Yu gɛt ay blɔd prɛshɔn bak, dat na ay blɔd prɛshɔn? Dɛn kayn tɛm dɛn de, dɔktɔ dɛn kin gi wi difrɛn kayn mɛrɛsin dɛn, nɔto so? Sɔntɛnde, we i nɔ kin izi fɔ kɔntrol di prɛshɔn wit jɔs wan mɛrɛsin, dɛn kin gɛt bɔku mɛrɛsin dɛn we dɛn jɔyn togɛda. Tide, wi go tɔk bɔt tri kayn mɛrɛsin dɛn we dɛn jɔyn togɛda. Dis gɛt Amlodipine, Valsartan, ɛn Hydrochlorothiazide , we sɔm pipul dɛn kin kɔl HCTZ .
Wetin na dis mɛrɛsin? Fɔ tɔk am simpul wan...
Okay, lɛ wi si wetin kin apin wit di kɔmbaynshɔn fɔ dɛn tri drɔgs ya. Fɔ tɔk am simpul wan, dis na mɛrɛsin fɔ Ay Blɔd Prɛshɔn , dat na mɛrɛsin we de kɔntrol yu prɛshɔn. Dɛn se tri kayn mɛrɛsin de fɔ dis. Dɛn na:
1. Amlodipine: Dis de pan wan klas ɔf drɔgs we dɛn kɔl kalsiɔm chanɛl blɔk . I de wok bay we i de mek yu blɔd vesel dɛn big ɛn ɛp fɔ mek blɔd flɔ izi wan. Dis kin mek di at ebul fɔ pɔmp blɔd izi wan, ɛn dis kin mek di blɔd prɛshɔn go dɔŋ.
2. Valsartan: Dis na drɔg we de insay di Angiotensin II Risɛptɔ Blɔka klas. Dis kin wok bak bay we i de stɔp di blɔd vesel dɛn we de kɔnstrikt, rilaks dɛn ɛn mek di blɔd prɛshɔn go dɔŋ.
3. Hydrochlorothiazide (HCTZ): Dis na diuretic , we min se i de wok bay we i de pul di wata ɛn sɔl we pasmak na di bɔdi tru di urine, we de mek di blɔd prɛshɔn go dɔŋ.
Wan brand nem we bɔku pipul dɛn sabi fɔ dis kɔmbayn mɛrɛsin na Exforge HCT . Bɔt yu dɔktɔ go dɔn gi yu dis mɛrɛsin fɔ ɔda rizin. So if yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ ɔ fama.
Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a tek dis mɛrɛsin?
Bifo yu bigin fɔ yuz dis mɛrɛsin, sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ. Bikɔs da infɔmeshɔn de go ɛp dɛn fɔ disayd if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn ɔmɔs fɔ gi yu.
If yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ :
- Di urine we de kɔmɔt na di wata we de kɔmɔt na di wata we de kɔmɔt de go dɔŋ .
- If yu gɛt dayabitis (Diabetes Mellitus) .
- If yu gɛt at prɔblɛm, yu jɔs gɛt at atak, ɔ yu gɛt ɔda at sik .
- If yu de pan spɛshal it , fɔ ɛgzampul , it we nɔ gɛt bɔku sɔl .
- If yu gɛt prɔblɛm wit yu imyun sistɛm , fɔ ɛgzampul , lupus .
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik .
- If yu dɔn gɛt wan ɔda kayn alɛji fɔ amlodipine, valsartan, hydrochlorothiazide, sɔlfa drɔgs, ɔda mɛrɛsin dɛn, it dɛn, atifishal day, ɔ tin dɛn we de mek yu nɔ pwɛl.
- If yu gɛt bɛlɛ ɔ yu de plan fɔ gɛt bɛlɛ , dis rili impɔtant!
- If yu de gi pikin in bɛlɛ .
If yu tɛl yu dɔktɔ dɛn tin ya, yu go ridyus bɔku wɔri we nɔ nid fɔ wɔri.
Aw yu kin yuz dis mɛrɛsin kɔrɛkt wan?
Okay, naw mek wi si aw fɔ tek dis mɛrɛsin.
- Dis mɛrɛsin na fɔ tek am wit mɔt .
- Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di sem tɛm ɛvride . Fɔ fala di advays dɛn we de na di prɛskrishɔn lɛbl ɛksaktɔli.
- Yu kin tek dis wit it ɔ atɔl it . Bɔt if yu bɛlɛ at, i go fayn fɔ tek am wit it.
- Kɔntinyu fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp. Nɔ stɔp wantɛm wantɛm.
If yu de gi pikin dɛn dis mɛrɛsin, yu fɔ tɔk to yu dɔktɔ bɔt am ɛn gɛt spɛshal advays.
Di tin we impɔtant pas ɔl: If yu tink se yu dɔn tek dis mɛrɛsin pasmak, kɔl pɔyzin kɔntrol sɛnta ɔ imejensi rum wantɛm wantɛm. Dis nɔto gem.
Wan ɔda tin: Dis mɛrɛsin na fɔ yu nɔmɔ . Nɔ gi dis mɛrɛsin to yu padi ɔ fambul, ilɛksɛf dɛn gɛt di sem prɔblɛm wit yu. Di rayt mɛrɛsin fɔ ɛnibɔdi difrɛn.
Wetin yu kin du if yu mis yu mɛrɛsin apɔntinmɛnt?
Oh, yu foget fo tek yu medisin? If na so, tek am jɔs afta yu mɛmba . Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos wan tɛm (Nɔ tek dɛbul ɔ ɛkstra dos).
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
Sɔm mɛrɛsin, it, ɔr ɔda tin dɛm wae yu de tek kin "intarakt" wit dis mɛrɛsin. Dat min se, dɛn kin afɛkt aw i de wok fayn, ɛn kin ivin mek di sayd ɛfɛkt dɛn bɔku. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Na sɔm tin dɛm wae dis mɛrɛsin kin intarakt wit:
- Rum
- Barbiturates, na wan kayn mɛrɛsin we de mek pɔsin fil fayn, lɛk phenobarbital
- Carbamazepine (na mɛrɛsin we dɛn kin yuz fɔ mɛn sɔm kayn epilepsy) .
- Cidofovir (na mɛrɛsin fɔ vayral infɛkshɔn) .
- Ɔda diuretik , lɛk triamterene, spironolactone, ɔ amiloride
- Dofetilide (na mɛrɛsin fɔ di prɔblɛm dɛn we kin mek pɔsin gɛt at ritm) .
- Lithium ( na mɛrɛsin fɔ mental sik) .
- Ɔda mɛrɛsin dɛn fɔ blɔd prɛshɔn
- Mɛrɛsin fɔ gɛt dayabitis
- NSAID , pen kil ɛn anti-inflammatory drugs, lɛk ibuprofen ɔ naproxen
- Potashɔm sɔl ɔ potashɔm sɔpɔtmɛnt
- Di mɛrɛsin dɛn we dɛn kin gi pɔsin we de mek pɔsin fil pen
- Skel mכsul rilaksant , fכ egzampl , Tubocurarine
- Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel , fɔ ɛgzampul , kɔlestayramin ɔ kɔlestipɔl
- Steroid mɛrɛsin dɛn, lɛk Prednisolone ɔ Cortisone
- Tranylcypromine (na mɛrɛsin fɔ pwɛl hat) .
Sɔntɛm dis list nɔ go gɛt ɔltin. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (prɛskrishɔn, ɔva-di-kɔnta, ɛbul, vaytamɛn, ɔ it sɔpɔtmɛnt), ɛn bak if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs. Sɔm tin kin miks wit dis mɛrɛsin.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek dis mɛrɛsin
Fɔ mek shɔ se yu sef ɛn gɛt di bɛst pan di mɛrɛsin we yu de tek dis mɛrɛsin, sɔm tin dɛn de we yu fɔ no bɔt.
- Si yu dɔktɔ ɔltɛm: Go na di klinik wit yu dɔktɔ pan di de dɛn we dɛn dɔn sɛtul fɔ chɛk aw yu de go bifo. Chek yu blɔd prɛshɔn ɔltɛm . Aks wetin yu blɔd prɛshɔn fɔ bi ɛn ustɛm yu fɔ tɔk to yu dɔktɔ .
- Drink bɔku wata ɛn nɔ gɛt wata na yu bɔdi: Aks yu dɔktɔ ɔmɔs wata yu fɔ drink ɛvride. Tɔk to yu dɔktɔ if yu gɛt bad bad dayarɛa, yu nɔs, yu de vɔmit, ɔ yu de swet pasmak . I kin denja fɔ tek dis mɛrɛsin if yu nɔ gɛt bɛtɛ wata na yu bɔdi.
- Uman dɛn we gɛt bɛlɛ ɛn di wan dɛn we de tray fɔ gɛt bɛlɛ: If yu gɛt bɛlɛ ɔ yu tink se yu go gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm . Dis mɛrɛsin kin gɛt siriɔs sayd ɛfɛkt pan yu pikin we nɔ gɛt bɛlɛ.Yu kin. Aks yu dɔktɔ ɔ fama fɔ no mɔ bɔt dis.
- Drɔw ɔ diziz: Yu kin fil fɔ slip ɔ diziz we yu de tek dis mɛrɛsin. So, nɔ drayv, yuz mashin, ɔ du ɛnitin we nid fɔ pe atɛnshɔn te yu no aw dis mɛrɛsin de afɛkt yu. Nɔ tinap ɔ sidɔm wantɛm wantɛm, mɔ if yu dɔn ol . Dis go mek yu nɔ gɛt diziz ɛn fɔdɔm.
- Rɔm: Rɔk kin ambɔg di wok we dis mɛrɛsin de du. So, nɔ drink rɔm .
- Di shuga na yu blɔd: Dis mɛrɛsin kin mek yu blɔd shuga go ɔp . If yu gɛt dayabitis, aks yu dɔktɔ if yu nid fɔ mek ɛni chenj pan yu it ɔ mɛrɛsin.
- Sɔl we yu kin yuz fɔ tek sɔl: Nɔ yuz sɔl pas dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi tɛl yu fɔ du dat.
- Di risk fɔ gɛt kansa na yu skin: Tɔk to yu dɔktɔ bɔt di risk fɔ gɛt kansa na yu skin. Dis risk kin go ɔp smɔl we yu de tek dis mɛrɛsin.
- Fɔ fil lɛk di san: Dis mɛrɛsin kin mek yu skin fil fayn to di san . So nɔ fɔ de na di san as yu ebul. If yu fɔ go na do na di san, wɛr klos we go protɛkt yu, sanglas, ɛn tin fɔ protɛkt yusɛf frɔm di san . Nɔ yuz san lamp ɔ tanning bed/booth.
- Kɔf, kol, ɔ pen mɛrɛsin: Aks yu dɔktɔ ɔ fama bifo yu tek ɛni ɔda kɔf, kol, ɔ pen mɛrɛsin we yu de tek dis mɛrɛsin. Sɔm mɛrɛsin dɛn kin mek yu blɔd prɛshɔn go ɔp.
- Ɔpreshɔn ɔ Dayalaysis: If yu go gɛt ɔpreshɔn ɔ dayalaysis , tɛl yu dɔktɔ se yu de tek dis mɛrɛsin.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek sɔm bad bad tin dɛn apin. Sɔm kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Sɔm nɔ kin so siriɔs, bɔt if dɛn kɔntinyu fɔ de ɛn dɛn kin mɔna yu, yu fɔ tɛl yu dɔktɔ .
Di sayd ɛfɛkt dɛm we yu fɔ tɛl yu dɔktɔ wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ kwik kwik wan:
- Alɛji riakshɔn – skin rɔsh, it ɔ ayv, swel na di fes, lip, ɔ tong
- Prɔblɛm fɔ blo
- Di chenj dɛn we de apin na di we aw pɔsin de si tin
- Chɛst de pen
- Kɔnfyus
- Dak urine
- Ay pen
- Fast, irɛgyula at bit
- Fɔ fil se yu nɔ ebul fɔ waka ɔ yu gɛt layt, yu kin fɔdɔm
- Lɔw blɔd prɛshɔn (diziz, layt ed) .
- Mɔsul dɛn we kin kramp
- di skin we de rεd, blista, pil כ lכs, inklud insay di mכt – kin apin bak insay di mכt.
- Sayn ɛn simptom dɛm fɔ ay blɔd shuga – fil mɔ tɔsti ɔ angri pas aw i kin bi, nid fɔ pis bɔku tɛm. Yu kin fil bak se yu taya bad bad wan ɔ yu nɔ kin si fayn.
- Bɛlɛ de pen
- Di an, anklɛ, ɔ fut kin swel
- Trɔbul fɔ pas urine ɔ chenj na di amount of urine
- Di pen we di gout kin gɛt kin bɔku
- Yu yay ɔ yu skin kin yɔlɔ (Jaundice) .
Sayd ɛfɛkt dɛm wae yu nɔr kin nid fɔ tɛl yu dɔktɔ (bɔt if dɛn kin kɔntinyu ɛn de mɔna yu, tɛl dɛm):
Bɔku tɛm, dɛn tin ya kin go insay sɔm dez. Bɔt if dɛn kɔntinyu fɔ de, ɔ if dɛn de mɔna yu bɔku, tɛl yu dɔktɔ :
- Chenj pan sɛks drayv ɔ pefɔmɛns
- Kɔf ( sɔm tɛm dɛn kin gɛt dray kɔf) .
- Rɔnbɛlɛ
- Flushing of face, skin (wit filin fɔ wam) .
- Ed de at
- Nɔs, fɔ vɔmit
- Bɛlɛ gas, pen
- Wik ɔ taya
Nɔto ɔl di sayd ɛfɛkt dɛn we dɛn rayt na dis list kin apin. If yu gɛt ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, tɔk to yu dɔktɔ bɔt dat bak.
Usay a fɔ kip dis mɛrɛsin?
I rili impɔtant bak fɔ kip yu mɛrɛsin fayn fayn wan.
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich. Dis rili impɔtant!
- Kip am na rum tɛmpracha , dat na bitwin 20 ɛn 25 digri sɛlshiɔs (68 ɛn 77 Fɛnayt).
- Protɛkt am frɔm wet. Dat min se nɔ kip am na say dɛn we wet lɛk di bafa.
- Kip di mɛrɛsin bɔtul/paket tayt tayt wan.
- Trowe di mɛrɛsin we dɔn pas. Nɔ yuz am.
Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .
Wi op se yu go si se wetin wi dɔn tɔk bɔt go ɛp yu. Dis kɔmbayn drɔgs , Amlodipine, Valsartan, ɛn Hydrochlorothiazide (HCTZ), de ɛp fɔ kɔntrol ay blɔd prɛshɔn.
Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan we yu de yuz dis mɛrɛsin, fɔ tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt, ɛni ɔda mɛrɛsin we yu de tek, ɛn fɔ tɛl yu dɔktɔ if yu gɛt ɛni sayd ɛfɛkt.
Dis atikul na jɔs sɔm tin dɛn. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, duya nɔ shem fɔ aks yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs. Yu wɛlbɔdi impɔtant!
` Amlodipine, Valsartan, Hydrochlorothiazide, HCTZ, Ay Blɔd Prɛshɔn, Blɔd Prɛshɔn Mɛdikeshɔn, Ɛksfɔj HCT
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