I-Tadalafil

-Delile

• Ngaphambi kokuthatha i-tadalafil,
• I-Tadalafil ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

I-Tadalafil (i-Cialis) isetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (i-ED, ukungabi namandla, ukungakwazi ukuthola noma ukugcina i-erection), kanye nezimpawu ze-benign prostatic hyperplasia (BPH; i-prostate ekhulisiwe) ebandakanya ubunzima bokuchama (ukungabaza, ukubhobhoza, ukusakaza okubuthakathaka, nokuqeda isinye okungaphelele), ukuchama okubuhlungu, nobuningi bomchamo nokuphuthuma emadodeni amadala. I-Tadalafil (i-Adcirca) isetshenziselwa ukuthuthukisa ikhono lokuzivocavoca kubantu abane-pulmonary arterial hypertension (PAH; umfutho wegazi ophakeme ezitsheni ezihambisa igazi emaphashini, kubangele ukuphefumula, isiyezi, nokukhathala). I-Tadalafil isekilasini lemithi ebizwa nge-phosphodiesterase (PDE) inhibitors. Iyasebenza ekwelapheni ukungasebenzi kahle kwe-erectile ngokwandisa ukugeleza kwegazi liye endondeni ngesikhathi sokuvuselelwa ngokocansi. Lokhu kukhuphuka kwegazi kungadala ukwakhiwa. I-Tadalafil ilapha i-PAH ngokuxegisa imithambo yegazi emaphashini ukuze ivumele igazi ligeleze kalula.

Uma uthatha i-tadalafil ukwelapha ukungasebenzi kahle kwe-erectile, kufanele wazi ukuthi ayikulaphi ukungasebenzi kahle kwe-erectile noma ikhulise isifiso sobulili. I-Tadalafil ayikuvimbeli ukukhulelwa noma ukusabalala kwezifo ezithathelwana ngocansi njenge-human immunodeficiency virus (HIV).

I-Tadalafil iza njengethebhulethi ezothathwa ngomlomo. Kungathathwa nokudla noma ngaphandle kokudla.

Uma uthatha i-tadalafil ukwelapha ukungasebenzi kahle kwe-erectile, landela izinkomba zikadokotela wakho kanye nemihlahlandlela ekulesi sigaba. Kunezindlela ezimbili ezihlukile zokuthatha i-tadalafil, kungaba nsuku zonke noma ngesisekelo esidingekayo. Khuluma nodokotela wakho mayelana nokuthi yiluphi uhlelo lokulinganisa olulungele wena. I-Tadalafil kwesinye isikhathi ithathwa njengoba kudingeka, imvamisa okungenani imizuzu engama-30 ngaphambi kokwenza ucansi futhi hhayi kaningi ngaphezu kwesisodwa njalo emahoreni angama-24. Udokotela wakho uzokusiza unqume isikhathi esihle kakhulu sokuthatha i-tadalafil ngaphambi kocansi. I-Tadalafil nayo kwesinye isikhathi ithathwa kanye ngosuku nsuku zonke ngaphandle kokubheka isikhathi sokwenza ucansi. Ungazama ukwenza ucansi nganoma yisiphi isikhathi phakathi kwamanani. Uma uthatha i-tadalafil esimisweni esijwayelekile, yithathe ngasikhathi sinye nsuku zonke. Uma unezimo ezithile zempilo noma uthatha imishanguzo ethile, udokotela wakho angakutshela ukuthi uthathe i-tadalafil kaningi noma angahle anikeze umthamo ophansi ozothathwa kanye ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-tadalafil njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma uthatha i-tadalafil ukwelapha i-PAH noma i-BPH, landela izinkomba zikadokotela wakho kanye nemihlahlandlela ekulesi sigaba. Kufanele uthathe i-tadalafil kanye ngosuku. Thatha wonke amaphilisi wedosi yakho yansuku zonke ngasikhathi sinye ngosuku; ungahlukanisi amaphilisi ukuze uthathe imithamo ehlukile. Thatha i-tadalafil ngasikhathi sinye nsuku zonke. Uma usuvele uphuza imithi yokwelapha i-BPH, udokotela wakho angakutshela ukuthi uyeke ukuthatha eminye imithi okungenani usuku olulodwa ngaphambi kokuqala ukwelashwa nge-tadalafil. Landela izinkomba zikadokotela wakho ngokucophelela, bese ucela udokotela wakho noma usokhemisi ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Uma uthatha i-tadalafil ngokungasebenzi kahle kwe-erectile, udokotela wakho kungenzeka akuqale ngomthamo omaphakathi we-tadalafil futhi akhuphule noma anciphise umthamo wakho ngokuya ngempendulo yakho emithini. Tshela udokotela wakho uma i-tadalafil ingasebenzi kahle noma uma unemiphumela emibi.

Uma uthatha i-tadalafil ye-PAH, kufanele wazi ukuthi i-tadalafil ilawula i-PAH kepha ayiyelaphi. Qhubeka uthathe i-tadalafil noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-tadalafil ngaphandle kokukhuluma nodokotela wakho.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha i-tadalafil,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tadalafil, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-tadalafil. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha noma usanda kuthatha i-riociguat (Adempas) noma ama-nitrate afana ne-isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), ne-nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, abanye). Ama-nitrate eza njengamathebulethi, ama-tablet (ngaphansi kolimi) amaphilisi, izifutho, ama-patches, ama-pastes, namafutha. Buza udokotela wakho uma ungaqiniseki ukuthi imiphi imithi yakho iqukethe ama-nitrate. Udokotela wakho uzokutshela ukuthi ungathathi i-tadalafil uma uthatha ama-nitrate.
• Tshela udokotela wakho uma uthatha izidakamizwa zasemgwaqweni eziqukethe ama-nitrate ('poppers') njenge-amyl nitrate, i-butyl nitrate, noma i-nitrite ngenkathi uthatha i-tadalafil. Udokotela wakho uzokutshela ukuthi ungathathi i-tadalafil uma uthatha izidakamizwa zasemgwaqweni eziqukethe ama-nitrate.
• kufanele wazi ukuthi i-tadalafil iyatholakala ngaphansi kwegama lomkhiqizo i-Adcirca ne-Cialis. Kufanele uphathwe kuphela ngomunye wale mikhiqizo ngasikhathi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-alpha blocker efana ne-alfuzosin (Uroxatral), i-doxazosin (i-Cardura), i-dutasteride (i-Avodart, eJalyn), i-prazosin (i-Minipress), i-silodosin (i-Rapaflo), i-tamsulosin (i-Flomax, e-Jalyn) iterazosin; amiodarone (Cordarone, Pacerone); ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-griseofulvin (i-Grifulvin, i-Gris-PEG), i-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole (i-Extina, i-Ketozole, i-Nizoral, i-Xolegel), ne-voriconazole (i-Vfend); i-aprepitant (Hlela); i-bosentan (iTracleer); carbamazepine (Carbatrol, Epitol, Tegretol, Teril, nabanye); i-clarithromycin (i-Biaxin, ku-Prevpac); i-diltiazem (Cardizem, Cartia, Tiazac, abanye); i-efavirenz (iSustiva, e-Atripla); i-erythromycin (E.E.S., E-Mycin, Erythrocin); Ama-HIV protease inhibitors afaka i-indinavir (Crixivan), nelfinavir (Viracept), ne-ritonavir (Norvir, eKaletra), lovastatin (Altocor, ku-Advicor); imithi yomfutho wegazi ophakeme; nefazodone; i-nevirapine (i-Viramune); eminye imithi noma izindlela zokwelapha ukungasebenzi kahle kwe-erectile; eminye imithi noma imishanguzo ye-PAH; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); i-sertraline (iZoloft); i-telithromycin (Ketek); kanye ne-verapamil (Calan, Covera, Verelan, eTarka). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• utshele udokotela wakho uma ubhema; uma ngabe uke wakhiwa okwadlula amahora angaphezu kwama-4; futhi uma usanda kuba nohudo, uhlanza, ubungaphuzi uketshezi olwanele, noma ujuluka kakhulu okungenzeka ukuthi kubangele ukomisa (ukulahleka kwenqwaba yamanzi oketshezi lomzimba. Phinda utshele udokotela wakho uma uke waba ne-veno-occlusive isifo (i-PVOD; ukuvinjelwa kwemithambo emaphashini); noma isiphi isimo esithinta ukuma kwepipi; isifo sikashukela; i-cholesterol ephezulu; umfutho wegazi ophakeme noma ophansi; ukushaya kwenhliziyo okungajwayelekile; isifo senhliziyo noma ukwehluleka kwenhliziyo; i-angina (ubuhlungu besifuba); isifo sohlangothi; izilonda esiswini; ukuphazamiseka kokopha; izinkinga zokujikeleza kwegazi; izinkinga zeseli yegazi njenge-sickle cell anemia (isifo samangqamuzana abomvu egazi), i-myeloma eminingi (umdlavuza wamaseli e-plasma), noma i-leukemia (umdlavuza womhlophe amaseli egazi); noma isifo senhliziyo, sezinso, noma sesibindi. Phinda utshele udokotela wakho ukuthi ngabe wena noma iliphi ilungu lomndeni wakho ninesifo samehlo esifana ne-retinitis pigmentosa (isimo sehlo esizuzwe njengefa esidala ukungaboni) noma uke waba nombono onzima ngokungazelelwe ukulahleka, ikakhulukazi uma utshelwe ukuthi ukulahleka kombono kubangelwe ukuvinjelwa kokugeleza kwegazi kuya emithanjeni ekusiza ukuthi ubone.
• uma ungowesifazane futhi uthatha i-tadalafil ukwelapha i-PAH, tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-tadalafil, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-tadalafil.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngesikhathi sokwelashwa kwakho nge-tadalafil. Uma uphuza utshwala obuningi (izingilazi ezingaphezu kweziyisihlanu zewayini noma ama-whiskey amahlanu) ngenkathi uthatha i-tadalafil kungenzeka ukuthi uhlangabezane nemiphumela ethile emibi ye-tadalafil enjengesiyezi, ikhanda, ukushaya kwenhliziyo okusheshayo, nomfutho wegazi ophansi .
• uma uthatha i-tadalafil ukwelapha ukungasebenzi kahle kwe-erectile, tshela udokotela wakho uma ngabe uke welulekwa nguchwepheshe wezokunakekelwa kwezempilo ukuthi ugweme ukwenza ucansi ngezizathu zezokwelapha noma uma wake wezwa ubuhlungu besifuba ngesikhathi sokwenza ucansi. Umsebenzi wezocansi ungaba yingcindezi enhliziyweni yakho, ikakhulukazi uma unesifo senhliziyo. Uma uzwa ubuhlungu besifuba, isiyezi, noma isicanucanu ngesikhathi sokwenza ucansi, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo, futhi ugweme ukwenza ucansi kuze kube yilapho udokotela wakho ekutshela ngenye indlela.
• Tshela bonke abahlinzeki bakho bezempilo ukuthi uthatha i-tadalafil. Uma kwenzeka udinga ukwelashwa okuphuthumayo ngenkinga yenhliziyo, abahlinzeki bokunakekelwa kwezempilo abakuphathisayo bazodinga ukwazi ukuthi ugcine nini ukuthatha i-tadalafil.

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

Uma uthatha i-tadalafil yokungasebenzi kahle kwe-erectile esimisweni esijwayelekile, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili noma ongaphezu koyedwa ngosuku ukwenzela owulahlekile.

Uma uthatha i-tadalafil ye-PAH noma i-BPH, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ikhanda
• ukugaya isisu noma isilungulela
• isicanucanu
• isifo sohudo
• ukuqhuma
• ubuhlungu esiswini, emuva, emisipheni, ezingalweni, noma emilenzeni
• ukukhwehlela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukwehla okungazelelwe noma ukulahleka kombono (bheka ngezansi ukuthola eminye imininingwane)
• ukungaboni kahle
• izinguquko kumbono wombala (ukubona i-tinge eluhlaza okwesibhakabhaka ezintweni noma ukuthola ubunzima bokuhlukanisa umehluko phakathi kokuluhlaza okotshani nokuluhlaza)
• ukwehla okungazelelwe noma ukulahleka kwezindlebe (bheka ngezansi ukuthola eminye imininingwane)
• kukhala ezindlebeni
• ukwakhiwa okuhlala isikhathi eside kunamahora ama-4
• isiyezi
• ubuhlungu besifuba
• isifuba
• ukuqubuka
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushwabana noma ukuxebuka kwesikhumba

Ezinye iziguli zathola ukulahleka okungazelelwe kweminye noma yonke imibono yazo ngemuva kokuthatha i-tadalafil noma eminye imithi efana ne-tadalafil. Ukulahleka kombono bekuhlala unomphela kwezinye izimo. Akwaziwa ukuthi ukulahleka kombono kubangelwe yimithi. Uma uhlangabezana nokulahleka okungazelelwe kombono ngenkathi uthatha i-tadalafil, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo. Ungathathi eminye imithamo ye-tadalafil noma imithi efana ne-sildenafil (Revatio, Viagra) noma i-vardenafil (i-Levitra) uze ukhulume nodokotela wakho.

Ezinye iziguli zithole ukwehla okungazelelwe noma ukulahleka kokuzwa ngemuva kokuthatha i-tadalafil noma eminye imithi efana ne-tadalafil. Ukulahleka kokuzwa kwakuvame ukubandakanya indlebe eyodwa kuphela futhi kwakungathuthuki ngaso sonke isikhathi lapho umuthi umiswa. Akwaziwa ukuthi ukulahleka kokuzwa kudalwe yimithi yini. Uma uzwa ukulahlekelwa okungazelelwe kokuzwa, kwesinye isikhathi ngokukhala ezindlebeni noma isiyezi, ngenkathi uthatha i-tadalafil, shayela udokotela wakho ngokushesha. Ungathathi eminye imithamo ye-tadalafil noma imithi efana ne-sildenafil (Revatio, Viagra) noma i-vardenafil (i-Levitra) uze ukhulume nodokotela wakho.

I-Tadalafil 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.

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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.

• I-Adcirca^®
• I-Cialis^®