by'ibinyabwo. Ikindi cy'ingenzi, steroid yakoreshejwe ku ndwara y'amaso itagaragaye irashobora kuyikomeza cyane, kandi herpes simplex keratitis ni urugero rw'ikigereranyo: steroids irashobora kuyikwirakwiza kuri cornea. Amaso y'umuhondo bubabaza, afite urumuri, cyangwa ayihagarika uburyo bukomeye, isaba igenzura, atari icupa ryasigaye.

Nririmbaho ibikoresho by'amaso, ibyo bihindura ibyo nkora?

Yego. Kura iry'ikositimu mbere yo gusukamo, hanyuma uyitware aho kuyongera. Ikidodo gishobora gufata imiti ku rubuga rwa cornea kandi gukomeza kwishyira mu kaga igihe kinini nyuma yo gutekereza ko gusukamo birangiye. Abakoresha ibidodo bagombye kandi kugira urwego rwo hasi rwo kuboneka, byiza mu gihe cy'umunsi cyangwa babiri, nubwo ibimenyetso byagize.

Nshobora gukomeza gukoresha Ciprodex mu gitwi cyanjye nyuma yuko bimwe bigereye mu ijisho ryanjye?

Yego. Igicamuraciro cyakoreshejwe mu buryo bw'impanuka mu ijisho nticyo cyakoreshejwe cyo kwanga kuvurwa kw'amatwi kwandikiwe. Komeza iminsi 7 yose nk'uko byagenewe uretse niba umuganga wawe yabibwiye kandi, kuko guhagarika kare byatera indwara y'amatwi itavuwe neza. Irinde uburyo burushijeho: kwihererana ku ruhande, ushyushye icupa mu ntoki zawe mbere, kandi ugumye hasi mu gihe cy'iminota 60 nyuma yo gushiraho.

Ibisubizo ku Ciprodex n'amaso yawe

Ciprodex igicamuraciro cy'ijisho ntacyo bishatse kuvuga, kandi ibisubizo bivuye mu magambo ya label ubwayo: gukoreshwa mu matwi gusa, ntibyemewe gukoreshwa mu maso. Niba bimwe bigereye mu ijisho ryawe, shyiramo amazi meza cyangwa saline mu gihe cy'iminota 15 ku isaha, hanyuma uhamagare uwagenewe cyangwa Poison Help kuri 1-800-222-1222. Impamvu imwe ikomeye yo kwiyongera ni ibisanzwe: ububabare bwose, kwishimishiriza urumuri cyangwa kwihumvura kwakomeje kurenga gusukamo bisaba ubuvuzi bw'amaso mu gihe kimwe.

Inyigo: Inyandiko iyi ni iy'inyigo gusa kandi ntabwo iboneka nk'ubuvuzi. Komeza kuvugana n'umuntu ufite ubumenyi bwo gusuzuma no kuvura ibibazo. Niba uri kwishyira mu kaga kubw'indwara zubutabazi, hamagara 911 cyangwa ujye mu iduka ry'ubutabazi rikikije ubu.