Lurasidone

Zamkati

• Musanatenge lurasidone,
• Lurasidone imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi, kapena zomwe zalembedwa mgulu la CHENJEZO NDI CHENJEZO, itanani dokotala wanu nthawi yomweyo:

Chenjezo lofunika kwa okalamba omwe ali ndi matenda amisala:

Kafukufuku wasonyeza kuti achikulire omwe ali ndi dementia (vuto laubongo lomwe limakhudza kukumbukira, kuganiza bwino, kulumikizana, komanso kuchita zochitika za tsiku ndi tsiku zomwe zitha kusintha kusintha kwa malingaliro ndi umunthu) omwe amatenga ma antipsychotic (mankhwala amisala) monga lurasidone khalani ndi mwayi wambiri wakufa panthawi yachithandizo. Achikulire achikulire omwe ali ndi matenda a dementia amathanso kukhala ndi mwayi wambiri wopwetekedwa mtima kapena kutumikiridwa akamalandira mankhwala opatsirana pogonana.

Lurasidone sivomerezedwa ndi Food and Drug Administration (FDA) pochiza zovuta zamakhalidwe kwa achikulire omwe ali ndi matenda amisala. Lankhulani ndi dokotala yemwe adakupatsani mankhwalawa ngati inu, wachibale wanu, kapena wina amene mumamusamalira ali ndi vuto la misala ndipo akutenga lurasidone. Kuti mumve zambiri pitani patsamba la FDA: http://www.fda.gov/Drugs

Chenjezo lofunika kwa anthu omwe ali ndi nkhawa:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe adamwa mankhwala okhumudwa panthawi yamaphunziro azachipatala adadzipha (kuganiza zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa kutero). Ana, achinyamata, komanso achikulire omwe amamwa mankhwala opanikizika kuti athetse kuvutika maganizo kapena matenda ena amisala atha kukhala ofuna kudzipha kuposa ana, achinyamata, komanso achikulire omwe samamwa mankhwala opatsirana kuti athetse vutoli. Komabe, akatswiri sakudziwa kuti chiwopsezo chake ndi chachikulu bwanji komanso kuti chikuyenera kuganiziridwa bwanji posankha ngati mwana kapena wachinyamata ayenera kumwa mankhwala opatsirana. Ana ochepera zaka 10 sayenera kumwa lurasidone kuti athetse kukhumudwa, koma nthawi zina, dokotala amatha kusankha kuti lurasidone ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa lurasidone kuti muchiritse kukhumudwa kapena matenda amisala ngakhale mutakhala wamkulu wazaka zopitilira 24. Mutha kudzipha, makamaka kumayambiriro kwa chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka kapena kutsika. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: kukhumudwa kwatsopano kapena kukulira; kuganiza zodzipweteka kapena kudzipha, kapena kukonzekera kapena kuyesa kutero; kuda nkhawa kwambiri; kusakhazikika; mantha; zovuta kugona kapena kugona; nkhanza; kukwiya; kuchita mosaganizira; kusakhazikika kwakukulu; ndi chisangalalo chachilendo. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.

Wothandizira zaumoyo wanu adzafuna kukuwonani nthawi zambiri mukamamwa lurasidone, makamaka kumayambiriro kwa chithandizo chanu. Onetsetsani kuti mwasunga nthawi yonse yoyendera ofesi yanu ndi dokotala.

Ziribe kanthu msinkhu wanu, musanamwe mankhwala opondereza, inu, banja lanu, kapena wothandizira anu muyenera kukambirana ndi dokotala za kuopsa ndi phindu lakuchiza matenda anu ndi mankhwala opondereza kapena mankhwala ena. Muyeneranso kukambirana za kuopsa ndi maubwino osachiza matenda anu. Muyenera kudziwa kuti kukhumudwa kapena matenda amisala kumawonjezera chiopsezo chodzipha. Vutoli limakhala lalikulu ngati inu kapena aliyense m'banja mwanu mwakhalapo kapena mwakhalapo ndi vuto losinthasintha zochitika (kusinthika komwe kumasintha kuchokera pakukhumudwa ndikukhala osangalala modabwitsa) kapena kukwiya kapena mwalingalira kapena kuyesa kudzipha. Lankhulani ndi dokotala wanu za matenda anu, zizindikiro zanu, komanso mbiri yazachipatala yanokha komanso yabanja. Inu ndi dokotala wanu mudzasankha mtundu wa chithandizo choyenera kwa inu.

Lurasidone imagwiritsidwa ntchito pochiza zizindikiro za schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kwachilendo, kutaya chidwi ndi moyo, komanso kukhudzika kapena zosayenera) mwa akulu ndi ana azaka 13 kapena kupitilira apo. Amagwiritsidwanso ntchito kuthana ndi kukhumudwa kwa achikulire ndi ana azaka 10 zakubadwa kapena kupitilira apo omwe ali ndi vuto losinthasintha zochitika (manic depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania, ndi zina zosakhala bwino). Lurasidone imagwiritsidwanso ntchito limodzi ndi lithiamu (Lithobid) kapena valproate (Depacon) yothana ndi kukhumudwa kwa achikulire omwe ali ndi vuto losinthasintha zochitika. Lurasidone ili mgulu la mankhwala otchedwa antipychotic antipsychotic. Zimagwira ntchito posintha zochitika za zinthu zina zachilengedwe muubongo.

Lurasidone imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya (osachepera 350 calories) kamodzi patsiku. Tengani lurasidone mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani lurasidone ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Lurasidone imayang'anira schizophrenia ndi kukhumudwa kwa anthu omwe ali ndi vuto losinthasintha zochitika koma sizichiza izi. Zitha kutenga milungu ingapo kapena kupitilira apo musanapindule ndi lurasidone. Pitirizani kutenga lurasidone ngakhale mukumva bwino. Osasiya kumwa lurasidone osalankhula ndi dokotala.

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

Musanatenge lurasidone,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la lurasidone, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a lurasidone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala ngati mukumwa carbamazepine (Carbatrol, Epitol, Tegretol); clarithromycin (Biaxin, mu Prevpac); ketoconazole; mibefradil; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); mwambo (Norvir); Chingwe cha St. kapena voriconazole (Vfend). Dokotala wanu angakuuzeni kuti musatenge lurasidone ngati mukumwa mankhwalawa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: mankhwala; atazanavir (Reyataz); chifuwa (Tracleer); diltiazem (Cardizem, Cartia, Taztia, Tiazac, ena); efavirenz (Sustiva, ku Atripla); erythromycin (EES, E-Mycin, Ery-Tab, ena); etravirine (Kutengeka); fluconazole (Diflucan); indinavir (Crixivan); ipratropium (Atrovent, ku Combivent, ku Duoneb); itraconazole (Sporanox); mankhwala oletsa nkhawa, mankhwala ogonetsa, mapiritsi ogona, kapena zotontholetsa; mankhwala oletsa kuthamanga kwa magazi; mankhwala a glaucoma, matenda opweteka am'mimba, matenda oyenda, myasthenia gravis, matenda a Parkinson, zilonda zam'mimba, kapena mavuto amikodzo; modafinil (Provigil); nafcillin; nefazodone; nelfinavir (Viracept); phenobarbital; pioglitazone (Actos, mu Duetact, mu Actoplus Met); rifabutin (Mycobutin); kapena verapamil (Calan, Verelan, ena, ku Tarka); Mankhwala ena amathanso kulumikizana ndi lurasidone, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sawoneka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala ngati mumagwiritsa ntchito mankhwala osokoneza bongo kapena munagwiritsapo ntchito mankhwala ozunguza bongo komanso ngati mwadwalapo sitiroko; utumiki (TIA); kupweteka pachifuwa, matenda a mtima, kapena matenda amtima; kugunda kwamtima kosasintha; mtima kulephera; Matenda a Parkinson (vuto lamanjenje lomwe limayambitsa zovuta poyenda, kuwongolera minofu, ndikuwongolera); Matenda a Alzheimer's (matenda aubongo omwe amawononga pang'onopang'ono kukumbukira kukumbukira komanso kutha kuganiza, kuphunzira, kulumikizana komanso kuthana ndi zochitika za tsiku ndi tsiku); kugwidwa; matenda amisala; khansa ya m'mawere; kuvuta kusunga malire; chikhalidwe chilichonse chomwe chimakupangitsani kukhala kovuta kuti mumumeze; kuthamanga kapena kuthamanga kwa magazi; milingo yayikulu ya prolactin; mafuta ambiri (cholesterol ndi triglycerides) m'magazi anu; chiwerengero chochepa cha maselo oyera; matenda a impso; matenda a chiwindi; shuga wambiri; kapena ngati inu kapena wina aliyense m'banja mwanu adadwala matenda a shuga. Uzani dokotala wanu ngati mukusanza kwambiri kapena kutsekula m'mimba kapena zizindikiro zakusowa madzi m'thupi tsopano, kapena ngati mukukhala ndi zizindikiritsozi nthawi iliyonse mukamalandira chithandizo. Uzaninso dokotala wanu ngati munasiya kumwa mankhwala a matenda amisala chifukwa cha zovuta zina.
• 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 lurasidone, itanani dokotala wanu. Lurasidone 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 lurasidone.
• muyenera kudziwa kuti lurasidone imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina oopsa mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• 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 mankhwala a lurasidone kapena mankhwala ofanana nawo kumatha kuwonjezera ngozi imeneyi. Uzani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro izi mukamamwa lurasidone: 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.
• Muyenera kudziwa kuti lurasidone imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa lurasidone. Pofuna kupewa vutoli, nyamuka pabedi pang'onopang'ono, ndikupumitsa mapazi ako pansi kwa mphindi zochepa usanayime.
• muyenera kudziwa kuti lurasidone imapangitsa kuti thupi lanu lizizizira kuzizira mukatentha kwambiri. Uzani dokotala wanu ngati mukufuna kuchita masewera olimbitsa thupi kapena kutentha kwambiri.
• Muyenera kudziwa kuti lurasidone imatha kukulitsa kulemera. Ndikofunika kuti muyese kulemera kwanu kwakanthawi mukamamwa mankhwalawa.

Musadye zipatso zamphesa kapena kumwa madzi amphesa mukamamwa mankhwalawa.

Tengani mlingo wosowa ndi chakudya (osachepera 350 calories) mutangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• chizungulire, kumva kusakhazikika, kapena kukhala ndi vuto loti musamachite zinthu mopitirira malire
• nkhawa
• kufooka
• kutopa
• kusakhazikika
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kuyenda pang'onopang'ono kapena kuyenda pang'ono
• nseru
• kusanza
• chilakolako kusintha
• kuchuluka malovu
• kukulitsa kapena kutulutsa bere
• kusamba mochedwa kapena posachedwa
• amachepetsa kuthekera kwakugonana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi, kapena zomwe zalembedwa mgulu la CHENJEZO NDI CHENJEZO, itanani dokotala wanu nthawi yomweyo:

• kugwidwa
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• zovuta kumeza kapena kupuma
• kupuma movutikira
• kugunda kwamtima kosazolowereka
• zilonda zapakhosi, malungo, chifuwa, kuzizira, ndi zizindikilo zina za matenda
• malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
• kusuntha kwachilendo kwa nkhope yanu kapena thupi lanu lomwe simungathe kulilamulira
• kugwa

Lurasidone 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).

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.

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 ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku lurasidone.

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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