Zamgululi

Zamkati

• Musanamwe tramadol,
• Tramadol 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 kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Tramadol imatha kukhala chizolowezi, makamaka ikamagwiritsa ntchito nthawi yayitali. Tengani tramadol ndendende momwe mwalangizira. Osamutenga wochulukirapo, uzimutenga pafupipafupi, kapena umutenge mosiyana ndi momwe dokotala akuuzira. Mukamamwa tramadol, kambiranani ndi omwe amakuthandizani pa zaumoyo zolinga zanu zowawa, kutalika kwa chithandizo, ndi njira zina zothetsera ululu wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena amamwa mowa mopitirira muyeso kapena ngati mwakhala mukuvutika maganizo kapena wina matenda amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito tramadol ngati mwakhalapo ndi izi. Lankhulani ndi omwe amakuthandizani nthawi yomweyo ndikupemphani kuti akuwongolereni ngati mukuganiza kuti muli ndi vuto la opioid kapena pitani ku US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP.

Tramadol imatha kubweretsa mavuto owopsa kupuma, makamaka mkati mwa maola 24 mpaka 72 oyamba amachiritso anu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Uzani dokotala wanu ngati mwakhala mukucheperapo kapena mphumu. Dokotala wanu angakuuzeni kuti musamwe tramadol. Uzaninso dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda omwe amakhudza mapapo ndi mayendedwe amlengalenga), kuvulala pamutu, chotupa muubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kwa kupanikizika muubongo wanu. Chiwopsezo choti mutha kukhala ndi vuto lakupuma chimatha kukhala chachikulu ngati ndinu okalamba kapena ofooka kapena osowa zakudya m'thupi chifukwa cha matenda.Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi: kupuma pang'ono, kupuma pang'ono pakati pa kupuma, kapena kupuma pang'ono.

Pomwe tramadol imagwiritsidwa ntchito mwa ana, mavuto opumira komanso owopsa pamoyo monga kupumira pang'onopang'ono kapena kuvutika kupuma komanso kufa amafotokozedwa. Tramadol sayenera kugwiritsidwa ntchito pochiza ululu kwa ana ochepera zaka 12 kapena kuchepetsa ululu pambuyo pochitidwa opaleshoni kuchotsa matani ndi / kapena adenoids mwa ana ochepera zaka 18. Tramadol sayenera kugwiritsidwanso ntchito kwa ana azaka 12 mpaka 18 omwe ali onenepa kwambiri kapena omwe ali ndi matenda amitsempha (matenda omwe amakhudza mitsempha yomwe imalamulira minofu yodzifunira), matenda am'mapapo, kapena matenda obanika kutulo (vuto lomwe Kuyenda panjinga kumatsekedwa kapena kupapatiza ndikupumira kanthawi kochepa mukamagona) chifukwa izi zitha kuwonjezera chiopsezo cha kupuma.

Kumwa mankhwala ena mukamamwa mankhwala a tramadol kungapangitse kuti mukhale ndi vuto lakupuma kapena mavuto ena owopsa, kupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: amiodarone (Nexterone, Pacerone); mankhwala ena oletsa mafungal kuphatikizapo itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), ndi voriconazole (Vfend); benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), ndi triazolam (Halcion); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); erythromycin (Erytab, Erythrocin); mankhwala ena opatsirana pogonana (HIV) kuphatikiza indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); mankhwala a matenda amisala, nseru, kapena kupweteka; zotsegula minofu; phenytoin (Dilantin, Phenytek); quinidine (mu Nuedexta); rifampin (Rifadin, Rimactane, ku Rifamate); mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Mukatenga tramadol ndi iliyonse mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo munthawi ya chithandizo chanu ndi tramadol kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa izi. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalemba omwe muli ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa tramadol pafupipafupi mukakhala ndi pakati, mwana wanu amatha kukhala ndi ziwopsezo zochoka pobereka. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kutsegula m'mimba, kapena kulephera kunenepa.

Ngati mukumwa piritsi yotulutsa tramadol kapena kapisozi, imezereni kwathunthu; osazitafuna, kuziphwanya, kuzigawa, kuziphwanya, kapena kuzisungunula. Kumeza piritsi lililonse mukangoika pakamwa panu. Mukamedza kukonzekera kutulutsidwa, kutafuna, kuphwanya, kapena kusungunuka, mutha kulandira tramadol yochulukirapo nthawi yomweyo ndipo izi zitha kubweretsa mavuto akulu, kuphatikiza bongo ndi imfa.

Musalole kuti aliyense azimwa mankhwala anu. Tramadol itha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso zaopanga (Medication Guide) mukayamba kulandira mankhwala ndi tramadol 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.

Tramadol imagwiritsidwa ntchito kuti muchepetse kupweteka kwakanthawi pang'ono. Mapiritsi otulutsidwa a Tramadol ndi makapisozi amagwiritsidwa ntchito ndi anthu omwe akuyembekezeredwa kufunafuna mankhwala kuti athetse ululu usana ndi usiku. Tramadol ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Tramadol imabwera ngati piritsi, yankho (madzi), piritsi lotulutsa nthawi yayitali, kapisozi womasulira (wotenga nthawi yayitali) woti mutenge pakamwa. Piritsi lokhazikika ndi yankho amatengedwa nthawi zambiri popanda kapena kudya maola 4 kapena 6 aliwonse pakufunika kutero. Piritsi lotulutsa nthawi yayitali komanso kapisozi wowonjezera ayenera kumwedwa kamodzi patsiku. Tengani piritsi lotulutsidwa komanso kapisozi womasulidwa nthawi yayitali tsiku lililonse. Ngati mukumwa kapulosi womasulidwa, mutha kumamwa kapena wopanda chakudya. Ngati mukumwa piritsi lotulutsa nthawi yayitali, muyenera kumangomamwa ndi chakudya kapena kumamwa popanda chakudya. Tengani tramadol ndendende momwe mwalangizira. Musamamwe mankhwala ochuluka ngati mlingo umodzi kapena kumwa mankhwala ochuluka patsiku kuposa momwe dokotala amakulamulirani. Kumwa tramadol yochuluka kuposa momwe dokotala amakulamulirani kapena m'njira yosavomerezeka kungayambitse mavuto ena kapena imfa.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa tramadol ndikuwonjezera pang'onopang'ono kuchuluka kwa mankhwala omwe mumamwa, osachulukanso kuposa masiku atatu aliwonse ngati mukumwa yankho, mapiritsi anthawi zonse kapena mapiritsi omwe amawonongeka pakamwa kapena masiku asanu aliwonse mukamwa mapiritsi otulutsa nthawi yayitali kapena makapisozi otulutsidwa.

Ngati mukumwa yankho lanu, gwiritsani ntchito jakisoni wam'kamwa kapena supuni yoyezera kapu kapu kuti muyese kuchuluka kwa madzi omwe amafunikira mulingo uliwonse. Musagwiritse ntchito supuni yanyumba yanthawi zonse kuti muyese mlingo wanu. Funsani dokotala wanu kapena wamankhwala ngati mukufuna thandizo kupeza kapena kugwiritsa ntchito chida choyezera,

Osasiya kumwa tramadol osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Mukaleka kumwa tramadol mwadzidzidzi, mutha kukhala ndi zizindikilo zakutha monga mantha; mantha; thukuta; zovuta kugona kapena kugona; kutuluka mphuno, kuyetsemula, kapena kutsokomola; ululu; tsitsi likuyima kumapeto; kuzizira; nseru; kugwedeza kosalamulirika kwa gawo lina la thupi lanu; kutsegula m'mimba; kapena kawirikawiri, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena mawu akumva omwe kulibe).

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

Musanamwe tramadol,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la tramadol, mankhwala ena opweteka a opiate, mankhwala ena aliwonse, kapena chilichonse chazomwe mungapangire mankhwala a tramadol. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa a monoamine oxidase (MAO) kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Dokotala wanu angakuuzeni kuti musamwe tramadol ngati mukumwa mankhwala amodzi kapena angapo, kapena mwamwa kale milungu iwiri yapitayi.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); bupropion (Aplenzin, Wellbutrin, Zyban); cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); lifiyamu (Lithobid); mankhwala ena opweteka mutu monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); mankhwala; 5-HT₃ Otsutsana nawo monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), ndi sertraline (Zoloft); serotonin norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Pristiq, Khedezla), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); trazodone (Oleptro); ndi mankhwala opatsirana pogonana a tricyclic monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipiline) Mankhwala ena ambiri amathanso kulumikizana ndi tramadol, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• auzeni adotolo ngati muli ndi zina mwazomwe zatchulidwa mgawo la CHENJEZO LOFUNIKA, kutsekeka kapena kuchepa kwa m'mimba kapena m'matumbo, kapena ileus yofa ziwalo (momwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musamwe tramadol ngati muli ndi izi.
• uzani dokotala wanu ngati mwakhalapo kapena munagwapo; matenda muubongo kapena msana wanu; zovuta kukodza; malingaliro okhudza kudzivulaza kapena kudzipha kapena kukonzekera kapena kuyesa kutero; kapena matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa tramadol. Tramadol imatha kupangitsa kupuma pang'ono, kupuma movutikira kapena kupuma mokweza, chisokonezo, kugona tulo kuposa kale, kuvuta kuyamwitsa, kapena kulephera kwa makanda oyamwitsa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kwakumwa tramadol.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa tramadol.
• Muyenera kudziwa kuti mankhwalawa atha kukupangitsani kugona komanso kusokoneza mgwirizano wanu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Muyenera kudziwa kuti tramadol imatha kubweretsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira. Pofuna kupewa izi, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zochepa musanayimirire.
• ngati muli ndi phenylketonuria (PKU; mkhalidwe wobadwa nawo momwe muyenera kudya chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe, muyenera kudziwa kuti mapiritsi omwe amawonongeka pakamwa ali ndi aspartame, gwero la phenylalanine.
• Muyenera kudziwa kuti tramadol imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kanu ndikugwiritsa ntchito mankhwala ena kuchiza kapena kupewa kudzimbidwa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati dokotala wakuwuzani kuti muzimwa tramadol pafupipafupi, 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.

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

• kugona
• kuvuta kugona kapena kugona
• mutu
• manjenje
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kulimba kwa minofu
• amasintha malingaliro
• kutentha pa chifuwa kapena kudzimbidwa
• pakamwa pouma

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

• kugwidwa
• ming'oma
• zidzolo
• matuza
• zovuta kumeza kapena kupuma
• kutupa kwa maso, nkhope, mmero, lilime, milomo, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana
• kusintha kwa kugunda kwa mtima
• kutaya chidziwitso

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).

Tramadol imatha kubweretsa zovuta zina. Uzani 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.

Mukamamwa tramadol, muyenera kukambirana ndi adotolo za mankhwala opulumutsa omwe amatchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, ofesi). Naloxone imagwiritsidwa ntchito kusintha zomwe zimawopseza moyo chifukwa cha bongo. Zimagwira ntchito poletsa zotsatira za ma opiate kuti athetse zovuta zomwe zimayambitsidwa ndi ma opiate ambiri m'magazi. Dokotala wanu amathanso kukupatsirani naloxone ngati mukukhala m'nyumba momwe muli ana aang'ono kapena wina yemwe wagwiritsa ntchito mankhwala osokoneza bongo mumsewu. Muyenera kuwonetsetsa kuti inu ndi abale anu, osamalira odwala, kapena anthu omwe mumacheza nanu mukudziwa momwe mungadziwire kuchuluka kwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, ndi zomwe muyenera kuchita mpaka chithandizo chadzidzidzi chidzafike. Dokotala wanu kapena wamankhwala akuwonetsani inu ndi abale anu momwe mungagwiritsire ntchito mankhwalawa. Funsani wamankhwala wanu kuti akupatseni malangizowo kapena pitani patsamba la wopanga kuti mupeze malangizowo. Ngati zizindikilo za bongo zikachitika, mnzanu kapena wachibale akuyenera kupereka mlingo woyamba wa naloxone, itanani 911 mwachangu, ndikukhala nanu ndikukuyang'anirani mpaka thandizo ladzidzidzi litafika. Zizindikiro zanu zimatha kubwerera mkati mwa mphindi zochepa mutalandira naloxone. Ngati zizindikiro zanu zibwerera, munthuyo akuyenera kukupatsaninso mankhwala a naloxone. Mlingo wowonjezerapo ungaperekedwe mphindi ziwiri kapena zitatu zilizonse, ngati zizindikiro zibwerera chithandizo chamankhwala chisanabwere.

Zizindikiro za bongo zingaphatikizepo izi:

• kukula kwa mwana wasukulu (bwalo lakuda pakati pa diso)
• kuvuta kupuma
• kupuma pang'ono kapena pang'ono
• Kugona kapena kugona kwambiri
• osakhoza kuyankha kapena kudzuka
• kuchepa kwa mtima
• kufooka kwa minofu
• kozizira, khungu lamadzi

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku tramadol.

Musanayezetsedwe kwa labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo anu ndi ogwira nawo ntchito kuti mukumwa tramadol.

Musalole kuti aliyense azimwa mankhwala anu. Tramadol ndichinthu chowongoleredwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu ngati muli ndi mafunso.

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.

• Sungani^®
• Qdolo^®
• Zowonjezera^® ODT^¶
• Ryzolt^®¶
• Ultram^®¶
• Ultram^® ER^¶

• Akupanga^® (okhala ndi Acetaminophen, Tramadol)

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