Zamgululi
Zamkati
- Musanatenge iloperidone,
- Iloperidone ikhoza kuyambitsa zovuta. 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 izi:
Kafukufuku wasonyeza kuti achikulire omwe ali ndi vuto la misala (vuto laubongo lomwe limakhudza kukumbukira, kuganiza bwino, kulumikizana, ndikuchita zochitika zatsiku ndi tsiku zomwe zitha kusintha kusintha kwa malingaliro ndi umunthu) omwe amatenga ma antipsychotic (mankhwala amisala) ali ndi chiopsezo chowonjezeka chakufa panthawi yachipatala. Achikulire achikulire omwe ali ndi matenda a dementia amathanso kukhala ndi mwayi wambiri wopwetekedwa mtima kapena kupwetekedwa pang'ono panthawi yachipatala.
Iloperidone sivomerezedwa ndi Food and Drug Administration (FDA) pochiza mavuto amachitidwe mwa achikulire omwe ali ndi vuto la misala. Lankhulani ndi dokotala yemwe adakupatsani mankhwalawa ngati inu, wachibale wanu, kapena wina aliyense amene mumamusamalira ali ndi matenda amisala ndipo akutenga iloperidone. Kuti mumve zambiri pitani patsamba la FDA: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm149578.htm.
Iloperidone imagwiritsidwa ntchito pochiza zizindikiro za schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi ndi moyo, komanso kukhudzidwa mwamphamvu kapena kosayenera). Iloperidone ali mgulu la mankhwala otchedwa antipychotic antipsychotic. Zimagwira ntchito posintha zochitika za zinthu zina zachilengedwe muubongo.
Iloperidone imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kawiri patsiku. Tengani iloperidone mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani iloperidone ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa iloperidone ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo kamodzi pa tsiku kwa masiku asanu ndi awiri oyamba. Dokotala wanu adzafunikanso kukuyambitsani pa mlingo wochepa wa iloperidone ndipo pang'onopang'ono muwonjezere mlingo wanu ngati simutenga iloperidone masiku atatu kapena kupitilira nthawi iliyonse mukamalandira chithandizo.
Iloperidone itha kuthandizira kuwongolera zizindikilo zanu koma sichitha matenda anu. Zitha kutenga masabata awiri kapena kupitilira apo iloperidone isanayambe kuwongolera zizindikiro zanu. Pitirizani kumwa iloperidone ngakhale mukumva bwino. Osasiya kumwa iloperidone osalankhula ndi dokotala.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge iloperidone,
- Uzani dokotala ndi wazamankhwala ngati mwakhala ndi vuto linalake (kupuma movutikira kapena kumeza kapena kutupa kwa nkhope, milomo, mmero, lilime, manja, kapena mapazi) ku iloperidone. Dokotala wanu angakuuzeni kuti musatenge iloperidone. Komanso muuzeni dokotala ngati mukugwirizana ndi mankhwala ena aliwonse, kapena zina mwazomwe zili m'mapiritsi a iloperidone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone, Pacerone); mankhwala opatsirana pogonana; mankhwala antifungal monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); bupropion (Aplenzin, Wellbutrin, Zyban); mankhwala enaake; clarithromycin (Biaxin); fluoxetine (Prozac, Sarafem); gatifloxacin (Tequin) (sikupezeka ku U.S.); ma virus ena a HIV protease monga indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); levo-alpha-acetylmethadol (ORLAAM) (sikupezeka ku US); methadone (Dolophine, Methadose); mankhwala a matenda amisala, kuthamanga kwa magazi, kapena khunyu; moxifloxacin (Avelox); nefazodone; paroxetine (Paxil, Pexeva); pentamidine (Nebupent, Pentam); kupeza; quinidine; mankhwala ogonetsa; mapiritsi ogona; sotalol (Betapace); thioridazine kapena tranquilizers. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani dokotala ngati mumagwiritsa ntchito mankhwala osokoneza bongo kapena mumamwa mankhwala osokoneza bongo, kapena mwakhala mukuganiza zodzivulaza kapena kudzipha. Muuzeni dokotala wanu ngati inu kapena aliyense m'banja mwanu muli ndi matenda a shuga kapena ngati mwakhalapo ndi nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), pang'onopang'ono kapena mosakhazikika kugunda kwa mtima, kugunda kwamtima kwaposachedwa, mtima kulephera, matenda a m'mimba (cholesterol), kutsika kwa potaziyamu kapena magnesium m'magazi anu, khunyu, khansa ya m'mawere, kuvuta kuti musamayime bwino, vuto lililonse lomwe limakupangitsani kuvuta kumeza, kapena matenda a mtima kapena chiwindi. Komanso muuzeni dokotala ngati muli ndi magazi oyera ochepa kapena ngati mwakhalapo ndi maselo ochepa am'magazi ngati zotsatira zamankhwala omwe mudamwa. Muuzeni dokotala ngati muli ndi kusanza kwambiri kapena kutsegula m'mimba kapena kusowa madzi m'thupi nthawi iliyonse mukamamwa mankhwala.
- uzani dokotala wanu ngati muli ndi pakati, makamaka ngati muli m'miyezi ingapo yapitayo ya mimba yanu, kapena ngati mukufuna kutenga pakati kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga iloperidone, itanani dokotala wanu. Iloperidone ingayambitse mavuto kwa ana obadwa kumene atabereka ngati atatengedwa m'miyezi yapitayi yamimba.
- muyenera kudziwa kuti iloperidone imatha kusintha malingaliro anu, kuweruza kwanu, komanso kuthekera kwanu kusuntha. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa iloperidone. Mowa umatha kupangitsa mavuto omwe amabwera chifukwa cha iloperidone.
- muyenera kudziwa kuti mutha kukhala ndi hyperglycemia (kuchuluka kwa shuga m'magazi anu) mukamamwa mankhwalawa, ngakhale mulibe matenda ashuga. Ngati muli ndi schizophrenia, mumakhala ndi matenda ashuga kuposa anthu omwe alibe schizophrenia, ndipo kumwa iloperidone kapena mankhwala ofanana nawo kungapangitse ngozi imeneyi. Uzani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro izi mukamamwa iloperidone: ludzu, kukodza pafupipafupi, njala yayikulu, kusawona bwino, kapena kufooka. Ndikofunika kuyimbira dokotala wanu mukangomva izi, chifukwa shuga wambiri yemwe samalandira mankhwala amatha kuyambitsa vuto lalikulu lotchedwa ketoacidosis. Ketoacidosis imatha kukhala pangozi ngati singachiritsidwe koyambirira. Zizindikiro za ketoacidosis zimaphatikizapo: pakamwa pouma, nseru ndi kusanza, kupuma movutikira, mpweya womwe umanunkhira zipatso, ndikuchepetsa chidziwitso.
- muyenera kudziwa kuti iloperidone imatha kuyambitsa chizungulire, mutu wopepuka, kugunda kwamtima, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa iloperidone kapena kuchuluka kwanu. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
- Muyenera kudziwa kuti kutenga iloperidone kumapangitsa kuti thupi lanu lizizizira kuzizira likatentha kwambiri. Uzani dokotala wanu ngati mukufuna kuchita masewera olimbitsa thupi mwamphamvu kapena kutentha kwambiri.
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.
Iloperidone ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kunenepa
- nseru
- kutsegula m'mimba
- kupweteka m'mimba
- pakamwa pouma
- kugona
- kukulitsa kapena kutulutsa bere
- anasiya kusamba
- amachepetsa kuthekera kwakugonana mwa amuna
- kupweteka pamodzi
- chizungulire, kumva kusakhazikika, kapena kukhala ndi vuto loti musamachite zinthu mopitirira malire
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- zidzolo
- ming'oma
- kuyabwa
- kutupa kwa nkhope, milomo, mmero, lilime, manja, kapena mapazi
- kuvuta kupuma kapena kumeza
- chizungulire; kuthamanga, kugunda, kapena kugunda kwamtima kosasinthasintha; kapena kukomoka
- kugwa
- mayendedwe achilendo a nkhope kapena thupi omwe simungathe kuwongolera
- kugwidwa
- zilonda zapakhosi, malungo, kuzizira, ndi zizindikiro zina za matenda
- malungo osadziwika popanda zizindikiro zina za matenda
- kuuma minofu
- chisokonezo
- thukuta
- erection yowawa yomwe imatenga maola ambiri
Iloperidone ikhoza kuyambitsa 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 izi:
- Kusinza
- kuthamanga kapena kusakhazikika kwamtima
- kuyenda pang'onopang'ono kapena kosazolowereka
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira iloperidone.
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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