Chinthaka

Zamkati

• Musanatenge istradefylline,
• Istradefylline imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Istradefylline imagwiritsidwa ntchito limodzi ndi levodopa ndi carbidopa (Duopa, Rytary, Sinemet, ena) kuti athetse magawo "(nthawi zovuta kusuntha, kuyenda, ndikuyankhula zomwe zitha kuchitika ngati mankhwala akutha kapena mwachisawawa) mwa anthu omwe ali ndi Matenda a Parkinson (PD; vuto lamanjenje lomwe limayambitsa zovuta poyenda, kuwongolera minofu, ndikuwongolera). Istradefylline ali mgulu la mankhwala otchedwa adenosine receptor antagonists. Zimagwira ntchito posintha zochitika za zinthu zina zachilengedwe muubongo.

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

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 istradefylline,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la istradefylline, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a istradefylline. 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: clarithromycin (Biaxin, ku Prevpac); ma antifungal ena monga itraconazole (Onmel, Sporanox) kapena ketoconazole; digoxin (Lanoxin), enzalutamide (Xtandi); mankhwala ena opatsirana pogonana (HIV) kapena matenda opatsirana m'thupi (AIDS) monga efavirenz (Sustiva, ku Atripla), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); modafinil (Provigil); nefazodone; pioglitazone (Actos, ku Duetact, Oseni); rifabutin (Mycobutin); mfuti (Rifadin); mankhwala ena ogwidwa monga carbamazepine (Equetro, Tegretol, Teril), oxcarbazepine (Trileptal), phenobarbital, ndi phenytoin (Dilantin, Phenytek); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone; kapena telithromycin (Ketek). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi istradefylline, chifukwa chake onetsetsani kuti mumauza adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sawoneka pamndandandawu.
• uzani dokotala wanu komanso wazamankhwala zomwe mumamwa mankhwala azitsamba, makamaka wort ya St. Simuyenera kutenga wort ya St. John mukamamwa mankhwala ndi istradefylline.
• uzani dokotala wanu ngati mwakhalapo ndi vuto la psychotic (vuto lomwe limapangitsa kuvuta kusiyanitsa pakati pa zinthu kapena malingaliro omwe ali enieni ndi zinthu kapena malingaliro omwe siali enieni), mayendedwe amthupi omwe simungathe kuwongolera, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Simuyenera kutenga pakati mukamamwa istradefylline. Muyenera kugwiritsa ntchito njira yolerera yothandiza kupewa mimba mukamamwa mankhwala ndi istradefylline. Mukakhala ndi pakati mukamamwa istradefylline, itanani dokotala wanu.
• auzeni adotolo ngati mukugwiritsa ntchito fodya (ndudu, ndudu, fodya wamapaipi, kapena fodya wa hookah) Kusuta fodya kumachepetsa mphamvu ya mankhwalawa.
• Muyenera kudziwa kuti anthu ena omwe amamwa mankhwala monga istradefylline adayamba kutchova juga kapena zolakalaka zina kapena zikhalidwe zomwe zinali zowakakamiza kapena zachilendo kwa iwo, monga zilakolako zakugonana kapena zizolowezi, kugwiritsa ntchito ndalama mosalamulira, kapena kudya kwambiri kapena kudya mopitirira muyeso. Itanani dokotala wanu ngati muli ndi chidwi chofuna kutchova juga komwe kuli kovuta kuletsa, muli ndi chidwi chachikulu, kapena simutha kudziletsa. Uzani achibale anu za chiopsezo ichi kuti athe kuyimbira adokotala ngakhale simukuzindikira kuti kutchova juga kwanu kapena zina zilizonse zolimbikitsa kapena zikhalidwe zina zasanduka vuto.

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.

Istradefylline imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chizungulire
• kudzimbidwa
• kusowa chilakolako
• kuvuta kugona kapena kugona

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kukulirakulira kapena kusuntha kwakanthawi kwamthupi komwe simungathe kuwongolera
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kukhala wokayika kwambiri kapena kumva kuti anthu akufuna kukuvulazani
• kukhulupirira zinthu zomwe sizili zenizeni
• nkhanza, kupsa mtima, kapena chisokonezo

Istradefylline imatha 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).

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.

Sungani maimidwe onse ndi dokotala wanu.

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.

• Nourianz^®