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弯曲的甲氮化氮杂-品牌名称:Aprinox,Neo-Naclex

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  1. About bendroflumethiazide
  2. 关键事实
  3. Who can and cannot take bendroflumethiazide
  4. 如何以及何时服用弯曲氟甲嗪
  5. 副作用
  6. How to cope with side effects of bendroflumethiazide
  7. 怀孕和母乳喂养
  8. 警告其他药物
  9. 关于弯曲氟甲苯的常见问题

1.关于弯曲的甲氮化氮杂

弯曲甲硫代是一种称为利尿剂的药物。它用来治疗高血压(hypertension)以及您体内液体的积累(浮肿).

利尿剂有时被称为“水片”,因为它们会使您撒尿更多。这有助于摆脱体内额外的液体。

弯曲的甲氮化氮杂is only available on prescription. It usually comes as tablets. It can also come as a liquid you swallow, but this has to be specially ordered.

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2.关键事实

  • 通常,您每天早上每天一次服用Bendroflumethiazide。
  • If you take bendroflumethiazide later in the day you may have to wake up in the night to go to the toilet.
  • Common side effects include: needing to pee more often, mild stomach upset, dehydration, and low or high levels of salts (electrolytes) such as potassium or sodium in your blood.
  • Speak to your doctor or a pharmacist if you have diarrhoea or vomiting from a stomach bug or other illness. You may need to stop taking bendroflumethiazide for a short time.
  • 通常在怀孕期间或母乳喂养期间不建议弯曲氟甲氮化氮杂。

3. Who can and cannot take bendroflumethiazide

大多数成年人和儿童(包括婴儿)可以服用弯曲氟甲嗪。

Bendroflumethiazide并不适合所有人。为了确保对您安全,请告诉医生,如果您:

  • 曾经对Bendroflumethiazide或任何其他药物有过敏反应
  • 肾上腺不足(Addison's disease)
  • have low levels of sodium, potassium or magnesium in your blood
  • have high levels of calcium or uric acid in your blood
  • have liver problems
  • have kidney problems or difficulty peeing
  • are being sick (vomiting) or have diarrhoea
  • have糖尿病
  • have痛风
  • 患有罕见的血液疾病称为卟啉症
  • 有炎症状况称为狼疮
  • 怀孕,试图怀孕或母乳喂养

4.如何以及何时服用弯曲氟甲嗪

剂量

您的剂量将取决于您要服用的Bendroflumethiazide,您的年龄以及肾脏的工作状况。

通常的成人剂量:

  • 高血压is 2.5mg once a day
  • 每天的液体积聚为5mg至10mg - 可以减少到每周服用1至3次的单剂量

有时,您的医生可能会开弯氟甲嗪每天两次。

Your dose may be lower if you are over 65 or have kidney problems.

对于婴儿和孩子,您的医生将利用孩子的体重或年龄来解决正确的剂量。

When to take it

It's usual to take bendroflumethiazide once a day, in the morning. If you take it later in the day you may have to wake up in the night to go to the toilet.

If your doctor prescribes it twice a day, take it once in the morning and again around midday.

最好每天同时服用弯曲甲氮氮化氮杂,以使其保持正常工作。

有时,您的医生可能建议您少服用Bendroflumethiazide。您可能只需要每周服用2或3次,在这种情况下,在每周同一日期服用它。

How to take it

您可以在有或没有食物的情况下服用Bendroflumethiazide。

Swallow the tablets whole with a drink of water. Speak to a pharmacist if you or your child finds it difficult to swallow tablets.

If you're taking bendroflumethiazide as a liquid, make sure you shake the bottle well. Use a plastic medicine spoon or oral syringe to help you measure each dose. If you do not have one, ask your pharmacist. Do not measure the liquid with a kitchen teaspoon, as it will not give the right amount.

What if I forget to take it?

If you forget to take bendroflumethiazide, take your forgotten dose as soon as you remember. However, if you normally take your dose in the morning and you do not remember before late afternoon, skip the missed dose and take your next dose at the usual time.

Do not take a double dose to make up for a forgotten dose.

If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember your medicines.

What if I take too much?

Taking more than your prescribed dose of bendroflumethiazide can cause weak or fast heartbeats, seizures or fits (body jerking and shaking uncontrollably), dizziness and confusion – these are signs ofdehydration

The amount of bendroflumethiazide that can lead to an overdose varies from person to person.

紧急建议:Contact 111 for advice now if:

  • you or your child have taken too much bendroflumethiazide

111.nhs.ukor call111

如果您需要5岁以下儿童的建议,请致电111

如果你去A&E,不要开车自己。让其他人开车或打电话给救护车。

取弯曲的闪光甲基二氮化物包或其中的传单,以及随身携带的任何剩余药物。

5. Side effects

像所有药物一样,弯曲氟甲嗪可能会引起副作用,尽管并非每个人都得到了副作用。

You are less likely to get side effects if you are on a low dose, such as 2.5mg daily.

副作用often get better as your body gets used to the medicine.

Common side effects

Common side effects of bendroflumethiazide include:

  • feeling thirsty, with a dry mouth
  • 感觉或生病(恶心或呕吐)
  • stomach pain
  • diarrhoea
  • loss of appetite
  • constipation
  • severe joint pain
  • 感到头晕和微弱
  • unexpected weight loss, frequent画眉,膀胱或皮肤感染,疲倦,视力模糊和口渴

严重的副作用

It happens rarely, but some people have a serious side effect after taking bendroflumethiazide.

Call your doctor straight away if you:

  • have any bruises or bleeding (including nosebleeds) that you cannot explain – these could be a sign of blood problems
  • have severe and sudden stomach pain – this could be a sign of pancreas problems
  • have itching, yellowing of the whites of your eyes, yellowing of your skin (this may be less obvious on brown or black skin), dark pee or pale poo – these could be signs of liver problems
  • 感到非常口渴,有深黄色和淡淡的尿尿,感到头晕或头晕,或者每天撒尿不到4次 - 您可能有可能有dehydration

Serious allergic reaction

在极少数情况下,可能会有严重的过敏反应(过敏反应) to bendroflumethiazide.

需要立即采取行动:Call 999 or go to A&E now if:
  • you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
  • 你在喘息
  • 你的胸部或喉咙紧绷
  • you have trouble breathing or talking
  • your mouth, face, lips, tongue or throat start swelling

您可能会有严重的过敏反应,可能需要在医院立即治疗。

这些并不是弯曲氟甲嗪的所有副作用。有关完整列表,请参阅药品包中的传单。

Information:

You can report any suspected side effect using the Yellow Card safety scheme.

Visit Yellow Card for further information

6. How to cope with side effects of bendroflumethiazide

该怎么办:

  • feeling thirsty with a dry mouth- 重要的是不要脱水,但是您喝了多少饮酒将取决于您为什么要服用弯曲氟甲氮化氮杂。与您的医生联系,在服用这种药物时可以喝多少水。
  • feeling or being sick (vomiting)– stick to simple meals and do not eat rich or spicy food. If you're being sick, try frequent small sips of water to avoiddehydration。如果您的症状持续了一周以上,请与您的医生交谈,如果您经常呕吐或不能喝水并且可能有脱水的危险。
  • stomach pain– try to rest and relax. It can help to eat and drink slowly, and have smaller, more frequent meals. Putting a heat pad or covered hot water bottle on your stomach may also help. If you are in a lot of pain, speak to your pharmacist or doctor.
  • diarrhoea– drink plenty of water or other fluids. However, check with your doctor how much water you can drink while you're taking bendroflumethiazide. Speak to a pharmacist if you are peeing less than usual or have dark yellow and strong-smelling pee, as you could be at risk of dehydration. Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor.
  • loss of appetite- 吃通常期望饿的时候吃饭。如果有帮助,请吃较小的饭菜,但比平时更频繁。当您饥饿并选择高热量和蛋白质(例如干果和坚果)的营养零食时,零食。
  • constipation- 通过吃新鲜的水果,蔬菜和谷物,并喝大量水,从而获得更多的纤维。但是,请与您的医生联系,当您服用弯曲氟甲嗪时可以喝多少水。例如,尝试更定期地进行锻炼,例如每天散步或跑步。如果这无济于事,请与您的药剂师或医生交谈。 You may also want to观看有关如何治疗便秘的简短视频
  • severe joint pain- 如果您感到严重的关节疼痛,关节上的皮肤很热,肿胀和红色,这可能是痛风。在棕色或黑色皮肤上,发红可能不太明显。如果您有这些症状,请与您的医生交谈。
  • 感到头晕和微弱– these could be signs oflow blood pressure。If you feel dizzy or faint, stop what you're doing. Try sitting or lying down until the symptoms pass, and then get up slowly. A drink of water may also help. Do not drive, ride a bike or operate machinery if you are affected. Speak to your doctor if this keeps happening.
  • unexpected weight loss, frequent thrush, bladder or skin infections, tiredness, blurred vision and increased thirst- 与您的医生交谈,因为这可能是高血糖or another condition, and your doctor might want to run some tests.

7. Pregnancy and breastfeeding

弯曲的甲氮化氮杂and pregnancy

弯曲的甲氮化氮杂is not normally used during pregnancy. There are other medicines that are more suitable for treating high blood pressure in pregnancy.

如果您想怀孕或已经怀孕,请与您的医生谈谈服用Bendroflumethiazide是否适合您。您可能会改用其他药物来进行高血压。

弯曲的甲氮化氮杂and breastfeeding

母乳喂养时通常不建议弯曲。预计不会对您的宝宝造成任何伤害,但可以减少您生产的母乳量。

如果您需要在母乳喂养医生或助产士时服用弯曲氟甲氮化氮杂,将监测宝宝的体重。

Talk to your doctor, as other medicines might be better while you're breastfeeding.

非紧急建议:告诉您的医生,如果您是:

  • trying to get pregnant
  • 哺乳

8. Cautions with other medicines

Some medicines can affect the way bendroflumethiazide works.

告诉医生是否正在服用这些药物中的任何一种,然后才开始Bendroflumethiazide:

  • , a medicine used to treat depression and bipolar disorder
  • allopurinol,治疗痛风的药
  • non-steroidal anti-inflammatory drugs (NSAIDs) such asibuprofen,naproxen, or阿司匹林缓解疼痛
  • insulin or any other medicine used to treat diabetes
  • 环孢素,一种用于预防移植排斥或治疗其他疾病(例如牛皮癣或类风湿关节炎)的药物

Also tell your doctor if you're taking medicines that can affect your heart rhythm. There are lots of these, so check with your doctor or pharmacist. Examples include:

Tell your doctor if you're taking medicines that affect levels of potassium, sodium, calcium and magnesium and other salts or electrolytes in your blood. There are lots of these, so check with your doctor or pharmacist. Examples include:

Mixing bendroflumethiazide with herbal remedies and supplements

关于用弯曲氟噻嗪服用草药和补充剂的信息很少。它们的测试方式与药房和处方药相同。

Important:医学安全

告诉您的医生或药剂师,您是否正在服用其他药物,包括草药,维生素或补充剂。

9. Common questions about bendroflumethiazide

Bendroflumethiazide如何工作?

弯曲的甲氮化氮杂is a type of medicine called a thiazide diuretic.

噻嗪类利尿剂会使您的身体通过肾脏摆脱额外的液体。它增加了盐的量(例如钠和钾)和您撒尿的水。

This means you have less fluid in your tissues, which helps get rid of swelling and a build-up of fluid in your body (浮肿). You will also have less fluid in your blood vessels, which helps reduce your blood pressure.

Bendroflumethiazide需要多长时间才能工作?

Bendroflumethiazide大约需要2个小时才能开始工作。当您第一次开始服用Bendroflumethiazide时,血压可能需要3或4天。

How long does it work for?

一剂弯曲的甲硫代氮化噻嗪可工作约12至24小时。

You need to keep taking bendroflumethiazide regularly at the dose recommended by your doctor for it to continue to work.

How long will I take it for?

对于高血压,您可能需要长时间服用Bendroflumethiazide,甚至在您的余生中。

For fluid build-up it will depend on what's causing it, so check with your doctor how long you will need to take bendroflumethiazide for.

Is it safe to take for a long time?

如果需要,弯曲的甲硫代可以安全长时间安全。

Check with your doctor how long you will need to take bendroflumethiazide for, and make sure you see your doctor or nurse regularly to check your blood pressure and for blood tests. This is to make sure your kidneys are working well and the salts (electrolytes) in your blood are properly balanced.

How often you'll need these tests will depend on the reason you're taking bendroflumethiazide, if your dose has changed recently or if you have any other health problems.

如果我停止服用会发生什么?

If you stop taking bendroflumethiazide, your blood pressure is likely to rise. If you're taking it for a build-up of fluid (oedema), you may find extra fluid starts to become a problem again.

The levels of salts (electrolytes) in your blood might also change. Your doctor may suggest having a blood test after a week or two to check this.

How much fluid should I drink while I'm taking bendroflumethiazide?

Unless you have been advised by a doctor or nurse to limit how much fluid you drink, it's usually best to drink normally while you're taking bendroflumethiazide.

A good rule is to drink enough so that you're not thirsty for long periods.

如果您感觉不适,无法适当喝酒,请与医生交谈。

Steadily increase the amount you drink when you're exercising and during hot weather. If your pee's pale yellow or clear, then you're probably drinking enough fluid.

Are there other treatments that could help?

还有其他利尿剂,包括其他硫嗪利尿剂,可以帮助治疗高血压或液体的积累。

其他噻嗪类利尿剂的例子包括吲哚胺,chlortalidone,氢氯噻嗪和metolazone。其他类型的利尿剂的例子包括furosemide,bumetanide, amiloride and spironolactone.

There are also lots of other types of medicines to lower your blood pressure. They work in a different way to diuretics and include:

如果您的血压高,通常需要服用多种药物才能获得最佳作用。

If you cannot take bendroflumethiazide because of side effects, you may be able to switch to another medicine. Your doctor will advise which blood pressure medicines are best for you depending on your age, ethnicity and health.

它会影响哮喘或哮喘药物吗?

弯曲的甲氮化氮杂does not make asthma worse.

However, some medicines used to treat asthma can cause low levels of potassium in your blood, and this is also a side effect of bendroflumethiazide.

如果您患有哮喘,请与您的医生交谈,并且对Bendroflumethiazide是否对您有疑问。

Is it safe to take bendroflumethiazide when I'm vomiting or have diarrhoea?

如果你得到diarrhoea or vomiting, from a stomach bug or other illness, or you're not able to eat or drink properly, tell your doctor or speak to a pharmacist.

You may need to stop taking bendroflumethiazide for a short time. This is because taking bendroflumethiazide can increase the risk ofacute kidney injury,这是对肾脏的损害,如果您不能正确地进食或喝酒,或者由于腹泻或呕吐而失去了太多液体,可能会突然发生。

我可以在手术前服用弯曲氟甲嗪吗?

Tell your doctor that you're taking bendroflumethiazide if you're going to have a全身麻醉

弯曲甲氮二氮二氮硫酸可以降低您的血压,并与全身麻醉剂一起使用。

您的医生可能建议您在手术前24小时停止服用Bendroflumethiazide。

Will it affect my fertility?

没有证据表明,服用弯曲甲氮嗪会降低男性或女性的生育能力。

但是,在极少数情况下,弯曲甲硫代可能会导致erectile dysfunction (impotence)

如果您遇到问题或保持勃起,请与您的医生交谈。如果是弯曲甲氮化氮杂的原因,通常在停止治疗的几周内会变得更好。

If you're trying to get pregnant, speak to a pharmacist or your doctor. Bendroflumethiazide is not generally recommended during pregnancy so your doctor may advise switching to a different medicine.

Will it affect my contraception?

弯曲的甲硫代嗪不会影响任何类型的避孕药紧急避孕

但是,某些类型的激素避孕药,例如combined pillandcontraceptive patchor阴道环, are not usually recommended for women with high blood pressure. Talk to your doctor if you're taking a hormonal contraceptive.

Can I drive or ride a bike?

弯曲的甲氮化氮杂can make you feel dizzy. If this happens to you, do not drive a car, ride a bike, or use tools or machinery until you feel better.

Can I drink alcohol with it?

Drinking alcohol with bendroflumethiazide can lower your blood pressure or cause dehydration and make you feel dizzy or lightheaded.

During the first few days of taking bendroflumethiazide, or after increasing your dose, wait to see how the medicine affects you before you drink any alcohol.

If you feel OK, you can drink alcohol in moderation by following the national guidelines of no more than 14 units a week for men and women. A standard glass of wine (175ml) is 2 units. A pint of lager or beer is usually 2 to 3 units of alcohol.

如果您的血压高,最好不要定期大量酒精,因为这会进一步升高您的血压。

我需要避免任何食物或饮料吗?

Low-salt (or low-sodium) diets are not recommended when taking this medicine. This is because bendroflumethiazide can cause low levels of salts (or electrolytes) in your body.

Caffeinated drinks, such as tea, coffee, hot chocolate, cola and energy drinks, are not recommended. They can increase the effects of bendroflumethiazide, and make you need to pee more.

You can reduce the amount of caffeine you're having by swapping to decaffeinated drinks and drinking plenty of other fluids, such as water or squash.

Can lifestyle changes help?

You can boost your general health and the health of your heart by making some key lifestyle changes. These will also help if you have高血压

  • Lose weightif you're overweight.
  • Quit smoking– smoking increases your heart rate and blood pressure. Quitting smoking brings down your blood pressure and reduces your risk or heart disease and stroke. Try to avoid secondhand smoke too.
  • 限制您的alcohol units– drinking too much alcohol raises blood pressure over time. If you have high blood pressure, you should avoid drinking large amounts of alcohol regularly, as it can raise yourblood pressure
  • Exercise – regular exercise lowers blood pressure by keeping your heart and blood vessels in good condition. It does not need to be too energetic, walking every day can help.
  • 吃得好 - 旨在吃包括大量水果和蔬菜,全麦,无脂或低脂乳制品以及瘦蛋白质的饮食。最好遵循这些技巧,以减少盐饮食。吃太多盐是​​高血压的最大原因。您吃的盐越多,血压就会越高。每天的目标不超过6克盐,但是在服用弯曲氟甲氮化氮杂时,请避免非常严格的低盐或低钠饮食。
  • Deal withstress– when you're anxious or upset, your heart beats faster, you breathe more heavily and your blood pressure often goes up. Find ways to reduce stress in your life. Try napping or putting your feet up when possible. Spend time with friends and family to be social and help avoid stress.
  • 疫苗接种- 如果您患有严重的长期健康状况,例如非常超重,心脏病,心力衰竭,糖尿病,肝病或慢性肾脏疾病,建议您有一个流感疫苗每年和肺炎疫苗接种(也称为肺炎球菌疫苗) every 5 years. Ask your doctor about these vaccinations. You can have them free on the NHS if you are eligible.

如果您有水肿,也可以尝试:

  • lying down and raising your legs using a pillow 3 to 4 times a day to improve your circulation
  • taking gentle exercise, such as walking
  • avoiding standing for long periods of time