Zolmitriptan

Zamkati

• Musanatenge zolumikiza,
• Zolmitriptan zingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo:

Zolmitriptan imagwiritsidwa ntchito kuthana ndi zizindikilo za mutu waching'alang'ala (mutu wopweteka kwambiri womwe nthawi zina umaphatikizidwa ndi nseru ndikumvetsetsa mawu ndi kuwunika). Zolmitriptan ali mgulu la mankhwala otchedwa serotonin receptor agonists. Zimagwira ntchito pochepetsa mitsempha yamagazi mozungulira ubongo, kuletsa zowawa kuti zisatumizidwe kuubongo, ndikuletsa kutulutsidwa kwa zinthu zina zachilengedwe zomwe zimayambitsa kupweteka, nseru, ndi zizindikilo zina za migraine. Zolmitriptan siyimateteza ku migraine kapena kuchepetsa kuchuluka kwa mutu womwe muli nawo.

Zolmitriptan imabwera ngati piritsi komanso piritsi lomwe limasweka pakamwa (piritsi lomwe limasungunuka mwachangu mkamwa) kuti litenge pakamwa. Nthawi zambiri amatengedwa pachizindikiro choyamba cha mutu waching'alang'ala. Ngati zizindikiro zanu zikuyenda bwino mukamamwa zolmitriptan koma mukabwerera pambuyo pa maola awiri kapena kupitilira apo, mutha kumwa piritsi yachiwiri. Komabe, ngati zizindikilo zanu sizikusintha mukamamwa zolmitriptan, musamwe piritsi lachiwiri osamuyimbira dokotala. Dokotala wanu angakuuzeni kuchuluka kwa mapiritsi kapena mapiritsi omwe angawonongeke pakamwa omwe mungatenge munthawi ya maola 24. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani zolmitriptan ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mutha kutenga mlingo wanu woyamba wa zolmitriptan muofesi ya dokotala kapena malo ena azachipatala komwe mungayang'anitsidwe ngati mwayankha bwino.

Ngati dokotala wakupatsani mankhwala ochepera 2.5 mg, mutha kugwiritsa ntchito zala zanu kuthyola piritsi la 2.5-mg pamzere womwe umagawika pakati. Komabe, simuyenera kuthyola kapena kugawaniza piritsi lomwe likugawanika pakamwa.

Kuti mutenge piritsi lowonongeka pakamwa, gwiritsani ntchito manja owuma kuti muchepetse zojambulazo. Nthawi yomweyo chotsani piritsilo ndikuyika lilime lanu. Piritsi limasungunuka mwachangu ndipo limatha kumezedwa ndi malovu. Palibe madzi omwe amafunikira kuti amezere mapiritsi omwe amafa. Musatsegule zojambulazo kapena kuchotsa piritsi lomwe likuphwanyidwa pakamwa mpaka mutatsala pang'ono kutenga.

Itanani dokotala wanu ngati mutu wanu sukuchira kapena umachitika pafupipafupi mutatenga zolmitriptan.

Ngati mumamwa zolmitriptan pafupipafupi kapena motalika kuposa nthawi yolimbikitsidwa, mutu wanu umatha kukula kapena kumachitika pafupipafupi. Simuyenera kumwa zolmitriptan kapena mankhwala aliwonse akumutu kwa masiku opitilira 10 pamwezi. Itanani dokotala wanu ngati mukufuna kumwa zolmitriptan kuti muchiritse mutu wopitilira katatu mwezi umodzi.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge zolumikiza,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la zolmitriptan, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a zolmitriptan kapena mapiritsi omwe amafafaniza pakamwa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• musatenge zolmitriptan ngati mwamwa mankhwala aliwonse awa m'maola 24 apitawa: ma agonists ena osankhidwa a serotonin receptor monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt) , kapena sumatriptan (Imitrex, ku Treximet); kapena mankhwala amtundu wa ergot monga bromocriptine (Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot, Ergomar, Wigraine), methylergonovine (Methergine) ), ndi pergolide (Permax).
• musatenge zolmitriptan ngati mukumwa monoamine oxidase A (MAO-A) choletsa monga isocarboxazid (Marplan), phenelzine (Parnate), kapena tranylcypromine (Nardil) kapena ngati mwamwa imodzi mwa mankhwalawa m'masabata awiri apitawa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, zowonjezera zakudya, kapena mankhwala azitsamba omwe mukuwatenga kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: acetaminophen (Tylenol); antidepressants monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protripiline Surmontil); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); cimetidine (Tagamet); njira zakulera zakumwa ('mapiritsi oletsa kubereka'); propranolol (mawonekedwe); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); ndi serotonin / norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Pristiq), duloxetine (Cymbalta), sibutramine (Meridia), ndi venlafaxine (Effexor). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda amtima; matenda a mtima; angina (kupweteka pachifuwa); kugunda kwamtima kosasintha; sitiroko kapena 'mini-stroke'; kapena mavuto azizungulire monga mitsempha ya varicose, kuundana kwa magazi m'miyendo, matenda a Raynaud (mavuto okhudzana ndi magazi kupita ku zala, zala zakumapazi, makutu, ndi mphuno), kapena matenda am'matumbo amisempha (kutsegula m'mimba ndi kupweteka m'mimba komwe kumachitika chifukwa chotsika magazi matumbo). Dokotala wanu angakuuzeni kuti musatenge zolmitriptan.
• uzani dokotala wanu ngati mumasuta kapena mukulemera kwambiri; ngati mwakhalapo ndi kuthamanga kwa magazi, cholesterol, shuga, kapena chiwindi kapena matenda a impso; ngati mwatha kusintha (kusintha kwa moyo); kapena ngati ena m'banjamo adakhalapo kapena adakhalapo ndi matenda amtima kapena sitiroko.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Ngati mukufuna kuchita zachiwerewere mukamamwa mankhwalawa, lankhulani ndi dokotala wanu za njira zothandiza zolerera. Mukakhala ndi pakati mukatenga zolmitriptan, itanani dokotala wanu.
• Muyenera kudziwa kuti mankhwalawa atha kukupangitsani kugona kapena kuzunguzika. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zolmitriptan zimakukhudzirani.
• lankhulani ndi dokotala wanu zam'mutu mwanu kuti muwone kuti amayamba chifukwa cha migraine. Zolmitriptan sayenera kugwiritsidwa ntchito pochiza mitundu ina ya mutu waching'alang'ala (hemiplegic kapena basilar) kapena mitundu ina ya mutu (monga mutu wamagulu).
• ngati muli ndi phenylketonuria (PKU, mkhalidwe wobadwa nawo momwe muyenera kudya chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe), muyenera kudziwa kuti mapiritsi omwe amawonongeka pakamwa amakhala ndi aspartame yomwe imapanga phenylalanine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Zolmitriptan zingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kumva kutentha kapena kuzizira
• Kusinza
• pakamwa pouma
• nseru
• kutentha pa chifuwa
• thukuta
• chizungulire kapena kukomoka

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kupweteka, kulimba, kupanikizika, kapena kulemera pachifuwa, pakhosi, khosi, kapena nsagwada
• mawu odekha kapena ovuta
• kufooka kapena kufooka kwa mkono kapena mwendo
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• kutsegula m'mimba
• mwadzidzidzi kapena kupweteka kwambiri m'mimba
• wotumbululuka kapena utoto wabuluu wa zala ndi zala
• kupuma movutikira
• kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
• kuvuta kupuma kapena kumeza
• ukali
• zidzolo
• ming'oma
• kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri, ndi chinyezi (osati kubafa). Chotsani mapiritsi aliwonse omwa pakamwa omwe mudachotsa pa blister koma simunawagwiritse ntchito nthawi yomweyo.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• Kusinza kwambiri

Sungani maimidwe onse ndi dokotala wanu. Magazi anu ayenera kuyang'aniridwa pafupipafupi.

Muyenera kulemba zolemba pamutu polemba pomwe muli ndi mutu komanso mukatenga zolmitriptan.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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