Mefloquine

Zamkati

• Musananditengere mefloquine,
• Mefloquine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mukukumana ndi zina mwazizindikiro izi kapena zomwe zalembedwa mgawo la CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Mefloquine imatha kubweretsa zovuta zoyipa zomwe zimaphatikizapo kusintha kwamanjenje. Uzani dokotala wanu ngati mwakhalapo kapena munagwapo. Dokotala wanu akhoza kukuwuzani kuti musatenge mefloquine. Mukawona zina mwazizindikiro izi mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo: chizungulire, kumverera kuti inu kapena zinthu zina zomwe mukuzungulira zikuyenda kapena kupota, kulira m'makutu, komanso kuchepa. Zizindikirozi zimatha kuchitika nthawi iliyonse mukamamwa mefloquine ndipo imatha miyezi mpaka zaka mankhwala atayimitsidwa kapena atha kukhala okhazikika.

Mefloquine imatha kubweretsa mavuto akulu azaumoyo. Uzani dokotala wanu ngati mwakhalapo ndi nkhawa, nkhawa, psychosis (zovuta kuganiza bwino, kumvetsetsa zenizeni, kulumikizana ndikuchita moyenera), schizophrenia (matenda omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kusowa chidwi m'moyo, komanso kulimba zosayenera) kapena matenda ena amisala. Muuzeni dokotala wanu nthawi yomweyo ngati mukumwa izi: kumwa nkhawa, kusakhulupirira ena, kuyerekezera zinthu (kuwona zinthu kapena kumva mawu omwe kulibe), kukhumudwa, kuganiza zodzipha kapena kudzivulaza, kusakhazikika, kusokonezeka, kuvuta kugona kapena kugona, kapena machitidwe achilendo. Zizindikirozi zimatha kuchitika nthawi iliyonse mukamamwa mefloquine ndipo imatha miyezi mpaka zaka mankhwala atayimitsidwa.

Zizindikiro zakusintha kwamanjenje kapena mavuto azaumoyo amatha kukhala ovuta kuzindikira mwa ana aang'ono. Onetsetsani mwana wanu mosamala ndipo kambiranani ndi dokotala nthawi yomweyo ngati mukusintha pamakhalidwe kapena thanzi.

Sungani maimidwe onse ndi dokotala wanu, dotolo wamaso, ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu ndi mayeso am'maso amthawi ndi nthawi kuti aone kuyankha kwa thupi lanu ku mefloquine.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi mefloquine ndipo nthawi iliyonse mukadzaza mankhwala anu. 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.

Lankhulani ndi dokotala wanu za kuopsa kwakumwa mefloquine.

Mefloquine amagwiritsidwa ntchito pochiza malungo (matenda opatsirana omwe amafalitsidwa ndi udzudzu m'malo ena padziko lapansi ndipo amatha kuyambitsa imfa) komanso kupewa malungo kwa apaulendo omwe amayendera madera a malungo. Mefloquine ali mgulu la mankhwala otchedwa antimalarials. Zimagwira ntchito popha zamoyo zomwe zimayambitsa malungo.

Mefloquine amabwera ngati piritsi kuti atenge pakamwa. Nthawi zonse tengani mefloquine ndi chakudya (makamaka chakudya chanu chachikulu) komanso osachepera ma ouniti 8 (240 milliliters) amadzi. Ngati mukumwa mefloquine kuti muchepetse malungo, mutha kumwa kamodzi pa sabata (tsiku lomwelo sabata iliyonse). Muyamba kumwa mankhwala milungu 1 mpaka 3 musanapite kudera lomwe malungo amapezeka ndipo muyenera kupitiriza kulandira chithandizo kwa milungu inayi mutabwerako. Ngati mukumwa mefloquine kuchiza malungo, dokotala wanu adzakuwuzani ndendende momwe muyenera kumwa. Ana atha kumwa mefloquine wocheperako koma pafupipafupi. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani mefloquine chimodzimodzi monga mwawuzidwa. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mapiritsiwo akhoza kumeza kwathunthu kapena kuphwanyidwa ndikusakanizidwa ndi madzi, mkaka, kapena chakumwa china.

Ngati mukumwa mefloquine kuchiza malungo, mutha kusanza mukangomwa mankhwalawo. Mukasanza pasanathe mphindi 30 mutatenga mefloquine, muyenera kumwa mefloquine wina. Mukasanza mphindi 30 mpaka 60 mutamwa mefloquine, muyenera kumwa theka la mefloquine. Mukasanza kachiwiri mutamwa mankhwala owonjezerawo, itanani dokotala wanu.

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

Musananditengere mefloquine,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la mefloquine, quinidine (Quinadex), quinine (Qualaquin), mankhwala ena aliwonse, kapena chilichonse chopezeka m'mapiritsi a mefloquine.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi'); antidepressants monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protripiline Surmontil); mankhwala; calcium blockers monga amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop), nisoldipine , ndi verapamil (Calan, Isoptin, Verelan); zotchinga beta monga atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); chloroquine (Aralen); mankhwala a shuga, matenda amisala, khunyu komanso m'mimba; mankhwala a khunyu monga carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), kapena valproic acid (Depakene); ndi rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala otsatirawa kapena mwasiya kuwamwa m'masabata 15 apitawa: halofantrine (Halfan; sakupezeka ku United States) kapena ketoconazole (Nizoral). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani adotolo ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO kapena zina mwa izi: nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), kuchuluka kochepera kwama cell ofiira ofiira), kapena diso, chiwindi kapena matenda amtima.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati, kapena mukuyamwitsa. Muyenera kugwiritsa ntchito njira zakulera mukamamwa mefloquine komanso kwa miyezi itatu mutasiya kumwa. Mukakhala ndi pakati mukamamwa mefloquine, itanani dokotala wanu.
• muyenera kudziwa kuti mefloquine imatha kukupangitsani kugona komanso kuzunguzika. Zizindikiro izi zimatha kupitilira kwakanthawi mutasiya kumwa mefloquine. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti mefloquine imachepetsa chiopsezo chotenga kachilombo ka malungo koma sizikutsimikizira kuti simudzatengera kachilomboka. Muyenerabe kudziteteza ku kulumidwa ndi udzudzu mwa kuvala manja aatali ndi mathalauza aatali komanso kugwiritsa ntchito mankhwala odzitetezera ku udzudzu ndi khoka la kama mukakhala kudera la malungo.
• muyenera kudziwa kuti zizindikiro zoyambirira za malungo ndi malungo, kuzizira, kupweteka kwa minofu, komanso kupweteka mutu. Ngati mukumwa mefloquine kuti muchepetse malungo, itanani dokotala wanu mwachangu mukakhala ndi izi. Onetsetsani kuuza dokotala wanu kuti mwina mwapezeka ndi malungo.
• muyenera kukonzekera zomwe mungachite mukakumana ndi zovuta zina kuchokera ku mefloquine ndikuyenera kusiya kumwa mankhwala, makamaka ngati simukuyandikira dokotala kapena mankhwala. Muyenera kupeza mankhwala ena okutetezani ku malungo. Ngati palibe mankhwala ena alionse, muyenera kuchoka kudera lomwe malungo amapezeka, ndikupeza mankhwala ena oti akutetezeni ku malungo.
• ngati mukumwa mefloquine kuchiza malungo, zizindikilo zanu ziyenera kusintha mkati mwa maola 48 mpaka 72 mukamaliza kumwa mankhwala. Itanani dokotala wanu ngati zizindikiro zanu sizikusintha panthawiyi.
• mulibe katemera (akatemera) osalankhula ndi dokotala. Dokotala wanu angafune kuti mumalize katemera wanu masiku atatu musanatenge mefloquine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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.

Mefloquine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• malungo
• kutsegula m'mimba
• kupweteka kumanja kwa mimba yako
• kusowa chilakolako
• kupweteka kwa minofu
• mutu
• kugona
• thukuta lowonjezeka

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mukukumana ndi zina mwazizindikiro izi kapena zomwe zalembedwa mgawo la CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:

• kuyimba zala kapena kumapazi
• kuyenda movutikira
• matumbo ofiira owala
• mkodzo wachikuda
• chikasu cha khungu lako kapena kuyera kwa maso ako
• kuyabwa
• kugwedeza mikono kapena miyendo yomwe simungathe kuigwira
• kusintha kwa masomphenya
• kufooka kwa minofu
• kupuma movutikira
• kupweteka pachifuwa
• mantha
• zidzolo

Mefloquine amatha kuyambitsa mavuto ena. Mutha kupitiliza kukhala ndi zovuta kwakanthawi mutatenga mankhwala anu omaliza. 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).

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 izi:

• nseru
• kusanza
• kutsegula m'mimba
• kupweteka kumanja kwa mimba yako
• chizungulire
• kutaya bwino
• kuvuta kugona kapena kugona
• maloto achilendo
• kumva kulasalasa ndi zala kapena kumapazi
• kuyenda movutikira
• kugwidwa
• kusintha kwa thanzi lamaganizidwe

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.

• Lariam^®¶

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