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• Pali njira zitatu zomwe mungatengere varenicline kukuthandizani kusiya kusuta.
• Musanatenge varenicline,
• Varenicline itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa m'magawo a SPECIAL PRECAUTIONS, lekani kumwa varenicline ndikuyimbira dokotala kapena kupeza chithandizo chamankhwala nthawi yomweyo:

Varenicline imagwiritsidwa ntchito limodzi ndi maphunziro komanso upangiri kuthandiza anthu kusiya kusuta. Varenicline ali mgulu la mankhwala otchedwa kusuta. Zimagwira ntchito poletsa zosangalatsa za chikonga (kuchokera pakusuta) muubongo.

Varenicline imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku poyamba ndiyeno kawiri patsiku m'mawa ndi madzulo. Tengani varenicline ndi madzi okwanira (ma ola 240) mukatha kudya. Tengani varenicline mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani varenicline ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu mwina angakuyambitseni pa varenicline yochepa ndipo pang'onopang'ono muwonjezere mlingo wanu sabata yoyamba yamankhwala.

Pali njira zitatu zomwe mungatengere varenicline kukuthandizani kusiya kusuta.

• Mutha kukhazikitsa tsiku loti musiye kusuta ndikuyamba kutenga varenicline sabata 1 tsiku lomwelo lisanafike. Mutha kupitiliza kusuta sabata yoyamba yamankhwala ochepetsa varenicline, koma onetsetsani kuti yesetsani kusiya kusuta patsiku lomwe mwasankha.
• Mutha kuyamba kumwa varenicline kenako ndikusiya kusuta pakati pa masiku 8 ndi 35 mutayamba kumwa mankhwala ndi varenicline.
• Ngati simukudziwa kuti mungathe kapena ngati simukufuna kusiya kusuta mwadzidzidzi, mutha kuyamba kumwa varenicline ndikusiya kusuta pang'onopang'ono pamasabata khumi ndi awiri akuchipatala. Kwa milungu 1-4, muyenera kuyeserera ndudu zochepa kwambiri kuposa ndudu zanu tsiku lililonse. Kwa milungu 5-8, muyenera kuyesa kusuta kotala limodzi lokha la ndudu zanu zoyambira tsiku lililonse. Kwa milungu 9-12, muyenera kupitiliza kuyesa kusuta ndudu zochepa tsiku lililonse mpaka mutasiya kusuta. Khalani ndi cholinga chosiya kwathunthu kumapeto kwa milungu 12 kapena posachedwa ngati mukumva kuti ndinu okonzeka.

Zitha kutenga milungu ingapo kuti mumve bwino za varenicline. Mutha kuterereka ndikusuta mukamalandira chithandizo. Izi zikachitika, mutha kusiya kusuta. Pitilizani kutenga varenicline ndikuyesa kusuta.

Mutha kutenga varenicline kwa masabata a 12. Ngati mwasiya kusuta kumapeto kwa masabata a 12, adokotala angakuuzeni kuti mutenge varenicline kwa milungu ina 12. Izi zingakuthandizeni kuti musayambenso kusuta.

Ngati simunasiye kusuta kumapeto kwa masabata a 12, lankhulani ndi dokotala wanu. Dokotala wanu akhoza kuyesa kukuthandizani kumvetsetsa chifukwa chomwe simunaleke kusuta ndikukonzekera kuyesanso.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi varenicline 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/downloads/Drugs/DrugSafety/ucm088569.pdf) kapena tsamba laopanga kuti mupeze Medication Guide.

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

Musanatenge varenicline,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la varenicline kapena mankhwala ena aliwonse.
• 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: anticoagulants ('' opopera magazi '') monga warfarin (Coumadin, Jantoven); insulini; Mankhwala ena okuthandizani kuti musiye kusuta monga bupropion (Aplenzin, Forfivo, Wellbutrin, Zyban, mu Contrave) ndi chingamu, inhaler, lozenges, kutsitsi pamphuno, kapena zigamba pakhungu; ndi theophylline (Elixophyllin, Theo-24, Theocron). Dokotala wanu angafunike kusintha mlingo wa mankhwala anu mukasiya kusuta.
• auzeni adotolo ngati munakhalapo ndi zizindikiro zosuta mutayesa kusiya kusuta m'mbuyomu komanso ngati mudakhalapo ndi khunyu; kapena mtima, chotengera magazi, kapena matenda a impso
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga varenicline, itanani dokotala wanu. Ngati mukuyamwitsa mukudya varenicline, yang'anani mwana wanu mosamala kuti agwe, ndipo akusanza kapena kulavulira nthawi zambiri. Itanani dokotala wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi.
• Muyenera kudziwa kuti varenicline imatha kukupangitsani kugona, chizungulire, kukomoka, kapena kuvutika kukhazikika. Pakhala pali malipoti a ngozi zapamsewu, ngozi zaposachedwa, ndi mitundu ina yovulala mwa anthu omwe amatenga varenicline. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti anthu ena asintha machitidwe awo, nkhanza, kukhumudwa, kukhumudwa, komanso malingaliro ofuna kudzipha (kuganiza zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa kutero) pomwe akutenga varenicline. Udindo wa varenicline pakuyambitsa kusinthaku sikudziwika chifukwa anthu omwe amasiya kusuta ndi mankhwala kapena popanda mankhwala amatha kusintha thanzi lawo lam'mutu chifukwa chosiya nicotine. Komabe, zina mwazizindikirozi zidachitika mwa anthu omwe amatenga varenicline ndikupitiliza kusuta. Anthu ena anali ndi izi atayamba kumwa varenicline, ndipo ena adayamba nawo patatha milungu ingapo akuchiritsidwa kapena atasiya varenicline. Zizindikirozi zachitika mwa anthu opanda mbiri yamatenda amisala ndipo zawonjezeka mwa anthu omwe ali ndi matenda amisala kale. Uzani dokotala wanu ngati mwakhalapo ndi vuto la kupsinjika, kapena bipolar disorder (kusinthasintha kosintha kuchokera pakukhumudwa ndikukhala osangalala modabwitsa), schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi m'moyo, komanso kukhumudwa kapena kosayenera) kapena matenda ena amisala. Ngati mukumane ndi izi, siyani kumwa varenicline ndikuimbira dokotala nthawi yomweyo: malingaliro ofuna kudzipha kapena zochita; kukhumudwa kwatsopano kapena kukulira, nkhawa, kapena mantha; kusakhazikika; kusakhazikika; kukwiya kapena chiwawa; kuchita zowopsa; mania (kutengeka, kusangalala modabwitsa kapena kuyankhula); malingaliro kapena zotengeka; kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe); kumva kuti anthu akukutsutsani; kumva kusokonezeka; kapena kusintha kulikonse mwadzidzidzi kapena kosazolowereka pamakhalidwe, kuganiza, kapena momwe akumvera. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha. Dokotala wanu adzakuyang'anirani mosamala mpaka matenda anu atayamba.
• Funsani dokotala wanu za zakumwa zoledzeretsa moyenera mukamamwa varenicline. Varenicline imatha kukulitsa zovuta zakumwa mowa,
• funsani dokotala wanu kuti akupatseni malangizo komanso kuti mumve zambiri zolembedwa kuti zikuthandizeni kusiya kusuta. Mutha kusiya kusuta mukamamwa mankhwala ndi varenicline mukalandira chidziwitso ndi chithandizo kuchokera kwa dokotala wanu.

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.

Varenicline itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kudzimbidwa
• kutsegula m'mimba
• mpweya
• kupweteka m'mimba
• kusanza
• kutentha pa chifuwa
• kusakoma m'kamwa
• pakamwa pouma
• kuchuluka kapena kuchepa kwa njala
• Dzino likundiwawa
• kuvuta kugona kapena kugona
• maloto achilendo kapena maloto owopsa
• mutu
• kusowa mphamvu
• msana, kulumikizana, kapena kupweteka kwa minofu
• kusamba kwachilendo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa m'magawo a SPECIAL PRECAUTIONS, lekani kumwa varenicline ndikuyimbira dokotala kapena kupeza chithandizo chamankhwala nthawi yomweyo:

• kutupa kwa nkhope, mmero, lilime, milomo, nkhama, maso, khosi, manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• zovuta kumeza kapena kupuma
• zidzolo
• khungu lotupa, lofiira, losenda, kapena lotupa
• matuza mkamwa
• kupweteka, kufinya, kapena kupanikizika pachifuwa
• kupweteka kapena kusapeza m'manja kapena manja onse, kumbuyo, khosi, nsagwada, kapena m'mimba
• kupuma movutikira
• thukuta
• nseru, kusanza, kapena mutu wopepuka ndi kupweteka pachifuwa
• mawu odekha kapena ovuta
• kufooka mwadzidzidzi kapena dzanzi la mkono kapena mwendo, makamaka mbali imodzi ya thupi
• kupweteka kwa ng'ombe poyenda
• kugwidwa
• kugona

M'maphunziro azachipatala, anthu omwe amamwa varenicline amatha kukhala ndi vuto la mtima, sitiroko, kapena mavuto ena akulu ndi mitima yawo kapena mitsempha yamagazi kuposa anthu omwe sanalandire mankhwalawa. Komabe, anthu omwe amasuta amakhalanso ndi chiopsezo chachikulu chotenga mavutowa. Lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga varenicline, makamaka ngati mwakhalapo ndi matenda amtima kapena amitsempha yamagazi.

Varenicline 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.

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