Dexmethylphenidate

Zamkati

• Musanayambe kumwa dexmethylphenidate,
• Dexmethylphenidate imatha kuyambitsa mavuto. 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 nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Dexmethylphenidate imatha kukhala chizolowezi. Musatenge mlingo waukulu, tengani nthawi zambiri, tengani nthawi yayitali, kapena mutenge mosiyana ndi momwe adanenera dokotala. Ngati mutenga dexmethylphenidate yochulukirapo, mutha kupitiliza kumva kuti mukufunika kumwa mankhwala ochulukirapo, ndipo mutha kukhala ndi 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; 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. Komanso, uzani dokotala ngati mumamwa kapena mwakhala mukumwapo mowa wambiri, kumwa mankhwala osokoneza bongo kapena kumwa mankhwala osokoneza bongo.

Osasiya kumwa dexmethylphenidate osalankhula ndi dokotala, makamaka ngati mwaledzera. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono ndikukuyang'anirani mosamala panthawiyi. Mutha kukhala ndi nkhawa yayikulu mukasiya mwadzidzidzi kumwa dexmethylphenidate mukatha kuigwiritsa ntchito. Dokotala wanu angafunike kukuyang'anirani mosamala mukasiya kumwa dexmethylphenidate, ngakhale simunagwiritse ntchito mopitirira muyeso mankhwalawo, chifukwa zizindikilo zanu zitha kukulirakulira mukalandira mankhwala.

Musagulitse, kupereka, kapena kulola wina aliyense kumwa mankhwala anu.Kugulitsa kapena kupereka dexmethylphenidate ndikotsutsana ndi lamulo ndipo kumatha kuvulaza ena. Sungani dexmethylphenidate pamalo abwino pomwe palibe wina aliyense angazitengere mwangozi kapena mwadala. Onetsetsani kuti ndi mapiritsi angati kapena makapisozi omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi dexmethylphenidate 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.

Dexmethylphenidate 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 amisinkhu yofanana) mwa akulu ndi ana. Dexmethylphenidate ili m'gulu la mankhwala otchedwa central nervous system (CNS) othandizira. Zimagwira ntchito pakuwonjezera kuchuluka kwa zinthu zina zachilengedwe muubongo.

Dexmethylphenidate imabwera ngati piritsi komanso kapepala kotulutsidwa (kotenga nthawi yayitali) kuti mutenge pakamwa. Mapiritsiwa amatengedwa kawiri patsiku, osachepera maola 4 padera, wopanda kapena wopanda chakudya. Kapisozi womasulidwa nthawi zambiri amatengedwa kamodzi patsiku m'mawa. Itha kutengedwa ndi chakudya kapena popanda chakudya, koma imayamba kugwira ntchito mwachangu ngati itaperekedwa popanda chakudya. Tengani dexmethylphenidate mozungulira nthawi imodzimodzi tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Kumeza lonse makapisozi kumasulidwa lonse; musatafune kapena kuwaphwanya. Ngati mukulephera kumeza kapisozi womasuliridwayo, mutha kutsegula kapisozi mosamala ndikuwaza zomwe zili mu supuni ya maapulo. Kumeza izi osakaniza nthawi yomweyo, koma musati kutafuna izo. Osasunga chisakanizochi kuti mugwiritse ntchito nthawi ina.

Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa dexmethylphenidate ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo pa sabata.

Mkhalidwe wanu uyenera kusintha pamene mukuchiritsidwa. Itanani dokotala wanu ngati zizindikiro zanu zikuwonjezeka nthawi iliyonse mukamachiza kapena simusintha pakatha mwezi umodzi.

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

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

Musanayambe kumwa dexmethylphenidate,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la dexmethylphenidate, methylphenidate (Concerta, Metadate, Methylin, Ritalin), kapena mankhwala ena aliwonse.
• Uzani dokotala ngati mukumwa mankhwala a monoamine oxidase (MAO), kuphatikizapo isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kuzitenga m'masiku 14 apitawa. Dokotala wanu angakuwuzeni kuti musamwe dexmethylphenidate mpaka masiku 14 atadutsa kuchokera pomwe mudatenga MAO inhibitor.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antidepressants (elevator elevator) monga amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactiline) ); decongestants (chifuwa ndi mankhwala ozizira); okodzetsa ena (mapiritsi amadzi); guanabenz; guanfacine; mankhwala othamanga magazi; mankhwala ogwidwa monga phenobarbital phenytoin (Dilantin), ndi primidone (Mysoline); methyldopa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); ndi venlafaxine (Effexor). Ngati mukumwa makapisozi otulutsidwa, muuzeni adotolo ngati mukumwa maantacid, kapena mankhwala ena am'mimba kapena zilonda. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda a Tourette (matenda omwe amadziwika kuti amafunika kuchita mobwerezabwereza mawu kapena kubwereza mawu kapena mawu), nkhope kapena zoyendetsa (kusuntha kosalamulirika), kapena mawu amwano ( kubwereza mawu kapena mawu ovuta kuwongolera). Komanso muuzeni dokotala ngati muli ndi glaucoma, kapena nkhawa, nkhawa, kapena kukhumudwa. Dokotala wanu angakuuzeni kuti musatenge dexmethylphenidate.
• auzeni adotolo ngati wina m'banja mwanu wagundidwa kapena wamwalira mwadzidzidzi. Komanso muuzeni dokotala ngati mwangodwala kumene mtima ndipo ngati mwakhala ndi vuto la mtima, kuthamanga kwa magazi, kugunda kwamtima kosasinthasintha, mtima kapena chotengera cha magazi, kuuma kwa mitsempha; kapena mavuto ena amtima. Dokotala wanu amakupimitsani kuti muwone ngati mtima wanu ndi mitsempha yamagazi ili yathanzi. Dokotala wanu angakuuzeni kuti musatenge dexmethylphenidate 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 zochitika (kusinthasintha komwe kumasintha kuchokera pakukhumudwa ndikukhala wosangalala kwambiri), mania (kukwiya, kusangalala modabwitsa), kapena adaganizirako kapena ayesera kudzipha. Komanso muuzeni dokotala ngati mwakhalapo ndi vuto la kufalitsa m'miyendo kapena zala zanu; kukhumudwa; matenda amisala; kugwidwa; electroencephalogram yachilendo (EEG; mayeso omwe amayesa magetsi muubongo); kapena matenda a chithokomiro.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga dexmethylphenidate, itanani dokotala wanu.
• muyenera kudziwa kuti dexmethylphenidate iyenera 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.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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

Dexmethylphenidate imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutentha pa chifuwa
• kuonda
• pakamwa pouma
• chizungulire
• Kusinza
• manjenje kapena jitteriness
• mutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:

• kutopa kwambiri
• mawu odekha kapena ovuta
• chizungulire
• kufooka kapena kufooka kwa mkono kapena mwendo
• kusintha kwa masomphenya kapena kusawona bwino
• kugwidwa
• kukhulupirira zinthu zomwe sizowona
• kukhala okayikira ena modabwitsa
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• zosintha
• kukhumudwa
• magalimoto kapena mawu apakamwa
• kutupa kwa nkhope, mmero, lilime, milomo, kapena maso
• zidzolo
• ming'oma
• kuyabwa
• zofiira zofiirira pansi pa khungu
• malungo
• khungu kapena khungu
• kupweteka pamodzi
• pafupipafupi, zopweteka zopweteka
• erection yomwe imatenga nthawi yayitali kuposa maola 4
• dzanzi, kupweteka, kapena kuzindikira kutentha m'zala kapena kumapazi
• khungu limasintha kuchoka pakhungu mpaka buluu kufika kufiira zala kapena zala zakumapazi
• mabala osamveka bwino zala kapena zala

Dexmethylphenidate imatha kubweretsa imfa mwadzidzidzi mwa ana ndi achinyamata, makamaka ana ndi achinyamata omwe ali ndi vuto la mtima kapena mavuto 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.

Dexmethylphenidate imachedwetsa 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 dexmethylphenidate.

Dexmethylphenidate imatha 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).

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:

• kusanza
• kubvutika
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugwedezeka kwa minofu
• kugwidwa
• kukomoka
• chisangalalo chosayenera
• chisokonezo
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• thukuta
• kuchapa
• mutu
• malungo
• kuthamanga, kugunda, kapena kugunda kwamtima kosazolowereka
• kukulitsa kwa ana (mabwalo akuda pakati pa maso)
• pakamwa pouma

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku dexmethylphenidate.

Mankhwalawa sangabwerenso. Onetsetsani kuti mwakhazikitsa nthawi yokumana ndi dokotala nthawi zonse 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.

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