Yu tink se di dɔktɔ tɛl yu se yu kɔlɔstrel lɛvɛl go ɔp smɔl? Na dɛn kayn tɛm ya, we i nɔ kin izi fɔ mek pɔsin nɔ gɛt bɔku kɔlɔstrel bay we i de it nɔmɔ, wan spɛshal mɛrɛsin we dɔktɔ dɛn kin gi na we dɛn jɔyn tu mɛrɛsin dɛn we dɛn kɔl Ezetimibe ɛn Simvastatin. Dis na tin we pipul dɛn lɛk na Sri Lanka ɔnda di brand nem Vytorin. So tide, lɛ wi tɔk bɔt dis mɛrɛsin, aw i de wok na wi bɔdi, ɛn di tin dɛn we wi nid fɔ tek tɛm wit.
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Wetin na dis mɛrɛsin rili? Aw i kin wok?
Fɔ tɔk am simpul wan, dis pil de wok tu we dɛn fɔ mek yu kɔlɔstrel nɔ bɔku. Tink bɔt am lɛk se tu sikyɔriti gad dɛn de wok togɛda.
1. Di pat we dεn kכl Ezetimibe: Dis de wok bay we i de stכp di kכlestכl we de kכmכt frכm di it we wi de it insay di bכdi frכm di intestכn dεm. I tan lɛk se yu de lɔk domɔt.
2. Simvastatin: Dis de pan wan klas dεm we dεn kכl ‘statins’. I de wok bay we i de ridyus di kɔlɔstrel we wi liva de mek.
Bikɔs i de wok pan ɔl tu di we dɛn, dis mɛrɛsin de ɛp fɔ mek di bad kɔlɔstrel (LDL kɔlɔstrel) we de na di blɔd go dɔŋ, ɛn dis de mek di sik dɛn lɛk at sik ɛn strok nɔ bɔku. Bɔt mɛmba se dɛn kin gi dis to pipul dɛn nɔmɔ we nɔ ebul fɔ kɔntrol dɛn kɔlɔstrel wit it ɛn ɛksesaiz nɔmɔ.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, yu dɔktɔ go aks yu sɔm kwɛstyɔn dɛn. I rili impɔtant fɔ mek yu ansa dɛn ɔl tru tru. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni wan pan dɛn tin ya, mɔ if yu gɛt:
| Di situeshɔn ɔ abit we yu fɔ ripɔt | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| If yu gɛt dayabitis | Dis mɛrɛsin kin afɛkt di blɔd shuga lɛvɛl. |
| Kidni ɔ liva sik | Bikɔs dɛn ɔgan ya kin afɛkt di we aw dɛn kin pul dis mɛrɛsin na di bɔdi. |
| If yu de drink rɔm ɔltɛm | If yu miks rɔm ɛn dis mɛrɛsin, dat kin mek yu liva pwɛl mɔ ɛn mɔ. |
| Mɔsul dɛn kin at ɔ wik | Wan sayd ɛfɛkt we dis mɛrɛsin nɔ kin apin bɔt we kin rili bad na we di mɔsul dɛn kin wik. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ | Dis rili impɔtant. Dis mɛrɛsin kin ambɔg pikin we nɔ bɔn yet ɔ we i de gi in mama in bɛlɛ, so dɛn nɔ fɔ yuz am strikt wan pan dɛn kayn tin ya. |
| If yu gɛt alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Fɔ mek yu nɔ gɛt alɛji to di mɛrɛsin. |
Aw a fɔ yuz dis mɛrɛsin?
Aw fɔ tek mɛrɛsin kɔrɛkt wan
Dɔktɔ dɛn kin advays fɔ tek dis mɛrɛsin wan pil fɔ wan de, na nɛt . Di rizin fɔ dis na bikɔs wi bɔdi de mek bɔku bɔku kɔlɔstrel na nɛt. So, fɔ tek di mɛrɛsin da tɛm de, i kin wok mɔ.
- Swɛla di pil wit wan glas wata.
- No prɔblɛm nɔ de fɔ tek am bifo ɔ afta yu it.
- Gɛt di abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride.
- Nɔ ɛva drink pas wetin di dɔktɔ tɛl yu fɔ drink.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (fɔ ɛgzampul, i jɔs lɛf fɔ tek sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek dabl doz fɔ ɛni rizin.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs bay aksidɛnt, nɔ panik. Wantɛm wantɛm, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi dis to ɛni ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn lɛk yu.
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
Dis na pat we rili impɔtant. We yu de tek dis mɛrɛsin, if yu tek sɔm ɔda mɛrɛsin dɛn, dat kin mek yu gɛt siriɔs sayd ɛfɛkt. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn, ɛbul mɛrɛsin, ɛn sɔpɔtmɛnt).
| Nɔ tek Ezetimibe/Simvastatin wit dɛn wan ya! | |
|---|---|
| Sɔm antivayrɔs drɔgs fɔ HIV/AIDS | Sɔm mɛrɛsin fɔ fungal infɛkshɔn (e.g. Ketoconazole) . |
| Sɔm antibayɔtiks (e.g. Klarithromycin, Erythromycin) . | Drug dɛn lɛk Sayklɔspɔrin, Danazɔl, Gemfibrozil |
| Nefazodone (na mɛrɛsin fɔ pwɛl hat) . | Rɛd yist rays sɔpɔtmɛnt dɛn |
| If yu de tek dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ! | |
| Grepfruit jus we dɛn kin mek | Sɔm mɛrɛsin fɔ blɔd prɛshɔn ɔ at sik (e.g. Amlodipine, Diltiazem) . |
| Warfarin, we dɛn kin gi fɔ mek blɔd nɔ klot | Colchicine (na mɛrɛsin fɔ gaut) . |
| We yu tek bɔku bɔku niacin (vitamin B3) . | Digoxin (na mɛrɛsin fɔ at sik) . |
Tin dɛn we yu fɔ tink bɔt we yu de tek di mɛrɛsin
Pe atɛnshɔn to di pen we di mɔsul dɛn de fil!
Dis na di tin we impɔtant pas ɔl. Sɔm pipul dɛn we de tek dis mɛrɛsin kin gɛt mɔsul pen, stif, ɔ wik . If yu gɛt fiva bak ɛn taya pasmak, dis kin bi sayn fɔ se yu gɛt siriɔs sik. If yu gɛt ɛni wan pan dɛn sik ya, stɔp fɔ tek di mɛrɛsin wantɛm wantɛm ɛn tɔk to yu dɔktɔ.
Test fɔ di wok we di liva de du
Bifo yu bigin fɔ tek di mɛrɛsin ɛn we yu de tek am, yu dɔktɔ kin tɛl yu fɔ du blɔd tɛst fɔ chɛk aw yu liva de wok. Dis na nɔmal tin.
Di we aw pipul dɛn de liv dɛn layf kin chenj
Mɛmba se yu nɔ go ebul fɔ kɔntrol yu kɔlɔstrel wit dis mɛrɛsin nɔmɔ. I tan lɛk se yu de tray fɔ klap yu an wit wan an. Fɔ mek yu gɛt di bɛst rizɔlt, yu fɔ rili:
- Yu fɔ yus to it we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga .
- Yu nid fɔ de ɛksesaiz ɔltɛm .
- Yu fɔ avɔyd fɔ smok ɛn drink rɔm atɔl .
Bɔt Kɔ-Ɛnzym Q-10
If yu tek dis mεdikeshכn i kin mek di lεvεl fכ Co-Enzyme Q-10 na di bכdi dכn. Tɔk to yu dɔktɔ bɔt dis ɛn aks fɔ advays bɔt di rayt it ɔ sɔpɔtmɛnt if nid de.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
| Prɔblɛm dɛn we gɛt fɔ du wit di mɔsul dɛn | If yu mɔsul dɛn de at, stif, ɔ wik fɔ natin (espɛshali wit fiva). |
| Liva prɔblɛm dɛn | di yay ɔ di skin we de yɔlɔ, dak yɔlɔ/brawn urine, pen na di ɔp rayt say na di bɛlɛ. |
| Alɛji dɛn we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Ɔda siriɔs sayn dɛn | Kɔnfyushɔn, mɛmori lɔs, prɔblɛm fɔ pis ɔ chenj in saiz. |
| Sayd ɛfɛkt dɛm we dɛn kin si bɔku tɛm, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɛlɛ de pen | Ed de at |
| Gas we dɛn kin yuz | Banbɛlɛ |
Mɛsej we dɛn kin kɛr go na os
- Ezetimibe/Simvastatin na wan mɛrɛsin we de mek di kɔlɔstrel nɔ bɔku ɛn i de wok tu we dɛn.
- Tek dis mɛrɛsin di sem tɛm ɛvride, mɔ na nɛt, lɛk aw yu dɔktɔ tɛl yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (especially grepefruit juice).
- If yu gɛt pen ɔ wik we yu nɔ ebul fɔ ɛksplen, tɛl yu dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin nɔ fayn if yu gɛt bɛlɛ, yu de tink fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ.
- Dis mɛrɛsin nɔto majik. Di bɛst tin kin apin we dɛn put am togɛda wit it fayn ɛn ɛksesaiz.
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