Utsi wa Zolmitriptan Nasal
Zamkati
- Kuti mugwiritse ntchito mankhwala amphuno, tsatirani izi:
- Musanagwiritse ntchito utsi wa zolmitriptan,
- Zolmitriptan nasal spray ingayambitse 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:
- Zizindikiro za bongo zingaphatikizepo:
Zolmitriptan nasal spray imagwiritsidwa ntchito kuthana ndi zizindikilo za mutu waching'alang'ala (mutu wopweteka kwambiri, wopweteketsa mutu womwe nthawi zina umakhala limodzi ndi zizindikilo zina monga kunyansidwa ndikumveka kwa mawu ndi kuwunika). Zolmitriptan ali mgulu la mankhwala otchedwa serotonin receptor agonists. Zimagwira ntchito pochepetsa mitsempha yamagazi mozungulira ubongo, kuletsa zowawa kuti zisatumizidwe kuubongo, ndikuletsa kutulutsidwa kwa zinthu zina zachilengedwe zomwe zimayambitsa kupweteka, nseru, ndi zizindikilo zina za migraine. Zolmitriptan siyimateteza ku migraine kapena kuchepetsa kuchuluka kwa mutu womwe muli nawo.
Zolmitriptan imabwera ngati kutsitsi kuti ipumitsire mphuno. Nthawi zambiri amagwiritsidwa ntchito pachizindikiro choyamba cha mutu waching'alang'ala. Ngati zizindikiro zanu zikuyenda bwino mutagwiritsa ntchito zolmitriptan koma mubwereranso patadutsa maola awiri kapena kupitilira apo, mutha kugwiritsa ntchito mlingo wachiwiri wa zolmitriptan. Komabe, ngati zizindikiro zanu sizikusintha mutagwiritsa ntchito zolmitriptan, musagwiritse ntchito mlingo wachiwiri osalankhula ndi dokotala wanu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito zolmitriptan monga momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.
Mutha kugwiritsa ntchito muyeso wanu woyamba wa zolmitriptan nasal spray muofesi ya dokotala kapena malo ena azachipatala komwe mungayang'anitsidwe ngati mwayankha bwino.
Itanani dokotala wanu ngati mutu wanu sukuchira kapena umachitika pafupipafupi mutagwiritsa ntchito utsi wa zolmitriptan nasal.
Ngati mumagwiritsa ntchito zolmitriptan pafupipafupi kapena motalika kuposa nthawi yolimbikitsidwa, mutu wanu umatha kukulirakulira kapena kumachitika pafupipafupi. Musagwiritse ntchito utsi wa zolmitriptan kapena kumwa mankhwala aliwonse akumutu kwa masiku opitilira 10 pamwezi. Itanani dokotala wanu ngati mukufuna kugwiritsa ntchito mankhwala opatsirana amphongo a zolmitriptan kuti muchiritse mutu wopitilira katatu mwezi umodzi.
Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.
Kuti mugwiritse ntchito mankhwala amphuno, tsatirani izi:
- Werengani malangizo onse opanga kuti mugwiritse ntchito mankhwala amphuno musanagwiritse ntchito mlingo wanu woyamba.
- Lizani mphuno yanu mofatsa.
- Chotsani kapu yoteteza ku sprayer.
- Gwirani chopopera pakati pa zala zanu ndi chala chachikulu, koma samalani kuti musakanikizire plunger.
- Gwiritsani ntchito dzanja lanu kutseka mphuno imodzi mwa kukanikiza mwamphamvu pambali ya mphuno yanu.
- Ikani nsonga ya sprayer m'mphuno mwanu momwe mumamverera bwino ndikukankhira mutu wanu kumbuyo pang'ono. Samalani kuti musakanikizire plunger kapena kupopera mankhwala m'maso mwanu.
- Pumirani mofatsa kudzera m'mphuno mwanu. Nthawi yomweyo, kanikizani plunger mwamphamvu ndi chala chanu chachikulu. Plunger imatha kukhala yolimba ndipo mutha kumva phokoso.
- Sungani mutu wanu kumbuyo pang'ono ndikuchotsani nsonga m'mphuno mwanu.
- Pumani pang'ono pakamwa panu masekondi 5-10. Ndi zachilendo kumva kuti mumakhala madzi m'mphuno mwanu kapena kumbuyo kwanu.
- Omwaza mankhwalawa amakhala ndi mlingo umodzi wokha wa mankhwala. Mukamaliza kuchigwiritsa ntchito, chitayeni m'chitini chomwe sichimatha kufikiridwa ndi ana komanso ziweto.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanagwiritse ntchito utsi wa zolmitriptan,
- uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi zolmitriptan, mankhwala ena aliwonse, kapena zosakaniza zilizonse za zolmitriptan nasal spray. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- osagwiritsa ntchito mankhwala amphongo a zolmitriptan ngati mwamwa mankhwala aliwonse awa m'maola 24 apitawa: ma agonists ena osankha serotonin receptor monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan ( Maxalt), kapena sumatriptan (Imitrex, ku Treximet); kapena mankhwala amtundu wa ergot monga bromocriptine (Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot, Ergomar, Wigraine), methylergonovine (Methergine) ), ndi pergolide (Permax).
- osagwiritsa ntchito mankhwala amphongo a zolmitriptan ngati mukumwa monoamine oxidase A (MAO-A) choletsa monga isocarboxazid (Marplan), phenelzine (Parnate), kapena tranylcypromine (Nardil) kapena ngati mwamwa mankhwala awa m'mbuyomu masabata.
- 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: acetaminophen (Tylenol); antidepressants monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protripiline Surmontil); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); cimetidine (Tagamet); njira zakulera zakumwa ('mapiritsi oletsa kubereka'); propranolol (mawonekedwe); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine, paroxetine (Paxil), ndi sertraline (Zoloft); ndi serotonin / norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Pristiq), duloxetine (Cymbalta), sibutramine (Meridia), ndi venlafaxine (Effexor). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda amtima; matenda a mtima; angina (kupweteka pachifuwa); kugunda kwamtima kosasintha; sitiroko kapena 'mini-stroke'; kapena mavuto azizungulire monga mitsempha ya varicose, kuundana kwa magazi m'miyendo, matenda a Raynaud (mavuto okhudzana ndi magazi kupita ku zala, zala zakumapazi, makutu, ndi mphuno), kapena matenda am'matumbo amisempha (kutsegula m'mimba ndi kupweteka m'mimba komwe kumachitika chifukwa chotsika magazi matumbo). Dokotala wanu angakuuzeni kuti musagwiritse ntchito mankhwala opatsirana amphongo a zolmitriptan.
- uzani dokotala wanu ngati mumasuta kapena mukulemera kwambiri; ngati mwakhalapo ndi kuthamanga kwa magazi, cholesterol, shuga, chiwindi kapena matenda a impso; ngati mwadwala (kusintha moyo); kapena ngati ena m'banjamo adakhalapo kapena adakhalapo ndi matenda amtima kapena sitiroko.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Ngati mukufuna kuchita zachiwerewere mukamagwiritsa ntchito mankhwalawa, lankhulani ndi dokotala wanu za njira zabwino zolerera. Mukakhala ndi pakati mukamagwiritsa ntchito utsi wa zolmitriptan, itanani dokotala wanu.
- muyenera kudziwa kuti kupopera mphuno kwa zolmitriptan kumatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- lankhulani ndi dokotala wanu zam'mutu mwanu kuti muwone kuti amayamba chifukwa cha migraine. Zolmitriptan nasal spray sayenera kugwiritsidwa ntchito pochiza mitundu ina ya mutu waching'alang'ala (hemiplegic kapena basilar) kapena mitundu ina ya mutu (monga mutu wamagulu).
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Zolmitriptan nasal spray ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- zilonda zapakhosi kapena zopweteka
- khungu lodziwika bwino, makamaka kuzungulira mphuno
- pakamwa pouma
- kukoma kwachilendo pakamwa
- nseru
- kutopa
- chizungulire
- kufooka
- kutentha kapena kumva kulasalasa
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
- kupweteka, kulimba, kupanikizika, kapena kulemera pachifuwa, pakhosi, khosi, kapena nsagwada
- mawu odekha kapena ovuta
- kukomoka
- kutuluka thukuta lozizira
- mavuto ndi masomphenya
- kufooka kapena kufooka kwa mkono kapena mwendo
- kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
- kutsegula m'mimba
- kusanza
- mwadzidzidzi kapena kupweteka kwambiri m'mimba
- kuwonda mwadzidzidzi
- wotumbululuka kapena utoto wabuluu wa zala ndi zala
- kupuma movutikira
- kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
- kuvuta kupuma kapena kumeza
- zidzolo
- ming'oma
- ukali
- kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi
Zolmitriptan nasal spray ingayambitse mavuto ena. 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:
- Kusinza kwambiri
Sungani maimidwe onse ndi dokotala wanu. Magazi anu ayenera kuyang'aniridwa pafupipafupi.
Muyenera kusunga zolemba pamutu polemba pomwe muli ndi mutu komanso mukamagwiritsa ntchito mankhwala opatsirana amphongo a zolmitriptan.
Musalole kuti wina aliyense agwiritse ntchito 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.
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