Clonidine

Zamkati

• Musanatenge clonidine,
• Clonidine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE, ndizowopsa kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Mapiritsi a Clonidine (Catapres) amagwiritsidwa ntchito paokha kapena kuphatikiza mankhwala ena ochizira kuthamanga kwa magazi. Mapiritsi omasulira a Clonidine (a nthawi yayitali) (Kapvay) amagwiritsidwa ntchito paokha kapena kuphatikiza ndi mankhwala ena ngati gawo la pulogalamu yothandizira kuthana ndi vuto lakuchepa kwa matenda osokoneza bongo (ADHD; zovuta kwambiri kuyang'ana, kuwongolera zochita, ndikukhalabe chete kapena chete kuposa anthu ena amisinkhu yofanana) mwa ana. Clonidine ali mgulu la mankhwala omwe amatchedwa alpha-agonist hypotensive agents omwe ali pakati. Clonidine amachiza kuthamanga kwa magazi pochepetsa kugunda kwa mtima wanu ndikutsitsimutsa mitsempha yamagazi kuti magazi azitha kuyenda mosavuta mthupi. Mapiritsi omasulidwa a Clonidine amatha kuthana ndi ADHD mwa kukhudza gawo laubongo lomwe limayang'anira chidwi ndi chidwi.

Kuthamanga kwa magazi ndizofala ndipo ngati sanalandire chithandizo, kumatha kuwononga ubongo, mtima, mitsempha, impso ndi ziwalo zina za thupi. Kuwonongeka kwa ziwalozi kumatha kuyambitsa matenda amtima, matenda amtima, kulephera kwa mtima, sitiroko, impso kulephera, kusawona bwino, ndi mavuto ena. Kuphatikiza pa kumwa mankhwala, kusintha moyo wanu kumathandizanso kuchepetsa kuthamanga kwa magazi. Zosinthazi zikuphatikiza kudya zakudya zopanda mafuta ambiri komanso mchere, kukhalabe ndi thanzi labwino, kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri, osasuta, komanso kumwa mowa pang'ono.

Clonidine amabwera ngati piritsi komanso piritsi lotulutsa nthawi yayitali kuti atenge pakamwa. Mapiritsiwa nthawi zambiri amatengedwa kawiri patsiku nthawi yayitali. Piritsi lotulutsidwalo nthawi zambiri limatengedwa kamodzi kapena kawiri patsiku ndi kapena wopanda chakudya. Tengani clonidine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani clonidine ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa otalikiratu; osagawanika, kutafuna kapena kuwaphwanya.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa clonidine ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi sabata iliyonse.

Clonidine amatha kuthandizira kuwongolera matenda anu koma sangachiritse. Pitirizani kumwa clonidine ngakhale mukumva bwino. Osasiya kumwa clonidine osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa clonidine, imatha kuyambitsa kuthamanga kwa magazi ndi zizindikilo monga mantha, kupweteka mutu, komanso kugwedezeka kosalamulirika kwa gawo lina la thupi. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono kupitilira masiku awiri mpaka awiri piritsi lokhazikika ndi masiku 3 mpaka 7 piritsi lomwe limatulutsidwa.

Clonidine imagwiritsidwanso ntchito pochiza dysmenorrhea (zopweteka zopweteka kwambiri msambo), matenda oopsa (vuto lomwe magazi anu amakhala okwera kwambiri), Tourette's syndrome (vuto lomwe limafunikira kuti azichita mobwerezabwereza kapena kubwereza mawu) kapena mawu), kutentha kwa msambo, komanso kumwa mowa ndi opiate (mankhwala osokoneza bongo). Clonidine imagwiritsidwanso ntchito komanso ngati chithandizo pakutha kwa kusuta fodya ndikuzindikira pheochromocytoma (chotupa chomwe chimayamba pachimake pafupi ndi impso ndipo chimatha kuyambitsa kuthamanga kwa magazi komanso kuthamanga kwa mtima). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge clonidine,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la clonidine, zosakaniza zake zilizonse, zigamba za clonidine, kapena mankhwala ena aliwonse. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• 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: zotchinga beta monga acebutolol (Sectral), atenolol (Tenormin, mu Tenoretic), betaxolol, bisoprolol (Zebeta, mu Ziac), carvedilol (Coreg), labetalol, metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), pindolol, propranolol (Inderal, Innopran XL, ku Inderide), sotalol (Betapace, Sorine), ndi timolol; zotchinga calcium monga amlodipine (ku Amturnide, Norvasc, ku Amturnide, ku Tekamlo, ena), diltiazem (Cardizem, Dilacor XR, Dilt-CD, Taztia XT, Tiazac, ena), felodipine (Plendil), isradipine, nicardipine (Cardene ), nifedipine (Adalat CC, Afeditab CR, Procardia), nimodipine, nisoldipine (Sular), ndi verapamil (Calan, Covera, Verelan, ena, ku Tarka); digoxin (Lanoxin); mankhwala a nkhawa, matenda amisala, kapena kugwidwa; mankhwala ogonetsa; mapiritsi ogona; zotetezera; ndi mankhwala opatsirana pogonana a tricyclic monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), maprotiline, nortriptyline (Pamelor), protriptyline (Vimactiline), ndi Vimactiline), Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwadwalapo sitiroko, mwadwala matenda amtima posachedwa, kapena matenda amtima kapena impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga clonidine, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu logwiritsa ntchito clonidine ngati muli ndi zaka 65 kapena kupitirira. Okalamba sayenera kugwiritsa ntchito clonidine 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 clonidine.
• muyenera kudziwa kuti clonidine imatha kukupangitsani kugona kapena chizungulire. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu zakumwa koyenera kwa mowa mukamamwa clonidine. Mowa umatha kupangitsa mavuto obwera chifukwa cha clonidine.
• Muyenera kudziwa kuti clonidine imatha kuyambitsa chizungulire, kumutu mopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa clonidine. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• Muyenera kudziwa kuti mapiritsi otulutsa clonidine ayenera 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 wothandizira.

Dokotala wanu angakupatseni zakudya zamchere kapena zosachepera sodium. Tsatirani malangizowa mosamala.

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.

Clonidine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE, ndizowopsa kapena sizichoka:

• pakamwa pouma
• kutopa
• kufooka
• mutu
• manjenje
• amachepetsa kuthekera kwakugonana
• nseru
• kusanza
• kudzimbidwa

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

• zidzolo
• ming'oma
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• zovuta kumeza kapena kupuma
• ukali

Clonidine amatha kuyambitsa 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. Zisungeni kutentha ndi kutali ndi 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 izi:

• kukomoka
• kugunda kwa mtima pang'ono
• kuvuta kupuma
• kunjenjemera
• mawu osalankhula
• kutopa
• chisokonezo
• kozizira, khungu lotumbululuka
• Kusinza
• kufooka
• ana ang'onoang'ono (mabwalo akuda pakati pa maso)

Sungani maimidwe onse ndi dokotala wanu. Magazi anu amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire clonidine.

Dokotala wanu akhoza kukupemphani kuti muwone kuthamanga kwa mtima kwanu (tsiku lililonse) ndipo angakuuzeni momwe ziyenera kukhalira mwachangu. Funsani dokotala wanu kapena wamankhwala kuti akuphunzitseni momwe mungatengere mtima wanu. Ngati zimachitika pang'onopang'ono kapena mofulumira kuposa momwe ziyenera kukhalira, itanani dokotala wanu musanamwe mankhwalawa tsiku lomwelo.

Kuti muchepetse kamwa kouma kamene kamayambitsa clonidine, kutafuna chingamu kapena kuyamwa maswiti olimba opanda shuga.

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.

• Zowononga^®
• Jenloga^®¶
• Kapvay^®

• Clorpres^® (yokhala ndi Chlorthalidone, Clonidine)
• Maphikidwe^® (yokhala ndi Chlorthalidone, Clonidine)^¶

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