I-Dexmethylphenidate

-Delile

• Ngaphambi kokuthatha i-dexmethylphenidate,
• I-Dexmethylphenidate ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Dexmethylphenidate ingaba ukwakheka komkhuba. Ungathathi umthamo omkhulu, wuthathe kaningi, uwuthathe isikhathi eside, noma uwuthathe ngendlela ehlukile kunaleyo ebekwe ngudokotela wakho. Uma uthatha i-dexmethylphenidate eningi kakhulu, ungaqhubeka uzizwe unesidingo sokuthatha inani elikhulu lomuthi, futhi ungathola izinguquko ezingavamile ekuziphatheni kwakho. Wena noma umnakekeli wakho kufanele utshele udokotela wakho ngokushesha, uma uhlangabezana nalezi zimpawu ezilandelayo: ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile; ukujuluka; abafundi abahluziwe; imizwa ejabule ngokungavamile; ukungahlaliseki; ubunzima bokulala noma ukulala; ubutha; ulaka; ukukhathazeka; ukulahlekelwa ukudla; ukulahleka kokuxhumanisa; ukunyakaza okungalawuleki kwengxenye yomzimba; isikhumba esikhanyayo; ukuhlanza; ubuhlungu besisu; noma ukucabanga ngokuzilimaza noma ukuzibulala noma ukubulala abanye noma ukuhlela noma ukuzama ukwenza kanjalo. Futhi, tshela udokotela wakho uma uphuza noma wake waphuza utshwala obuningi, wasebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imithi kadokotela.

Ungayeki ukuthatha i-dexmethylphenidate ngaphandle kokukhuluma nodokotela wakho, ikakhulukazi uma usebenzise ngokweqile umuthi. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane futhi akubheke ngokucophelela ngalesi sikhathi. Ungahle ube nokudangala okukhulu uma ngokungazelelwe uyeka ukuthatha i-dexmethylphenidate ngemuva kokuyisebenzisa ngokweqile. Udokotela wakho angadinga ukukuqapha ngokucophelela ngemuva kokuyeka ukuthatha i-dexmethylphenidate, noma ngabe ungawasebenzisi ngokweqile umuthi, ngoba izimpawu zakho zingase zibe zimbi kakhulu lapho ukwelashwa kumiswa.

Ungathengisi, uphisane, noma uvumele noma ngubani omunye umuntu ukuthi athathe imithi yakho.Ukuthengisa noma ukuphisana nge-dexmethylphenidate kuphambene nomthetho futhi kungalimaza abanye. Gcina i-dexmethylphenidate endaweni ephephile lapho kungekho omunye umuntu ongayithatha ngephutha noma ngenhloso. Gcina umbhalo walokho ukuthi kusele amaphilisi noma amaphilisi amangaki ukuze wazi ukuthi kukhona yini okungekho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wokwelashwa) lapho uqala ukwelashwa nge-dexmethylphenidate futhi isikhathi ngasinye lapho uthola imithi eminingi. 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) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

I-Dexmethylphenidate isetshenziswa njengengxenye yohlelo lokwelashwa ukulawula izimpawu zokwehluleka kokunaka ukungasebenzi (i-ADHD; ubunzima bokugxila, ukulawula izenzo, nokuhlala uthule noma uthule kunabanye abantu abalingana nobudala obufanayo) kubantu abadala nasezinganeni. I-Dexmethylphenidate isekilasini lemithi ebizwa ngokuthi izikhuthazi zesistimu yezinzwa (i-CNS). Isebenza ngokwandisa inani lezinto ezithile zemvelo ebuchosheni.

I-Dexmethylphenidate iza njengethebhulethi kanye ne-capsule enwetshiwe (esebenza isikhathi eside) ezothathwa ngomlomo. Ithebhulethi ivame ukuthathwa kabili ngosuku, okungenani amahora ama-4 ahlukene, ngokudla noma ngaphandle. I-capsule ekhishwe isikhathi eside ivame ukuthathwa kanye ngosuku ekuseni. Kungathathwa nokudla noma ngaphandle kokudla, kepha kuzoqala ukusebenza ngokushesha uma kuthathwa ngaphandle kokudla. Thatha i-dexmethylphenidate ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Gwinya wonke amaphilisi akhishwe isikhathi eside; ungawahlafune noma uwachoboze. Uma ungakwazi ukugwinya i-capsule ekhishwe isikhathi eside, ungavula ngokucophelela i-capsule bese ufafaza okuqukethwe ku-spoonful of applesauce. Gwinya le ngxube ngokushesha, kodwa ungayidli. Ungayigcini le ngxube ozoyisebenzisa ngesikhathi esizayo.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-dexmethylphenidate futhi akhuphule kancane umthamo wakho, hhayi kaningi ngesonto.

Isimo sakho kufanele sithuthuke ngesikhathi sokwelashwa kwakho. Shayela udokotela wakho uma izimpawu zakho ziba zimbi noma kunini ngesikhathi sokwelashwa kwakho noma zingathuthuki ngemuva kwenyanga engu-1.

Udokotela wakho angakutshela ukuthi uyeke ukuthatha i-dexmethylphenidate ngezikhathi ezithile ukubona ukuthi umuthi usadingeka yini. Landela lezi zinkomba ngokucophelela.

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

Ngaphambi kokuthatha i-dexmethylphenidate,

• Tshela udokotela wakho kanye nosokhemisi uma une-aleji ku-dexmethylphenidate, methylphenidate (Concerta, Metadate, Methylin, Ritalin), noma yimuphi omunye umuthi.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitors, kufaka phakathi i-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuwaphuza ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-dexmethylphenidate kuze kudlule okungenani izinsuku eziyi-14 selokhu wagcina 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. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); imishanguzo yokulwa nokudangala (ama-elevator wemizwa) njenge-amitriptyline (Elavil), i-amoxapine, i-clomipramine (i-Anafranil), i-desipramine (i-Norpramin), i-doxepin (i-Silenor), i-imipramine (i-Tofranil), i-nortriptyline (i-Aventyl, i-Pamelor), i-protriptyine (i-Vivactiline) ); ama-decongestants (ukukhwehlela nemithi ebandayo); isisu esithile (amaphilisi amanzi); guanabenz; guanfacine; imithi yomfutho wegazi ophakeme; imithi yokuquleka efana ne-phenobarbital phenytoin (Dilantin), ne-primidone (Mysoline); i-methyldopa; ama-serotonin reuptake inhibitors (SSRIs) akhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); kanye ne-venlafaxine (i-Effexor). Uma uthatha amaphilisi akhishwa isikhathi eside, phinda utshele udokotela wakho uma uthatha ama-antacids, noma eminye imishanguzo yesilungulela noma izilonda. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo i-Tourette's syndrome (isimo esibonakala ngesidingo sokwenza iminyakazo ephindaphindwayo noma ukuphinda imisindo noma amagama), ubuso nobuso noma imoto (ukunyakaza okungalawuleki okuphindaphindwayo), noma ukubhula ngamazwi ( ukuphindaphindwa kwemisindo noma amagama okunzima ukuwalawula). Phinda utshele udokotela wakho uma une-glaucoma, noma imizwa yokukhathazeka, ukungezwani, noma ukukhathazeka. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-dexmethylphenidate.
• utshele udokotela wakho ukuthi ngabe kukhona yini emndenini wakho owake washaywa yinhliziyo ngokungafanele noma oshone ngokuzumayo. Phinda utshele udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo futhi uma uke waba nenkinga yenhliziyo noma unomuzwa wokuthi unesifo senhliziyo, umfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, isifo senhliziyo noma somthambo wegazi, ukuqina kwemithambo; noma ezinye izinkinga zenhliziyo. Udokotela wakho uzokuhlola ukuze abone ukuthi inhliziyo nemithambo yegazi yakho iphilile yini. Udokotela wakho uzokutshela ukuthi ungathathi i-dexmethylphenidate uma unesimo senhliziyo noma uma kunengozi enkulu yokuthi ungahle ube nesimo senhliziyo.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo sokucindezeleka noma esake saba khona noma esake saba khona, ukuphazamiseka kwengqondo okuguquguqukayo (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile), i-mania (edidekile, imizwa ejabule ngokungajwayelekile), noma uke wacabanga noma wazama ukuzibulala. Phinda utshele udokotela wakho uma uke waba nezinkinga zokusakazwa kweminwe noma izinzwane; ukucindezeleka; ukugula ngengqondo; ukuquleka; i-electroencephalogram engajwayelekile (i-EEG; isivivinyo esilinganisa ukusebenza kukagesi ebuchosheni); noma isifo segilo.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-dexmethylphenidate, shayela udokotela wakho.
• kufanele wazi ukuthi i-dexmethylphenidate kufanele isetshenziswe njengengxenye yohlelo lokwelashwa oluphelele lwe-ADHD, olungafaka ukwelulekwa kanye nemfundo ekhethekile. Qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho kanye / noma yomelaphi.

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

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• isicanucanu
• isilungulela
• ukuncipha komzimba
• umlomo owomile
• isiyezi
• ukozela
• uvalo noma i-jitteriness
• ikhanda

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

• ukukhathala ngokweqile
• inkulumo ehamba kancane noma enzima
• isiyezi
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• izinguquko embonweni noma ukufiphala kwamehlo
• isithuthwane
• ukukholwa izinto ezingelona iqiniso
• uzizwe usola ngokungavamile abanye
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukuguquka kwemizwelo
• ukudana
• izimoto noma ukukhuluma ngamazwi
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• ukuqubuka
• isifuba
• ukulunywa
• amabala ansomi ngaphansi kwesikhumba
• imfiva
• isikhumba esishayayo noma esikhanyayo
• ubuhlungu obuhlangene
• ukuvinjelwa okuvamile, okubuhlungu
• ukwakhiwa okuhlala isikhathi eside kunamahora ama-4
• ukuphazamiseka, ubuhlungu, noma ukuzwela ekushiseni eminweni noma ezinzwaneni
• ukushintsha kombala wesikhumba kusuka kokuphaphathekile kuya kokuluhlaza okwesibhakabhaka kuya kokubomvu eminweni noma ezinzwaneni
• amanxeba angachazeki eminweni noma ezinzwaneni

I-Dexmethylphenidate ingadala ukufa okungazelelwe ezinganeni nasebusheni, ikakhulukazi izingane nentsha enezinkinga zenhliziyo noma enezinkinga ezinkulu zenhliziyo. Lo muthi nawo ungadala ukufa okungazelelwe, isifo senhliziyo, noma isifo sohlangothi kubantu abadala, ikakhulukazi abantu abadala abanezinkinga zenhliziyo noma abanezinkinga ezinkulu zenhliziyo. Shayela udokotela wakho ngokushesha uma wena noma ingane yakho unezimpawu zezinkinga zenhliziyo ngenkathi uthatha lo muthi kufaka phakathi: ubuhlungu besifuba, ukuphefumula okuncane, noma ukuquleka. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

I-Dexmethylphenidate inganciphisa ukukhula kwezingane noma ukuzuza kwesisindo. Udokotela wengane yakho uzobuka ukukhula kwakhe ngokucophelela. Khuluma nodokotela wengane yakho uma unezinkinga ngokukhula kwengane yakho noma ukukhuluphala kwesisindo sayo ngenkathi ithatha lo muthi. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho i-dexmethylphenidate.

I-Dexmethylphenidate 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).

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

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:

• ukuhlanza
• ukuyaluza
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukudikiza kwemisipha
• isithuthwane
• ukuquleka
• injabulo engafanele
• ukudideka
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukujuluka
• ukuqhuma
• ikhanda
• imfiva
• ukushaya kwenhliziyo okusheshayo, okushaya ngamandla, noma okungajwayelekile
• ukunwetshwa kwabafundi (imibuthano emnyama phakathi kwamehlo)
• umlomo owomile

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

Lo muthi awugcwaliseki kabusha. Qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho njalo ukuze ungaphelelwa yimithi.

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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