Cevimeline

Zamkati

• Musanatenge cevimeline,
• Cevimeline imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Cevimeline imagwiritsidwa ntchito pochiza matenda am'milomo youma mwa odwala omwe ali ndi Sjogren's syndrome (vuto lomwe limakhudza chitetezo chamthupi ndipo limayambitsa kuwuma kwa ziwalo zina za thupi monga maso ndi pakamwa). Cevimeline ali mgulu la mankhwala otchedwa cholinergic agonists. Zimagwira ndikuwonjezera malovu mkamwa.

Cevimeline imabwera ngati kapisozi woti umutenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku. Tengani cevimeline mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani cevimeline ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

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

Musanatenge cevimeline,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi cevimeline, kapena mankhwala aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: amiodarone (Pacerone, Cordarone); mankhwala antifungal monga ketoconazole (Nizoral) ndi itraconazole (Sporanox); zotchinga beta monga acebutolol (Sectral), atenolol (Tenormin), betaxolol (Kerlone), bisoprolol (Zebeta, mu Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), pindolol, propranolol (Inderal), sotalol (Betapace), ndi timolol (Blocadren); bethanechol (Urecholine); bupropion (Wellbutrin, Wellbutrin XL, Wellbutrin SR, Zyban); zotchinga calcium monga diltiazem (Cardizem, Dilacor, Tiazac, ena) ndi verapamil (Calan, Covera, Isoptin, Verelan); chlorpheniramine (Chlor-Trimeton, Aller-Chlor, Teldrin Allergy, ena); cimetidine (Tagamet); clarithromycin (Biaxin); clomipramine (Anafranil); duloxetine (Cymbalta); erythromycin (EES, Erythrocin, E-Mycin); fluoxetine (Prozac, Sarafem); fluvoxamine; haloperidol (Haldol); ipratropium (Atrovent); mankhwala ena a HIV monga indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir); mankhwala a matenda a Alzheimer's, glaucoma, matumbo opweteka, matenda oyenda, Myastenia Gravis, matenda a Parkinson, zilonda zam'mimba, kapena mavuto amikodzo; methadone (Dolophine); nefazodone; paroxetine (Paxil, Paxil CR, Pexeva); quinidine; ndi troleandomycin. Mankhwala ena ambiri amathanso kulumikizana ndi cevimeline, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati muli ndi mphumu, pachimake iritis (uveitis; kutupa ndi kukwiya mkati mwa diso), kapena glaucoma (matenda amaso). Dokotala wanu akhoza kukuwuzani kuti musatenge cevimeline.
• auzeni adotolo ngati mwakhala mukumva kupweteka pachifuwa kapena matenda amtima, bronchitis, matenda osokoneza bongo (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema), miyala ya impso, ndulu kapena matenda amtima.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga cevimeline, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa cevimeline.
• muyenera kudziwa kuti cevimeline imatha kusintha masomphenya, makamaka usiku kapena ngati kulibe kuwala kokwanira. Samalani mukamayendetsa galimoto usiku kapena pochita zinthu zowopsa mukachepetsa nyali.
• muyenera kudziwa kuti cevimeline imatha kukupangitsani kutuluka thukuta kwambiri, zomwe zingayambitse kuchepa kwa madzi m'thupi. Onetsetsani kuti mumamwa madzi ambiri ndikulankhula ndi dokotala za njira zopewera kuchepa kwa madzi m'thupi mukamamwa mankhwalawa.

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

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.

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

• thukuta
• nseru
• mphuno

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

• mutu wopweteka kwambiri
• kusintha kwa masomphenya
• akugwetsera m'maso
• thukuta kwambiri
• kuvuta kupuma
• kuphwanya m'mimba
• kusintha kwa kugunda kwa mtima
• kusintha kwa kuthamanga kwa magazi
• chisokonezo
• kugwirana chanza komwe simungathe kulamulira

Cevimeline 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.

• Evoxac^®