Ivermectin

-Delile

• Ngaphambi kokuthatha ivermectin,
• Ivermectin kungadala imiphumela engemihle. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uthatha ivermectin ukwelapha i-onchocerciasis, ungahle uhlangabezane nemiphumela emibi elandelayo. 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:

[Kuthunyelwe 04/10/2020]

Isithameli: Umthengi, Ochwepheshe Bezempilo, Ikhemisi, Udokotela Wezilwane

ISIQEPHU: I-FDA ikhathazekile ngempilo yabathengi abangazelapha ngokwabo ngokuthatha imikhiqizo ye-ivermectin eyenzelwe izilwane, becabanga ukuthi bangathatha indawo ye-ivermectin eyenzelwe abantu.

ISENDLALELO: Isikhungo se-FDA seVeterinary Medicine sisanda kwazi ngokubonakala komphakathi okwandayo kwemithi elwa nezidakamizwa ivermectin ngemuva kokumenyezelwa kwendatshana yocwaningo echaze umthelela we-ivermectin ku-SARS-CoV-2 endaweni yelabhorethri. Iphepha elishicilelwe ngaphambili le-Antiviral Research, i-ivermectin evunyiwe yi-FDA ivimbela ukuphindaphindeka kwe-SARS-CoV-2 in vitro imibhalo ukuthi i-SARS-CoV-2 (igciwane elibangela i-COVID-19) liphendule kanjani ku-ivermectin lapho ivezwa esitsheni se-petri .

Ivermectin ivunyiwe yi-FDA ukuthi isetshenziswe ezilwaneni ukuvikela isifo se-heartworm kwezinye izinhlobo zezilwane ezincane, nokwelashwa kwama-parasites athile angaphakathi nangaphandle ezinhlotsheni ezahlukahlukene zezilwane.

Ukuncoma:

• Abantu akufanele nanini bathathe izidakamizwa zezilwane, njengoba i-FDA ihlole kuphela ukuphepha nokusebenza kwazo ezinhlotsheni ezithile zezilwane ezibhalwe ngazo. Le mithi yezilwane ingadala ingozi enkulu kubantu.
• Abantu akufanele bathathe noma yiluphi uhlobo lwe-ivermectin ngaphandle uma lubekiwe ngumhlinzeki wezempilo onelayisense futhi lutholakala ngomthombo osemthethweni.
• Ivermectin iyingxenye ebalulekile yohlelo lokulawulwa kwezinambuzane zezinhlobo ezithile futhi kufanele inikezwe kuphela izilwane ukuze zisetshenziswe ngokugunyaziwe noma njengoba kunqunywe udokotela wezilwane ngokuhambisana nezidingo zokusetshenziswa kwezidakamizwa ezengeziwe.
• Uma unenkinga yokuthola umkhiqizo othile we-ivermectin wezilwane zakho, i-FDA incoma ukuthi uthintane nodokotela wezilwane.

Ukuthola eminye imininingwane vakashela iwebhusayithi ye-FDA ku: http://www.fda.gov/Safety/MedWatch/SafetyInformation naku-http: //www.fda.gov/Drugs/DrugSafety.

Ivermectin isetshenziselwa ukwelapha i-strongyloidiasis (i-threadworm; ukutheleleka ngohlobo lwesibungu esiyindilinga esingena emzimbeni ngesikhumba, sidlule ezindleleni zomoya futhi sihlale emathunjini). Ivermectin ibuye isetshenziselwe ukulawula i-onchocerciasis (umfula oyimpumputhe; ukutheleleka ngohlobo lwesibungu esiyindilinga esingadala ukuqubuka, izigaxa ngaphansi kwesikhumba, nezinkinga zokubona kubandakanya ukulahleka kombono noma ukungaboni). Ivermectin isekilasini lemithi ebizwa ngama-anthelmintics. Iphatha i-strongyloidosis ngokubulala izikelemu emathunjini. Iphatha i-onchocerciasis ngokubulala izikelemu ezikhulayo. Ivermectin ayizibulali izikelemu zabantu abadala ezibanga i-onchocerciasis ngakho-ke ngeke iselaphe lolu hlobo lokutheleleka.

Ivermectin iza njengethebhulethi ukuyithatha ngomlomo. Imvamisa ithathwa njengomthamo owodwa esiswini esingenalutho ngamanzi. Uma uthatha ivermectin ukwelapha i-onchocerciasis, imithamo eyengeziwe izinyanga ezi-3, 6, noma eziyi-12 kamuva kungadingeka ukulawula ukutheleleka kwakho. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha ivermectin njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma uthatha ivermectin ukwelapha i-strongyloidiasis, kuzodingeka ukuthi uhlolwe indle okungenani kathathu phakathi nezinyanga ezi-3 zokuqala ngemuva kokwelashwa kwakho ukubona ukuthi isifo sakho sesisukile yini. Uma ukutheleleka kwakho kungasuswanga, udokotela wakho mhlawumbe uzokunika imithamo eyengeziwe ye-ivermectin.

Ivermectin nayo kwesinye isikhathi iyasetshenziswa ukwelapha ezinye izifo ezithwala izikelemu, ikhanda noma isifo sezintwala, kanye notwayi (isimo sokulunywa kwesikhumba esidalwa ukuhlaselwa yizibungu ezincane ezihlala ngaphansi kwesikhumba). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha ivermectin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ivermectin 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 uyasho uma uthatha imishanguzo yokukhathazeka, ukugula ngengqondo noma ukuquleka; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba ne-meningitis, i-trypanosomiasis yabantu base-Afrika (ukugula kokulala e-Afrika; ukutheleleka okusakazwa ukulunywa yimpukane yama-tsetse emazweni athile ase-Afrika), noma izimo ezithinta amasosha akho omzimba, njengokukhubazeka komzimba igciwane (i-HIV).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngesikhathi sokwelashwa kwakho nge-ivermectin, shayela udokotela wakho.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha ivermectin.
• uma uthatha ivermectin ye-onchocerciasis, kufanele wazi ukuthi ungathola isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo phansi imizuzu embalwa ngaphambi kokuba ume.uma uthatha ivermectin ye-strongyloidiasis futhi ube ne-loiasis (Loa loa ukutheleleka ngohlobo lwesibungu obangela izinkinga zesikhumba nezamehlo) noma uma uke wahlala noma wahambela ezindaweni zaseNtshonalanga noma ze-Afrika eseNingizimu lapho i-loiasis ijwayelekile, kufanele wazi ukuthi ungasabela ngokungathi sína. Shayela udokotela wakho ngokushesha uma uhlangabezana nokungaboni kahle, ikhanda noma intamo, ukukhathazeka noma ukuhamba kanzima noma ukuma.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Ivermectin ivame ukuthathwa njengomthamo owodwa. Tshela udokotela wakho uma ungayithathi imithi yakho.

Ivermectin kungadala imiphumela engemihle. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isiyezi
• ukulahlekelwa isifiso sokudla
• isicanucanu
• ukuhlanza
• ubuhlungu besisu noma ukuqunjelwa
• isifo sohudo
• ukuqunjelwa
• ubuthakathaka
• ubuthongo
• ukuzamazama okungalawuleki kwengxenye yomzimba
• Ukungaphatheki kahle kwesifuba

Uma uthatha ivermectin ukwelapha i-onchocerciasis, ungahle uhlangabezane nemiphumela emibi elandelayo. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuvuvukala kwamehlo, ubuso, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ubuhlungu bamalunga nokuvuvukala
• izindlala ezibuhlungu nezivuvukele entanyeni, ekhwapheni noma emgodini
• ukushaya kwenhliziyo okusheshayo
• ubuhlungu beso, ubomvu, noma ukudwengula
• ukuvuvukala kweso noma izinkophe
• ukuzwa okungavamile emehlweni

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

• imfiva
• isikhumba esishayayo noma esikhanyayo
• ukuqubuka
• isifuba
• ukulunywa

Ivermectin 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:

• ukuqubuka
• isifuba
• ukudlikiza
• ikhanda
• ukuluma kwezandla noma izinyawo
• ubuthakathaka
• ukulahleka kokuxhumanisa
• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• isifo sohudo
• isiyezi
• ukuphelelwa umoya
• ukuvuvukala kobuso, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi

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

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Isidakamizwa sakho kungenzeka ukuthi asigcwaliseki.

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-Stromectol^®