Olanzapine

-Delile

• Ngaphambi kokuthatha i-olanzapine,
• I-Olanzapine 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 SESixwayiso noma isigaba SOKUQAPHA OKUKHETHEKILE, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ucwaningo lukhombisile ukuthi abantu abadala asebekhulile abanenkinga yokuwohloka komqondo (ukuphazamiseka kobuchopho okuthinta ikhono lokukhumbula, ukucabanga kahle, ukuxhumana, nokwenza imisebenzi yansuku zonke futhi lokho kungadala ushintsho esimweni sengqondo nobuntu) abathatha ama-antipsychotic (imithi yokugula kwengqondo) njenge-olanzapine babe nethuba elandayo lokufa ngesikhathi sokwelashwa. Abantu abadala asebekhulile abanenkinga yokuwohloka komqondo futhi bangaba nethuba elikhulu lokushaywa unhlangothi noma ukwelashwa okuncane ngesikhathi sokwelashwa.

I-Olanzapine ayivunyelwe yi-Food and Drug Administration (FDA) ekwelapheni ukuphazamiseka kokuziphatha kubantu abadala asebekhulile abanenkinga yokuwohloka komqondo. Khuluma nodokotela onqume lo muthi uma wena, ilungu lomndeni, noma umuntu omnakekelayo enesifo sengqondo sokuphazamiseka ngokomqondo futhi ethatha i-olanzapine. Ngeminye imininingwane vakashela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs

I-Olanzapine isetshenziselwa ukwelapha izimpawu ze-schizophrenia (ukugula kwengqondo okubangela ukuphazamiseka noma ukucabanga okungajwayelekile, ukuphelelwa yintshisekelo empilweni, kanye nemizwelo enamandla noma engafanele) kubantu abadala nentsha eneminyaka engu-13 nangaphezulu. Ibuye isetshenziselwe ukwelapha i-bipolar disorder (i-manic depress disorder; isifo esibanga iziqephu zokudangala, iziqephu ze-mania, nezinye izimo ezingavamile) kubantu abadala nentsha eneminyaka engu-13 nangaphezulu. I-Olanzapine isekilasini lemithi ebizwa ngama-antipyychotic atypical. Isebenza ngokushintsha ukusebenza kwezinto ezithile zemvelo ebuchosheni.

I-Olanzapine iza njengethebhulethi kanye nethebhulethi ehlukaniswa ngomlomo (ithebhulethi encibilika ngokushesha emlonyeni) ukuthatha ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-olanzapine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-olanzapine njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Ungazami ukusunduza ithebhulethi ehlakazeka ngomlomo ngokusebenzisa ucwecwe. Esikhundleni salokho, sebenzisa izandla ezomile ukukhipha emuva ukupakisha kwe-foil. Khipha ngokushesha ithebhulethi uyibeke emlonyeni wakho. Ithebhulethi izoncibilika ngokushesha futhi ingagwinywa noma ngaphandle ketshezi.

Udokotela wakho angakuqala ngomthamo ophansi we-olanzapine futhi akhuphule kancane umthamo wakho.

I-Olanzapine ingasiza ukulawula izimpawu zakho, kepha ngeke iselaphe isimo sakho. Kungathatha amasonto ambalwa noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-olanzapine. Qhubeka uthathe i-olanzapine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-olanzapine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukwehlisa umthamo wakho kancane kancane.

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

Ngaphambi kokuthatha i-olanzapine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-olanzapine noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imishanguzo; ama-antihistamine; carbamazepine (Tegretol); ama-dopamine agonists afana ne-bromocriptine (Parlodel), i-cabergoline (i-Dostinex), i-levodopa (i-Dopar, i-Larodopa), i-pergolide (i-Permax), ne-ropinirole (i-Requip); ama-antibiotic e-fluoroquinolone afaka i-ciprofloxacin (Cipro), i-gatifloxacin (Tequin) (ayitholakali e-United States), levofloxacin (Levaquin), norfloxacin (Noroxin), ofloxacin (Floxin), abanye; i-fluvoxamine (i-Luvox); ipratropium (Atrovent); imishanguzo yokukhathazeka, umfutho wegazi ophakeme, izifo zamathumbu ezicasulayo, ukugula ngengqondo, ukugula okunyakazayo, isifo sikaParkinson, ukubanjwa, izilonda, noma izinkinga zomchamo; omeprazole (Prilosec); i-rifampin (i-Rifadin); isidambisi; amaphilisi okulala; i-ticlopidine (iTiclid); kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma usebenzisa noma usebenzise izidakamizwa zasemgwaqeni noma usebenzise ngokweqile imithi kadokotela futhi uma uke wahlaselwa isifo sohlangothi, ukushaywa unhlangothi, isifo senhliziyo noma isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, ukwehluleka kwenhliziyo, izinkinga zomchamo, ukuquleka, umdlavuza webele, noma isiphi isimo esenza kube nzima ukuthi usiginye, unenkinga yokugcina ibhalansi yakho, umfutho wegazi ophakeme noma ophansi, izinga eliphakeme lamafutha (i-cholesterol ne-triglycerides) egazini lakho, inani eliphansi lamaseli amhlophe egazi, isibindi noma isifo se-prostate, ileus ekhubazekile (isimo lapho ukudla kungakwazi ukuhamba khona emathunjini); i-glaucoma (isimo samehlo), noma ushukela ophakeme wegazi, noma uma wena noma omunye emndenini wakho unesifo sikashukela noma owake waba naso. Tshela udokotela wakho uma unesifo sokuqunjelwa, ukuhlanza okunzima noma uhudo noma izimpawu zokuphelelwa amandla emzimbeni manje, noma uma uba nalezi zimpawu noma kunini ngesikhathi sokwelashwa kwakho. Phinda utshele udokotela wakho uma wake wakuyeka ukuthatha umuthi wokugula ngengqondo ngenxa yemiphumela emibi kakhulu.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-olanzapine, shayela udokotela wakho. I-Olanzapine ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-olanzapine.
• kufanele wazi ukuthi i-olanzapine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Ungaphuzi utshwala ngenkathi uthatha i-olanzapine.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.
• kufanele wazi ukuthi ungathola i-hyperglycemia (iyanda kushukela wakho wegazi) ngenkathi uthatha lo muthi, noma ngabe awunaso vele isifo sikashukela. Uma une-schizophrenia, kungenzeka ukuthi ube nesifo sikashukela kunabantu abangenayo i-schizophrenia, futhi ukuthatha i-olanzapine noma imishanguzo efanayo kungakhuphula le ngozi. Tshela udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu ezilandelayo ngenkathi uthatha i-olanzapine: ukoma ngokweqile, ukuchama njalo, ukulamba ngokweqile, ukungaboni kahle, noma ubuthakathaka. Kubaluleke kakhulu ukubiza udokotela wakho ngokushesha uma unezinye zalezi zimpawu, ngoba ushukela ophakeme wegazi ungadala isimo esibi esibizwa nge-ketoacidosis. I-Ketoacidosis ingasongela impilo uma ingelashwa kusenesikhathi. Izimpawu ze-ketoacidosis zifaka phakathi: umlomo owomile, isicanucanu nokuhlanza, ukuphefumula okuncane, ukuphefumula okunuka izithelo, nokuncipha kokwazi.
• kufanele wazi ukuthi i-olanzapine ingadala ukushaya kwenhliziyo okusheshayo noma okuhamba kancane, isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-olanzapine. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-olanzapine ingenza kube nzima ukuthi umzimba wakho uphole lapho kushisa kakhulu. Tshela udokotela wakho uma uhlela ukuzivocavoca ngamandla noma uvezwe ukushisa okukhulu.
• 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.
• kufanele wazi ukuthi lapho i-olanzapine isetshenziselwa ukwelapha intsha, kufanele isetshenziswe njengengxenye yohlelo lokwelashwa oluphelele olungafaka ukwelulekwa nokuxhaswa kwezemfundo. Qiniseka ukuthi ingane yakho ilandela yonke imiyalelo kadokotela kanye / noma yomelaphi.

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

Qiniseka ukuthi uphuza amanzi amaningi nsuku zonke 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.

I-Olanzapine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isiyezi, ukuzizwa ungagxilile, noma unenkinga yokugcina ibhalansi yakho
• ukungahlaliseki
• isimilo esingajwayelekile
• ukudana
• ubunzima bokulala noma ukulala
• ubuthakathaka
• ukuhamba kanzima
• ukuqunjelwa
• ukuzuza kwesisindo
• umlomo owomile
• ubuhlungu ezingalweni, emilenzeni, emuva noma emajoyintini
• ukukhulisa ibele noma ukukhipha
• isikhathi sokuya esikhathini sekwephuzile noma esilahlekile
• kwehle ikhono lezocansi

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

• isithuthwane
• izinguquko embonweni
• ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala, noma imilenze engezansi
• ukunyakaza okungajwayelekile kobuso bakho noma komzimba ongeke ukwazi ukukulawula
• ukuwa
• umphimbo obuhlungu, umkhuhlane, amakhaza nezinye izimpawu zokutheleleka
• imisipha eqinile kakhulu
• ukujuluka okweqile
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• ukuqubuka okungenzeka kube nemfiva, ukuvuvukala kwezindlala, noma ukuvuvukala kobuso
• ukubomvu kwesikhumba noma ukuxebuka
• isifuba
• ukuphefumula kanzima noma ukugwinya

I-Olanzapine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Ukuthatha i-olanzapine kungadala ukuthi izinga lamafutha egazini lakho lenyuke. Khuluma nodokotela wakho ngezingozi zokuthatha i-olanzapine.

Intsha ethatha i-olanzapine isethubeni elikhulu kunabantu abadala abathatha i-olanzapine ukuze ikhuluphale, banamazinga akhuphukile amafutha egazini labo, baba nezinkinga zesibindi, futhi baba nemiphumela emibi njengokulala, ukukhuliswa kwebele, nokukhishwa emabeleni. Khuluma nodokotela wengane yakho ngezingozi zokuphatha ingane yakho nge-olanzapine. Udokotela wengane yakho angakhetha ukuqala anikeze umuthi ohlukile ongenazo lezi zingozi.

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). Njalo gcina amaphilisi ahlukaniswa ngomlomo ephaketheni lawo elivaliwe, bese uwasebenzisa ngokushesha ngemuva kokuvula iphakethe.

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
• inkulumo engahambi kahle
• ukuyaluza
• ukushaya kwenhliziyo okusheshayo
• ukunyakaza okungazelelwe ongeke ukwazi ukukulawula
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-olanzapine.

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.

• Zyprexa^®
• Zyprexa^® Zydis

• I-Symbyax^® (iqukethe iFluoxetine, i-Olanzapine)