I-Selegiline Transdermal Patch

-Delile

• Ukuze usebenzise ama-patches, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-transdermal selegiline,
• Ukudluliswa kweselegiline kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Inani elincane lezingane, intsha, kanye nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokudambisa ingcindezi ('mood elevators') efana ne-transdermal selegiline phakathi nezifundo zokwelashwa baba ukuzibulala (becabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukukwenza ngakho). Izingane, intsha, kanye nabantu abadala abasebancane abathatha imishanguzo yokulwisana nokucindezelwa ukwelapha ukudangala noma ezinye izifo zengqondo bangase babe sethubeni lokuzibulala kunezingane, intsha kanye nabantu abadala abangawasebenzisi ama-anti-depressants ukwelapha lezi zimo. Kodwa-ke, ochwepheshe abaqiniseki ngokuthi le ngozi ingakanani nokuthi kufanele icatshangelwe kangakanani ekunqumeni ukuthi ingane noma osemusha kufanele yini athathe i-anti-depressant. Izingane ezingaphansi kweminyaka engu-18 ubudala akufanele zivame ukuthatha i-transdermal selegiline, kepha kwezinye izimo, udokotela anganquma ukuthi i-transdermal selegiline iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-transdermal selegiline noma amanye ama-anti-depressants noma ngabe umdala ngaphezu kweminyaka engama-24. Ungazibulala, ikakhulukazi ekuqaleni kokwelashwa kwakho futhi noma nini lapho umthamo wakho wanda noma kwehle. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukucindezeleka okusha noma okuya kuba kubi; ukucabanga ngokuzilimaza noma ukuzibulala, noma ukuhlela noma ukuzama ukwenza kanjalo; ukukhathazeka ngokweqile; ukuyaluza; ukwethuka; ubunzima bokulala noma ukulala; isimilo esinolaka; ukucasuka; ukwenza ngaphandle kokucabanga; ukungahlaliseki okukhulu; nokuhlanya okungajwayelekile. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukushayela udokotela lapho ungakwazi ukufuna ukwelashwa ngokwakho.

Umhlinzeki wakho wezokunakekelwa kwempilo uzofuna ukukubona kaningi ngenkathi uthatha i-transdermal selegiline, ikakhulukazi ekuqaleni kokwelashwa kwakho. Qiniseka ukuthi ugcina wonke ama-aphoyintimenti wokuvakashelwa ehhovisi nodokotela wakho.

Udokotela noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-transdermal selegiline. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungathola futhi i-Medication Guide kuwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Kungakhathaliseki ukuthi uneminyaka emingaki, ngaphambi kokuba uthathe i-anti-depressant, wena, umzali wakho, noma umnakekeli wakho kufanele ukhulume nodokotela wakho ngezingozi nezinzuzo zokwelapha isimo sakho nge-anti-depressant noma ngezinye izindlela zokwelapha. Kufanele futhi ukhulume ngobungozi nezinzuzo zokungaselaphi isimo sakho. Kufanele wazi ukuthi ukuba nokudangala noma esinye isifo sengqondo kusandisa kakhulu ingozi yokuthi uzozibulala. Le ngozi ingaphezulu uma wena noma omunye emndenini wakho unenkinga yokuphazamiseka kwengqondo okuguquguqukayo (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile) noma imania (edidekile, ejabule ngokweqile) noma uke wacabanga noma wazama ukuzibulala. Khuluma nodokotela wakho ngesimo sakho, izimpawu zakho, nomlando wakho wezempilo nowomndeni. Wena nodokotela wakho niyonquma ukuthi hlobo luni lwezokwelapha olulungele nina.

I-transdermal selegiline isetshenziselwa ukwelapha ukucindezeleka. USelegiline usesigabeni semithi ebizwa nge-monoamine oxidase (MAO) inhibitors. Isebenza ngokwandisa inani lezinto ezithile zemvelo ezidingekayo ukugcina ukulinganisela kwengqondo.

I-selegiline yeTransdermal iza njengesiqeshana esizosebenza esikhumbeni. Imvamisa isetshenziswa kanye ngosuku futhi ishiywe endaweni amahora angama-24. Susa isichibi sakho esidala se-selegiline bese usebenzisa isichibi esisha ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa transdermal selegiline njengoba nje kuqondisiwe. Ungasebenzisi amabala amaningi noma usebenzise amabala kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-transdermal selegiline futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa njalo emavikini ama-2.

I-Transdermal selegiline ilawula ukudangala kepha ayikulapheki. Isimo sakho singaqala ukuthuthuka ngemuva kokusebenzisa i-transdermal selegiline isonto elilodwa noma ngaphezulu. Kodwa-ke, kufanele uqhubeke nokusebenzisa i-transdermal selegiline noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa i-transdermal selegiline ngaphandle kokukhuluma nodokotela wakho.

Faka ama-patches e-selegiline ukoma, isikhumba esibushelelezi noma kuphi esifubeni sakho, emhlane (phakathi kwentamo nangokhalweni lwakho), ethangeni lakho eliphezulu, noma engxenyeni engaphandle yengalo yakho ephezulu. Khetha indawo lapho isichibi singeke sigcotshwe ngezingubo eziqinile. Ungafaki ama-selegiline patches esikhunjeni esinoboya, esinamafutha, esicasukile, esiphukile, esinesibazi noma esingenazinwele.

Ngemuva kokufaka isichibi se-selegiline, kufanele usigqoke ngaso sonke isikhathi uze ulungele ukusisusa bese ufaka isichibi esisha. Uma isichibi sithukulula noma siwa ngaphambi kokuba kufike isikhathi sokusifaka esikhundleni saso, zama ukusicindezela sibuyele endaweni yaso ngeminwe yakho. Uma i-patch ingenakucindezelwa emuva, ilahle bese ufaka i-patch entsha endaweni ehlukile. Faka esikhundleni se-patch entsha ngesikhathi sakho esihleliwe sokushintsha isichibi.

Musa ukusika ama-selegiline patches.

Ngenkathi ugqoke isichibi se-selegiline, vikela isichibi ekushiseni okuqondile okufana namaphakethe wokushisa, izingubo zokulala zikagesi, amalambu okushisa, ama-sauna, ubhavu oshisayo nemibhede yamanzi efudumele. Musa ukuveza isichibi ekukhanyeni kwelanga isikhathi eside kakhulu.

Ukuze usebenzise ama-patches, landela lezi zinyathelo:

1. Khetha indawo lapho uzosebenzisa khona isichibi. Geza indawo ngensipho namanzi afudumele. Hlanza yonke insipho bese uyomisa indawo ngethawula elihlanzekile.
2. Vula isikhwama sokuvikela bese ususa isichibi.
3. Khipha isiqeshana sokuqala se-liner ohlangothini olunamathelayo lwe-patch. Umugqa wesibili we-liner kufanele uhlale unamathele esiqeshini.
4. Cindezela i-patch ngokuqinile esikhunjeni sakho ngohlangothi olunamathele phansi. Qaphela ukuthi ungathinti uhlangothi olunamathelayo ngeminwe yakho.
5. Susa umucu wesibili we-liner evikelayo bese ucindezela lonke uhlangothi olunamathelayo lwe-patch ngokuqinile esikhunjeni sakho. Qiniseka ukuthi isichibi sicindezelwa sibheke esikhunjeni ngaphandle kwamaqhuqhuva noma amafolda nokuthi sinamathele ngokuqinile.
6. Geza izandla zakho ngensipho namanzi ukuze ususe noma imuphi umuthi okungenzeka ukuthi wawutholile. Ungathinti amehlo akho uze ugeze izandla zakho.
7. Ngemuva kwamahora angama-24, khipha isichibi kancane futhi ngobumnene. Songa isichibi ngesigamu ngezinhlangothi ezinamathelayo ndawonye bese usilahla ngokuphepha, ukuze lokho kungafinyeleleki ezinganeni nasezifuyweni. Izingane nezilwane ezifuywayo zingalimala uma zihlafuna, zidlala noma zigqoka amachashazi asetshenzisiwe.
8. Geza indawo ebingaphansi kwesiqeshana ngensipho encane namanzi afudumele ukuze ususe noma yiziphi izinsalela. Uma kunesidingo, ungasebenzisa uwoyela wengane noma iphedi yokususa ingcina yezokwelapha ukususa izinsalela ezingeke ziphume nensipho namanzi. Ungasebenzisi utshwala, isikhuphuli se-nail polish, noma amanye ama-solvent.
9. Faka isichibi esisha endaweni ehlukile ngokushesha ngokulandela izinyathelo 1 kuye ku-6.

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

Ngaphambi kokusebenzisa i-transdermal selegiline,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane leselegiline noma yimuphi omunye umuthi.
• Tshela udokotela wakho uma uthatha, usanda kuthatha, noma uhlela ukuthatha noma yimiphi imithi elandelayo kadokotela kanye nemithi engeyona kadokotela, imikhiqizo yamakhambi, noma izithasiselo zokudla okunempilo: ama-amphetamines (okuvuselela, 'okuphezulu') njenge-amphetamine (e-Adderall), i-benzphetamine (Didrex), i-dextroamphetamine (i-Dexedrine, i-Dextrostat, e-Adderall), ne-methamphetamine (i-Desoxyn); imishanguzo efana ne-amitriptyline (i-Elavil) ne-imipramine (i-Tofranil); i-buproprion (iWellbutrin, iZyban); ibuspirone (BuSpar); carbamazepine (Tegretol); i-cyclobenzaprine (Flexeril); i-dextromethorphan (iRobitussin); imithi yokukhwehlela nezimpawu ezibandayo noma yokwehlisa isisindo; i-meperidine (i-Demerol); i-methadone (i-Dolophine); i-mirtazapine (i-Remeron); amanye ama-inhibitors e-monoamine oxidase afana ne-isocarboxazid (Marplan), phenelzine (Nardil), i-selegiline yomlomo (i-Eldepryl, i-Zelapar), ne-tranylcypromine (i-Parnate); oxcarbazepine (Trileptal); i-pentazocine (iTalwin); i-propoxyphene (iDarvon); i-serotonin reuptake inhibitors ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); i-serotonin ne-norepinephrine reuptake inhibitors (SSNRIs) ekhethiwe njenge-duloxetine (Cymbalta) ne-venlafaxine (Effexor); ISt John's wort; i-tramadol (i-Ultram, ku-Ultracet); nama-tyramine supplements. Udokotela wakho angakutshela ukuthi ungasebenzisi i-transdermal selegiline kuze kudlule isonto elilodwa noma ngaphezulu selokhu wagcina ukuthatha omunye wale mithi. Uma uyeka ukusebenzisa i-transdermal selegiline, udokotela wakho uzokutshela ukuthi ungathathi noma iyiphi yale mithi kuze kudlule okungenani amasonto amabili selokhu uyekile ukusebenzisa i-transdermal selegiline.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela noma ongayinikiwe kanye namavithamini owathathayo noma ohlela ukuwathatha. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• kufanele wazi ukuthi i-selegiline ingahlala emzimbeni wakho amasonto ambalwa ngemuva kokuyeka ukusebenzisa umuthi. Emasontweni ambalwa okuqala ngemuva kokuphela kokwelashwa kwakho, tshela udokotela kanye nosokhemisi ukuthi usanda kuyeka ukusebenzisa i-selegiline ngaphambi kokuba uqale ukusebenzisa noma yimiphi imithi emisha.
• Tshela udokotela wakho uma uke waba ne-pheochromocytoma (isimila esiswini sendlala encane eduze kwezinso). Udokotela wakho angakutshela ukuthi akufanele usebenzise i-transdermal selegiline.
• utshele udokotela wakho uma uvame ukuba nesiyezi noma ukuquleka futhi uma uke wahlaselwa yisifo senhliziyo, noma wahlaselwa isifo senhliziyo.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-transdermal selegiline, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-transdermal selegiline
• kufanele wazi ukuthi i-transdermal selegiline ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi usebenzisa i-transdermal selegiline.
• kufanele wazi ukuthi i-transdermal selegiline ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukusebenzisa i-transdermal selegiline. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Ungadinga ukulandela ukudla okukhethekile ngesikhathi sokwelashwa kwakho nge-transdermal selegiline. Lokhu kuya ngamandla wezimagqabhagqabha ozisebenzisayo. Uma usebenzisa isichibi sehora esingu-6 mg / 24, ungaqhubeka nokudla okujwayelekile.

Uma usebenzisa isichibi sehora esingu-9 mg / 24 noma isichibi sehora esingu-12 mg / 24, ungahle uzwe ukusabela okungathi sína uma udla ukudla okune-tyramine eningi ngesikhathi sokwelashwa kwakho. I-Tyramine itholakala ekudleni okuningi, kufaka phakathi inyama, izinkukhu, inhlanzi, noma ushizi oshunqisiwe, osugugile, ogcinwe ngendlela engafanele noma okonakele; izithelo ezithile, imifino, nobhontshisi; iziphuzo ezidakayo; nemikhiqizo yemvubelo ebilile. Udokotela wakho noma isazi sokudla uzokutshela ukuthi yikuphi ukudla okufanele ukugweme ngokuphelele, nokuthi yikuphi ukudla ongakudla ngamanani amancane. Landela lezi zinkomba ngokucophelela. Buza udokotela wakho noma udokotela wezokudla uma unemibuzo mayelana nokuthi yini ongayidla nokuphuza ngesikhathi sokwelashwa kwakho.

Uma ukhohlwa ukushintsha isichibi sakho ngemuva kwamahora angama-24, susa isichibi esidala, faka isichibi esisha ngokushesha nje lapho ukhumbula bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungafaki isichibi esithe xaxa ukwenzela umthamo ophuthelwe.

Ukudluliswa kweselegiline kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ububomvu bendawo lapho ufake khona isichibi
• isifo sohudo
• isilungulela
• umlomo owomile
• ukuncipha komzimba
• ukuqubuka

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ikhanda elibi kakhulu
• ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okushaya ngamandla
• ubuhlungu besifuba
• intamo eqinile noma ebuhlungu
• isicanucanu
• ukuhlanza
• ukujuluka
• ukudideka
• abafundi abakhulisiwe (imibuthano emnyama phakathi kwamehlo)
• ukuzwela kwamehlo ekukhanyeni

Ukudluliswa kweselegiline kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Gcina iziqeshana ezikhwameni zabo zokuzivikela futhi ungavuli isikhwama uze ulungele ukufaka isichibi.

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:

• ukozela
• isiyezi
• ukuquleka
• ukucasuka
• ukukhathazeka ngokweqile
• ukuyaluza
• ikhanda elibi kakhulu
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukuqina komhlathi
• ukuqina nokugoqa komhlane
• isithuthwane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• ishayela okusheshayo nokungajwayelekile
• ubuhlungu besifuba
• ukuphefumula kancane
• ukujuluka
• imfiva
• kubanda, isikhumba se-clammy

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.

• Emsam^®