Oxybutynin

Zamkati

• Musanatenge oxybutynin,
• Oxybutynin amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Mukakumana ndi chizindikiro chotsatirachi, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Oxybutynin amagwiritsidwa ntchito pochizira chikhodzodzo chopitilira muyeso (vuto lomwe minofu ya chikhodzodzo imalumikizana mosalamulirika ndikupangitsa kukodza pafupipafupi, kufunikira kukodza mwachangu, ndikulephera kuwongolera kukodza) mwa akulu ndi ana ena. Oxybutynin imagwiritsidwanso ntchito ngati piritsi lotulutsira kuti muchepetse minofu ya chikhodzodzo mwa akulu ndi ana azaka 6 kapena kupitilira apo ndi msana bifida (kulumala komwe kumachitika pamene msana sunatseke bwino asanabadwe), kapena machitidwe ena amanjenje omwe bwanji chikhodzodzo minofu. Oxybutynin ali mgulu la mankhwala otchedwa anticholinergics / antimuscarinics. Zimagwira mwa kumasula minofu ya chikhodzodzo.

Oxybutynin amabwera ngati piritsi, manyuchi, komanso piritsi lotulutsa nthawi yayitali kuti atenge pakamwa. Mapiritsi ndi manyuchi nthawi zambiri amatengedwa kawiri kapena kanayi patsiku. Piritsi lotulutsira nthawi zambiri limatengedwa kamodzi patsiku ndi chakudya kapena opanda. Tengani oxybutynin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani oxybutynin ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa otalikiratu ndi madzi ambiri kapena madzi ena. Osagawanika, kutafuna, kapena kuphwanya mapiritsi omwe amatulutsidwa. Uzani dokotala wanu ngati inu kapena mwana wanu simungathe kumeza mapiritsi.

Gwiritsani ntchito supuni kapena chikho choyezera mlingo kuti muyese kuchuluka kwa madzi pamlingo uliwonse, osati supuni ya banja.

Dokotala wanu angakuyambitseni pa mlingo wochepa wa oxybutynin ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kamodzi pa sabata.

Oxybutynin amatha kuwongolera zizindikiro zanu koma sangachiritse matenda anu. Pitilizani kumwa oxybutynin ngakhale mukumva bwino. Osasiya kumwa oxybutynin osalankhula ndi dokotala.

Mutha kuwona kusintha pazizindikiro zanu mkati mwa milungu iwiri yoyambirira yamankhwala anu. Komabe, zingatenge masabata 6-8 kuti mupindule ndi oxybutynin. Lankhulani ndi dokotala ngati zizindikiro zanu sizikusintha konse mkati mwa masabata 8.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge oxybutynin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la oxybutynin, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a oxybutynin, mapiritsi otulutsa nthawi yayitali, kapena madzi. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone, Pacerone); maantibayotiki ena monga clarithromycin (Biaxin), erythromycin (EES, E-Mycin, Erythrocin), ndi tetracycline (Bristamycin, Sumycin, Tetrex); ma antifungal ena monga itraconazole (Sporanox), miconazole (Monistat), ndi ketoconazole (Nizoral); mankhwala; aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); cimetidine (Tagamet); diltiazem (Cardizem, Dilacor, Tiazac); fluvoxamine; ipratropium (Atrovent); zowonjezera zitsulo; mankhwala ena a kachirombo ka HIV (monga HIV) monga indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, zilonda, kapena mavuto amikodzo; mankhwala a kufooka kwa mafupa (matenda omwe mafupa amafooka, osalimba, ndipo amatha kuthyola mosavuta) monga alendronate (Fosamax), ibandronate (Boniva), ndi risedronate (Actonel); nefazodone; zowonjezera potaziyamu; quinidine; ndi verapamil (Calan, Covera, Isoptin, Verelan). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati mwakhalapo kapena munakhalapo ndi khungu lochepetsetsa la glaucoma (vuto lalikulu la diso lomwe lingayambitse kuwonongeka kwa masomphenya), vuto lililonse lomwe limaletsa chikhodzodzo chanu kutuluka kwathunthu, kapena vuto lililonse lomwe limapangitsa kuti m'mimba mwanu musatuluke pang'onopang'ono kapena mosakwanira. Dokotala wanu angakuuzeni kuti musatenge oxybutynin.
• Uzani dokotala wanu ngati mwakhalapo kapena munayamba mwakhalapo ndi zilonda zam'mimba (zomwe zimayambitsa kutupa ndi zilonda mkatikati mwa m'matumbo [matumbo akulu] ndi zotupa); gastroesophageal Reflux matenda (GERD; momwe zinthu zam'mimba zimabwereranso kummero zimayambitsa kupweteka ndi kutentha pa chifuwa); nthenda yoberekera (momwe gawo lam'mimba limatulukira kunja, ndipo limatha kupweteka ndi kutentha pa chifuwa); hyperthyroidism (momwe mumakhala mahomoni ambiri m'thupi); myasthenia gravis (matenda amanjenje omwe amachititsa kufooka kwa minofu); Matenda a Parkinson; matenda amisala; kuthamanga kapena kusakhazikika kwamtima; kuthamanga kwa magazi; benign prostatic hypertrophy (BPH, kukulitsa kwa prostate, chiwalo choberekera chamwamuna); kapena matenda a mtima, chiwindi, kapena impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga oxybutynin, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa mapiritsi a oxybutynin kapena madzi ngati muli ndi zaka 65 kapena kupitirirapo. Akuluakulu sayenera kumwa mapiritsi kapena mankhwala a oxybutynin chifukwa sakhala otetezeka ndipo sangakhale othandiza ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa oxybutynin.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona kapena kuyambitsa masomphenya. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa mowa mukamamwa mankhwalawa. Mowa umatha kupangitsa mavuto obwera chifukwa cha oxybutynin.
• muyenera kudziwa kuti oxybutynin imapangitsa kuti thupi lanu lizizizira kuzizira mukatentha kwambiri. Pewani kutentha kwambiri, ndipo itanani dokotala wanu kapena mupeze chithandizo chamankhwala mwadzidzidzi ngati muli ndi malungo kapena zizindikilo zina za kutentha kwa msana monga chizungulire, mseru, kupweteka mutu, kusokonezeka, komanso kuthamanga kwambiri mukakhala kuti mwatenthedwa.

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

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.

Oxybutynin amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• pakamwa pouma
• kusawona bwino
• maso owuma, mphuno, kapena khungu
• kupweteka m'mimba
• kudzimbidwa
• kutsegula m'mimba
• nseru
• kutentha pa chifuwa
• mpweya
• kusintha kwa kulawa chakudya
• mutu
• chizungulire
• kufooka
• chisokonezo
• kugona
• kuvuta kugona kapena kugona
• manjenje
• kuchapa
• kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• kupweteka kumbuyo kapena kumalumikizana

Zotsatira zina zoyipa zingakhale zazikulu. Mukakumana ndi chizindikiro chotsatirachi, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• zidzolo
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
• ukali
• kuvuta kupuma kapena kumeza
• kukodza pafupipafupi, mwachangu, kapena kupweteka
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima

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).

Oxybutynin amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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 izi:

• kusakhazikika
• kugwedezeka kosalamulirika kwa gawo lina la thupi lanu
• kupsa mtima
• kugwidwa
• chisokonezo
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kuchapa
• malungo
• kugunda kwamtima kosasintha
• kusanza
• kuvuta kukodza
• kupuma pang'ono kapena kovuta
• kulephera kusuntha
• chikomokere (kutaya chidziwitso kwakanthawi)
• kuiwalika
• kubvutika
• ana ambiri (mabwalo akuda pakati pa maso)
• khungu lowuma

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.

Ngati mukugwiritsa ntchito pulogalamu yotulutsira, mutha kuwona china chake chomwe chikuwoneka ngati piritsi pampando wanu. Ili ndiye chipolopolo chopanda kanthu ndipo sizitanthauza kuti simunalandire mankhwala anu onse.

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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