I-Mefloquine

-Delile

• Ngaphambi kokuthatha i-mefloquine,
• IMefloquine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SOKUXWAYISA noma SOKUQAPHA, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Mefloquine ingadala imiphumela emibi ebandakanya ukushintsha kwesistimu yezinzwa. Tshela udokotela wakho uma uke waquleka noma wake waquleka. Udokotela wakho angakutshela ukuthi ungathathi i-mefloquine. Uma ubona noma yiziphi zalezi zimpawu ezilandelayo ngenkathi uthatha lo muthi, shayela udokotela wakho ngokushesha: isiyezi, umuzwa wokuthi wena noma izinto ezikuzungezile ziyahamba noma ziyajikeleza, kukhala ezindlebeni, nokulahlekelwa ibhalansi. Lezi zimpawu zingavela nganoma yisiphi isikhathi ngenkathi uthatha i-mefloquine futhi ingahlala izinyanga kuya eminyakeni ngemuva kokumiswa komuthi noma ingahlala unomphela.

IMefloquine ingadala izinkinga ezinkulu zempilo yengqondo. Tshela udokotela wakho uma uke waba nokudangala, ukukhathazeka, i-psychosis (ubunzima bokucabanga kahle, ukuqonda iqiniso, ukuxhumana nokuziphatha ngendlela efanele), i-schizophrenia (ukugula okubangela ukucabanga okuphazamisayo noma okungajwayelekile, ukulahlekelwa intshisekelo empilweni, nokuqina noma imizwelo engafanele) noma ezinye izifo zempilo yengqondo. Phinda utshele udokotela wakho ngokushesha uma uba nalezi zimpawu ezilandelayo ngenkathi uthatha lo muthi: ukukhathazeka, imizwa yokungabethembi abanye, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), ukudangala, imicabango yokuzibulala noma ukuzilimaza, ukungahlaliseki, ukudideka, ubunzima bokulala noma ukulala, noma isimilo esingajwayelekile. Lezi zimpawu zingavela nganoma yisiphi isikhathi ngenkathi uthatha i-mefloquine futhi ingahlala izinyanga kuya eminyakeni ngemuva kokumiswa komuthi.

Lezi zimpawu zokushintsha kwesistimu yezinzwa noma izinkinga zempilo yengqondo kungaba nzima kakhulu ukuzibona ezinganeni ezincane. Bhekisisa ingane yakho ngokucophelela bese uthinta udokotela wayo khona manjalo uma uthola ushintsho ekuziphatheni noma empilweni.

Gcina konke ukubonana nodokotela wakho, udokotela wamehlo, kanye nelabhorethri. Udokotela wakho anga-oda ukuhlolwa okuthile kwelebhu nokuhlolwa kwamehlo ngezikhathi ezithile ukuze ahlole impendulo yomzimba wakho ku-mefloquine.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-mefloquine 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) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Khuluma nodokotela wakho ngezingozi zokuthatha i-mefloquine.

I-Mefloquine isetshenziselwa ukwelapha umalaleveva (ukutheleleka okungathi sína okusakazwa omiyane ezingxenyeni ezithile zomhlaba futhi kungadala ukufa) nokuvikela umalaleveva kubahambi abavakashela izindawo lapho umalaleveva uvame khona. IMefloquine isekilasini lemithi ebizwa ngama-antimalarials. Isebenza ngokubulala izinto ezibanga umalaleveva.

IMefloquine iza njengethebhulethi ezothathwa ngomlomo. Ngaso sonke isikhathi thatha i-mefloquine ngokudla (okungcono isidlo sakho esikhulu) kanye okungenani nama-ounces ayi-8 (240 milliliters) amanzi. Uma uthatha i-mefloquine ukuvimbela umalaleveva, cishe uzowuthatha kanye ngesonto (ngosuku olufanayo ngesonto ngalinye). Uzoqala ukwelashwa amasonto ayi-1 kuya kwayi-3 ngaphambi kokuya endaweni lapho umalaleveva ujwayelekile futhi kufanele uqhubeke nokwelashwa amasonto ama-4 ngemuva kokubuya endaweni. Uma uthatha i-mefloquine ukwelapha umalaleveva, udokotela wakho uzokutshela kahle ukuthi kufanele uwuthathe kangaki. Izingane zingathatha imithamo emincane kodwa ejwayelekile kakhulu ye-mefloquine. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-mefloquine njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Amathebulethi angagwinywa aphelele noma achotshozwe ahlanganiswe namanzi, ubisi, noma esinye isiphuzo.

Uma uthatha i-mefloquine ukwelapha umalaleveva, ungahlanza ngemuva nje kokuthatha umuthi. Uma uhlanza ngaphansi kwemizuzu engama-30 ngemuva kokuthatha i-mefloquine, kufanele uthathe omunye umthamo ophelele we-mefloquine. Uma uhlanza imizuzu engama-30 kuye kwengu-60 ngemuva kokuthatha i-mefloquine, kufanele uthathe omunye umthamo wesigamu se-mefloquine. Uma uhlanza futhi ngemuva kokuthatha umthamo owengeziwe, shayela udokotela wakho.

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

Ngaphambi kokuthatha i-mefloquine,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-mefloquine, i-quinidine (i-Quinadex), i-quinine (i-Qualaquin), noma imuphi omunye umuthi, noma yiziphi izithako ezikumaphilisi e-mefloquine.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’); imishanguzo efana ne-amitriptyline (Elavil), i-amoxapine (i-Asendin), i-clomipramine (i-Anafranil), i-desipramine (i-Norpramin), i-doxepin (i-Adapin, i-Sinequan), i-imipramine (i-Tofranil), i-nortriptyline (i-Aventyl, i-Pamelor), i-protripiline Surmontil); ama-antihistamine; ama-calcium channel blocker afana ne-amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop), nisoldipine , kanye ne-verapamil (Calan, Isoptin, Verelan); ama-beta blockers anjenge-atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), nepropranolol (Inderal); i-chloroquine (Aralen); imithi yesifo sikashukela, ukugula ngengqondo, ukuquleka nesisu esibuhlungu; imishanguzo yokuquleka efana ne-carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), noma i-valproic acid (Depakene); kanye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Phinda utshele udokotela noma usokhemisi wakho uma uphuza le mithi elandelayo noma uyekile ukuyiphuza emasontweni ayi-15 edlule: i-halofantrine (Halfan; ayisatholakali e-United States) noma i-ketoconazole (Nizoral). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba nanoma yimiphi imibandela eshiwo esigabeni ESIBALULEKILE SESEXWAYISO noma okunye kwalokhu okulandelayo: isikhawu se-QT eside (inkinga yenhliziyo engajwayelekile engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa ngokuzuma), i-anemia ( inani eliphansi kunokujwayelekile lamaseli abomvu egazi), noma iso, isifo sesibindi noma senhliziyo.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa, noma uncelisa. Kufanele usebenzise ukulawulwa kokubeletha ngenkathi uthatha i-mefloquine nezinyanga ezi-3 ngemuva kokuyeka ukuyithatha. Uma ukhulelwa ngenkathi uthatha i-mefloquine, shayela udokotela wakho.
• kufanele wazi ukuthi i-mefloquine ingakwenza ukozele futhi ube nesiyezi. Lezi zimpawu zingaqhubeka isikhashana ngemuva kokuyeka ukuthatha i-mefloquine. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-mefloquine inciphisa ubungozi bokutheleleka nge-malaria kepha ayiqinisekisi ukuthi ngeke ungenwe yilesi sifo. Usadinga ukuzivikela ekulunyweni omiyane ngokugqoka imikhono emide namabhulukwe amade futhi usebenzise into yokuxosha omiyane nenetha lombhede ngenkathi usendaweni lapho umalaleveva uvame khona.
• kufanele wazi ukuthi izimpawu zokuqala zikamalaleveva umkhuhlane, ukugodola, ubuhlungu bemisipha nekhanda. Uma uthatha i-mefloquine ukuvimbela umalaleveva, shayela udokotela wakho ngokushesha uma uba nanoma iyiphi yalezi zimpawu. Qiniseka ukuthi utshela udokotela wakho ukuthi kungenzeka ukuthi uvezwe umalaleveva.
• kufanele uhlele ukuthi wenzeni uma kwenzeka uhlangabezana nemiphumela emibi kakhulu ye-mefloquine futhi kufanele uyeke ukuthatha umuthi, ikakhulukazi uma ungekho eduze kukadokotela noma ekhemisi. Kuzofanele uthole omunye umuthi wokukuvikela emalaleveva. Uma ungekho omunye umuthi otholakalayo, kuzofanele ushiye indawo lapho kuvame khona umalaleveva, bese uthola omunye umuthi wokukuvikela kumalaleveva.
• uma uthatha i-mefloquine ukwelapha umalaleveva, izimpawu zakho kufanele zithuthuke kungakapheli amahora angama-48 kuye kwangama-72 ngemuva kokuqeda ukwelashwa kwakho. Shayela udokotela wakho uma izimpawu zakho zingathuthuki ngemuva kwalesi sikhathi.
• awunayo imigomo (isibhamu) ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho angafuna ukuthi uqede yonke imigomo yakho ezinsukwini ezintathu ngaphambi kokuba uqale ukuthatha i-mefloquine.

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.

IMefloquine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• imfiva
• isifo sohudo
• ubuhlungu ohlangothini lwesokunene sesisu sakho
• ukulahlekelwa isifiso sokudla
• ubuhlungu bemisipha
• ikhanda
• ubuthongo
• ukujuluka okwandayo

Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SOKUXWAYISA noma SOKUQAPHA, shayela udokotela wakho ngokushesha:

• ukudonsa iminwe noma izinzwane
• ukuhamba kanzima
• ukunyakaza kwamathumbu okukhanyayo
• umchamo onombala omnyama
• ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
• ukulunywa
• ukunikina izingalo noma imilenze ongakwazi ukuyilawula
• izinguquko embonweni
• ubuthakathaka bemisipha
• ukuphelelwa umoya
• ubuhlungu besifuba
• ukwethuka
• ukuqubuka

I-Mefloquine ingadala eminye imiphumela emibi. Ungaqhubeka nokuthola imiphumela emibi isikhathi esithile ngemuva kokuthatha umthamo wakho wokugcina. 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:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ubuhlungu ohlangothini lwesokunene sesisu sakho
• isiyezi
• ukulahlekelwa ibhalansi
• ubunzima bokuwa noma ukulala
• amaphupho angajwayelekile
• ukudonsa iminwe noma izinzwane
• ukuhamba kanzima
• isithuthwane
• izinguquko empilweni yengqondo

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.

• Lariam^®¶

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