Ukujova kwe-Dihydroergotamine kanye ne-Nasal Spray

-Delile

• Ukuze usebenzise isixazululo somjovo, landela lezi zinyathelo:
• Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-dihydroergotamine,
• I-Dihydroergotamine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli. Iningi lalezi zimpawu, ikakhulukazi lezo ezithinta ikhala, kungenzeka ukuthi zenzeke uma usebenzisa isifutho samakhala:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ungathathi i-dihydroergotamine uma uthatha noma imiphi yale mithi elandelayo: ama-antifungals afana ne-itraconazole (Sporanox) ne-ketoconazole (Nizoral); I-HIV protease inhibitors efana ne-indinavir (Crixivan), nelfinavir (Viracept), ne-ritonavir (Norvir); noma ama-antibiotic e-macrolide afana ne-clarithromycin (Biaxin), i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin), ne-troleandomycin (TAO).

I-Dihydroergotamine isetshenziselwa ukwelapha i-migraine ikhanda. IDihydroergotamine isekilasini lemithi ebizwa ngama-ergot alkaloids. Isebenza ngokuqinisa imithambo yegazi ebuchosheni nangokumisa ukukhishwa kwezinto zemvelo ebuchosheni ezibangela ukuvuvukala.

IDihydroergotamine iza njengesisombululo sokujova ngomgogodla (ngaphansi kwesikhumba) nanjengesifutho esizosetshenziswa ekhaleni. Isetshenziswa njengoba kudingeka ngezinhlungu ze-migraine. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-dihydroergotamine njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

I-Dihydroergotamine ingalimaza inhliziyo nezinye izitho zomzimba uma isetshenziswa kaningi. I-Dihydroergotamine kufanele isetshenziselwe kuphela ukwelapha i-migraine eqhubekayo. Ungasebenzisi i-dihydroergotamine ukuvimbela i-migraine kusukela ekuqaleni noma ukwelapha ikhanda elizwakala lihlukile kune-migraine yakho ejwayelekile. I-Dihydroergotamine akufanele isetshenziswe nsuku zonke.Udokotela wakho uzokutshela ukuthi usebenzise i-dihydroergotamine kangaki isonto ngalinye.

Ungathola umthamo wakho wokuqala we-dihydroergotamine ehhovisi likadokotela wakho ukuze udokotela wakho abheke ukuphendula kwakho emithini futhi uqiniseke ukuthi uyakwazi ukusebenzisa isifutho samakhala noma ukufaka umjovo ngendlela efanele. Ngemuva kwalokho, ungafafaza noma ujove i-dihydroergotamine ekhaya. Qiniseka ukuthi wena nanoma ngubani ozokusiza ukujova umuthi funda imininingwane yomenzi wesiguli esiza ne-dihydroergotamine ngaphambi kokuyisebenzisa okokuqala ekhaya.

Uma usebenzisa isisombululo somjovo, akufanele usebenzise futhi imijovo. Lahla imijovo esitsheni esingamelana nokubhoboza. Buza udokotela wakho noma usokhemisi ukuthi ungasilahla kanjani isitsha esimelana nokubhoboza.

Ukuze usebenzise isixazululo somjovo, landela lezi zinyathelo:

1. Hlola i-ampule yakho ukuze uqiniseke ukuthi kuphephile ukuyisebenzisa. Ungayisebenzisi i-ampule uma yephukile, iqhekeziwe, ibhalwe usuku lokuphelelwa yisikhathi esidlulile, noma iqukethe uketshezi olunemibala, olunamafu, noma olugcwele izinhlayiya. Buyisela leyo ampule ekhemisi bese usebenzisa i-ampule ehlukile.
2. Geza izandla zakho kahle ngensipho namanzi.
3. Hlola ukuze uqiniseke ukuthi wonke uketshezi ungaphansi kwe-ampule. Uma noma iluphi uketshezi luphezulu kwe-ampule, lumise ngomunwe ngomunwe luze luwele phansi.
4. Bamba phansi kwe-ampule ngesandla esisodwa. Bamba phezulu kwe-ampule phakathi kwesithupha nesikhombi sesinye isandla sakho. Isithupha sakho kufanele sibe ngaphezu kw ichashazi ngaphezulu kwe-ampule. Phusha phezulu kwe-ampule emuva emuva ngesithupha sakho size siqhume.
5. Shintsha i-ampule nge-engela engu-45 degree bese ufaka inaliti ku-ampule.
6. Donsela i-plunger kancane kancane futhi ngesineke kuze kube yilapho iphezulu le-plunger selinomthamo udokotela wakho akutshele ukuthi umjovo.
7. Bamba isirinji ngenaliti ekhombe phezulu bese uhlola ukuthi ayiqukethe yini amagwebu omoya. Uma isirinji iqukethe amagwebu omoya, yithephe ngomunwe wakho kuze kube yilapho amagwebu enyukela phezulu. Bese ucindezela kancane i-plunger uze ubone ithonsi lemithi ekugcineni kwenaliti.
8. Hlola isirinji ukuqinisekisa ukuthi iqukethe umthamo olungile, ikakhulukazi uma kufanele ukhiphe amagwebu omoya. Uma isipetu singenawo umthamo ofanele, phinda izinyathelo 5 kuye ku-7.
9. Khetha indawo ozojova ngayo umuthi kunoma yiliphi ithanga, ngenhla kwedolo. Sula indawo nge-swab yotshwala usebenzisa ukunyakaza okuqinile, okuyindilinga, bese uyivumela ukuthi yome.
10. Bamba isirinji ngesandla esisodwa bese ubamba isibambo sesikhumba uzungeze indawo yokujova ngesinye isandla. Phusha inaliti yonke indlela ungene esikhunjeni nge-angle engama-45- 90 degree.
11. Gcina inaliti ngaphakathi kwesikhumba, bese uhlehla kancane kwi-plunger.
12. Uma igazi livela kwisirinji, donsa inaliti kancane esikhunjeni bese uphinda isinyathelo 11.
13. Phusha i-plunger yonke indlela ukuze ujove umuthi.
14. Donsela inaliti ngokushesha esikhunjeni nge-engeli elifanayo oyifakile.
15. Cindezela iphedi yotshwala entsha endaweni yokujova bese uyihlikihla.

Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:

1. Hlola i-ampule yakho ukuze uqiniseke ukuthi kuphephile ukuyisebenzisa. Ungayisebenzisi i-ampule uma yephukile, iqhekeziwe, ibhalwe usuku lokuphelelwa yisikhathi esidlulile, noma iqukethe uketshezi olugcwele umbala, olunamafu, noma oluyizinhlayiyana. Buyisela leyo ampule ekhemisi bese usebenzisa i-ampule ehlukile.
2. Hlola ukuze uqiniseke ukuthi konke uketshezi kungaphansi kwe-ampule. Uma noma iluphi uketshezi luphezulu kwe-ampule, lumise ngomunwe ngomunwe luze luwele phansi.
3. Beka i-ampule iqonde futhi ime mpo emthonjeni wecala lomhlangano. Isigqoko se-breaker kufanele sisavuliwe futhi kufanele sikhombe phezulu.
4. Cindezela phansi isivalo secala lomhlangano kancane kodwa ngokuqinile uze uzwe ukuvuleka kwe-ampule kuvuliwe.
5. Vula ikesi, kodwa ungasusi i-ampule emthonjeni.
6. Bamba isifutho samakhala ngendandatho yensimbi ukhombe phezulu. Cindezela ku-ampule ize ichofoze. Hlola phansi kwesifutho ukuze uqiniseke ukuthi i-ampule iqondile. Uma ingqondile, yicindezele kahle ngomunwe wakho.
7. Susa isifutho samakhala emthonjeni bese ususa ikepisi kwisifutho. Qaphela ukuthi ungathinti ichopho lesifutho.
8. Ukwenza ipompo kuqala, khomba isifutho kude nobuso bakho bese usimpompela amahlandla amane. Eminye imishanguzo izofafaza emoyeni, kepha umthamo ophelele wemithi uzohlala ku-sprayer.
9. Beka ichopho lesifutho emakhaleni ngamunye bese ucindezela phansi ukukhipha isifutho esisodwa esigcwele. Ungabhekisi ikhanda lakho emuva noma uhogele ngenkathi ufafaza. Imithi izosebenza noma ngabe unekhala eligcwele, ukubanda, noma ukungezwani komzimba.
10. Linda imizuzu engu-15 bese udedela isifutho esigcwele ekhaleni ngalinye futhi.
11. Lahla i-sprayer ne-ampule. Faka i-spray dose spray esisha e-Assembly case yakho ukuze ulungele ukuhlasela kwakho okulandelayo. Lahla icala lomhlangano ngemuva kokulisebenzisa ukulungiselela izifutho ezine.

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

Ngaphambi kokusebenzisa i-dihydroergotamine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-dihydroergotamine, amanye ama-alkaloid ergot afana ne-bromocriptine (Parlodel), i-ergonovine (i-Ergotrate), i-ergotamine (i-Cafergot, i-Ercaf, abanye), i-methylergonovine (i-Methergine), ne-methysergide (iSansert), noma enye imithi.
• ungathathi i-dihydroergotamine kungakapheli amahora angama-24 uthatha ama-ergot alkaloids afana ne-bromocriptine (Parlodel), i-ergonovine (i-Ergotrate), i-ergotamine (i-Cafergot, i-Ercaf, abanye), i-methylergonovine (i-Methergine), ne-methysergide (iSansert); noma eminye imithi ye-migraine efana ne-frovatriptan (Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (i-Imitrex), ne-zolmitriptan (i-Zomig).
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo. Qiniseka ukuthi usho noma ikuphi kokulandelayo: i-beta blockers efana nepropranolol (Inderal); i-cimetidine (Tagamet); i-clotrimazole (iLotrimin); i-cyclosporine (iNeoral, iSandimmune); i-danazol (iDanocrine); i-delavirdine (i-Rescriptor); i-diltiazem (iCardizem, iDilacor, iTiazac); i-epinephrine (i-Epipen); i-fluconazole (iDiflucan); i-isoniazid (INH, Nydrazid); imithi yemikhuhlane nesifuba somoya; i-metronidazole (i-Flagyl); nefazodone (Serzone); izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); i-saquinavir (i-Fortovase, i-Invirase); i-verapamil (Calan, Covera, Isoptin, Verelan); zafirlukast (Inembile); kanye ne-zileuton (Zyflo). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma unomlando womndeni wesifo senhliziyo nokuthi ngabe uke waba nomfutho wegazi ophakeme noma wake waba nawo yini; i-cholesterol ephezulu; isifo sikashukela; Isifo sikaRaynaud (isimo esithinta iminwe nezinzwane); noma yisiphi isifo esithinta ukujikeleza kwegazi noma imithambo; i-sepsis (ukutheleleka okunzima kwegazi); ukuhlinzwa enhliziyweni noma emithanjeni yegazi; isifo senhliziyo; noma izinso, isibindi, amaphaphu noma isifo senhliziyo.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-dihydroergotamine, shayela udokotela wakho ngokushesha.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-dihydroergotamine.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema osikilidi ngenkathi usebenzisa lo muthi kukhulisa ubungozi bemiphumela emibi kakhulu.

Khuluma nodokotela wakho ngokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

I-Dihydroergotamine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli. Iningi lalezi zimpawu, ikakhulukazi lezo ezithinta ikhala, kungenzeka ukuthi zenzeke uma usebenzisa isifutho samakhala:

• ikhala eligcwele
• ukuluma noma ubuhlungu emakhaleni noma emphinjeni
• ukoma emakhaleni
• ekhaleni
• izinguquko zokunambitheka
• isisu esibuhlungu
• ukuhlanza
• isiyezi
• ukukhathala ngokweqile
• ubuthakathaka

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukushintsha kombala, ukuba ndikindiki noma ukuncinza kweminwe nezinzwane
• ubuhlungu bemisipha ezingalweni nasemilenzeni
• ubuthakathaka ezingalweni nasemilenzeni
• ubuhlungu besifuba
• ukusheshisa noma ukwehlisa izinga lokushaya kwenhliziyo
• ukuvuvukala
• ukulunywa
• isikhumba esibandayo, esiphaphathekile
• inkulumo ehamba kancane noma enzima
• isiyezi
• ukuquleka

I-Dihydroergotamine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa 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). Ungafriji noma uqandise. Lahla umuthi ongasetshenziswanga ukujova ngehora eli-1 ngemuva kokuvula i-ampule. Lahla isifutho samakhala esingasetshenziswanga ngemuva kwamahora angu-8 uvule i-ampule.

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:

• ukuba ndikindiki, ukushosholoza, nobuhlungu eminweni nasezinzwaneni
• umbala oluhlaza okwesibhakabhaka eminweni nasezinzwaneni
• ukuphefumula kancane
• isisu esibuhlungu
• ukuhlanza
• ukuquleka
• ukungaboni kahle
• isiyezi
• ukudideka
• isithuthwane
• ikhoma
• ubuhlungu besisu

Gcina wonke ama-aphoyintimenti nodokotela wakho. Udokotela wakho anga-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho ku-dihydroergotamine.

Ungavumeli omunye umuntu asebenzise 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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• Ukufuduka^® I-Nasal Spray