Dextroamphetamine ndi Amphetamine

Zamkati

• Musanatenge dextroamphetamine ndi amphetamine,
• Dextroamphetamine ndi amphetamine zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Kuphatikiza kwa dextroamphetamine ndi amphetamine kumatha kukhala chizolowezi. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala. Ngati mumamwa kwambiri dextroamphetamine ndi amphetamine, mutha kupitiriza kumva kuti mukufunika kumwa mankhwala ochuluka, ndipo mutha kusintha zosintha zachilendo pamakhalidwe anu. Inu kapena amene amakusamalirani muyenera kuuza adotolo nthawi yomweyo, ngati mukukumana ndi izi: kusala, kugunda, kapena kugunda kwamtima kosasinthasintha; thukuta; ana otanuka; chisangalalo chachilendo; kusakhazikika; kukwiya; Kuvuta kugona kapena kugona; udani; ndewu; nkhawa; kusowa chilakolako; kutayika kwa mgwirizano; kayendedwe kosalamulirika ka gawo la thupi; khungu lofewa; kusanza; kupweteka m'mimba; kapena kuganiza zodzipweteka kapena kudzipha nokha kapena ena kapena kukonzekera kapena kuyesa kutero. Kugwiritsa ntchito dextroamphetamine ndi amphetamine kumayambitsanso mavuto amtima kapena kufa mwadzidzidzi.

Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo. Dokotala wanu sangakupatseni mankhwala a dextroamphetamine ndi amphetamine.

Osasiya kumwa dextroamphetamine ndi amphetamine osalankhula ndi dokotala, makamaka ngati mwagwiritsa ntchito mankhwalawa mopitirira muyeso. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono ndikukuyang'anirani mosamala panthawiyi. Mutha kukhala ndi nkhawa yayikulu komanso kutopa kwambiri ngati mwasiya mwadzidzidzi kumwa dextroamphetamine ndi amphetamine mukazigwiritsa ntchito.

Musagulitse, kupereka, kapena kulola wina aliyense kumwa mankhwala anu. Kugulitsa kapena kupereka dextroamphetamine ndi amphetamine kumatha kuvulaza ena ndipo ndichotsutsana ndi lamulo. Sungani dextroamphetamine ndi amphetamine pamalo abwino kuti pasapezeke wina aliyense amene angazitengere mwangozi kapena mwadala. Onetsetsani kuti ndi mapiritsi angati kapena makapisozi omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso zaopanga (Medication Guide) mukayamba mankhwala ndi dextroamphetamine ndi amphetamine ndipo nthawi iliyonse mukalandira mankhwala ambiri. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Kuphatikiza kwa dextroamphetamine ndi amphetamine (Adderall, Adderall XR, Mydayis) imagwiritsidwa ntchito ngati gawo la pulogalamu yothandizira kuthana ndi vuto lakuchepa kwa matenda osokoneza bongo (ADHD; zovuta kwambiri kuyang'ana, kuwongolera zochita, ndikukhala chete kapena chete kuposa anthu ena omwe ali m'badwo womwewo). Adderall imagwiritsidwa ntchito pochiza ADHD kwa akulu ndi ana azaka 3 kapena kupitirira. Adderall XR imagwiritsidwa ntchito pochiza ADHD kwa akulu ndi ana azaka 6 kapena kupitilira apo. Mydayis imagwiritsidwa ntchito pochiza ADHD kwa akulu ndi ana azaka 13 zakubadwa kapena kupitilira apo. Dextroamphetamine ndi amphetamine (Adderall) imagwiritsidwanso ntchito pochiza matenda osokoneza bongo (matenda ogona omwe amachititsa kugona tulo masana kwambiri komanso kugona mwadzidzidzi) mwa akulu ndi ana azaka 12 kapena kupitirira. Kuphatikiza kwa dextroamphetamine ndi amphetamine kuli m'kalasi la mankhwala omwe amatchedwa central system system stimulants. Zimagwira ntchito posintha kuchuluka kwa zinthu zina zachilengedwe muubongo.

Kuphatikiza kwa dextroamphetamine ndi amphetamine kumabwera ngati piritsi lokhazika mtima pansi (Adderall) komanso kapisozi womasula (wautali) (Adderall XR, Mydayis) woti azitenga pakamwa. Piritsi lotulutsira pomwepo (Adderall) nthawi zambiri limatengedwa kawiri mpaka katatu patsiku, maola 4 mpaka 6 padera, wopanda kapena wopanda chakudya. The capsule yotulutsidwa nthawi yayitali (Adderall XR) nthawi zambiri amatengedwa ikadzuka kapena wopanda chakudya. Capsule yotulutsa nthawi yayitali (Mydayis) nthawi zambiri amatengedwa akadzuka ndipo amayenera kumwedwa mosasinthasintha mwina ndi chakudya. Kuphatikiza kwa Dextroamphetamine ndi amphetamine sikuyenera kutengedwa madzulo kapena madzulo chifukwa kumatha kubweretsa kugona kapena kugona. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani dextroamphetamine ndi amphetamine ndendende monga momwe adauzira.

Kumeza lonse makapisozi kumasulidwa lonse; musatafune kapena kuwaphwanya. Ngati mukulephera kumeza kapisozi womasulidwa, mutha kutsegula kapsuleyo ndikuwaza zonse zomwe zili mkapuni kake ka maapulolece. Kumeza izi osakaniza nthawi yomweyo popanda kutafuna. Osasunga ma applesauce ndi mankhwala osakaniza kuti mugwiritse ntchito mtsogolo, ndipo musagawane zomwe zili mu kapisozi umodzi muyezo umodzi.

Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa dextroamphetamine ndi amphetamine ndikuwonjezera mlingo wanu pang'onopang'ono, osati kangapo kamodzi pa sabata.

Dokotala wanu angakuuzeni kuti musiye kumwa dextroamphetamine ndi amphetamine nthawi ndi nthawi kuti muwone ngati mankhwalawa akufunikirabe. Tsatirani malangizowa mosamala.

Mankhwalawa amatengera mosiyanasiyana thupi, motero dextroamphetamine imodzi ndi mankhwala amphetamine sangalowe m'malo mwa chinthu china. Ngati mukusintha kuchokera kuzinthu zina kupita kwina, dokotala wanu adzakupatsani mlingo woyenera kwa inu.

Kuphatikiza kwa dextroamphetamine ndi amphetamine sikuyenera kugwiritsidwa ntchito kuthana ndi kutopa kwambiri komwe sikumayambitsidwa ndi narcolepsy.

Mankhwalawa amatha kuperekedwera zochitika zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge dextroamphetamine ndi amphetamine,

• auzeni dokotala ndi wazamankhwala ngati muli ndi vuto la amphetamine, dextroamphetamine, mankhwala ena othandiza monga benzphetamine, lisdexamfetamine (Vyvanse), kapena methamphetamine (Desoxyn); Mankhwala ena aliwonse, kapena chilichonse chosakaniza mu dextroamphetamine ndi amphetamine kukonzekera. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala ngati mukumwa mankhwalawa kapena mwasiya kumwa masiku 14 apitawa: monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Mukasiya kumwa dextroamphetamine ndi amphetamine, muyenera kudikirira masiku osachepera 14 musanayambe kumwa MAO inhibitor.
• auzeni dokotala ndi wamankhwala mankhwala ena omwe mumalandira ndi mankhwala osapatsidwa, mavitamini, ndi mankhwala omwe mumamwa. Onetsetsani kuti mwatchulapo izi: acetazolamide (Diamox); alpha blockers monga alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, ku Jalyn), ndi terazosin; Maantacid ndi mankhwala ena opha pa chifuwa kapena zilonda monga cimetidine (Tagamet), esomeprazole (Nexium), omeprazole (Prilosec, ku Zegerid), ndi pantoprazole (Protonix); mankhwala opatsirana pogonana ('mood lifters'); antihistamines (mankhwala a chimfine ndi chifuwa); ascorbic acid (Vitamini C); zotchinga beta monga atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal, Innopran); busipulo; mankhwala enaake; fentanyl (Actiq, Duragesic, Subsys, ena); guanethidine (sichikupezeka ku U.S.); lifiyamu (Lithobid); meperidine (Demerol); methenamine (Hiprex, Urex); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); quinidine (mu Nuedexta); kuperekanso; ritonavir (Norvir, ku Kaletra); mankhwala ena ogwidwa monga ethosuximide (Zarontin), phenobarbital, ndi phenytoin (Dilantin, Phenytek); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); sodium bicarbonate (Arm and Hammer Baking Soda, Soda Mint); Sodium mankwala; ma thiazide diuretics ('mapiritsi amadzi'); tramadol (Conzip, mu Ultracet); kapena tricyclic antidepressants ('mood elevator') monga desipramine (Norpramin) kapena protriptyline (Vivactil). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka St. John's wort ndi tryptophan kapena zowonjezera zakudya kuphatikiza glutamic acid (L-glutamine).
• uzani dokotala wanu ngati muli ndi glaucoma (kuthamanga kwambiri m'maso komwe kumatha kuyambitsa kutaya kwa masomphenya), hyperthyroidism (momwe mumakhala mahomoni ochulukirapo m'thupi), kapena nkhawa, nkhawa, kapena kusakhazikika. Dokotala wanu angakuuzeni kuti musatenge dextroamphetamine ndi amphetamine.
• auzeni adotolo ngati wina m'banja mwanu wagundidwa kapena wamwalira mwadzidzidzi. Uzaninso dokotala wanu ngati mwangodwala kumene mtima ndipo ngati mwakhala ndi vuto la mtima, kuthamanga kwa magazi, kugunda kwamtima mosalekeza, kuuma kwa mitsempha, mtima kapena matenda am'mitsempha yamagazi, kapena mavuto ena amtima. Dokotala wanu amakupimitsani kuti muwone ngati mtima wanu ndi mitsempha yamagazi ili yathanzi. Dokotala wanu angakuuzeni kuti musatenge dextroamphetamine ndi amphetamine ngati muli ndi vuto la mtima kapena ngati muli pachiwopsezo chachikulu kuti mutha kukhala ndi vuto la mtima.
• auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi vuto la kupsinjika, kusinthasintha kwamaganizidwe (kusinthasintha komwe kumachokera pakukhumudwa ndikukhala osangalala kwambiri), kapena mania (kukwiya, kusangalala modabwitsa), zoyendera zamagalimoto (mayendedwe osawongoleredwa mobwerezabwereza), mawu amawu (kubwerezabwereza kwa mawu kapena mawu ovuta kuwongolera), kapena matenda a Tourette (vuto lomwe limadziwika ndi kufunikira kobwereza mawu mobwerezabwereza kapena kubwereza mawu kapena mawu), kapena adaganizirapo kapena adayesa kudzipha. Komanso muuzeni dokotala ngati mwakhalapo ndi matenda amisala, khunyu, ma electroencephalogram (EEG; mayeso omwe amayesa magetsi muubongo), kapena matenda a chiwindi kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga dextroamphetamine ndi amphetamine, itanani dokotala wanu. Osamayamwa mukamamwa dextroamphetamine ndi amphetamine.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa dextroamphetamine ndi amphetamine ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa dextroamphetamine ndi amphetamine chifukwa siotetezeka ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• muyenera kudziwa kuti mankhwalawa atha kukupangitsani kukhala kovuta kuti muzichita zinthu zomwe zimafunikira kukhala tcheru kapena kulimbitsa thupi. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti dextroamphetamine ndi amphetamine ziyenera kugwiritsidwa ntchito ngati gawo la pulogalamu yonse ya chithandizo cha ADHD, yomwe ingaphatikizepo upangiri ndi maphunziro apadera. Onetsetsani kuti mukutsatira malangizo onse a dokotala komanso / kapena othandizira.
• muyenera kudziwa kuti dextroamphetamine ndi amphetamine zimatha kubweretsa imfa mwadzidzidzi mwa ana ndi achinyamata, makamaka ana ndi achinyamata omwe ali ndi vuto la mtima kapena mavuto akulu amtima. Mankhwalawa amathanso kuyambitsa kufa mwadzidzidzi, matenda amtima, kapena kupwetekedwa ndi akulu, makamaka achikulire omwe ali ndi vuto la mtima kapena mavuto amtima. Itanani dokotala wanu kapena mwana wanu nthawi yomweyo kuti mupeze thandizo ladzidzidzi, ngati inu kapena mwana wanu muli ndi zizindikilo za mavuto amtima mukamamwa mankhwalawa kuphatikiza: kupweteka pachifuwa, kupuma pang'ono, kapena kukomoka.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya mlingo wanu wa kapuleti womasulidwa m'mawa, tulukani mulingo womwe umasowa ndipo mutenge mlingo wanu wotsatira nthawi yotsatira tsiku lotsatira. Musamwe mlingo tsiku lomwelo. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Dextroamphetamine ndi amphetamine zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• manjenje
• mutu
• Zosintha pakugonana kapena kuthekera
• kupweteka kwa msambo
• pakamwa pouma
• kudzimbidwa
• kutsegula m'mimba
• nseru
• kuonda

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• mawu odekha kapena ovuta
• chizungulire
• kufooka kapena kufooka kwa mkono kapena mwendo
• kugwidwa
• magalimoto kapena mawu apakamwa
• kukukuta mano
• kukhumudwa
• kukhulupirira zinthu zomwe sizowona
• kukhala okayikira ena modabwitsa
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• mania (kukwiya kapena kusangalala modabwitsa)
• kusintha kwa masomphenya kapena kusawona bwino
• wotumbululuka kapena utoto wabuluu wa zala kapena zala
• kupweteka, dzanzi, kutentha, kapena kumva kulasalasa m'manja kapena m'mapazi
• mabala osadziwika omwe amapezeka zala kapena zala
• khungu kapena khungu
• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa maso, nkhope, lilime, kapena pakhosi
• kuvuta kupuma kapena kumeza
• ukali

Dextroamphetamine ndi amphetamine zimatha kupha mwadzidzidzi ana ndi achinyamata, makamaka ana kapena achinyamata omwe ali ndi vuto la mtima kapena omwe ali ndi mavuto akulu amtima. Mankhwalawa amathanso kuyambitsa kufa mwadzidzidzi, matenda amtima kapena kupwetekedwa ndi akulu, makamaka achikulire omwe ali ndi vuto la mtima kapena mavuto amtima. Itanani dokotala wanu nthawi yomweyo ngati inu kapena mwana wanu muli ndi zizindikilo za mavuto amtima mukamamwa mankhwalawa kuphatikiza: kupweteka pachifuwa, kupuma movutikira, kapena kukomoka. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Dextroamphetamine ndi amphetamine zitha kuchepetsa kukula kwa ana kapena kunenepa. Dokotala wa mwana wanu amayang'ana kukula kwake mosamala. Lankhulani ndi dokotala wa mwana wanu ngati muli ndi nkhawa zakukula kwa mwana wanu kapena kunenepa kwake akamamwa mankhwalawa. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopatsa mwana wanu dextroamphetamine ndi amphetamine.

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, kutali ndi kuwala ndi kutentha kwakukulu 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 izi:

• kusakhazikika
• chisokonezo
• nkhanza
• mantha
• kuyerekezera zinthu m'maso (kuwona zinthu kapena kumva mawu omwe kulibe)
• kupuma mofulumira
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• malungo
• mkodzo wofiira kapena wakuda
• kufooka kwa minofu kapena kupweteka
• kutopa kapena kufooka
• kukhumudwa
• kuthamanga kapena kusakhazikika kwamtima
• kukomoka
• chizungulire
• kusawona bwino
• kukhumudwa m'mimba
• kusanza
• kutsegula m'mimba
• kugwidwa
• chikomokere (kutaya chidziwitso kwakanthawi)

Sungani maimidwe anu onse ndi dokotala ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti aone momwe thupi lanu likuyankhira ku dextroamphetamine ndi amphetamine.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa dextroamphetamine ndi amphetamine.

Mankhwalawa sangabwerenso. Onetsetsani kuti mwakhazikitsa nthawi yokumana ndi dokotala wanu kuti musamalize mankhwala.

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.

• Mydayis^® (monga chinthu chophatikiza chophatikiza Amphetamine, Dextroamphetamine)

• Adderall^® (okhala ndi Amphetamine, Dextroamphetamine)
• Adderall^® XR (yokhala ndi Amphetamine, Dextroamphetamine)
• Biphetamine^® (okhala ndi Amphetamine, Dextroamphetamine)^¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.