Midodrine

Zamkati

• Musanatenge midodrine,
• Midodrine ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, lekani kumwa midodrine ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Midodrine imatha kuyambitsa matenda oopsa (kuthamanga kwa magazi komwe kumachitika mutagona pansi). Mankhwalawa ayenera kugwiritsidwa ntchito ndi anthu omwe kuthamanga kwa magazi kumalepheretsa kuchita zinthu tsiku ndi tsiku komanso omwe sangachiritsidwe bwino ndi mankhwala ena. Uzani dokotala wanu ngati mwakhalapo kapena munayamba mwakhalapo ndi kuthamanga kwa magazi. Uzani dokotala wanu komanso wamankhwala ngati mukumwa dihydroergotamine (DHE, Migranal). Komanso uzani dokotala komanso wamankhwala mankhwala ena omwe mumamwa, kuphatikiza ephedrine, phenylephrine, phenylpropanolamine, ndi pseudoephedrine. Zinthu zambiri zopanda mankhwala zimakhala ndi mankhwalawa (mwachitsanzo mapiritsi azakudya ndi mankhwala a chifuwa ndi chimfine), chifukwa chake yang'anani zilembo mosamala. Ngati mukukumana ndi izi, siyani kumwa midodrine ndipo itanani dokotala nthawi yomweyo: kuzindikira kugunda kwa mtima wanu, kugunda m'makutu anu, kupweteka mutu, kapena kuwona masomphenya. Mukayamba kulandira chithandizo, adokotala angakuuzeni kuti mupitilize kumwa midodrine pokhapokha mutasintha kwambiri pazizindikiro zanu. Lankhulani ndi dokotala wanu za momwe mukumvera mukamamwa mankhwalawa.

Sungani maimidwe onse ndi dokotala wanu. Muyenera kuyezetsa magazi anu pamalo oimirira komanso atagona musanamwe mankhwala komanso nthawi zonse mukamamwa midodrine.

Lankhulani ndi dokotala wanu za kuopsa kotenga midodrine.

Midodrine imagwiritsidwa ntchito pochiza orthostatic hypotension (kugwa mwadzidzidzi kwa kuthamanga kwa magazi komwe kumachitika munthu akaimirira). Midodrine ali mgulu la mankhwala otchedwa alpha-adrenergic agonists. Zimagwira ntchito kupangitsa kuti mitsempha yamagazi imange, yomwe imakulitsa kuthamanga kwa magazi.

Midodrine amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku nthawi yamasana (monga m'mawa, masana, komanso madzulo [isanafike 6PM]) ndi milingo yopatula pafupifupi maola atatu. Tengani mlingo womaliza wa tsiku ndi tsiku wa midodrine musanadye chakudya chamadzulo komanso osachepera maola 4 musanagone. Tengani midodrine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani midodrine monga momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Tengani midodrine nthawi yamasana pomwe muyenera kukhala owongoka. Pewani kumwa mlingo mukamagona kwa nthawi yayitali. Komanso lankhulani ndi dokotala wanu za momwe mungadziyimire mukamagona. Dokotala wanu angakuuzeni kuti mukweze mutu wa bedi lanu popuma kapena pogona.

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

Musanatenge midodrine,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la midodrine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a midodrine. 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 mwatchula mankhwala omwe alembedwa mgawo la CHENJEZO LOFUNIKA ndi zina mwa izi: alpha blockers monga doxazosin (Cardura), prazosin (Minipress), ndi terazosin; zotchinga beta monga acebutolol (Sectral), atenolol (Tenormin, mu Tenoretic), betaxolol, bisoprolol (Zebeta, mu Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, ku Corzide), pindolol, propranolol (Inderal, InnoPran XL), sotalol (Betapace, Betapace AF, Sorine), ndi timolol; digoxin (Lanoxin); fludrocortisone; ndi mankhwala a matenda amisala. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati mukuvutika kukodza, pheochromocytoma (chotupa pa kanthindi kakang'ono pafupi ndi impso), hyperthyroidism (zomwe zimachitika pomwe chithokomiro chimatulutsa timadzi tambiri) kapena matenda amtima kapena impso. Dokotala wanu akhoza kukuwuzani kuti musatenge midodrine.
• Uzani dokotala wanu ngati mwakhalapo ndi matenda ashuga, mavuto a masomphenya, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga midodrine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa midodrine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira, bola ngati kutatsala maola 4 musanagone. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Midodrine ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• dzanzi ndi kumva kulasalasa
• kuyabwa pamutu
• ziphuphu
• kuzizira
• kukodza pafupipafupi
• kufunika kokodza mwachangu
• kuvuta kukodza
• zidzolo
• kupweteka m'mimba

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, lekani kumwa midodrine ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• kugunda kochedwa mtima
• chizungulire
• kukomoka

Midodrine 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. Zisunge kutentha komanso kutali ndi kuwala, 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:

• kuzindikira kwa kugunda kwanu
• kukumenyani m'makutu mwanu
• mutu
• kusawona bwino
• ziphuphu
• kuzizira
• kuvuta kukodza

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku midodrine.

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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