I-Avanafil

-Delile

• Ngaphambi kokuthatha i-avanafil,
• I-Avanafil 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 noma uthole ukwelashwa okuphuthumayo:

I-Avanafil isetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ED: ukungabi namandla, ukungakwazi ukuthola noma ukugcina ukwakhiwa emadodeni). I-Avanafil isekilasini lemithi ebizwa nge-phosphodiesterase (PDE) inhibitors. Isebenza ngokwandisa ukugeleza kwegazi ukuya epeni ngesikhathi sokuvuselelwa ngokocansi. Lokhu kukhuphuka kwegazi kungadala ukwakhiwa. I-Avanafil ayelaphi ukungasebenzi kahle kwe-erectile noma inyuse isifiso sobulili. I-Avanafil ayikuvimbeli ukukhulelwa noma ukusabalala kwezifo ezithathelwana ngocansi njenge-human immunodeficiency virus (HIV).

I-Avanafil iza njengethebhulethi ezothathwa ngomlomo. Kwabesilisa abathatha imithamo ye-100- mg noma ye-200-mg, i-avanafil ivame ukuthathwa nokudla ngaphandle kokudla njengoba kudingeka, cishe imizuzu eyi-15 ngaphambi kocansi. Kwabesilisa abathatha umthamo we-50-mg, i-avanafil ivame ukuthathwa nokudla ngaphandle kokudla njengoba kudingeka, cishe imizuzu engama-30 ngaphambi kocansi. Ungathathi i-avanafil kaningi ngaphezu kwesisodwa emahoreni angama-24. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-avanafil njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho kungenzeka akuqale ngomthamo ojwayelekile we-avanafil futhi angakhuphula noma anciphise umthamo wakho kuye ngokuthi uphendula kanjani emithini. Tshela udokotela wakho ukuthi i-avanafil ayisebenzi kahle noma unemiphumela emibi.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha i-avanafil,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-avanafil, noma imuphi omunye umuthi, noma yiziphi izithako ezibhebheni ze-avanafil. Buza usokhemisi wakho noma uhlole imininingwane yesiguli ukuthola uhlu lwezithako.
• ungathathi i-avanafil uma uthatha noma usanda kuthatha i-riociguat (Adempas) noma ama-nitrate afana ne-isosorbide dinitrate (Dilatrate-SR, Isordil, ku-BiDil), isosorbide mononitrate (Monoket), ne-nitroglycerin (Minitran, Nitro-Dur, Nitromist, INitrostat, abanye). Ama-nitrate eza njengamathebulethi, ama-tablet (ngaphansi kolimi) amaphilisi, izifutho, ama-patches, ama-pastes, namafutha. Buza udokotela wakho uma ungaqiniseki ukuthi ikhona yini imithi yakho equkethe ama-nitrate.
• ungathathi izidakamizwa zasemgwaqweni eziqukethe ama-nitrate afana ne-amyl nitrate ne-butyl nitrate ('poppers') ngenkathi uthatha i-avanafil.
• 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: i-alpha blocker efana ne-alfuzosin (Uroxatral), i-doxazosin (i-Cardura), i-prazosin (i-Minipress), i-tamsulosin (i-Flomax, e-Jalyn), i-silodosin (i-Rapaflo), ne-terazosin; imishanguzo ethize yokubulala izinhlungu efana ne-fluconazole (i-Diflucan), i-itraconazole (i-Onmel, i-Sporanox), ne-ketoconazole (i-Nizoral); i-aprepitant (Hlela); i-clarithromycin (i-Biaxin, ku-Prevpac); i-diltiazem (iCardizem, iCartia, iTiazac); i-erythromycin (E.E.S, E-Mycin, Erythrocin); I-HIV protease inhibitors efana ne-atazanavir (Reyataz, e-Evotaz), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra), ne-saquinavir (Invirase); eminye imithi noma izindlela zokwelapha ukungasebenzi kahle kwe-erectile; imithi yomfutho wegazi ophakeme; nefazodone; i-verapamil (Calan, Covera, Verelan, abanye); kanye ne-telithromycin (Ketek). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-avanafil, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma uke welulekwa ngudokotela ukuthi ugweme ukwenza ucansi ngezizathu zokwelashwa, uma uke wahlinzwa inhliziyo ezinyangeni eziyisi-6 ezedlule futhi uma uke wakha okwadlula isikhathi esingaphezu kwamahora ama-4. Phinda utshele udokotela wakho uma ngabe uke waba noma uke waba nesimo esithinta ukuma kwepipi njenge-angulation, cavernosal fibrosis, noma isifo se-Peyronie; isifo senhliziyo; isifo sohlangothi; ukushaya kwenhliziyo okungajwayelekile; umthambo ovinjiwe; i-angina (ubuhlungu besifuba); umfutho wegazi ophakeme noma ophansi; ukwehluleka kwenhliziyo; izinkinga zamangqamuzana egazi njenge-sickle cell anemia (isifo samangqamuzana abomvu egazi), i-multiple myeloma (umdlavuza wamaseli e-plasma), noma i-leukemia (umdlavuza wamaseli amhlophe egazi); izilonda; izinkinga zokopha; noma isifo sesibindi noma sezinso. Phinda utshele udokotela wakho uma uke waba ne-retinitis pigmentosa (isifo esingajwayelekile esizuzwe njengefa) noma uma uke waba nokulahleka okukhulu kombono, ikakhulukazi uma utshelwe ukuthi ukulahleka kombono kubangelwe ukuvinjelwa kokugeleza kwegazi kuya emithanjeni lokho kukusiza ubone.
• kufanele wazi ukuthi i-avanafil isetshenziselwa abesilisa kuphela. Abesifazane akufanele bathathe i-avanafil, ikakhulukazi uma bekhulelwe noma bengakhulelwa noma bencelisa. Uma owesifazane okhulelwe ethatha i-avanafil, kufanele abize udokotela wakhe.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngesikhathi sokwelashwa kwakho nge-avanafil. Uma uphuza utshwala obuningi (izingilazi ezingaphezu kwezintathu zewayini noma ama-whiskey amathathu) ngenkathi uthatha i-avanafil kungenzeka ukuthi ube nemiphumela emibi ethile ye-avanafil enjengesiyezi, ikhanda, ukushaya kwenhliziyo okusheshayo, nomfutho wegazi ophansi .
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-avanafil.
• kufanele wazi ukuthi ukwenza ucansi kungaba yingcindezi enhliziyweni yakho, ikakhulukazi uma unesifo senhliziyo. Uma unesihlungu esifubeni, isiyezi, noma isicanucanu ngesikhathi sokwenza ucansi, shayela udokotela wakho ngokushesha futhi ugweme ukwenza ucansi kuze kube yilapho udokotela wakho ekutshela ngenye indlela.
• Tshela bonke abahlinzeki bakho bezempilo ukuthi uthatha i-avanafil. Uma kwenzeka udinga ukwelashwa okuphuthumayo ngenkinga yenhliziyo, abahlinzeki bokunakekelwa kwezempilo abakuphathisayo kuzodingeka bazi ukuthi ugcine nini ukuthatha i-avanafil.

Khuluma nodokotela wakho ngokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

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

• ikhanda
• ukuqhuma
• ukuhlungu obusemhlane

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

• ukwakhiwa okuhlala isikhathi eside kunamahora ama-4
• ukulahleka okungazelelwe kombono kwelinye noma kuwo womabili amehlo (bheka ngezansi ukuthola eminye imininingwane
• ukulahleka kokuzwa okungazelelwe (bheka ngezansi ukuthola eminye imininingwane)
• kukhala ezindlebeni
• isiyezi
• ukuqubuka
• ukulunywa
• zivuvukile izinkophe

I-Avanafil 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).

Ezinye iziguli zathola ukulahleka okungazelelwe kweminye noma yonke imibono yazo ngemuva kokuthatha imishanguzo efana ne-avanafil. Ukulahleka kombono bekuhlala unomphela kwezinye izimo. Akwaziwa ukuthi ukulahleka kombono kubangelwe yimithi. Uma uhlangabezana nokulahleka kombono ngokuzumayo ngenkathi uthatha i-avanafil, shayela udokotela wakho ngokushesha. Ungathathi eminye imithamo ye-avanafil noma imithi efanayo efana ne-sildenafil (Revatio, Viagra), tadalafil (Cialis) noma i-vardenafil (i-Levitra) uze ukhulume nodokotela wakho.

Ezinye iziguli zithole ukwehla okungazelelwe noma ukulahleka kwezindlebe ngemuva kokuthatha eminye imithi efana ne-avanafil. Ukulahleka kokuzwa kwakuvame ukubandakanya indlebe eyodwa kuphela futhi kwakungathuthuki ngaso sonke isikhathi lapho umuthi umiswa. Akwaziwa ukuthi ukulahleka kokuzwa kudalwe yimithi yini. Uma uzwa ukulahlekelwa okungazelelwe kokuzwa, kwesinye isikhathi ngokukhala ezindlebeni noma isiyezi, ngenkathi uthatha i-avanafil, shayela udokotela wakho ngokushesha. Ungathathi eminye imithamo ye-avanafil noma imithi efana ne-sildenafil (Revatio, Viagra), tadalafil (Cialis) noma i-vardenafil (i-Levitra) uze ukhulume nodokotela wakho.

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.

• Stendra^®