Komiteti i Barnave p\u00ebr P\u00ebrdorim t\u00eb Vler\u00ebsimit Human t\u00eb EMA (CHMP) ka konfirmuar rekomandimin e Komitetit t\u00eb Vler\u00ebsimit t\u00eb Riskut p\u00ebr Farmakovigjilenc\u00eb (PRAC) dhe ka arritur n\u00eb p\u00ebrfundimin q\u00eb autorizimi p\u00ebr tregtim i barnave q\u00eb p\u00ebrmbajn\u00eb cinoksacina, flumekina, acid nalidiksik e acid pipemidik duhen pezulluar\u201d,-thekson Urdhri i Farmacist\u00ebve t\u00eb Shqip\u00ebris\u00eb.<\/p>\n
Efektet e pad\u00ebshiruara
\n-Barnat q\u00eb i p\u00ebrkasin klas\u00ebs s\u00eb flourkinoloneve (ciprofloksacin\u00eb, levofloksacin\u00eb, moxifloksacin\u00eb, norfloksacin\u00eb, pefloksacin\u00eb, prulifloksacin\u00eb dhe rufloksacin\u00eb) mund t\u00eb shkaktojn\u00eb efekte t\u00eb pad\u00ebshiruara nga p\u00ebrdorimi i p\u00ebrs\u00ebritur ose p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb duke prekur tendinat, muskujt, artikulacionet, sistemi nervor.
\n-K\u00ebto efekte t\u00eb pad\u00ebshiruara p\u00ebrfshijn\u00eb: tendina t\u00eb inflamuara, tendina t\u00eb dob\u00ebta, dhimbje ose d\u00ebmtime muskulare, fryrje, \u00ebnjtje t\u00eb artikulacioneve, v\u00ebshtir\u00ebsi n\u00eb ecje, ndjesia e gjilp\u00ebrave n\u00eb k\u00ebmb\u00eb (ndjesi shpuese), djegie, lodhje, depresion, probleme t\u00eb memories, gjumit, shikimit, veshit, ndryshimi i shijes dhe nuhatjes.
\n-Enjtja e lezioneve t\u00eb ten dinave mund t\u00eb verifikohet brenda dy dit\u00ebve t\u00eb para t\u00eb fillimit t\u00eb trajtimit me nj\u00eb flourkinolon, por mund t\u00eb verifikohet dhe disa muaj pas nd\u00ebrprerjes s\u00eb trajtimit.<\/p>\n
-Duhet t\u00eb nd\u00ebrprisni marrjen e barit t\u00eb klas\u00ebs flourkinolon dhe t\u00eb merrni kontakt t\u00eb menj\u00ebhersh\u00ebm me mjekun n\u00eb rastet e m\u00ebposhtme:
\n\u00b7Shfaqje t\u00eb lezioneve t\u00eb tendinave si dhimbje ose \u00ebnjtje (duhet t\u00eb mbani regjim shtrir\u00eb);
\n\u00b7Dhimbje, ndjesi t\u00eb shpimit si t\u00eb gjilp\u00ebrave n\u00eb k\u00ebmb\u00eb, gudulisje, mpirje, djegie ose dob\u00ebsim n\u00eb m\u00ebnyr\u00eb t\u00eb ve\u00e7ant\u00eb t\u00eb k\u00ebmb\u00ebve dhe krah\u00ebve.
\n\u00b7\u00cbnjtje t\u00eb shpatull\u00ebs, krahut, k\u00ebmb\u00ebve ose v\u00ebshtir\u00ebsi n\u00eb ecje, lodhje, depresion, probleme me memorien, shqet\u00ebsime t\u00eb gjumit, shikimit, ndryshimit t\u00eb shijes dhe nuhatjes. Mjeku vendos n\u00ebse pacienti duhet t\u00eb vazhdoje trajtimin ose n\u00ebse \u00ebsht\u00eb e nevojshme t\u00eb merret nj\u00eb antibiotik tjet\u00ebr.
\n-Shfaqja e dhimbjes s\u00eb artikulacioneve, enjtja, d\u00ebmtimi i tendinave \u00ebsht\u00eb m\u00eb i shprehur n\u00eb pacient\u00ebt mbi 60 vje\u00e7, me probleme me veshkat ose q\u00eb kan\u00eb patur nj\u00eb transplant t\u00eb organeve.<\/p>\n
-Komunikoni me mjekun n\u00eb qoft\u00ebse po trajtoheni me kortizone (barna si: idrokortizon, prednizolon) ose n\u00ebse duhet t\u00eb merrni nj\u00eb trajtim me barna kortizonik. D\u00ebmtimi i tendinave \u00ebsht\u00eb m\u00eb i shprehur n\u00ebse merrni nj\u00ebkohesisht nj\u00eb bar t\u00eb klas\u00ebs s\u00eb kortizoneve dhe flourkinoloneve.
\n-Nuk duhet p\u00ebrdorur bari i klas\u00ebs s\u00eb flourkinoloneve n\u00eb qoft\u00ebse ka shfaqur efekte t\u00eb pad\u00ebshiruara nga p\u00ebrdorimi i m\u00ebparsh\u00ebm i barnave flourkinolon ose kinolon dhe k\u00ebt\u00eb duhet t\u2019ja komunikoni mjekut dhe farmacistit tuaj.
\n-N\u00ebse keni ndonj\u00eb dyshim ose problem nga k\u00ebto barna, duhet t\u00eb flisni me mjekun ose farmacistin.<\/p>\n
\u00a0<\/strong>Kategorit\u00eb m\u00eb t\u00eb riskuara<\/strong> Fluorkinolonet nuk duhen p\u00ebrdorur n\u00eb p\u00ebrgjith\u00ebsi nga pacient\u00ebt q\u00eb kan\u00eb pasur efekte t\u00eb pad\u00ebshiruara t\u00eb parikuperushme nga p\u00ebrdorimi i barnave t\u00eb klas\u00ebs s\u00eb kinoloneve e flourkinoloneve. Nga p\u00ebrmbledhjet e karakteristikave t\u00eb produktit t\u00eb p\u00ebrdit\u00ebsuara duhet t\u00eb verifikohen indikacionet e autorizuara se kur duhet t\u00eb merret n\u00eb konsiderat\u00eb trajtimi me nj\u00eb bar t\u00eb klas\u00ebs s\u00eb flourkinoloneve, p\u00ebr arsye se k\u00ebto barna kan\u00eb indikacione t\u00eb kufizuara. P\u00ebrfitimet risk-benefit t\u00eb klas\u00ebs flourkinoloneve do t\u00eb jen\u00eb t\u00eb monitoruara n\u00eb vazhdim\u00ebsi dhe studimi i barit do t\u00eb sh\u00ebrbej\u00eb n\u00eb vler\u00ebsimin e efektivitetit t\u00eb masave t\u00eb reja q\u00eb duhen marr\u00eb p\u00ebr kufizimin e p\u00ebrdorimit t\u00eb k\u00ebsaj klase.<\/p>\n","protected":false},"excerpt":{"rendered":" Komiteti i Barnave p\u00ebr P\u00ebrdorim t\u00eb Vler\u00ebsimit Human t\u00eb EMA (CHMP) ka konfirmuar rekomandimin e Komitetit t\u00eb Vler\u00ebsimit t\u00eb Riskut p\u00ebr Farmakovigjilenc\u00eb (PRAC) dhe ka arritur n\u00eb p\u00ebrfundimin q\u00eb autorizimi p\u00ebr tregtim i barnave q\u00eb p\u00ebrmbajn\u00eb cinoksacina, flumekina, acid nalidiksik e acid pipemidik duhen pezulluar\u201d,-thekson Urdhri i Farmacist\u00ebve t\u00eb Shqip\u00ebris\u00eb. Efektet e pad\u00ebshiruara -Barnat q\u00eb […]<\/p>\n","protected":false},"author":2020,"featured_media":63831,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[241,231,235],"tags":[],"class_list":{"0":"post-63826","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-aktualitet","8":"category-lajme","9":"category-vendi"},"_links":{"self":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/posts\/63826","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/users\/2020"}],"replies":[{"embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/comments?post=63826"}],"version-history":[{"count":0,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/posts\/63826\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/media\/63831"}],"wp:attachment":[{"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/media?parent=63826"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/categories?post=63826"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zjarr.tv\/sq\/wp-json\/wp\/v2\/tags?post=63826"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nP\u00ebrdorimi i antibiotik\u00ebve q\u00eb u p\u00ebrkasin klas\u00ebs s\u00eb fluorkinoloneve, shoq\u00ebrohet me efekte t\u00eb pad\u00ebshiruara t\u00eb parikuperueshme, q\u00eb mund t\u00eb zgjasin (muaj, vite) dhe prekin organet ose sistemet. Efektet e pad\u00ebshiruara serioze prekin tendinat, japin artralgji, dhimbje t\u00eb ekstremiteteve, debules\u00eb, neuropati e shoq\u00ebruar me parastezi, depresion, lodhje, shqet\u00ebsime t\u00eb gjumit, d\u00ebgjimit, shikimit, shijuarit dhe ndjeshm\u00ebris\u00eb. D\u00ebmtimet e tendinave (n\u00eb m\u00ebnyr\u00eb t\u00eb ve\u00e7ant\u00eb tendina e Akilit, por dhe tendinat e tjera) mund t\u00eb vihen re brenda 48 or\u00ebve t\u00eb para t\u00eb fillimit t\u00eb trajtimit me flourkinolone, por d\u00ebmtimet mund t\u00eb ndodhin edhe disa muaj pas p\u00ebrfundimit t\u00eb trajtimit. Pacient\u00ebt e moshuar me probleme renale ose q\u00eb kan\u00eb patur nj\u00eb transplant t\u00eb organeve dhe q\u00eb kan\u00eb qen\u00eb n\u00eb trajtim me barna kortizonik, paraqesin risk t\u00eb lart\u00eb t\u00eb d\u00ebmtimeve t\u00eb tendinave. Te pacient\u00ebt e k\u00ebsaj grupliste administrimi i nj\u00ebkoh\u00ebsish\u00ebm i kortizon\u00ebve me flourkinolon duhet evituar. Me shfaqjen e shenjave t\u00eb para si dhimbje t\u00eb tendinave ose inflamacione, pacient\u00ebt duhet t\u00eb njoftohen t\u00eb nd\u00ebrpresin trajtimin me flourkinolone. Pacient\u00ebt t\u00eb jen\u00eb n\u00eb kontakt me mjekun n\u00eb rast t\u00eb simptomave t\u00eb neuropatis\u00eb si dhimbje, djegie, ndjesi shpuese n\u00eb k\u00ebmb\u00eb, lodhje.<\/p>\n