I thinlung rhythm a mumal lo em ni? Dofetilide chungchang hi i zir dawn teh ang!

Doctor in i thinlung rhythm, chu chu i thinlung thawk chak danah harsatna a awm tih a hrilh che em? Tlemte chuan hlauhna i nei ngei ang, a dik em? Dofetilide hi damdawi chi khat a ni a, chutiang huna pek thin a ni. Chuvangin, vawiinah hian he damdawi Dofetilide tih hi kan sawi dawn a, kan thianpa hnenah kan sawi ang maiin.

Dofetilide chu eng nge ni?

A awlsam zawngin Dofetilide hi antiarrhythmic damdawi a ni . Hei hian i thinlung rhythm normalise turin a pui tihna a ni. Capsule angin a lo thleng fo thin. Ni khatah vawi khat emaw vawi hnih emaw ei a ni tlangpui. Brand name Tikosyn® hmangin i hmu tawh mai thei.

Mahse, hriat reng tur pakhat a awm. He damdawi hman zat, chu chu i in tur zat hi mi hrang hrangah a inang lo thei . I thianpa hian he damdawi hi a ei a nih chuan a pek ang zat pek i ni lovang. Doctor chuan i dinhmun a zirchiang ang a, i tan a dose dik tak (125 mcg, 250 mcg emaw 500 mcg ang chi) a pe ang che. (mcg) tih hi microgram tihna a ni.

Eng dinhmunah nge Dofetilide hi hman a nih?

He damdawi hi heart rhythm lama harsatna thenkhat enkawl nan leh a lo awm leh tawh loh nan hman a ni ber.

Heart rhythm lama harsatna nei

• Atrial Fibrillation (Afib): Hei hi i thinlung chunglam (atria tia koh bawk) te chu rhythmic pattern-a ni lovin, rang tak leh mumal lo taka a thawh hian a ni. Drum, kawng engemaw taka tum tur, mahse a beat out of tune leh a crazy ang maiin han ngaihtuah teh. Hei hi Afib'' an ti a.
• Atrial Flutter: Hei hi heartbeat pattern danglam tak dang a ni a, chu chu heart chambers chunglam a awm a ni. Afib nen hian a inang deuh a, mahse a danglamna tlem a awm.

Pawimawh: Heng dinhmun pahnihah hian thinlung hnathawh dan a mumal lo a, chuvangin thisen a pump tha lo thei a ni. Hei hian harsatna hrang hrang a thlen thei a ni. Chuvangin, he damdawi hian chu thil dik lo chu siamthat a, thinlung chu a thawk tha lehzual a ni.

"Off-label" tih a hmang

A châng chuan doctor-te chuan Dofetilide hi a hman hmasak ber ni lo, thinlung lam natna dang atan an pe ṭhin. Hei hi "off-label" hmanna an ti. Chu chu, doctor-te chuan damdawi hian chutiang dinhmunte chu a pui thei tih an hria a, mahse a tir chuan chutiang dinhmun atan chuan pawm a ni lo tihna a ni.

Heart rhythm disorder ang chi dangte chu:

• Ventricular Tachycardia: Hetah hian thinlung hnuai lam chamber te chu a thawk rang hle.
• Supraventricular Tachycardias: Hei hi heartbeat chak tak a ni bawk a, heart chambers chunglam ah a awm bawk. (Afib) leh (Atrial Flutter). tih loh chu chi dang a awm bawk
• Wolff-Parkinson-White Syndrome: Hei hi thinlunga electrical pathway extra a awm avangin thinlung a thawk chak zawk thin a ni.

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Dofetilide hi engtin nge kan tan ang?

Hei hi a danglam deuh deuh a ni. Dofetilide i ei tan chuan ni thum atanga ni li vel damdawi inah i awm a ngai dawn a ni . Hei hi thil mak deuhin a ri mai thei, a dik em? A chhan chu doctor-te chuan damdawiin i thinlung rhythm a nghawng dan leh harsatna thar i neih leh neih loh en an duh vang a ni. He hun hi i tana dose dik tak zawng turin an hmang bawk ang. Damdawi ina i awm lai hian damdawi an pek zat an thlak danglam thei a ni. Lungngai suh, hei hi i himna tur a ni vek.

Dofetilide hi engtin nge in lamah kan ei ang?

Damdawi in atanga i haw hnuah prescription label an pek che chuan engzat nge i ei tur tih leh ni khatah vawi engzat nge i ei tur tih chiang takin a inziak ang.

Heng thute hi hriat reng a pawimawh hle:

• Damdawi chu Doctor-in a hrilh ang chiah chiahin ei rawh. Dose hi tihpun leh tihhniam loh tur.
• Nitin damdawi hi a rualin ei thin ang che. Zing a nih chuan zing lamah la la, zan a nih chuan zanah la rawh. Hun thlak danglam suh.
• I rilru a hahdam viau a nih pawhin damdawi ei kha bansan suh. I doctor-in a tih chhung chu ei chhunzawm zel ang che.
• He damdawi hi ei tur nen emaw ei loh pawhin i ei thei.
• I damdawi ei kha skip suh.
• Doctor-in a pek zat chauh la rawh.

Damdawi chungchanga zawhna i neih emaw, refill neih dan tur emaw i neih chuan i doctor emaw pharmacist emaw zawh hreh suh. I hriatthiam loh thil a awm chuan sawifiah turin hrilh rawh.

Dofetilide ka ei hmain ka doctor hnenah eng nge ka hrilh ang?

He damdawi hi i hnena i pek hmain i doctor hnenah a hnuaia mite hi hrilh hmasak a pawimawh:

• Dofetilide hi allergy i nei tawh em? Chutiang a nih chuan thil thleng kha han sawi teh.
• Tuna i damdawi ei zawng zawng (prescription, over-the-counter (OTC), vitamin, leh herbal supplement) te ziak vek rawh. Doctor rawn hmasa lovin damdawi thar emaw supplement thar emaw ei tan suh.
• Lung natna i neih chuan, a bik takin thinlung natna Long QT Syndrome , emaw, kal emaw, thin emaw i neih chuan, emaw, i thisenah potassium emaw magnesium emaw i tlem a nih chuan min hrilh rawh.
• Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan min hrilh ngei ang che .

Dofetilide nen hian eng damdawi nge ei loh tur?

Heng damdawi te hi i ei a nih chuan Dofetilide ei hi a hlauhawm hle thei a ni.Chuvangin hetiang damdawi hi i hmang a nih chuan i doctor hnenah i hrilh ngei tur a ni. Tichuan Dofetilide a pe lovang che.

• Cimetidine (e.g. Tagamet®) hman a ni.
• Cisapride chuan a rawn ti a
• Dolutegravir (e.g., Tivicay®) hmanga ei tur a ni.
• Verapamil (Verapamil - entirnan Calan®) tih a ni.
• Ketoconazole a ni
• Itraconazole (e.g. Sporanox®) hman tur a ni.
• Trimethoprim (Trimethoprim - e.g. Proloprim®) tih a ni a, a chhuahna tur hmun leh a hmanna tur hmun hi a inthlau hle.
• Trimethoprim chu sulfamethoxazole (e.g., Bactrim®, Septra®) nen a inzawm a ni.
• Hydrochlorothiazide (Hydrochlorothiazide - e.g. Microzide®) a awm a, a chhuahna tur hmun leh a hmanna tur hmun hi a inthlau hle.
• Ziprasidone a ni
• Tricyclic antidepressant te hi amitriptyline ang chi te hi a ni
• Promethazine a ni
• Prochlorperazine (e.g., Compro®) hmanga tihdam a ni.
• Quinidine a ni
• Disopyramide (e.g., Norpace®) hmanga siam chhuah a ni.
• Sotalol (Sotalol - entirnan Betapace®) tih a ni.

Dofetilide nena inzawm thei damdawi dang

Dofetilide nena inzawm thei damdawi dang pawh a awm bawk. Chumi awmzia chu heng damdawi te hi i ei dun chuan Dofetilide hnathawh dan a tidanglam thei a, a side effect a tipung thei bawk. Chuvangin, a hnuaia damdawi tarlan te hi i ei a nih chuan Dofetilide i ei hmain i doctor nen inbiakna neih hmasa phawt ang che.

• Amiodarone (Amiodarone - entirnan Cordarone®) a awm a, a chhuahna tur hmun leh a hmanna tur hmun chu a in ang lo hle.
• Digoxin (Digoxin - entirnan Lanoxin®) a awm a, a man pawh a tlawm hle.
• Metformin (Metformin - entirnan Glucophage®) a ni a, a man hi a to hle.
• Megestrol a ni
• Diltiazem (e.g. Cardizem®) hmanga siam a ni.
• Zafirlukast a ni
• Quinine a ni
• Fluconazole a ni
• Erythromycin (Erythromycin - e.g. PCE®) tih hi a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo.
• Clarithromycin hmanga siam a ni
• Fluoroquinolone antibiotics te chu Norfloxacin leh Moxifloxacin te an ni
• SSRI (Selective Serotonin Reuptake Inhibitors) te chu Fluoxetine, Sertraline, Paroxetine (e.g. Paxil®) te hi a ni.
• Diuretics (taksa atanga tui paih chhuaktu damdawi) Furosemide, Triamterene, leh Amiloride te
• Protease inhibitor (HIV ang chi natna damdawi) Indinavir ang chi te

Hriat tur chauh: Damdawi thenkhat ang bawkin grapefruit tui (grapefruit ang chi thei) in hian i taksaah damdawi dofetilide level a tisang thei a ni. Hei hi a hlauhawm thei hle. Chuvangin, he damdawi hi i ei lai hian grapefruit tui in hi a pawi em tih doctor zawt rawh.

Damdawi dose i ei loh chuan engtin nge i tih ang?

Chutiang a nih chuan i hriatreng veleh missed dose chu ei nghal rawh . Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose ei ngai suh. I tih tur i hriat chian loh chuan i doctor emaw pharmacist emaw nen inbia ang che.

Dofetilide hian eng hlawkna nge a neih?

Dofetilide hian i thinlunga thinlung thawk mumal lo thenkhat chu a control thei a, chu chuan i nun a ti awlsam deuh thei a ni. Amaherawhchu, natna a tidam kim lo tih hriat reng a pawimawh.

Dofetilide hian eng side effect nge a neih?

Damdawi dang ang bawkin Dofetilide hian side effect engemaw zat a nei thei a ni. Mi zawng zawngin kan hmu vek lo a, mahse fimkhur hi a tha.

Side effects tenau lo awm thei:

• A rilru a na
• Lu na (lu na) .
• Luak chhuak (vertigo) .
• Nausea (riltam ang maia awm) .
• Diarrhea (ril a na) .
• Pum natna

Fimkhur hle tur thil:

Dofetilide hi heartbeat mumal lo siamthat nan pek a ni a, mahse he damdawi hmang hian heartbeat mumal lo chi dang a awm theihna a awm . A bik takin thinlung hnuai lam (ventricular tachycardia) Torsades de Pointes an tih chu thinlung na tak tak (ventricular tachycardia) a awm thei.

Hei hi damdawi ina awm leh damdawi ei tan a ngaih chhan ber a ni! Doctor-te chuan he heartbeat hlauhawm tak, pangngai lo tak hi uluk taka enkawl che an duh a ni.

Damdawi ka ei tan hnuah eng chen nge ka dam rei ang?

Dofetilide hian hna a thawh tan nan darkar hnih atanga darkar thum vel a hmang thin . Mahse, i rilru a hahdam a nih pawhin i doctor-in a tih hma loh chuan damdawi ei kha bansan suh. Lai zel rawh.

Dofetilide ka ei lai hian engtin nge ka hriselna ka enkawl theih ang?

He damdawi i ei lai hian i lam atanga i tih tur tlemte a awm.

• I doctor nena in appointment zawng zawngah kal vek tur a ni a, lab test pawh ti vek ang che. Chutah chuan damdawi in a nghawng dan chu i hmu thei ta a ni.
• Thla ruk danah vawi khat vel electrocardiogram (EKG) test i neih a ngai mai thei . Hei hian i heart beat rate leh rhythm a check ang.
• Damdawi hman dan tur tihdanglam a ngai em tih enfiah turin thisen test pawh an ti thei bawk.
• I damdawi nena rawn kal information leaflet kha chhiar fo la, a bik takin tun hnaia i damdawi emaw hriselna dinhmun emaw a inthlak danglam a nih chuan. Zawhna i neih chuan i pharmacist zawt rawh.

Thil dang i tih theih chu:

• Surgery emaw, ha enkawlna emaw, emergency treatment emaw i neih chuan doctor emaw dentist emaw hnenah Dofetilide i ei thu hrilh rawh.
• Dofetilide i ei tih ziakna identification card i bun a ngai thei bawk.
• Doctor zawt lovin he damdawi hi ei kha bansan ngai suh.
• Ei leh in chungchangah doctor thurawn zawm la, a bik takin zu in tur chungchangah.
• Damdawi tling tawk i hnenah dah reng ang che. Chawlh emaw, zin emaw hmain i damdawi a tlakchham em tih enfiah hmasa phawt ang che. Chutiang a nih loh chuan emergency-ah i hmu thei lo mai thei.

Engtikah nge doctor i hmuh ang?

Heng symptoms te hi i neih chuan doctor ko nghal la, emergency room-ah kal rawh:

• Thinlung thawk chak emaw, mumal lo emaw.
• I thinlung a thawk chak ang maia inhriatna, i thinlung na tak ang maia inhriatna.
• A rilru a na.
• Luak chhuak emaw, lu hah (lightheadedness) emaw.
• Thâwk harsa.
• Diarrhea na tak a awm.
• Chaw ei duh lohna nena luak chhuak.
• Thil danglam tak, thawmhnaw hahna.
• Tui tuihalna a pung.
• Vun a hring chhuak.

Heng ang side effect na lo zawk awm mahse, i doctor nen inbia ang che, an tibuai che a nih chuan:

• Lu na.
• Mu thei lo.
• I tibuai thei side effect dang eng pawh.

Khawiah nge Dofetilide ka lei theih ang?

Dofetilide hi damdawi dawr zawng zawngah a awm lo. Chuvangin i hnai ber damdawi dawr chu phone la, an nei em tih i en ang. Damdawi hmuh harsatna i neih chuan i doctor nen inbia ang che.

Dofetilide hi engtin nge kan dahkhawm ang?

• Dofetilide chu bawm khar nghet takah, room temperature-ah, hmun vawt takah dah la .
• Ni êng direct-ah emaw, hmun lum takah emaw dah suh.
• He damdawi hi hmun lumna hmun, inbualna hmunah dah suh. Moisture hian damdawi property a tichhe thei a ni.
• He damdawi chauh ni lovin, damdawi dang zawng zawng hi naupangte hmuh theih lohna hmunah dah vek tur a ni.
• I damdawi hi midang hnenah share ngai suh.
• Damdawi expired hmang ngai suh. Damdawi bungrua thenkhatah chuan expiry date ziah a ni. A nih loh leh, damdawi kum engzat nge a nih i hriat chian loh chuan i damdawi dawr call la, zawt rawh.

A tawp berah chuan thil hriat reng tur

Lungphung lama harsatna i nei tih hriat chu a lungchhiatthlak tak zet thei a ni. Mahse, i doctor-in Dofetilide a pek che chuan a pui thei che a ni. A pawimawh ber chu Doctor thupek leh damdawi bungrua a inziak dan dik taka zawm hi a ni. He damdawi chungchanga zawhna leh ngaihtuahna dang i neih chuan i doctor emaw pharmacist emaw zawt hreh suh. Anni chuan an pui thei ang che.