Cevimeline
-Delile
- Ngaphambi kokuthatha i-cevimeline,
- I-cevimeline 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:
I-Cevimeline isetshenziselwa ukwelapha izimpawu zomlomo owomile ezigulini ezine-Sjogren's syndrome (isimo esithinta amasosha omzimba futhi sidale ukoma kwezingxenye ezithile zomzimba ezinjengamehlo nomlomo). I-Cevimeline isekilasini lemithi ebizwa ngama-cholinergic agonists. Isebenza ngokwandisa inani lamathe emlonyeni.
I-Cevimeline iza njenge-capsule ezothathwa ngomlomo. Kuvame ukuthathwa kathathu ngosuku. Thatha i-cevimeline cishe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-cevimeline njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-cevimeline,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-cevimeline, noma eminye imithi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Pacerone, Cordarone); imishanguzo yokulwa nobungozi efana ne-ketoconazole (Nizoral) ne-itraconazole (Sporanox); ama-beta blockers afana ne-acebutolol (Sectral), atenolol (Tenormin), betaxolol (Kerlone), bisoprolol (Zebeta, in Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ipindolol, propranolol (Inderal), sotalol (Betapace), kanye ne-timolol (Blocadren); i-bethanechol (i-Urecholine); i-bupropion (i-Wellbutrin, i-Wellbutrin XL, i-Wellbutrin SR, i-Zyban); ama-calcium channel blocker afana ne-diltiazem (Cardizem, Dilacor, Tiazac, others) kanye ne-verapamil (Calan, Covera, Isoptin, Verelan); i-chlorpheniramine (Chlor-Trimeton, Aller-Chlor, Teldrin Allergy, abanye); i-cimetidine (Tagamet); i-clarithromycin (i-Biaxin); i-clomipramine (i-Anafranil); i-duloxetine (iCymbalta); i-erythromycin (E.E.S., Erythrocin, E-Mycin); i-fluoxetine (i-Prozac, i-Sarafem); i-fluvoxamine; i-haloperidol (iHaldol); ipratropium (Atrovent); imishanguzo ethile ye-HIV efana ne-indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir); imishanguzo yesifo i-Alzheimer's, i-glaucoma, i-irritable bowel syndrome, isifo sokuhamba, iMyastenia Gravis, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; i-methadone (i-Dolophine); nefazodone; i-paroxetine (Paxil, Paxil CR, Pexeva); i-quinidine; kanye ne-troleandomycin. Eminye imishanguzo eminingi ingaxhumana ne-cevimeline, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
- utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
- Tshela udokotela wakho uma une-asthma, i-acute iritis (uveitis; ukuvuvukala nokucasuka ngaphakathi kweso), noma i-glaucoma (isifo samehlo). Udokotela wakho angakutshela ukuthi ungathathi i-cevimeline.
- Tshela udokotela wakho uma uke waba nobuhlungu besifuba noma ukuhlaselwa yinhliziyo, i-bronchitis engapheli, isifo esingapheliyo se-pulmonary disease (i-COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli kanye ne-emphysema), amatshe ezinso, ama-gallstones noma isifo senhliziyo.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-cevimeline, shayela udokotela wakho.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-cevimeline.
- kufanele wazi ukuthi i-cevimeline ingadala ushintsho embonweni, ikakhulukazi ebusuku noma lapho kungekho ukukhanya okwanele. Qaphela lapho ushayela ebusuku noma wenza izinto ezinobungozi ekukhanyeni okuncishisiwe.
- kufanele wazi ukuthi i-cevimeline ingadala ukuthi ujuluke kakhulu, okungadala ukoma. Qiniseka ukuthi uphuza amanzi amaningi futhi ukhulume nodokotela wakho ngezindlela zokuvimbela ukuphelelwa amandla emzimbeni ngenkathi uthatha lo muthi.
Khuluma nodokotela wakho ngokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.
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-cevimeline ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukujuluka
- isicanucanu
- ikhala eligijimayo
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
- ikhanda elibi kakhulu
- izinguquko embonweni
- eklebhula amehlo
- ukujuluka okweqile
- ukuphefumula kanzima
- ukuqunjelwa esiswini
- izinguquko ekushayeni kwenhliziyo
- izinguquko kumfutho wegazi
- ukudideka
- ukuxhawula izandla ongeke ukwazi ukuzilawula
I-cevimeline 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).
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.
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.
- I-Evoxac®