Fluticasone ndi Salmeterol Oral Inhalation

Zamkati

• Musanagwiritse ntchito fluticasone ndi salmeterol oral inhalation,
• Fluticasone ndi salmeterol zimatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zotsatirazi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Kuphatikiza kwa fluticasone ndi salmeterol (Advair Diskus, Advair HFA, AirDuo Respiclick) amagwiritsidwa ntchito kuthana ndi vuto lakupuma, kupuma, kupuma pang'ono, kutsokomola, ndi chifuwa chomwe chimayambitsidwa ndi mphumu. Kuphatikiza kwa fluticasone ndi salmeterol (Advair Diskus) imagwiritsidwanso ntchito popewa komanso kuchiza kupuma, kupuma movutikira, kutsokomola, ndi chifuwa chomwe chimayambitsidwa ndi matenda opatsirana a m'mapapo mwanga (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis osachiritsika komanso emphysema) Kuphatikiza kwa fluticasone ndi salmeterol (Advair Diskus) amagwiritsidwa ntchito kwa akulu ndi ana azaka 4 kapena kupitirira. Kuphatikiza kwa fluticasone ndi salmeterol (Advair HFA, AirDuo Respiclick) imagwiritsidwa ntchito kwa ana azaka 12 kapena kupitilira apo. Fluticasone ali mgulu la mankhwala otchedwa steroids. Zimagwira pochepetsa kutupa munjira zopumira. Salmeterol ali mgulu la mankhwala omwe amatchedwa beta-agonists (LABAs) omwe amakhala nthawi yayitali. Zimagwira ntchito popumula ndikutsegula ma mpweya m'mapapu, kupangitsa kuti kupuma kuzikhala kosavuta.

Kuphatikizana kwa fluticasone ndi salmeterol kumabwera ngati ufa komanso ngati njira yotulutsa mpweya pakamwa pogwiritsa ntchito inhaler yopangidwa mwapadera. Nthawi zambiri amagwiritsidwa ntchito kawiri patsiku, m'mawa ndi madzulo, pafupifupi maola 12 atasiyana. Gwiritsani ntchito fluticasone ndi salmeterol mozungulira nthawi imodzimodzi tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito fluticasone ndi salmeterol ndendende momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Lankhulani ndi dokotala wanu za momwe mungathere kumwa mankhwala ena am'kamwa kapena opumira mphumu mukamachiza salmeterol ndi fluticasone inhalation. Ngati mutagwiritsa ntchito beta agonist inhaler monga albuterol (Proventil, Ventolin) pafupipafupi, dokotala wanu angakuuzeni kuti musayigwiritse ntchito pafupipafupi koma mupitilize kuyigwiritsa ntchito pochiza matenda a mphumu mwadzidzidzi. Tsatirani malangizowa mosamala. Osasintha momwe mumagwiritsira ntchito mankhwala anu aliwonse kapena kusiya kumwa mankhwala anu osalankhula ndi dokotala.

Musagwiritse ntchito fluticasone ndi salmeterol mukamayambitsa mphumu kapena COPD. Dokotala wanu adzakupatsani inhaler yayifupi yoti mugwiritse ntchito mukamazunzidwa.

Fluticasone ndi salmeterol inhalation imayang'anira zizindikiro za matenda am'mapapo koma samachiza izi. Zitha kutenga sabata kapena kupitilira apo kuti mumve phindu lonse la fluticasone ndi salmeterol. Pitirizani kugwiritsa ntchito fluticasone ndi salmeterol ngakhale mukumva bwino. Osasiya kugwiritsa ntchito fluticasone ndi salmeterol osalankhula ndi dokotala. Mukasiya kugwiritsa ntchito fluticasone ndi salmeterol inhalation, zizindikiro zanu zimatha kubwerera.

Musanagwiritse ntchito fluticasone ndi salmeterol inhalation (Advair Diskus, Advair HFA, kapena AirDuo Respiclick) koyamba, werengani malangizo omwe amadza nawo. Yang'anani pazithunzi ndi malangizo phukusi mosamala ndipo onetsetsani kuti mukuzindikira magawo onse a inhaler. Funsani dokotala wanu, wamankhwala, kapena wothandizira kupuma kuti akuwonetseni momwe mungagwiritsire ntchito inhaler. Yesetsani kugwiritsa ntchito inhaler yanu pomwe akuwonera, kotero mukutsimikiza kuti mukuchita bwino.

Ngati mwana wanu azigwiritsa ntchito fluticasone ndi salmeterol inhalation, onetsetsani kuti akudziwa momwe angagwiritsire ntchito. Onetsetsani mwana wanu nthawi iliyonse akagwiritsa ntchito inhaler kuti awonetsetse kuti akugwiritsa ntchito moyenera.

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

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko chidziwitso cha fluticasone ndi salmeterol inhalation (Advair Diskus, Advair HFA, kapena AirDuo Respiclick) zomwe zimamupangira wodwalayo.

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

Musanagwiritse ntchito fluticasone ndi salmeterol oral inhalation,

• auzeni adotolo ndi asayansi yanu ngati muli ndi vuto la fluticasone (Flonase, Flovent), salmeterol (Serevent), mankhwala ena aliwonse, mapuloteni amkaka, zakudya zilizonse, kapena zina zilizonse mu fluticasone ndi salmeterol oral inhalation. Funsani wamankhwala wanu kapena onani Zambiri Za Odwala kuti muwone mndandanda wazopangira.
• uzani dokotala wanu ngati mugwiritsa ntchito LABA ina monga formoterol (Perforomist, ku Dulera, ku Symbicort) kapena salmeterol (Serevent, ku Advair). Mankhwalawa sayenera kugwiritsidwa ntchito ndi fluticasone ndi salmeterol inhalation. Dokotala wanu angakuuzeni mankhwala omwe muyenera kugwiritsa ntchito komanso mankhwala omwe muyenera kusiya.
• uzani dokotala ndi wamankhwala mankhwala ena akuchipatala ndi osapereka, mavitamini, zowonjezera zakudya, ndi mankhwala omwe mumamwa. Onetsetsani kuti mwatchulapo izi: ma antifungal ena monga itraconazole (Onmel, Sporanox) ndi ketoconazole; beta-blockers monga atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); clarithromycin (Biaxin, mu Prevpac); okodzetsa ('mapiritsi amadzi'); HIV protease inhibitors monga atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), ndi saquinavir (Invirase); mankhwala ena a mphumu kapena COPD; mankhwala a khunyu; metronidazole (Flagyl); nefazodone; ndi telithromycin (Ketek; sakupezeka ku U.S.). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwalawa kapena mwasiya kumwa mankhwalawa m'masabata awiri apitawa: antidepressants monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil) , nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipramine (Surmontil); ndi monoamine oxidase (MAO) inhibitors, kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi fluticasone ndi salmeterol, 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.
• auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adadwala matenda a osteoporosis (momwe mafupa amafowoka ndi osalimba), ndipo ngati mwakhalapo ndi kuthamanga kwa magazi, kugunda kwamtima mosalekeza, khunyu, hyperthyroidism (chithokomiro chopitilira muyeso) ), matenda ashuga, chifuwa chachikulu (TB), ng'ala (mitambo ya mandala), glaucoma (matenda amaso), vuto lililonse lomwe limakhudza chitetezo chamthupi, kapena chiwindi kapena matenda amtima. Komanso muuzeni dokotala ngati muli ndi matenda a herpes diso kapena mtundu wina uliwonse wamatenda ndipo mukasuta kapena kugwiritsa ntchito fodya.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati pogwiritsa ntchito fluticasone ndi salmeterol, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito fluticasone ndi salmeterol.
• Uzani dokotala wanu ngati simunakhalepo ndi nthomba kapena chikuku ndipo simunalandire katemera wa matendawa. Khalani kutali ndi anthu omwe akudwala, makamaka anthu omwe ali ndi nthomba kapena chikuku. Ngati mukudwala matendawa kapena ngati mukudwala matendawa, itanani dokotala wanu mwachangu. Mungafunike kupeza katemera (mfuti) wokutetezani kumatendawa.

Lankhulani ndi dokotala wanu za kudya zipatso zamtengo wapatali kapena kumwa madzi amphesa mukamamwa mankhwalawa.

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

Fluticasone ndi salmeterol zimatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mphuno
• kuyetsemula
• chikhure
• Kupsa pakhosi
• nkusani kupweteka
• mutu
• nseru
• kusanza
• kutsegula m'mimba
• kupweteka m'mimba
• kupweteka kwa minofu ndi mafupa
• chizungulire
• kufooka
• kutopa
• thukuta
• kupweteka kwa dzino
• kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
• mavuto ogona

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zotsatirazi, itanani dokotala nthawi yomweyo:

• kukhosomola, kupuma, kapena chifuwa chomwe chimayamba posachedwa mukamatulutsa fluticasone ndi salmeterol
• ming'oma
• zidzolo
• kutupa kwa nkhope, mmero, lilime, milomo, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kutsamwa kapena kuvutika kumeza
• ukali
• phokoso, kupuma kwapamwamba
• kugunda mwamphamvu, kapena kugunda kwamtima kosazolowereka
• kukomoka
• kupweteka pachifuwa
• chifuwa
• kutentha kapena kumva kulasalasa m'manja kapena m'mapazi
• zigamba zoyera pakamwa
• malungo, kuzizira, ndi zizindikiro zina za matenda

Fluticasone ndi salmeterol zitha kupangitsa ana kukula pang'onopang'ono. Dokotala wa mwana wanu amayang'anira kukula kwa mwana wanu mosamala. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopereka mankhwalawa kwa mwana wanu.

Fluticasone ndi salmeterol zitha kuonjezera chiopsezo kuti mungadwale khungu kapena khungu. Muyenera kukhala ndi mayeso amaso nthawi zonse mukamachiza fluticasone ndi salmeterol. Uzani dokotala wanu ngati muli ndi izi: kupweteka, kufiira, kapena kusowa kwa maso; kusawona bwino; kuwona ma halos kapena mitundu yowala mozungulira magetsi; kapena kusintha kwina kulikonse m'masomphenya. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Fluticasone ndi salmeterol zitha kukulitsa chiopsezo chodwala kufooka kwa mafupa. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Fluticasone ndi salmeterol zimatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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 kuwala kwa dzuwa, kutentha kwambiri ndi chinyezi (osati kubafa). Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

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
• kutopa kwambiri
• kusowa mphamvu
• kuvuta kugona kapena kugona

Sungani maimidwe onse ndi dokotala komanso dokotala wanu wamaso.

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.

• Advair^® Diskus
• Advair^® HFA
• Zamgululi^® Yankho