I-Asenapine

-Delile

• Ngaphambi kokuthatha i-asenapine,
• I-Asenapine 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 ESIKHETHEKILE SOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Sebenzisa kubantu abadala asebekhulile:

Ucwaningo lukhombisile ukuthi abantu abadala asebekhulile abanenkinga yokuwohloka komqondo (ukuphazamiseka kobuchopho okuthinta ikhono lokukhumbula, ukucabanga kahle, ukuxhumana, nokwenza imisebenzi yansuku zonke futhi lokho kungadala ushintsho esimweni sengqondo nobuntu) abathatha ama-antipsychotic (imithi yokugula kwengqondo) njenge-asenapine babe nengozi eyengeziwe yokufa ngesikhathi sokwelashwa. Abantu abadala asebekhulile abanenkinga yokuwohloka komqondo bangaba nethuba elikhulu lokuba nesifo sohlangothi noma i-ministroke ngesikhathi sokwelashwa.

I-Asenapine ayivunyelwe yi-Food and Drug Administration (FDA) ekwelapheni izinkinga zokuziphatha kubantu abadala asebekhulile abanenkinga yokuwohloka komqondo. Khuluma nodokotela onqume lo muthi uma wena, ilungu lomndeni, noma umuntu omnakekelayo enesifo sengqondo sokuphazamiseka ngokomqondo futhi ethatha i-asenapine. Ngeminye imininingwane vakashela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs.

Khuluma nodokotela wakho ngengozi (s) yokuthatha i-asenapine.

I-Asenapine isetshenziselwa ukwelapha izimpawu ze-schizophrenia (ukugula ngengqondo okubanga ukucabanga okuphazamisekile noma okungajwayelekile, ukulahlekelwa yintshisekelo empilweni, kanye nemizwelo enamandla noma engafanele). I-Asenapine isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha noma yokuvimbela iziqephu ze-mania (i-frenzied, mood engajwayelekile) noma i-mania exubekile (i-frenzied, imood ejabule ngokweqile nezimpawu zokucindezeleka) kubantu abadala nezingane ezineminyaka engu-10 ubudala nangaphezulu ezine-bipolar I disorder (manic depression disorder; isifo esibanga iziqephu ze-mania, iziqephu zokudangala nezinye izimo ezingavamile). I-Asenapine isekilasini lemithi ebizwa ngama-antipyychotic atypical. Isebenza ngokushintsha ukusebenza kwezinto ezithile zemvelo ebuchosheni.

I-Asenapine iza njengethebhulethi yolimi olungezansi ukuze incibilike ngaphansi kolimi. Kuvame ukuthathwa kabili ngosuku. Thatha i-asenapine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-asenapine njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Ungawasusi amaphilisi wezilimi ze-asenapine ephaketheni kuze kube ngaphambi nje kokuba usukulungele ukuwaphuza, futhi uqiniseke ukuthi izandla zakho zomile lapho uphatha amaphilisi. Lapho usukulungele ukuthatha ithebhulethi, landela izinkomba zephakeji ukuze ususe ithebhulethi kukesi ngaphandle kokucindezela ithebhulethi ngokusebenzisa iphakethe lethebhulethi noma ukwephula ithebhulethi. Ngemuva kokukhipha ithebhulethi, ibeke ngaphansi kolimi lwakho bese uyilinda ichitheke. Ungagwinyi, ungahlukanisi, ungahlafuni noma uchoboze ithebhulethi. Ungadli noma uphuze lutho imizuzu eyi-10 ngemuva kokuncibilika ithebhulethi.

Udokotela wakho angadinga ukukhulisa noma ukunciphisa umthamo wakho kuye ngokuthi umuthi usebenza kanjani kuwe kanye nemiphumela emibi oyitholayo. Tshela udokotela wakho ukuthi uzizwa kanjani ngenkathi welashwa nge-asenapine.

I-Asenapine ingasiza ukulawula izimpawu zakho kepha ngeke iselaphe isimo sakho. Qhubeka uthathe i-asenapine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-asenapine ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-asenapine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-asenapine, noma imiphi eminye imithi, noma iziphi izithako ezikumathebulethi asenapine amancane. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: ama-antibiotic athile afaka i-gatifloxacin (Tequin) (ayitholakali e-U.S) kanye ne-moxifloxacin (Avelox); imishanguzo ehlanganisa i-clomipramine (Anafranil), i-duloxetine (iCymbalta), i-fluvoxamine (i-Luvox), ne-paroxetine (i-Paxil, i-Pexeva); ama-antihistamine; i-dextromethorphan (eDelsym, eMucinex); ipratropium; imithi yokukhathazeka nomfutho wegazi ophakeme; imithi ethile yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone, iPacerone), i-procainamide, i-quinidine, ne-sotalol (i-Betapace, i-Sorine); imithi ye-glaucoma, isifo sokuvuvukala kwamathumbu, isifo sokuhamba, i-myasthenia gravis, isifo sika-Parkinson, izilonda, noma izinkinga zomchamo; imishanguzo yokugula kwengqondo efana ne-chlorpromazine (Thorazine), thioridazine, ne-ziprasidone (Geodon); imithi yokuquleka; amaphilisi okulala; Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma wena noma omunye emndenini wakho enesifo sikashukela noma ake aba naso; uma uhuda kakhulu noma uhlanza noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni; uma wake wasebenzisa izidakamizwa zasemgwaqweni noma wasebenzisa kabi imishanguzo kadokotela; futhi uma uke noma wake waba nemicabango ngokuzilimaza noma ukuzibulala; isikhathi se-QT eside (inkinga yenhliziyo engajwayelekile engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa ngokuzuma); umfutho wegazi ophansi; isifo senhliziyo; ukwehluleka kwenhliziyo; ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile; isifo sohlangothi noma i-TIA (ministroke); ukuquleka; umdlavuza webele; izinga eliphansi lamaseli amhlophe egazini lakho noma ukwehla kwamaseli amhlophe egazi okubangelwa umuthi owuthathile; izinga eliphansi le-potassium noma i-magnesium egazini lakho; i-dyslipidemia (amazinga aphezulu e-cholesterol); unenkinga yokugcina ibhalansi yakho; noma isiphi isimo esenza kube nzima ukuthi usigwinye; noma isifo senhliziyo noma sesibindi.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-asenapine, shayela udokotela wakho. I-Asenapine 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-asenapine.
• kufanele wazi ukuthi i-asenapine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-asenapine. Utshwala bungenza imiphumela emibi ye-asenapine ibe yimbi kakhulu.
• kufanele wazi ukuthi i-asenapine ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-asenapine. Ukusiza ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-asenapine ingenza kube nzima ukuthi umzimba wakho uphole lapho kushisa kakhulu. Ngenkathi uthatha i-asenapine, kufanele ugweme ukuzivocavoca ngokweqile, uhlale ngaphakathi ngangokunokwenzeka futhi ugqoke kancane lapho kushisa, uhlale elangeni, futhi uphuze uketshezi oluningi.
• kufanele wazi ukuthi ungathola i-hyperglycemia (ukwanda kushukela wakho wegazi) ngenkathi uthatha lo muthi, noma ngabe awunaso vele isifo sikashukela. Uma une-schizophrenia, kungenzeka ukuthi ube nesifo sikashukela kunabantu abangenayo i-schizophrenia, futhi ukuthatha i-asenapine noma imishanguzo efanayo kungakhuphula le ngozi. Tshela udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu ezilandelayo ngenkathi uthatha i-asenapine: ukoma ngokweqile, ukuchama njalo, ukulamba ngokweqile, ukungaboni kahle, noma ubuthakathaka. Kubaluleke kakhulu ukubiza udokotela wakho ngokushesha uma unezinye zalezi zimpawu, ngoba ushukela ophakeme wegazi ungadala isimo esibi esibizwa nge-ketoacidosis. I-Ketoacidosis ingasongela impilo uma ingelashwa kusenesikhathi. Izimpawu ze-ketoacidosis zifaka phakathi umlomo owomile, isicanucanu nokuhlanza, ukuphefumula okuncane, ukuphefumula okunuka izithelo, nokuncipha kokwazi.

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

• umlomo owomile
• ubuhlungu besisu
• ukuqunjelwa
• ukuhlanza
• isilungulela
• ukwanda kwesifiso sokudla
• ukwanda kwenani lamathe emlonyeni
• shintsha ukunambitheka
• ubuhlungu bamazinyo
• ukuzuza kwesisindo
• ukulahlekelwa umuzwa ezindebeni noma emlonyeni
• isiyezi, ukuzizwa ungagxilile, noma unenkinga yokugcina ibhalansi yakho
• ukukhathala ngokweqile
• ukungahlaliseki noma isifiso esiqhubekayo sokuqhubeka nokunyakaza
• ukucasuka
• ukukhathazeka
• ukudana
• ubunzima bokulala noma ukulala
• ubuhlungu bamalunga, izingalo, noma imilenze

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibalwe esigabeni ESIKHETHEKILE SOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• isifuba
• imfiva
• ukuqina kwemisipha noma ubuhlungu
• ukudumba noma ukuqina kwemisipha yentamo
• ukudideka
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• ukujuluka
• ukunyakaza okungalawuleki kwezingalo, imilenze, ubuso, umlomo, ulimi, umhlathi, izindebe noma izihlathi
• ukuwa
• isithuthwane
• umphimbo obuhlungu, amakhaza, ukukhwehlela, nezinye izimpawu zokutheleleka
• umchamo onombala obomvu noma onsundu

I-Asenapine 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukudideka
• ukuyaluza

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Isisindo sakho kufanele sihlolwe njalo ngenkathi uthola lo muthi.

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.

• USafris^®