Tasimelteon

-Delile

• Uma wena noma ingane yakho nithatha ukumiswa, landela lezi zinyathelo ukulungiselela nokukala umthamo:
• Ngaphambi kokuthatha i-tasimelteon,
• I-Tasimelteon ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

I-Tasimelteon isetshenziselwa ukwelapha i-non-hour hour sleep-wake disorder (non-24; isimo esenzeka ikakhulu kubantu abayizimpumputhe lapho iwashi lemvelo lomzimba lingavumelani khona nomjikelezo ovamile wobusuku nemini futhi lidale ukuphazamiseka isheduli yokulala) kubantu abadala. Ibuye isetshenziselwe ukwelapha izinkinga zokulala ebusuku kubantu abadala nasezinganeni ezineminyaka emithathu ubudala nangaphezulu ngeSmith-Magenis Syndrome (i-SMS; isifo sokukhula). UTasimelteon usekilasini lemithi ebizwa ngama-melatonin receptor agonists. Isebenza ngokufana ne-melatonin, into yemvelo ebuchosheni edingekayo ekulaleni.

UTasimelteon uza njenge-capsule nanjengokumiswa kokuthatha ngomlomo. Imvamisa kuthathwa ngaphandle kokudla kanye ngosuku, ihora eli-1 ngaphambi kokulala. Thatha ama-tasimelteon ngasikhathi sinye njalo ebusuku. Uma wena noma ingane yakho ningakwazi ukuthatha i-tasimelteon ngasikhathi sinye ngobusuku obunikiwe, yeqa lowo umthamo bese uthatha umthamo olandelayo njengoba uhlelelwe. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha ama-tasimelteon njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi; ungazivuli, uzichoboze noma uzihlafune.

Uma wena noma ingane yakho nithatha ukumiswa, landela lezi zinyathelo ukulungiselela nokukala umthamo:

1. Susa ibhodlela le-tasimelteon, i-adaptha yebhodlela, kanye nomjovo wokulinganisa ngomlomo kwikhathoni.
2. Nyakazisa ibhodlela ubheke phansi naphansi okungenani imizuzwana engama-30 ukuxuba umuthi ngokulinganayo ngaphambi kokuphathwa ngakunye.
3. Cindezela phansi ikepisi elingazweli ezinganeni bese ulisonta ngokuphikisana newashi ukuvula ibhodlela; ungalahli ikepisi.
4. Ngaphambi kokuvula ibhodlela le-tasimelteon okokuqala, susa uphawu ebhodleleni bese ufaka i-adaptha yebhodlela lokucindezela ebhodleleni. Cindezela ku-adaptha yebhodlela ize ibe ngisho nangaphezulu kwebhodlela; ngemuva kokuthi i-adaptha yebhodlela isendaweni, ungayisusi. Ngemuva kwalokho, shintsha ikepisi ngokujika ngokwewashi uphinde unyakaze kahle imizuzwana engama-30.
5. Phusha i-plunger yesipontsho sokulinganisa ngomlomo ngokuphelele phansi. Faka isipontsho sokufaka ngomlomo ekuvuleni kwe-adaptha yamabhodlela okucindezela lapho izofika khona.
6. Ngomjovo wokulinganisa ngomlomo ku-adaptha yebhodlela, vula ngokucophelela ibhodlela ubheke phansi. Donsela i-plunger emuva ukuze ukhiphe inani lokumiswa elibekwe ngudokotela. Uma ungaqiniseki ukuthi ulinganisa kanjani kahle umthamo, buza udokotela noma usokhemisi wakho. Uma ubona amabhamuza omoya amaningi kusirinji yomlomo, cindezela ngokugcwele ku-plunger ukuze uketshezi lubuyele ebhodleleni kuze kube yilapho amabhamuza omoya engasekho.
7. Shiya isirinji yomlomo ngomlomo ku-adaptha yebhodlela bese uvula ibhodlela limile. Susa ngokucophelela umjovo wokulinganisa ngomlomo kusuka ku-adaptha yebhodlela. Shintsha ikepisi elingazweli enganeni ngokuphepha.
8. Susa okokuhambisa nokufaka futhi ukumoyizela kancane ukumiswa ngqo emlonyeni wakho noma emlonyeni wengane yakho nangaphakathi kwesihlathi. Cindezela kancane i-plunger yonke indlela ukuze unikeze wonke umthamo. Qiniseka ukuthi ingane inesikhathi sokugwinya umuthi.
9. Susa i-plunger emgqonyeni wesirinji yomlomo. Hlanza umgqomo wesiponji somlomo nomlomo ngamanzi bese uma usomile, faka i-plunger esirinji yomlomo. Musa ukugeza isirinji yomlomo ngomshini wokuwasha izitsha.
10. Ungalahli umjovo wokulinganisa ngomlomo. Njalo sebenzisa isirinji yomlomo yokuza ngomlomo eza ne-tasimelteon ukukala umthamo wengane yakho.
11. Qeda ukumiswa esiqandisini ngemuva kokusebenzisa ngakunye.

Ungaqala ukozela ngemuva nje kokuthatha i-tasimelteon. Ngemuva kokuthatha i-tasimelteon, kufanele uqedele noma yimaphi amalungiselelo adingekayo okulala bese uyolala. Ungahleleli eminye imisebenzi ngalesi sikhathi.

I-Tasimelteon ilawula ukuphazamiseka okuthile kokulala, kepha ayizelaphi. Kungathatha amasonto noma izinyanga ezimbalwa ngaphambi kokuba uzwe inzuzo ephelele ye-tasimelteon. Qhubeka uthathe i-tasimelteon noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-tasimelteon ngaphandle kokukhuluma nodokotela wakho.

I-Tasimelteon ayitholakali ezikhemisi. Ungathola kuphela i-tasimelteon ngeposi kusuka ekhemisi ekhethekile. Buza udokotela wakho uma unemibuzo mayelana nokuthola imithi yakho.

Ama-capsules we-Tasimelteon nokumiswa kungahle kungakwazi ukufakwa esikhundleni somunye nomunye. Buza usokhemisi wakho uma unanoma yimiphi imibuzo ngohlobo lomkhiqizo we-tasimelteon odonswe ngudokotela wakho.

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

Ngaphambi kokuthatha i-tasimelteon,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tasimelteon, noma imuphi omunye umuthi, noma iziphi izithako kumaphilisi we-tasimelteon nokumiswa. 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. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-beta blocker anjenge-acebutolol, atenolol (Tenormin), bisoprolol (Zebeta, in Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard) , i-nebivolol (Bystolic), ne-propranolol (Inderal); i-fluvoxamine (i-Luvox); ketoconazole (Nizoral); kanye ne-rifampin (Rifadin, Rifamate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-tasimelteon, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-tasimelteon, shayela udokotela wakho.
• kufanele wazi ukuthi i-tasimelteon ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-tasimelteon. Utshwala bungenza imiphumela emibi evela ku-tasimelteon ibe yimbi kakhulu.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.

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

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ikhanda
• amaphupho amabi noma amaphupho angajwayelekile
• umkhuhlane noma ubuhlungu, noma kunzima ukuchama kaningi
• umkhuhlane, ukukhwehlela, ukuphelelwa umoya, noma ezinye izimpawu zokutheleleka

I-Tasimelteon 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. Ukugcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile nomswakama (hhayi endlini yangasese). Ukumiswa esiqandisini. Ngemuva kokuvula ibhodlela lokumiswa, lahla noma imuphi umuthi ongasetshenziswanga ngemuva kwamasonto ama-5 (webhodlela lama-48 ml) nangemva kwamaviki ayi-8 (webhodlela elingu-158 ml).

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.

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.

• Hetlioz^®