Lofexidine
Zamkati
- Musanatenge lofexidine,
- Lofexidine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la ZOCHITIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- Zizindikiro za bongo zingaphatikizepo izi:
Lofexidine imagwiritsidwa ntchito kuthana ndi zizindikiritso za opioid (mwachitsanzo, kudwala, kupweteka m'mimba, kupindika kwa minofu kapena kugwedezeka, kumva kuzizira, kugunda kwa mtima, kupsinjika kwa minofu, zopweteka ndi zowawa, kuyasamula, maso othamanga, kapena kuvutika kugona kapena kugona) zomwe zingathe zimachitika mankhwala opioid atayimitsidwa mwadzidzidzi. Lofexidine ali mgulu la mankhwala otchedwa central alpha adrenergic agonists. Zimagwira ntchito potsegula mitsempha yamagazi kuti magazi azitha kuyenda mosavuta kudzera mthupi.
Lofexidine imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa wopanda chakudya kanayi patsiku (5 mpaka 6 maola pakati pa mlingo uliwonse) kuti muchepetse zizindikiritso zakusiya mukamaliza kugwiritsa ntchito mankhwala opioid. Zitha kutengedwa mpaka masiku 14 kutengera matenda anu. Tengani lofexidine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani lofexidine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Dokotala wanu angafunikire kuchepetsa, kusokoneza, kapena kusiya chithandizo chanu mukakumana ndi zovuta zina. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo.
Lofexidine imathandizira kuchepetsa kuopsa kwa zizindikiritso za opioid koma sizingathe kuwaletsa. Osasiya kumwa lofexidine osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa lofexidine, kuthamanga kwa magazi kwanu kumatha kukulirakulira kapena mutha kukhala ndi zizindikilo monga kutsekula m'mimba, kuvutika kugona kapena kugona, nkhawa, kuzizira, thukuta, kupweteka kwa mwendo kapena mkono. Dokotala wanu angakuuzeni kuti muchepetse mlingo wanu pang'ono pang'onopang'ono masiku awiri kapena anayi.
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.
Musanatenge lofexidine,
- uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi lofexidine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a lofexidine. 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 mwatchulapo izi: amitriptyline; mankhwala opatsirana pogonana; antifungals monga ketoconazole, itraconazole (Onmel, Sporanox), kapena voriconazole (Vfend); mankhwala a nkhawa; barbiturates monga phenobarbital (Luminal); benzodiazepines monga alprazolam (Xanax), lorazepam (Ativan), ndi triazolam (Halcion); clarithromycin (Biaxin, mu Prevpac); erythromycin (EES, E-Mycin, Erythrocin); granisetron (Kytril); haloperidol (Haldol); mankhwala othamanga magazi; mankhwala ena opatsirana pogonana (HIV) kapena matenda opatsirana m'thupi (AIDS) monga atazanavir (Reyataz), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); mankhwala ena osagunda pamtima monga amiodarone (Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide, quinidine, ndi sotalol (Betapace, Betapace AF, Sotylize); mankhwala a matenda amisala; methadone (Dolophine, Methadose); naltrexone (Vivitrol) ikaperekedwa ndi pakamwa; ondansetron (Zofran); mankhwala opweteka; paroxetine (Brisdelle, Paxil, Pexeva); mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda a QT (zomwe zimawonjezera chiopsezo chokhala ndi kugunda kwamtima kosafunikira komwe kumatha kukomoka kapena kufa mwadzidzidzi), kapena mtundu wina wa kugunda kwamtima kosafunikira kapena vuto la kugunda kwamtima, kapena ngati mwakhalapo ndi magnesium kapena potaziyamu m'magazi anu ochepa, matenda a mtima, kulephera kwa mtima, kutsika kapena kuthamanga kwa magazi, matenda am'magazi (kutseka kapena kufooketsa mitsempha yamagazi mkati mwaubongo kapena kupita kuubongo) , kapena mtima, chiwindi, kapena matenda a impso.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga lofexidine, itanani dokotala wanu.
- muyenera kudziwa kuti lofexidine imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa lofexidine. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku lofexidine kuipiraipira.
- muyenera kudziwa kuti lofexidine imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire. Ngati mukukumana ndi izi, khalani kapena kugona pansi. Ngati zizindikirozi sizikusintha, itanani dokotala wanu.
- muyenera kudziwa kuti mutha kukomoka ngati mungathenso madzi kapena kutentha kwambiri mukamamwa mankhwala a lofexidine. Onetsetsani kuti mumamwa zakumwa zambiri ndikukhala ozizira mukamamwa mankhwalawa.
- muyenera kudziwa kuti pakatha nthawi yosagwiritsa ntchito mankhwala opioid, mutha kukhala omvera pazovuta za ma opioid ndipo muli pachiwopsezo chachikulu chomwa mankhwala osokoneza bongo ngati mutamwa kapena kumwa kwambiri.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Tengani mlingo womwe mwaphonya mukangokumbukira. Bwerezaninso kumwa mlingo wotsatira (maola 5 mpaka 6 pambuyo pake). Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Lofexidine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kuvuta kugona kapena kugona
- pakamwa pouma
- kulira m'makutu
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la ZOCHITIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- kukomoka
- chizungulire kapena mutu wopepuka
Lofexidine 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). Musachotse desiccant (wouma) mu botolo.
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.
Zizindikiro za bongo zingaphatikizepo izi:
- kukomoka
- kukhalitsa
Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku lofexidine.
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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