I-Phentermine ne-Topiramate

-Delile

• Ngaphambi kokuthatha phentermine futhi topiramate,
• I-Phentermine ne-topiramate kungadala 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 noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ama-capsules we-Phentermine ne-topiramate anwetshiwe (asebenza isikhathi eside) asetshenziselwa ukusiza abantu abadala abakhuluphele noma abakhuluphele ngokweqile futhi abanezinkinga zezokwelapha ezihlobene nesisindo ukuze banciphise isisindo futhi bavikele ukuthola leso sisindo. I-Phentermine ne-topiramate amaphilisi akhishwe isikhathi eside kufanele asetshenziswe kanye nokwehla kokudla kwekhalori nohlelo lokuzivocavoca. I-Phentermine isekilasini lemithi ebizwa nge-anorectics. Isebenza ngokunciphisa ukudla. I-Topiramate isekilasini lemithi ebizwa ngama-anticonvulsants. Isebenza ngokunciphisa ukudla futhi ngokubangela imizwa yokugcwala ihlale isikhathi eside ngemuva kokudla.

I-Phentermine ne-topiramate ziza njengama-capsule akhishwe isikhathi eside ukuthatha ngomlomo. Umuthi uvame ukuphuzwa noma ngaphandle kokudla kanye ngosuku ekuseni. Le mithi ingadala ubunzima bokulala noma ukulala uma iphuzwa kusihlwa. Thatha i-phentermine ne-topiramate ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha phentermine futhi topiramate ncamashi njengoba kuqondiswe.

Udokotela wakho cishe uzoqala wena ngomthamo ophansi we-phentermine ne-topiramate futhi akhuphule umthamo wakho ngemuva kwezinsuku eziyi-14. Ngemuva kokuthatha leli nani amasonto ayi-12, udokotela wakho uzohlola ukuthi ulahlekelwe isisindo esingakanani. Uma ungazange ulahlekelwe inani elithile lesisindo, udokotela wakho angakutshela ukuthi uyeke ukuthatha i-phentermine ne-topiramate noma angakhuphula umthamo wakho bese uwukhuphula futhi ngemuva kwezinsuku eziyi-14. Ngemuva kokuthatha umthamo omusha amasonto ayi-12, udokotela wakho uzohlola ukuthi ulahlekelwe isisindo esingakanani. Uma ungalahlekanga isisindo esithile, akunakwenzeka ukuthi uzozuza ngokuthatha i-phentermine ne-topiramate, ngakho-ke udokotela wakho uzokutshela ukuthi uyeke ukuthatha umuthi.

Phentermine futhi topiramate kungaba umkhuba ukwakha. Ungathathi umthamo omkhulu, uthathe kaningi, noma uthathe isikhathi eside kunokuyalelwa ngudokotela wakho.

I-Phentermine ne-topiramate kuzosiza ukulawula isisindo sakho uma nje uqhubeka nokuphuza umuthi. Ungayeki ukuthatha i-phentermine ne-topiramate ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeke ukuthatha i-phentermine ne-topiramate, ungahle uhlangabezane nokuquleka. Udokotela wakho uzokutshela ukuthi wehlisa kanjani umthamo wakho kancane kancane.

I-Phentermine ne-topiramate ayitholakali emakhemisi okuthengisa. Lo muthi utholakala kuphela ngamakhemisi athile e-mail. Buza udokotela wakho uma unemibuzo mayelana nokuthi uzowuthola kanjani umuthi wakho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-phentermine ne-topiramate futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. 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.

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

Ngaphambi kokuthatha phentermine futhi topiramate,

• ukutshela udokotela wakho futhi wemithi uma komzimba i phentermine (Adipex-P, Suprenza); i-topiramate (i-Topamax); imithi ye-sympathomimetic amine efana ne-midodrine (i-Orvaten, i-ProAmatine) noma i-phenylephrine (ngokukhwehlela nemithi ebandayo); noma imuphi omunye umuthi, noma yiziphi izithako ku-phentermine ne-topiramate capsules. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase inhibitor (MAOI) efaka i-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uphuze omunye wale mithi ngesikhathi emasontweni amabili edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-phentermine ne-topiramate uma uthatha eyodwa noma ngaphezulu yale mithi noma uthathe omunye wale mithi emasontweni amabili edlule.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho eminye imishanguzo kadokotela noma engabhaliswanga noma imikhiqizo yamakhambi yokwehlisa isisindo nanoma yikuphi okulandelayo: i-amitriptyline (i-Elavil); i-carbonic anhydrase inhibitors njenge-acetazolamide (Diamox), i-methazolamide, noma i-zonisamide (i-Zonegran); isisu (‘amaphilisi amanzi’) afaka i-furosemide (Lasix) noma i-hydrochlorothiazide (HCTZ); i-insulin noma eminye imithi yesifo sikashukela; ipratropium (Atrovent); i-lithium (i-Lithobid); imishanguzo yokukhathazeka, umfutho wegazi ophakeme, izifo zamathumbu ezicasulayo, ukugula ngengqondo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; imishanguzo yokuquleka efana ne-carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), noma i-valproic acid (iStavzor, ​​iDepakene); i-pioglitazone (Actos, e-Actoplus, ku-Duetact); isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma une-glaucoma (isimo lapho ukucindezela okwandisiwe esweni kungadala ukulahleka kombono) noma indlala yegilo eyeqile. Udokotela wakho cishe uzokutshela ukuthi ungathathi i-phentermine ne-topiramate.
• Tshela udokotela wakho uma uke wahlaselwa yisifo senhliziyo noma isifo sohlangothi ezinyangeni eziyisi-6 ezedlule, uma wake wacabanga ukuzibulala noma wazama ukwenza kanjalo, futhi uma ulandela indlela yokudla ye-ketogenic (amafutha amaningi, ukudla okune-carbohydrate encane lawula ukuquleka). Tshela nodokotela wakho uma uke waba nokudangala noma wake waba nakho; ukushaya kwenhliziyo okungajwayelekile; ukwehluleka kwenhliziyo; ukuquleka; i-metabolic acidosis (i-asidi eningi egazini); i-osteopenia, i-osteomalacia, noma i-osteoporosis (izimo lapho amathambo eqaqamba khona noma ebuthakathaka futhi engahle aphule kalula); isifo sohudo esiqhubekayo; noma isiphi isimo esithinta ukuphefumula kwakho; isifo sikashukela; amatshe ezinso; noma isifo sezinso noma sesibindi.

• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-phentermine ne-topiramate ngesikhathi sokukhulelwa, ingane yakho ingahle ibe nesici sokuzalwa esibizwa ngokuthi i-cleft lip noma i-cleft palate. Ingane yakho ingaqala ukukhubazeka ekuqaleni kokukhulelwa, ngaphambi kokuthi wazi ukuthi ukhulelwe. Kufanele usebenzise ukulawulwa kokubeletha ukuvimbela ukukhulelwa ngesikhathi sokwelashwa kwakho. Kufanele uvivinye ukukhulelwa ngaphambi kokuba uqale ukwelashwa kwakho kanye kanye ngenyanga lapho welashwa. Uma ukhulelwa ngenkathi uthatha i-phentermine ne-topiramate, yeka ukuthatha imithi bese ushayela udokotela wakho ngokushesha.

  
  
• ungasebenzisa izinto zokuvimbela inzalo zomlomo (amaphilisi okuvimbela inzalo) ukuvimbela ukukhulelwa ngesikhathi sokwelashwa kwakho nge-phentermine ne-topiramate. Ungathola ukubonwa okungajwayelekile (ukopha okungalindelekile kwesitho sangasese sowesifazane) uma usebenzisa lolu hlobo lokulawula ukuzalwa.Usazovikeleka ekukhulelweni uma ubona, kepha ungakhuluma nodokotela wakho ngezinye izindlela zokulawulwa kokubeletha uma ukubonwa kuyinkinga.

• tshela udokotela wakho uma uncelisa.

• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-phentermine ne-topiramate.
• kufanele wazi ukuthi i-phentermine ne-topiramate kunganciphisa ukucabanga kwakho nokunyakaza kwakho futhi kuthinte umbono wakho. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• ungaphuzi iziphuzo ezidakayo ngenkathi uthatha i-phentermine ne-topiramate. Utshwala bangenza imiphumela emibi ye-phentermine ne-topiramate ibe yimbi kakhulu.
• kufanele wazi ukuthi i-phentermine ne-topiramate kungakuvimbela ekujulukeni futhi kwenze kube nzima emzimbeni wakho ukuphola lapho kushisa kakhulu. Gwema ukuchayeka ekushiseni, phuza uketshezi oluningi bese utshela udokotela wakho uma unemfiva, ikhanda elibuhlungu, amajaqamba, noma isisu esidumbile, noma uma ungajuluki njengenjwayelo.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-phentermine ne-topiramate. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-antiepileptics afana ne-topiramate ukwelapha izimo ezahlukahlukene phakathi kwezifundo zokwelashwa baba nokuzibulala ngesikhathi belashwa. Abanye balaba bantu bahlakulele imicabango yokuzibulala nokuziphatha kusasele isonto eli-1 ngemuva kokuqala ukuphuza umuthi. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukwethuka; ukuphazamiseka noma ukungahlaliseki; ukucasuka okusha noma okuya kuba kubi, ukukhathazeka, noma ukucindezeleka; ukwenza izinkanuko eziyingozi; ubunzima bokulala noma ukulala; ulaka, intukuthelo, noma ukuziphatha okunodlame; i-mania (i-frenzied, imood ejabule ngokungavamile); ukukhuluma noma ukucabanga ngokufuna ukuzilimaza noma ukuqeda impilo yakho; ukuhoxa kubangani nomndeni; ukukhathazeka ngokufa nokufa; ukuphana ngezinto eziyigugu; noma olunye uguquko olungajwayelekile ekuziphatheni noma emoyeni. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

Phuza uketshezi oluthe xaxa ngesikhathi sokwelashwa kwakho nge-phentermine ne-topiramate.

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

Yeqa umthamo ophuthelwe uthathe umthamo wakho ojwayelekile ngakusasa ekuseni. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Phentermine ne-topiramate kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• isiyezi
• ukuba ndikindiki, ukushiswa, noma ukuncinza ezandleni, ezinyaweni, ebusweni, noma emlonyeni
• ukuncipha komuzwa wokuthinta noma ikhono lokuzwa imizwa
• ubunzima bokugxila, ukucabanga, ukunaka, ukukhuluma, noma ukukhumbula
• ukukhathala ngokweqile
• umlomo owomile
• ukoma okungajwayelekile
• ukushintsha noma ukwehla kwekhono lokunambitha ukudla
• isifo sohudo
• ukuqunjelwa
• isilungulela
• izikhathi ezibuhlungu zokuya esikhathini
• ubuhlungu emhlane, entanyeni, emisipheni, ezingalweni noma emilenzeni
• ukuqina kwemisipha
• ukuchama okubuhlungu, okunzima, noma okuvamile
• ukulahleka kwezinwele

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

• ukugijima noma ukushaya kwenhliziyo okuthatha imizuzu eminingana
• ukwehla okungazelelwe kombono
• ubuhlungu beso noma ubomvu
• ukushesha, ukuphefumula okungajulile
• ubuhlungu obukhulu ephaketheni noma ohlangothini
• igazi emchameni
• ukuqubuka noma amabhamuza, ikakhulukazi uma unemfiva
• isifuba

I-Phentermine ne-topiramate kungadala 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).

Gcina i-phentermine ne-topiramate endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Gcina umbhalo walokho ukuthi mangaki amaphilisi asele ukuze wazi ukuthi akhona yini alahlekile.

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:

• ukungahlaliseki
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuphefumula okusheshayo
• ukudideka
• ulaka
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• uvalo
• ukukhathala ngokweqile
• ukudana
• ukushaya kwenhliziyo okungajwayelekile
• isicanucanu
• ukuhlanza
• isifo sohudo
• ubuhlungu besisu noma amajaqamba
• isithuthwane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• isiyezi
• ukuphazamiseka kwenkulumo
• ukufiphala noma ukubona kabili
• izinkinga ngokuxhumanisa

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uyo-oda izivivinyo ezithile zelebhu ukuhlola impendulo yomzimba wakho ku-phentermine ne-topiramate.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Ukunikeza noma ukuthengisa i-phentermine ne-topiramate kwabanye kungabalimaza futhi kuphambene nomthetho. I-Phentermine ne-topiramate yinto elawulwayo. Okubhalwe phansi kungagcwaliswa izikhathi ezimbalwa kuphela; buza usokhemisi wakho uma unemibuzo.

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.

• Qsymia^® (equkethe i-Phentermine, i-Topiramate)