Methylphenidate

Zamkati

• Ngati mukuyimitsa (Quillivant XR), tsatirani izi kuti muyese mlingo:
• Musanayambe kumwa methylphenidate,
• Methylphenidate imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Methylphenidate imatha kukhala chizolowezi. Musatenge mlingo waukulu, tengani nthawi zambiri, tengani nthawi yayitali, kapena mutenge mosiyana ndi momwe adanenera dokotala. Ngati mutenga methylphenidate yochulukirapo, mutha kupeza kuti mankhwalawo sakuwongoleranso zisonyezo zanu, mungamve ngati mukufunika kumwa mankhwala ochulukirapo, ndipo mutha kusintha machitidwe anu modabwitsa. Uzani dokotala wanu ngati mumamwa kapena mwakhala mukumwapo mowa wambiri, kumwa kapena kugwiritsa ntchito mankhwala osokoneza bongo, kapena kumwa mankhwala osokoneza bongo.

Osasiya kumwa mankhwala a methylphenidate osalankhula ndi dokotala, makamaka ngati mwaledzera. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono ndikukuyang'anirani mosamala panthawiyi. Mutha kukhala ndi nkhawa yayikulu mukasiya mwadzidzidzi kumwa methylphenidate mukatha kuigwiritsa ntchito. Dokotala wanu angafunike kukuyang'anirani mosamala mukasiya kumwa methylphenidate, ngakhale simunagwiritse ntchito mopitirira muyeso mankhwalawo, chifukwa zizindikiro zanu zitha kukulirakulira mukalandira mankhwala.

Musagulitse, kupereka, kapena kulola wina aliyense kumwa mankhwala anu. Kugulitsa kapena kupereka methylphenidate kumatha kuvulaza ena ndipo ndichotsutsana ndi lamulo. Sungani methylphenidate pamalo abwino kuti pasapezeke wina amene angatenge mwangozi kapena mwadala. Onetsetsani kuchuluka kwa mankhwala omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi methylphenidate ndipo nthawi iliyonse mukalandira mankhwala ambiri. 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.

Methylphenidate imagwiritsidwa ntchito ngati gawo la pulogalamu yothandizira kuthana ndi vuto la kuchepa kwa chidwi cha matenda (ADHD; zovuta kwambiri kuyang'ana, kuwongolera zochita, ndi kukhala chete kapena chete kuposa anthu ena amisinkhu yofanana) mwa akulu ndi ana. Methylphenidate (Methylin) imagwiritsidwanso ntchito pochiza matenda opatsirana pogonana (matenda ogona omwe amachititsa kugona kwambiri masana ndi kugona mwadzidzidzi). Methylphenidate ili mgulu la mankhwala otchedwa Central nervous system (CNS) othandizira. Zimagwira ntchito posintha kuchuluka kwa zinthu zina zachilengedwe muubongo.

Methylphenidate imabwera ngati piritsi lotulutsira mwachangu, piritsi losavuta, yankho (madzi), kuyimitsidwa kwa nthawi yayitali (kutulutsa), piritsi lapakatikati (lotulutsa-kutulutsa), ntchito yayitali (yowonjezera) -release) kapisozi, piritsi lokhalitsa (lotulutsa-lalitali), piritsi lotenga nthawi yayitali, piritsi lowonongeka pakamwa (piritsi lomwe limasungunuka mwachangu pakamwa) . Piritsi logwira ntchito kwa nthawi yayitali, mapiritsi omwe amafafaniza pakamwa, ndi makapisozi amapatsa ena mankhwala nthawi yomweyo ndikumasula kuchuluka komwe kumatsala ngati mankhwala okhazikika kwakanthawi. Mitundu yonseyi ya methylphenidate imatengedwa pakamwa. Mapiritsi anthawi zonse, mapiritsi otafuna (Methylin), ndi yankho (Methylin) nthawi zambiri amatengedwa kawiri kapena katatu patsiku ndi achikulire komanso kawiri patsiku ndi ana, makamaka mphindi 35 mpaka 40 asanadye. Akuluakulu omwe amamwa mankhwala atatu ayenera kumwa mlingo womaliza isanakwane 6:00 pm, kuti mankhwala asadzetse tulo kapena kugona. Mapiritsi ochitira pakatikati nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku, m'mawa ndipo nthawi zina m'mawa kwambiri mphindi 30 mpaka 45 asanadye. Kapisozi wa nthawi yayitali (Metadate CD) nthawi zambiri amatengedwa kamodzi patsiku kadzutsa; Piritsi lokhala ndi nthawi yayitali (Concerta), piritsi logwiritsira ntchito nthawi yayitali (Quillichew ER), kuyimitsidwa kwakanthawi (Quillivant XR), ndi makapisozi otenga nthawi yayitali (Aptensio XR, Ritalin LA) nthawi zambiri amatengedwa kamodzi patsiku m'mawa kapena wopanda chakudya. Kuyimitsidwa kwanthawi yayitali (Quillivant XR) kuyamba kugwira ntchito posachedwa ngati atengedwa ndi chakudya. Piritsi lomwe limakhalapo kwa nthawi yayitali pakamwa (Cotempla XR-ODT) ndi kapisozi wautali (Adhansia XR) nthawi zambiri amatengedwa kamodzi m'mawa ndipo amayenera kumwedwa mosasinthasintha, nthawi zonse ndi chakudya kapena popanda chakudya. Kapisozi wokhalitsa (Jornay PM) nthawi zambiri amatengedwa kamodzi tsiku lililonse madzulo (pakati pa 6:30 pm ndi 9:30 pm), ndipo amayenera kumwedwa mosasinthasintha, nthawi yomweyo madzulo aliwonse komanso nthawi zonse ndi chakudya kapena popanda chakudya.

Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani methylphenidate ndendende momwe mwalangizira.

Musayese kukankhira pulogalamu yotulutsa pakamwa yotulutsa pakamwa (Cotempla XR-ODT) kudzera pa chojambulacho. M'malo mwake, gwiritsani ntchito manja owuma kuti muchepetse zojambulazo. Nthawi yomweyo chotsani piritsi ija ndikuyiyika pakamwa panu. Piritsi limasungunuka mwachangu ndipo limatha kumezedwa ndi malovu; sipafunika madzi kutiumeze phalelo.

Muyenera kusinkhasinkha mapiritsi omwe amamasulidwa msanga kenako ndikumwa kapu yathunthu (pafupifupi mamililita 240) yamadzi kapena madzi ena onse. Ngati mutenga piritsi lomwe lingathetsedwe posachedwa lopanda madzi okwanira, piritsi limatha kutupa ndikuletsa kukhosi kwanu ndipo limakupangitsani kutsamwa. Ngati mukumva kupweteka pachifuwa, kusanza, kapena kuvuta kumeza kapena kupuma mutamwa piritsi losavuta, muyenera kuyimbira dokotala kapena kupeza chithandizo chamankhwala mwachangu.

Kumeza mapiritsi otenga nthawi yayitali komanso makapisozi athunthu; osagawana, kutafuna, kapena kuwaphwanya. Komabe, ngati simungathe kumeza makapisozi omwe amakhala nthawi yayitali (Aptensio XR, Jornay PM, Metadate CD, Ritalin LA), mutha kutsegula mosamala makapisozi ndikuwaza zonse zomwe zili mkapuni kake kapabotolo kapenanso kapenanso kutentha kwa nthawi yayitali- makapisozi othandizira (Adhansia XR), mutha kutsegula makapisozi ndikuwaza zonse zomwe zili pakapuni ya maapulosi kapena yogurt. Kumeza (osatafuna) chisakanizochi mukangokonzekera (mkati mwa mphindi 10 mutatenga Adhansia XR) ndikumwa madzi kuti muwonetsetse kuti mwameza mankhwala onse. Osasunga chisakanizocho kuti mugwiritse ntchito mtsogolo.

Ngati mukugwiritsa ntchito piritsi losakhalitsa (Quillichew ER) ndipo dokotala wanu wakuwuzani kuti mutenge nawo piritsi kuti mupeze kuchuluka kwa mlingo wanu, piritsani 20 mg kapena 30 mg piritsi losavuta lomwe likuyenda mosamala mizere yomwe yapikidwamo. Komabe, piritsi la 40 mg lomwe limagwira nthawi yayitali siligoleredwa ndipo silingagawidwe kapena kugawanika.

Ngati mukuyimitsa (Quillivant XR), tsatirani izi kuti muyese mlingo:

1. Chotsani botolo la mankhwala ndi choperekera mankhwala mu bokosi. Onetsetsani kuti muli ndi botolo lamadzi. Itanani wamankhwala wanu ndipo musagwiritse ntchito mankhwalawo ngati botolo lili ndi ufa kapena ngati mulibe cholembera mu bokosi.
2. Sulani botolo mmwamba ndi pansi kwa masekondi osachepera 10 kuti musakanize mankhwala mofananamo.
3. Chotsani kapu ya botolo. Onetsetsani kuti adaputala ya botolo yayikidwa pamwamba pa botolo.
4. Ngati chosinthira cha botolo sichinayikidwe pamwamba pa botolo, ikani poyika pansi pa adapter potsegulira botolo ndikulikakamira mwamphamvu ndi chala chanu chachikulu. Itanani wamankhwala wanu ngati bokosilo mulibe chosinthira cha botolo. Musachotse adapter yama botolo mu botolo ikangoyikidwa.
5. Ikani nsonga ya choperekera mu adaputala ya botolo ndikukankhira plunger mpaka pansi.
6. Tembenuzani botolo mozondoka.
7. Bweretsani plunger kuti muchotse kuchuluka kwa kuyimitsidwa pakamwa komwe dokotala adakupatsani. Ngati simukudziwa momwe mungayezerere bwino zomwe dokotala wakupatsani, funsani dokotala kapena wamankhwala.
8. Chotsani choperekera dosing ndikuchepetsa pang'onopang'ono kuyimitsidwa kwamlomo pakamwa panu kapena pakamwa pa mwana wanu.
9. Bwezerani kapu pa botolo ndikutseka mwamphamvu.
10. Sambani choperekera dosing mukatha kugwiritsa ntchito chilichonse poyiyika mu chotsukira mbale kapena kutsuka ndi madzi apampopi.

Dokotala wanu angakuyambitseni pa mlingo wochepa wa methylphenidate ndipo pang'onopang'ono muwonjezere mlingo wanu, 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.

Dokotala wanu angakuuzeni kuti musiye kumwa methylphenidate nthawi ndi nthawi kuti muwone ngati mankhwalawa akufunikirabe. Tsatirani malangizowa mosamala.

Zida zina za methylphenidate sizingasinthidwe ndi zina. Funsani wamankhwala wanu ngati muli ndi mafunso okhudza mtundu wa mankhwala a methylphenidate omwe dokotala wakupatsani.

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

Musanayambe kumwa methylphenidate,

• auzeni adotolo ndi asayansi yanu ngati mankhwala a methylphenidate, mankhwala ena aliwonse, aspirin (ngati mutenga Adhansia XR), utoto wa tartrazine (utoto wachikasu muzakudya zopangidwa ndi mankhwala; ngati mutenga Adhansia XR), kapena zina mwa zosakaniza mu mankhwala a methylphenidate omwe mukumwa. Funsani dokotala wanu kapena onani Buku la Mankhwala kuti muwone mndandanda wa zosakaniza.
• Uzani dokotala ngati mukumwa mankhwala a monoamine oxidase (MAO), kuphatikizapo isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine ( Parnate), kapena mwasiya kuwamwa m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti musatenge methylphenidate mpaka masiku 14 atadutsa kuchokera pomwe mudatenga MAO inhibitor.
• 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: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); mankhwala opatsirana pogonana monga clomipramine (Anafranil), desipramine (Norpramin), ndi imipramine (Tofranil); decongestants (chifuwa ndi mankhwala ozizira); mankhwala a kutentha pa chifuwa kapena zilonda monga esomeprazole (Nexium, ku Vimovo), famotidine (Pepcid), omeprazole (Prilosec, ku Zegerid), kapena pantoprazole (Protonix); mankhwala othamanga magazi; mankhwala ogwidwa monga phenobarbital, phenytoin (Dilantin, Phenytek), ndi primidone (Mysoline); methyldopa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, ku Symbyax, ena), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft) ; sodium bicarbonate (Arm and Hammer Baking Soda, Soda Mint); ndi venlafaxine (Effexor). Ngati mukumwa Ritalin LA, uzani dokotala wanu ngati mumamwa maantacid kapena mankhwala a kutentha pa chifuwa kapena zilonda. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda a Tourette (matenda omwe amadziwika kuti amafunika kuchita mobwerezabwereza mawu kapena kubwereza mawu kapena mawu), nkhope kapena zoyendetsa (kusuntha kosalamulirika), kapena mawu amwano ( kubwereza mawu kapena mawu ovuta kuwongolera). Komanso muuzeni dokotala ngati muli ndi glaucoma (kuthamanga kwambiri m'maso komwe kumatha kupangitsa kuti masomphenya asawonongeke), chithokomiro chopitilira muyeso, kapena nkhawa, nkhawa, kapena kusokonezeka. Dokotala wanu angakuuzeni kuti musatenge methylphenidate ngati muli ndi izi.
• 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 mosasinthasintha, mtima kapena chotengera cha magazi, kuuma kwa mitsempha, cardiomyopathy (kukhuthala kwa minofu ya mtima ), kapena mavuto ena amtima. Dokotala wanu angakuuzeni kuti musatenge methylphenidate 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 zochitika (kusinthasintha komwe kumasintha kuchokera pakukhumudwa ndikukhala wosangalala kwambiri), mania (kukwiya, kusangalala modabwitsa), kapena adaganizirako kapena ayesera kudzipha. Komanso muuzeni dokotala ngati mwakhalapo kapena munagwapo, electroencephalogram yachilendo (EEG; mayeso omwe amayesa zamagetsi muubongo), mavuto oyenda m'miyendo kapena zala zanu, kapena matenda amisala. Ngati mukugwiritsa ntchito piritsi lomwe limagwira ntchito yayitali (Concerta), auzeni dokotala ngati mukuchepetsa kapena kutsekeka kwa gawo lanu lakumagaya chakudya.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga methylphenidate, itanani dokotala wanu.
• auzeni dokotala ngati mukuyamwitsa kapena mukufuna kuyamwitsa. Ngati mukuyamwitsa mukamwa mankhwala a methylphenidate dokotala angakuuzeni kuti muwonetsetse mwana wanu kuti asakhumudwe kwambiri, kugona movutikira, kusowa chakudya, kapena kuchepa thupi.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa methylphenidate ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa methylphenidate chifukwa siotetezeka ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa methylphenidate.
• Dziwani kuti simuyenera kumwa zakumwa zoledzeretsa mukamamwa piritsi lomwe limawononga nthawi yayitali (Quillichew ER), piritsi lomwe limagwira pakamwa kwa nthawi yayitali (Cotempla^® XR-ODT), kapena capsule yotenga nthawi yayitali (Adhansia XR kapena Jornay PM).
• ngati muli ndi phenylketonuria (PKU, mkhalidwe wobadwa nawo momwe muyenera kudya chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe), muyenera kudziwa kuti mapiritsi otulutsidwa mwachangu komanso otenga nthawi yayitali amakhala ndi aspartame yomwe imapanga phenylalanine.
• muyenera kudziwa kuti methylphenidate iyenera kugwiritsidwa ntchito ngati gawo limodzi la mankhwala a ADHD, omwe atha kuphatikizira upangiri ndi maphunziro apadera. Onetsetsani kuti mukutsatira malangizo onse a dokotala komanso / kapena othandizira.

Tengani mlingo womwe mwaphonya mukangokumbukira. Lankhulani ndi dokotala kapena wamankhwala zakuchedwa kwa tsiku lomwe muyenera kumwa mankhwala omwe mwaphonya kuti asadzetse tulo kapena kugona. Komabe, ngati ili nthawi yoti muyambe kulandira mlingo wotsatira, tulukani mlingo womwe mwaphonyawo ndikupitiliza dongosolo lanu lokhazikika. Ngati mukumwa kapisozi wa nthawi yayitali (Jornay PM), tengani mlingo womwe mwaphonya mukangokumbukira usiku womwewo. Komabe, ngati kunja kwacha m'mawa, tulukani mlingo wa kapisozi wa nthawi yayitali (Jornay PM) ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Methylphenidate imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• manjenje
• kupsa mtima
• kuvuta kugona kapena kugona
• chizungulire
• nseru
• kusanza
• kusowa chilakolako
• kuonda
• kupweteka m'mimba
• kutsegula m'mimba
• kutentha pa chifuwa
• pakamwa pouma
• mutu
• kulimba kwa minofu
• Kusinza
• kuyenda kosalamulirika kwa gawo lina la thupi
• kusakhazikika
• Kuchepetsa chilakolako chogonana
• thukuta lolemera
• kupweteka kwa msana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• kupweteka pachifuwa
• kupuma movutikira
• kutopa kwambiri
• mawu odekha kapena ovuta
• kukomoka
• kufooka kapena kufooka kwa mkono kapena mwendo
• kugwidwa
• kusintha kwa masomphenya kapena kusawona bwino
• kubvutika
• kukhulupirira zinthu zomwe sizowona
• kukhala okayikira ena modabwitsa
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• ma mota kapena mawu apakamwa
• kukhumudwa
• chisangalalo chachilendo
• zosintha
• pafupipafupi, zopweteka zopweteka
• erection yomwe imatenga nthawi yayitali kuposa maola 4
• dzanzi, kupweteka, kapena kuzindikira kutentha m'zala kapena kumapazi
• khungu limasintha kuchoka pakhungu mpaka buluu kufika kufiira zala kapena zala zakumapazi
• mabala osamveka bwino zala kapena zala
• malungo
• ming'oma
• zidzolo
• khungu kapena khungu
• kuyabwa
• kutupa kwa maso, nkhope, milomo, pakamwa, lilime, kapena pakhosi
• ukali
• kuvuta kupuma kapena kumeza

Methylphenidate imachedwetsa 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 mwana wanu mankhwala a methylphenidate.

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha, kutali ndi kuwala ndi kutentha kwakukulu ndi chinyezi (osati kubafa). Sungani methylphenidate pamalo abwino kuti pasapezeke wina aliyense angatenge mwangozi kapena mwadala. Onetsetsani kuti ndi mapiritsi angati kapena makapisozi kapena kuchuluka kwa madzi otsala kuti mudziwe ngati pali mankhwala omwe akusowa.

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 izi:

• kusanza
• nseru
• kutsegula m'mimba
• kukomoka, kusawona bwino, kapena chizungulire
• kusakhazikika
• kupuma mofulumira mofulumira
• nkhawa
• kubvutika
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugwedezeka kwa minofu
• kugwidwa
• kutaya chidziwitso
• chisangalalo chosayenera
• chisokonezo
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• thukuta
• kuchapa
• mutu
• malungo
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• kukulitsa kwa ana (mabwalo akuda pakati pa maso)
• pakamwa pouma kapena mphuno
• kufooka kwa minofu, kutopa, kapena mkodzo wakuda

Ngati mukumwa mapiritsi a methylphenidate a nthawi yayitali (Concerta), mutha kuwona china chake chomwe chimawoneka ngati piritsi pampando wanu. Ili ndiye chipolopolo chopanda kanthu, ndipo izi sizitanthauza kuti simunalandire mankhwala anu onse.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuwona kuthamanga kwa magazi ndi kuthamanga kwa mtima ndikuitanitsa mayeso ena a labu kuti muwone kuyankha kwanu ku methylphenidate.

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.

• Adhansia XR^®
• Aptensio XR^®
• Zomangamanga^®
• Cotempla^® XR-ODT
• Jornay PM^®
• Metadate^® CD
• Metadate^® ER^¶
• Mankhwala^®
• Mankhwala^® ER^¶
• Kutha^® ER
• Zosintha^® XR
• Ritalin^®¶
• Ritalin^® LA
• Ritalin^® Chidwi^¶

• Methylphenidylacetate hydrochloride

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.