Naldemedine

Zamkati

• Musanagwiritse ntchito naldemedine,
• Naldemedine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa naldemedine ndipo pitani kuchipatala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Naldemedine amagwiritsidwa ntchito pochiza kudzimbidwa chifukwa cha mankhwala opioid (narcotic) opweteka kwa achikulire omwe ali ndi zowawa (zopitilira) zomwe sizimayambitsidwa ndi khansa. Naldemedine ali mgulu la mankhwala otchedwa peripherally acting mu-opioid receptor antagonists. Zimagwira ntchito poteteza matumbo ku zotsatira za mankhwala opioid (narcotic).

Naldemedine amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku, kapena wopanda chakudya. Tengani naldemedine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani naldemedine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Uzani dokotala ngati mutasiya kumwa mankhwala opioid. Mukasiya kumwa mankhwala a opioid, muyenera kusiya kumwa naldemedine.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi naldemedine ndipo nthawi iliyonse mukamadzaza mankhwala anu. 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) kuti mupeze Chithandizo cha Mankhwala.

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

Musanagwiritse ntchito naldemedine,

• uzani dokotala wanu komanso wamankhwala ngati mankhwala a naldemedine samakupatsani mankhwala, kapena mankhwala aliwonse, kapena zosakaniza zilizonse m'mapiritsi a naldemedine. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mumamwa kapena mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone); Aprepitant (Emend); atazanavir (Reyataz, ku Evotaz); wolanda (Capoten, ku Capozide); carbamazepine (Tegretol); clarithromycin (Biaxin, mu PrevPac); cyclosporine (Gengraf, Neoral, Sandimmune); diltiazem (Cardizem, Dilacor, Tiazac); efavirenz (ku Atripla, Sustiva); erythromycin (EES, E-Mycin, Erythrocin); fluconazole (Diflucan); itraconazole (Onmel, Sporonax); ketoconazole (Nizoral); Otsutsa ena a opioid monga methylnaltrexone (Relistor), naloxegol (Movantik), naloxone (Evzio, ku Bunavail, ku Suboxone, ku Zubsolv), kapena naltrexone (Revia, ku Contrave, ku Embeda, Vivitrol); phenytoin (Dilantin, Phenytek); quinidine; rifampin (Rifadin, mu Rifamate, Rifater, Rimactane); ritonavir (Norvir, ku Kaletra, ku Technivie, ku Viekira); saquinavir (Invirase): kapena verapamil (Calan, Covera, Isoptin, Verelan). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi naldemedine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu mankhwala azitsamba omwe mukumwa, makamaka quercetin ndi St. John's wort.
• auzeni adotolo ngati mudakhalapo ndi zotsekeka m'mimba (kutsekeka m'matumbo mwanu). Dokotala wanu mwina angakuuzeni kuti musatenge naldemedine.
• Uzani dokotala wanu ngati mwakhalapo ndi vuto la m'mimba kapena matumbo kuphatikiza zilonda zam'mimba (zilonda zamkati mwa m'mimba), khansa ya m'mimba kapena matumbo, matenda a Crohn (momwe thupi limagwirira gawo lam'mimba. , kuyambitsa kupweteka, kutsegula m'mimba, kuchepa thupi, ndi malungo), diverticulitis (timatumba tating'onoting'ono tomwe timayaka m'matumbo), kapena matenda a Ogilvie (vuto lomwe limatuluka m'matumbo), kapena matenda a chiwindi .
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga naldemedine, itanani dokotala wanu.

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.

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

• kusanza
• kutsegula m'mimba
• nseru
• kupweteka m'mimba
• thukuta
• kuzizira
• kumva kuzizira
• kuchapa
• malungo
• maso amadzi
• mphuno
• kuyetsemula
• nkhawa
• kupsa mtima
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugunda kwamtima mwachangu
• kuyasamula

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa naldemedine ndipo pitani kuchipatala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• kupweteka kwambiri, kolimbikira, kapena kukulirakulira m'mimba
• kuvuta kupuma
• zidzolo

Naldemedine 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).

Sungani naldemedine pamalo otetezeka kuti wina aliyense asazitengere mwangozi kapena mwadala. Onetsetsani kuti ndi mapiritsi angati omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

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:

• kuzizira
• thukuta
• kutsegula m'mimba
• nseru
• kusanza
• kupweteka m'mimba
• chizungulire

Sungani maimidwe onse ndi dokotala wanu.

Mankhwalawa sangabwerenso. Onetsetsani kuti mwakhazikitsa nthawi yokumana ndi dokotala wanu kuti musamalize mankhwala.

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.

• Zokonda^®

• Naldemedine Tosylate