IGuanfacine

-Delile

• Ngaphambi kokuthatha i-guanfacine,
• IGuanfacine ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Amaphilisi e-Guanfacine (Tenex) asetshenziswa wedwa noma ehlangene neminye imithi yokwelapha umfutho wegazi ophezulu. Amathebulethi eGuanfacine anwetshiwe (asebenza isikhathi eside) (i-Intuniv) asetshenziswa njengengxenye yohlelo lokwelashwa ukulawula izimpawu zokwehluleka kokunaka ukukhathazeka (ADHD; ubunzima bokugxila, ukulawula izenzo, nokuhlala uthule noma uthule kunabanye abantu ubudala obufanayo) ezinganeni. UGuanfacine usesigabeni semithi ebizwa ngokuthi i-alpha esebenza maphakathi nendawo_2A-adrenergic receptor agonists. IGuanfacine ilapha umfutho wegazi ophakeme ngokunciphisa izinga lokushaya kwenhliziyo nokuphungula imithambo yegazi ukuze igazi ligeleze kalula emzimbeni. Amathebulethi akhishwa eGuanfacine anwetshiwe angelapha i-ADHD ngokuthinta ingxenye yobuchopho elawula ukunakwa nokungafisi.

Umfutho wegazi ophezulu yisimo esivamile futhi uma ungelashwa, ungadala umonakalo ebuchosheni, enhliziyweni, emithanjeni yegazi, ezinso nakwezinye izingxenye zomzimba. Ukulimala kwalezi zitho kungadala isifo senhliziyo, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sohlangothi, ukwehluleka kwezinso, ukungaboni, nezinye izinkinga. Ngaphezu kokuthatha umuthi, ukwenza ushintsho endleleni ophila ngayo kuzosiza nasekulawuleni umfutho wegazi. Lezi zinguquko zifaka phakathi ukudla ukudla okunamafutha nosawoti omncane, ukugcina isisindo esinempilo, ukuzivocavoca okungenani imizuzu engama-30 izinsuku eziningi, ukungabhemi, nokusebenzisa utshwala ngokulinganisela.

IGuanfacine iza njengethebhulethi futhi njengethebhulethi ekhishwa isikhathi eside ezothathwa ngomlomo. Ithebhulethi ivame ukuthathwa kanye ngosuku ngesikhathi sokulala. Ithebhulethi ekhishwa isikhathi eside ithathwa kanye ngosuku futhi akufanele ithathwe ngokudla okunamafutha amaningi. Thatha i-guanfacine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-guanfacine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya amathebulethi akhululiwe enziwe ngamanzi amancane noma olunye uketshezi; ungawaphuli, ungawahlafuna noma uwagaye.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-guanfacine futhi angakhuphula kancane kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa ngesonto uma uthatha amaphilisi akhululiwe, futhi hhayi kaningi ngaphezu kwesisodwa njalo emavikini e-3-4 uma uphuza amaphilisi.

IGuanfacine ingalawula isimo sakho, kepha ngeke iselaphe. Kungathatha amasonto ama-2 ngaphambi kokuthi uzwe inzuzo ephelele yamaphilisi wokukhishwa okwandisiwe we-guanfacine. Qhubeka uthathe i-guanfacine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-guanfacine ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ngokungazelelwe ukuthatha i-guanfacine, umfutho wegazi lakho ungakhuphuka futhi ube novalo noma ukhathazeke. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

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

Ngaphambi kokuthatha i-guanfacine,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-guanfacine, noma imiphi eminye imishanguzo, noma iziphi izithako ezisemaphilisi e-guanfacine noma amaphilisi akhishwa isikhathi eside. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• kufanele wazi ukuthi i-guanfacine iyisithako esisebenzayo kumathebulethi e-guanfacine namathebulethi wokukhishwa okwandisiwe we-guanfacine. Ungathathi yomibili le mikhiqizo ngasikhathi sinye.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imishanguzo; ama-antihistamine; ama-barbiturates afana ne-phenobarbital (Luminal); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); i-clarithromycin (i-Biaxin, ku-PrevPac); indinavir (Crixivan); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); imishanguzo yokukhathazeka, umfutho wegazi ophakeme, ukugula kwengqondo, isicanucanu, noma ukuquleka; nefazodone; i-nelfinavir (i-Viracept); i-phenytoin (iDilantin, Phenytek); i-pioglitazone (Actos, e-Actoplus Met, eDuetact, e-Oseni); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, eRifamate, eRifater, eRimactane); i-ritonavir (iNorvir, eKaletra); isidambisi; amaphilisi okulala; okokunciphisa umzimba; kanye ne-valproic acid (Depakene). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• tshela udokotela wakho uma wake waquleka, noma ngabe muva nje wahlaselwa isifo senhliziyo; futhi uma uke wahlaselwa isifo sohlangothi noma wake wahlaselwa isifo sohlangothi; umfutho wegazi ophansi; ukushaya kwenhliziyo okuhamba kancane; i-bipolar disorder (i-manic depress disorder; isifo esibangela iziqephu zokucindezeleka, iziqephu ze-mania, nezinye izimo ezingavamile); noma isifo senhliziyo, sezinso noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-guanfacine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-guanfacine.
• kufanele wazi ukuthi i-guanfacine ingakwenza ukozele noma ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-guanfacine. Utshwala bungenza imiphumela emibi ye-guanfacine ibe yimbi kakhulu.
• kufanele wazi ukuthi i-guanfacine ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-guanfacine. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi ungaquleka uma uphelelwa amanzi emzimbeni noma ushisa ngokweqile ngenkathi welashwa nge-guanfacine. Qiniseka ukuthi uphuza iziphuzo eziningi futhi uhlale upholile ngenkathi uthatha lo muthi.
• kufanele wazi ukuthi i-guanfacine kufanele isetshenziswe njengengxenye yohlelo lokwelashwa oluphelele lwe-ADHD, olungafaka ukwelulekwa kanye nemfundo ekhethekile. Qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho kanye / noma yomelaphi.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-guanfacine uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-guanfacine ngoba ayiphephile futhi ayisebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.

Khuluma nodokotela wakho ngokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile. Uma uthatha amaphilisi wokukhishwa we-guanfacine enwetshiwe, bese uphuthelwa imithamo emibili noma ngaphezulu ilandelana, shayela udokotela wakho.

IGuanfacine ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:

• umlomo owomile
• ukukhathala
• ubuthakathaka
• ikhanda
• ukucasuka
• kwehle ikhono lezocansi
• ukuncipha kokudla
• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• ukuqunjelwa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukuquleka
• ukungaboni kahle
• ukuqubuka
• ukushaya kwenhliziyo okuhamba kancane

IGuanfacine 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. Gcina ekamelweni lokushisa futhi kude 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:

• ukozela
• ukungabi namandla
• ukushaya kwenhliziyo okuhamba kancane
• ukuquleka
• isiyezi
• ukungaboni kahle
• abafundi abancane (imibuthano emnyama phakathi kwamehlo)

Gcina wonke ama-aphoyintimenti nodokotela wakho. Umfutho wegazi nokushaya kwenhliziyo yakho kufanele kuhlolwe njalo ukuthola impendulo yakho ku-guanfacine.

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.

• Intuniv^®
• Tenex^®