Modafinil

Zamkati

• Musanatenge modafinil,
• Modafinil ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Modafinil amagwiritsidwa ntchito pochotsa tulo tambiri tomwe timayambitsa matendawa (matenda omwe amachititsa kugona tulo masana) kapena kusinthasintha kwa tulo tantchito (kugona nthawi yakukonzekera komanso kuvutika kugona kapena kugona nthawi yogona mwa anthu omwe amagwira ntchito usiku kapena potembenuka kusintha). Modafinil imagwiritsidwanso ntchito limodzi ndi zida zopumira kapena mankhwala ena kuti tipewe kugona kwambiri komwe kumayambitsidwa ndi vuto la kugona tulo / matenda a hypopnea (OSAHS; matenda ogona omwe wodwala amasiya kupuma kapena kupuma pang'ono nthawi yayitali atagona motero samakhala okwanira kugona tulo). Modafinil ali mgulu la mankhwala otchedwa kuwuka omwe amalimbikitsa othandizira. Zimagwira ntchito posintha kuchuluka kwa zinthu zina zachilengedwe m'dera laubongo zomwe zimayang'anira kugona ndi kudzuka.

Modafinil amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Ngati mukumwa modafinil kuchiza matenda opatsirana pogonana kapena OSAHS, mwina mudzamwa m'mawa. Ngati mukumwa modafinil kuti muthane ndi vuto la kugona tulo, mwina mungatenge ola la 1 musanayambe ntchito yanu. Tengani modafinil nthawi yomweyo tsiku lililonse. Osasintha nthawi yamasiku omwe mumatenga modafinil osalankhula ndi dokotala. Lankhulani ndi dokotala ngati ntchito yanu siyiyambira nthawi yomweyo. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani modafinil ndendende momwe mwalangizira.

Modafinil atha kukhala chizolowezi. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala.

Modafinil imatha kuchepetsa kugona kwanu, koma sizingathetse vuto lanu la kugona. Pitilizani kutenga modafinil ngakhale mukumva kupumula bwino. Osasiya kumwa modafinil osalankhula ndi dokotala.

Modafinil sayenera kugwiritsidwa ntchito mmalo mokwanira mokwanira. Tsatirani malangizo a dokotala anu za zizolowezi zabwino zogona. Pitirizani kugwiritsa ntchito zipangizo zilizonse zopuma kapena mankhwala omwe dokotala wanu wakupatsani kuti athetse vuto lanu, makamaka ngati muli ndi OSAHS.

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

Musanatenge modafinil,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la modafinil, armodafinil (Nuvigil), kapena mankhwala aliwonse.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); mankhwala ena opondereza monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), ndi trimontramine; ma antifungal ena monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); cyclosporine (Neoral, Sandimmune); diazepam (Valium); mankhwala ena ogwidwa monga carbamazepine (Tegretol), phenobarbital, ndi phenytoin (Dilantin); monoamine oxidase (MAO) inhibitors, kuphatikiza isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); propranolol (mawonekedwe); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); rifampin (Rifadin, Rimactane); ndi triazolam (Halcion). Mankhwala ena ambiri amathanso kulumikizana ndi modafinil, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala ngati mumamwa kapena mumamwa mowa wambiri, kumwa kapena kugwiritsa ntchito mankhwala osokoneza bongo, kapena kumwa mankhwala osokoneza bongo, makamaka ogalamutsa. Komanso muuzeni dokotala ngati mwakhala mukumva kupweteka pachifuwa, kugunda kwamtima mosasinthasintha, kapena mavuto ena amtima mutatenga cholimbikitsa, komanso ngati mwakhalapo ndi kuthamanga kwa magazi; matenda a mtima; kupweteka pachifuwa; matenda amisala monga kukhumudwa, kusasangalala (kukwiya, kusangalala modabwitsa), kapena psychosis (kuvuta kuganiza bwino, kulumikizana, kumvetsetsa zenizeni, ndikuchita moyenera); kapena matenda a mtima, chiwindi, kapena impso.
• muyenera kudziwa kuti modafinil imachepetsa kugwira ntchito kwa njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, jakisoni, ndi zida za intrauterine). Gwiritsani ntchito njira ina yolerera mukamamwa modafinil komanso kwa mwezi umodzi mutasiya kumwa. Lankhulani ndi dokotala wanu za mitundu yoletsa yomwe ingakuthandizireni mukamalandira chithandizo ndi modafinil.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga modafinil, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa modafinil.
• muyenera kudziwa kuti modafinil imatha kukhudza kuweruza kwanu kapena kuganiza kwanu ndipo sichingathetse tulo tomwe timayambitsa matenda anu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Ngati mumapewa kuyendetsa galimoto komanso zinthu zina zowopsa chifukwa cha vuto lanu la kugona, musayambirenso kuchita izi osalankhula ndi dokotala ngakhale mutakhala tcheru.
• Dziwani kuti muyenera kupewa kumwa mowa mukamamwa modafinil.

Lankhulani ndi dokotala wanu za kudya zipatso zamtengo wapatali kapena kumwa madzi amphesa pamene mukumwa mankhwalawa.

Muyenera kudumpha mlingo womwe umasowa. Dikirani mpaka nthawi ina yomwe mukuyenera kutenga modafinil, kenako mutenge mlingo wanu wabwinobwino. Ngati mutenga modafinil mochedwa tsiku lanu lodzuka, zitha kukuvutani kuti mugone. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• mutu
• chizungulire
• kuvuta kugona kapena kugona
• Kusinza
• nseru
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• kutentha pa chifuwa
• kusowa chilakolako
• zokonda zachilendo
• pakamwa pouma
• ludzu lokwanira
• m'mphuno
• kuchapa
• thukuta
• minofu yolimba kapena zovuta kuyenda
• kupweteka kwa msana
• chisokonezo
• kugwedezeka kosalamulirika kwa gawo lina la thupi lanu
• kutentha, kumva kulasalasa, kapena kufooka kwa khungu
• zovuta kuwona kapena kupweteka kwa diso

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• zidzolo
• matuza
• khungu losenda
• zilonda mkamwa
• ming'oma
• kuyabwa
• ukali
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kupweteka pachifuwa
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• wokwiya, wokhumudwa modabwitsa
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• nkhawa
• kukhumudwa
• kuganiza zodzipha kapena kudzivulaza

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

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).

Sungani modafinil pamalo otetezeka kuti pasapezeke wina amene angatenge mwangozi kapena mwadala. Onetsetsani kuti ndi mapiritsi angati omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

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:

• kuvuta kugona kapena kugona
• kubvutika
• kusakhazikika
• chisokonezo
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• manjenje
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kuthamanga, kuchepa, kapena kugunda kwamtima
• kupweteka pachifuwa
• nseru
• kutsegula m'mimba

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti aliyense azimwa mankhwala anu. Kugulitsa kapena kupereka modafinil ndikotsutsana ndi lamulo. 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.

• Provigil^®