Ramelteon

Zamkati

• Musanatenge ramelteon,
• Ramelteon amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati chimodzi mwazizindikirozi ndi zoopsa kapena sichitha:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Ramelteon amagwiritsidwa ntchito kuthandiza odwala omwe sagona tulo (amavutika kugona) kugona msanga. Ramelteon ali mgulu la mankhwala otchedwa melatonin receptor agonists. Imagwira chimodzimodzi ndi melatonin, chinthu chachilengedwe muubongo chomwe chimafunikira kugona.

Ramelteon amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku, osachedwa kuposa mphindi 30 asanagone. Musatenge ramelteon kapena musanadye chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ma ramelteon ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Mutha kuyamba kugona mukangotenga ramelteon. Mukatenga ramelteon, muyenera kumaliza kukonzekera nthawi yogona ndikukagona. Osakonzekera zochitika zina panthawiyi. Musatenge ramelteon ngati simungathe kugona kwa maola 7 mpaka 8 mutamwa mankhwalawo.

Kusowa tulo kwanu kumayenera kupitilira masiku 7 mpaka 10 mutayamba chithandizo ndi ramelteon. Itanani dokotala wanu ngati kusowa tulo kwanu sikukuyenda bwino panthawiyi kapena kukuipiraipira nthawi iliyonse mukamalandira chithandizo.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi ramelteon ndipo nthawi iliyonse mukamadzaza 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) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

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

Musanatenge ramelteon,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ramelteon, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a ramelteon. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani dokotala wanu ngati mukumwa fluvoxamine (Luvox). Dokotala wanu angakuuzeni kuti musatenge ramelteon mukamamwa mankhwalawa.
• 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: ma antifungal ena monga fluconazole (Diflucan), itraconazole (Sporanox), ndi ketoconazole (Nizoral); cimetidine (Tagamet); clarithromycin (Biaxin, mu Prevpac); fluoroquinolones kuphatikiza ciprofloxacin (Cipro, Proquin XR), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (Floxin), ena; HIV protease inhibitors kuphatikiza indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); mankhwala a nkhawa, kupweteka kapena kugwidwa; nefazodone; rifampin (Rifadin, ku Rifamate, ku Rifater, Rimactane); mankhwala ogonetsa; mapiritsi ena ogona; ticlopidine (Ticlid); ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi ramelteon, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• Uzani dokotala wanu ngati munaganizapo zodzipha kapena kukonzekera kapena kuyesera kutero, ndipo ngati mwakhalapo kapena mwakhalapo ndi matenda opatsirana a m'mapapo (COPD, kuwonongeka kwa mapapo omwe amapangitsa kupuma kukhala kovuta) kapena matenda ena am'mapapo, kugona tulo (vuto lomwe mumasiya kupuma kangapo usiku) kapena mavuto ena opuma, kukhumudwa, matenda amisala, kapena matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga ramelteon, itanani dokotala wanu.
• Muyenera kudziwa kuti ramelteon imatha kukupangitsani kugona masana. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• osamwa mowa mukamamwa ndi ramelteon. Mowa umatha kukulitsa mavuto obwera chifukwa cha ramelteon.
• muyenera kudziwa kuti anthu ena omwe adatenga ma ramelteon adadzuka pabedi ndikuyendetsa magalimoto awo, kukonzekera ndikudya chakudya, kugona, kuyimba foni, kapena kuchita zina ngati akugona pang'ono. Atadzuka, anthuwa nthawi zambiri samatha kukumbukira zomwe adachita. Itanani dokotala wanu nthawi yomweyo ngati mwazindikira kuti mwakhala mukuyendetsa galimoto kapena kuchita china chilichonse chachilendo mukamagona.
• muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa mankhwalawa. Ndizovuta kudziwa ngati zosinthazi zimayambitsidwa ndi ramelteon kapena ngati zimayambitsidwa ndi matenda amthupi kapena amisala omwe muli nawo kale kapena mwadzidzidzi. Uzani dokotala wanu nthawi yomweyo ngati mungakhale ndi izi: kusokonezeka, kuda nkhawa, kukwiya kapena kusangalala modabwitsa, kuyerekezera zinthu (kuwona zinthu kapena kumva mawu omwe kulibe), maloto owopsa, mavuto akumbukiro, kupsinjika kwatsopano kapena kukulira, kuganizira kapena kuyesa kudzipha, ndikusintha kwina kulikonse m'malingaliro anu, momwe mumamvera, kapena momwe mumakhalira. Onetsetsani kuti banja lanu likudziwa zomwe zingakhale zovuta kuti athe kuyimbira adotolo ngati mukulephera kupeza chithandizo chanokha.

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

Ramelteon amangotengedwa nthawi yogona. Ngati simunatenge ramelteon nthawi yogona ndipo simutha kugona, mutha kutenga ramelteon ngati mutha kugona patatha maola 7 mpaka 8 pambuyo pake. Musatenge ramelteon ngati simunakonzekere kugona ndi kugona pang'ono kwa maola 7 kapena 8.

Ramelteon amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati chimodzi mwazizindikirozi ndi zoopsa kapena sichitha:

• Kusinza kapena kutopa
• chizungulire

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

• kutupa kwa lilime kapena pakhosi
• zovuta kumeza kapena kupuma
• kumva kuti pakhosi patseka
• nseru
• kusanza
• kusamba kosasamba kapena kusowa msambo
• Kutulutsa kwamkaka m'matumbo
• Kuchepetsa chilakolako chogonana
• mavuto obereka

Ramelteon amatha 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.

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.

• Rozerem^®