Olanzapine

Zamkati

• Musanatenge olanzapine,
• Olanzapine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHACHENJEZO kapena gawo LOPHUNZITSIRA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Kafukufuku wasonyeza kuti achikulire omwe ali ndi vuto la misala (vuto laubongo lomwe limakhudza kukumbukira, kuganiza bwino, kulumikizana, komanso kuchita zinthu za tsiku ndi tsiku zomwe zingayambitse kusintha kwa malingaliro ndi umunthu) omwe amatenga ma antipsychotic (mankhwala amisala) monga olanzapine khalani ndi mwayi wambiri wakufa panthawi yachithandizo. Achikulire achikulire omwe ali ndi matenda a dementia amathanso kukhala ndi mwayi wambiri wopwetekedwa mtima kapena kupwetekedwa pang'ono panthawi yachipatala.

Olanzapine sivomerezedwa ndi Food and Drug Administration (FDA) pochiza zovuta zamakhalidwe kwa achikulire omwe ali ndi matenda amisala. Lankhulani ndi dokotala yemwe adakupatsani mankhwalawa ngati inu, wachibale wanu, kapena wina amene mumamusamalira ali ndi vuto la misala ndipo akutenga olanzapine. Kuti mumve zambiri pitani patsamba la FDA: http://www.fda.gov/Drugs

Olanzapine amagwiritsidwa ntchito pochiza matenda a schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kwachilendo, kutaya chidwi ndi moyo, komanso kukhudzidwa mwamphamvu kapena kosayenera) mwa akulu ndi achinyamata azaka 13 kapena kupitilira apo. Amagwiritsidwanso ntchito pochiza matenda ochititsa munthu kusinthasintha zochitika (manic depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania, ndi zina zosakhala zachilendo) mwa akulu ndi achinyamata azaka 13 kapena kupitilira apo. Olanzapine ali mgulu la mankhwala otchedwa antipychotic antipsychotic. Zimagwira ntchito posintha zochitika za zinthu zina zachilengedwe muubongo.

Olanzapine amabwera ngati piritsi komanso piritsi lomwe limasweka pakamwa (piritsi lomwe limasungunuka mwachangu mkamwa) kuti litenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Tengani olanzapine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani olanzapine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Musayese kukankhira piritsi lomwe likuphwanyidwa pakamwa kudzera pa zojambulazo. M'malo mwake, gwiritsani ntchito manja owuma kuti muchepetse zojambulazo. Nthawi yomweyo chotsani piritsi ija ndikuyiyika pakamwa panu. Phalelo limasungunuka mwachangu ndipo limatha kumeza kapena popanda madzi.

Dokotala wanu akhoza kukuyambitsani pa olanzapine wocheperako pang'ono ndi pang'ono ndikuwonjezera kuchuluka kwanu.

Olanzapine itha kuthandizira kuwongolera zizindikilo zanu, koma sizichiza matenda anu. Zitha kutenga milungu ingapo kapena kupitilira apo musanapindule ndi olanzapine. Pitilizani kumwa olanzapine ngakhale mukumva bwino. Osasiya kumwa olanzapine osalankhula ndi dokotala. Dokotala wanu angafune kuchepetsa mlingo wanu pang'onopang'ono.

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

Musanatenge olanzapine,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi olanzapine kapena mankhwala aliwonse.
• 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; carbamazepine (Tegretol); dopamine agonists monga bromocriptine (Parlodel), cabergoline (Dostinex), levodopa (Dopar, Larodopa), pergolide (Permax), ndi ropinirole (Requip); maantibayotiki a fluoroquinolone kuphatikiza ciprofloxacin (Cipro), gatifloxacin (Tequin) (sikupezeka ku United States), levofloxacin (Levaquin), norfloxacin (Noroxin), ofloxacin (Floxin), ena; fluvoxamine (Luvox); ipratropium (Atrovent); mankhwala a nkhawa, kuthamanga kwa magazi, matenda opweteka m'mimba, matenda amisala, kuyenda koyenda, matenda a Parkinson, khunyu, zilonda zam'mimba, kapena mavuto amikodzo; omeprazole (Prilosec); mfuti (Rifadin); mankhwala ogonetsa; mapiritsi ogona; ticlopidine (Ticlid); ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwagwiritsirapo ntchito mankhwala osokoneza bongo kapena munagwiritsa ntchito mankhwala osokoneza bongo mopitirira muyeso ndipo ngati munagwidwa ndi stroke, pang'ono-stroke, matenda a mtima kapena matenda a mtima, kugunda kwa mtima kosalekeza, kulephera kwa mtima, mavuto amikodzo, khunyu, khansa ya m'mawere, vuto lililonse lomwe limakupangitsani kuvuta kumeza, kuvuta kuti musamayime bwino, kuthamanga kwambiri kapena kuthamanga magazi, kuchuluka kwamafuta (cholesterol ndi triglycerides) m'magazi anu, kuchuluka kwa maselo oyera amwazi, chiwindi kapena matenda a prostate, ileus wodwala manjenje (momwe chakudya sichingadutse m'matumbo); glaucoma (vuto la maso), kapena shuga wambiri m'magazi, kapena ngati inu kapena aliyense m'banja mwanu mwakhalapo ndi matenda ashuga. Uzani dokotala wanu ngati mukudwala, kusanza kwambiri kapena kutsekula m'mimba kapena zizindikiro zakusowa madzi m'thupi tsopano, kapena ngati mukukhala ndi zizindikiritso izi nthawi iliyonse mukamalandira chithandizo. Uzaninso dokotala wanu ngati munasiya kumwa mankhwala a matenda amisala chifukwa cha zovuta zina.
• uzani dokotala wanu ngati muli ndi pakati, makamaka ngati muli m'miyezi ingapo yapitayo ya mimba yanu, kapena ngati mukufuna kutenga pakati kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga olanzapine, itanani dokotala wanu. Olanzapine atha kubweretsa mavuto kwa ana obadwa kumene atabadwa ngati atengedwa m'miyezi yapitayi yamimba.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa olanzapine.
• muyenera kudziwa kuti olanzapine atha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Muyenera kudziwa kuti mowa umatha kuwonjezera kugona komwe kumayambitsidwa ndi mankhwalawa. Musamwe mowa mukamamwa olanzapine.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.
• muyenera kudziwa kuti mutha kukhala ndi hyperglycemia (kuchuluka kwa shuga m'magazi anu) mukamamwa mankhwalawa, ngakhale mulibe matenda ashuga. Ngati muli ndi schizophrenia, mumakhala ndi matenda ashuga kuposa anthu omwe alibe schizophrenia, ndipo kumwa olanzapine kapena mankhwala omwewo kungapangitse ngozi imeneyi. Uzani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro izi mukamamwa olanzapine: ludzu lokwanira, kukodza pafupipafupi, njala yayikulu, kusawona bwino, kapena kufooka. Ndikofunika kuyimbira dokotala wanu mukangokhala ndi izi, chifukwa shuga wambiri m'magazi amatha kuyambitsa vuto lalikulu lotchedwa ketoacidosis. Ketoacidosis imatha kukhala pangozi ngati singachiritsidwe koyambirira. Zizindikiro za ketoacidosis zimaphatikizapo: pakamwa pouma, nseru ndi kusanza, kupuma movutikira, mpweya womwe umanunkhira zipatso, ndikuchepetsa chidziwitso.
• muyenera kudziwa kuti olanzapine imatha kubweretsa kugunda kwamtima mwachangu kapena pang'onopang'ono, chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa olanzapine. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti olanzapine amatha kupangitsa kuti thupi lanu lizizizira kuzizira mukatentha kwambiri. Uzani dokotala wanu ngati mukufuna kuchita masewera olimbitsa thupi mwamphamvu kapena kutentha kwambiri.
• 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.
• Muyenera kudziwa kuti olanzapine akagwiritsidwa ntchito kuchiritsa achinyamata, ayenera kugwiritsidwa ntchito ngati gawo la pulogalamu yathunthu yamankhwala yomwe ingaphatikizepo upangiri ndi chithandizo chamaphunziro. Onetsetsani kuti mwana wanu akutsatira malangizo onse a dokotala komanso / kapena othandizira.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Onetsetsani kuti mumamwa madzi ambiri tsiku lililonse mukamamwa mankhwalawa.

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.

Olanzapine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chizungulire, kumva kusakhazikika, kapena kukhala ndi vuto loti musamachite zinthu mopitirira malire
• kusakhazikika
• khalidwe losazolowereka
• kukhumudwa
• kuvuta kugona kapena kugona
• kufooka
• kuyenda movutikira
• kudzimbidwa
• kunenepa
• pakamwa pouma
• kupweteka kwa mikono, miyendo, kumbuyo, kapena mafupa
• kukulitsa kapena kutulutsa bere
• kusamba mochedwa kapena posachedwa
• amachepetsa kuthekera kwakugonana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHACHENJEZO kapena gawo LOPHUNZITSIRA, itanani dokotala wanu mwachangu:

• kugwidwa
• kusintha kwa masomphenya
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kusuntha kwachilendo kwa nkhope yanu kapena thupi lanu lomwe simungathe kulilamulira
• kugwa
• zilonda zapakhosi, malungo, kuzizira, ndi zizindikiro zina za matenda
• minofu yolimba kwambiri
• thukuta lopitirira
• kuthamanga kapena kusakhazikika kwamtima
• zotupa zomwe zimatha kuchitika ndi malungo, kutupa kwa gland, kapena kutupa kwa nkhope
• khungu lofiira kapena khungu
• ming'oma
• kuvuta kupuma kapena kumeza

Olanzapine amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Kutenga olanzapine kungapangitse kuchuluka kwamafuta m'magazi anu kukulira. Lankhulani ndi dokotala wanu za kuopsa kwakumwa olanzapine.

Achinyamata omwe amatenga olanzapine ali pachiwopsezo chachikulu kuposa achikulire omwe amatenga olanzapine kunenepa, awonjezera mafuta m'magazi awo, amakhala ndi mavuto a chiwindi, ndipo amakumana ndi zovuta monga kugona, kukulitsa mawere, ndi kutuluka m'mabere. Lankhulani ndi dokotala wa mwana wanu za kuopsa kochiza mwana wanu ndi olanzapine. Dokotala wa mwana wanu angasankhe kaye kupereka mankhwala ena omwe alibe zoopsa izi.

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. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Nthawi zonse sungani mapiritsi omwe amawonongeka pakamwa mu phukusi lawo losindikizidwa, ndipo muwagwiritse ntchito mukangotsegula phukusili.

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
• mawu osalankhula
• kubvutika
• kugunda kwamtima mwachangu
• mayendedwe mwadzidzidzi omwe simungathe kuwongolera
• chikomokere (kutaya chidziwitso kwakanthawi)

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira olanzapine.

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.

• Zyprexa^®
• Zyprexa^® Zydis

• Chizindikiro^® (yokhala ndi Fluoxetine, Olanzapine)