Salmeterol Oral Mpweya

Zamkati

• Musagwiritse ntchito salmeterol ngati muli ndi mphumu kapena COPD yomwe ikuipiraipira. Ngati muli ndi zizindikiro zotsatirazi zowononga mphumu kapena COPD, itanani dokotala mwamsanga:
• Kuti mugwiritse ntchito inhaler, tsatirani izi:
• Musanagwiritse ntchito salmeterol,
• Salmeterol ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Mu kafukufuku wamkulu wazachipatala, odwala ambiri omwe ali ndi mphumu omwe amagwiritsa ntchito salmeterol adakumana ndi zovuta za mphumu zomwe zimayenera kuchiritsidwa kuchipatala kapena kuphedwa kuposa odwala omwe ali ndi mphumu omwe sanagwiritse ntchito salmeterol. Ngati muli ndi mphumu, kugwiritsa ntchito salmeterol kumawonjezera mwayi wokumana ndi mavuto owopsa a mphumu.

Dokotala wanu amangokupatsani salmeterol ngati mphumu yanu ndi yolimba kwambiri kotero kuti pakufunika mankhwala awiri kuti muchepetse. Simuyenera kugwiritsa ntchito salmeterol nokha; Nthawi zonse muyenera kuzigwiritsa ntchito limodzi ndi mankhwala opumira a steroid. Ana ndi achinyamata omwe amafunika kulandira mankhwala a salmeterol mwina amathandizidwa ndi mankhwala omwe amaphatikiza salmeterol ndi mankhwala opumira a steroid mu inhaler imodzi kuti athe kuwathandiza kugwiritsa ntchito mankhwala onse monga adanenera.

Chifukwa cha kuopsa kogwiritsa ntchito salmeterol, muyenera kugwiritsa ntchito salmeterol bola ngati pakufunika kuti muchepetse matenda anu a mphumu. Mphumu yanu ikalamulidwa, dokotala wanu angakuuzeni kuti musiye kugwiritsa ntchito salmeterol koma pitirizani kugwiritsa ntchito mankhwala ena a mphumu.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

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

Salmeterol imagwiritsidwa ntchito poletsa kupuma, kupuma movutikira, kutsokomola, komanso chifuwa kwa anthu omwe ali ndi matenda osokoneza bongo (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema). Amagwiritsidwanso ntchito limodzi ndi mankhwala opumira a steroid kuti athetse kupuma, kupuma movutikira, kutsokomola, ndi chifuwa cholimba komanso akuluakulu ndi ana azaka 4 kapena kupitilira apo omwe ali ndi mphumu. Amagwiritsidwanso ntchito popewera bronchospasm (kupuma movutikira) panthawi yochita masewera olimbitsa thupi mwa akulu ndi ana azaka 4 kapena kupitirira. Salmeterol ali mgulu la mankhwala omwe amatchedwa agonists a beta-long-acting beta (LABAs). Zimagwira ntchito popumula ndikutsegula ma mpweya m'mapapu, kupangitsa kuti kupuma kuzikhala kosavuta.

Salmeterol imabwera ngati ufa wouma woti upume ndi pakamwa pogwiritsa ntchito inhaler yopangidwa mwapadera. Salmeterol ikagwiritsidwa ntchito pochizira mphumu kapena COPD, imagwiritsidwa ntchito kawiri patsiku, m'mawa ndi madzulo, pafupifupi maola 12 kutalikirana. Gwiritsani ntchito salmeterol mozungulira nthawi imodzimodzi tsiku lililonse. Salmeterol ikagwiritsidwa ntchito popewa kupuma panthawi yochita masewera olimbitsa thupi, imagwiritsidwa ntchito osachepera mphindi 30 musanachite masewera olimbitsa thupi koma osapitilira kamodzi pa maola 12 aliwonse. Ngati mukugwiritsa ntchito salmeterol kawiri patsiku, musagwiritse ntchito mlingo wina musanachite masewera olimbitsa thupi. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito salmeterol ndendende momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito salmeterol pochiza mwadzidzidzi mphumu kapena COPD. Dokotala wanu adzakupatsani mankhwala achidule a beta agonist monga albuterol (Accuneb, Proair, Proventil, Ventolin) omwe mungagwiritse ntchito mukamazunzidwa. Ngati mutagwiritsa ntchito mankhwalawa nthawi zonse musanayambe kumwa mankhwala ndi salmeterol, dokotala wanu angakuuzeni kuti musagwiritse ntchito nthawi zonse koma kuti mupitirize kuzigwiritsa ntchito pochiza matenda a mphumu mwadzidzidzi. Tsatirani malangizowa mosamala. Osasintha momwe mumagwiritsira ntchito mankhwala aliwonse popanda kulankhula ndi dokotala.

Musagwiritse ntchito salmeterol ngati muli ndi mphumu kapena COPD yomwe ikuipiraipira. Ngati muli ndi zizindikiro zotsatirazi zowononga mphumu kapena COPD, itanani dokotala mwamsanga:

• kupuma kwanu kumawonjezeka
• inhaler yanu yochita yayifupi sagwira ntchito mofanana ndi kale
• Muyenera kugwiritsa ntchito mikwingwirima yambiri kuposa momwe mumakhalira inhaler kapenanso kuigwiritsa ntchito pafupipafupi
• muyenera kugwiritsa ntchito mapiki anayi kapena kupitilira apo patsiku la inhaler yanu yayifupi masiku awiri kapena kupitilira apo
• mumagwiritsa ntchito zowonjezeramo zowonjezera 200 (inhalations 200) zanu zopumira mu nthawi ya masabata asanu ndi atatu
• mita yanu yoyenda kwambiri (chida chakunyumba chomwe mumayesa kupuma) zotsatira zikuwonetsa kuti mavuto anu akupuma akukulira
• muli ndi mphumu ndipo zizindikiro zanu sizikusintha mukamagwiritsa ntchito salmeterol pafupipafupi sabata imodzi

Salmeterol amayang'anira zizindikiro za mphumu ndi matenda ena am'mapapo koma samachiritsa izi. Osasiya kugwiritsa ntchito salmeterol osalankhula ndi dokotala. Mukasiya kugwiritsa ntchito salmeterol mwadzidzidzi, zizindikilo zanu zitha kukulirakulira.

Musanagwiritse ntchito salmeterol inhaler koyamba, funsani dokotala, wazamankhwala, kapena othandizira kupuma kuti akuwonetseni momwe mungagwiritsire ntchito. Yesetsani kugwiritsa ntchito inhaler pamene akuwona.

Kuti mugwiritse ntchito inhaler, tsatirani izi:

1. Ngati mutagwiritsa ntchito inhaler yatsopano koyamba, chotsani m'bokosilo ndi chojambulacho. Lembani zomwe zidalembedwa pa inhaler tsiku lomwe mudatsegula chikwama ndi tsiku la 6 patadutsa nthawi yomwe muyenera kusinthira inhaler.
2. Gwirani inhaler mu dzanja limodzi, ndipo ikani chala chachikulu cha dzanja lanu lina pa chala. Kokani chala chanu chachikulu kutali ndi inu mpaka momwe cholankhulira chiwoneke ndikuwonekera bwino.
3. Gwirani inhaler pamlingo woyenera, wopingasa ndi wolankhulira kwa inu. Chotsani chopondacho kutali ndi inu mpaka momwe chidzapitirire mpaka kudina.
4. Nthawi iliyonse yomwe lever imakankhidwira mmbuyo, mlingo umakhala wokonzeka kupumira. Mudzawona kuchuluka kwa kauntala wa mankhwalawo kutsika. Osataya muyeso potseka kapena kupendeketsa chofufumitsira, kusewerako ndi lever, kapena kupititsa patsogolo lever kangapo.
5. Gwirani mulingo wa inhaler ndikuchoka pakamwa panu, ndikupumira momwe mungathere.
6. Sungani inhaler pamalo osalala, mosalala. Ikani cholankhulira pamilomo yanu. Pumirani mwachangu komanso mwakuya ngakhale inhaler, osati kudzera pamphuno.
7. Chotsani inhaler mkamwa mwanu, ndikupumira mpweya kwa masekondi 10 kapena bola momwe mungathere. Pumani pang'ono pang'ono.
8. Mutha kulawa kapena kumva salmeterol ufa wotulutsidwa ndi inhaler. Ngakhale simukutero, musapume mpweya wina. Ngati simukudziwa kuti mukupeza salmeterol wanu, itanani dokotala kapena wamankhwala.
9. Ikani chala chanu chazithunzi pa chidutsacho ndikuchibwezeretsani kwa inu mpaka komwe chidzapitirire. Chipangizocho chidzatseka kutseka.

Osatulutsira mpweya mu inhaler, tengani chopumira, kapena kutsuka cholankhulira kapena gawo lililonse la inhaler. Sungani inhaler youma. Musagwiritse ntchito inhaler ndi spacer.

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

Musanagwiritse ntchito salmeterol,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi salmeterol, mankhwala ena aliwonse, mapuloteni amkaka, kapena zakudya zilizonse.
• uzani dokotala ngati mutagwiritsa ntchito LABA ina monga arformoterol (Brovana), fluticasone ndi salmeterol kuphatikiza (Advair), formoterol (Perforomist, ku Bevespi Aerosphere, Duaklir Pressair, Dulera, Symbicort), indacaterol (Arcapta), olodaterol (Striverdi Respimat, Stiolto Respimat), kapena vilanterol (ku Anoro Ellipta, Breo Ellipta, Trelegy Ellipta). Mankhwalawa sayenera kugwiritsidwa ntchito ndi salmeterol. Dokotala wanu angakuuzeni mankhwala omwe muyenera kugwiritsa ntchito komanso mankhwala omwe muyenera kusiya.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: ma antifungal monga itraconazole (Onmel, Sporanox, Tolsura) ndi ketoconazole; zotchinga beta monga atenolol (Tenormin, mu Tenoretic), labetalol (Trandate), metoprolol (Kapspargo, Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, ku Corzide), ndi propranolol (Hemangeol, Inderal, Innopran); kumvetsetsa; okodzetsa ('mapiritsi amadzi'); HIV protease inhibitors monga atazanavir (Reyataz, ku Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, Viekira Pak), ndi saquinavir (Invirase); nefazodone; ndi telithromycin (Ketek). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala otsatirawa kapena mwasiya kumwa mankhwalawa m'masabata awiri apitawa: antidepressants monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipramine (Surmontil); ndi monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), ndi tranylcypromine (Parnate). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwakhala mukugunda pamtima mosasinthasintha, kuthamanga kwa magazi, kuwonjezeka kwa QT (mtima wosakhazikika womwe ungayambitse kukomoka, kutaya chidziwitso, kugwidwa, kapena kufa mwadzidzidzi), matenda ashuga, khunyu, kapena chiwindi, chithokomiro , kapena matenda amtima.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito salmeterol, itanani dokotala wanu.
• muyenera kudziwa kuti kupuma kwa salmeterol nthawi zina kumayambitsa kupuma komanso kupuma movutikira mukangopumira. Izi zikachitika, itanani dokotala wanu nthawi yomweyo. Musagwiritsenso ntchito salmeterol inhalation pokhapokha dokotala atakuwuzani kuti muyenera kutero.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musapangire mpweya wawiri kuti ukhale wosowa.

Salmeterol ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
• mutu
• manjenje
• chizungulire
• chifuwa
• modzaza mphuno
• mphuno
• khutu kupweteka
• kupweteka kwa minofu, kuuma, kapena kukokana
• kupweteka pamodzi
• Zilonda, zilonda zapakhosi

• zizindikiro ngati chimfine
• nseru
• kutentha pa chifuwa
• kupweteka kwa dzino
• pakamwa pouma
• zilonda kapena zigamba zoyera pakamwa
• maso ofiira kapena okwiya
• kuvuta kugona kapena kugona
• kutentha kapena kumva kulasalasa kwa manja kapena mapazi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kuthamanga kapena kugunda kwamtima
• kupweteka pachifuwa
• zidzolo
• ming'oma
• kutupa kwa nkhope, mmero, lilime, milomo, kapena maso
• ukali
• kutsamwa kapena kuvutika kumeza
• mokweza, kupuma mwamphamvu

Salmeterol 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. Zisunge kutentha komanso kutali ndi dzuwa, ndi kutentha kwambiri ndi chinyezi (osati kubafa). Chotsani inhaler pakatha milungu 6 mutachichotsa pa chojambulacho kapena mutagwiritsa ntchito chithuza chilichonse (pomwe chizindikirochi chikuwerenga 0), chilichonse chomwe chimabwera koyamba.

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:

• kugwidwa
• kupweteka pachifuwa
• chizungulire
• kukomoka
• kusawona bwino
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• manjenje
• mutu
• kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
• kukokana kwa minofu kapena kufooka
• pakamwa pouma
• nseru
• chizungulire
• kutopa kwambiri
• kusowa mphamvu
• kuvuta kugona kapena kugona

Sungani maimidwe onse ndi dokotala wanu.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukugwiritsa ntchito salmeterol.

Musalole kuti wina aliyense agwiritse ntchito 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.

• Serevent^®