I-Rizatriptan
-Delile
- Ngaphambi kokuthatha i-rizatriptan
- I-Rizatriptan ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nokunye kwalokhu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- Izimpawu zokudlula ngokweqile zingafaka:
I-Rizatriptan isetshenziselwa ukwelapha izimpawu zekhanda elibuhlungu (ikhanda elibuhlungu, elibuhlungu kwesinye isikhathi elihambisana nesicanucanu nokuzwela komsindo nokukhanya). URizatriptan usesigabeni semithi ebizwa ngama-serotonin receptor agonists akhethiwe. Isebenza ngokunciphisa imithambo yegazi ebuchosheni, imise amasignali obuhlungu ukuthi angathunyelwa ebuchosheni, futhi ivimbele ukukhishwa kwezinto ezithile zemvelo ezibanga ubuhlungu, isicanucanu, nezinye izimpawu ze-migraine. I-Rizatriptan ayivimbeli ukuhlaselwa yi-migraine noma inciphise inani lekhanda onalo.
I-Rizatriptan iza njengethebhulethi nethebhulethi ehlukaniswa ngomlomo ezothathwa ngomlomo. Kuvame ukuthathwa kusibonakaliso sokuqala sekhanda le-migraine. Uma izimpawu zakho ziba ngcono ngemuva kokuthatha i-rizatriptan kodwa ubuye ngemuva kwamahora ama-2 noma ngaphezulu, ungathatha ithebhulethi yesibili. Kodwa-ke, uma izimpawu zakho zingathuthuki ngemuva kokuthatha i-rizatriptan, ungathathi ithebhulethi yesibili ngaphambi kokushayela udokotela wakho. Udokotela wakho uzokutshela inani eliphezulu lamaphilisi ongawathatha esikhathini samahora angama-24. Landela izinkomba ezisephakeji noma kwelebula kadokotela ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-rizatriptan njengoba nje kuqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi kunokuqondiswa ilebula lephakeji noma unikezwe ngudokotela wakho.
Ungathatha umthamo wakho wokuqala we-rizatriptan ehhovisi likadokotela noma kwesinye isikhungo sezokwelapha lapho ungabhekwa khona ukusabela okungathi sína.
Ukuze uthathe ithebhulethi ehlakazeka ngomlomo, sebenzisa izandla ezomile ukuze ubhebhe iphakethe le-foil.Ngaso leso sikhathi khipha ithebhulethi uyibeke olimini lwakho.Ithebhulethi izoncibilika ngokushesha futhi ingagwinywa ngamathe. Awekho amanzi adingekayo ukugwinya amaphilisi ahlukanisayo. Ungavuli ukupakisha kwe-foil noma ususe ithebhulethi ehlukaniswa ngomlomo kuze kube yilapho usulungele ukuyithatha.
Shayela udokotela wakho uma ikhanda lakho lingabi ngcono noma livele kaningi ngemuva kokuthatha i-rizatriptan.
Uma uthatha i-rizatriptan kaningi noma isikhathi eside kunesikhathi esinconyiwe, izinhlungu zakho zekhanda zingase zibe zimbi kakhulu noma zenzeke kaningi. Akufanele uthathe i-rizatriptan noma yimuphi omunye umuthi wekhanda izinsuku ezingaphezu kwezingu-10 ngenyanga. Shayela udokotela wakho uma udinga ukuthatha i-rizatriptan 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-rizatriptan
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-rizatriptan, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-rizatriptan noma amaphilisi ahlukaniswa ngomlomo. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- ungathathi i-rizatriptan uma uthathe noma iyiphi yale mithi elandelayo emahoreni angama-24 adlule: amanye ama-agonists e-serotonin receptor anjenge-almotriptan (Axert), eletriptan (Relpax), naratriptan (Amerge), 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).
- ungathathi i-rizatriptan uma uthatha i-monoamine oxidase A (MAO-A) inhibitor efana ne-isocarboxazid (Marplan), phenelzine (Parnate), noma i-tranylcypromine (i-Nardil) noma uma uthathe omunye wale mithi emavikini amabili edlule.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhalisiwe, amavithamini, izithako zokudla okunempilo, noma imikhiqizo 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 (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-propranolol (Inderal); i-serotonin reuptake inhibitors ekhethiwe efana ne-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). 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'; noma izinkinga zokujikeleza ezifana nemithambo ye-varicose, amahlule egazini emilenzeni, isifo sikaRaynaud (izinkinga zokugeleza kwegazi ukuya eminweni, ezinzwaneni, ezindlebeni nasekhaleni), noma isifo sesisu (isifo sohudo esinegazi nobuhlungu besisu obubangelwa ukwehla kokugeleza kwegazi kuye amathumbu). Udokotela wakho angakutshela ukuthi ungathathi i-rizatriptan.
- 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.
- tshela 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-rizatriptan, shayela udokotela wakho.
- kufanele wazi ukuthi i-rizatriptan ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi uzokuthinta kanjani.
- khuluma nodokotela wakho ngezimpawu zakho zekhanda ukuze uqiniseke ukuthi zibangelwa yi-migraine. I-Rizatriptan akufanele isetshenziselwe ukwelapha i-hemiplegic noma i-basilar migraine noma ikhanda elibuhlungu elenziwa ezinye izimo (ezinjenge-cluster headaches).
- uma une-phenylketonuria (i-PKU, isimo esizuzwe njengefa lapho kufanele kulandelwe ukudla okukhethekile ukuvimbela ukubola kwengqondo), kufanele wazi ukuthi amaphilisi ahlukaniswa ngomlomo aqukethe i-aspartame eyakha i-phenylalanine.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
I-Rizatriptan ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukozela
- isiyezi
- ukukhathala
- isisu esibuhlungu
- ukuhlanza
- isifo sohudo
- ubuhlungu bemisipha noma amajaqamba
- ukuthuthumela
- ukuqhuma (ukuzwa kwemfudumalo)
- umlomo owomile
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nokunye kwalokhu, 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
- inkulumo ehamba kancane noma enzima
- ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
- ubuhlungu besisu obungazelelwe noma obukhulu
- uhudo olunegazi
- ukuphaphatheka noma umbala oluhlaza okwesibhakabhaka weminwe nezinzwane
- ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
- ukuphefumula kanzima noma ukugwinya
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
- ukuqubuka
- ukulunywa
- izinguquko embonweni
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. Ungawasusi amaphilisi ku-blister pack kuze kube nje ngaphambi kokusetshenziswa. Gcina umuthi 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:
- ukozela
- isiyezi noma ukuquleka
- ukuqina, ubuhlungu, ingcindezi, noma isisindo esifubeni, emphinjeni, entanyeni, kanye / noma emhlathini
- ukushaya kwenhliziyo okusheshayo, okushaya ngamandla, noma okungajwayelekile
- ukuphelelwa umoya
- ukuhlanza
- ikhanda
Gcina wonke ama-aphoyintimenti nodokotela wakho. Umfutho wegazi lakho kufanele uhlolwe njalo.
Kufanele ugcine idayari yekhanda ngokubhala phansi lapho unekhanda nalapho uthatha i-rizatriptan.
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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- IMaxalt-MLT®