Yu dɔktɔ dɔn gi yu wan mɛrɛsin we dɛn kɔl Tolmetin fɔ yu jɔyn pen, swel, ɔ at at? Dis na mɛrɛsin we dɛn kin gi bɔku pipul dɛn na wi kɔntri fɔ difrɛn pen dɛn. So, as pɔsin we de yuz dis mɛrɛsin, i rili impɔtant fɔ mek yu sef fɔ no ɔltin bɔt am. Tide, wi go jɔs tɔk bɔt dis mɛrɛsin ɛn di tin dɛn we yu nid fɔ tek tɛm wit we yu de yuz am.
Wetin rili na Tolmetin?
Fɔ tɔk am simpul wan, Tolmetin na mɛrɛsin we de mek pɔsin fil pen. We wi de tɔk bɔt mɛrɛsin, i de pan wan klas we dɛn kɔl NSAID (Non-Steroidal Anti-Inflammatory Drug) . Dɛn kayn mɛrɛsin ya kin kɔntrol mɔ pan di pen, swɛlin, ɛn inflamɛns na di bɔdi. Dis mɛrɛsin kin mek yu fil fri frɔm tin dɛm lɛk joyn pen, mɔsul pen, ɛn diskɔmfɔt we at at sik kin kam wit.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Dis rili impɔtant. Bifo yu gi yu Tolmetin, i impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi prɔblɛm. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- At sik ɔr prɔblɛm wit yu blɔd prɛshɔn: If yu gɛt ay blɔd prɛshɔn, at atak, at pwɛl, ɔ yu jɔs dɔn gɛt baypas ɔpreshɔn (Coronary Artery Bypass Graft - CABG).
- Blɔd disɔda: If yu gɛt blɔd klɔt disɔda ɔ ɔda prɔblɛm wit blɔd.
- Bɛlɛ ɛn intestinal prɔblɛm: If yu bin dɔn gɛt bɛlɛ ɔlsa ɔ yu bɛlɛ bin de blɔd bifo.
- Kidni ɔr liva sik: If yu gɛt kidni sik ɔ liva sik.
- Prɔblɛm fɔ blo: If yu gɛt sik dɛn na yu lɔng lɛk asma.
- Ɔda tin dɛn: If yu de drink pasmak , smok , yu nɔ gɛt bɛtɛ rɛd blɔd sɛl, yu nɔ gɛt wata na yu bɔdi, ɔ yu de tek stɛroyd (e.g., prɛdnison).
- Alɛji: If yu gɛt alɛji to Tolmetin, ɔda NSAID pen kil (e.g. aspirin, ibuprofen), ɔda mɛrɛsin, it ɔ prɛzɛvɛtiv.
- Bɛlɛ ɛn we yu de gi pikin in bɛlɛ: I rili impɔtant fɔ tɛl yu dɔktɔ if yu de tray fɔ gɛt bɛlɛ, yu gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ .
If yu tɔk to yu dɔktɔ we yu nɔ ayd dis infɔmeshɔn, i nɔ go jɔs ɛp yu fɔ de sef, bɔt i go ɛp yu bak fɔ gɛt di bɛst pan yu mɛrɛsin.
Aw a fɔ yuz di mɛrɛsin?
Fɔ mek mɛrɛsin wok fayn, dɛn fɔ yuz am di rayt we.
- Fɔ fala yu dɔktɔ in instrɔkshɔn: Tek di doz we yu dɔktɔ tɛl yu fɔ tek, di tɛm we dɛn tɛl yu. Fɔ fala di prɛskrishɔn jɔs lɛk aw i se.
- Swɛla di kapsul ɔl: Nɔ brok, krɔs, ɔ chew dis kapsul. Swɛla am ɔl wit wan glas wata.
- Bifo yu it ɔ afta yu it: I bɛtɛ fɔ tek dis mɛrɛsin we yu ɛmti bɛlɛ . Dat min se, at le 30 minit bifo yu it, ɔ 2 awa afta yu it .
- If yu gɛt bɛlɛ we nɔ fayn: Sɔm pipul dɛn kin gɛt bɛlɛ iritashɔn ɔ nɔ kin fil fayn we dɛn de tek dis mɛrɛsin. If dis apin, yu kin aks yu dɔktɔ bɔt aw fɔ tek am wit di rayt antisid.
- If yu dɔn pas 65 ia: Pipul dɛn we dɔn ol kin fil di ifɛkt we dis mɛrɛsin gɛt strɔng smɔl. So, dɛn kin nid fɔ tek di doz we smɔl. Yu dɔktɔ go disayd bak bɔt dis.
- Fɔ pikin dɛn: Pan ɔl we dɛn kin gi dis mɛrɛsin to pikin dɛn we dɔn pas 2 ia pan sɔm spɛshal kes dɛn, dɛn nid fɔ tek tɛm wit spɛshal tin.
Wetin fɔ du if yu mis wan doz ɔ tek tumɔs?
If yu mis wan doz: Tek di doz we yu mis as 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 dabl doz.
Ovadosage: Dis na imejensi. If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Ɔda mɛrɛsin dɛm wae nɔr fɔ yuse wit dis mɛrɛsin ɛn wae kin intarakt wit am
If yu de tek Tolmetin, yu fɔ tek tɛm bad bad wan we yu de yuz ɔda mɛrɛsin. I kin gɛt siriɔs intarakshɔn wit sɔm mɛrɛsin dɛn.
| Drug Intarakshɔn wit Tolmetin | |
|---|---|
| Mɛrɛsin dɛn we dɛn nɔ fɔ ɛva tek togɛda | |
| Sidofovir we dɛn kɔl Cidofovir | Mɛtɔtreksɛt we dɛn kɔl |
| Ɔda mɛrɛsin ɛn tin dɛm wae kin mek pɔrsin gɛt riakshɔn ɛn fɔ ripɔt to di dɔktɔ | |
| Rum | Aspirin ɛn ɔda mɛrɛsin dɛn we gɛt aspirin |
| Ɔda NSAID dɛn (e.g., Ibuprofen, Naproxen) . | Blɔd prɛshɔn mɛrɛsin |
| Diuretics (mɛrɛsin we de pul wata na di bɔdi) . | Litiɔm we dɛn kɔl |
| Di kayn stɛroyd dɛn (Prednisone, Cortisone) . | Mɛrɛsin fɔ mek blɔd nɔ klɔt (e.g. Warfarin) . |
Dis list nɔ kɔmplit, so tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn) .
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek di mɛrɛsin
Yu fɔ no bɔt ɔlsa na yu bɛlɛ ɛn blɔd we de kɔmɔt.
Dis mɛrɛsin kin pwɛl di layn na di bɛlɛ, ɛn i kin mek yu bɛlɛ gɛt ɔlsa ɛn blɔd kin kɔmɔt. Sɔntɛnde dis kin apin we dɛn nɔ wɔn pɔsin . Fɔ smok, fɔ drink rɔm, fɔ dɔn ol, ɛn fɔ nɔ gɛt bɛtɛ wɛlbɔdi, dat kin mek yu gɛt prɔblɛm. If yu gɛt bad bad bɛlɛ pen, vɔmit blɔd (lɛk kɔfi grɔn), ɔ pas blak ɔ blɔd stɔl , go to dɔktɔ wantɛm wantɛm .
Hat atak ɛn strok risk
If yu yuz NSAID fɔ lɔng tɛm lɛk Tolmetin, dat kin mek yu gɛt at atak ɛn strok smɔl. Dis risk kin ivin pasmak if yu dɔn ɔlrɛdi gɛt at sik. If yu de tek aspirin fɔ mek yu nɔ gɛt at atak, mek shɔ se yu tɔk to yu dɔktɔ bifo yu yuz Tolmetin.
Sɔm bad bad tin dɛn we kin apin to di skin
Sɔm pipul dɛn kin gɛt siriɔs riakshɔn na dɛn skin sɔm wiks afta dɛn dɔn bigin dis mɛrɛsin. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt fiva, yu bɔdi de at, yu gɛt rɛd ɔ pepul skin rash we leta de blista ɛn pul, ɔ yu fes ɔ yu lip swel, wit di limf no dɛm we dɔn swel.
If yu gɛt bɛlɛ ɛn yu de op fɔ bɔn pikin
If yu tek dis mɛrɛsin bitwin di 20 ɛn 30 wik we yu gɛt bɛlɛ, i kin ambɔg di pikin we de na di bɛlɛ. So, if yu tek dis mɛrɛsin da tɛm de, yu fɔ de ɔnda di wan we de kia fɔ yu. Nɔ tek dis mɛrɛsin afta di 30 wik we yu gɛt bɛlɛ. Dɔn bak, dis mɛrɛsin kin gɛt sɔm ifɛkt pan di we aw pɔsin kin bɔn pikin.
Fɔ slip ɛn diziz
Dis mɛrɛsin kin mek yu fil lɛk se yu de slip ɔ yu ed de tɔn. So, nɔ drayv ɔ yuz mashin te yu no aw di mɛrɛsin de afɛkt yu. Ɛspɛshali if yu dɔn ol, nɔ grap wantɛm wantɛm we yu sidɔm. Get grap sloslo.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Tolmetin kin mek yu gɛt sayd ɛfɛkt. Sɔm pan dɛn kin siriɔs, ɛn ɔda wan dɛn kin kɔmɔn.
| Posisibul sayd effekt dɛm fɔ Tolmetin | |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Alɛji dɛn we pɔsin kin gɛt | Skin rash, i de it; swel na di fes, di lip, di tong. |
| Di sayn dɛn we de sho se pɔsin de blɔd | Blak ɔ blɔd stɔl; urine we gɛt rɛd ɔ dak brawn; vɔmit we tan lɛk kɔfi grɔn; rɛd spat dɛn na di skin; blɔd we nɔ kɔmɔn frɔm di gam ɔ nos. |
| Di sayn dɛn we de sho se blɔd dɔn rɔtin | Chɛst de pen; i nɔ kin izi fɔ yu fɔ blo; pen, swel, ɔ wam na wan leg. |
| At sik/at we nɔ de wok fayn | I nɔ kin izi fɔ yu fɔ blo; pen ɔ tayt na di chɛst, nɛk, ɔ an; taya we nɔ kɔmɔn; di at de bit fast ɔ i nɔ de bit ɔltɛm; di wet we pɔsin kin gɛt wantɛm wantɛm; di ankles ɛn fut dɛn kin swel. |
| Di sayn dɛn we pɔsin kin gɛt we i gɛt Strɔk | Di we aw pɔsin de si tin kin chenj; kɔnfyus; i nɔ kin izi fɔ tɔk ɔ ɔndastand; ed we kin at bad bad wan; di fes, an, ɔ leg kin swɛt ɔ wik wantɛm wantɛm. |
| Di sayn dɛm we de sho se di kidni/liva dɔn pwɛl | I nɔ izi fɔ pis ɔ chenj di we aw yu de pis; dak yɔlɔ/brawn urine; di yay ɔ di skin we de yɔlɔ; pen na di ɔp rayt pat na di bɛlɛ; i nɔ kin want fɔ it igen. |
| Sayd ɛfɛkt dɛn we kin apin ɔltɛm, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Diziz, ed we de at | Gas we de pas |
| At bɔn, bɛlɛ pen | Ring na di yes |
| Dayarɛa, nɔs, vɔmit | |
Mɛsej we dɛn kin kɛr go na os
- Tolmetin na mɛrɛsin we dɛn fɔ tek ɔnda dɔktɔ in advays nɔmɔ. Tek di doz we dɛn tɛl yu fɔ tek, lɛk aw dɛn tɛl yu fɔ tek am.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu gɛt (espɛshali at, kidni, bɛlɛ prɔblɛm) ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- Go to dɔktɔ kwik kwik wan if yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk bad bad bɛlɛ pen, blak stɔl, chɛst pen, i nɔ izi fɔ blo, ɔ yu skin gɛt siriɔs rɔsh.
- We yu de tek dis mɛrɛsin, nɔ tek ɔda mɛrɛsin dɛn we de mek yu fil pen lɛk Aspirin ɛn Ibuprofen we yu dɔktɔ nɔ gri fɔ tek am.
- Nɔ drink rɔm we yu de tek Tolmetin. I de mek di risk fɔ mek yu bɛlɛ blɔd bɔku.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɔk to yu dɔktɔ bifo yu tek dis mɛrɛsin.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Tolmetin / Tolectin tablet/capsules na wan rili pawaful mɛrɛsin fɔ us sik?
Dis nɔto yu ɔdinari Panadol (Paracetamol)! Dis na wan rili pawaful, nɔ-stɛroyd anti-inflammatory drɔg (NSAID) we de gi 100% kɔntrol fɔ di swɛlin we nɔ go ebul fɔ bia, inflamɛns ɛn bon pen we dɛn kin gɛt bikɔs ɔf ɔstiɔ-arayt, rεumatoid at ɛn juvenail rεumatoid at (JIA).
💬 We yu joyn dεm swεla εn yu de fil pen, aw yu go pul di pen kכmplit wan bay we yu tek dεn pils ya (Tolmetin)?
we wan joyn inju, wi bכdi de mek wan kεmikכl we dεn kכl ‘Prostaglandins’ fכ mek di εria fil pen εn swεla/rεd. Na wan ɛnzaym/mashin we dɛn kɔl ‘COX (Cyclooxygenase)’ de mek da kemikal de! As dis mεdisin go insay di bכdi, i de blכk/klos εn lכk כl dεn COX mashin dεm (COX-1 εn COX-2) kכmplit wan. Dɔn, di bɔdi nɔ kin ebul fɔ mek Prostaglandins, ɛn di swel ɛn pen na di jɔyn dɛn kin wɛl wantɛm wantɛm insay smɔl tɛm.
💬 Wetin na di ‘fatal dangers’ (Black Box Warning) we pipul dɛm we de tek dis pawaful pen kil (Tolmetin) fɔ no bɔt?
Di pen nɔ de igen, bɔt di denja dɛn rili siriɔs! Di big denja na dat we yu drink dis, yu intestines/bɛlɛ kin gɛt perforated witout ɛni prior warning, yu kin vomit blɔd (Gastrointestinal bleeding/ulcers) ɛn day! Di ɔda tin we denja pas ɔl na dat di risk fɔ ‘sɔdɛn at atak’ ɛn strok (Cardiovascular thrombotic events) de go ɔp bay 100%, mɔ di wan dɛn we gɛt at nɔ fɔ drink dɛn wan ya!
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