I-Naratriptan
-Delile
- Ngaphambi kokuthatha i-naratriptan,
- INaratriptan ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
INaratriptan isetshenziselwa ukwelapha izimpawu zekhanda elibuhlungu (elibuhlungu, elibuhlungu ikhanda elibuhlungu kwesinye isikhathi elihambisana nesicanucanu nokuzwela kuzwakale noma kukhanye). INaratriptan isekilasini lemithi ebizwa ngama-serotonin receptor agonists akhethiwe. Isebenza ngokunciphisa imithambo yegazi ezungeze ubuchopho, imise amasignali obuhlungu ukuthi angathunyelwa ebuchosheni, futhi imise ukukhishwa kwezinto ezithile zemvelo ezibangela ubuhlungu, isicanucanu, nezinye izimpawu ze-migraine. INaratriptan ayivimbeli ukuhlaselwa yi-migraine noma inciphise inani lekhanda onalo.
INaratriptan iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kusibonakaliso sokuqala sekhanda le-migraine. Uma izimpawu zakho ziba ngcono ngemuva kokuthatha i-naratriptan kodwa ubuye ngemuva kwamahora ama-4 noma ngaphezulu, ungathatha ithebhulethi yesibili. Kodwa-ke, uma izimpawu zakho zingathuthuki ngemuva kokuthatha i-naratriptan, ungathathi ithebhulethi yesibili ngaphambi kokushayela udokotela wakho. Udokotela wakho uzokutshela inani eliphezulu lamaphilisi ongawathatha esikhathini samahora angama-24. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-naratriptan njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Ungathatha umthamo wakho wokuqala we-naratriptan ehhovisi likadokotela noma kwenye indawo yezokwelapha lapho ungabhekwa khona ukusabela okungathi sína.
Shayela udokotela wakho uma ikhanda lakho lingabi ngcono noma livele kaningi ngemuva kokuthatha i-naratriptan.
Uma uthatha i-naratriptan kaningi noma isikhathi eside kunesikhathi esinconyiwe, izinhlungu zakho zekhanda zingaba zimbi kakhulu noma zenzeke kaningi. Akufanele uthathe i-naratriptan noma yimuphi omunye umuthi wekhanda izinsuku ezingaphezu kwezingu-10 ngenyanga. Shayela udokotela wakho uma udinga ukuthatha i-naratriptan ukwelapha amakhanda angaphezu kwamane esikhathini esiyinyanga engu-1.
Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.
Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-naratriptan,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-naratriptan noma imiphi eminye imithi, noma ezinye izithako ezikumaphilisi e-naratriptan. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- ungathathi i-naratriptan uma uthathe noma iyiphi yale mithi elandelayo emahoreni angama-24 adlule: amanye ama-agonists e-serotonin receptor anjenge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), rizatriptan (Maxalt), sumatriptan (Imitrex, eTreximet), noma i-zolmitriptan (iZomig); noma imithi yohlobo lwe-ergot efana ne-bromocriptine (Parlodel), i-cabergoline, i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Hydergine), i-ergonovine (i-Ergotrate), i-ergotamine (i-Cafergot, i-Ergomar), i-methylergonovine (i-Methergine), i-methysergide), i-methysergide) ne-pergolide (Permax).
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetaminophen (iTylenol); imishanguzo efana ne-amitriptyline (Elavil), i-amoxapine (i-Asendin), i-clomipramine (i-Anafranil), i-desipramine (i-Norpramin), i-doxepin (i-Adapin, i-Sinequan), i-imipramine (i-Tofranil), i-nortriptyline (i-Aventyl, i-Pamelor), i-protripiline Surmontil); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (i-NSAIDS) efana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax), i-fluvoxamine, i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); ne-serotonin / norepinephrine reuptake inhibitors ekhethiwe (SNRIs) efana ne-desvenlafaxine (Pristiq), i-duloxetine (i-Cymbalta), i-sibutramine (i-Meridia), ne-venlafaxine (i-Effexor). Phinda utshele udokotela noma usokhemisi wakho uma uthatha le mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), ne-tranylcypromine (iParnate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- utshele udokotela wakho uma uke waba nesifo senhliziyo noma wake waba naso; isifo senhliziyo; i-angina (ubuhlungu besifuba); ukushaya kwenhliziyo okungajwayelekile; unhlangothi noma 'mini-stroke'; Izinkinga zokujikeleza ezifana nemithambo ye-varicose, amahlule egazini emilenzeni, isifo sikaRaynaud (izinkinga zokugeleza kwegazi kuya eminweni, ezinzwaneni, ezindlebeni nasekhaleni), noma isifo sesisu (isifo sohudo esinegazi nobuhlungu besisu obubangelwa ukwehla kwegazi kuye emathunjini ); Udokotela wakho angakutshela ukuthi ungathathi i-naratriptan.
- utshele udokotela wakho uma ubhema noma ukhuluphele ngokweqile; uma uke waba nomfutho ophakeme wegazi, isifo sikashukela, i-cholesterol ephezulu, noma isifo sezinso noma sesibindi; uma usudlulile esikhathini (ukuguqula impilo); noma uma kukhona amalungu omndeni anesifo senhliziyo noma sohlangothi.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma uhlela ukwenza ucansi ngenkathi uthatha lo muthi, khuluma nodokotela wakho ngezindlela ezisebenzayo zokulawula ukubeletha. Uma ukhulelwa ngenkathi uthatha i-naratriptan, shayela udokotela wakho.
- kufanele wazi ukuthi i-naratriptan ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
- khuluma nodokotela wakho ngezimpawu zakho zekhanda ukuze uqiniseke ukuthi zibangelwa yi-migraine. INaratriptan akufanele isetshenziselwe ukwelapha izinhlobo ezithile zekhanda le-migraine (i-hemiplegic noma i-basilar migraines) noma ezinye izinhlobo zekhanda (njengama-cluster headaches).
INaratriptan ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ubuthakathaka
- ukukhathala
- isisu esibuhlungu
- isicanucanu
- isiyezi
- ukuzizwa ufudumele noma ubanda
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- ukuqina, ubuhlungu, ingcindezi, noma isisindo esifubeni, emphinjeni, entanyeni noma emhlathini
- ukushaya kwenhliziyo okusheshayo, okushaya ngamandla, noma okungajwayelekile
- ukuphelelwa umoya
- kuqhume umjuluko obandayo
- ubumhlophe
- ubuthakathaka noma ukuba ndikindiki noma ingalo noma umlenze
- inkulumo ehamba kancane noma enzima
- ukuphefumula kanzima noma ukugwinya
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
- ukushaqeka
- isifuba
- ukuqubuka
- ukulunywa
- ubuhlungu besisu obungazelelwe noma obukhulu
- uhudo olunegazi
- ukuqunjelwa
- ukuhlanza
- ukuphaphatheka noma umbala oluhlaza okwesibhakabhaka weminwe noma izinzwane
- ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
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).
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.
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
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:
- ubumhlophe
- ubuhlungu bentamo
- ukukhathala
- ukulahleka kokuxhumanisa
- ubuhlungu besifuba
Gcina wonke ama-aphoyintimenti nodokotela wakho. Umfutho wegazi lakho kufanele uhlolwe njalo.
Kufanele ugcine idayari yekhanda ngokubhala phansi uma unekhanda nalapho uthatha i-naratriptan.
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.
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