ISumatriptan Nasal

-Delile

• Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:
• Ukuhogela impuphu yamakhala usebenzisa i-inhaler, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa isumatriptan acinene,
• I-Sumatriptan nasal 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:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Imikhiqizo yamakhala yeSumatriptan isetshenziselwa ukwelapha izimpawu zekhanda elibuhlungu (ikhanda elibuhlungu, elishayayo elibuhlungu kwesinye isikhathi elihambisana nesicanucanu nokuzwela komsindo nokukhanya). ISumatriptan isekilasini lemithi ebizwa ngama-seronon receptor agonists akhethiwe. Isebenza ngokunciphisa imithambo yegazi ezungeze ubuchopho, imise amasignali obuhlungu ukuthi angathunyelwa ebuchosheni, futhi ivimbele ukukhishwa kwezinto zemvelo ezibangela ubuhlungu, isicanucanu, nezinye izimpawu ze-migraine. ISumatriptan ayivimbeli ukuhlaselwa yi-migraine noma yehlise inani lekhanda onalo.

ISumatriptan iza njengesifutho (Imitrex, Tosymra) ukuhogela ngekhala. Kuza futhi njengempuphu (i-Onzetra Xsail) ukuhogela emakhaleni ngedivayisi yokuhambisa edonsa umoya. Ngokuvamile kusetshenziselwa uphawu lokuqala lwekhanda le-migraine. Uma izimpawu zakho ziba ngcono ngemuva kokusebenzisa i-sumatriptan kodwa ubuye, ungasebenzisa umthamo wesibili we-sumatriptan (Imitrex, Onzetra Xsail) okungenani amahora amabili kamuva, noma isilinganiso sesibili noma sesithathu se-sumatriptan (Tosymra) okungenani ihora elilodwa ngemuva komunye nomunye. , uma kudingeka. Kodwa-ke, uma izimpawu zakho zingathuthuki ngemuva kokusebenzisa i-sumatriptan, ungasebenzisi umthamo wesibili ngaphandle kokukhuluma nodokotela wakho. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-sumatriptan njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Ungasebenzisa umthamo wakho wokuqala we-sumatriptan nasal ehhovisi likadokotela noma kwenye indawo yezokwelapha lapho ungabhekwa khona ukusabela okungathi sína.

Shayela udokotela wakho uma ikhanda lakho lingabi ngcono noma livele kaningi ngemuva kokusebenzisa i-sumatriptan nasal.

Uma usebenzisa i-sumatriptan kaningi noma isikhathi eside kunesikhathi esinconyiwe, izinhlungu zakho zekhanda zingaba zimbi kakhulu noma zingavela kaningi. Akufanele usebenzise i-sumatriptan nasal noma uthathe noma imuphi omunye umuthi wekhanda izinsuku ezingaphezu kwezingu-10 ngenyanga. Shayela udokotela wakho uma udinga ukusebenzisa i-sumatriptan nasal ukwelapha amakhanda angaphezu kwamane esikhathini esiyinyanga engu-1.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:

1. Funda yonke imiyalelo yomkhiqizi yokusebenzisa isifutho samakhala ngaphambi kokusebenzisa umthamo wakho wokuqala.
2. Shaya amakhala akho kamnene.
3. Susa idivayisi kuphakethe le-blister.
4. Bamba isifutho phakathi kweminwe yakho nesithupha, kodwa qaphela ukuthi ungacindezeli i-plunger.
5. Sebenzisa esinye isandla sakho ukuvimbela ikhala elilodwa ngokucindezela ngokuqinile ohlangothini lwekhala lakho.
6. Faka ichopho lesipreyi kwelinye ikhala lakho kuze kufike lapho uzizwa ukhululekile khona (cishe uhhafu wamasentimitha owodwa). Gcina ikhanda lakho liqondile futhi uvale umlomo wakho. Uma usebenzisa i-Tosymra, gobisela ikhanda lakho emuva kancane, bese ukhomba ichopho lesifutho sesifutho esibheke ngaphandle kwempumulo yakho. Qaphela ukuthi ungacindezeli i-plunger noma ufafaze umuthi emehlweni akho.
7. Donsa umoya kamnandi ngamakhala akho. Ngasikhathi sinye, cindezela i-plunger ngokuqinile ngesithupha sakho.
8. Gcina izinga lekhanda lakho bese ususa ithiphu emakhaleni akho.
9. Phefumula kahle ungene ngamakhala akho uphinde uphume ngomlomo wakho amasekhondi ayi-10 kuye kwangama-20. Ungaphefumuli ngokujulile. Kuyinto evamile ukuzwa uketshezi emakhaleni akho noma ngemuva komphimbo wakho.
10. Isifutho siqukethe kuphela umthamo owodwa wemithi. Ngemuva kokuyisebenzisa, yilahle ngokuphepha, ngakho-ke lokho kungafinyelelwa yizingane nezilwane ezifuywayo.

Ukuhogela impuphu yamakhala usebenzisa i-inhaler, landela lezi zinyathelo:

1. Funda yonke imiyalelo yomkhiqizi yokusebenzisa insimbi yamakhala ngaphambi kokusebenzisa umthamo wakho wokuqala.
2. Susa into yasekhaleni esikhwameni. I-nosepiece iqukethe i-capsule egcwele i-sumatriptan powder.
3. Chofoza isiqeshana sempumu emzimbeni wedivayisi.
4. Cindezela ngokugcwele bese ukhipha inkinobho emhlophe yokubhoboza emzimbeni wedivayisi ngasikhathi sinye ukubhoboza i-capsule engaphakathi kukhaleni. Kufanele icindezelwe kanye kuphela.
5. Faka isiqeshana sokukhala sokuqala ngokujulile emakhaleni. Yigcine emakhaleni njengoba ujikelezisa ucingo ukufaka okokufaka emlonyeni.
6. Shaya ngamandla ngomlomo wakho kudivayisi amasekhondi amabili kuya kwamathathu ukuletha umuthi ekhaleni. Ungase uzwe umsindo wokudlidliza noma wokudlikiza njengoba wenza lokhu. Musa ukubamba noma ucindezele inkinobho emhlophe ngenkathi ushaya.
7. Cindezela ithebhu ecacile ukuze ususe isiqeshana sokuqala sempumulo. Hlola i-capsule esikhaleni sekhala ukuze uqiniseke ukuthi umuthi unikiwe.
8. Susa bese ulahla isiqeshana sempumulo ngokuphepha, ukuze kungafinyeleleki ezinganeni nasezifuyweni.
9. Phinda izinyathelo 2 kuya ku-8 usebenzisa i-nosepiece yesibili kwelinye ikhala ukunikeza umthamo ophelele.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokusebenzisa isumatriptan acinene,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-sumatriptan, noma imuphi omunye umuthi, noma iziphi izithako emikhiqizweni yamakhala ye-sumatriptan. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• ungasebenzisi i-sumatriptan nasal uma uthathe noma iyiphi yale mithi elandelayo emahoreni angama-24 adlule: amanye ama-agonists e-serotonin receptor anjenge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt) ), noma i-zolmitriptan (iZomig); noma imithi yohlobo lwe-ergot efana ne-bromocriptine (Parlodel), i-cabergoline, i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Hydergine), i-ergonovine (i-Ergotrate), i-ergotamine (iCafergot, i-Ergomar, i-Wigraine), i-methylergonovine (iMethergine) ), kanye negolide (Permax).
• ungasebenzisi i-sumatriptan nasal uma uthatha i-monoamine oxidase A (MAO-A) inhibitor efana ne-isocarboxazid (Marplan), phenelzine (Parnate), noma i-tranylcypromine (i-Nardil) noma uma uphuze owodwa 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. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetaminophen (iTylenol); imishanguzo efana ne-amitriptyline (Elavil), i-amoxapine (i-Asendin), i-clomipramine (i-Anafranil), i-desipramine (i-Norpramin), i-doxepin (i-Adapin, i-Sinequan), i-imipramine (i-Tofranil), i-nortriptyline (i-Aventyl, i-Pamelor), i-protripiline Surmontil); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-rasagiline (Azilect); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax), i-fluvoxamine, i-paroxetine (i-Paxil), i-sertraline (i-Zoloft), i-vilazodone (i-Viibrydelli) ne-vortio ); kanye ne-serotonin / norepinephrine reuptake inhibitors ekhethiwe (SNRIs) efana ne-desvenlafaxine (Pristiq), i-duloxetine (i-Cymbalta), i-selegiline (i-Emsam, i-Zelapar); kanye ne-venlafaxine (i-Effexor). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nesifo senhliziyo noma wake waba naso; isifo senhliziyo; i-angina (ubuhlungu besifuba); umfutho wegazi ophakeme; ukushaya kwenhliziyo okungajwayelekile; unhlangothi noma 'mini-stroke'; izinkinga zokujikeleza njengemithanjana ye-varicose, amahlule egazini emilenzeni, isifo sikaRaynaud (izinkinga zokugeleza kwegazi kuya eminweni, ezinzwaneni, ezindlebeni nasekhaleni), isifo semithambo yegazi (ukusakazeka okuncane emithanjeni yegazi ehambisa igazi emilenzeni), isifo se-ischemic bowel (isifo sohudo esinegazi nobuhlungu besisu obubangelwa ukwehla kwegazi kuye emathunjini); i-hemiplegic migraines (migraines ekwenza ungakwazi ukuhamba ohlangothini olulodwa lomzimba wakho), i-basilar migraines (uhlobo olungavamile lwe-migraine), noma isifo sesibindi. Udokotela wakho angakutshela ukuthi ungayisebenzisi imikhiqizo yamasumatriptan acinene.
• utshele udokotela wakho uma ubhema noma ukhuluphele ngokweqile; uma ngabe uke waba ne-cholesterol ephezulu, isifo sikashukela, ukuquleka, noma isifo sezinso; uma usudlulile esikhathini (ukuguqula impilo); noma uma kukhona amalungu omndeni anesifo senhliziyo noma sohlangothi.
• utshele udokotela wakho uma ukhulelwe, noma uhlele ukukhulelwa. Uma ukhulelwa ngenkathi usebenzisa i-sumatriptan nasal, shayela udokotela wakho.
• tshela udokotela wakho uma uncelisa. Udokotela wakho angakutshela ukuthi kungcono ukulinda amahora ayi-12 ngemuva kokusebenzisa umuthi ngaphambi kokuncelisa ingane yakho ibele.
• kufanele wazi ukuthi ikhala le-sumatriptan lingakwenza ukozele noma ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.

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

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

• ikhala elibuhlungu noma elicasukile
• Umphimbo obuhlungu
• umlomo owomile
• ukunambitheka okungavamile emlonyeni
• isicanucanu
• ukukhathala
• isiyezi
• ubuthakathaka
• ukuvutha noma ukuzwa ukuzwa
• umuzwa ofudumele
• ukuzwela emisindweni ephezulu
• ukuqhuma
• ubuhlungu bemisipha noma ubuthakathaka

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

• ubuhlungu, ukuqina, ingcindezi, ukungakhululeki, noma isisindo esifubeni, emphinjeni, entanyeni, noma emhlathini
• inkulumo ehamba kancane noma enzima
• ukuquleka
• kuqhume umjuluko obandayo
• shintsha embonweni
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• uhudo olunegazi
• ukuhlanza
• ubuhlungu besisu obungazelelwe noma obukhulu
• ukuncipha okungazelelwe kwesisindo
• ukuphaphatheka noma umbala oluhlaza okwesibhakabhaka weminwe nezinzwane
• ukuphelelwa umoya
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, noma umphimbo
• ukuphefumula kanzima noma ukugwinya
• ukuqubuka
• isifuba
• ukushaqeka
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
• isithuthwane
• umkhuhlane omkhulu
• ukuyaluza
• ukubona izinto ezingekho (ukubona noma ukuzwa izinto ezingekho)
• ubunzima bokuhamba

I-Sumatriptan nasal ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa 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). Musa ukugcina esiqandisini noma efrijini.

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

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.

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:

• isithuthwane
• ukuzamazama komzimba ongeke ukwazi ukuwulawula
• isikhumba esibomvu noma esiluhlaza okwesibhakabhaka
• ukuphefumula kancane
• inkathazo yokuhamba noma ukuhamba
• ukungakwazi ukunyakaza
• abafundi abakhulisiwe (umbuthano omnyama enkabeni yeso)

Gcina wonke ama-aphoyintimenti nodokotela wakho. Umfutho wegazi lakho kufanele uhlolwe njalo.

Kufanele ugcine idayari yekhanda ngokubhala phansi lapho uphethwe yikhanda nalapho usebenzisa imikhiqizo yamakhala ye-sumatriptan.

Ungavumeli omunye umuntu asebenzise 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.

• Imitrex^® I-Nasal Spray
• I-Onzetra Xsail^® I-Nasal Powder
• I-Tosymra^® I-Nasal Spray