Ondansetron

Zamkati

• Musanatenge ondansetron,
• Ondansetron ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo:

Ondansetron amagwiritsidwa ntchito popewera nseru ndi kusanza zomwe zimayambitsidwa ndi chemotherapy ya khansa, chithandizo cha radiation, ndi opaleshoni. Ondansetron ali mgulu la mankhwala otchedwa serotonin 5-HT₃ otsutsana nawo. Zimagwira ntchito poletsa serotonin, chinthu chachilengedwe chomwe chingayambitse kusanza ndi kusanza.

Ondansetron amabwera ngati piritsi, piritsi losungunuka mwachangu (kusungunuka), kanema, ndi yankho lakamwa (madzi) kuti mutenge pakamwa. Mlingo woyamba wa ondansetron nthawi zambiri amatengedwa mphindi 30 isanayambike chemotherapy, 1 mpaka 2 maola isanayambike mankhwala a radiation, kapena ola limodzi asanachitike opaleshoni. Mankhwala owonjezera nthawi zina amatengedwa kamodzi kapena katatu patsiku pa chemotherapy kapena mankhwala a radiation komanso kwa masiku 1 mpaka 2 kutha kwa mankhwala. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ondansetron ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Osatafuna kanemayo.

Ngati mukumwa piritsi lomwe likuphwanyika mwachangu, chotsani piritsiyo musanamwe mankhwala. Kuti mutsegule phukusili, musayese kukankhira piritsiyo kudzera pothandizidwa ndi chithuza. M'malo mwake, gwiritsani ntchito manja owuma kuti muchepetse zojambulazo. Chotsani piritsilo pang'onopang'ono ndipo ikani piritsi pamwamba pa lilime lanu. Piritsi limasungunuka m'masekondi ochepa ndipo limatha kumezedwa ndi malovu.

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

Musanatenge ondansetron,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi ondansetron, alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), palonosetron (Aloxi, ku Akynzeo), mankhwala ena aliwonse, kapena chilichonse chophatikizira pazinthu za ondansetron. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala wanu ngati mukulandira apomorphine (Apokyn). Dokotala wanu angakuuzeni kuti musatenge pa dansetron ngati mukulandira mankhwalawa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala ena ogwidwa monga carbamazepine (Carbatrol, Epitol, Equetro, Tegretol) kapena phenytoin (Dilantin); clarithromycin (Biaxin, mu Prevpac); erythromycin (EES, Erythrocin, ena); fentanyl (Abstral, Actiq, Duragesic, Fentora, Lazanda, Onsolis, Subsys); lifiyamu (Lithobid); mankhwala a kugunda kwa mtima kosasinthasintha; mankhwala a matenda amisala; mankhwala ochizira migraines monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); methylene buluu; mirtazapine (Remeron); monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); moxifloxacin (Avelox); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); ndi tramadol (Conzip, Ultram, mu Ultracet). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira. Mankhwala ena ambiri amathanso kulumikizana ndi ondansetron, onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda a QT (zomwe zimawonjezera chiopsezo chokhala ndi kugunda kwamtima kosafunikira komwe kumatha kukomoka kapena kufa mwadzidzidzi), kapena mtundu wina wamatenda osakhazikika pamtima kapena vuto la kugunda kwamtima, kapena ngati mwakhalapo ndi magnesium kapena potaziyamu wamagazi ochepa magazi, kulephera kwa mtima (HF; momwe mtima sungapope magazi okwanira mbali zina za thupi), kapena matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga ondansetron, itanani dokotala wanu.
• 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 mumakonda kudya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ondansetron ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kudzimbidwa
• kufooka
• kutopa
• kuzizira
• Kusinza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi:

• kusawona bwino kapena kutaya masomphenya
• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa maso, nkhope, milomo, lilime, mmero, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kuvuta kupuma kapena kumeza
• kupweteka pachifuwa
• kupuma movutikira
• chizungulire, kupepuka, kapena kukomoka
• kuthamanga, kuchepa kapena kusakhazikika kwamtima
• kubvutika
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• malungo
• thukuta kwambiri
• chisokonezo
• nseru, kusanza, kapena kutsegula m'mimba
• kutayika kwa mgwirizano
• zolimba kapena zopindika minofu
• kugwidwa
• chikomokere (kutaya chidziwitso)

Ondansetron ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani mapiritsiwo ndi mapiritsi omwe amawonongeka mwachangu kutali ndi kuwala, kutentha kapena firiji. Sungani yankho mu botolo loyimirira kutentha kwapakati komanso kutali ndi kuwala, kutentha kwambiri, ndi chinyezi (osati kubafa).

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

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.

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:

• kutaya mwadzidzidzi masomphenya kwakanthawi kochepa
• chizungulire kapena mutu wopepuka
• kukomoka
• kudzimbidwa
• kugunda kwamtima kosasinthasintha

Sungani maimidwe onse ndi dokotala wanu.

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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