Azithromycin: 7 yam uas koj yuav tsum paub

1. Nws ua haujlwm li cas

  • Azithromycin tuaj yeem siv los kho cov kab mob tshwm sim los ntawm cov kab mob uas muaj kab mob.
  • Azithromycin ua haujlwm los ntawm kev khi rau 23S rRNA ntawm 50S ribosomal subunit ntawm cov kab mob raug mob xws li Mycobacterium avium , M. intracellulare , thiab Chlamydia trachomatis . Qhov no inhibits cov kab mob protein synthesis thiab tua cov kab mob.
  • Azithromycin belongs rau cov chav kawm ntawm cov tshuaj hu ua macrolide tshuaj tua kab mob.

2. Upsides

  • Siv los kho cov kab mob me me mus rau nruab nrab los ntawm cov kab mob uas tshwm sim ntawm daim tawv nqaij, hauv ntsws, hauv pob ntseg, thiab qee yam kab mob uas kis tau los ntawm kev sib deev.
  • Siv tshwj xeeb rau kev kho thiab tiv thaiv mycobacterium avium complex (ib hom kab mob ua pa) rau cov neeg uas muaj kab mob HIV siab heev. Yuav siv tau ntxiv rau lwm cov tshuaj tua kab mob.
  • Active tiv thaiv ntau yam kab mob thiab qhia tau zoo nkag mus rau hauv tib neeg cov ntaub so ntswg. Qee cov kab mob yuav tiv taus (tsis tua los ntawm azithromycin).
  • Tej zaum yuav zam tau zoo dua thiab muaj kev nkag mus rau cov ntaub so ntswg zoo dua li lwm cov tshuaj tua kab mob xws li erythromycin.
  • Tej zaum yuav raug siv los kho cov kab mob kab mob hauv cov neeg uas tsis haum rau penicillins.
  • Yuav tau noj ib zaug ib hnub twg uas txhim kho kev ua raws.
  • Muaj nyob rau hauv cov ntsiav tshuaj lossis tshuaj ntsiav, hauv daim ntawv txuas ntxiv-tso tawm, ua cov hmoov rau kev kho dua tshiab, thiab hauv daim ntawv txhaj tshuaj.
  • Generic azithromycin yog muaj.

3. Kev poob qis

Yog tias koj muaj hnub nyoog ntawm 18 thiab 60 xyoo, tsis noj lwm yam tshuaj lossis tsis muaj lwm yam mob, cov kev mob tshwm sim uas koj yuav muaj xws li:

  • xeev siab, raws plab, ntuav, mob plab, dyspepsia, flatulence, qaug zog, mob taub hau yog ib co ntawm cov feem ntau tshwm sim.
  • Lub siab puas tsuaj thiab tuaj yeem cuam tshuam rau daim siab ua haujlwm, qee zaum ua rau tuag taus. Yuav tsum txiav tawm yog tias muaj cov tsos mob ntawm daim siab ua haujlwm tsis zoo tshwm sim.
  • Tej zaum yuav ua rau muaj kev hloov hauv txoj kev lub plawv dhia, ua rau muaj kev loj hlob ntawm plawv arrhythmias. Qhov kev pheej hmoo yog ntau dua rau cov neeg uas muaj keeb kwm ntawm QT ncua ntev, ntawm lwm cov tshuaj paub ua kom lub sijhawm QT ncua ntev, nrog cov poov tshuaj tsawg lossis magnesium hauv lawv cov ntshav, thiab hauv cov neeg tau txais cov tshuaj tiv thaiv arrhythmic xws li sotalol, amiodarone, thiab procainamide. .
  • Nws tau cuam tshuam nrog kev nce ob npaug ntawm kev tuag ntawm cov hlab plawv hauv cov neeg laus uas txheeb ze rau amoxicillin. Qhov kev pheej hmoo no loj tshaj plaws nyob rau thawj tsib hnub ntawm kev siv azithromycin thiab tsis muaj kev ywj pheej ntawm cov kab mob plawv.
  • Mob plab heev txuam nrog Clostridium difficile yog ib qho kev mob tshwm sim ntawm yuav luag tag nrho cov tshuaj tua kab mob, suav nrog azithromycin.
  • Tej zaum yuav ua rau tawv nqaij tawv heev thiab photosensitivity (nce rhiab heev rau hnub ci). Txiav tawm azithromycin thiab nrhiav kev kho mob sai sai yog tias muaj pob liab liab tshwm sim. Nws kuj tau txuam nrog kev tsis haum tshuaj hnyav.
  • Tej zaum yuav cuam tshuam nrog lwm cov tshuaj xws li warfarin thiab nelfinavir.
  • Kev noj tshuaj yuav tsum tau txo qis rau cov neeg mob raum thiab yuav tsis haum rau cov neeg uas muaj myasthenia gravis. Kev siv hauv cov menyuam yaus muaj feem cuam tshuam nrog cov menyuam mos liab hypertrophic pyloric stenosis (IHPS). Tej zaum yuav tsis muaj txiaj ntsig zoo li kev kho ib leeg rau kev kho mob gonorrhea lossis syphilis.
  • Tsis tau cuam tshuam nrog kev pheej hmoo ntawm kev yug me nyuam thaum siv los kho cov kab mob hauv cov poj niam cev xeeb tub. Ntsuas qhov txaus ntshai piv rau cov txiaj ntsig ua ntej muab rau cov poj niam cev xeeb tub. Azithromycin tau kuaj pom hauv tib neeg cov kua mis thiab tus menyuam mos yuav tsum tau saib xyuas raws plab, ntuav, lossis ua pob liab liab yog tias nws txiav txim siab ntxiv nrog rau kev pub niam mis thaum noj azithromycin.

Nco tseg: Feem ntau, cov neeg laus lossis cov menyuam yaus, cov neeg uas muaj qee yam mob (xws li mob siab lossis mob raum, kab mob plawv, ntshav qab zib, qaug dab peg) lossis cov neeg noj lwm cov tshuaj muaj kev pheej hmoo ntau dua ntawm cov kev mob tshwm sim. Saib daim ntawv teev tag nrho cov kev mob tshwm sim



4. Kab hauv qab

Azithromycin yog tshuaj tua kab mob siv los kho ntau yam kab mob sib txawv. Nws muaj qhov zoo sib xws ntawm kev noj ib zaug ib hnub; Txawm li cas los xij, raws plab yog ib qho kev mob tshwm sim.

montelukast sod 10 mg ntsiav tshuaj

5. Cov lus qhia

  • Tej zaum yuav noj nrog lossis tsis muaj zaub mov; Txawm li cas los xij, azithromycin tuaj yeem ua tau zoo dua yog tias noj nrog zaub mov.
  • Tsis txhob noj cov tshuaj antacids uas muaj txhuas lossis magnesium hauv ob teev ua ntej lossis ob teev tom qab koj noj azithromycin vim tias cov tshuaj tiv thaiv tuaj yeem ua rau azithromycin tsis zoo.
  • Tso tseg azithromycin tam sim ntawd thiab nrhiav kev kho mob sai yog tias muaj cov tsos mob ntawm kev tsis haum tshuaj (xws li pob khaus lossis ua pa nyuaj) tshwm sim.
  • Ua raws nraim li cov lus qhia thiab ua tiav cov chav kawm raws li koj tus kws kho mob tau sau tseg, txawm tias koj zoo dua ua ntej. Hla koob tshuaj lossis tsis ua tiav kev kho mob tuaj yeem txo qhov ua tau zoo ntawm kev kho mob thiab txhawb kev txhim kho kev tiv thaiv.
  • Txawm hais tias zawv plab feem ntau tshwm sim nrog azithromycin, hu rau koj tus kws kho mob yog tias koj mob raws plab heev tshwj xeeb tshaj yog tias nws muaj dej ntau lossis muaj ntshav. Qee zaum raws plab yuav tshwm sim ib mus rau ob lub hlis tom qab pib azithromycin.
  • Hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob ntawm tus kab mob siab xws li yellowing ntawm daim tawv nqaij los yog xim dawb ntawm ob lub qhov muag, mob plab sab xis, ua pob liab liab, cov quav av nplaum, xeev siab, thiab ntuav.
  • Yog tias koj ua xua rau lwm cov macrolides (xws li clarithromycin, erythromycin, lossis telithromycin) tsis txhob noj azithromycin. Tsis tas li, zam azithromycin yog tias koj tau noj ua ntej thiab nws ua rau koj lub siab puas tsuaj.
  • Noj azithromycin Zmax ncua-tso kua tsawg kawg ib teev ua ntej lossis ob teev tom qab noj mov. Muab pov tseg txhua qhov sib xyaw Zmax ncua kev kawm uas tsis tau siv hauv 12 teev.
  • Tsis txhob raug tshav ntuj ntau dhau los yog tanning txaj. Siv ib qho SPF 30 lossis siab dua sunblock thaum sab nraum zoov thiab hnav khaub ncaws tiv thaiv raws li azithromycin tuaj yeem ua rau koj sunburn yooj yim dua.
  • Qhia rau koj tus kws kho mob yog tias koj cev xeeb tub lossis pub niam mis ua ntej noj azithromycin.

6. Teb thiab ua tau zoo

  • Nws yuav siv sij hawm ntawm ob thiab ib nrab mus rau ntau tshaj peb teev rau qhov siab tshaj plaws ntawm azithromycin mus txog. Ib koob tshuaj thauj khoom (siab tshaj li qhov pib koob tshuaj ib txwm siv) yuav raug siv kom ncav cuag cov concentrations sai dua.
  • Yuav tau noj ib zaug ib hnub.
  • Tej zaum yuav siv li ob peb hnub ua ntej cov tsos mob ntawm tus kab mob pib abate. Ib txwm ua kom tiav cov chav kawm raws li tau hais tseg.
  • Kev tawm tsam rau azithromycin tau raug tshaj tawm, feem ntau los ntawm kev hloov kho ntawm 23S rRNA lub hom phiaj, feem ntau yog los ntawm methylation. Kev hloov kho ribosomal tuaj yeem txiav txim siab hla kev tiv thaiv rau lwm cov macrolides, lincosamides, thiab streptogramin B (MLS B phenotype).

7. Kev sib tham

Cov tshuaj uas cuam tshuam nrog azithromycin tuaj yeem txo qis nws cov txiaj ntsig, cuam tshuam ntev npaum li cas nws ua haujlwm rau, ua rau muaj kev phiv ntau ntxiv, lossis muaj kev cuam tshuam tsawg dua thaum noj nrog azithromycin. Kev sib cuam tshuam ntawm ob cov tshuaj tsis yog ib txwm txhais tau tias koj yuav tsum tsis txhob noj ib yam tshuaj; txawm li cas los xij, qee zaum nws ua. Tham nrog koj tus kws kho mob txog yuav ua li cas kev sib cuam tshuam tshuaj yuav tsum tau tswj.

Cov tshuaj nquag uas tuaj yeem cuam tshuam nrog azithromycin suav nrog:

  • amiodarone tshuaj
  • apixaban
  • tshuaj aspirin
  • BCG nyob (Theracrys)
  • dabigatran
  • dalteparin tshuaj
  • digoxin
  • dronedarone
  • txhaj tshuaj tiv thaiv kab mob typhoid nyob
  • mifepristone
  • NSAIDs, xws li ibuprofen, diclofenac, thiab naproxen
  • pimozide
  • quinidine.

Feem ntau, txhua yam tshuaj uas tuaj yeem ua rau muaj kev pheej hmoo los ntshav (xws li clopidogrel, SSRI antidepressants, ntses roj) tuaj yeem cuam tshuam nrog azithromycin. Cawv tuaj yeem ua rau muaj kev phiv ntawm azithromycin thiab muaj peev xwm ua rau cov khoom lag luam txiv kab ntxwv cuam tshuam nrog azithromycin; Txawm li cas los xij, cov ntawv ceeb toom tsis tshua muaj.

Nco ntsoov tias daim ntawv teev npe no tsis suav nrog txhua yam thiab suav nrog tsuas yog cov tshuaj siv uas yuav cuam tshuam nrog azithromycin. Koj yuav tsum xa mus rau cov ntaub ntawv sau tshuaj rau azithromycin kom tiav cov npe ntawm kev sib cuam tshuam.

Cov ntaub ntawv

Azithromycin [Package Insert]. Kho tshiab 07/2021. Lannett Co., Ltd. find-drugs-conditionspro/azithromycin-tablets.html

Cov ntaub ntawv ntxiv

Nco ntsoov, khaws cov tshuaj no thiab lwm yam tshuaj kom deb ntawm menyuam yaus, tsis txhob muab koj cov tshuaj rau lwm tus, thiab siv azithromycin nkaus xwb rau cov lus qhia.

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub meej tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.

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