Wetin na Mɛtfɔmin Ɛkstend-Rilis?
Fɔ tɔk am simpul wan, Metformin na mɛrɛsin we dɛn kin yuz fɔ kɔntrol Tayp 2 Dayabitis . I de kɔntrol di shuga we de na yu blɔd mɔ, dat na di glukɔs we de na yu blɔd. I de ɛp bak di ɔmon insulin we de na yu bɔdi fɔ wok fayn fayn wan. Naw, wetin na "Extended-Release"? Dis min se dɛn mek dis pil so dat di mɛrɛsin go kɔmɔt na di bɔdi smɔl smɔl ɔl di de, pas fɔ mek i tek am wan tɛm . Di bɛnifit fɔ dis na dat yu nɔ nid fɔ tek di mɛrɛsin bɔku tɛm insay di de, we kin apin sɔntɛnde we yu tek am wan it. Bɔt yu nid fɔ tek am jɔs lɛk aw yu dɔktɔ tɛl yu. Bɔku tɛm, we dɛn gi yu dis mɛrɛsin, dɔktɔ dɛn kin advays yu fɔ kɔntrol yu it ɛn ɛksesaiz. Bikɔs mɛrɛsin nɔmɔ nɔ go du fɔ kɔntrol dayabitis, yu nid bak fɔ chenj di we aw yu de liv yu layf. Sɔntɛnde, dɔktɔ dɛn kin yuz dis mɛrɛsin fɔ ɔda sik, so if yu gɛt ɛni kwɛstyɔn, i go fayn fɔ aks yu dɔktɔ ɔ di pɔsin we de na di famasi.Wetin a fɔ tɛl di dɔktɔ bifo a tek dis mɛrɛsin?
Bifo yu bigin fɔ tek mɛtfɔmin, yu nid fɔ tɔk klia wan bɔt sɔm tin dɛn wit yu dɔktɔ. Bikɔs na da infɔmeshɔn de go ɛp yu dɔktɔ fɔ disayd aw dis mɛrɛsin fayn fɔ yu ɛn aw di mɛrɛsin fɔ bi.Yu gɛt tin dɛn lɛk dis?
If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ :- Anemia min se blɔd nɔ de .
- Dehydration , we min se if wata de na di bɔdi.
- At sik .
- If yu na pɔsin we de drink ɔltɛm .
- Kidni sik . Dis rili impɔtant bikɔs di mɛtfɔmin de kɔmɔt na di bɔdi tru di kidni dɛm. If di kidni dɛn wik, di mɛrɛsin kin gɛda na di bɔdi ɛn mek prɔblɛm.
- Liva sik.
- Wan sik we dɛn kɔl polycystic ovary syndrome ( PCOS ) .
- If siriɔs infɛkshɔn ɔ injuri de .
- If yu de vɔmit bɔku tɛm.
- If yu bin dɔn gɛt alɛji fɔ mɛtfɔmin, ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu na mama we de gi pikin in bɛlɛ .
Aw a fɔ yuz dis mɛrɛsin?
Okay, naw mek wi si aw fɔ tek dis mɛrɛsin ɛksaktɔli. Yu fɔ tek di mɛrɛsin jɔs lɛk aw i rayt na di prɛskrishɔn lɛbl we yu dɔktɔ gi yu. Yu fɔ swɛla dis pil wit yu mɔt wit wan glas wata . Di tin we impɔtant pas ɔl na fɔ tek dis mɛrɛsin wit it . Sɔm pipul dɛn kin tek am afta brɛf, sɔm afta dina. Yu dɔktɔ go tɛl yu ustɛm fɔ tek am. Bɔku tɛm, dɛn kin se i nɔ fɔ tek am pan ɛmti bɛlɛ. If yu tek am wit it, i kin mek yu nɔ fil fayn bak na yu bɛlɛ (fɔ ɛgzampul, yu nɔs). Tek yu mɛrɛsin di rayt tɛm, di ɔda we aw yu dɔktɔ tɛl yu. Nɔ ɛva tek pas wetin di dɔktɔ tɛl yu, ɔ tek am bɔku tɛm pas aw yu fɔ tek am . Dɔn bak, nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.Yu tink se dɛn fɔ gi pikin dɛn dis mɛrɛsin?
If yu de gi pikin dɛn dis mɛrɛsin, yu fɔ tek tɛm spɛshal. Tɔk to yu dɔktɔ ɛn fala in instrɔkshɔn dɛn di rayt we.Wetin a go du if a tek bɔku mɛrɛsin? (Ovadosage) .
Imajin se yu aksidɛntli tek bɔku pils. If dat apin, go na di ɔspitul imejensi rum we de nia yu ɔ kɔl pɔyzin kɔntrol sɛnta wantɛm wantɛm . Nɔ west tɛm.Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb yu mɛrɛsin wit ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.
Wetin a go du if a mis apɔntinmɛnt fɔ tek 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, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek dabl doz fɔ ɛni rizin .Us ɔda tin dɛn kin miks wit dis mɛrɛsin? (Intarakshɔn dɛn)
Metformin na mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin ɔr ɔda tin dɛm wae yu de tek, min se i kin gɛt sayd ɛfɛkt. So i rili impɔtant fɔ no bɔt dis bak.Nɔ tek metformin wit dɛn tin ya!
Sɔm mɛrɛsin dɛn de we dɛn nɔ kin fayn fɔ tek wit mɛtfɔmin.- Kontrast mɛrɛsin dɛn . Fɔ ɛgzampul, if yu de du ɛkstrem rayt, CT skan, ɔ MRI, i nɔ fayn fɔ tek mɛtfɔmin wit sɔm kɔntrast mɛrɛsin dɛn. Na dat mek yu fɔ tɛl yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek bifo yu du dis kayn tɛst.
- Wan mɛrɛsin we dɛn kɔl Dofetilide .
Dɛn tin ya kin afɛkt bak
Ɔda mɛrɛsin ɛn tin dɛn de we kin wok wit mɛtfɔmin, so tɛl yu dɔktɔ if yu de tek ɛni wan pan dɛn tin ya:- Asɛtazɔlamid
- Rum
- Sɔm antivayral mɛrɛsin fɔ HIV ɔ epataytis
- Sɔm mɛrɛsin fɔ blɔd prɛshɔn, at sik, ɛn at bit we nɔ de bit ɔltɛm
- Simɛtidin we dɛn kɔl
- Diklɔrfenamayd
- Digoxin we dɛn kin yuz
- Diuretics, we dɛn kin kɔl bak wata pils
- Ɛstrojen, prɔjɛstin, ɔ pils fɔ kɔntrol bɔn pikin
- Glycopyrrolate we gɛt di sik
- Isoniazid we dɛn kɔl Isoniazid
- Lamotrijin we dɛn kɔl Lamotrigine
- Memantin we gɛt fɔ du wit am
- Mɛtazɔlamid
- Mɛtɔklɔpramid
- Midodrine we dɛn kɔl midodrine
- Niacin we dɛn kɔl Niacin
- Fεnotiazin dεm (e.g. klorpromazin, mεsoridazin, prכklכpεrazin, tioridazin) .
- Fɛnitoin we dɛn kɔl
- Ranolazin we dɛn kɔl Ranolazin
- Steroid mεdikeshכn dεm (e.g. prεdnison כ kכrtison) .
- Stimulation fɔ atenshɔn dɛfisit disɔda, weit lɔs, ɔ fɔ de wek
- Tayrɔyd mɛrɛsin dɛn
- Topiramat we gɛt di sik
- Trospium we dɛn kɔl Trospium
- Vandetanib bin de tɔk bɔt am
- Zonisamide we gɛt di sik
Tin dɛn we yu fɔ tek tɛm wit we yu de tek dis mɛrɛsin
Yu nid fɔ tek tɛm smɔl mɔ bɔt yu wɛlbɔdi we yu de tek Metformin. Si yu dɔktɔ ɔltɛm fɔ chɛk aw yu de du. Dɛn kin du wan tɛst we dɛn kɔl HbA1C ɛvri 2-3 mɔnt fɔ si aw dɛn de kɔntrol yu dayabitis fayn fayn wan. Dis na simpul blɔd tɛst.Bɔt di blɔd shuga lɛvɛl
If yu tek mɛtfɔmin wit insulin ɔ wan mɛrɛsin we dɛn kɔl sulfonylurea dayabitis, yu go gɛt mɔ risk fɔ gɛt lɔw blɔd shuga (haypoglycemia) . So, lan aw fɔ tɛst yu blɔd shuga na os (wit glukomita). No di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu blɔd shuga (hyperglycemia) ɛn aw fɔ kɔntrol dɛn.Ɔltɛm, kɛr sɔm shuga (e.g., wan pis kandy, glukɔs tablɛt, ɔ drink we gɛt shuga) wit yu if ɛnitin apin . If yu blɔd shuga go dɔŋ tumɔs, yu kin gɛt sik ɔ yu nɔ kin no natin, ɛn dɛn fɔ tɛl yu famili se yu kin chok if yu gi dɛn it ɔ drink da tɛm de. If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.If yu blɔd shuga de bɔku ɔltɛm (haypa glycemia), tɛl yu dɔktɔ bɔt am. Sɔntɛm yu go nid fɔ chenj di we aw yu de tek di mɛrɛsin. Yu kin nid bak fɔ ajɔst di mɛrɛsin we yu de tek we yu sik ɔ if yu de du ɛksɛsayz pas aw yu kin du am. Nɔ skip fɔ it . Aks yu dɔktɔ bɔt aw fɔ drink rɔm. Sɔm kɔf ɛn kol mɛrɛsin dɛn we yu kin bay na famasi kin gɛt shuga ɔ rɔm. Dɛn kin afɛkt di shuga we yu gɛt na yu blɔd.
If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ
pan uman dεm we dεn nכ de bכku bכku bכku wan we nכ de mεnstral mεnstral, if dεn tek mεtformin, i kin mek dεn ovuleshכn. Dis kin mek di chans fɔ gɛt bɛlɛ bɔku. Nɔ tek dis mɛrɛsin if yu gɛt bɛlɛ ɔ yu tink se yu go gɛt bɛlɛ. Tɔk to yu dɔktɔ bɔt bɔn kɔntrol we yu de tek dis mɛrɛsin. Tɛl yu dɔktɔ wantɛm wantɛm if yu tink se yu gɛt bɛlɛ.Wan ɔda tin: bɔt di pil kɔva.
Sɔntɛnde yu kin notis se di tablɛt shel nɔ kin sɔlv ɛn i kin kɔmɔt wit yu stɔl. Nɔ wɔri bɔt am, na nɔmal tin . Dɛn dɔn absɔb di mɛrɛsin insay di bɔdi, ɛn na di shɔɛl nɔmɔ de kɔmɔt. No prɔblɛm nɔ de wit dat.Bifo dɛn du di ɔpreshɔn ɔ ɔda tɛst dɛn
If yu go gɛt ɔpreshɔn, ɔ tɛst lɛk MRI ɔ CT skan, mek shɔ se yu tɛl yu dɔktɔ se yu de tek mɛtfɔmin. Dɛn kin aks yu fɔ stɔp fɔ tek di mɛrɛsin sɔm dez bifo di tɛst/ɔpareshɔn. Wear mɛdikal ID breslɛt ɔ nɛks , ɛn ɔltɛm kɛr wan kad wit yu we gɛt yu mɛdikal istri, di mɛrɛsin dɛn, ɛn di doz.Tink bɔt vaytamɛn dɛn bak
Sɔm pipul dɛn kin si se di fɔlik asid ɛn vaytamɛn B12 lɛvɛl kin go dɔŋ we dɛn de tek mɛtfɔmin. So, mek shɔ se yu gɛt dɛn vaytamɛn ya we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt di it ɛn vaytamɛn dɛn we yu de it.Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt? (Sayd Ɛfɛkt dɛn)
Lɛk ɛni mɛrɛsin, Metformin kin mek sɔm sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt dɛn.Sayd ɛfɛkt dɛn we nid fɔ ripɔt to di dɔktɔ wantɛm wantɛm
If sɔntin lɛk dis apin to yu, tɛl yu dɔktɔ wantɛm wantɛm :- Alɛji riakshɔn : skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot.
- di hεy laktik asid lεvεl : Dis na mכr siriכs kכndyushכn. If yu fil pen ɔr de fil pen wae yu de chuk yu, yu bɛlɛ de at, yu nɔr de ebul fɔ blo, yu fil se yu wik, ɔr yu nɔr de fil fayn.
- Lכw vaytam in B12 lεvεl : Pen, sכmtεm sכmtεm, כ lכs fכ fil na di an כ fut, mכsul dεm wik, diziz, i at fכ kכnsantreshכn, kכnfyushכn.
Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de
Dɛn sayd ɛfɛkt ya kin dɔn insay sɔm dez, bɔt if dɛn kɔntinyu ɔ de mɔna yu tumɔs, tɛl yu dɔktɔ:- Rɔnbɛlɛ
- Bloating/Gas we de blo
- Ed de at
- Mɛtal teys na mɔt
- Vɔmit
Aw yu fɔ kip yu 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 . Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs, bitwin 59 ɛn 86 digri F) fa frɔm layt. Nɔ yuz ɛni mɛrɛsin afta di de we i dɔn fɔ yuz am .Wetin yu kin du wit mɛrɛsin dɛn we yu nɔ yuz ɛn we dɔn pas?
Nɔ jɔs trowe mɛrɛsin we yu nɔ yuz, we dɔn pas na di dɔti.- Gi dɛn to wan program fɔ tek mɛrɛsin bak. Yu kin aks yu famasi ɔ di polis bɔt dɛn kayn ples dɛn de.
- If dat nɔ pɔsibul, chɛk di mɛrɛsin paket ɔ di lɛbl fɔ si if yu fɔ trowe am na dɔti ɔ flɔsh am dɔŋ di tɔylɛt. If yu nɔ shɔ, aks yu dɔktɔ ɔ di famasi.
- If yu kin trowe di mɛrɛsin na di dɔti, pul am na di paket, miks am wit sɔntin lɛk pusi dɔti, dɔti, ɔ kɔfi grɔn, put am na bag ɔ kɔntena, sial am, ɛn trowe am na di dɔti.
Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
Okay, wi dɔn tɔk bɔku bɔt Metformin Extended-Release tablɛt dɛn naw. Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:- Tek di doz we dɛn tɛl yu fɔ tek di tɛm we yu tɛl yu, lɛk aw di dɔktɔ se. I bɛtɛ fɔ tek am wit it.
- Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek ɛn ɛni sik we yu gɛt.
- Yu fɔ no di sayn dɛn we de sho se yu gɛt smɔl shuga na yu blɔd (haypoglycemia) .Ɛn rɛdi fɔ am.
- If yu gɛt ɛnitin we nɔ kɔmɔn ɔ yu gɛt ɛni sayd ɛfɛkt frɔm di mɛrɛsin, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Si yu dɔktɔ ɔltɛm ɛn chɛk yu kɔndishɔn.
` Metformin, dayabitis, blɔd shuga, insulin, sayd ɛfɛkt, mɛrɛsin, wɛlbɔdi
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