Dronabinol

-Delile

• Ngaphambi kokuthatha i-dronabinol,
• I-Dronabinol ingadala 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:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Dronabinol isetshenziselwa ukwelapha isicanucanu nokuhlanza okubangelwa ukwelashwa ngamakhemikhali kubantu asebethathe eminye imishanguzo yokwelapha lolu hlobo lwesicanucanu nokuhlanza ngaphandle kwemiphumela emihle. I-Dronabinol nayo isetshenziselwa ukwelapha ukulahlekelwa isifiso sokudla kanye nokwehlisa isisindo kubantu abathole i-immunodeficiency syndrome (i-AIDS). I-Dronabinol isekilasini lemithi ebizwa ngama-cannabinoids. Isebenza ngokuthinta indawo yobuchopho elawula isicanucanu, ukuhlanza nokudla.

I-Dronabinol iza njenge-capsule nanjengesixazululo (uketshezi) ukuthatha ngomlomo. Lapho kusetshenziswa amaphilisi kanye nesisombululo se-dronabinol ekwelapheni isicanucanu nokuhlanza okubangelwa i-chemotherapy, kuvame ukuthathwa amahora ayi-1 ukuya kwayi-3 ngaphambi kwamakhemikhali bese kuthi njalo ngemuva kwamahora amabili kuya kwamane ngemuva kokulashwa ngamakhemikhali, kube nemithamo emi-4 kuye kwayi-6 ngosuku. Umthamo wokuqala wesisombululo uvame ukuphathwa esiswini esingenalutho okungenani imizuzu engama-30 ngaphambi kokudla, kepha imithamo elandelayo ingathathwa ngokudla noma ngaphandle kokudla. Lapho kusetshenziswa amaphilisi we-dronabinol nesisombululo ukukhulisa isifiso sokudla, imvamisa kuthathwa kabili ngosuku, cishe ihora ngaphambi kwesidlo sasemini nesidlo sasebusuku Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ucela udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-dronabinol njengoba iqondisiwe.

Gwinya wonke amaphilisi; ungawahlafune noma uwachoboze.

Gwinya isisombululo se-dronabinol ngengilazi egcwele yamanzi (ama-ounces ayisithupha kuya kwangu-8).

Njalo sebenzisa isirinji yomlomo yokuza ngomlomo eza nesisombululo se-dronabinol ukukala umthamo wakho. Khuluma nodokotela wakho noma usokhemisi uma unemibuzo mayelana nokuthi ulinganisa kanjani umthamo wakho wesisombululo se-dronabinol.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-dronabinol futhi angakhuphula kancane umthamo wakho. Udokotela wakho futhi anganciphisa umthamo wakho uma uhlangabezana nemiphumela emibi engapheli emva kwezinsuku ezi-1 ukuya kwezi-3. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ngenkathi welashwa nge-dronabinol.

I-Dronabinol ingaba umkhuba wokwakha. Ungathathi umthamo omkhulu, uthathe kaningi, noma uthathe isikhathi eside kunokuyalelwa ngudokotela wakho. Shayela udokotela wakho uma uthola ukuthi ufuna ukuthatha imishanguzo eyengeziwe.

I-Dronabinol izolawula izimpawu zakho kuphela uma uthatha umuthi. Qhubeka uthathe i-dronabinol noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-dronabinol ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-dronabinol, ungahle uhlangabezane nezimpawu zokuhoxa njengokucasuka, ubunzima bokulala noma ukulala, ukuphumula, ukushisa okushisayo, ukujuluka, ikhala eligobayo, isifo sohudo, ama-hiccups, nokulahlekelwa isifiso sokudla.

Buza udokotela wakho noma usokhemisi ikhophi lemininingwane yomkhiqizi yesiguli.

Ngaphambi kokuthatha i-dronabinol,

• Tshela udokotela kanye nosokhemisi uma ungenwe yisifo somzimba (ukuvuvukala kwezindebe, isifuba, ukuqubuka, izilonda zomlomo, ukushisa kwesikhumba, ukuqhuma, ukuqina komphimbo) ku-dronabinol, amanye ama-cannabinoids afana ne-nabilone (Cesamet) noma i-marijuana (i-cannabis), noma yimiphi eminye imithi, noma yikuphi izithako ezikuma-capsule we-dronabinol afaka uwoyela we-sesame, noma yiziphi izithako kwisisombululo se-dronabinol njengotshwala. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-disulfiram (Antabuse) noma i-metronidazole (i-Flagyl, ePylera) noma ngabe uyekile ukuthatha le mithi ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi isisombululo se-dronabinol uma uthatha eyodwa noma ngaphezulu yale mithi. Uma uyeka ukuthatha isisombululo se-dronabinol, kufanele ulinde izinsuku eziyi-7 ngaphambi kokuthi uqale ukuthatha i-disulfiram (Antabuse) noma i-metronidazole (i-Flagyl, ePylera).
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: amiodarone (Cordarone, Nexterone, Pacerone); ama-amphetamine afana ne-amphetamine (Adzenys, Dyanavel XR, e-Adderall), dextroamphetamine (Dexedrine, e-Adderall), ne-methamphetamine (Desoxyn); i-amphotericin B (i-Ambisome); ama-antibiotic afana ne-clarithromycin (i-Biaxin, e-Prevpac) ne-erythromycin (i-E.E.S., i-Eryc, i-Ery-tab, abanye); ama-antifungals afana ne-fluconazole (Diflucan), i-itraconazole (i-Onmel, i-Sporanox), ne-ketoconazole; ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); imishanguzo yokulwa nokudangala okubandakanya i-amitriptyline, i-amoxapine, ne-desipramine (i-Norpramin); ama-antihistamine; i-atropine (Atropen, eDuodote, eLomotil, abanye); ama-barbiturates afaka i-phenobarbital ne-secobarbital (Seconal); buspirone; i-cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Diastat, Valium); i-digoxin (i-Lanoxin); i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, ku-Symbyax); ipratropium (Atrovent); i-lithium (i-Lithobid); imishanguzo yokukhathazeka, isifuba somoya, imikhuhlane, isifo samathumbu esingalalanisi, isifo sokuhamba, isifo sikaParkinson, ukuquleka, izilonda, noma izinkinga zomchamo; ukuphumula kwemisipha; i-naltrexone (Revia, Vivitrol, ku-Contrave); imithi ye-narcotic yezinhlungu ezifana nama-opioid; prochlorperazine (Compro, Procomp); i-propranolol (iHemangeol, i-Inderal, i-Innopran); i-ritonavir (Kaletra, Norvir, eTechnivie); i-scopolamine (iTransderm-Scop); isidambisi; amaphilisi okulala; okokunciphisa umzimba; kanye ne-theophylline (Elixophyllin, Theochron, Uniphyl). Ngaphambi kokuthatha ama-dronabinol capsules, tshela udokotela wakho uma uthatha i-disulfiram (Antabuse). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-dronabinol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho ukuthi uke wasebenzisa noma wake wasebenzisa insangu noma ezinye izidakamizwa zasemgwaqweni nokuthi uphuza noma wake waphuza kakhulu utshwala. Tshela nodokotela wakho uma uke waba nesifo senhliziyo noma unesifo senhliziyo, umfutho wegazi ophakeme, ukuquleka, ukuwohloka komqondo (ukuphazamiseka ebuchosheni okuthinta amandla okukhumbula, ukucabanga kahle, ukuxhumana, nokwenza imisebenzi yansuku zonke futhi lokho kungadala ushintsho esimweni sengqondo nobuntu ), noma ukugula ngengqondo okufana ne-mania (ukukhathazeka noma imizwa ejabule ngokweqile), ukucindezeleka (imizwa yokuphelelwa yithemba, ukuphelelwa amandla kanye / noma ukuphelelwa yintshisekelo ekwenzeni imisebenzi ebithokozelwa phambilini), noma i-schizophrenia (ukugula kwengqondo okubanga ukuphazamiseka noma okungajwayelekile ukucabanga nemizwelo enamandla noma engafanele),
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-dronabinol, shayela udokotela wakho ngokushesha.
• ungancelisi ibele ngenkathi uthatha amaphilisi noma isisombululo se-dronabinol. Uma uthatha isisombululo se-dronabinol sesicanucanu nokuhlanza okubangelwa i-chemotherapy, ungancelisi ibele ngesikhathi sokwelashwa kwakho nezinsuku eziyi-9 ngemuva komthamo wakho wokugcina we-dronabinol.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-dronabinol.
• kufanele wazi ukuthi i-dronabinol ingakwenza ukozele futhi ingadala ushintsho kwimizwa yakho, ukucabanga, inkumbulo, ukwahlulela, noma indlela oziphatha ngayo, ikakhulukazi ekuqaleni kokwelashwa kwakho. Uzodinga ukugadwa ngumuntu omdala oqotho lapho uqala ukuthatha i-dronabinol futhi noma nini lapho umthamo wakho wanda. Ungashayeli imoto, sebenzisa imishini noma wenze noma imuphi omunye umsebenzi odinga ukuqapha kwengqondo uze wazi ukuthi lo muthi ukuthinta kanjani.
• ungaphuzi iziphuzo ezidakayo ngenkathi uthatha i-dronabinol. Utshwala bungenza imiphumela emibi ye-dronabinol ibe yimbi kakhulu.
• kufanele wazi ukuthi i-dronabinol ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kungahle kuvame kakhulu lapho uqala ukuthatha i-dronabinol. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Khuluma nodokotela wakho noma isazi sokudla okunempilo futhi ufunde imininingwane yomkhiqizi ukuze isiguli sithole izindlela zokuzikhuthaza ukuba udle lapho isifiso sakho sokudla singekho nokuthi yiziphi izinhlobo zokudla okuyizinqumo ezingcono kakhulu kuwe.

Ungadli i-grapefruit noma uphuze ijusi lamagilebhisi ngenkathi uthatha isisombululo somlomo se-dronabinol.

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

• ubuthakathaka
• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• ukulahleka kwememori
• ukukhathazeka
• ukudideka
• ubuthongo
• ubunzima bokugxila
• isiyezi
• ukuhamba ungazinzile
• uzizwe sengathi ungaphandle komzimba wakho
• '' Phezulu '' noma imizwa ephakeme
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukudana
• imicabango engajwayelekile noma engajwayelekile
• ikhanda
• izinkinga zokubona
• ngizizwe nginekhanda elincane

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

• isithuthwane
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• ukuquleka

I-Dronabinol 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 amaphilisi endaweni epholile (phakathi kuka-46-59 ° F, 8-15 ° C) noma esiqandisini. Ungavumeli ama-capsules aqandeke. Gcina isisombululo se-dronabinol esingavulwa esitsheni esiqandisini. Uma sekuvuliwe, isisombululo se-dronabinol singagcinwa ekamelweni lokushisa kuze kube yizinsuku ezingama-28. Gcina imithi kude nokushisa, ukukhanya okuqondile, nomswakama.

Gcina i-dronabinol endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Gcina umbhalo walokho ukuthi mangaki ama-capsules nesisombululo asele ukuze wazi ukuthi kukhona yini umuthi ongekho.

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:

• ukozela
• injabulo engafanele
• izinzwa ezibukhali kunokujwayelekile
• ukushintsha ukuqonda kwesikhathi
• amehlo abomvu
• umlomo owomile
• ukushaya kwenhliziyo okusheshayo
• izinkinga zememori
• ukuzwa ukuthi ungaphandle komzimba wakho
• ukuguquka kwemizwelo
• ubunzima bokuchama
• ukuqunjelwa
• ukuncipha kokuxhumana
• ukukhathala ngokweqile
• kunzima ukukhuluma ngokucacile
• isiyezi noma ukuquleka lapho usukuma ngokushesha okukhulu

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. I-dronabinol yakho (Marinol^®kadokotela angagcwaliswa kuphela inani elilinganiselwe lezikhathi.

Uma uthatha i-dronabinol (Syndros^®), ayigcwaliseki kabusha. Qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho ukuze ungapheli i-dronabinol (Syndros^®) uma uzophuza lo muthi njalo.

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.

• UMarinol^®
• Syndros^®

• IDelta-9-tetrahydrocannabinol
• i-delta-9-iTHC