URamelteon

-Delile

• Ngaphambi kokuthatha i-ramelteon,
• I-Ramelteon ingadala imiphumela emibi. Tshela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

URamelteon usetshenziselwa ukusiza iziguli ezinokuqwasha kokulala (kunzima ukulala) zilale ngokushesha. URamelteon usesigabeni semithi ebizwa ngama-melatonin receptor agonists. Isebenza ngokufana ne-melatonin, into yemvelo ebuchosheni edingekayo ekulaleni.

URamelteon uza njengethebhulethi azoyithatha ngomlomo. Imvamisa kuthathwa kanye ngosuku, kungakapheli imizuzu engama-30 ngaphambi kokulala. Ungathathi i-ramelteon noma ngemuva nje kokudla. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-ramelteon njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi; ungawahlukanisi, ungawahlafune noma uwagxoze.

Ungaqala ukozela ngemuva nje kokuthatha i-ramelteon. Ngemuva kokuthatha i-ramelteon, kufanele uqedele noma yimaphi amalungiselelo adingekayo okulala bese uyolala. Ungahleleli eminye imisebenzi ngalesi sikhathi. Ungathathi i-ramelteon uma ungeke ukwazi ukuhlala ulele amahora angu-7 kuya kwangu-8 ngemuva kokuthatha umuthi.

Ukuqwasha kwakho kufanele kuthuthuke kungakapheli izinsuku eziyi-7 kuya kwezingu-10 ngemuva kokuqala ukwelashwa nge-ramelteon. Shayela udokotela wakho uma ukuqwasha kungathuthuki ngalesi sikhathi noma kuba kubi kakhulu noma kunini ngesikhathi sokwelashwa kwakho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-ramelteon 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.

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

Ngaphambi kokuthatha i-ramelteon,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ramelteon, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-ramelteon. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• utshele udokotela wakho uma uthatha i-fluvoxamine (Luvox). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ramelteon ngenkathi uthatha lo muthi.
• 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 yikuphi okulandelayo: ama-antifungal athile afana ne-fluconazole (Diflucan), itraconazole (Sporanox), ne-ketoconazole (Nizoral); i-cimetidine (Tagamet); i-clarithromycin (i-Biaxin, ku-Prevpac); ama-fluoroquinolones afaka i-ciprofloxacin (Cipro, Proquin XR), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (Floxin), abanye; I-HIV protease inhibitors efaka i-indinavir (Crixivan), nelfinavir (Viracept), ne-ritonavir (Norvir, eKaletra); imithi yokukhathazeka, ubuhlungu noma ukuquleka; nefazodone; i-rifampin (iRifadin, eRifamate, eRifater, eRimactane); isidambisi; amanye amaphilisi okulala; i-ticlopidine (iTiclid); kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-ramelteon, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma wake wacabanga ukuzibulala noma wahlela noma wazama ukwenza kanjalo, futhi uma uke waba nesifo esingapheliyo sokuvimbela amaphaphu (i-COPD, ukulimala kwamaphaphu okwenza ukuphefumula kube nzima) noma esinye isifo samaphaphu, i-apnea yokulala (isimo lapho uyeka khona ukuphefumula kaningi ebusuku) noma ezinye izinkinga zokuphefumula, ukudangala, ukugula kwengqondo, noma isifo sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-ramelteon, shayela udokotela wakho.
• kufanele wazi ukuthi i-ramelteon ingakwenza ukozele emini. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• ungaphuzi utshwala ngenkathi welashwa ngama-ramelteon. Utshwala bungenza imiphumela emibi ye-ramelteon ibe yimbi kakhulu.
• kufanele wazi ukuthi abanye abantu abathathe i-ramelteon bavuka embhedeni bashayela izimoto zabo, balungisa futhi badla ukudla, benza ucansi, bashaya izingcingo, noma babandakanyeka kweminye imisebenzi ngenkathi belele kancane. Ngemuva kokuvuka kwabo, laba bantu bebevame ukungakhumbuli abakwenzile. Shayela udokotela wakho ngokushesha uma uthola ukuthi ubeshayela noma wenza noma yini enye engajwayelekile ngenkathi ulele.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile ngenkathi uthatha lo muthi. Kunzima ukusho ukuthi ngabe lezi zinguquko zibangelwa i-ramelteon noma uma zibangelwa ukugula ngokomzimba noma kwengqondo osuvele unakho noma okuqubuka kungazelelwe. Tshela udokotela wakho khona manjalo uma uhlangabezana nalezi zimpawu ezilandelayo: ukuyaluza, ukukhathazeka, ukuthukuthela noma imizwa ejabule ngendlela engajwayelekile, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), amaphupho amabi, izinkinga zememori, ukucindezeleka okusha noma okuya kuba kubi, ucabanga noma uzama ukuzibulala, nolunye uguquko emicabangweni yakho ejwayelekile, imizwa, noma ekuziphatheni. Qiniseka ukuthi umndeni wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukushayela udokotela uma ungakwazi ukufuna ukwelashwa uwedwa.

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

URamelteon kufanele athathwe kuphela ngesikhathi sokulala. Uma ungathathanga i-ramelteon ngesikhathi sokulala futhi ungakwazi ukulala, ungathatha i-ramelteon uma uzokwazi ukuhlala embhedeni amahora angu-7 kuya kwangu-8 ngemuva kwalokho. Ungathathi i-ramelteon uma ungakakulungeli ukulala futhi uhlale ulele okungenani amahora ayi-7 kuye kwayi-8.

I-Ramelteon ingadala imiphumela emibi. Tshela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:

• ukozela noma ukukhathala
• isiyezi

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

• ukuvuvukala kolimi noma umphimbo
• ubunzima bokugwinya noma ukuphefumula
• ukuzwa ukuthi umphimbo uyavaleka
• isicanucanu
• ukuhlanza
• izikhathi ezingajwayelekile noma ezingabanjwanga zokuya esikhathini
• ukuphuma kobisi ezingonweni
• kwehle isifiso sobulili
• izinkinga zokuzala

I-Ramelteon 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.

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.

• URozerem^®