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【藥物資料庫】 一文了解什麼是METHYLDOPA | 副作用大嗎? METHYLDOPA 可以治療高血壓, 妊娠高血壓嗎? | careEASY 康護易

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項目

名稱/學名

METHYLDOPA

自費或醫管局資助

醫管局藥物名冊

適應症

高血壓, 妊娠高血壓

身體系統

心臟科

種類 

高血壓和心臟衰竭

藥物簡介

甲基多巴(Methyldopa)是一种用于治疗高血压的药物,通过降低血压来减轻心脏负担。它属于一类称为中枢α-肾上腺素能受体激动剂的药物,通过影响大脑中的特定区域来减少交感神经系统的活性,从而降低血压。

甲基多巴通常用于长期治疗高血压,特别是在怀孕期间,因为它被认为是安全的孕妇高血压的治疗选择之一。在使用过程中,可能会出现一些副作用,如头晕、疲劳、消化不良等。如果出现严重副作用,如心动过缓、肝功能异常等,应立即就医。

在使用甲基多巴之前,应遵循医生的建议,严格按照处方用药,并定期监测血压。不应自行调整剂量或停止用药,以免影响疗效。如果有任何疑问或不适,应及时咨询医生。

用法用量

使用方法:藥物METHYLDOPA通常需要每日服用,可以隨餐或空腹服用。建議在同一時間每天服用以確保穩定性。在服用期間應避免食用高蛋白食物,如奶製品或肉類,以免影響藥效。此外,應避免突然停止使用藥物,應按醫師指示逐漸減少劑量。

劑量指引:對於成人,建議起始劑量為每日250毫克至500毫克,分為2至4次服用。根據血壓反應,醫師可能調整劑量,最大劑量可達每日3克。對於兒童,劑量則根據體重而定,通常每日10至30毫克/公斤體重,分為2至4次服用。醫師會根據患者的具體情況和需要進行個別劑量調整。患者應嚴格按照醫師指示使用藥物,並定期進行複查以確保治療效果。

副作用

METHYLDOPA係一種降血壓藥物,常見副作用包括頭暈、疲倦、頭痛同埋胃腸不適。部分病人可能出現水腫、性慾減退、皮膚反應或者肝功能異常。長期使用可能導致貧血或低血壓,有時亦會影響情緒同埋睡眠質素。如果出現嚴重副作用,例如呼吸困難、心跳不規則或者嚴重頭痛,應立即求醫。使用METHYLDOPA時應遵從醫生指示,定期監測血壓同埋健康狀況。

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禁忌

藥物名稱:METHYLDOPA

禁忌人群:
1. 對METHYLDOPA過敏者禁用,可能引起嚴重過敏反應,包括皮膚紅腫、呼吸困難等。
2. 孕婦在懷孕前3個月及後期懷孕者應避免使用METHYLDOPA,可能對胎兒產生不良影響。
3. 孕婦及哺乳期婦女應在醫師指導下使用,以免對胎兒或嬰兒產生不良影響。
4. 患有嚴重肝臟疾病、腎功能不全、自發性低血壓或嗜睡症患者應避免使用METHYLDOPA,可能加重疾病症狀。
5. 患有憂鬱症或其他精神疾病者應謹慎使用METHYLDOPA,可能加重精神症狀。

請在使用METHYLDOPA前諮詢醫師,確保自身情況適合使用該藥物,避免可能的風險及副作用。

注意事項

No valid response from GPT API

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  • 孕婦用藥分級

    Methyldopa是一種用於高血壓治療的藥物。對於懷孕婦女,應該注意以下預防措施:

    1. 在懷孕前和懷孕期間,應該諮詢醫生的建議。使用Methyldopa可能對胎兒造成風險,醫生可以幫助評估藥物的好處和風險。

    2. 不要停止或改變Methyldopa的劑量,除非得到醫生的指示。突然停止使用可能會對母親和胎兒造成危險。

    3. 盡量避免在懷孕的前三個月使用Methyldopa,因為這是胎兒發育的關鍵時期。

    4. 如果已經懷孕,應該定期接受醫生的監測和追蹤,以確保藥物對母親和胎兒的影響受到控制。

    遵守這些預防措施可以幫助懷孕婦女安全地使用Methyldopa治療高血壓,並最大程度地降低對胎兒的風險。

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