Pilocarpine

Zamkati

• Musanamwe pilocarpine,
• Pilocarpine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Pilocarpine imagwiritsidwa ntchito pochiza pakamwa pouma chifukwa cha radiotherapy mwa anthu omwe ali ndi khansa ya mutu ndi khosi komanso kuchiza pakamwa pouma mwa anthu omwe ali ndi matenda a Sjogren's (vuto lomwe limakhudza chitetezo chamthupi ndipo limayambitsa kuwuma kwa ziwalo zina za thupi monga maso ndi pakamwa ). Pilocarpine ali mgulu la mankhwala otchedwa cholinergic agonists. Zimagwira ndikuwonjezera malovu mkamwa.

Pilocarpine imabwera ngati piritsi kuti itenge pakamwa. Pamene pilocarpine imagwiritsidwa ntchito pochiza pakamwa pouma chifukwa cha radiotherapy mwa anthu omwe ali ndi khansa yamutu ndi khosi, nthawi zambiri amatengedwa katatu patsiku. Pamene pilocarpine imagwiritsidwa ntchito pochiza pakamwa pouma mwa anthu omwe ali ndi matenda a Sjogren, nthawi zambiri amatengedwa kanayi patsiku. Tengani pilocarpine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani pilocarpine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukuyambitsani kuchuluka kwa pilocarpine ndikusintha kuchuluka kwanu kutengera momwe matenda anu amayendetsedwera komanso zovuta zomwe mumakumana nazo. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira mankhwala a pilocarpine.

Pilocarpine imatha kuwongolera zizindikilo zanu koma sichitha matenda anu. Pitirizani kumwa pilocarpine ngakhale mukumva bwino. Osasiya kumwa pilocarpine osalankhula ndi dokotala.

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

Musanamwe pilocarpine,

• uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi pilocarpine (Pilopine HS, Salagen) kapena mankhwala 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: ambenonium (Mytelase); mankhwala; atropine (Motofen, ku Lomotil, ku Lonox); zotchinga beta monga atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); bethanechol (Urecholine); cevimeline (Evoxac); donepezil (Aricept); galantamine (Razadyne); ipratropium (Atrovent, ku Combivent, ku Duoneb); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, zilonda, kapena mavuto amikodzo; mphuno (Prostigmin); physostigmine (Mestinon); rivastigmine (Exelon) ndi tacrine (Cognex). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati muli ndi mphumu, pachimake iritis (uveitis; kutupa ndi kukwiya mkati mwa diso), kapena glaucoma (matenda amaso). Dokotala wanu angakuuzeni kuti musamwe pilocarpine.
• auzeni adotolo ngati mwakhalapo kapena mwakhalapo ndi matenda obwera kapena matenda ena am'mapapo mwanga (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema); impso miyala; ndulu; matenda amisala; chikhalidwe chilichonse chomwe chimakhudza luso lanu loganiza; kapena ndulu, mtima, kapena matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga pilocarpine, itanani dokotala wanu.
• Muyenera kudziwa kuti pilocarpine itha kubweretsa kuchepa kwa chonde kwa abambo ndi amai. Lankhulani ndi dokotala musanatenge pilocarpine ngati inu kapena mnzanu mukufuna kukhala ndi pakati.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa pilocarpine.
• muyenera kudziwa kuti pilocarpine imatha kusintha masomphenya, makamaka usiku, kapena ngati kulibe kuwala kokwanira. Samalani mukamayendetsa galimoto usiku, kapena mukamachita zoopsa poyatsa pang'ono.
• Muyenera kudziwa kuti pilocarpine ikhoza kukupangitsani kutuluka thukuta kwambiri, zomwe zingayambitse kusowa kwa madzi m'thupi.Onetsetsani kuti mumamwa madzi ambiri ndikuyimbira dokotala nthawi yomweyo ngati mukuvutika kumwa zakumwa zokwanira kapena ngati mukuganiza kuti mutha kusowa madzi m'thupi.

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.

Pilocarpine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• thukuta
• nseru
• mphuno
• kutsegula m'mimba
• kuzizira
• kuchapa
• kukodza pafupipafupi
• chizungulire
• kufooka
• mutu
• kusanza
• kutentha pa chifuwa
• kupweteka m'mimba
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi

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

• kusintha kwa masomphenya
• kuthamanga kapena kuchepa kwa mtima

Pilocarpine 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.

Zizindikiro za bongo zingaphatikizepo:

• mutu
• kutulutsa maso
• kuvuta kupuma
• Kupweteka kwa GI
• chisokonezo
• kugwedezeka kosalamulirika kwa gawo lina la thupi

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.

• Salagen^®