Jekeseni wa Olanzapine
Zamkati
- Musanalandire jakisoni wa olanzapine kapena jakisoni wokulitsa wa olanzapine,
- Jakisoni wa Olanzapine ndi jekeseni womasulira wa olanzapine zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- Zizindikiro za bongo zingaphatikizepo izi:
Kwa anthu omwe amathandizidwa ndi jakisoni wa longanzapine (wotenga ntchito yayitali):
Mukalandira jakisoni wokulitsa wa olanzapine, mankhwalawa amatulutsidwa pang'onopang'ono m'magazi anu kwakanthawi.Komabe, mukalandira jakisoni wokulitsa wa olanzapine, pamakhala mwayi woti olanzapine atulutsidwe m'magazi anu mwachangu kwambiri. Izi zikachitika, mutha kukhala ndi vuto lalikulu lotchedwa Post-injection Delirium Sedation Syndrome (PDSS). Mukakhala ndi PDSS, mutha kukhala ndi chizungulire, kusokonezeka, kuvutika kuganiza bwino, nkhawa, kukwiya, kuchita zinthu mwankhanza, kufooka, kuyankhula kosafulumira, kuyenda movutikira, kuuma kwa minofu kapena kunjenjemera, kugwa, kugona, ndi kukomoka (kutaya chidziwitso kwakanthawi nthawi). Mutha kukhala ndi zizindikilo izi m'maola atatu oyamba mutalandira mankhwala. Mukalandira jakisoni wokulutsirani olanzapine kuchipatala, kuchipatala, kapena kuchipatala china komwe mungalandire chithandizo chadzidzidzi ngati chikufunika. Muyenera kukhala pamalowo kwa maola atatu mutalandira mankhwala. Mukakhala kuchipatala, azachipatala adzakuyang'anirani kwambiri ngati muli ndi zizindikiro za PDSS. Mukakonzeka kuchoka pamalopo, mufunika munthu wanzeru kuti akhale nanu, ndipo simuyenera kuyendetsa galimoto kapena kugwiritsa ntchito makina tsiku lonse. Pezani thandizo lachipatala nthawi yomweyo ngati mukumva zizindikiro za PDSS mutachoka kuchipatala.
Pulogalamu yakhazikitsidwa yothandiza anthu kulandira olanzapine jekeseni womasulidwa motetezeka bwino. Muyenera kulembetsa ndikuvomereza malamulo a pulogalamuyi musanalandire jakisoni wokulutsira olanzapine. Dokotala wanu, pharmacy yemwe amakupatsani mankhwala anu, ndi malo azachipatala omwe mumalandira mankhwala anu adzafunikanso kulembetsa. Funsani dokotala wanu ngati muli ndi mafunso okhudza pulogalamuyi.
Kwa anthu omwe amathandizidwa ndi jakisoni wokulitsa wa olanzapine kapena jakisoni wa olanzapine:
Kafukufuku wasonyeza kuti achikulire omwe ali ndi vuto la misala (vuto laubongo lomwe limakhudza kukumbukira, kuganiza bwino, kulumikizana, komanso kuchita zinthu za tsiku ndi tsiku zomwe zingayambitse kusintha kwa malingaliro ndi umunthu) omwe amatenga ma antipsychotic (mankhwala amisala) monga olanzapine khalani ndi mwayi wambiri wakufa panthawi yachithandizo. Akuluakulu achikulire omwe ali ndi matenda a dementia amathanso kukhala ndi mwayi wambiri woti akhoza kudwala matenda opha ziwalo kapena mautumiki akamalandira chithandizo.
Jakisoni wa Olanzapine ndi jakisoni wokulitsa wa olanzapine savomerezedwa ndi Food and Drug Administration (FDA) pochiza zovuta zamakhalidwe mwa achikulire omwe ali ndi matenda amisala. Lankhulani ndi dokotala yemwe wakupatsani mankhwalawa ngati inu, wachibale wanu, kapena wina amene mumamusamalira ali ndi matenda amisala ndipo akumupatsani jakisoni wa olanzapine kapena jakisoni womasulira wa olanzapine. Kuti mumve zambiri pitani patsamba la FDA: http://www.fda.gov/Drugs
Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi jekeseni yotulutsa olanzapine ndipo nthawi iliyonse mukalandira jakisoni. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.
Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa olanzapine kapena jakisoni womasulira wa olanzapine.
Jekeseni womasulira wa Olanzapine amagwiritsidwa ntchito pochiza schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi ndi moyo, komanso kukhudzidwa mwamphamvu kapena kosayenera). Jakisoni wa Olanzapine amagwiritsidwa ntchito kuthana ndi zovuta za anthu omwe ali ndi schizophrenia kapena mwa anthu omwe ali ndi matenda a bipolar I (manic depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania owopsa, ndi zina zosakhala bwino) ndipo akukumana ndi gawo of mania (chisangalalo chachilendo kapena kukwiya). Olanzapine ali mgulu la mankhwala otchedwa antipychotic antipsychotic. Zimagwira ntchito posintha zochitika za zinthu zina zachilengedwe muubongo.
Jakisoni wa Olanzapine ndi jekeseni wa olanzapine womasulidwa amabwera ngati ufa wosakanizidwa ndi madzi ndikujambulidwa mu mnofu ndi othandizira azaumoyo. Jekeseni wa Olanzapine nthawi zambiri imaperekedwa ngati ikufunika kuti mukubwadamuka. Ngati mukukwiyabe mukalandira gawo lanu loyamba, mutha kupatsidwa gawo limodzi kapena angapo owonjezera. Jekeseni womasulidwa wa Olanzapine nthawi zambiri umaperekedwa kamodzi pa milungu iwiri kapena inayi iliyonse.
Jekeseni wokulitsa wa Olanzapine ungathandize kuwongolera zizindikilo zanu koma sungachiritse matenda anu. Pitirizani kusunga nthawi kuti mulandire jakisoni wokulutsirani olanzapine ngakhale mutakhala bwino. Lankhulani ndi dokotala ngati simukumva kuti mukukhala bwino mukamalandira chithandizo cha jekeseni yotulutsa olanzapine.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanalandire jakisoni wa olanzapine kapena jakisoni wokulitsa wa olanzapine,
- uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la olanzapine, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jekeseni ya olanzapine kapena jakisoni wokulutsira olanzapine. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze 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: antihistamines (mu chifuwa ndi mankhwala ozizira); carbamazepine (Carbatrol, Equetro, Tegretol); diazepam (Valium); fluvoxamine (Luvox); dopamine agonists monga bromocriptine (Parlodel), cabergoline (Dostinex), levodopa (Dopar, Laradopa); pramipexole (Mirapex), ndi ropinirole (Requip); mankhwala a nkhawa, kuthamanga kwa magazi, matenda opweteka m'mimba, matenda amisala, kuyenda koyenda, kupweteka, matenda a Parkinson, zilonda zam'mimba, kapena mavuto amikodzo; omeprazole (Prilosec, ku Zegerid); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); mankhwala ogonetsa; mapiritsi ogona, ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- Uzani dokotala wanu ngati muli ndi maselo oyera oyera ochepa kapena ngati mankhwala ena aliwonse achepetsa m'maselo anu oyera. Uzaninso dokotala wanu ngati mumagwiritsa ntchito mankhwala osokoneza bongo kapena mumamwa mankhwala osokoneza bongo komanso ngati mwadwalapo sitiroko, matenda a mtima, matenda a mtima, mtima, kulephera kwa mtima, kugunda kwamtima, khunyu, khansa ya m'mawere , vuto lililonse lomwe limakupangitsani kuvuta kumeza, kuvuta kuti musamale bwino, kuthamanga kwambiri kapena kuthamanga magazi, kuchuluka kwamafuta (cholesterol ndi triglycerides) m'magazi anu, ileus wodwala manjenje (momwe chakudya sichingadutse m'matumbo) ; glaucoma (vuto la diso), shuga wambiri m'magazi, matenda ashuga, kapena chiwindi kapena matenda a prostate. Uzani dokotala wanu ngati mukusanza kwambiri, kutsekula m'mimba kapena zizindikiro zakusowa madzi m'thupi tsopano, kapena ngati mukukhala ndi zizindikiritsozi nthawi iliyonse mukamalandira chithandizo. Uzani dokotala wanu ngati munasiya kumwa mankhwala a matenda amisala chifukwa cha zovuta zina kapena munaganizapo zodzipweteka kapena kudzipha.
- uzani dokotala wanu ngati muli ndi pakati, makamaka ngati muli m'miyezi ingapo yapitayo ya mimba yanu, ngati mukufuna kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamalandira jakisoni wa olanzapine, itanani dokotala wanu.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumulandira jakisoni wa olanzapine.
- muyenera kudziwa kuti kulandira jakisoni wa olanzapine kapena jekeseni wa olanzapine womasulidwa nthawi zambiri kumatha kukupangitsani kuti mukhale ogonetsa ndipo kumakhudza kuganiza kwanu, kupanga zisankho, ndikuchitapo kanthu mwachangu. Osayendetsa galimoto kapena kugwiritsa ntchito makina tsiku lonse mukalandira olanzapine jekeseni womasulidwa. Musayendetse galimoto kapena kugwiritsa ntchito makina nthawi zina mukamalandira chithandizo cha jekeseni yotulutsa olanzapine kapena mukamamwa jakisoni wa olanzapine mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Muyenera kudziwa kuti mowa umatha kuwonjezera kugona komwe kumayambitsidwa ndi mankhwalawa. Musamwe mowa mukamamwa mankhwala a olanzapine.
- uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.
- muyenera kudziwa kuti jakisoni wa olanzapine ndi jakisoni wa olanzapine womasulidwa atha kubweretsa chizungulire, mutu wopepuka, kuthamanga msanga kapena pang'onopang'ono, komanso kukomoka mukadzuka msanga pamalo abodza, makamaka mukalandira jakisoni wanu. Ngati mukumva chizungulire kapena kusinza mukalandira jakisoni wanu, muyenera kugona mpaka mumve bwino. Mukamalandira chithandizo, muyenera kudzuka pang'onopang'ono, kupumula pansi pansi kwa mphindi zochepa musanayimirire.
- 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 kulandira olanzapine jakisoni, jekeseni womasulidwa wa olanzapine kapena mankhwala ofanana nawo atha kukulitsa chiopsezo ichi. Uzani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro zotsatirazi mukamalandira chithandizo: 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 jakisoni wa olanzapine kapena jakisoni wokulitsa wa olanzapine zitha kupangitsa kuti thupi lanu liziziziritsa likatentha kwambiri. Uzani dokotala wanu ngati mukufuna kuchita masewera olimbitsa thupi mwamphamvu kapena kutentha kwambiri. Onetsetsani kuti mumamwa madzi ambiri ndikuyimbira dokotala ngati mukukumana ndi izi: Kumva kutentha kwambiri, kutuluka thukuta kwambiri, osatuluka thukuta ngakhale kuli kotentha, mkamwa mouma, ludzu kwambiri, kapena kuchepa pokodza.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Ngati muiwala kusunga nthawi kuti mulandire jakisoni wokulutsirani olanzapine, itanani dokotala wanu kuti akonzenso nthawi ina posachedwa.
Jakisoni wa Olanzapine ndi jekeseni womasulira wa olanzapine zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kuchuluka kudya
- kunenepa
- kupweteka m'mimba
- kutsegula m'mimba
- mpweya
- nseru
- kusanza
- pakamwa pouma
- kupweteka kumbuyo kapena kumalumikizana
- mutu
- chizungulire, kumva kusakhazikika, kapena kukhala ndi vuto loti musamachite zinthu mopitirira malire
- ziphuphu
- ukazi kumaliseche
- anasiya kusamba
- kukulitsa kapena kutulutsa bere
- amachepetsa kuthekera kwakugonana
- kupweteka, kuuma, kapena chotupa pamalo pomwe amalandila mankhwalawo
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- zilonda zapakhosi, malungo, kuzizira, kapena zizindikilo zina za matenda
- thukuta kwambiri
- kuuma minofu
- chisokonezo
- kuthamanga kapena kusakhazikika kwamtima
- mayendedwe achilendo akumaso kapena thupi lanu
- kugwa
- zovuta kumeza
- kupweteka pachifuwa
- kugwidwa
- zotupa zomwe zimatha kuchitika ndi malungo, kutupa kwa gland, kapena kutupa kwa nkhope
- khungu lofiira kapena khungu
Jakisoni wa Olanzapine ndi jakisoni wokulitsa wa olanzapine zimatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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).
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:
- chizungulire
- chisokonezo
- kusokonezeka
- mawu osalankhula
- kuyenda movutikira
- mayendedwe akuchedwa kapena osalamulirika
- kuuma minofu
- kufooka
- kugwidwa
- kubvutika
- nkhanza
- kugunda kwamtima mwachangu
- Kusinza
- chikomokere (kutaya chidziwitso kwakanthawi)
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti aone momwe thupi lanu lingayankhire jekeseni wa olanzapine kapena jakisoni wa olanzapine wotulutsa.
Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza jakisoni wa olanzapine kapena jakisoni womasulira wa olanzapine.
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.
- Zyprexa®
- Zyprexa Relprevv®