I-Paliperidone
-Delile
- Ngaphambi kokuthatha i-paliperidone,
- I-Paliperidone 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 ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
- Izimpawu zokudlula ngokweqile zingafaka:
Ucwaningo lukhombisile ukuthi abantu abadala asebekhulile abanenkinga yokuwohloka komqondo (ukuphazamiseka kobuchopho okuthinta ikhono lokukhumbula, ukucabanga kahle, ukuxhumana, nokwenza imisebenzi yansuku zonke futhi kungadala ushintsho esimweni sengqondo nobuntu) abathatha ama-antipsychotic (imithi yokugula kwengqondo) njenge-paliperidone ingozi eyengeziwe yokufa ngesikhathi sokwelashwa. Abantu abadala asebekhulile abanenkinga yokuwohloka komqondo bangaba nethuba elikhulu lokuba nesifo sohlangothi noma i-ministroke ngesikhathi sokwelashwa.
I-Paliperidone ayivunyelwe yi-Food and Drug Administration (FDA) ekwelapheni izinkinga zokuziphatha kubantu abadala asebekhulile abane-dementia. Khuluma nodokotela onikeze lo muthi, uma wena, ilungu lomndeni, noma omunye umuntu omnakekelayo enesifo sengqondo sokuphazamiseka ngokomqondo futhi ethatha i-paliperidone. Ngeminye imininingwane, vakashela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs
I-Paliperidone isetshenziselwa ukwelapha izimpawu ze-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisayo noma okungajwayelekile, ukuphelelwa yintshisekelo empilweni, kanye nemizwelo eqinile noma engafanele). I-Paliperidone isekilasini lemithi ebizwa ngama-antipyychotic atypical. Isebenza ngokushintsha ukusebenza kwezinto ezithile zemvelo ebuchosheni.
IPaliperidone iza njengethebhulethi ekhishwe isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku ekuseni noma ngaphandle kokudla. Thatha i-paliperidone ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-paliperidone njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Gwinya wonke amaphilisi ngamanzi amaningi noma olunye uketshezi. Ungahlukanisi, uhlafune, noma uchoboze amaphilisi. Tshela udokotela wakho uma ungakwazi ukugwinya amaphilisi. Udokotela wakho mhlawumbe uzokunikeza omunye umuthi wokwelapha isimo sakho.
Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngesikhathi sokwelashwa kwakho. Uma izimpawu zakho zisakhathaza, udokotela wakho angakhuphula kancane umthamo wakho, hhayi kaningi kaningi ezinsukwini ezi-5.
I-Paliperidone ilawula izimpawu ze-schizophrenia kepha ayisiqedi lesi simo. Qhubeka uthathe i-paliperidone noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-paliperidone ngaphandle kokukhuluma nodokotela wakho.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-paliperidone,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-paliperidone, i-risperidone (i-Risperdal), noma eminye imithi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imishanguzo; ama-antibiotic athile afana ne-erythromycin (E.E.S., E-Mycin, Erythrocin), gatifloxacin (Tequin) (ayitholakali e-United States), moxifloxacin (Avelox), ne-sparfloxacin (Zagam); ama-antipsychotic afana ne-chlopromazine (Sonazine, Thorazine), pimozide (Orap), risperidone (Risperdal) kanye ne-thioridazine; i-cisapride (i-Propulsid); levodopa (eSinemet, eStalevo); imishanguzo yokukhathazeka, umfutho wegazi ophakeme, noma ukuquleka; imithi yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone), i-disopyramide (i-Norpace), i-dofetilide (iTikosyn); i-procainamide (i-Procanbid, i-Pronestyl), i-quinidine (i-Quinidex), ne-sotalol (i-Betapace, i-Betapace AF); isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- utshele udokotela wakho uma uke waba nesikhathi esilinganiselwe se-QT (inkinga yenhliziyo engajwayelekile engadala ukuquleka noma ukushaya kwenhliziyo okungajwayelekile); ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile; isifo senhliziyo; amazinga aphansi we-potassium noma i-magnesium egazini lakho; ukuquleka; unenkinga yokugcina ibhalansi yakho; isifo sohlangothi; ukulimala ekhanda; isimila ebuchosheni; Isifo sikaParkinson (ukuphazamiseka kwesistimu yezinzwa okubangela ubunzima ngokunyakaza, ukulawula imisipha, nokulinganisela); isifo sikashukela; umdlavuza webele; ukuhlinzwa okubandakanya amathumbu; noma isiphi isimo esidala ukuvinjelwa noma ukuncipha kwe-esophagus (ithubhu exhuma umlomo nesisu), isisu, noma amathumbu afana ne-cystic fibrosis (isifo esizalwa naso esidala izinkinga ngokuphefumula, ukugaya ukudla, nokuzala), kanye nesifo samathumbu esivuthayo (IBD ; iqembu lezimo ezibangela ukuvuvukala kolwelwesi lwamathumbu); nesifo sezinso, senhliziyo, noma sesibindi. Tshela nodokotela wakho uma uphuza noma wake waphuza utshwala obuningi futhi uma usebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqweni noma usebenzise ngokweqile imithi kadokotela. Tshela udokotela wakho uma ngabe kuye kwadingeka uyeke ukuthatha umuthi wokugula ngengqondo ngenxa yemiphumela emibi kakhulu.
- Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-paliperidone, shayela udokotela wakho. I-Paliperidone ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-paliperidone.
- kufanele wazi ukuthi i-paliperidone ingakwenza ukozele futhi ingadala ubunzima ngokucabanga nokunyakaza. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
- kufanele wazi ukuthi utshwala bungangezela ukozela okubangelwa yi-paliperidone. Ungaphuzi iziphuzo ezidakayo ngenkathi uthatha lo muthi.
- kufanele wazi ukuthi ungathola i-hyperglycemia (iyanda kushukela wakho wegazi) ngenkathi uthatha lo muthi, noma ngabe awunaso vele isifo sikashukela. Uma une-schizophrenia, ungahle ube nesifo sikashukela kunabantu abangenayo i-schizophrenia, futhi ukuthatha i-paliperidone noma imishanguzo efanayo kungandisa le ngozi. Tshela udokotela wakho ngokushesha uma unezinye zalezi zimpawu ezilandelayo ngenkathi uthatha i-paliperidone: ukoma ngokweqile, ukuchama kaningi, ukulamba ngokweqile, ukungaboni kahle, noma ubuthakathaka. Kubaluleke kakhulu ukubiza udokotela wakho ngokushesha uma unezinye zalezi zimpawu, ngoba ushukela ophakeme wegazi ungadala izimpawu ezimbi kakhulu, njengomlomo owomile, isicanucanu nokuhlanza, ukuphefumula, ukuphefumula okunuka isithelo, noma ukuncipha kokuqonda, futhi ingasongela impilo uma ingelashwa kusenesikhathi.
- kufanele wazi ukuthi i-paliperidone ingenza kube nzima ukuthi umzimba wakho uphole lapho kushisa kakhulu. Tshela udokotela wakho uma uhlela ukuzivocavoca umzimba noma ukuvezwa ukushisa okukhulu.
- kufanele wazi ukuthi i-paliperidone ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-paliperidone noma lapho umthamo wakho wanda. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
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-Paliperidone ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isiyezi, ukuzizwa ungagxilile, noma unenkinga yokugcina ibhalansi yakho
- ukukhathala ngokweqile
- ubuthakathaka
- ikhanda
- umlomo owomile
- ukwanda kwamathe
- ukuzuza kwesisindo
- ubuhlungu besisu
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
- imfiva
- ubuhlungu bemisipha noma ukuqina
- ukuwa
- ukudideka
- ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
- ukujuluka
- ukunyakaza okungajwayelekile kobuso bakho noma komzimba ongeke ukwazi ukukulawula
- ukunyakaza okuhamba kancane noma okuqinile
- ukungahlaliseki
- ukwakhiwa okubuhlungu kwenduku okuhlala amahora
I-Paliperidone ingadala 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).
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:
- ukunyakaza okungajwayelekile kobuso bakho noma komzimba ongeke ukwazi ukukulawula
- ukunyakaza okuhamba kancane noma okuqinile
- ukungahlaliseki
- ukungazinzi
- ukozela
- ukushaya kwenhliziyo okusheshayo
Gcina wonke ama-aphoyintimenti nodokotela wakho.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Ungaqaphela okuthile okubukeka njengethebhulethi kusitulo sakho. Leli igobolondo lethebulethi elingenalutho futhi akusho ukuthi awutholanga umthamo wakho ophelele wemithi.
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.
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