Umeclidinium ndi Vilanterol Oral Inhalation

Zamkati

• Kuti mugwiritse ntchito inhaler, tsatirani izi:
• Musanagwiritse ntchito umeclidinium ndi vilanterol,
• Umeclidinium ndi vilanterol zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kugwiritsa ntchito umeclidinium ndi vilanterol ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Kuphatikiza kwa umeclidinium ndi vilanterol amagwiritsidwa ntchito poletsa kupuma, kupuma movutikira, kutsokomola, ndi chifuwa chomwe chimayambitsidwa ndi matenda opatsirana a m'mapapo mwanga (COPD; gulu la matenda omwe amakhudza mapapu ndi mayendedwe amlengalenga, omwe amaphatikiza bronchitis osachiritsika ndi emphysema). Umeclidinium ali mgulu la mankhwala otchedwa anticholinergics. Vilanterol ali mgulu la mankhwala omwe amatchedwa beta-agonists (LABAs) omwe amakhala nthawi yayitali. Mankhwalawa amagwira ntchito potsekula ndi kutsegula magawo amlengalenga m'mapapu, kuti zikhale zosavuta kupuma.

Kuphatikiza kwa umeclidinium ndi vilanterol kumabwera ngati ufa wopumira pakamwa pogwiritsa ntchito inhaler yapadera. Nthawi zambiri amapumira kamodzi patsiku. Inhale umeclidinium ndi vilanterol mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito umeclidinium ndi vilanterol ndendende momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito umeclidinium ndi vilanterol inhalation pochiza mwadzidzidzi COPD. Dokotala wanu adzakupatsani mankhwala achidule a beta agonist monga albuterol (Accuneb, Proair, Proventil, Ventolin) omwe mungagwiritse ntchito mukamazunzidwa. Ngati mutagwiritsa ntchito mankhwalawa nthawi zonse musanayambe mankhwala ndi umeclidinium ndi vilanterol, dokotala wanu angakuuzeni kuti muleke kuzigwiritsa ntchito nthawi zonse koma kuti mupitirize kuzigwiritsa ntchito pochiza matenda.

Umeclidinium ndi vilanterol inhalation siziyenera kugwiritsidwa ntchito pochiza COPD yomwe ikuwonjezeka msanga. Itanani dokotala kapena kupeza chithandizo chamankhwala mwadzidzidzi ngati mavuto anu akupuma akuipiraipira, ngati mukuyenera kugwiritsa ntchito inhaler yanu yayifupi kuti muchiritse ziwopsezo za COPD pafupipafupi, kapena ngati inhaler yanu yocheperako siimathetsa zizindikilo zanu.

Umeclidinium ndi vilanterol inhalation imayang'anira COPD koma siyichiritsa. Pitirizani kugwiritsa ntchito umeclidinium ndi vilanterol ngakhale mukumva bwino. Osasiya kugwiritsa ntchito umeclidinium ndi vilanterol osalankhula ndi dokotala. Mukasiya kugwiritsa ntchito umeclidinium ndi vilanterol inhalation, zizindikilo zanu zitha kukulirakulira.

Musanagwiritse ntchito umeclidinium ndi vilanterol inhalation koyamba, funsani dokotala, wamankhwala, kapena othandizira kupuma kuti akuwonetseni momwe mungagwiritsire ntchito inhaler. Yesetsani kugwiritsa ntchito inhaler yanu ikamadikirira.

Kuti mugwiritse ntchito inhaler, tsatirani izi:

1. Ngati mukugwiritsa ntchito inhaler yatsopano kwa nthawi yoyamba, chotsani m'bokosi ndi thireyi ya zojambulazo. Lembani zomwe zalembedwazo "Tray open" ndi "Discard" pa the inhaler label ndi tsiku lomwe mudatsegulira tray ndi tsiku la 6 patadutsa pomwe muyenera kusintha inhaler.
2. Mukakonzeka kubwezera mlingo wanu, sungani chivundikirocho kuti muwonetse cholankhulira mpaka chitadina. Mukatsegula ndi kutseka inhaler osagwiritsa ntchito mlingo wanu, mudzawononga mankhwalawo.
3. Kauntala amawerengera ndi 1 nthawi iliyonse mukatsegula chikuto. Ngati kauntala sakuwerengera, wopumira wanu sangakupatseni mankhwala. Ngati inhaler yanu sikuwerengera, itanani wamankhwala kapena dokotala.
4. Gwirani inhaler kutali pakamwa panu ndikupumira kunja momwe mungathere. Osapumira pakamwa.
5. Ikani cholankhulira pakati pa milomo yanu, ndikutseka milomo yanu mozungulira. Tengani mpweya wautali, wokhazikika, wambiri pakamwa panu. Osapumira kudzera m'mphuno mwako. Samalani kuti musatseke mpweya ndi zala zanu.
6. Chotsani inhaler mkamwa mwanu, ndikupumira mpweya kwa masekondi atatu kapena 4 kapena bola momwe mungathere. Pumani pang'ono pang'ono.
7. Mutha kulawa kapena kusalawa kapena kumva mankhwala omwe akutulutsidwa ndi inhaler. Ngakhale simukutero, musapume mpweya wina. Ngati simukudziwa kuti mukupeza umeclidinium ndi vilanterol, pitani kwa dokotala kapena wamankhwala.
8. Mutha kutsuka cholankhulira ndi minofu youma, ngati kuli kofunikira. Chotsani chivundikirocho pakamwa momwe mungatsekere inhaler.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanagwiritse ntchito umeclidinium ndi vilanterol,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la umeclidinium, vilanterol, mankhwala ena aliwonse, mapuloteni amkaka, kapena chilichonse chosakaniza mu umeclidinium ndi vilanterol inhalation. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani dokotala wanu ngati mungagwiritse ntchito LABA ina monga arformoterol (Brovana), formoterol (Perforomist, ku Bevespi Aerosphere, Duaklir Pressair, Dulera, Symbicort), indacaterol (Arcapta), olodaterol (Striverdi Respimat, ku Stiolto Respimat), kapena salmeterol (Serevent, ku Advair). Dokotala wanu angakuuzeni mankhwala omwe muyenera kugwiritsa ntchito komanso mankhwala omwe muyenera kusiya.
• 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: ma antifungals monga itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, ndi voriconazole (Vfend); mankhwala; atropine; beta-blockers monga atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal, Innopran); kumvetsetsa; conivaptan (Vaprisol); okodzetsa ('mapiritsi amadzi'); HIV protease inhibitors monga indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir), ndi saquinavir (Invirase); mankhwala ena a COPD kuphatikiza aclidinium (Tudorza Pressair), ipratropium (Atrovent HFA), ndi tiotropium (Spiriva); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, zilonda, kapena mavuto amikodzo; ndi nefazodone. Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala otsatirawa kapena mwasiya kumwa mankhwalawa m'masabata awiri apitawa: antidepressants monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipramine (Surmontil); amiodarone (Nexterone, Pacerone); anagrelide (Agrylin); chloroquine; mankhwala enaake; chilonda; ciprofloxacin (Cipro); citalopram (Celexa); kumvetsetsa; disopyramide (Norpace); dofetilide (Tikosyn); donepezil (Aricept); dronearone (Multaq); escitalopram (Lexapro); zachilengedwe (Tambocor); fluconazole (Diflucan); haloperidol (Haldol); ibutilide (Corvert); levofloxacin; methadone (Dolophine, Methadose); moxifloxacin (Avelox); ondansetron (Zuplenz, Zofran); pentamidine (Pentam); pimozide (Orap); kupeza; quinidine (mu Nuedexta); sotalol (Betapace, Sorine, Sotylize); thioridazine; ndi monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), ndi tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi umeclidinium ndi vilanterol, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi mphumu. Dokotala wanu angakuuzeni kuti musagwiritse ntchito umeclidinium ndi vilanterol pokhapokha mutazigwiritsa ntchito limodzi ndi mankhwala opumira a steroid.
• Uzani dokotala ngati mwakhalapo ndi kuthamanga kwa magazi, kugunda kwamtima mosasinthasintha, kuwonjezeka kwa QT (mtima wosakhazikika womwe ungayambitse kukomoka, kutaya chidziwitso, kugwidwa, kapena kufa mwadzidzidzi), khunyu, matenda ashuga, glaucoma (matenda am'maso) ), kusunga kwamikodzo (kuvuta kukodza), mavuto a prostate kapena chikhodzodzo, kapena mtima, chithokomiro, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito umeclidinium ndi vilanterol, itanani dokotala wanu.
• Muyenera kudziwa kuti umeclidinium ndi vilanterol inhalation nthawi zina zimayambitsa kupuma komanso kupuma movutikira ikangopumira. Izi zikachitika, itanani dokotala wanu nthawi yomweyo. Musagwiritsenso ntchito umeclidinium ndi vilanterol inhalation pokhapokha dokotala atakuwuzani kuti muyenera kutero.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Lembani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mopitilira kamodzi patsiku ndipo musapumireko kawiri kuti mupange omwe mwaphonya.

Umeclidinium ndi vilanterol zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
• manjenje
• chimfine, pakhosi
• kudzimbidwa
• kutsegula m'mimba
• kupweteka m'manja kapena miyendo yanu
• kutuluka kwa minofu
• kupweteka kwa khosi
• kupweteka kwa msana
• kupweteka pamodzi
• kupweteka m'mimba
• mutu
• nseru
• chizungulire
• Dzino likundiwawa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kugwiritsa ntchito umeclidinium ndi vilanterol ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa nkhope, mkamwa, kapena lilime
• kugunda, kusala, kapena kugunda kwamtima kosazolowereka
• kupweteka pachifuwa
• kupweteka kwa diso, kufiira, kapena kusapeza bwino; kusawona bwino; kuwona ma halos kapena mitundu yowala mozungulira magetsi, nthawi zina pamodzi ndi nseru ndi kusanza
• kuvuta kukodza kapena kukodza mumtsinje wofooka kapena kudontha
• kukodza pafupipafupi kapena kupweteka

Umeclidinium ndi vilanterol zimatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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 mankhwalawa mu tray yojambulayo yomwe idabwera, yotsekedwa mwamphamvu, komanso komwe ana sangakwanitse. Zisungeni kutentha ndi kutali ndi kuwala kwa dzuwa, kutentha kwambiri ndi chinyezi (osati kubafa). Chotsani inhaler pakatha milungu 6 mutachotsa pa tray yojambulayo kapena chithuza chilichonse chikakhala kuti chagwiritsidwa ntchito (pomwe kauntala akuwerenga 0), chilichonse chomwe chimabwera koyamba.

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:

• kugwidwa
• kupweteka pachifuwa
• kupuma movutikira
• chizungulire
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• manjenje
• mutu
• kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
• kukokana kwa minofu kapena kufooka
• pakamwa pouma
• khungu lotentha, lowuma, lopukutira
• nseru
• kutopa kwambiri
• kuvuta kugona kapena kugona
• kusawona bwino
• ana otayirira
• kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito umeclidinium ndi vilanterol.

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.

• Anoro Ellipta^® (okhala ndi umeclidinium, vilanterol)