Serdexmethylphenidate ndi Dexmethylphenidate
Zamkati
- Musanayambe kumwa serdexmethylphenidate ndi dexmethylphenidate,
- Serdexmethylphenidate ndi dexmethylphenidate zingayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- Zizindikiro za bongo zingaphatikizepo:
Kuphatikiza kwa serdexmethylphenidate ndi dexmethylphenidate kumatha kukhala chizolowezi. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala. Ngati mutamwa kwambiri serdexmethylphenidate ndi dexmethylphenidate, mutha kupitiliza kumva kuti mukufunika kumwa mankhwala ochulukirapo, ndipo mutha kukhala ndi zosintha zachilendo pamakhalidwe anu. Inu kapena amene amakusamalirani muyenera kuuza adotolo nthawi yomweyo ngati mukukumana ndi izi: kusala pang'ono, kugunda, kapena kugunda kwamtima kosasinthasintha; thukuta; ana otanuka; chisangalalo chachilendo; kusakhazikika; kukwiya; Kuvuta kugona kapena kugona; udani; ndewu; nkhawa; kusowa chilakolako; kutayika kwa mgwirizano; kayendedwe kosalamulirika ka gawo la thupi; khungu lofewa; kusanza; kupweteka m'mimba; kapena kuganiza zodzipweteka kapena kudzipha nokha kapena ena kapena kukonzekera kapena kuyesa kutero.
Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo.
Osasiya kumwa serdexmethylphenidate ndi dexmethylphenidate osalankhula ndi dokotala, makamaka ngati mwagwiritsa ntchito mankhwalawa mopitirira muyeso. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono ndikukuyang'anirani mosamala panthawiyi. Mutha kukhala ndi nkhawa yayikulu komanso kutopa kwambiri ngati mwasiya mwadzidzidzi kugwiritsa ntchito serdexmethylphenidate ndi dexmethylphenidate mukatha kuigwiritsa ntchito. Dokotala wanu angafunike kukuyang'anirani mosamala mukasiya kumwa serdexmethylphenidate ndi dexmethylphenidate, ngakhale simunagwiritse ntchito mopitirira muyeso mankhwalawo, chifukwa zizindikilo zanu zitha kukulirakulira mukalandira mankhwala.
Musagulitse, kupereka, kapena kulola wina aliyense kumwa mankhwala anu. Kugulitsa kapena kupereka serdexmethylphenidate ndi dexmethylphenidate kumatha kuvulaza ena ndipo ndikotsutsana ndi lamulo. Sungani serdexmethylphenidate ndi dexmethylphenidate pamalo abwino kuti pasapezeke wina aliyense amene angazitengere mwangozi kapena mwadala. Onetsetsani kuti ndi makapisozi angati amene atsala kuti mudziwe ngati pali ena omwe akusowa.
Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi serdexmethylphenidate ndi dexmethylphenidate ndipo nthawi iliyonse mukadzaza 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.
Kuphatikiza kwa serdexmethylphenidate ndi dexmethylphenidate kumagwiritsidwa ntchito ngati gawo la pulogalamu yothandizira kuthana ndi vuto lakuchepa kwa matenda osokoneza bongo (ADHD; zovuta kwambiri kuyang'ana, kuwongolera zochita, ndikukhala chete kapena chete kuposa anthu ena amisinkhu yofanana) mwa akulu ndi ana Zaka 6 zakubadwa kapena kupitilira apo. Kuphatikiza kwa serdexmethylphenidate ndi dexmethylphenidate kuli m'gulu la mankhwala otchedwa central system system stimulants. Mankhwalawa amagwira ntchito posintha kuchuluka kwa zinthu zina zachilengedwe muubongo.
Kuphatikiza kwa serdexmethylphenidate ndi dexmethylphenidate kumabwera ngati kapisozi woti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse m'mawa kapena popanda chakudya. Tengani serdexmethylphenidate ndi dexmethylphenidate mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani serdexmethylphenidate ndi dexmethylphenidate ndendende monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Kumeza makapisozi lonse; musatafune kapena kuwaphwanya. Ngati mukulephera kumeza kapisozi, mutha kutsegula kapsuleyo ndikuwaza zonse zomwe zili mkatimo mumadzi pafupifupi 2 oz (50 mL) kapena ma supuni awiri a tiyi. Kumeza kapena idyani chisakanizochi nthawi yomweyo pasanathe mphindi 10 musakaniza. Musasunge mankhwala osakaniza kuti muwagwiritse ntchito mtsogolo.
Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa serdexmethylphenidate ndi dexmethylphenidate ndikuwonjezera mlingo wanu pang'onopang'ono, osati kangapo kamodzi pa sabata.
Mkhalidwe wanu uyenera kusintha pamene mukuchiritsidwa. Itanani dokotala wanu ngati zizindikiro zanu zikuwonjezeka nthawi iliyonse mukamachiza kapena simusintha pakatha mwezi umodzi.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanayambe kumwa serdexmethylphenidate ndi dexmethylphenidate,
- uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi serdexmethylphenidate, methylphenidate, dexmethylphenidate, mankhwala ena aliwonse, kapena chilichonse chopezeka mu serdexmethylphenidate ndi dexmethylphenidate capsules. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
- uzani dokotala ngati mukumwa mankhwalawa kapena mwasiya kumwa masiku 14 apitawa: monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Dokotala wanu angakuuzeni kuti musatenge methylphenidate mpaka masiku 14 atadutsa kuchokera pomwe mudatenga MAO inhibitor.
- 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: alpha blockers monga alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, ku Jalyn), ndi terazosin; ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (ku Prinzide, ku Zestoretic), moexipril (Univasc, in Unopic) , ku Prestalia), quinapril (Accupril, mu Quinaretic), ramipril (Altace), kapena trandolapril (ku Tarka); angiotensin receptor blockers (ARBs) monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar ku Azor, ku Benicar HCT, ku Tribenzor), ndi telmisartan (Micardis, ku Micardis HCT, ku Twynsta); zotchinga beta monga atenolol (Tenormin, mu Tenoretic), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), propranolol (Inderal, Innopran, ku Inderide), ndi timolol (Blocadren, ku Timolide); zotchinga calcium monga diltiazem (Cardizem), nicardipine, nifedipine (Adalat, Procardia), ndi verapamil (Calan, Verelan, ku Tarka); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); venlafaxine (Effexor); ndi risperidone (Risperdal). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- auzeni adotolo ngati wina m'banja mwanu wagundidwa kapena wamwalira mwadzidzidzi. Uzaninso dokotala wanu ngati mwangodwala kumene mtima ndipo ngati mwakhala ndi vuto la mtima, kuthamanga kwa magazi, kugunda kwamtima mosalekeza, kuuma kwa mitsempha, mtima kapena matenda am'mitsempha yamagazi, kapena mavuto ena amtima. Dokotala wanu amakupimitsani kuti muwone ngati mtima wanu ndi mitsempha yamagazi ili yathanzi. Dokotala wanu angakuuzeni kuti musatenge serdexmethylphenidate ndi dexmethylphenidate ngati muli ndi vuto la mtima kapena ngati muli pachiwopsezo chachikulu kuti mutha kukhala ndi vuto la mtima.
- auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi vuto la kupsinjika, kusinthasintha kwamaganizidwe (kusinthasintha komwe kumachokera pakukhumudwa ndikukhala osangalala modzidzimutsa), kapena mania (kukwiya, kusangalala modabwitsa), kapena adaganizirapo kapena adayesa kudzipha. Komanso muuzeni dokotala ngati mwadwalapo kapena mwakhalapo ndi matenda amisala, kapena mavuto azoyenda m'minwe kapena zala zanu.
- Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga serdexmethylphenidate ndi dexmethylphenidate, itanani dokotala wanu.
- Uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukamamwa serdexmethylphenidate ndi dexmethylphenidate, yang'anirani khanda loyamwitsa mosamala kuti lisakhumudwe, kuchepa thupi, kapena kusadyetsa bwino. Itanani dokotala wanu nthawi yomweyo ngati mwana wakhanda woyamwitsa ali ndi izi.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa serdexmethylphenidate ndi dexmethylphenidate.
- muyenera kudziwa kuti serdexmethylphenidate ndi dexmethylphenidate iyenera kugwiritsidwa ntchito ngati gawo la pulogalamu yonse ya chithandizo cha ADHD, yomwe ingaphatikizepo upangiri ndi maphunziro apadera. Onetsetsani kuti mukutsatira malangizo onse a dokotala komanso / kapena othandizira.
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.
Serdexmethylphenidate ndi dexmethylphenidate zingayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kuonda
- nseru
- kutentha pa chifuwa
- chizungulire
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
- ming'oma
- kuyabwa
- kukhumudwa
- kukhulupirira zinthu zomwe sizowona
- kukhala okayikira ena modabwitsa
- kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
- mania (kukwiya kapena kusangalala modabwitsa)
- wotumbululuka kapena utoto wabuluu wa zala kapena zala
- kupweteka, dzanzi, kutentha, kapena kumva kulasalasa m'manja kapena m'mapazi
- mabala osadziwika omwe amapezeka zala kapena zala
- khungu kapena khungu
- pafupipafupi, zopweteka zopweteka
- erection yomwe imatenga nthawi yayitali kuposa maola 4
Serdexmethylphenidate ndi dexmethylphenidate zitha kupha mwadzidzidzi ana ndi achinyamata, makamaka ana kapena achinyamata omwe ali ndi vuto la mtima kapena omwe ali ndi vuto lalikulu la mtima. Mankhwalawa amathanso kuyambitsa kufa mwadzidzidzi, matenda amtima kapena kupwetekedwa ndi akulu, makamaka achikulire omwe ali ndi vuto la mtima kapena mavuto amtima. Itanani dokotala wanu nthawi yomweyo ngati inu kapena mwana wanu muli ndi zizindikilo za mavuto amtima mukamamwa mankhwalawa kuphatikiza: kupweteka pachifuwa, kupuma movutikira, kapena kukomoka. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.
Serdexmethylphenidate ndi dexmethylphenidate zitha kuchepetsa kukula kwa ana kapena kunenepa. Dokotala wa mwana wanu amayang'ana kukula kwake mosamala. Lankhulani ndi dokotala wa mwana wanu ngati muli ndi nkhawa zakukula kwa mwana wanu kapena kunenepa kwake akamamwa mankhwalawa. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopatsa serdexmethylphenidate ndi dexmethylphenidate kwa mwana wanu.
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.
Zizindikiro za bongo zingaphatikizepo:
- nseru
- kusanza
- kutsegula m'mimba
- kusakhazikika
- nkhawa
- kubvutika
- kunjenjemera
- kugwedezeka kwa minofu
- kusokonezeka
- chisangalalo chachikulu
- chisokonezo
- kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
- delirium
- thukuta
- kuchapa
- mutu
- malungo
- kuthamanga kapena kusakhazikika kwamtima
- ana otayirira
- kusawona bwino
- kupweteka kwa minofu ndi kufooka
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'ana kuthamanga kwa magazi ndi kugunda kwa mtima ndikuwunika mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku serdexmethylphenidate ndi dexmethylphenidate.
Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
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.
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