I-Varenicline

-Delile

• Kunezindlela ezi-3 ongathatha ngazo i-varenicline ukukusiza uyeke ukubhema.
• Ngaphambi kokuthatha i-varenicline,
• I-Varenicline ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezisohlwini lwezigaba EZIKHETHEKILE, yeka ukuthatha i-varenicline bese ushayela udokotela wakho noma uthole usizo lwezokwelapha ngokushesha:

IVarenicline isetshenziswa kanye nemfundo nokwelulekwa ukusiza abantu bayeke ukubhema. UVarenicline usesigabeni semithi ebizwa ngokuthi izinsiza zokuyeka ukubhema. Isebenza ngokuvimba imiphumela emnandi ye-nicotine (ekubhemeni) ebuchosheni.

IVarenicline iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kanye ngosuku ekuqaleni bese kuthi kabili ngosuku ekuseni nakusihlwa. Thatha i-varenicline ngengilazi egcwele yamanzi (ama-ounces ayi-8 (240 mL) ngemuva kokudla. Thatha i-varenicline cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-varenicline njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-varenicline futhi akhuphule kancane umthamo wakho ngesonto lokuqala lokwelashwa.

Kunezindlela ezi-3 ongathatha ngazo i-varenicline ukukusiza uyeke ukubhema.

• Ungasetha usuku lokuyeka ukuyeka ukubhema bese uqala ukuthatha i-varenicline isonto eli-1 ngaphambi kwalolo suku. Ungaqhubeka nokubhema kuleli sonto lokuqala lokwelashwa kwe-varenicline, kodwa qiniseka ukuthi uzama ukuyeka ukubhema ngosuku lokuyeka olukhethile.
• Ungaqala ukuthatha i-varenicline bese uyeka ukubhema phakathi kwezinsuku eziyi-8 nezingama-35 ngemuva kokuqala ukwelashwa nge-varenicline.
• Uma ungaqiniseki ukuthi uyakwazi yini noma uma ungafuni ukuyeka ukubhema ngokuzumayo, ungaqala ukuthatha i-varenicline bese uyeka ukubhema kancane emasontweni ayi-12 ekwelashwa. Emasontweni 1-4, kufanele uzame ukubhema uhhafu wenamba yakho ejwayelekile kagwayi usuku ngalunye. Emavikini 5-8, kufanele uzame ukubhema ikota elilodwa kuphela lenombolo yakho yansuku zonke kagwayi. Kwaphela amasonto 9-12, kufanele uqhubeke nokuzama ukubhema osikilidi abambalwa usuku ngalunye uze ungabe usabhema nhlobo. Lwela ukuyeka ngokuphelele ekupheleni kwamasonto angu-12 noma ngokushesha uma uzizwa usukulungele.

Kungathatha amasonto ambalwa ukuthi uzizwe ngokugcwele nge-varenicline. Ungashelela futhi ubheme ngesikhathi sokwelashwa kwakho. Uma lokhu kwenzeka, usengakwazi ukuyeka ukubhema. Qhubeka uthathe i-varenicline futhi uzame ukungabhemi.

Mhlawumbe uzothatha i-varenicline amasonto ayi-12. Uma uyeke ngokuphelele ukubhema ekupheleni kwamasonto ayi-12, udokotela wakho angakutshela ukuthi uthathe i-varenicline amanye amasonto ayi-12. Lokhu kungakusiza ukuthi ungabhemi futhi.

Uma ungazange uyeke ukubhema ekupheleni kwamasonto e-12, khuluma nodokotela wakho. Udokotela wakho angazama ukukusiza uqonde ukuthi kungani ungakwazanga ukuyeka ukubhema futhi wenze izinhlelo zokuzama ukuyeka futhi.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yeziguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-varenicline 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/downloads/Drugs/DrugSafety/ucm088569.pdf) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

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

Ngaphambi kokuthatha i-varenicline,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-varenicline noma eminye imithi.
• 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 ikuphi kokulandelayo: ama-anticoagulants (’’ ama-thinner egazi ’’) afana ne-warfarin (Coumadin, Jantoven); i-insulini; eminye imishanguzo yokukusiza uyeke ukubhema njenge-bupropion (i-Aplenzin, i-Forfivo, i-Wellbutrin, i-Zyban, ku-Contrave) ne-nicotine gum, i-inhaler, i-lozenges, i-nasal spray, noma amabala wesikhumba; kanye ne-theophylline (Elixophyllin, Theo-24, Theocron). Udokotela wakho angadinga ukushintsha imithamo yeminye yemithi yakho uma uyeka ukubhema.
• utshele udokotela wakho ukuthi wake waba nezimpawu zokuhoxa lapho uzama ukuyeka ukubhema esikhathini esedlule nokuthi ngabe uke wahlaselwa yisifo sokuwa noma wake wawa yini; noma inhliziyo, umthambo wegazi, noma isifo sezinso
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-varenicline, shayela udokotela wakho. Uma uncelisa ngenkathi uthatha i-varenicline, bukela ingane yakho ngokucophelela ukuthola isithuthwane, bese uhlanza noma uphalaze kaningi njengokujwayelekile. Shayela udokotela wakho ngokushesha uma ingane yakho ihlangabezana nalezi zimpawu.
• kufanele wazi ukuthi i-varenicline ingakwenza ukozele, ube nesiyezi, ulahlekelwe ukwazi, noma ube nobunzima bokugxila. Kuke kwaba nemibiko yezingozi zomgwaqo, izingozi eziseduze, nezinye izinhlobo zokulimala kubantu abathatha i-varenicline. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi abanye abantu babe nezinguquko ekuziphatheni, ubutha, ukucasuka, imizwa yokudangala, nemicabango yokuzibulala (ukucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-varenicline. Indima ye-varenicline ekubangeleni lezi zinguquko zemizwelo ayicaci ngoba abantu abayeke ukubhema noma ngaphandle kwemithi bangahlangabezana nezinguquko empilweni yabo yengqondo ngenxa yokuhoxa kwe-nicotine. Kodwa-ke, ezinye zalezi zimpawu zivele kubantu abathatha i-varenicline baqhubeka nokubhema. Abanye abantu babenalezi zimpawu lapho beqala ukuthatha i-varenicline, kanti abanye bazikhulisa ngemuva kwamasonto ambalwa okwelashwa noma ngemuva kokumisa i-varenicline. Lezi zimpawu zivele kubantu abangenawo umlando wokugula ngengqondo futhi ziye zaba zimbi kubantu asebevele benesifo sengqondo. Tshela udokotela wakho uma uke waba nokudangala, noma i-bipolar disorder (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile), i-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisayo noma okungavamile, ukulahlekelwa intshisekelo empilweni, nemizwelo enamandla noma engafanele), noma ezinye izifo zengqondo. Uma uhlangabezana nalezi zimpawu ezilandelayo, yeka ukuthatha i-varenicline bese ushayela udokotela wakho ngokushesha: imicabango yokuzibulala noma izenzo; ukucindezeleka okusha noma okuya kuba kubi, ukukhathazeka, noma ukwethuka; ukuyaluza; ukungahlaliseki; ukuziphatha okuthukuthele noma okunodlame; ukwenza ngendlela eyingozi; i-mania (i-frenzied, imood ejabule ngokweqile noma ukukhuluma); imicabango engajwayelekile noma imizwa; ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho); ukuzwa ukuthi abantu bayaphikisana nawe; ukuzizwa udidekile; noma olunye ushintsho olungazelelwe noma olungajwayelekile ekuziphatheni, ekucabangeni, noma esimweni sengqondo. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa. Udokotela wakho uzokuqapha eduze kuze kube yilapho izimpawu zakho ziba ngcono.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-varenicline. I-Varenicline ingakhuphula imiphumela yotshwala,
• cela iseluleko kudokotela wakho nemininingwane ebhaliwe ukukusiza uyeke ukubhema. Kungenzeka ukuthi uyeke ukubhema ngesikhathi sokwelashwa kwakho nge-varenicline uma uthola ulwazi nokusekelwa kudokotela wakho.

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.

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

• isicanucanu
• ukuqunjelwa
• isifo sohudo
• igesi
• ubuhlungu besisu
• ukuhlanza
• isilungulela
• ukunambitheka okubi emlonyeni
• umlomo owomile
• ukwanda noma ukuncipha kwesifiso sokudla
• ubuhlungu bamazinyo
• unenkinga yokulala noma ukuhlala ulele
• amaphupho angavamile noma amaphupho amabi
• ikhanda
• ukungabi namandla
• iqolo, ukuhlangana, noma ubuhlungu bemisipha
• imijikelezo yokuya esikhathini engajwayelekile

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezisohlwini lwezigaba EZIKHETHEKILE, yeka ukuthatha i-varenicline bese ushayela udokotela wakho noma uthole usizo lwezokwelapha ngokushesha:

• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, izinsini, amehlo, intamo, izandla, izingalo, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ubunzima bokugwinya noma ukuphefumula
• ukuqubuka
• isikhumba esivuvukile, esibomvu, esixobukayo noma esishayayo
• amabhamuza emlonyeni
• ubuhlungu, ukukhama, noma ukucindezela esifubeni
• ubuhlungu noma ukungahambi kahle engalweni eyodwa noma zombili, emuva, entanyeni, emhlathini, noma esiswini
• ukuphelelwa umoya
• ukujuluka
• isicanucanu, ukuhlanza, noma ikhanda elikhanyayo ngobuhlungu besifuba
• inkulumo ehamba kancane noma enzima
• ubuthakathaka obungazelelwe noma ukuba ndikindiki kwengalo noma umlenze, ikakhulukazi ohlangothini olulodwa lomzimba
• ubuhlungu bethole ngenkathi uhamba
• isithuthwane
• ukulala

Ezifundweni zomtholampilo, abantu abathathe i-varenicline babenamathuba amaningi okuhlaselwa yisifo senhliziyo, isifo sohlangothi, noma ezinye izinkinga ezinkulu ngenhliziyo noma ngemithambo yegazi kunabantu abangawutholanga lo muthi. Kodwa-ke, abantu ababhemayo banengozi enkulu yokuthola lezi zinkinga. Khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-varenicline, ikakhulukazi uma uke waba nesifo senhliziyo noma somthambo wegazi.

I-Varenicline 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-Chantix^®