Rotigotine Transdermal Patch

Zamkati

• Kuti mugwiritse ntchito chigamba, tsatirani izi:
• Musanagwiritse ntchito chigamba cha rotigotine,
• Rotigotine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE OTHANDIZA, pitani kuchipatala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Matenda a Rotigotine transdermal amagwiritsidwa ntchito kuthana ndi zizindikilo za matenda a Parkinson (PD; vuto lamanjenje lomwe limayambitsa zovuta poyenda, kuwongolera minofu, ndikuwongolera) kuphatikiza kugwedezeka kwa ziwalo za thupi, kuuma, kuyenda pang'onopang'ono, ndi mavuto moyenera. Zigamba za Rotigotine transdermal zimagwiritsidwanso ntchito pochiza matenda amiyendo yopumula (RLS kapena Ekbom syndrome; vuto lomwe limayambitsa kusakhazikika kwamiyendo ndikulimbikitsa mwamphamvu kusuntha miyendo, makamaka usiku komanso pansi kapena kugona). Rotigotine ali mgulu la mankhwala otchedwa dopamine agonists. Zimagwira ntchito m'malo mwa dopamine, chinthu chachilengedwe chomwe chimapangidwa muubongo chomwe chimafunikira kuwongolera kuyenda.

Transdermal rotigotine imabwera ngati chigamba chogwiritsa ntchito pakhungu. Nthawi zambiri amagwiritsidwa ntchito kamodzi patsiku. Ikani chigamba cha rotigotine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito rotigotine ndendende momwe mwalangizira.

Dokotala wanu mwina angakuyambitseni ndi mlingo wochepa wa rotigotine ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo kamodzi pa sabata.

Rotigotine amalamulira zizindikiro za matenda a Parkinson ndi matenda amiyendo yopuma koma sawachiritsa. Zitha kutenga milungu ingapo musanapindule ndi rotigotine. Pitirizani kugwiritsa ntchito zigamba za rotigotine ngakhale mukumva bwino. Osasiya kugwiritsa ntchito zigamba za rotigotine transdermal osalankhula ndi dokotala. Mukasiya mwadzidzidzi kugwiritsa ntchito zigamba za rotigotine, mutha kukhala ndi malungo, kuuma kwa minofu, kusintha kuzindikira, kapena zizindikilo zina. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Ikani chigamba pamalo am'mimba, ntchafu, m'chiuno, m'mbali (mbali ya thupi pakati pa nthiti ndi mafupa a chiuno), phewa, kapena mkono wakumtunda. Malo akhungu ayenera kukhala oyera, owuma komanso athanzi. Osayika chigamba pakhungu lomwe lili ndi mafuta, ofiira, opsa mtima, kapena ovulala. Musagwiritse ntchito mafuta opaka mafuta odzola, mafuta odzola, mafuta, kapena ufa pagawo lachikopa. Osayika mafuta pachikopa ndi malo akhungu omwe atha kukhala pansi pachingwe kapena kupukutidwa ndi zovala zolimba. Ngati chigudulacho chizigwiritsidwa ntchito pamalo aubweya, tsitsani malowo osachepera masiku atatu musanagwiritse ntchito. Sankhani khungu tsiku lililonse monga kusintha kuchokera kumanja kupita kumanzere kapena poyenda kuchokera kumtunda kupita kumunsi. Osayika chigamba cha rotigotine pamalo amodzimodzi akhungu kangapo kamodzi pamasiku 14.

Mukamavala chigamba, sungani malowo kutali ndi magwero ena a kutentha monga mapiritsi otenthetsera, mabulangete amagetsi ndi mabedi amadzi otentha; kapena kuwala kwa dzuwa. Osasamba kotentha kapena kugwiritsa ntchito sauna.

Samalani kuti musatulutse chigamba posamba kapena kuchita masewera olimbitsa thupi. Ngati m'mbali mwa chigambacho mutakweza, gwiritsani tepi ya bandeji kuti mutetezenso pakhungu. Ngati chigambacho chagwa, pezani chigamba chatsopano pamalo ena pakhungu lanu tsiku lonse. Tsiku lotsatira, chotsani chidutswacho ndikugwiritsanso ntchito chigamba chatsopano nthawi yanthawi zonse.

Ngati khungu lomwe lidakutidwa ndi chigamba limakwiya kapena likupsa, osayika malowa kuti awalitse dzuwa mpaka khungu litachira. Kuwonetsera dera lino padzuwa kumatha kusintha khungu lanu.

Osadula kapena kuwononga chigamba cha rotigotine.

Kuti mugwiritse ntchito chigamba, tsatirani izi:

1. Gwirani mbali zonse ziwiri za thumba ndikudzipatula.
2. Chotsani chigamba m'thumba. Ikani chigamba nthawi yomweyo mutachotsa m'thumba lanu.
3. Gwirani chigamba ndi manja awiri, ndi chovala choteteza pamwamba.
4. Pindani m'mbali mwa chigamba kuti musadulidwe ngati S.
5. Chotsani theka limodzi lachitsulo choteteza. Osakhudza malo omata chifukwa mankhwalawo amatha kutuluka pa zala zanu.
6. Ikani theka lolimba la chigamba pamalo oyera pakhungu ndikuchotsa zotsalira.
7. Sakanizani chigamba mwamphamvu ndi chikhatho cha dzanja lanu kwa masekondi 30. Yendani m'mphepete ndi zala zanu kuti muwakakamize pakhungu. Onetsetsani kuti chigamba ndi chosalala pakhungu (sipangakhale zopindika kapena zopindika pachikhatho).
8. Mukatha kugwiritsa ntchito chigamba chatsopanocho, onetsetsani kuti muchotse chidutswacho kuyambira dzulo. Gwiritsani zala zanu kuti muchotse pang'onopang'ono. Pindani chidutswacho ndi theka ndikusindikiza mwamphamvu kuti musindikize. Chitayeni bwino, kuti chisapezeke kwa ana ndi ziweto.
9. Ngati pali zomatira zotsalira pakhungu, tsukani modekha ndi madzi ofunda ndi sopo wofatsa kapena pakani pang'ono malowo ndi mwana kapena mafuta amchere kuti muchotse.
10. Sambani m'manja ndi sopo. Osakhudza maso anu kapena chilichonse kufikira mutasamba m'manja.

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

Musanagwiritse ntchito chigamba cha rotigotine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la rotigotine, sulfite, kapena mankhwala aliwonse, kapena chilichonse mwazigawo za rotigotine transdermal. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• 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 antidepressants, mankhwala a nkhawa, mankhwala a matenda amisala, mankhwala okomoka, metoclopramide (Reglan), mankhwala ogonetsa, mapiritsi ogona, komanso opewetsa nkhawa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati muli ndi mphumu, kuthamanga magazi kapena kuthamanga magazi, matenda amisala, kugona masana kuchokera ku vuto la kugona kapena ngati mwakhalapo nthawi zina mutagona modzidzimutsa komanso osakuchenjezani masana kapena matenda amtima.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati pogwiritsa ntchito rotigotine, itanani dokotala wanu.
• muyenera kudziwa kuti rotigotine imatha kukupangitsani kugona kapena itha kukupangitsani kuti muzigona mwadzidzidzi mukamagwira ntchito tsiku ndi tsiku. Mwina simungamve kusinza musanagone mwadzidzidzi. Osayendetsa galimoto kapena kugwiritsa ntchito makina koyambirira kwamankhwala anu mpaka mutadziwa momwe mankhwalawo amakukhudzirani. Ngati mwadzidzidzi mumagona pomwe mukuchita zina monga kuwonera kanema wawayilesi kapena kukwera galimoto, kapena mutayamba kuwodzera, itanani dokotala wanu. Osayendetsa kapena kugwiritsa ntchito makina mpaka mutalankhula ndi dokotala wanu.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa. Uzani dokotala ngati mumamwa mowa nthawi zonse.
• muyenera kudziwa kuti rotigotine imatha kuyambitsa chizungulire, mutu wopepuka, kukomoka, kapena kuchita thukuta mukadzuka msanga kuchokera pamalo abodza. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito rotigotine kapena kuchuluka kwa mankhwalawa. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti kuthamanga kwa magazi kwanu kumatha kukulirakulira mukamalandira mankhwala a rotigotine. Dokotala wanu angayang'anire kuthamanga kwa magazi anu mukamalandira chithandizo.
• muyenera kudziwa kuti transdermal rotigotine imatha kuyaka pakhungu lanu ngati mukujambula maginito (MRI; njira ya radiology yopangira ziwonetsero za ziwalo za thupi) kapena mtima wamthupi (njira yokhazikitsira kamvekedwe ka mtima). Uzani dokotala wanu kuti mukugwiritsa ntchito transdermal rotigotine ngati mukuyenera kukhala ndi imodzi mwanjira izi.
• Muyenera kudziwa kuti anthu ena omwe amagwiritsa ntchito mankhwala monga transdermal rotigotine adakhala ndi zikhumbo kapena zikhalidwe zomwe zimawakakamiza kapena zachilendo kwa iwo, monga kutchova juga, kukulitsa zilakolako zakugonana kapena zizolowezi, kugula kwambiri, komanso kudya kwambiri. Itanani dokotala wanu ngati muli ndi chidwi chofuna kugula, kudya, kugonana, kapena kutchova njuga, kapena simutha kudziletsa. Uzani achibale anu za chiopsezo ichi kuti athe kuyimbira adokotala ngakhale simukuzindikira kuti kutchova juga kwanu kapena zina zilizonse zolimbikitsa kapena zikhalidwe zina zasanduka vuto.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ikani mlingo (patch) womwe mwaphonya mukangokumbukira, kenaka ikani chigamba chatsopano nthawi yotsatira tsiku lotsatira. Musagwiritse ntchito chigamba china kuti mupange mlingo womwe mwaphonya.

Rotigotine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• zidzolo, kufiira, kutupa kapena kuyabwa pakhungu lomwe linakutidwa ndi chigamba
• nseru
• kusanza
• kudzimbidwa
• kusowa chilakolako
• Kusinza
• kuvuta kugona kapena kugona
• maloto achilendo
• chizungulire kapena kumva kuti iwe kapena chipinda ukuyenda
• mutu
• kukomoka
• kunenepa
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• thukuta lowonjezeka
• pakamwa pouma
• kutaya mphamvu
• kupweteka pamodzi
• masomphenya achilendo
• kusuntha kwadzidzidzi kwa miyendo kapena kukulira kwa zizindikiro za PD kapena RLS
• kugunda kwamtima mwachangu kapena mosasinthasintha

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE OTHANDIZA, pitani kuchipatala nthawi yomweyo:

• kuvuta kupuma kapena kumeza
• ming'oma
• zidzolo
• kuyabwa
• kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)
• kukhala okayikira ena modabwitsa
• chisokonezo
• mwamakani kapena wopanda chikondi
• kukhala ndi malingaliro kapena zikhulupiriro zachilendo zomwe zilibe maziko
• kubvutika
• kukwiya kapena kusangalala modabwitsa

Anthu omwe ali ndi matenda a Parkinson atha kukhala pachiwopsezo chachikulu chotenga khansa ya khansa yapakhungu (mtundu wa khansa yapakhungu) kuposa anthu omwe alibe matenda a Parkinson. Palibe chidziwitso chokwanira chodziwitsa ngati mankhwala omwe amagwiritsidwa ntchito pochiza matenda a Parkinson monga rotigotine amachulukitsa chiopsezo chokhala ndi khansa yapakhungu. Muyenera kukhala ndi mayeso a khungu pafupipafupi kuti muwone ngati ali ndi khansa ya khansa mukamagwiritsa ntchito rotigotine ngakhale mulibe matenda a Parkinson. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito rotigotine.

Rotigotine imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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 thumba loyambirira lomwe adalowamo, komanso patali ndi 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.

Ngati wina apaka zigamba zowonjezera za rotigotine, chotsani zigamba zija. Kenako imbani foni malo omwe mumayang'anira poyizoni ku 1-800-222-1222. Ngati wovulalayo wagwa kapena sakupuma, itanani oyang'anira zadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• nseru
• kusanza
• kukomoka
• chizungulire
• wamisala
• mayendedwe omwe ndi ovuta kuwongolera
• kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)
• chisokonezo
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu.

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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