Umlobi: Clyde Lopez
Usuku Lokudalwa: 18 Ujulayi 2021
Ukuvuselela Usuku: 19 Unovemba 2024
Anonim
Vyvanse® (lisdexamfetamine dimesylate) for ADHD Mechanism Of Delivery
Ividiyo: Vyvanse® (lisdexamfetamine dimesylate) for ADHD Mechanism Of Delivery

-Delile

I-Lisdexamfetamine ingahle ibe ngumkhuba.Ungathathi umthamo omkhulu, wuthathe kaningi, uwuthathe isikhathi eside, noma uwuthathe ngendlela ehlukile kunaleyo ebekwe ngudokotela wakho. Uma uthatha i-lisdexamfetamine eningi kakhulu, ungazizwa unesidingo sokuqhubeka nokuphuza inani elikhulu lomuthi, futhi ungathola izimpawu ezifana nezinguquko ezingavamile ekuziphatheni kwakho. Wena noma umnakekeli wakho kufanele utshele udokotela wakho ngokushesha, uma uhlangabezana nalezi zimpawu ezilandelayo: ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile; ukujuluka; abafundi abahluziwe; imizwa ejabule ngokungavamile; ukucasuka; ukungahlaliseki; ubunzima bokulala noma ukulala; ubutha; ulaka; ukukhathazeka; ukulahlekelwa ukudla; ukulahleka kokuxhumanisa; ukunyakaza okungalawuleki kwengxenye yomzimba; isikhumba esikhanyayo; ukuhlanza; ubuhlungu besisu; noma ukucabanga ngokuzilimaza noma ukuzibulala noma ukubulala abanye noma ukuhlela noma ukuzama ukwenza kanjalo. Ukusebenzisa kabi i-lisdexamfetamine nakho kungadala ukufa okungazelelwe noma izinkinga ezinkulu zenhliziyo, njengokuhlaselwa yinhliziyo noma isifo sohlangothi.

Tshela udokotela wakho uma wena noma omunye emndenini wakho uphuza noma uke waphuza utshwala obuningi, usebenzisa noma uke wasebenzisa izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imithi kadokotela. Udokotela wakho ngeke akunikeze i-lisdexamfetamine.


Ungayeki ngokungazelelwe ukuthatha i-lisdexamfetamine ngaphandle kokukhuluma nodokotela wakho, ikakhulukazi uma usebenzise ngokweqile umuthi. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane futhi akubheke ngokucophelela ngalesi sikhathi. Ungahle ube nokudangala okukhulu nokukhathala ngokweqile uma ngokungazelelwe uyeka ukuthatha i-lisdexamfetamine ngemuva kokuyisebenzisa ngokweqile.

Ungathengisi, uphisane, noma uvumele noma ngubani omunye umuntu ukuthi athathe imithi yakho. Ukuthengisa noma ukunikeza i-lisdexamfetamine kungalimaza abanye futhi kuphambene nomthetho. Gcina i-lisdexamfetamine endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngengozi noma ngenhloso. Gcina umbhalo walokho ukuthi mangaki amaphilisi asele ukuze wazi ukuthi akhona yini alahlekile.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-lisdexamfetamine futhi isikhathi ngasinye lapho uthola imishanguzo eminingi. 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/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.


I-Lisdexamfetamine isetshenziswa njengengxenye yohlelo lokwelashwa ukulawula izimpawu zokwehluleka kokunaka ukungasebenzi (i-ADHD; ubunzima bokugxila, ukulawula izenzo, nokuhlala uthule noma uthule ukwedlula abanye abantu abalingana nobudala) kubantu abadala nezingane. I-Lisdexamfetamine isetshenziselwa ukwelapha ukuphazamiseka kokudla ngokweqile (ukuphazamiseka kokudla okubonakala ngezikhathi zokudla ngokweqile okungalawulwa). ILisdexamfetamine isekilasini lemithi ebizwa ngokuthi izikhuthazi zesistimu yezinzwa emaphakathi. Isebenza ngokushintsha inani lezinto ezithile zemvelo ebuchosheni.

ILisdexamfetamine iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku ekuseni noma ngaphandle kokudla. Thatha i-lisdexamfetamine ngasikhathi sinye nsuku zonke. Ungathathi i-lisdexamfetamine ntambama noma kusihlwa ngoba kungadala ubunzima bokulala noma ukulala. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-lisdexamfetamine njengoba nje kuqondisiwe.


Ungase ugwinye i-capsule yonke, noma ungavula i-capsule, ufafaze konke okuqukethwe ku-yogurt, ingilazi yamanzi, noma ijusi le-orange. Hlanganisa ukuncibilikisa futhi ugwinye ingxube ngaso leso sikhathi. Ungayigcini le ngxube ukuze uyisebenzise esikhathini esizayo, futhi ungahlukanisi okuqukethwe iphilisi elilodwa kumthamo ongaphezu kowodwa.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-lisdexamfetamine futhi akhuphule umthamo wakho kancane kancane, hhayi kaningi ngesonto. Udokotela wakho anganciphisa umthamo wakho uma uhlangabezana nemiphumela engemihle.

Udokotela wakho angakutshela ukuthi uyeke ukuthatha i-lisdexamfetamine ngezikhathi ezithile ukubona ukuthi umuthi usadingeka yini. Landela lezi zinkomba ngokucophelela.

I-Lisdexamfetamine akufanele isetshenziselwe ukunciphisa isisindo kubantu abakhuluphele noma abakhuluphele ngokweqile.

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

Ngaphambi kokuthatha i-lisdexamfetamine,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-lisdexamfetamine; eminye imithi evuselelayo efana ne-amphetamine (e-Adderall), i-benzphetamine (i-Didrex), i-dextroamphetamine (e-Adderall, i-Dexedrine, i-Dextrostat), i-methamphetamine (i-Desoxyn); noma imuphi omunye umuthi, noma iziphi izithako kuma-lisdexamfetamine capsules. Buza udokotela wakho noma usokhemisi noma uhlole imininingwane yomkhiqizi ukuthola uhlu lwezithako.
  • Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuthatha omunye wale mithi emasontweni amabili edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-lisdexamfetamine kuze kudlule okungenani izinsuku eziyi-14 selokhu wagcina ukuthatha i-MAO inhibitor.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetazolamide (Diamox), i-ascorbic acid (i-Vitamin C), eminye imishanguzo ye-ADHD, i-sodium bicarbonate (i-Arm ne-Hammer Baking Soda, i-Soda Mint), ne-sodium phosphate (i-OsmoPrep, i-Visicol). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-lisdexamfetamine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imishanguzo oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
  • utshele udokotela wakho ukuthi ngabe kukhona yini emndenini wakho owake washaywa yinhliziyo ngokungafanele noma oshone ngokuzumayo. Phinda utshele udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo futhi uma uke waba nenkinga yenhliziyo noma unomfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, ukuqina kwemithambo yegazi, noma ezinye izinkinga zenhliziyo. Udokotela wakho uzokuhlola ukuze abone ukuthi inhliziyo nemithambo yegazi yakho iphilile yini ngaphambi kokuqala ukuthatha i-lisdexamfetamine futhi uzohlola inhliziyo nomfutho wegazi wakho njalo lapho welashwa nge-lisdexamfetamine. Udokotela wakho uzokutshela ukuthi ungathathi i-lisdexamfetamine uma unesimo senhliziyo noma uma kunengozi enkulu yokuthi ungahle ube nesimo senhliziyo.
  • Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo sokudangala, noma i-bipolar disorder (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile), noma i-mania (edidekile, imizwa ejabule ngokungajwayelekile), i-motor tics (ukunyakaza okungalawuleki okuphindaphindwayo), ukukhuluma ngamazwi (ukuphindwaphindwa kwemisindo noma amagama okunzima ukuwalawula), noma i-Tourette's syndrome (isimo esivezwa isidingo sokwenza iminyakazo ephindaphindwayo noma ukuphinda imisindo noma amagama), noma uke wacabanga noma wazama ukuzibulala Futhi tshela udokotela wakho uma uke waba nesifo sikaRaynaud (izinkinga zokugeleza kwegazi kuya eminweni, ezinzwaneni, ezindlebeni, nasekhaleni), ukugula ngengqondo, ukuquleka, i-electroencephalogram engajwayelekile (i-EEG; isivivinyo esilinganisa ukusebenza kukagesi ebuchosheni), i-glaucoma (ingcindezi eyengeziwe iso elingadala ukulahleka kombono), i-hyperthyroidism (isimo lapho kune-hormone yegilo eningi kakhulu emzimbeni), noma isifo sezinso.
  • utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-lisdexamfetamine, shayela udokotela wakho.
  • khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-lisdexamfetamine uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-lisdexamfetamine ngoba ayiphephile njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
  • kufanele wazi ukuthi lo muthi ungenza kube nzima kuwe ukwenza imisebenzi edinga ukuqapha noma ukuhlangana komzimba. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
  • Kufanele wazi ukuthi i-lisdexamfetamine kufanele isetshenziswe njengengxenye yohlelo lokwelashwa oluphelele lwe-ADHD, olungafaka ukwelulekwa kanye nemfundo ekhethekile. Qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho kanye / noma yomelaphi.

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

  • ubuthongo
  • isiyezi
  • ikhanda
  • umlomo owomile
  • ukuqunjelwa
  • isifo sohudo
  • isicanucanu
  • ukuncipha komzimba

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESixwayiso, yeka ukuthatha i-lisdexamfetamine bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

  • inkulumo ehamba kancane noma enzima
  • ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
  • isithuthwane
  • ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
  • ukukholwa izinto ezingelona iqiniso
  • uzizwe usola ngokungavamile abanye
  • ukushintsha kwemizwelo
  • izimoto noma ukukhuluma ngamazwi
  • isifuba
  • ukuqubuka
  • ukuvuvukala kwamehlo, ubuso, ulimi, izindebe, noma umlomo
  • ukungaboni kahle noma ezinye izinkinga zombono
  • ukuphaphatheka noma umbala oluhlaza okwesibhakabhaka weminwe noma izinzwane
  • ukuphazamiseka, ubuhlungu, noma ukuzwela ekushiseni eminweni noma ezinzwaneni
  • amanxeba angachazeki avela eminweni noma ezinzwaneni

ILisdexamfetamine ingadala ukufa okungazelelwe ezinganeni nasebusheni, ikakhulukazi izingane nentsha enezinkinga zenhliziyo noma enezinkinga ezinkulu zenhliziyo. Lo muthi nawo ungadala ukufa okungazelelwe, isifo senhliziyo noma isifo sohlangothi kubantu abadala, ikakhulukazi abantu abadala abanenkinga yenhliziyo noma abanezinkinga ezinkulu zenhliziyo. Shayela udokotela wakho ngokushesha uma wena noma ingane yakho unezimpawu zezinkinga zenhliziyo ngenkathi uthatha lo muthi kufaka phakathi: ubuhlungu besifuba, ukuphefumula okuncane, noma ukuquleka. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

ILisdexamfetamine inganciphisa ukukhula kwezingane noma ukuzuza kwesisindo. Udokotela wengane yakho uzobuka ukukhula kwakhe ngokucophelela. Khuluma nodokotela wengane yakho uma unezinkinga ngokukhula kwengane yakho noma ukukhuluphala kwesisindo sayo ngenkathi ithatha lo muthi. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho i-lisdexamfetamine.

I-Lisdexamfetamine 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

  • ukungahlaliseki
  • ukudideka
  • isimilo esinolaka
  • imizwa yokwethuka
  • ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
  • ukuphefumula okusheshayo
  • ukuzamazama okungalawuleki kwengxenye yomzimba
  • imfiva
  • ubuthakathaka bemisipha noma ukuqaqamba
  • ukukhathala noma ubuthakathaka
  • ukudana
  • ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
  • isicanucanu
  • ukuhlanza
  • isifo sohudo
  • amajaqamba esiswini
  • isithuthwane
  • ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-lisdexamfetamine.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-lisdexamfetamine.

Lo muthi awugcwaliseki kabusha. Qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho njalo ukuze ungaphelelwa yimithi.

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.

  • UVyvanse®
Kugcine ukubuyekezwa - 04/15/2019

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