Metoclopramide

Metoclopramide

Lub npe dav dav: metoclopramide (qhov ncauj/txhaj tshuaj) (MET oh KLOE pra mide)
Hom tshuaj npe: Metozolv ODT, Reglan
Hoob tshuaj: GI cov tshuaj tiv thaiv kab mob, Lwm yam antiemetics

Tshuaj kho los ntawm Varixcare.cz. Hloov kho zaum kawg thaum Lub Peb Hlis 29, 2021.



Metoclopramide yog dab tsi?

Metoclopramide nce cov nqaij ntshiv hauv cov hnyuv zom zaws. Qhov no ua kom nrawm dua qhov uas lub plab tso rau hauv cov hnyuv.



Metoclopramide qhov ncauj (noj los ntawm lub qhov ncauj) tau siv rau 4 txog 12 lub lis piam los kho kub siab tshwm sim los ntawm gastroesophageal reflux hauv cov tib neeg uas tau siv lwm yam tshuaj yam tsis muaj kev nplij siab.

Metoclopramide qhov ncauj kuj tseem siv los kho gastroparesis (qeeb hauv lub plab) hauv cov neeg muaj ntshav qab zib, uas tuaj yeem ua rau kub hnyiab thiab tsis xis nyob tom qab noj mov.



Kev txhaj tshuaj Metoclopramide yog siv los kho mob hnyav ntshav qab zib gastroparesis. Kev txhaj tshuaj kuj tseem siv los tiv thaiv xeev siab thiab ntuav los ntawm kev siv tshuaj kho mob lossis phais , lossis txhawm rau pab qee yam txheej txheem kho mob cuam tshuam nrog lub plab lossis hnyuv.

Lus ceeb toom

Tsis txhob siv cov tshuaj no yog tias koj puas tau muaj teeb meem ntawm cov leeg nqaij tom qab siv cov tshuaj metoclopramide lossis cov tshuaj zoo sib xws, lossis yog tias koj muaj kev txav txav tsis zoo hu ua tardive dyskinesia . Koj kuj yuav tsum tsis txhob siv cov tshuaj no yog tias koj muaj teeb meem plab lossis hnyuv (txhaws, los ntshav, lossis lub qhov los kua muag), qaug dab peg lossis lwm yam kev qaug dab peg, lossis qog adrenal qog (pheochromocytoma).

Tsis txhob siv METOCLOPRAMIDE hauv qhov nyiaj ntau dua li tau hais qhia, lossis LUS QHOV TSEEB TSHAJ TSHAJ TSHAJ TSHUAJ TSHAJ TSHAJ TSHAJ TSHUAJ NTAWV 12 HNUB TOM QAB. Kev siv tshuaj ntau dhau lossis siv mus ntev tuaj yeem ua rau muaj teeb meem txav tsis zoo uas yuav tsis thim rov qab. Ntev koj siv metoclopramide ntev dua, koj yuav muaj peev xwm txhim kho qhov kev txav txav no li cas. Txoj kev pheej hmoo ntawm cov kev mob tshwm sim no ntau dua hauv cov neeg mob ntshav qab zib thiab cov neeg laus (tshwj xeeb yog poj niam).



Ua ntej koj noj tshuaj metoclopramide, qhia koj tus kws kho mob yog tias koj muaj mob raum lossis mob siab, mob plawv tsis ua haujlwm, ntshav siab, ntshav qab zib, Parkinson tus kab mob, lossis keeb kwm kev nyuaj siab.

Tsis txhob haus cawv. Nws tuaj yeem nce qee qhov kev phiv los ntawm metoclopramide.

Tsis txhob siv cov tshuaj metoclopramide thiab hu rau koj tus kws kho mob ib zaug yog tias koj tshee lossis tswj tsis tau cov leeg nqaij, ua npaws, tawv nqaij tawv, tsis meej pem, tawm hws, lub plawv dhia nrawm lossis tsis sib xws, ua pa nrawm, nyuaj siab, xav txog kev tua tus kheej lossis ua rau koj tus kheej xav tsis meej, ntxhov siab, ntxhov siab. , qaug dab peg, lossis daj ntseg (daj ntawm koj cov tawv nqaij lossis qhov muag).

Ua ntej noj cov tshuaj no

Koj yuav tsum tsis txhob siv metoclopramide yog tias koj ua xua rau nws, lossis yog tias koj muaj:

  • tardive dyskinesia (teeb meem ntawm kev txav mus los yam tsis xav tau);

  • teeb meem plab lossis hnyuv xws li txhaws, los ntshav, lossis tawg (lub qhov los kua muag hauv koj lub plab lossis txoj hnyuv);

  • qaug dab peg lossis lwm yam kev qaug dab peg;

  • qog adrenal qog (pheochromocytoma); los yog

    prednisone 20 mg tab
  • yog tias koj puas tau muaj teeb meem txav nqaij tom qab siv metoclopramide lossis cov tshuaj zoo sib xws.

Qhia koj tus kws kho mob yog tias koj puas tau muaj:

Cov tshuaj no yuav muaj phenylalanine. Txheeb daim ntawv tshuaj yog tias koj muaj phenylketonuria (PKU).

Qhia koj tus kws kho mob yog tias koj cev xeeb tub. Metoclopramide yuav ua mob rau tus menyuam hauv plab yog tias koj siv tshuaj thaum cev xeeb tub lig.

Tej zaum nws yuav tsis muaj kev nyab xeeb rau pub niam mis rau menyuam thaum koj siv cov tshuaj no. Nug koj tus kws kho mob txog yam txaus ntshai.

Metoclopramide tsis pom zoo siv los ntawm ib tus neeg hnub nyoog qis dua 18 xyoo.

Kuv yuav siv metoclopramide li cas?

Noj cov tshuaj metoclopramide raws nraim li koj tus kws kho mob hais. Ua raws cov lus qhia ntawm koj daim ntawv sau tshuaj thiab nyeem txhua phau ntawv qhia tshuaj. Siv cov tshuaj raws nraim li tau hais tseg.

Kev txhaj tshuaj metoclopramide tau muab rau hauv cov leeg lossis ua cov dej tso rau hauv cov hlab ntshav. Ib tus kws kho mob yuav muab tshuaj txhaj, feem ntau yog thaum phais, kho tshuaj, lossis kho mob.

Metoclopramide qhov ncauj tsuas yog siv rau 4 txog 12 lub lis piam.

Tsis txhob siv METOCLOPRAMIDE hauv qhov nyiaj ntau dua li tau hais qhia, lossis LUS QHOV TSEEB TSHAJ TSHAJ TSHAJ TSHUAJ TSHAJ TSHAJ TSHAJ TSHUAJ NTAWV 12 HNUB TOM QAB. Kev siv tshuaj ntau dhau lossis siv metoclopramide mus sij hawm ntev tuaj yeem ua rau muaj teeb meem txav tsis zoo uas yuav tsis thim rov qab. Ntev koj siv metoclopramide ntev dua, koj yuav muaj peev xwm txhim kho qhov kev txav txav no li cas. Txoj kev pheej hmoo ntawm cov kev mob tshwm sim no ntau dua hauv cov neeg mob ntshav qab zib thiab cov neeg laus (tshwj xeeb yog poj niam).

Metoclopramide feem ntau yog noj 30 feeb ua ntej noj mov thiab thaum mus pw, lossis tsuas yog noj mov uas feem ntau ua rau kub siab. Ua raws li koj tus kws kho mob cov lus qhia kom ua tib zoo.

Tsis txhob siv ob hom sib txawv ntawm metoclopramide (xws li cov ntsiav tshuaj thiab qhov ncauj qhov ncauj) tib lub sijhawm.

Ntsuas cov tshuaj ua tib zoo. Siv lub koob txhaj tshuaj uas tau muab, lossis siv cov tshuaj ntsuas tshuaj (tsis yog diav diav hauv chav ua noj).

yog motrin thiab advil tib yam

Txhawm rau noj cov ntsiav tshuaj tsis sib haum (ODT):

  • Tshem tawm ib lub ntsiav tshuaj los ntawm nws cov hlwv pob tsuas yog thaum koj npaj tau txais cov ntsiav tshuaj. Siv tes qhuav thiab saib xyuas kom tsis txhob puas lub ntsiav tshuaj thaum thawb nws tawm ntawm cov hlwv.

  • Muab cov ntsiav tshuaj tso rau hauv koj lub qhov ncauj thiab tso nws kom yaj, tsis zom los yog nqos tag nrho. Koj tuaj yeem haus kua yog tias xav tau los pab nqos cov ntsiav tshuaj yaj.

Khaws ntawm chav sov hauv lub thawv kaw kom nruj, kom deb ntawm ya raws thiab cua sov. Khaws lub raj mis kaw kom nruj.

Tom qab koj tsum tsis noj cov tshuaj metoclopramide, tej zaum koj yuav muaj cov tsos mob tsis zoo xws li mob taub hau, kiv taub hau , los yog tshee.

Qhia tshuaj

Cov neeg laus niaj hnub siv rau xeev siab/ntuav:

Postoperative xeev siab thiab ntuav:
Niam Txiv: 10 txog 20 mg IM ntawm lossis ze rau qhov kawg ntawm kev phais

Cov neeg laus niaj hnub siv rau Kab Mob Gastroesophageal Reflux:

Qhov ncauj: 10 txog 15 mg txog 4 zaug hauv ib hnub 30 feeb ua ntej noj mov thiab thaum mus pw, nyob ntawm seb cov tsos mob raug kho thiab kho mob li cas. Kev kho yuav tsum tsis pub dhau 12 lub lis piam.

Cov neeg laus niaj hnub siv rau kev tso quav me me:

Yog tias lub raj tsis tau hla lub pylorus nrog cov txheej txheem yooj yim hauv 10 feeb, ib zaug (tsis suav nrog) koob tshuaj tuaj yeem ua rau IV maj mam dhau 1 txog 2 feeb:
Cov neeg laus thiab menyuam yaus cov neeg mob ntau dua lossis sib npaug rau 14 xyoos: 10 mg IV raws li kev txhaj tshuaj ib zaug dhau 1 txog 2 feeb.

Cov Neeg Laus Li niaj zaus rau Xeem Xoo:

Cov neeg laus thiab cov neeg mob menyuam yaus ntau dua lossis sib npaug rau 14 xyoos: 10 mg IV raws li ib koob tshuaj tau siv ntau dua 1 txog 2 feeb los pab txhawb kev zom zaub mov qhov twg qeeb lub plab zom mov cuam tshuam nrog kev kuaj mob ntawm lub plab thiab/lossis hnyuv me.

Cov neeg laus niaj hnub siv rau Gastroparesis:

Thaum lub sijhawm pom ntxov tshaj plaws ntawm kev mob ntshav qab zib hauv lub plab, kev tswj hwm qhov ncauj tuaj yeem pib. Yog tias muaj cov tsos mob hnyav, kev kho mob yuav tsum pib nrog IM lossis IV kev tswj hwm txog li 10 hnub kom txog thaum cov tsos mob qis dua thaum lub sijhawm tus neeg mob tuaj yeem hloov mus rau kev kho qhov ncauj. Txij li thaum mob ntshav qab zib hauv lub plab feem ntau rov tshwm sim, kev kho yuav tsum tau rov ua haujlwm ntawm qhov tshwm sim ntxov tshaj plaws.

Niam Txiv: 10 mg 4 zaug ib hnub, IV (maj mam dhau 1 mus rau 2 feeb sijhawm) lossis IM txog li 10 hnub.

Qhov ncauj: 10 mg 4 zaug hauv ib hnub, 30 feeb ua ntej noj mov thiab thaum mus pw, rau 2 txog 8 lub lis piam nyob ntawm cov lus teb kho mob.

Cov neeg laus niaj hnub siv rau xeev siab/ntuav - Tshuaj Kho Mob Raug Mob:

IV txoj kev txhaj tshuaj: 1 txog 2 mg/kg/koob tshuaj (nyob ntawm qhov muaj peev xwm emetogenic ntawm tus neeg sawv cev) IV (kis mus rau lub sijhawm tsawg dua 15 feeb) 30 feeb ua ntej siv tshuaj kho mob. Cov koob tshuaj tuaj yeem rov ua ob zaug ntawm 2 teev ua ntu zus tom qab txhaj thawj zaug. Yog tias ntuav tseem tsis tuaj yeem txo qis, tib koob tshuaj tuaj yeem rov ua dua 3 zaug ntxiv ntawm 3 teev ib ntus.

Rau cov koob tshuaj ntau dua 10 mg, kev txhaj tshuaj yuav tsum tau diluted hauv 50 mL ntawm cov tshuaj daws. Cov dej qab ntsev ib txwm yog qhov nyiam dua.

Yog tias muaj kev cuam tshuam dystonic tshwm sim, 50 mg ntawm diphenhydramine hydrochloride tuaj yeem txhaj tshuaj IM.

Cov Neeg Laus Li niaj zaus rau Migraine:

Siv los kho mob taub hau mob taub hau tsis yog FDA pom zoo qhia; Txawm li cas los xij, metoclopramide tau qhia tias muaj txiaj ntsig zoo hauv kev tshawb fawb ntawm koob tshuaj 10 txog 20 mg IV ib zaug (siv ua ke nrog kev ua kom loog lossis ergot derivatives).

Kev Siv Menyuam Yaus Rau Kab Mob Gastroesophageal Reflux:

Metoclopramide tsis pom zoo los ntawm FDA rau kev mob plab zom mov hauv cov menyuam yaus; txawm li cas los xij, cov koob tshuaj hauv qab no tau kawm:

Qhov ncauj, IM, IV:
Cov Me Nyuam thiab Cov Me Nyuam: 0.4 txog 0.8 mg/kg/hnub hauv 4 faib koob tshuaj

Cov Me Nyuam Me Me Li Cas rau Kev Tso Dej Me Me:

Metoclopramide IV tau pom zoo los ntawm FDA rau kev siv menyuam yaus txhawm rau pab kho lub plab me me los ntawm kev ua rau lub plab tso tawm qhov twg qeeb lub plab zom mov cuam tshuam nrog kev tshuaj xyuas hluav taws xob ntawm lub plab thiab/lossis hnyuv me.

Yog tias lub raj tsis tau hla lub pylorus nrog cov txheej txheem yooj yim hauv 10 feeb, ib zaug (tsis suav nrog) koob tshuaj tuaj yeem ua rau IV maj mam dhau 1 txog 2 feeb:

Tsawg dua 6 xyoos: 0.1 mg/kg IV raws li txhaj ib zaug

6 txog 14 xyoos: 2.5 txog 5 mg IV raws li txhaj ib zaug

Cov menyuam yaus hnub nyoog ntau dua 14 xyoos: 10 mg ib zaug

Cov Me Nyuam Me Me Li Qub rau xeev siab/ntuav - Tshuaj Kho Mob Raug Mob:

Metoclopramide tsis tau txais kev pom zoo los ntawm FDA rau kev kho mob ua rau xeev siab thiab ntuav hauv cov menyuam yaus; txawm li cas los xij, cov koob tshuaj hauv qab no tau kawm:

IV:
1 txog 2 mg/kg/koob tshuaj IV txhua 30 feeb ua ntej siv tshuaj thiab txhua 2 txog 4 teev

Cov Me Nyuam Me Me Li Qub rau xeev siab/ntuav - Postoperative:

Metoclopramide tsis pom zoo los ntawm FDA rau tom qab phais plab thiab ntuav hauv cov menyuam yaus; txawm li cas los xij, cov koob tshuaj hauv qab no tau kawm:
IV:
Cov menyuam yaus hnub nyoog qis dua lossis sib npaug 14 xyoos: 0.1 txog 0.2 mg/kg/koob tshuaj (koob tshuaj ntau tshaj: 10 mg/koob); rov ua dua txhua 6 txog 8 teev raws li xav tau
Cov menyuam yaus hnub nyoog ntau dua 14 xyoos thiab Cov neeg laus: 10 mg; rov ua dua txhua 6 txog 8 teev raws li xav tau

Yuav ua li cas yog tias kuv tsis noj tshuaj?

Noj cov tshuaj sai li sai tau, tab sis hla qhov tsis tau txhaj yog tias nws yuav luag txog lub sijhawm uas koj yuav tshuaj tom ntej. Tsis txhob noj ob zaug ib zaug.

Yuav ua li cas yog tias kuv noj ntau dhau?

Nrhiav kev kho mob xwm txheej ceev lossis hu rau Poison Help line ntawm 1-800-222-1222. Cov tsos mob ntawm kev siv tshuaj ntau dhau tuaj yeem suav nrog kev tsaug zog, tsis meej pem, lossis tswj cov leeg nqaij txav.

Yuav tsum zam dab tsi

Kev haus cawv nrog cov tshuaj no tuaj yeem ua rau muaj kev phom sij.

Zam kev tsav tsheb lossis ua haujlwm phom sij kom txog thaum koj paub tias cov tshuaj no yuav cuam tshuam rau koj li cas. Koj cov kev xav tuaj yeem ua tsis tau zoo.

Metoclopramide phiv los

Nrhiav kev pab kho mob thaum muaj xwm ceev yog tias koj muaj cov cim ntawm kev tsis haum tshuaj rau metoclopramide: khaus khaus ; ua pa nyuaj; o ntawm koj lub ntsej muag, daim di ncauj, tus nplaig, lossis caj pas.

Tsis txhob noj cov tshuaj metoclopramide thiab hu rau koj tus kws kho mob ib zaug yog tias koj muaj ib qho ntawm cov tsos mob ntawm Kev Ua Phem Loj heev, uas yuav tshwm sim hauv thawj 2 hnub ntawm kev kho mob:

  • tshee lossis tshee hauv koj txhais caj npab lossis txhais ceg;

    oxy paj rwb 30 milligram
  • tswj tsis tau cov leeg txav ntawm koj lub ntsej muag (zom, ua di ncauj luag, ua ntsej muag, nplaig txav, ntsais muag lossis txav qhov muag); los yog

  • ib qho tshiab lossis txawv txav nqaij koj tsis tuaj yeem tswj tau.

Hu rau koj tus kws kho mob ib zaug yog tias koj muaj:

  • tsis meej pem, kev nyuaj siab, xav txog kev tua tus kheej lossis ua phem rau koj tus kheej;

  • qeeb lossis jerky nqaij txav, teeb meem nrog kev tshuav lossis taug kev;

  • daim npog ntsej muag zoo li koj lub ntsej muag;

  • qaug dab peg;

  • kev ntxhov siab , kev ntxhov siab , jittery hnov, teeb meem nyob twj ywm, teeb meem pw tsaug zog;

  • o, ua tsis taus pa, nrawm qhov hnyav nce ; los yog

  • cov tshuaj tiv thaiv kab mob hauv lub cev hnyav cov leeg nruj (nruj), siab ua npaws , tawm hws, tsis meej pem, nrawm lossis tsis sib xws lub plawv dhia, tshee hnyo, zoo li koj yuav dhau mus.

Feem ntau cov kev phiv tshuaj metoclopramide tuaj yeem suav nrog:

Qhov no tsis yog daim ntawv teev cov kev mob tshwm sim thiab lwm yam tuaj yeem tshwm sim. Hu rau koj tus kws kho mob kom tau txais kev qhia kho mob txog kev phiv tshuaj. Koj tuaj yeem tshaj tawm cov kev mob tshwm sim rau FDA ntawm 1-800-FDA-1088.

Lwm yam tshuaj twg yuav cuam tshuam rau metoclopramide?

Siv cov tshuaj metoclopramide nrog lwm cov tshuaj uas ua rau koj tsaug zog tuaj yeem ua rau cov txiaj ntsig no tsis zoo. Nug koj tus kws kho mob ua ntej koj noj tshuaj kho mob opioid, ntsiav tshuaj pw tsaug zog, txo cov leeg nqaij, lossis tshuaj rau kev ntxhov siab, kev nyuaj siab, lossis qaug dab peg.

Qhia koj tus kws kho mob txog tag nrho koj cov tshuaj tam sim no. Ntau yam tshuaj tuaj yeem cuam tshuam rau metoclopramide, tshwj xeeb yog:

  • acetaminophen (Tylenol);

  • cyclosporine (Gengraf, Neoral, Sandimmune);

  • digoxin (digitalis, Lanoxin);

  • glycopyrrolate (Robinul);

  • insulin;

  • levodopa (Larodopa, Atamet, Parcopa, Sinemet);

  • mepenzolate (Cantil);

  • tetracycline (Ala-Tet, Brodspec, Panmycin, Sumycin, Tetracap);

  • atropine (Donnatal, thiab lwm tus), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), lossis scopolamine (Transderm-Scop);

  • zais zis lossis tshuaj tso zis xws li darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), lossis solifenacin (Vesicare);

  • tshuaj ntshav siab;

  • bronchodilators xws li ipratroprium (Atrovent) lossis tiotropium (Spiriva);

  • cov tshuaj tsis txaus siab xws li dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin), lossis propantheline (Pro-Banthine);

  • MAO inhibitor xws li furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), lossis tranylcypromine (Parnate); los yog

  • tshuaj los kho kev puas siab puas ntsws, xws li chlorpromazine (Thorazine), clozapine (Clozaril, FazaClo), haloperidol (Haldol), olanzapine (Zyprexa, Symbyax), prochlorperazine (Compazine), risperidone (Risperdal), thiothixene thiab lwm yam).

Cov npe no tsis tiav thiab muaj ntau lwm yam tshuaj uas tuaj yeem cuam tshuam nrog metoclopramide. Qhov no suav nrog cov ntawv yuav tshuaj thiab tom khw muag tshuaj, vitamins, thiab tshuaj ntsuab . Tsis yog txhua qhov muaj feem cuam tshuam nrog tshuaj tau teev tseg ntawm no.

Cov ntaub ntawv ntxiv

Nco ntsoov, khaws qhov no thiab lwm yam tshuaj kom tsis txhob ncav cuag cov menyuam, tsis txhob faib koj cov tshuaj nrog rau lwm tus, thiab siv cov tshuaj metoclopramide nkaus xwb rau qhov qhia qhia.

Ib txwm sab laj nrog koj tus kws kho mob kom ntseeg tau tias cov ntaub ntawv tso tawm ntawm nplooj ntawv no siv rau koj tus kheej li xwm txheej.

Kev Tsis Pom Zoo Kho Mob

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