Asenapine

Zamkati

• Musanatenge asenapine,
• Asenapine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mgawo la SPECIAL PRECAUTION, pitani kuchipatala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Gwiritsani ntchito okalamba:

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) monga asenapine ali ndi chiopsezo chowonjezeka chakufa panthawi yachipatala. Akuluakulu achikulire omwe ali ndi matenda a dementia amathanso kukhala ndi mwayi wambiri woti akhoza kudwala matenda opha ziwalo kapena mautumiki akamalandira chithandizo.

Asenapine sivomerezedwa ndi Food and Drug Administration (FDA) pochiza mavuto azikhalidwe mwa okalamba omwe ali ndi matenda amisala. Lankhulani ndi dokotala yemwe adakupatsani mankhwalawa ngati inu, wachibale wanu, kapena wina amene mumamusamalira ali ndi matenda amisala ndipo akutenga asenapine. Kuti mumve zambiri pitani patsamba la FDA: http://www.fda.gov/Drugs.

Lankhulani ndi dokotala wanu za chiopsezo chotenga asenapine.

Asenapine amagwiritsidwa ntchito pochiza matenda a schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi ndi moyo, komanso kukhudzika kapena kosayenera). Asenapine imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kapena kupewa magawo a mania (okwiya, osangalala modabwitsa) kapena mania osakanikirana (okwiya, okhumudwa modabwitsa komanso zizindikilo zakukhumudwa) mwa achikulire ndi ana azaka 10 zakubadwa kapena kupitirira ali ndi matenda ochititsa munthu kusinthasintha zochitika Matenda anga (matenda a manic depression disorder; matenda omwe amayambitsa magawo azisoni, magawano okhumudwa ndimikhalidwe ina yachilendo). Asenapine ali mgulu la mankhwala otchedwa antipychotic antipsychotic. Zimagwira ntchito posintha zochitika za zinthu zina zachilengedwe muubongo.

Asenapine amabwera ngati piritsi laling'ono kuti lisungunuke pansi pa lilime. Nthawi zambiri amatengedwa kawiri patsiku. Tengani asenapine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani asenapine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Musachotse mapiritsi okhala ndi zilembo za asenapine m'phukusilo mpaka mutatsala pang'ono kumwa, ndipo onetsetsani kuti manja anu ndi ouma mukamagwiritsa ntchito mapiritsiwo. Mukakonzeka kutenga piritsi, tsatirani malangizo phukusi pochotsa piritsi popanda kukankhira piritsiyo phukusi la piritsi kapena kuthyola piritsi. Mukachotsa piritsiyo, liyikeni pansi pa lilime lanu ndikudikirira kuti lisungunuke. Osameza, kugawaniza, kutafuna, kapena kuphwanya phale. Musadye kapena kumwa chilichonse kwa mphindi 10 piritsi litasungunuka.

Dokotala wanu angafunikire kukulitsa kapena kuchepetsa mlingo wanu kutengera momwe mankhwalawo amagwirira ntchito kwa inu komanso zovuta zomwe mumakumana nazo. Uzani dokotala wanu momwe mukumvera mukamalandira asenapine.

Asenapine itha kuthandizira kuchepetsa zizindikilo zanu koma sichichiza matenda anu. Pitirizani kumwa asenapine ngakhale mukumva bwino. Osasiya kumwa asenapine osalankhula ndi dokotala.

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

Musanatenge asenapine,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la asenapine, mankhwala ena aliwonse, kapena chilichonse mwazomwe zimaphatikizidwa m'mapiritsi a asenapine. 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: maantibayotiki ena kuphatikiza gatifloxacin (Tequin) (omwe sapezeka ku U.S.) ndi moxifloxacin (Avelox); antidepressants kuphatikiza clomipramine (Anafranil), duloxetine (Cymbalta), fluvoxamine (Luvox), ndi paroxetine (Paxil, Pexeva); mankhwala; dextromethorphan (ku Delsym, mu Mucinex); ipratropium; mankhwala a nkhawa ndi kuthamanga kwa magazi; mankhwala ena osagunda pamtima monga amiodarone (Cordarone, Pacerone), procainamide, quinidine, ndi sotalol (Betapace, Sorine); mankhwala a glaucoma, matenda opweteka am'mimba, matenda oyenda, myasthenia gravis, matenda a Parkinson, zilonda zam'mimba, kapena mavuto amikodzo; mankhwala a matenda amisala monga chlorpromazine (Thorazine), thioridazine, ndi ziprasidone (Geodon); mankhwala okomoka; mapiritsi ogona; Dokotala wanu angafunike kusintha mlingo wa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati inu kapena aliyense m'banja mwanu adadwala kapena adakhalapo ndi matenda ashuga; ngati muli ndi matenda otsekula m'mimba kwambiri kapena kusanza kapena mukuganiza kuti mutha kuchepa madzi m'thupi; ngati munagwiritsapo ntchito mankhwala osokoneza bongo kapena kugwiritsa ntchito mankhwala osokoneza bongo; ndipo ngati munaganizapo zodzipweteka kapena kudzipha; nthawi yayitali ya QT (vuto losowa la mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi); kuthamanga kwa magazi; matenda a mtima; mtima kulephera; kugunda pang'onopang'ono kapena kosasinthasintha; sitiroko kapena TIA (ministroke); kugwidwa; khansa ya m'mawere; kuchepa kwa maselo oyera m'magazi anu kapena kuchepa kwa maselo oyera am'magazi chifukwa cha mankhwala omwe mwamwa; mlingo wotsika wa potaziyamu kapena magnesium m'magazi anu; dyslipidemia (cholesterol yambiri); kuvuta kusunga malire; chikhalidwe chilichonse chomwe chimakupangitsani kukhala kovuta kuti mumumeze; kapena matenda a mtima kapena chiwindi.
• 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 asenapine, itanani dokotala wanu. Asenapine imatha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atengedwa m'miyezi yapitayi yamimba.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa asenapine.
• muyenera kudziwa kuti asenapine imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa asenapine. Mowa umatha kukulitsa mavuto obwera chifukwa cha asenapine.
• muyenera kudziwa kuti asenapine imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa asenapine. Pofuna kupewa vutoli, nyamuka pabedi pang'onopang'ono, ndikupumitsa mapazi ako pansi kwa mphindi zochepa usanayime.
• muyenera kudziwa kuti asenapine imatha kupangitsa kuti thupi lanu lizizizira kuzizira mukatentha kwambiri. Mukamamwa asenapine, muyenera kupewa kuchita masewera olimbitsa thupi, khalani mkati momwe mungathere ndi kuvala mopepuka nthawi yotentha, kukhala kunja kwa dzuwa, ndikumwa madzi ambiri.
• muyenera kudziwa kuti mutha kukhala ndi hyperglycemia (kuwonjezera 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 asenapine kapena mankhwala omwewo kungapangitse ngozi imeneyi. Uzani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro izi mukamamwa asenapine: ludzu lokwanira, kukodza pafupipafupi, njala yayikulu, kusawona bwino, kapena kufooka. Ndikofunika kuyimbira dokotala wanu mukangokhala ndi izi, chifukwa shuga wambiri m'magazi amatha kuyambitsa vuto lalikulu lotchedwa ketoacidosis. Ketoacidosis imatha kukhala pangozi ngati singachiritsidwe koyambirira. Zizindikiro za ketoacidosis zimaphatikizira pakamwa pouma, nseru ndi kusanza, kupuma movutikira, mpweya womwe umanunkhira zipatso, ndikuchepetsa chidziwitso.

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.

Asenapine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• pakamwa pouma
• kupweteka m'mimba
• kudzimbidwa
• kusanza
• kutentha pa chifuwa
• kuchuluka kudya
• kuonjezera kuchuluka kwa malovu mkamwa
• sintha kukoma
• Dzino likundiwawa
• kunenepa
• kutaya kumverera pakamwa kapena pakamwa
• chizungulire, kumva kusakhazikika, kapena kukhala ndi vuto loti musamachite zinthu mopitirira malire
• kutopa kwambiri
• kusakhazikika kapena kulakalaka kupitirizabe kuyenda
• kupsa mtima
• nkhawa
• kukhumudwa
• kuvuta kugona kapena kugona
• kupweteka m'malo olumikizirana mafupa, mikono, kapena miyendo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mgawo la SPECIAL PRECAUTION, pitani kuchipatala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kupuma
• malungo
• kuuma minofu kapena kupweteka
• kuphipha kapena kulimbitsa kwa khosi
• chisokonezo
• kuthamanga kapena kusakhazikika kwamtima
• thukuta
• mayendedwe osalamulirika a mikono, miyendo, nkhope, pakamwa, lilime, nsagwada, milomo kapena masaya
• kugwa
• kugwidwa
• zilonda zapakhosi, kuzizira, chifuwa, ndi zizindikilo zina za matenda
• mkodzo wamtundu wofiira kapena wabulauni

Asenapine 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:

• chisokonezo
• kubvutika

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Kulemera kwanu kuyenera kuyang'aniridwa pafupipafupi mukalandira mankhwalawa.

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.

• Safira^®