I-Montelukast

-Delile

• Ngaphambi kokuthatha i-montelukast,
• IMontelukast ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SEZEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

IMontelukast ingadala ushintsho olubucayi noma olusongela impilo yezengqondo ngenkathi uthatha lo muthi noma ngemuva kokuthi ukwelashwa kumile. Tshela udokotela wakho uma ngabe uke waba nanoma yiluphi uhlobo lokugula kwengqondo. Kodwa-ke, kufanele wazi ukuthi kungenzeka ukuthuthukisa lezi zinguquko empilweni yengqondo nokuziphatha noma ngabe ungakaze ube nezinkinga zempilo yengqondo esikhathini esedlule. Kufanele ushayele udokotela wakho khona manjalo futhi uyeke ukuthatha i-montelukast uma uhlangabezana nalezi zimpawu ezilandelayo: ukuthukuthela, isimilo esinolaka, ukukhathazeka, ukucasuka, ubunzima bokunaka, ukulahleka kwememori noma ukukhohlwa, ukudideka, amaphupho angajwayelekile, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi) lokho akukho), ukuphinda imicabango ongeke ukwazi ukuyilawula, ukudangala, ubunzima bokulala noma ukulala, ukungahlaliseki, ukuhamba ngokulala, imicabango yokuzibulala noma izenzo (ukucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo), noma ukuthuthumela ( ukuzamazama okungalawuleki kwengxenye yomzimba). Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

IMontelukast isetshenziselwa ukuvimbela ukuphefumula, ukuphefumula kanzima, ukuqina kwesifuba, nokukhwehlela okubangelwa yisifuba somoya kubantu abadala nasezinyangeni ezineminyaka engu-12 nangaphezulu. I-Montelukast nayo isetshenziselwa ukuvimbela i-bronchospasm (ubunzima bokuphefumula) ngesikhathi sokuzivocavoca kubantu abadala nezingane ezineminyaka engu-6 nangaphezulu. I-Montelukast nayo isetshenziselwa ukwelapha izimpawu zonyaka (zenzeka ngezikhathi ezithile kuphela zonyaka), i-allergen rhinitis (isimo esihambisana nokuthimula nokukhala okumanzi, okugijimayo noma okunukayo) kubantu abadala nezingane ezineminyaka engu-2 nangaphezulu ubudala, nokuhlala isikhathi eside (kwenzeka unyaka wonke) i-rhinitis yokungezwani komzimba kubantu abadala nasezinyangeni ezineminyaka engu-6 nangaphezulu. I-Montelukast kufanele isetshenziselwe ukwelapha i-rhinitis yesikhashana noma engapheli kuphela kubantu abadala nasezinganeni ezingakwazi ukwelashwa ngeminye imithi. IMontelukast isekilasini lemithi ebizwa ngama-leukotriene receptor antagonists (LTRAs). Isebenza ngokuvimba isenzo sezinto emzimbeni ezidala izimpawu zesifuba somoya kanye ne-rhinitis yokungezwani.

IMontelukast iza njengethebhulethi, ithebhulethi ehlafunwayo, nama-granules azowathatha ngomlomo. I-Montelukast ivame ukuthathwa kanye ngosuku noma ngaphandle kokudla. Lapho i-montelukast isetshenziselwa ukwelapha i-asthma, kufanele ithathwe kusihlwa. Lapho i-montelukast isetshenziselwa ukuvimbela ubunzima bokuphefumula ngesikhathi sokuvivinya umzimba, kufanele ithathwe okungenani amahora amabili ngaphambi kokuzivocavoca. Uma uthatha i-montelukast kanye ngosuku, noma uma uthathe umthamo we-montelukast emahoreni angama-24 edlule, akufanele uthathe umthamo owengeziwe ngaphambi kokuzivocavoca. Lapho i-montelukast isetshenziselwa ukwelapha i-allergen rhinitis, ingathathwa nganoma yisiphi isikhathi sosuku. Thatha i-montelukast ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-montelukast njengoba nje iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma unikeza ingane yakho ama-granules, akufanele uvule isikhwama se-foil kuze kube yilapho ingane yakho isilungele ukuthatha umuthi. Kunezindlela eziningana onganikeza ngazo ingane yakho ama-granules, ngakho-ke khetha eyodwa esebenza kangcono kakhulu kuwe nasenganeni yakho. Ungathelela wonke ama-granules ngqo kusuka ephaketheni ungene emlonyeni wengane yakho ukuze ugwinywe ngokushesha. Ungase futhi uthele lonke iphakethe lamagremu kusipuni esihlanzekile bese ufaka isipuni semithi emlonyeni wengane yakho. Uma uthanda, ungaxuba lonke iphakethe lamagremu kusipuni 1 (5 ml) yefomula yengane ebandayo noma ekamelweni, ubisi lwebele, i-apulauce, izaqathe ezithambile, u-ayisikhilimu noma irayisi. Akufanele uhlanganise ama-granules nokunye ukudla noma uketshezi, kepha ingane yakho ingaphuza noma iluphi uketshezi ngemuva nje kokuba ethathe ama-granules. Uma uxuba ama-granules nokunye kokudla noma iziphuzo ezivunyelwe, sebenzisa izingxube ngaphakathi kwemizuzu engu-15. Musa ukugcina inhlanganisela engasetshenziswanga yokudla, ubisi lwebele, noma ubisi lwebele nemithi.

Ungasebenzisi i-montelukast ukwelapha ukuhlaselwa okungazelelwe kwezimpawu zesifuba somoya. Udokotela wakho uzokunikeza i-inhaler emfushane ezosebenza ngesikhathi sokuhlaselwa. Khuluma nodokotela wakho ngokuthi ungazelapha kanjani izimpawu zokuhlaselwa yisifuba somoya okungazelelwe. Uma izimpawu zakho ze-asthma ziba zimbi kakhulu noma uma uhlaselwa yi-asthma kaningi, qiniseka ukubiza udokotela wakho.

Uma uthatha i-montelukast ukwelapha i-asthma, qhubeka uphuze noma usebenzise yonke eminye imishanguzo oyinikezwe ngudokotela wakho ukuphatha i-asthma yakho. Ungayeki ukuthatha noma imuphi umuthi wakho noma ushintshe imithamo yanoma imuphi umuthi wakho ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele. Uma i-asthma yakho yenziwa yimbi kakhulu yi-aspirin, ungathathi i-aspirin noma ezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ngenkathi welashwa nge-montelukast.

IMontelukast ilawula izimpawu ze-asthma kanye ne-allergen rhinitis kepha ayizelaphi lezi zimo. Qhubeka uthathe i-montelukast noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-montelukast ngaphandle kokukhuluma nodokotela wakho.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-montelukast,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-montelukast noma eminye imishanguzo, noma ezinye izithako kuthebhulethi ye-montelukast, ithebhulethi ehlafunwayo, noma ama-granules.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho i-gemfibrozil (i-Lopid), i-phenobarbital ne-rifampin (i-Rifadin, i-Rimactane, e-Rifamate, e-Rifater). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-montelukast, shayela udokotela wakho.
• uma une-phenylketonuria (i-PKU, isimo esizuzwe njengefa lapho kufanele kulandelwe ukudla okhethekile ukuvimbela ukubambezeleka kwengqondo), kufanele wazi ukuthi amaphilisi angafuneki aqukethe i-aspartame eyakha i-phenylalanine.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile. Ungathathi umthamo ongaphezu koyedwa we-montelukast esikhathini samahora angama-24.

IMontelukast ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• isilungulela
• ubuhlungu besisu
• ukukhathala
• isifo sohudo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SEZEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:

• ubunzima bokuphefumula noma ukugwinya; ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo; ukushaqeka; ukulunywa; ukuqubuka; isifuba
• ukushwabana, ukuxebuka, noma ukuchitha isikhumba
• izimpawu ezinjengomkhuhlane, ukuqubuka, izikhonkwane nezinaliti noma ukuba ndikindiki ezingalweni noma emilenzeni, ubuhlungu nokuvuvukala kwezono
• ubuhlungu bendlebe, umkhuhlane (ezinganeni)

IMontelukast ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa kude nokukhanya nokushisa okweqile nomswakama (hhayi endlini yangasese).

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula.Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ubuhlungu besisu
• ubuthongo
• ukoma
• ikhanda
• ukuhlanza
• ukungahlaliseki noma ukuyaluza

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Singulair^®