Mlembi: Marcus Baldwin
Tsiku La Chilengedwe: 21 Kuni 2021
Sinthani Tsiku: 16 Novembala 2024
Anonim
Bromocriptine for both Pakinson disease and Diabetes Mellitus
Kanema: Bromocriptine for both Pakinson disease and Diabetes Mellitus

Zamkati

Bromocriptine (Parlodel) imagwiritsidwa ntchito pochiza matenda a hyperprolactinemia (kuchuluka kwa zinthu zachilengedwe zotchedwa prolactin m'thupi) kuphatikiza kusowa kwa msambo, kutuluka m'matumbo, kusabereka (kuvutika kukhala ndi pakati) ndi hypogonadism (zochepa zazinthu zina zachilengedwe zofunikira pakukula bwino ndi magwiridwe antchito). Bromocriptine (Parlodel) itha kugwiritsidwa ntchito pochiza hyperprolactinemia yoyambitsidwa ndi mitundu ina ya zotupa zomwe zimatulutsa prolactin, ndipo imatha kuchepa zotupazi. Bromocriptine (Parlodel) imagwiritsidwanso ntchito payokha kapena ndi mankhwala ena kuchiza acromegaly (momwe mumakhala mahomoni ochulukirapo m'thupi) ndi matenda a Parkinson (PD; vuto lamanjenje lomwe limayambitsa zovuta poyenda, kuwongolera minofu, ndi kusamala). Bromocriptine (Cycloset) imagwiritsidwa ntchito pulogalamu yazakudya ndi masewera olimbitsa thupi ndipo nthawi zina ndimankhwala ena ochepetsa kuchuluka kwa shuga m'magazi mwa anthu omwe ali ndi matenda a shuga achiwiri (momwe thupi siligwiritsa ntchito insulini mwachizolowezi motero silingathe kuwongolera kuchuluka kwa shuga m'magazi ). Bromocriptine (Cycloset) sagwiritsidwa ntchito pochiza matenda ashuga amtundu wa 1 (momwe thupi silimatulutsa insulini motero silingathe kuwongolera kuchuluka kwa shuga m'magazi) kapena matenda ashuga ketoacidosis (vuto lalikulu lomwe lingachitike ngati shuga wambiri asakhala amachitira). Bromocriptine ali mgulu la mankhwala otchedwa dopamine receptor agonists. Amathandizira hyperprolactinemia pochepetsa kuchuluka kwa prolactin mthupi. Amachiza acromegaly pochepetsa kuchuluka kwa mahomoni okula m'thupi. Imachiza matenda a Parkinson polimbikitsa mitsempha yomwe imayendetsa kayendedwe. Momwe bromocriptine imagwirira ntchito pochiza matenda ashuga sikudziwika.


Bromocriptine (Parlodel) imabwera ngati kapisozi ndi piritsi kuti mutenge pakamwa. Bromocriptine (Cycloset) imabwera ngati piritsi kuti itenge pakamwa. Bromocriptine (Parlodel) imagwiritsidwa ntchito pochizira hyperprolactinemia, nthawi zambiri imamwedwa kamodzi patsiku ndi chakudya. Bromocriptine (Parlodel) imagwiritsidwa ntchito pochizira acromegaly, nthawi zambiri imamwedwa kamodzi patsiku pogona ndi chakudya. Pamene bromocriptine (Parlodel) amagwiritsidwa ntchito pochiza matenda a Parkinson, nthawi zambiri amatengedwa kawiri patsiku ndi chakudya. Bromocriptine (Cycloset) nthawi zambiri amatengedwa kamodzi patsiku ndi chakudya mkati mwa maola awiri mutadzuka m'mawa. Tengani bromocriptine mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani bromocriptine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu mwina angakuyambitseni pamlingo wochepa wa bromocriptine ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi masiku awiri kapena 28. Nthawi yomwe mlingowo ukuwonjezeka zimatengera momwe akuchiritsira komanso momwe mungayankhire.


Bromocriptine itha kuthandizira kuwongolera matenda anu koma singachiritse. Zitha kutenga nthawi kuti mumve phindu lonse la bromocriptine. Osasiya kumwa bromocriptine osalankhula ndi dokotala. Mukasiya kumwa bromocriptine, matenda anu akhoza kukulirakulira.

Ngati mukumwa bromocriptine (Cycloset) ya matenda ashuga, funsani wamankhwala kapena dokotala kuti akupatseni zambiri za wopanga kwa wodwalayo.

Bromocriptine sayenera kugwiritsidwa ntchito poletsa mkaka wa m'mawere kwa azimayi omwe adachotsapo mimba kapena kubereka ana omwe sanasankhe kuyamwitsa; bromocriptine itha kubweretsa zovuta zoyipa kwa amayi awa. Lankhulani ndi dokotala wanu za zoopsa zomwe zingagwiritsidwe ntchito ndi mankhwalawa.

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

Musanamwe bromocriptine,

  • auzeni dokotala komanso wamankhwala ngati mukugwirizana ndi bromocriptine; ergot alkaloids monga cabergoline (Dostinex), dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Germinal, Hydergine), ergonovine (Ergotrate), ergotamine (Bellergal-S, Cafergot, Ergomar, Wigraine), methylergonine (Metherlergine) Sansert), ndi pergolide (Permax); mankhwala ena aliwonse; kapena chilichonse chosakaniza mapiritsi a bromocriptine kapena makapisozi. 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 (Elavil); antifungals monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); mankhwala; mankhwala enaake; dexamethasone (Decadron, Dexpak); ma dopamine agonists ena monga cabergoline (Dostinex), levodopa (Dopar, Larodopa), pergolide (Permax), ndi ropinirole (Requip); Mankhwala amtundu wa ergot monga dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Germinal, Hydergine), ergonovine (Ergotrate), ergotamine (Bellergal-S, Cafergot, Ergomar, Wigraine), methylergonovine (Methergine), ndi methysergide (Sans) ; haloperidol (Haldol); imipramine (Tofranil); insulini; mankhwala a macrolide monga clarithromycin (Biaxin, mu PrevPac) ndi erythromycin (EES, E-Mycin, Erythrocin); mankhwala ena opatsirana pogonana (HIV) kapena matenda opatsirana m'thupi (AIDS) monga indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); mankhwala akumwa ashuga; mankhwala a mphumu, chimfine, kuthamanga kwa magazi, migraines, ndi nseru; mankhwala a matenda amisala monga clozapine (Clozaril, FazaClo), olanzapine (Zyprexa, mu Symbyax), thiothixene (Navane), ndi ziprasidone (Geodon); methyldopa (ku Aldoril); metoclopramide (Reglan); nefazodone; octreotide (Sandostatin); pimozide (Orap); probenecid (mu Col-Probenecid, Probalan); kuperekanso; rifampin (Rifadin, ku Rifamate, ku Rifater, Rimactane); ndi sumatriptan (Imitrex). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi bromocriptine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • auzeni adotolo ngati muli ndi kuthamanga kwa magazi kapena mutu waching'alang'ala womwe umakomoka. Dokotala wanu angakuuzeni kuti musatenge bromocriptine.
  • uzani dokotala wanu ngati mwangobereka kumene, ngati munakomoka, ndipo ngati munagwapo kapena munagwapo mtima; kugunda kwapang'onopang'ono, kwachangu, kapena kosasintha; matenda amisala; kuthamanga kwa magazi; kutuluka magazi m'mimba kapena m'matumbo; Matenda a Raynaud (momwe manja ndi mapazi amapwetekera komanso kuzizira zikawonongedwa kuzizira); mtima, impso, kapena matenda a chiwindi; kapena china chilichonse chomwe chimakulepheretsani kugaya zakudya zomwe zili ndi shuga, wowuma, kapena mkaka mwabwino.
  • Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mukumwa bromocriptine (Parlodel) kuti muchepetse kusamba komanso kusabereka komwe kumachitika chifukwa cha hyperprolactinemia, gwiritsani ntchito njira yolerera kupatula njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, kapena jakisoni) mpaka musakhale ndi msambo; kenako siyani kugwiritsa ntchito njira zakulera. Muyenera kuyesedwa ngati muli ndi mimba kamodzi pamasabata 4 aliwonse malinga ngati simusamba. Msambo wanu ukangobwerera, muyenera kuyesedwa ngati muli ndi pakati nthawi iliyonse mukamatha kusamba masiku atatu. Ngati simukufuna kutenga pakati, gwiritsani ntchito njira yolerera kupatulapo njira zakulera zamahomoni mukamamwa bromocriptine. Mukakhala ndi pakati mukamamwa mankhwala a bromocriptine, siyani kumwa mankhwalawo ndikuyimbira dokotala.
  • musamamwe mkaka pamene mukumwa bromocriptine.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa bromocriptine (Cycloset).
  • muyenera kudziwa kuti bromocriptine imatha kukupangitsani kuti mugone ndikupangitsani kuti mugone mwadzidzidzi. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa bromocriptine.Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku bromocriptine kukulira.
  • muyenera kudziwa kuti bromocriptine imatha kuyambitsa chizungulire, nseru, thukuta, ndi kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa bromocriptine kapena kuchuluka kwanu. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
  • funsani dokotala wanu choti muchite mukadwala, mutenga matenda kapena malungo, mukumva kupsinjika kwachilendo, kapena mukavulala. Izi zimatha kukhudza shuga wamagazi komanso kuchuluka kwa bromocriptine (Cycloset) yomwe mungafune.

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


Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa.

Ngati mutenga bromocriptine (Parlodel), 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.

Ngati mutenga bromocriptine (Cycloset) kamodzi patsiku ndikusowa mlingo wanu wam'mawa, dikirani mpaka m'mawa kuti mutenge mankhwala anu. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.

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

  • nseru
  • kusanza
  • kutsegula m'mimba
  • kudzimbidwa
  • kukokana m'mimba
  • kutentha pa chifuwa
  • kusowa chilakolako
  • mutu
  • kufooka
  • kutopa
  • chizungulire kapena mutu wopepuka
  • Kusinza
  • kuvuta kugona kapena kugona
  • kukhumudwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

  • kukomoka
  • kutuluka kwamadzi kuchokera mphuno
  • dzanzi, kumva kulasalasa, kapena kupweteka zala zanu makamaka nyengo yozizira
  • mipando yakuda ndi yodikira
  • masanzi amagazi
  • kusanza komwe kumawoneka ngati malo a khofi
  • kutupa kwa mapazi, akakolo, kapena miyendo yakumunsi
  • kugwidwa
  • mutu wopweteka kwambiri
  • kusawona bwino kapena kusawona bwino
  • mawu odekha kapena ovuta
  • kufooka kapena kufooka kwa mkono kapena mwendo
  • kupweteka pachifuwa
  • kupweteka m'manja, kumbuyo, m'khosi kapena nsagwada
  • kupuma movutikira
  • chisokonezo
  • kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)

Bromocriptine imatha kubweretsa 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).

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:

  • nseru
  • kusanza
  • kudzimbidwa
  • thukuta
  • khungu lotumbululuka
  • Kumva kusapeza bwino kapena kusakhazikika
  • kusowa mphamvu
  • kukomoka
  • chizungulire
  • Kusinza
  • chisokonezo
  • kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
  • kukhulupirira zinthu zomwe sizowona
  • kuyasamula mobwerezabwereza

Sungani maimidwe onse ndi dokotala wanu, dotolo wamaso, ndi labotale. Kuthamanga kwanu kwa magazi kuyenera kufufuzidwa nthawi ndi nthawi. Dokotala wanu amatha kuyitanitsa mayeso am'maso nthawi zonse komanso mayeso ena a labu kuti muwone momwe thupi lanu limayankhira bromocriptine. Shuga wamagazi ndi glycosylated hemoglobin (HbA1c) amayenera kufufuzidwa pafupipafupi kuti mudziwe yankho lanu ku bromocriptine (Cycloset). Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu ku bromocriptine (Cycloset) poyeza magazi anu kapena shuga wamkodzo kunyumba. Tsatirani malangizowa mosamala.

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.

  • Mphepo yamkuntho®
  • Zamgululi®
  • Bromocryptine
  • Brom-ergocryptine
  • 2-Bromoergocryptine
  • 2-Br-alpha-ergocryptine
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