I-Zolmitriptan Nasal Spray

-Delile

• Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-zolmitriptan nasal spray,
• Isifutho sempumulo se-Zolmitriptan singadala 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:
• Izimpawu zokudlula ngokweqile zingafaka:

Isifutho sempumulo se-Zolmitriptan sisetshenziselwa ukwelapha izimpawu zekhanda elibuhlungu (ikhanda elibuhlungu, elishayayo elibuhlungu kwesinye isikhathi elihambisana nezinye izimpawu ezinjengesicanucanu nokuzwela komsindo nokukhanya). UZolmitriptan usesigabeni semithi ebizwa ngama-serotonin receptor agonists akhethiwe. Isebenza ngokunciphisa imithambo yegazi ezungeze ubuchopho, imise amasignali obuhlungu ukuthi angathunyelwa ebuchosheni, futhi ivimbele ukukhishwa kwezinto ezithile zemvelo ezibangela ubuhlungu, isicanucanu, nezinye izimpawu ze-migraine. I-Zolmitriptan ayivimbeli ukuhlaselwa yi-migraine noma inciphise inani lekhanda onalo.

I-Zolmitriptan iza njengesifutho sokuhogela ngamakhala. Ngokuvamile kusetshenziselwa uphawu lokuqala lwekhanda le-migraine. Uma izimpawu zakho ziba ngcono ngemuva kokusebenzisa i-zolmitriptan kepha ubuya ngemuva kwamahora ama-2 noma ngaphezulu, ungasebenzisa umthamo wesibili we-zolmitriptan. Kodwa-ke, uma izimpawu zakho zingathuthuki ngemuva kokusebenzisa i-zolmitriptan, ungasebenzisi umthamo wesibili ngaphandle kokukhuluma nodokotela wakho. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-zolmitriptan njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Ungasebenzisa umthamo wakho wokuqala we-zolmitriptan nasal spray ehhovisi likadokotela noma kwenye indawo yezokwelapha lapho ungabhekwa khona ukusabela okungathi sína.

Shayela udokotela wakho uma ikhanda lakho lingabi ngcono noma livele kaningi ngemuva kokusebenzisa i-zolmitriptan nasal spray.

Uma usebenzisa i-zolmitriptan kaningi noma isikhathi eside kunesikhathi esinconyiwe, ikhanda lakho lingahle libe libi kakhulu noma lingavela kaningi. Akufanele usebenzise i-zolmitriptan nasal spray noma uthathe noma imuphi omunye umuthi wekhanda izinsuku ezingaphezu kwezingu-10 ngenyanga. Shayela udokotela wakho uma udinga ukusebenzisa i-zolmitriptan nasal spray ukuze uphathe amakhanda angaphezu kwamathathu esikhathini esiyinyanga engu-1.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:

1. Funda yonke imiyalelo yomkhiqizi yokusebenzisa isifutho samakhala ngaphambi kokusebenzisa umthamo wakho wokuqala.
2. Shaya amakhala akho kamnene.
3. Susa ikepisi lokuvikela kwisifutho.
4. Bamba isifutho phakathi kweminwe yakho nesithupha, kodwa qaphela ukuthi ungacindezeli i-plunger.
5. Sebenzisa esinye isandla sakho ukuvimbela ikhala elilodwa ngokucindezela ngokuqinile ohlangothini lwekhala lakho.
6. Faka ichopho lesitshizi ungene kwelinye ikhala lakho kuze kufike lapho uzizwa ukhululekile khona bese ugoba ikhanda lakho emuva kancane. Qaphela ukuthi ungacindezeli i-plunger noma ufafaze umuthi emehlweni akho.
7. Donsa umoya kamnandi ngamakhala akho. Ngasikhathi sinye, cindezela i-plunger ngokuqinile ngesithupha sakho. I-plunger ingazizwa iqina futhi ungezwa ukuchofoza.
8. Gcina ikhanda lakho litshekele emuva kancane bese ususa ichopho emakhaleni akho.
9. Phefumula kahle ngomlomo wakho imizuzwana engu-5-10. Kuyinto evamile ukuzwa uketshezi emakhaleni akho noma ngemuva komphimbo wakho.
10. Isifutho siqukethe kuphela umthamo owodwa wemithi. Ngemuva kokuyisebenzisa, yilahle emgqonyeni kadoti ongafinyeleleki ezinganeni nasezifuyweni.

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

Ngaphambi kokusebenzisa i-zolmitriptan nasal spray,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-zolmitriptan, noma imuphi omunye umuthi, noma yisiphi isithako se-zolmitriptan nasal spray. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• ungasebenzisi isifutho se-zolmitriptan nasal uma uthathe noma imuphi umuthi olandelayo emahoreni angama-24 adlule: amanye ama-agonists e-serotonin receptor anjenge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan ( IMaxalt), noma i-sumatriptan (Imitrex, eTreximet); noma imithi yohlobo lwe-ergot efana ne-bromocriptine (Parlodel), i-cabergoline, i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Hydergine), i-ergonovine (i-Ergotrate), i-ergotamine (iCafergot, i-Ergomar, i-Wigraine), i-methylergonovine (iMethergine) ), kanye negolide (Permax).
• ungasebenzisi isifutho se-zolmitriptan nasal uma uthatha i-monoamine oxidase A (MAO-A) inhibitor efana ne-isocarboxazid (Marplan), phenelzine (Parnate), noma i-tranylcypromine (i-Nardil) noma uma uthathe omunye wale mithi esikhathini esidlule 2 amasonto.
• 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: i-acetaminophen (iTylenol); 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); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-cimetidine (Tagamet); izinto zokuvimbela inzalo ngomlomo (’amaphilisi okulawula inzalo); i-propranolol (Inderal); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax), i-fluvoxamine, i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); kanye ne-serotonin / norepinephrine reuptake inhibitors ekhethiwe (SNRIs) efana ne-desvenlafaxine (Pristiq), i-duloxetine (i-Cymbalta), i-sibutramine (i-Meridia), ne-venlafaxine (i-Effexor). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nesifo senhliziyo noma wake waba naso; isifo senhliziyo; i-angina (ubuhlungu besifuba); ukushaya kwenhliziyo okungajwayelekile; unhlangothi noma 'mini-stroke'; noma izinkinga zokujikeleza ezifana nemithambo ye-varicose, amahlule egazini emilenzeni, isifo sikaRaynaud (izinkinga zokugeleza kwegazi ukuya eminweni, ezinzwaneni, ezindlebeni nasekhaleni), noma isifo sesisu (isifo sohudo esinegazi nobuhlungu besisu obubangelwa ukwehla kokugeleza kwegazi kuye amathumbu). Udokotela wakho angakutshela ukuthi ungasebenzisi i-zolmitriptan nasal spray.
• utshele udokotela wakho uma ubhema noma ukhuluphele ngokweqile; uma uke waba nomfutho ophakeme wegazi, cholesterol ephezulu, isifo sikashukela, noma isibindi noma isifo sezinso; uma usudlulile esikhathini (ukuguquka kwempilo); noma uma kukhona amalungu omndeni anesifo senhliziyo noma sohlangothi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma uhlela ukuya ocansini ngenkathi usebenzisa le mithi, khuluma nodokotela wakho ngezindlela ezisebenzayo zokulawula ukubeletha. Uma ukhulelwa ngenkathi usebenzisa i-zolmitriptan nasal spray, shayela udokotela wakho.
• kufanele wazi ukuthi i-zolmitriptan nasal spray ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khuluma nodokotela wakho ngezimpawu zakho zekhanda ukuze uqiniseke ukuthi zibangelwa yi-migraine. Isifutho sempumulo se-Zolmitriptan akufanele sisetshenziselwe ukwelapha izinhlobo ezithile zekhanda le-migraine (i-hemiplegic noma i-basilar) noma ezinye izinhlobo zekhanda (njengama-cluster headaches).

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

Isifutho sempumulo se-Zolmitriptan singadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhala elibuhlungu noma elicasukile
• isikhumba esibucayi, ikakhulukazi ngasekhaleni
• umlomo owomile
• ukunambitheka okungavamile emlonyeni
• isicanucanu
• ukukhathala
• isiyezi
• ubuthakathaka
• ukuvutha noma ukuzwa ukuzwa

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

• ubuhlungu, ukuqina, ingcindezi, noma isisindo esifubeni, emphinjeni, entanyeni noma emhlathini
• inkulumo ehamba kancane noma enzima
• ukuquleka
• kuqhume umjuluko obandayo
• izinkinga ngombono
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• uhudo olunegazi
• ukuhlanza
• ubuhlungu besisu obungazelelwe noma obukhulu
• ukuncipha okungazelelwe kwesisindo
• ukuphaphatheka noma umbala oluhlaza okwesibhakabhaka weminwe nezinzwane
• ukuphelelwa umoya
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, noma umphimbo
• ukuphefumula kanzima noma ukugwinya
• ukuqubuka
• isifuba
• ukushaqeka
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni

Isifutho sempumulo se-Zolmitriptan singadala 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:

• ukozela ngokweqile

Gcina wonke ama-aphoyintimenti nodokotela wakho. Umfutho wegazi lakho kufanele uhlolwe njalo.

Kufanele ugcine idayari yekhanda ngokubhala phansi uma unekhanda nalapho usebenzisa i-zolmitriptan nasal spray.

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.

• Zomig^® I-Nasal Spray