I-Atomoxetine

-Delile

• Ngaphambi kokuthatha i-atomoxetine,
• I-Atomoxetine 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 SESEXWAYISO noma SOKUQAPHA, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ucwaningo lukhombisile ukuthi izingane nentsha enenkinga yokunganakekelwa kahle (ADHD; ubunzima bokugxila, ukulawula izenzo, nokuhlala uthule noma uthule kunabanye abantu abalingana nobudala) abathatha i-atomoxetine maningi amathuba okuthi bacabange ukuzibulala kunezingane nentsha ene-ADHD engathathi i-atomoxetine.

Ngenkathi ingane yakho ithatha i-atomoxetine, kufanele ubheke indlela aziphatha ngayo ngokucophelela, ikakhulukazi ekuqaleni kokwelashwa futhi noma nini lapho umthamo wakhe wanda noma wehla. Ingane yakho ingahle ivele ibe nezimpawu ezinkulu ngokuzumayo, ngakho-ke kubalulekile ukuthi unake indlela eziphatha ngayo nsuku zonke. Buza abanye abantu abachitha isikhathi esiningi nengane yakho, njengabafowenu, odadewenu, nothisha ukuthi bakutshele uma bebona ushintsho ekuziphatheni kwengane yakho. Shayela udokotela wengane yakho khona manjalo uma ingane yakho ihlangabezana nanoma yiziphi zalezi zimpawu: ukuzithoba ngokweqile noma ukuhoxa kunokujwayelekile; uzizwe ungenalusizo, ungenathemba, noma ungelutho; ukucindezeleka okusha noma okuqhubekayo; ukucabanga noma ukukhuluma ngokumlimaza noma ukuzibulala yena ngokwakhe noma ukuhlela noma ukuzama ukwenza kanjalo; ukukhathazeka ngokweqile; ukuyaluza; ukwethuka; ubunzima bokulala noma ukulala; ukucasuka; ukuziphatha okunolaka noma okunodlame; ukwenza ngaphandle kokucabanga; ukwanda okwedlulele komsebenzi noma ukukhuluma; ukuhlanya, injabulo engajwayelekile; noma olunye ushintsho olungazelelwe noma olungajwayelekile ekuziphatheni.

Udokotela wengane yakho uzofuna ukubona ingane yakho kaningi ngenkathi ithatha i-atomoxetine, ikakhulukazi ekuqaleni kokwelashwa kwayo. Udokotela wengane yakho angafuna futhi ukukhuluma nawe noma nengane yakho ngocingo ngezikhathi ezithile. Qiniseka ukuthi ingane yakho igcina konke okubekelwe ukuvakashelwa amahhovisi noma izingxoxo zocingo nodokotela wayo.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-atomoxetine 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) noma iwebhusayithi yomkhiqizi ukuthola uMhlahlandlela Wezokwelapha.

Khuluma nodokotela wakho ngezingozi zokunikeza i-atomoxetine enganeni yakho, yokusebenzisa ezinye izindlela zokwelapha zesimo sengane yakho, kanye nokungaselaphi isimo sengane yakho.

I-Atomoxetine isetshenziswa njengengxenye yohlelo lokwelashwa oluphelele ukukhulisa ikhono lokunaka nokunciphisa ukungaziphathi kahle nokungasebenzi kahle ezinganeni nakubantu abadala abane-ADHD. I-Atomoxetine isekilasini lemithi ebizwa nge-norepinephrine reuptake inhibitors ekhethiwe. Isebenza ngokwandisa amazinga e-norepinephrine, into yemvelo ebuchosheni edingekayo ukulawula ukusebenza.

I-Atomoxetine iza njengephilisi elizothathwa ngomlomo. Kuvame ukuthathwa kanye ngosuku ekuseni, noma kabili ngosuku ekuseni nantambama noma kusihlwa. I-Atomoxetine ingathathwa nokudla noma ngaphandle kokudla. Thatha i-atomoxetine cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-atomoxetine njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi e-atomoxetine; ungazivuli, uzihlafune noma uzichoboze. Uma i-capsule iphukile noma ivuliwe ngengozi, geza impuphu evulekile ngamanzi ngokushesha. Zama ukungathinti impushana futhi uqaphele ikakhulukazi ukuthi ungatholi impuphu emehlweni akho. Uma uthola i-powder emehlweni akho, zihlanze ngamanzi ngokushesha bese ushayela udokotela wakho.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-atomoxetine futhi akhuphule umthamo wakho ngemuva kwezinsuku okungenani ezi-3. Udokotela wakho angaphinde akhuphule umthamo wakho ngemuva kwamasonto amabili nambili. Ungaqaphela ukuthuthuka kwezimpawu zakho phakathi nesonto lokuqala lokwelashwa kwakho, kepha kungathatha inyanga eyodwa ukuthi uzwe inzuzo ephelele ye-atomoxetine.

I-Atomoxetine ingasiza ekulawuleni izimpawu ze-ADHD kepha ngeke iselaphe isimo. Qhubeka uthathe i-atomoxetine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-atomoxetine ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-atomoxetine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-atomoxetine, noma imiphi eminye imithi, noma iziphi izithako kuma-capsule e-atomoxetine.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitors, kufaka phakathi i-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuwadla esikhathini esedlule Amaviki ama-2. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-atomoxetine. Uma uyeka ukuthatha i-atomoxetine, kufanele ulinde okungenani amasonto ama-2 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-albuterol isiraphu noma amaphilisi (i-Proventil, i-Ventolin), i-amiodarone (i-Cordarone, i-Pacerone), i-bupropion (i-Wellbutrin), i-chlorpheniramine (i-antihistamine emithini ebandayo), i-cimetidine (i-Tagamet), i-clomipramine (i-Anafranil), i-fluoxetine (Prozac, Sarafem), haloperidol (Haldol), isiraphu ye-metaproterenol noma amaphilisi, imishanguzo yomfutho wegazi ophakeme, i-methadone (i-Dolophine), i-metoclopramide (i-Reglan), i-nefazodone, i-paroxetine (i-Paxil), i-quinidine, i-ritonavir (i-Norvir), ne-sertraline (i-Zoloft ). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba ne-glaucoma (isifo samehlo esingadala ukulahleka kombono), noma i-pheochromocytoma (isimila esiswini esincane esiseduze nezinso). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-atomoxetine.
• utshele udokotela wakho ukuthi ngabe kukhona yini emndenini wakho owake washaywa yinhliziyo ngokungafanele noma oshone ngokuzumayo. Tshela udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo futhi uma uke waba nenkinga yenhliziyo noma unomuzwa wokuthi unesifo senhliziyo, umfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, ukuqina kwemithambo, isifo senhliziyo noma somthambo wegazi, noma ezinye izinkinga zenhliziyo. Udokotela wakho uzokuhlola ukuze abone ukuthi inhliziyo nemithambo yegazi yakho iphilile yini. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-atomoxetine uma unesimo senhliziyo noma uma kunengozi enkulu yokuthi ungahle ube nesimo senhliziyo.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo sokudangala, oke waba nengcindezi, i-bipolar disorder (i-manic depress disorder) uzame ukuzibulala.Phinda utshele udokotela wakho uma uke waquleka noma wake wahlaselwa yisifo sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-atomoxetine, shayela udokotela wakho.
• kufanele wazi ukuthi i-atomoxetine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-atomoxetine ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-atomoxetine kufanele isetshenziswe njengengxenye yohlelo lokwelashwa oluphelele lwe-ADHD, olungafaka ukwelulekwa kanye nemfundo ekhethekile. Qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho kanye / noma yomelaphi.
• kufanele wazi ukuthi umfutho wegazi wakho ungakhuphuka ngenkathi welashwa nge-atomoxetine. Udokotela wakho uzoqapha ukucindezela kwegazi lakho ngesikhathi sokwelashwa kwakho.

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

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. Ungathathi ngaphezu kwenani elibekiwe lansuku zonke le-atomoxetine emahoreni angama-24.

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

• isilungulela
• isicanucanu
• ukuhlanza
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ukuqunjelwa
• ubuhlungu besisu
• igesi
• umlomo owomile
• ukukhathala ngokweqile
• isiyezi
• ikhanda
• ukushintsha kwemizwelo
• kunciphise ukushayela ubulili noma ikhono
• ubunzima bokuchama
• izikhathi ezibuhlungu noma ezingavamile zokuya esikhathini
• ubuhlungu bemisipha
• ukujuluka
• ukushisa okushisayo
• amaphupho angajwayelekile
• ukushisa noma ukuncinza ezandleni, ezingalweni, ezinyaweni, noma emilenzeni

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

• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• ubuhlungu besifuba
• ukuphelelwa umoya
• inkulumo ehamba kancane noma enzima
• isiyezi noma ukuquleka
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• isikhumba esilumayo
• umchamo omnyama
• ukuphuzi kwesikhumba sakho noma kwamehlo akho
• izimpawu ezinjengomkhuhlane
• ubuhlungu engxenyeni engenhla yangakwesokudla yesisu sakho
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ubunzima bokugwinya noma ukuphefumula
• isifuba
• ukuqubuka
• imicabango engajwayelekile
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• ukwakhiwa okuhlala amahora amaningi noma ngaphezulu
• isithuthwane

I-Atomoxetine inganciphisa ukukhula kwezingane noma ukuzuza kwesisindo. Udokotela wengane yakho mhlawumbe uzoqapha ingane yakho ngokucophelela ngesikhathi eselashwa nge-atomoxetine. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

I-Atomoxetine 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).

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:

• ubuthongo
• ukuyaluza
• ukwanda komsebenzi noma ukukhuluma
• isimilo esingajwayelekile
• izinkinga zesisu
• abafundi abanzi (imibuthano emnyama phakathi kwamehlo)
• ukushaya kwenhliziyo okusheshayo
• umlomo owomile

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-atomoxetine.

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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