Inaliti ye-Metoclopramide

-Delile

• Ngaphambi kokuthola umjovo we-metoclopramide,
• Umjovo weMetoclopramide ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ukuthola umjovo we-metoclopramide kungadala ukuthi ube nenkinga yemisipha ebizwa nge-tardive dyskinesia. Uma wenza i-tardive dyskinesia, uzohambisa imisipha yakho, ikakhulukazi imisipha ebusweni bakho ngezindlela ezingavamile. Ngeke ukwazi ukulawula noma ukumisa lokhu kuhamba. I-Tardive dyskinesia kungenzeka ingahambi ngisho nangemva kokuyeka ukuthola umjovo we-metoclopramide. Uma uthola umjovo we-metoclopramide isikhathi eside, iba sengozini enkulu yokuthi uzokwakha i-tardive dyskinesia. Ngakho-ke, udokotela wakho uzokutshela ukuthi ungatholi umjovo we-metoclopramide isikhathi esingaphezu kwamasonto ayi-12. Ingozi yokuthi uzoba ne-tardive dyskinesia nayo inkulu uma uthatha imishanguzo yokugula ngengqondo, uma unesifo sikashukela, noma uma usumdala, ikakhulukazi uma ungowesifazane. Shayela udokotela wakho ngokushesha uma uba nokunyakaza okungalawuleki komzimba, ikakhulukazi ukumunca izindebe, ukugoqa umlomo, ukuhlafuna, ukuswaca, ukukikiza, ukukhipha ulimi, ukucwayiza, ukunyakaza kwamehlo, noma ukuxhawula izingalo noma imilenze.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngomjovo we-metoclopramide futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukuthola uMhlahlandlela Wezokwelapha.

Khuluma nodokotela wakho ngengozi yokuthola umjovo we-metoclopramide.

Umjovo weMetoclopramide usetshenziselwa ukuqeda izimpawu ezibangelwa ukukhipha isisu kancane kubantu abanesifo sikashukela. Lezi zimpawu zifaka phakathi isicanucanu, ukuhlanza, isilungulela, ukulahlekelwa isifiso sokudla, nokuzizwa usutha okuhlala isikhathi eside ngemuva kokudla. Umjovo weMetoclopramide nawo usetshenziselwa ukuvikela isicanucanu nokuhlanza okubangelwa yi-chemotherapy noma lokho okungenzeka ngemuva kokuhlinzwa. Umjovo weMetoclopramide kwesinye isikhathi usetshenziselwa ukukhipha amathumbu ngezikhathi ezithile zezokwelapha. Umjovo weMetoclopramide usesigabeni semithi ebizwa ngama-prokinetic agents. Isebenza ngokusheshisa ukuhamba kokudla esiswini nasemathunjini.

Umjovo weMetoclopramide uza njengoketshezi oluzofakwa emsipheni noma emthanjeni. Lapho umjovo we-metoclopramide usetshenziselwa ukuphatha ukuphuma kwesisu okuphuzwayo ngenxa yesifo sikashukela, kunganikezwa kuze kube kane ngosuku. Lapho umjovo we-metoclopramide usetshenziselwa ukuvimbela isicanucanu nokuhlanza ngenxa yokwelashwa ngamakhemikhali, kuvame ukunikezwa imizuzu engama-30 ngaphambi kokwelashwa ngamakhemikhali, bese kuthi kanye njalo ngamahora ama-2 ngemithamo emibili, bese kuthi kanye njalo ngamahora amathathu ngemithamo emithathu. Umjovo weMetoclopramide kwesinye isikhathi unikezwa ngesikhathi sokuhlinzwa. Uma ujova umjovo we-metoclopramide ekhaya, jove cishe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa umjovo we-metoclopramide njengoba uqondisiwe. Ungayifaki ngaphezulu noma ngaphansi kwayo noma uyijoje kaningi kunokuyalelwa ngudokotela wakho.

Umjovo weMetoclopramide kwesinye isikhathi usetshenziselwa ukuqeda isicanucanu nokuhlanza okubangelwa yikhanda elibuhlungu le-migraine. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthola umjovo we-metoclopramide,

• Tshela udokotela wakho kanye nosokhemisi uma une-aleji kumjovo we-metoclopramide, noma imuphi omunye umuthi, noma iziphi izithako zomjovo we-metoclopramide. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• 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, abanye); ama-antihistamine; i-digoxin (i-Lanoxicaps, i-Lanoxin); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-insulini; ipratropium (Atrovent); levodopa (eSinemet, eStalevo); imishanguzo yezifo zamathumbu ezicasulayo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; i-monoamine oxidase (MAO) inhibitors, kufaka phakathi isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (i-Parnate); imithi ye-narcotic yezinhlungu; isidambisi; amaphilisi okulala; i-tetracycline (iBristacycline, iSumycin); okokuqeda amandla. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke wavinjelwa noma wopha esiswini noma emathunjini, i-pheochromocytoma (isimila esiswini esincane esiseduze nezinso); noma ukuquleka. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-metoclopramide.
• tshela udokotela wakho uma ngabe uke waba nesifo i-Parkinson's (PD; ukuphazamiseka kwesistimu yezinzwa okubangela ubunzima ngokuhamba, ukulawula imisipha, nokulinganisela); umfutho wegazi ophakeme; ukucindezeleka; umdlavuza webele; i-asthma; i-glucose-6-phosphate dehydrogenase (G-6PD) ukuntuleka (isifo segazi esizuzwe njengefa); Ukushoda kwe-NAD cytochrome B5 reductase (ukuphazamiseka kwegazi okuzuzwe njengefa); noma isifo senhliziyo, isibindi noma sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthola umjovo we-metoclopramide, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthola umjovo we-metoclopramide uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthola umjovo we-metoclopramide, ngaphandle kwalapho usetshenziselwa ukwelapha ukuphuma kwesisu kancane, ngoba akuphephile futhi akusebenzi njengeminye imithi engasetshenziswa ukwelapha lezo zimo.
• kufanele wazi ukuthi umjovo we-metoclopramide ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthola umjovo we-metoclopramide. Utshwala bungenza imiphumela emibi yomjovo we-metoclopramide ibe yimbi kakhulu.

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

Uma ujova umjovo we-metoclopramide ekhaya, jovelela umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Musa ukujova umthamo ophindwe kabili ukwenzela okulahlekile.

Umjovo weMetoclopramide ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukozela
• ukukhathala ngokweqile
• ubuthakathaka
• ikhanda
• isiyezi
• ukungahlaliseki
• uvalo noma i-jitteriness
• ukuyaluza
• ubunzima bokulala noma ukulala
• ukuhamba kancane
• ukuthinta izinyawo
• ukunyakaza okuhamba kancane noma okuqinile
• ubuso obungenalutho
• isifo sohudo
• isicanucanu
• ukukhulisa ibele noma ukukhipha
• uphuthelwe ukuya esikhathini
• kwehle ikhono lezocansi
• ukuchama kaningi
• ukungavumelani komchamo
• ukuqhuma

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ukuqina kwemisipha, ikakhulukazi emhlathini noma entanyeni
• izinkinga zokukhuluma
• ukudana
• ucabanga ngokuzilimaza noma ukuzibulala
• imfiva
• ukuqina kwemisipha
• ukudideka
• ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile
• ukujuluka
• isithuthwane
• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umlomo, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• imisindo ephezulu ngenkathi uphefumula
• izinkinga zokubona

Umjovo weMetoclopramide ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola 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).

Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela ukuthi ungayigcina kanjani imithi yakho. Gcina imithi yakho kuphela njengoba uqondisiwe. Qiniseka ukuthi uyaqonda ukuthi uyigcina kanjani imithi yakho ngokufanele.

Gcina izimpahla zakho endaweni ehlanzekile, eyomile lapho izingane zingafinyeleleki lapho ungazisebenzisi. Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela ukuthi ungazilahla kanjani izinaliti ezisetshenzisiwe, imijovo, ishubhu neziqukathi ukugwema ukulimala ngengozi.

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:

• ukozela
• ukudideka
• ukunyakaza okungavamile, okungalawuleki

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho uma unemibuzo mayelana nokugcwalisa imishanguzo yakho.

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.

• Reglan^® I.V.^¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.