Tadalafil

Zamkati

• Musanatenge tadalafil,
• Tadalafil imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Tadalafil (Cialis) imagwiritsidwa ntchito pochiza kuwonongeka kwa erectile (ED, kusowa mphamvu; kulephera kupeza kapena kusunga erection), ndi zizindikilo za benign prostatic hyperplasia (BPH; Prostate wokulitsa) yomwe imaphatikizapo kuvuta kukodza (kuzengereza, kubowoleza, mtsinje wofooka, ndi kutulutsa chikhodzodzo chosakwanira), pokodza mopweteka, komanso pafupipafupi kwamikodzo komanso mwachangu mwa amuna akulu. Tadalafil (Adcirca) imagwiritsidwa ntchito kupititsa patsogolo kuthekera kochita masewera olimbitsa thupi mwa anthu omwe ali ndi matenda oopsa a m'mapapo mwanga (PAH; kuthamanga kwa magazi m'mitsuko yonyamula magazi m'mapapu, kuchititsa kupuma pang'ono, chizungulire, ndi kutopa). Tadalafil ali mgulu la mankhwala otchedwa phosphodiesterase (PDE) inhibitors. Zimagwira ntchito yothetsa vuto la erectile powonjezera magazi kupita ku mbolo panthawi yogonana. Kuwonjezeka kwa magazi kumatha kuyambitsa erection. Tadalafil imathandizira PAH pochepetsa mitsempha yamagazi m'mapapu kuti magazi azitha kuyenda mosavuta.

Ngati mukumwa tadalafil kuti muzitha kuthana ndi vuto la erectile, muyenera kudziwa kuti silichiza kuwonongeka kwa erectile kapena kukulitsa chilakolako chogonana. Tadalafil siyimateteza kutenga mimba kapena kufalikira kwa matenda opatsirana pogonana monga kachilombo ka HIV.

Tadalafil imabwera ngati piritsi kuti itenge pakamwa. Itha kumwedwa kapena wopanda chakudya.

Ngati mukumwa tadalafil kuti muzitha kuthana ndi vuto la erectile, tsatirani malangizo a dokotala ndi malangizo omwe ali m'ndimeyi. Pali njira ziwiri zotengera tadalafil, tsiku lililonse kapena pakufunika. Lankhulani ndi dokotala wanu za nthawi yoyenera yomwe mungakonde. Tadalafil nthawi zina amatengedwa ngati pakufunika, nthawi zambiri osachepera mphindi 30 musanagonane ndipo osachita kangapo kamodzi pa maola 24. Dokotala wanu adzakuthandizani kusankha nthawi yabwino yomwe mungatenge tadalafil musanachite zogonana. Tadalafil nthawi zina amatengedwa kamodzi patsiku tsiku lililonse osaganizira nthawi yogonana. Mutha kuyesa kugonana nthawi iliyonse pakati pa mlingo. Ngati mukugwiritsa ntchito tadalafil nthawi zonse, tengani nthawi yomweyo tsiku lililonse. Ngati muli ndi thanzi linalake kapena mukumwa mankhwala ena, dokotala angakuuzeni kuti mutenge tadalafil pafupipafupi kapena angakupatseni mlingo wochepa womwe mungatenge kamodzi patsiku. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tadalafil ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukumwa tadalafil kuchiza PAH kapena BPH, tsatirani malangizo a dokotala ndi malangizo omwe ali m'ndimeyi. Muyenera kutenga tadalafil kamodzi patsiku. Tengani mapiritsi onse a mlingo wanu wa tsiku ndi tsiku nthawi imodzi tsiku lililonse; osagawaniza mapiritsi kuti atenge ngati mlingo umodzi. Tengani tadalafil mozungulira nthawi yomweyo tsiku lililonse. Ngati mukumwa kale mankhwala ochizira BPH, dokotala wanu angakuuzeni kuti musiye kumwa mankhwala anu tsiku limodzi musanayambe kumwa mankhwala ndi tadalafil. Tsatirani malangizo a dokotala mosamala, ndipo funsani dokotala wanu kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Ngati mukumwa tadalafil kuti mulephera kugwira bwino ntchito, dokotala wanu mwina angakuyambitseni kuchuluka kwa tadalafil ndikuwonjezera kapena kuchepetsa mlingo wanu kutengera momwe mumayankhira mankhwala. Uzani dokotala wanu ngati tadalafil ikugwira ntchito bwino kapena ngati mukukumana ndi zovuta zina.

Ngati mukutenga tadalafil ya PAH, muyenera kudziwa kuti tadalafil imayang'anira PAH koma siyichiritsa. Pitirizani kutenga tadalafil ngakhale mukumva bwino. Osasiya kumwa tadalafil osalankhula ndi dokotala.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanatenge tadalafil,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la tadalafil, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a tadalafil. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo ngati mukumwa kapena mwatenga posachedwa riociguat (Adempas) kapena nitrate monga isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), ndi nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, ena). Nitrate amabwera ngati mapiritsi, timapepala tating'ono (pansi pa lilime) mapiritsi, opopera, zigamba, pastes, ndi mafuta. Funsani dokotala ngati simukudziwa ngati mankhwala anu ali ndi nitrate. Dokotala wanu angakuuzeni kuti musatenge tadalafil ngati mukumwa nitrate.
• uzani dokotala ngati mukumwa mankhwala osokoneza bongo mumsewu okhala ndi nitrate ('poppers') monga amyl nitrate, butyl nitrate, kapena nitrite mukamamwa tadalafil. Dokotala wanu angakuuzeni kuti musatenge tadalafil ngati mukumwa mankhwala osokoneza bongo mumsewu okhala ndi nitrate.
• muyenera kudziwa kuti tadalafil imapezeka pansi pa mayina a Adcirca ndi Cialis. Muyenera kuthandizidwa ndi imodzi mwazinthu izi nthawi imodzi.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: alpha blockers monga alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride (Avodart, ku Jalyn), prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax, ku Jalyn), ndi terazosin; amiodarone (Cordarone, Pacerone); ma antifungal ena monga fluconazole (Diflucan), griseofulvin (Grifulvin, Gris-PEG), itraconazole (Onmel, Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegel), ndi voriconazole (Vfend); Aprepitant (Emend); chifuwa (Tracleer); carbamazepine (Carbatrol, Epitol, Tegretol, Teril, ena); clarithromycin (Biaxin, mu Prevpac); diltiazem (Cardizem, Cartia, Tiazac, ena); efavirenz (Sustiva, ku Atripla); erythromycin (EES, E-Mycin, Erythrocin); HIV protease inhibitors kuphatikiza indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra), lovastatin (Altocor, ku Advicor); mankhwala othamanga magazi; nefazodone; nevirapine (Viramune); mankhwala ena kapena chithandizo cha kutha kwa erectile; mankhwala ena kapena chithandizo cha PAH; phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); mankhwala opatsirana (Zoloft); telithromycin (Ketek); ndi verapamil (Calan, Covera, Verelan, ku Tarka). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mumasuta; ngati mwakhala ndi erection yomwe idatha maola oposa 4; ndipo ngati mwangoyamba kumene kutsekula m'mimba, kusanza, kusamwa madzi okwanira, kapena kutuluka thukuta kwambiri zomwe zitha kuyambitsa kusowa kwa madzi m'thupi (kutaya madzi amthupi ochuluka. Komanso muuzeni dokotala ngati mwakhalapo ndi veno kapena Matenda (PVOD; kutsekeka kwa mitsempha m'mapapu); vuto lililonse lomwe limakhudza mawonekedwe a mbolo; matenda ashuga; cholesterol; kuthamanga kwambiri kapena kutsika kwa magazi; kugunda kwamtima; kugwidwa ndi mtima kapena kulephera kwa mtima; angina (kupweteka pachifuwa); a sitiroko; zilonda zam'mimba; matenda otuluka magazi; mavuto amwazi wamagazi; mavuto am'magazi amwaziwa monga sickle cell anemia (matenda am'magazi ofiira), myeloma yambiri (khansa yamagazi a m'magazi), kapena khansa ya m'magazi (khansa yoyera) Maselo a magazi); kapena matenda a mtima, impso, kapena chiwindi. Komanso muuzeni dokotala ngati inu kapena ena am'banja mwanu mwakhalapo kapena mwakhalapo ndi matenda amaso monga retinitis pigmentosa (vuto lobadwa nalo lomwe limapangitsa kusowa kwa masomphenya) kapena ngati mwakhalapo ndi masomphenya owopsa mwadzidzidzi kutayika, makamaka ngati munauzidwa kuti kutayika kwamasomphenya kudachitika chifukwa cha kutsekeka kwa magazi kumitsempha yomwe imakuthandizani kuwona.
• ngati ndinu mkazi ndipo mukumwa tadalafil kuchiza PAH, auzeni dokotala ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga tadalafil, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa tadalafil.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa zakumwa zoledzeretsa mukamalandira tadalafil. Ngati mumamwa mowa wambiri (magalasi opitilira asanu a vinyo kapena ma whiskey asanu) mukamamwa tadalafil mumakhala ndi zovuta zina za tadalafil monga chizungulire, kupweteka mutu, kugunda kwamtima, komanso kuthamanga magazi. .
• ngati mukumwa tadalafil kuti muzitha kuthana ndi vuto la erectile, auzeni dokotala ngati mwalangizidwapo ndi akatswiri azaumoyo kuti mupewe kugonana pazifukwa zamankhwala kapena ngati munamvapo kupweteka pachifuwa panthawi yogonana. Kugonana kumatha kukhala kovuta mumtima mwanu, makamaka ngati muli ndi matenda amtima. Ngati mukumva kupweteka pachifuwa, chizungulire, kapena mseru panthawi yogonana, itanani dokotala wanu mwachangu kapena mupeze chithandizo chamankhwala mwadzidzidzi, ndipo pewani zochitika zogonana mpaka dokotala atakuwuzani zina.
• auzeni anthu onse azaumoyo kuti mukumwa tadalafil. Ngati mungafunike chithandizo chadzidzidzi chavuto la mtima, omwe amakuthandizani amafunika kudziwa kuti mwamaliza liti tadalafil.

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

Ngati mukumwa tadalafil ya vuto la erectile nthawi zonse, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musamamwe kawiri kapena kamodzi patsiku kuti mupange omwe mwaphonya.

Ngati mukumwa tadalafil ya PAH kapena BPH, 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.

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

• mutu
• kudzimbidwa kapena kutentha pa chifuwa
• nseru
• kutsegula m'mimba
• kuchapa
• kupweteka m'mimba, kumbuyo, minofu, mikono, kapena miyendo
• chifuwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kuchepa mwadzidzidzi kapena kutaya masomphenya (onani pansipa kuti mumve zambiri)
• kusawona bwino
• kusintha kwamasomphenya amtundu (kuwona mtundu wabuluu pazinthu kapena kukhala kovuta kusiyanitsa buluu ndi wobiriwira)
• kuchepa kwadzidzidzi kapena kutaya kumva (onani pansipa kuti mumve zambiri)
• kulira m'makutu
• erection yomwe imatenga nthawi yayitali kuposa maola 4
• chizungulire
• kupweteka pachifuwa
• ming'oma
• zidzolo
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuphulika kapena khungu

Odwala ena adataya mwadzidzidzi ena kapena masomphenya onse atamwa tadalafil kapena mankhwala ena ofanana ndi tadalafil. Kutaya masomphenya kumakhala kosatha nthawi zina. Sizikudziwika ngati kutayika kwamasomphenya kudachitika ndi mankhwala. Ngati mukuwonongeka mwadzidzidzi mukamamwa tadalafil, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi. Musathenso kumwa tadalafil kapena mankhwala ofanana ndi awa monga sildenafil (Revatio, Viagra) kapena vardenafil (Levitra) mpaka mutalankhula ndi dokotala.

Odwala ena adayamba kuchepa mwadzidzidzi kapena kutaya kumva atatenga tadalafil kapena mankhwala ena ofanana ndi tadalafil. Kutaya kwakumva nthawi zambiri kumangokhala ndi khutu limodzi lokha ndipo sizimasintha nthawi zonse mankhwalawo akaimitsidwa. Sizikudziwika ngati vuto lakumva lidayamba chifukwa cha mankhwalawo. Ngati mukumva mwadzidzidzi, nthawi zina ndikulira m'makutu kapena chizungulire, mukamamwa tadalafil, itanani dokotala wanu mwachangu. Musathenso kumwa tadalafil kapena mankhwala ofanana ndi awa monga sildenafil (Revatio, Viagra) kapena vardenafil (Levitra) mpaka mutalankhula ndi dokotala.

Tadalafil imatha kubweretsa 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).

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.

Sungani maimidwe onse ndi dokotala wanu.

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.

• Adcirca^®
• Cialis^®