Metoclopramide

Zamkati

• Musanatenge metoclopramide,
• Metoclopramide ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Kutenga metoclopramide kungakupangitseni kukhala ndi vuto la minofu lotchedwa tardive dyskinesia. Mukakhala ndi tardive dyskinesia, musuntha minofu yanu, makamaka minofu ya nkhope yanu m'njira zosazolowereka. Simungathe kuwongolera kapena kuyimitsa mayendedwe awa. Tardive dyskinesia mwina sichitha ngakhale mutasiya kumwa metoclopramide. Mukamadya metoclopramide, pamakhala chiopsezo chachikulu chotenga tardive dyskinesia. Chifukwa chake, dokotala wanu angakuuzeni kuti musatenge metoclopramide kwa milungu yopitilira 12. Chiwopsezo choti mungakhale ndi tardive dyskinesia ndichonso chachikulu ngati mukumwa mankhwala a matenda amisala, ngati muli ndi matenda ashuga, kapena ngati ndinu okalamba, makamaka ngati ndinu mayi. Itanani dokotala wanu nthawi yomweyo ngati mukuyenda mosasunthika, makamaka kukwapula milomo, kukamwa pakamwa, kutafuna, kukwapula, kuwombera, kutulutsa lilime, kuphethira, kusuntha kwa maso, kapena kugwedeza mikono kapena miyendo.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi metoclopramide 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.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito metoclopramide.

Metoclopramide imagwiritsidwa ntchito kuchepetsa kutentha kwa mtima ndikufulumizitsa kuchiritsa zilonda ndi zilonda mummero (chubu chomwe chimalumikiza pakamwa mpaka m'mimba) mwa anthu omwe ali ndi matenda amtundu wa reflux am'mimba (GERD; kuvulala kwa kholingo) komwe sikunakhale bwino ndi mankhwala ena. Metoclopramide imagwiritsidwanso ntchito kuthana ndi zizindikilo zomwe zimayambitsidwa ndikuchepetsa m'mimba mwa anthu omwe ali ndi matenda ashuga. Zizindikirozi zimaphatikizapo kunyoza, kusanza, kutentha pa chifuwa, kusowa kwa njala, komanso kumva kukhuta komwe kumatenga nthawi yayitali mukadya. Metoclopramide ali mgulu la mankhwala otchedwa prokinetic agents. Zimagwira ntchito poyendetsa kayendedwe ka chakudya m'mimba ndi m'matumbo.

Metoclopramide imabwera ngati piritsi, piritsi losungunuka pakamwa (ndikusungunuka), komanso yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kanayi patsiku pamimba yopanda kanthu, mphindi 30 musanadye chilichonse komanso nthawi yogona. Pamene metoclopramide imagwiritsidwa ntchito pochiza matenda a GERD, imatha kutengedwa pafupipafupi, makamaka ngati zizindikilo zimachitika nthawi zina patsiku. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani metoclopramide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukumwa piritsi lomwe likuphwasuka pakamwa, gwiritsani ntchito manja owuma kuti muchotse piritsiyo musanatengere mlingo wanu. Ngati phale likuswa kapena kuphwanyika, tulutsani ndipo chotsani piritsi latsopano. Chotsani piritsilo pang'onopang'ono ndipo liyikeni pamwamba pa lilime lanu. Phalelo nthawi zambiri limasungunuka kwa mphindi imodzi ndipo limatha kumezedwa ndi malovu.

Ngati mukumwa metoclopramide kuchiza zizindikiro zakuchedwa kutaya m'mimba komwe kumayambitsidwa ndi matenda ashuga, muyenera kudziwa kuti zizindikiritso zanu sizingasinthe nthawi imodzi. Mutha kuzindikira kuti nseru yanu imakula bwino kuchipatala kwanu ndikupitilizabe kusintha pakatha milungu itatu yotsatira. Kusanza kwanu komanso kusowa kwa njala kumathanso kusintha posachedwa kuchipatala, koma zingatenge nthawi yayitali kuti kudzazidwa kwanu kuchoke.

Pitirizani kutenga metoclopramide ngakhale mukumva bwino. Osasiya kumwa metoclopramide osalankhula ndi dokotala. Mutha kukhala ndi zizindikilo zobwerera m'mbuyo monga chizungulire, mantha, komanso kupweteka mutu mukasiya kumwa metoclopramide.

Metoclopramide nthawi zina imagwiritsidwanso ntchito kuthana ndi zizindikilo zakuchepetsa m'mimba mwa anthu omwe akuchira mitundu ina ya maopareshoni, komanso kupewa nseru ndi kusanza kwa anthu omwe akuchiritsidwa ndi chemotherapy ya khansa. Funsani dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa kuti athetse vuto lanu.

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

Musanatenge metoclopramide,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la metoclopramide, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a metoclopramide kapena yankho. Funsani dokotala wanu kapena wamankhwala kapena onani malangizo a Medication kuti muwone 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: acetaminophen (Tylenol, ena); mankhwala; aspirin; atropine (ku Lonox, ku Lomotil); cyclosporine (Gengraf, Neoral, Sandimmune); barbiturates monga pentobarbital (Nembutal), phenobarbital (Luminal), ndi secobarbital (Seconal); digoxin (Lanoxicaps, Lanoxin); haloperidol (Haldol); insulini; ipratropium (Atrovent); lifiyamu (Eskalith, Lithobid); levodopa (ku Sinemet, ku Stalevo); mankhwala a nkhawa, kuthamanga kwa magazi, matenda opweteka m'mimba, matenda oyenda, nseru, matenda a Parkinson, zilonda zam'mimba, kapena mavuto amikodzo; monoamine oxidase (MAO) inhibitors, kuphatikiza isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); mankhwala osokoneza bongo opweteka; mankhwala ogonetsa; mapiritsi ogona; tetracycline (Bristacycline, Sumycin); kapena opondereza. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira.
• auzeni adotolo ngati mudadwalapo kapena mwatsekapo, kutuluka magazi, kapena misozi m'mimba kapena m'matumbo; pheochromocytoma (chotupa pa kangaude kakang'ono pafupi ndi impso); kapena kugwidwa. Dokotala wanu angakuuzeni kuti musatenge metoclopramide.
• auzeni dokotala ngati mwakhalapo kapena munakhalapo ndi matenda a Parkinson (PD; vuto lamanjenje lomwe limayambitsa zovuta poyenda, kuwongolera minofu, ndikuwongolera); kuthamanga kwa magazi; kukhumudwa; khansa ya m'mawere; mphumu; kuchepa kwa glucose-6-phosphate dehydrogenase (G-6PD) (matenda obadwa nawo amwazi); NADH cytochrome B5 reductase kusowa (matenda obadwa nawo amwazi); kapena matenda a mtima, chiwindi, kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga metoclopramide, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga metoclopramide ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa metoclopramide, pokhapokha ngati atagwiritsidwa ntchito pochiza kutaya m'mimba, chifukwa siotetezeka kapena yothandiza monga mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi mavutowa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa metoclopramide.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za kumwa moyenera pamene mukumwa mankhwalawa. Mowa umatha kukulitsa mavuto obwera chifukwa cha metoclopramide.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya nthawi zonse.

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.

Metoclopramide ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kusinza
• kutopa kwambiri
• kufooka
• mutu
• chizungulire
• kutsegula m'mimba
• nseru
• kusanza
• kukulitsa kapena kutulutsa bere
• anaphonya msambo
• amachepetsa kuthekera kwakugonana
• kukodza pafupipafupi
• kulephera kuletsa kukodza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:

• kulimbitsa kwa minofu, makamaka nsagwada kapena khosi
• mavuto olankhula
• kukhumudwa
• kuganiza zodzipweteka kapena kudzipha
• malungo
• kuuma minofu
• chisokonezo
• mofulumira, wosakwiya, kapena kugunda kwa mtima osasinthasintha
• thukuta
• kusakhazikika
• manjenje kapena jitteriness
• kubvutika
• kuvuta kugona kapena kugona
• kuyenda
• kugwedeza phazi
• kuyenda pang'onopang'ono kapena kolimba
• mawonekedwe opanda nkhope
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• Kuvuta kusunga malire
• zidzolo
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, pakamwa, pakhosi, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kunenepa mwadzidzidzi
• kuvuta kupuma kapena kumeza
• mawu okwera kwambiri kwinaku akupuma
• mavuto owonera

Metoclopramide ikhoza 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).

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:

• Kusinza
• chisokonezo
• kugwidwa
• mayendedwe achilendo, osalamulirika
• kusowa mphamvu
• mtundu wabuluu wakhungu
• mutu
• kupuma movutikira

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.

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.

• Clopra^®¶
• Maxolon^®¶
• Khalid^® ODT
• Reglan^®

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