Cha. Amafutha emizimba emaceleni e-Ciprodex awekho. I-Ciprodex iyisuspensheni yendlebe (otic), futhi ilebula layo le-FDA libeka ngokucacile ukuthi ayivunyelwe ukusetshenziswa emehlweni. Ngakho-ke uma ubuza ukuthi i-Ciprodex iphephile yini emehlweni, impendulo ithi cha: hlambulula noma yikuphi ukufutheka okungahlosiwe imizuzu engu-15 bese ushayela umtholampilo.

TL;DR: Izinto Eziyinhloko Okufanele Uzikhumbule

  • I-Ciprodex iyimithi yendlebe, futhi ilebula le-FDA liyisho ngamafonthi amakhulu: UKUSETSHENZISWA ENDLEBENI KUPHELA (Lo mkhiqizo awuvunyelwe ukusetshenziswa emehlweni.) AKUXESHELWA.
  • Kuyisuspensheni yamachembe angancibilikisiwe, hhayi isisombululo samachembe esilinganiselayo.
  • I-dexamethasone yiyona ingxenye eyehlula kakhulu iso, hhayi i-antibiotic.
  • Ukuphuma ngephutha emehlweni: hlambulula ngamanzi ahlanzekile noma i-saline imizuzu engu-15, bese ushayela.
  • Igciwane langempela lisehlweni ludinga umkhiqizo owenziwe futhi wavunyelwa ukusetshenziswa esweni.

Awukho amafutha emizimba emaceleni e-Ciprodex: ilebula le-FDA livimbela ukusetshenziswa emehlweni

Amafutha emizimba emaceleni e-Ciprodex akuwona umkhiqizo ongawuthenga, futhi ibhodlela elisekhabethe lakho akufanele neze libe nethonsi esweni. I-Ciprodex iyisuspensheni engeyona i-microbial ye-ciprofloxacin 0.3% ne-dexamethasone 0.1%. Ilebula le-DailyMed ye-Ciprodex otic suspension inalo myalelo ngamafonthi amakhulu: UKUSETSHENZISWA ENDLEBENI KUPHELA (Lo mkhiqizo awuvunyelwe ukusetshenziswa emehlweni.) AKUXESHELWA.

Lokho akuyona inothi encane eliboshiwe. Umkhawulo ofanayo uvela kumkhiqizo we-FDA prescribing information (NDA 021537), ebalisa izinkomba ezimbili ezivunyelwe kuphela, zombili endlebeni: i-acute otitis media ezinganeni ezineminyaka eyi-6 ubudala nangaphezulu ezine-tympanostomy tubes, kanye ne-acute otitis externa, noma i-swimmer's ear, ezigulini ezineminyaka eyi-6 ubudala nangaphezulu okubandakanya abadala nabaphethilanga. Ayikho inkomba yamehlo. I-dosing evunyelwe itshela indaba efanayo: amathonsi amane (0.14 mL) endlebeni ethintekayo kabili ngosuku, cishe amahora angu-12 ahlukene, izinsuku eziyi-7. Lokho kuyinani elakhelwe imbobo yendlebe.

I-Ciprodex akuyona i-antibiotic esetshenziswa kabili, iyisuspensheni yendlebe kuphela

Umehluko phakathi kwe-Ciprodex otic vs ophthalmic akuyona into yokulawula. Akukho lutho mayelana nokusetshenziswa kwamehlo okwake kwahlolwa noma kwafakwa ku-FDA, ngakho-ke "akuvunyelwe ukusetshenziswa kwamehlo" kusho okungahloliwe, hhayi okungelona ilebula kuphela. Ukuyifaka esweni akuyona indlela esheshayo engaziwa ubungozi. Kuyinto yokuchayeka akekho onayo idatha.

Qaphela ukuthi yini eseduze naleli gama elisenhlanganweni: AKUXESHELWA. Umkhawulo uphathelene nendlela yokunikezwa kanye nokwakheka, hhayi ngoba imithi iyancipha. I-Ciprodex ingeyesigaba esifanayo esibanzi njengezinye amafutha emizimba emaceleni e-antibiotic kadokotela, futhi umenzi uphatha ukuchayeka ngaphandle kwesiteshi sendlebe njengomcimbi omubi, hhayi njengokushintsha kwendlela. I-Medication Guide itshela iziguli ukuthi zishayele udokotela ngokushesha uma umkhiqizo ugwinywe ngephutha noma kwenzeka udlule inani elinconyiwe.

Izixwayiso ezimbili ezisebulaeni zibalulekile lapha kungakhathaliseki indlela yokunikezwa. Izimo ezinzima futhi ngezinye izikhathi ezibulalayo zokungezwani (anaphylactic) ziye zabikwa nge-quinolones, ezinye ngemuva komthamo wokuqala. Futhi ukusetshenziswa komkhiqizo kungadala ukukhula kwezinhlobo zezinto ezingabhekwa, okuhlanganisa nemvubelo namagciwane.

Amafutha endlebe namafutha emihlozi enziwa ngamazinga ahlukene

Umehluko phakathi kwamafutha endlebe namafutha emihlozi akuyona into yokukhangisa. Imikhiqizo yamehlo yenziwa ukuze ilinganiswe ngezansi kwe-pH yezinyembezi, yenziwa i-isotonic ukuze ingadonsi amanzi kuwo wonke umbuso wekhonjini, futhi yenziwe ngamazinga okungcola kanye namachembe angcolileyo angafunwa yimfubamvelo yendlebe. I-Ciprodex iyisuspensheni, okusho ukuthi amachembe angancibilikisiwe agcinwe esikhundleni. Isikhumba sendlebe esingene kahle siyabubekezelela leso simo. Ikhonjini ayikubekezeleli.

I-steroid yinkinga yesibili, ehlukile. Ukuhlanganiswa kwama-antibiotic-steroid emehlweni kunikezwa futhi kuqashwe ngudokotela wamehlo ngesizathu: ukuchayeka ku-steroid okuyiphindaphindayo noma isikhathi eside emehlweni kuhlotshaniswa nokukhuphuka kokucindezela kwamehlo, ukwakheka kwe-cataract, ukuphuza ukululama kwekhonjini ne-epithelial, kanye nokufihla noma ukuphuphutha igciwane okungekho muntu okwazi ukulithola okwamanje.

Nansi into amakhasi amaningi angakutshela yona: uhlu lwe-steroid luyifilosofi yesigaba, hhayi idatha yemiphumela eshicilelwe evela kwi-Ciprodex esweni. Azikho izifundo zobuphephile emehlweni zalo mkhiqizo, okuyikho kanye nenkinga. Ukuphuma okungahlosiwe okukodwa, okuhlanjululwe ngokushesha, kuvame ukuzikhawulela. Ukuphindaphinda kuyisibalo esenziwe kwifayela lobufakazi elingenalutho.

Amafutha endlebe aqala kuqala: imizuzu engu-15 yokuqala ibaluleke kakhulu kunemithi

Uma i-Ciprodex ingene ngephutha esweni lakho, qala ukuhlanjulula ngaphambi kokuba uqede ukufunda le paragrafu. I-MedlinePlus iluleka ukuthi uhlanjululwe ngomfudlana omnene wamanzi ahlanzekile noma i-saline imizuzu engu-15, bese ufuna usizo lwezempilo oluphuthumayo noma nini lapho ikhemikhali ingena esweni.

Khipha ama-contact lens ngaphambi kokuhlanjulula, futhi ungawafaki futhi. Beka ikhanda ukuze umphumela ugeleze kude neso elingathintekile. Ungahlabi iso, ungazami ukuguqula noma yini, futhi ungabeki amanye amafutha emihlozi phezulu ngenkathi uhlanjulula.

Bala imizuzu engu-15 ewashi. Cishe wonke umuntu uyayeka ngaphambi kakhulu, ngokuvamile cishe ngomzuzu owodwa, ngoba ukuluma kuyayeka futhi kuzwakala sekuphelile. Lapho ukuhlanjululwa sekuphelile, shayela umtholampilo owabele noma i-US Poison Help line ku-1-800-222-1222 kunokulinda ukubona ukuthi kuyokwenzeka kanjani ebusuku. Futhi yeka ukusebenzisa ibhodlela leso esweni ngokuphelele. Okufanele ukwenze mayelana nesifundo sendlebe esisele sichazwe ku-FAQ ngezansi.

Hhayi wonke umphumela odinga i-ER, kodwa abanye bayawadinga

Uma ukuhlanjululwa sekuphelile, ukuthi kufanele kwenziwe uma kungena amafutha endlebe esweni kuyoba umbuzo wokuhlunga. Izinga elithathu, kanti eliphakathi libandakanya abantu abaningi.

Shayela u-911 noma uye egumbini lezimo eziphuthumayo manje uma:

  • Ukwakheka kwe-eyelid noma ubuso, ama-hives, noma ubunzima bokuphefumula ngemuva kokuchayeka, kucatshangelwa isexwayiso sebula la mayelana nokusabela kwe-anaphylactic kuma-quinolones.
  • Ubuhlungu besu, obubomvu, umbono ongacacile noma ukuzwela ekukhanyeni kuyaqhubeka ngemuva kokuhlanjululwa okuphelele kwemizuzu engu-15.
  • Ubona noma yiluphi ushintsho lombono noma ukulahlekelwa umbono.
  • Ufuna ukulandela iseluleko seMedlinePlus ngokuqinile, esincoma ukuhlolwa okuphuthumayo kunoma iyiphi ikhemikhali eyongena esweni.

Bhukha ukuvakashelwa phakathi nesonto elizayo uma:

  • Izimpawu ziphele ngokuphelele ngemuva kokuhlanjululwa, kodwa ufuna iso lihlolwe.
  • Ugqoka ama-contact lens.
  • Unomlando wokulimala kwekhonjini, i-glaucoma, noma ukusabela okwaziwayo ku-steroid.
  • Uyaphekwa ngenxa yegciwane langempela esweni elingathuthuki.

Xoxa nomtholampilo ngaphambi kokuba uqale uma:

  • Ucabanga ukusebenzisa i-Ciprodex esele kunkinga yamehlo.
  • Uphiwe i-Ciprodex esikhundleni sokugula kwamehlo.
  • Uyaphekela umntwana futhi awuqinisekanga ukuthi yilona ibhodlela eliliphi.

Ubudala buchitha izinto kancane kunokuhloselwe. Ukuphuma okukodwa ngephutha enganeni ngesikhathi sokwelashwa kwendlebe kuvame ukuba yisimo sokuhlanjululwa nokubhekwa. Ukusetshenziswa okuphindaphindiwe ngabomvu esweni, kunoma iyiphi iminyaka, kuyisizathu sokuhlolwa okufanele kwenziwe ngosuku olufanayo.

Uma iso lakho liyinkinga, udinga imininingwane ehlukile

I-Ciprodex isondele kakhulu kunezinye izihlanganisi ze-antibiotic-steroid zamehlo njenge-Tobradex, futhi igama elithi "otic" lingafundeka kalula njenge- "optic" ebula lwe-pharmacy kude. Funda ibhokisi ngaphambi komthamo wokuqala bese uthola igama elithi otic noma ophthalmic. Uma unikezwe umkhiqizo wendlebe ngenxa yenkinga yamehlo, ungawusebenzisi. Shayela i-pharmacy nodokotela bese ubuyekezela noma ubuyisele kabusha.

Ngemuva kwalokho lungisa indawo yokulondoloza. Gcina amabhodlela endlebe namabhodlela emehlweni ezindaweni ezihlukene, emabhokisini abo okuqala, ngoba iphutha liphindeka egumbini lokugezela elifanayo. Qaphela ukuthi amafutha emizimba emaceleni e-antibiotic adinga imiyalelo kadokotela e-US, futhi i-Ciprodex ayitholakali ngaphandle kokuthenga futhi, ngakho-ke ukuthola umkhiqizo ofanele kusho ukubona udokotela.

Uma udinga le nkulumo ngokushesha, ukuvakashelwa kwe-inthanethi kwe-$39 kwe-August kukuxhumanisa nodokotela onesiqinisekiso e-US ongahlola izimpawu zakho futhi anikeze imiyalelo lapho kufaneleka. Udokotela unquma ukuthi kuyinto efanele. Zicacisele imikhawulo: ukuvakashelwa ngevidiyo akukwazi ukuhlola ikhonjini lakho ngesibani esinqunyayo, ngakho-ke ubuhlungu, ukuzwela ekukhanyeni noma noma yimuphi ushintsho lombono ludinga ukunakekelwa kwamehlo ubuso ngobuso.

Imibuzo Evame Ukubuzwa

I-Ciprofloxacin iza njengamafutha emizimba emaceleni, ngakho kungani ngingasebenzisi i-Ciprodex esweni lami?

Cha. I-Ciprofloxacin ophthalmic solution (uhlobo lwe-Ciloxan) ngumkhiqizo ohlukile ogunyaziwe yi-FDA okhonjiswa ukwelashwa kwezifo zamehlo ezibangelwa amagciwane kanye nezikwelezi zekhonjini, futhi ayinawo u-dexamethasone. Umbuzo we-ciprofloxacin ophthalmic vs Ciprodex ugcina ku-vehicle kanye ne-steroid eyengeziwe, hhayi ku-ciprofloxacin molecule uqobo. I-antibiotic efanayo, ukwakheka okuhlukile ngokuphelele, imvume ehlukile ngokuphelele.

Ingabe i-Ciprodex iphephile emehlweni engane enayo yokwelashwa kwendlebe?

Cha. Isikhawulo sendlebe kuphela sifana nezingane, futhi i-Ciprodex ivunyelwe kusukela ezinyangeni eziyi-6 ubudala ngeziphrofayela zodwa. Uma ithonsi lingena esweni lomntwana, ubambelele ohlangothini bese uthele amanzi afudumele ukusuka ekhoneni langaphakathi ngaphandle, uhlose ukuhlanjululwa okuqhubekayo kunokubala imizuzwana. Shayela udokotela wezingane noma ngabe umntwana uzolile ngokushesha.

Ngingasebenzisa i-Ciprodex esele ukwelapha ipink eye?

Cha. Iningi le-conjunctivitis liyigciwane, futhi akukho i-antibiotic emfishanisa isikhathi segciwane. Okubaluleke kakhulu, i-steroid efakwa egciwaneni elingazange lihlolwe ingalenza libe libi kakhulu, futhi i-herpes simplex keratitis isibonelo esihle: ama-steroid angavumela ukuthi isakazeke kuwo wonke ikhonjini. I-pink eye ebuhlungu, evezwe ekukhanyeni, noma edala ukubona okungacacile idinga ukuhlolwa, hhayi ibhodlela elisele.

Ngigqoka ama-contact lens, ingabe lokho kuguqula engikufanele ngikwenze?

Yebo. Khipha i-lens ngaphambi kokuhlanjulula, bese uyilahla kunokuyibuyisela. I-lens ingabamba imithi eduze nekhonjini futhi ibambe ukuchayeka isikhathi eside ngemuva kokucabanga ukuthi ukuhlanjululwa sekuphelile. Abagqoka ama-lens kufanele futhi babe nomkhawulo ophansi wokubona, ngokuhamba kwesikhathi phakathi kosuku olulodwa noma ezimbili, noma ngisho nalapho izimpawu zizolile.

Ngingaqhubeka nokusebenzisa i-Ciprodex endlebeni yami ngemuva kokuba ingene esweni lami?

Yebo. Ukuphuma okungahlosiwe esweni akuyona isizathu sokuyeka isifundo sendlebe esinikezwe ngudokotela. Qeda izinsuku eziyi-7 ngokugcwele njengoba kushiwo ngaphandle kokuba udokotela wakho akutshele okunye, ngoba ukuyeka ngaphambi kwesikhathi kungadala igciwane lendlebe elingaphezu kokwelashwa. Thuthukisa indlela yokuyisebenzisa esikhundleni salokho: lungisa uhlangothi lwakho, ufake ibhodlela esandleni sakho kuqala, bese uhlala phansi imizuzu engu-60 ngemuva kokukubeka.

Isiphetho se-Ciprodex namalwane akho

Amafutha emizimba emaceleni e-Ciprodex awuyona into, futhi isinqumo siphuma emazwini abhalwe ilebula ngokwayo: okokusebenzisa endlebeni kuphela, akugunyaziwe ukusetshenziswa emehlweni. Uma okuthile kungena esweni lakho, hlambulula ngamanzi ahlanzekile noma i-saline imizuzu engu-15 ngokwewashi, bese ushayela umtholampilo noma i-Poison Help ku-1-800-222-1222. Isizathu esisodwa esiqinile sokuphakama yilokhu: noma yikuphi ubuhlungu, ukuzwela ekukhanyeni noma ushintsho lombono olusinda ekuhlanjululweni ludinga ukunakekelwa kwamehlo ngalolo suku.

Isitatimende: Lesi sihloko siyolwazi kuphela futhi akusho ukwelulekwa kwezokwelapha. Hlala uthintana nomhlinzeki wokunakekelwa kwezempilo ongafanele ukuze uthole ukuxilongwa nezinqumo zokwelapha. Uma ubhekana nesimo esiphuthumayo sezempilo, shayela u-911 noma uye esibhedlela esiseduze esiphuthumayo ngokushesha.