Mlembi: Clyde Lopez
Tsiku La Chilengedwe: 23 Kulayi 2021
Sinthani Tsiku: 17 Novembala 2024
Anonim
R. Edward Hogan, MD: Diazepam Nasal Spray Offers Benefits and Long-Term Safety
Kanema: R. Edward Hogan, MD: Diazepam Nasal Spray Offers Benefits and Long-Term Safety

Zamkati

Kuwaza mphuno kwa Diazepam kumachulukitsa chiopsezo cha kupuma koopsa kapena koopsa, kupuma, kapena kukomoka ngati mutagwiritsa ntchito mankhwala ena. Uzani dokotala wanu ngati mukumwa kapena mukukonzekera kumwa mankhwala ena opiate a chifuwa monga codeine (ku Triacin-C, ku Tuzistra XR) kapena hydrocodone (ku Anexsia, ku Norco, ku Zyfrel) kapena kupweteka monga codeine (ku Fiorinal ), fentanyl (Actiq, Duragesic, Subsys, ena), hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (ku Oxycet, ku Percocet, mu Roxicet, ena), ndi tramadol (Conzip, Ultram, mu Ultracet). Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mumagwiritsa ntchito diazepam nasal spray ndi iliyonse ya mankhwalawa ndipo mukakhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi nthawi yomweyo: chizungulire chosazolowereka, mutu wopepuka, kugona kwambiri, kupuma pang'ono kapena kovuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.


Daazepam nasal spray akhoza kukhala chizolowezi chopanga. Musagwiritse ntchito mlingo wokulirapo, mugwiritseni ntchito pafupipafupi, kapena kwa nthawi yayitali kuposa momwe dokotala akukuuzani. Uzani dokotala wanu ngati munamwapo mowa wambiri, ngati mumamwa kapena munagwiritsapo ntchito mankhwala osokoneza bongo, kapena mumwa mankhwala osokoneza bongo. Musamwe mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala. Kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala a diazepam kumawonjezeranso chiopsezo choti mudzakumana ndi zovuta zoyipa izi. Uzaninso dokotala wanu ngati mwakhalapo ndi vuto la kukhumudwa kapena matenda amisala.

Daazepam nasal spray ingayambitse kudalira thupi (zomwe zimakhala zosasangalatsa zakuthupi ngati mankhwala ayimitsidwa mwadzidzidzi kapena kugwiritsidwa ntchito pang'ono), makamaka ngati mumagwiritsa ntchito masiku angapo mpaka milungu ingapo. Osasiya kugwiritsa ntchito mankhwalawa kapena kugwiritsira ntchito mankhwala ochepa popanda kulankhula ndi dokotala. Kuyimitsa mafuta amphongo a diazepam mwadzidzidzi kumatha kukulitsa vuto lanu ndikupangitsa kuti zizindikiritso zomwe zimatha milungu ingapo mpaka miyezi yopitilira 12. Dokotala wanu mwina amachepetsa diazepam nasal spray spray yanu pang'onopang'ono. Itanani dokotala wanu kapena pitani kuchipatala mwadzidzidzi mukakumana ndi izi: kulira m'makutu anu; nkhawa; mavuto okumbukira; zovuta kulingalira; mavuto ogona; kugwidwa; kugwedeza; kugwedezeka kwa minofu; kusintha kwa thanzi; kukhumudwa; kutentha kapena kumenyetsa m'manja, mikono, miyendo kapena mapazi; kuwona kapena kumva zinthu zomwe ena sawona kapena kumva; malingaliro odzivulaza kapena kudzipha nokha kapena ena; kupambanitsa; kapena kutaya kulumikizana ndi zenizeni.


Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala opopera ndi diazepam nasal 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) kapena tsamba laopanga kuti mupeze Medication Guide.

Mpweya wa Diazepam nasal umagwiritsidwa ntchito pakagwa mwadzidzidzi kuti uletse kugwa kwamasango (magawo owonjezeka olanda) kwa akulu ndi ana azaka 6 kapena kupitilira apo omwe amamwa mankhwala ena akumwa khunyu (khunyu). Diazepam ali mgulu la mankhwala otchedwa benzodiazepines. Zimagwira ntchito pochepetsa kuchepa kwazomwe zimachitika muubongo.

Diazepam imabwera ngati utsi wothira mpweya m'mphuno. Amagwiritsidwa ntchito pakufunika, malinga ndi malangizo a dokotala wanu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito utsi wa mphuno wa diazepam monga momwe walangizira.Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.


Asanaperekedwe utsi wa mphutsi wa diazepam, adokotala amalankhula nanu ndi omwe amakusamalirani zamomwe mungazindikire zizindikilo zamtundu wa kulanda zomwe muyenera kulandira ndi mankhwalawa. Wokusamaliraninso adzaphunzitsidwa momwe angagwiritsire ntchito utsi wa m'mphuno.

Sungani utsi wa mphuno wa diazepam nanu kapena upezeke nthawi zonse kuti muzitha kuugwiritsa ntchito kuti muzitha kugwidwa ndikadzachitika.

Utsi wa mphutsi wa Diazepam sayenera kugwiritsidwa ntchito kangapo kasanu pamwezi kapena kupitilira masiku asanu. Ngati inu kapena amene amakusamalirani mukuganiza kuti mumafunikira kutsitsi diazepam m'mphuno pafupipafupi kuposa izi, lankhulani ndi dokotala wanu.

  1. Werengani malangizo onse opanga kuti mugwiritse ntchito mankhwala amphuno musanagwiritse ntchito mlingo wanu woyamba.
  2. Ikani munthu amene ali ndi khunyu pambali pake pamalo pomwe sangathe kugwa.
  3. Munthuyo akhoza kukhala mbali yawo kapena kumbuyo kuti alandire utsi wa mphutsi wa diazepam.
  4. Chotsani chipangizocho ku blister pack.
  5. Gwirani chopopera pakati pa zala zanu ndi chala chachikulu, koma samalani kuti musakanikizire plunger.
  6. Ikani nsonga ya sprayer m'mphuno imodzi mpaka zala zanu zikutsutsana pansi pa mphuno ya munthuyo.
  7. Sakanizani plunger mwamphamvu ndi chala chanu chachikulu.
  8. Chotsani nsonga pamphuno.
  9. Opopera ali ndi mlingo umodzi wokha wa mankhwala. Mukaigwiritsa ntchito, itayireni mosamala, kotero kuti ana ndi ziweto sangathe kuzipeza.
  10. Khalani munthuyo kumbali yawo. Zindikirani nthawi yomwe diazepam nasal spray idapatsidwa, ndikupitiliza kumuyang'ana munthuyo.
  • khunyu limawoneka losiyana kapena loyipa kuposa masiku onse.
  • mukudandaula kuti kugwidwa kukuchitika kangati kapena kuti kulandidwa kwanthawi yayitali bwanji.
  • mukudandaula za kusintha kwa khungu kapena kupuma kwa munthu amene wakomoka.
  • munthuyo ali ndi mavuto achilendo kapena owopsa.

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

Musanagwiritse ntchito utsi wa mphuno wa diazepam,

  • uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi diazepam (Diastat, Valium), mankhwala ena aliwonse, kapena chilichonse chophatikizira mu diazepam nasal spray. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: maanticoagulants (opopera magazi) monga warfarin (Coumadin, Jantoven); carbamazepine (Carbatrol, Epitol, Tegretol, ena); cimetidine (Tagamet); clotrimazole (Lotrimin), cyclosporine (Gengraf, Neoral, Sandimmune); dexamethasone; imipramine (Tofranil); ketoconazole (Nizoral); mankhwala a nkhawa, matenda amisala, kapena nseru; omeprazole (Prilosec, Zegerid, ku Yosprala); paclitaxel (Abraxane); phenobarbital; phenytoin (Dilantin, Phenytek); mankhawala (Hemangeol, Inderal, Innopran); quinidine (mu Nuedexta); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); mankhwala ogonetsa; mapiritsi ogona; terfenadine (sikupezeka ku US); theophylline (Elixophyllin, Theo-24, Theochron); zotetezera; tranylcypromine (Parnate); troleandomycin (sichikupezeka ku US; TAO); ndi valproic acid (Depakote). Mankhwala ena ambiri amathanso kulumikizana ndi diazepam nasal spray, 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 khungu lochepetsetsa la glaucoma (vuto lalikulu la diso lomwe lingayambitse vuto la masomphenya). Dokotala wanu angakuuzeni kuti musagwiritse ntchito utsi wa diazepam nasal.
  • uzani dokotala wanu ngati mwakhalapo ndi vuto la m'mapapo monga mphumu, matenda osokoneza bongo (COPD), kapena chibayo, kapena chiwindi kapena matenda a impso.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito diazepam nasal spray, itanani dokotala wanu.
  • muyenera kudziwa kuti mankhwalawa atha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) pomwe mukugwiritsa ntchito mankhwala opatsirana am'mimba a diazepam pochiza khunyu. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi munthu m'modzi mwa anthu 500) omwe adatenga ma anticonvulsants monga diazepam kuti athetse zovuta zosiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amawalandira. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha thanzi lanu lam'mutu mukamamwa mankhwala a anticonvulsant monga diazepam, koma pakhoza kukhala pachiwopsezo kuti musinthe thanzi lanu lam'mutu ngati matenda anu sakuchiritsidwa. Inu ndi dokotala wanu muwona ngati kuopsa kokumwa mankhwala a anticonvulsant ndiokulirapo kuposa kuopsa kosamwa mankhwalawo. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: mantha; kusakhazikika kapena kusakhazikika; kukwiya kwatsopano kapena kukulira, nkhawa, kapena kukhumudwa; kuchita zofuna zawo; kuvuta kugona kapena kugona; aukali, aukali, kapena achiwawa; mania (kukwiya, kusangalala modabwitsa); kuyankhula kapena kuganiza zofuna kudzipweteka kapena kudzipha; kudzipatula kwa abwenzi ndi abale; kutanganidwa ndi imfa ndi kufa; kupereka zinthu zamtengo wapatali; kapena kusintha kwina kulikonse pamakhalidwe kapena malingaliro. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa pogwiritsira ntchito mankhwalawa.

Utsi wamtsempha wa Diazepam ungayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • zilonda zapakhosi kapena zopweteka
  • Kuchuluka kwa mphuno
  • mwazi wa m'mphuno
  • kukoma kwachilendo pakamwa
  • Kusinza
  • chizungulire
  • mutu
  • modabwitsa 'kukwera' kwakanthawi
  • kutsegula m'mimba
  • kusowa kwa mgwirizano
  • kusakhazikika

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

  • zidzolo
  • kuvuta kupuma
  • ukali

Utsi wamtsempha wa Diazepam ungayambitse 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 mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha komanso kutali ndi kuwala, 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.

Zizindikiro za bongo zingaphatikizepo:

  • Kusinza
  • chisokonezo
  • chikomokere
  • kusinkhasinkha pang'onopang'ono

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

Ngati muli ndi zizindikilo zosiyana ndi zomwe mumakumana nazo kale, inu kapena amene akukusamalirani muyenera kuyimbira dokotala nthawi yomweyo.

Musalole kuti wina aliyense agwiritse ntchito 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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