IMidodrine

-Delile

• Ngaphambi kokuthatha i-midodrine,
• I-Midodrine 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 ESIBALULEKILE SEXWAYISO, yeka ukuthatha i-midodrine bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

IMidodrine ingadala umfutho wegazi ophakeme (umfutho wegazi ophakeme owenzeka lapho ulele phansi emhlane wakho). Le mithi kufanele isetshenziswe kuphela ngabantu abanengcindezi yegazi ephansi evimbela kakhulu amandla abo okwenza imisebenzi yansuku zonke futhi abangakwazi ukwelashwa ngempumelelo ngezinye izindlela zokwelapha. Tshela udokotela wakho uma uke waba nomfutho wegazi ophakeme noma wake waba nawo. Tshela udokotela kanye nosokhemisi wakho uma uthatha i-dihydroergotamine (DHE, Migranal). Phinda utshele udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela oyisebenzisayo, efaka i-ephedrine, phenylephrine, phenylpropanolamine, ne-pseudoephedrine. Imikhiqizo eminingi engabhaliswanga iqukethe le mithi (isb. Amaphilisi okudla nemithi yokukhwehlela nemikhuhlane), ngakho-ke hlola amalebula ngokucophelela. Uma uhlangabezana nenye yalezi zimpawu ezilandelayo, yeka ukuthatha i-midodrine bese ushayela udokotela wakho ngokushesha: ukuqaphela ukushaya kwenhliziyo yakho, ukushaya ezindlebeni zakho, ikhanda elibuhlungu, noma umbono ophuphuthekile. Ngemuva kokuqala ukwelashwa, udokotela wakho angakutshela ukuthi uqhubeke uthatha i-midodrine kuphela uma unentuthuko enkulu ezimpawu zakho. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngenkathi uthatha lo muthi.

Gcina wonke ama-aphoyintimenti nodokotela wakho. Kufanele uhlolwe umfutho wegazi wakho ezindaweni ezimile nezilele phansi ngaphambi kokuqala ukwelashwa futhi njalo ngenkathi uthatha i-midodrine.

Khuluma nodokotela wakho ngezingozi zokuthatha i-midodrine.

IMidodrine isetshenziselwa ukwelapha i-orthostatic hypotension (ukuwa okungazelelwe kwengcindezi yegazi eyenzeka lapho umuntu esesimeni sokuma). UMidodrine usesigabeni semithi ebizwa ngama-alpha-adrenergic agonists. Isebenza ngokubangela ukuthi imithambo yegazi iqine, okwandisa umfutho wegazi.

IMidodrine iza njengethebhulethi ezothathwa ngomlomo. Imvamisa ithathwa kathathu ngosuku ngezikhathi zasemini (njengokusa, emini, nantambama [ngaphambi kuka-6PM] ngamanani ahlukaniswe okungenani amahora ama-3. Thatha isilinganiso sokugcina sansuku zonke se-midodrine ngaphambi kokudla kwakusihlwa okungenani amahora angu-4 ngaphambi kokulala. Thatha i-midodrine cishe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-midodrine ngendlela eqondiswe ngayo. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Thatha i-midodrine ngezikhathi zasemini lapho udinga ukuma mpo. Gwema ukuthatha umthamo lapho uzobe ulele phansi noma ibuphi ubude besikhathi. Futhi khuluma nodokotela wakho mayelana nokuthi ungazibeka kanjani lapho ulele phansi. Udokotela wakho angakutshela ukuthi uphakamise ikhanda lombhede wakho lapho uphumule noma ulele.

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

Ngaphambi kokuthatha i-midodrine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-midodrine, noma imuphi omunye umuthi, noma iziphi izithako ezisemaphilisi e-midodrine. 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 uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: i-alpha blocker efana ne-doxazosin (Cardura), i-prazosin (i-Minipress), ne-terazosin; ama-beta blocker afana ne-acebutolol (Sectral), atenolol (Tenormin, in Tenoretic), betaxolol, bisoprolol (Zebeta, in Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, in Corzide), pindolol, propranolol (Inderal, InnoPran XL), sotalol (Betapace, Betapace AF, Sorine), kanye ne-timolol; i-digoxin (i-Lanoxin); i-fludrocortisone; nemithi yokugula ngengqondo. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unenkinga yokuchama, i-pheochromocytoma (isimila endlala encane eduze kwezinso), i-hyperthyroidism (isimo esenzeka lapho indlala yegilo ikhiqiza i-hormone yegilo eningi kakhulu) noma isifo senhliziyo noma sezinso. Udokotela wakho angakutshela ukuthi ungathathi i-midodrine.
• utshele udokotela wakho uma uke waba nesifo sikashukela, izinkinga zokubona, noma isifo sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-midodrine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-midodrine.

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

Thatha umthamo ongabanjwanga ngokushesha nje uma uwukhumbula, inqobo nje uma okungenani amahora angama-4 ngaphambi kwesikhathi sakho sokulala. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ukuba ndikindiki nokushoshozela
• ukulunywa ekhanda
• uhlevane
• Ukugodola
• ukuchama kaningi
• isidingo esiphuthumayo sokuchama
• ubunzima bokuchama
• ukuqubuka
• ubuhlungu besisu

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, yeka ukuthatha i-midodrine bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukushaya kwenhliziyo okuhamba kancane
• isiyezi
• ukuquleka

I-Midodrine 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).

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:

• ukuqaphela ukushaya kwenhliziyo yakho
• ukushaya ngamandla ezindlebeni zakho
• ikhanda
• ukungaboni kahle
• uhlevane
• umuzwa obandayo
• ubunzima bokuchama

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-midodrine.

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.

• I-Orvaten^®¶
• I-Proamatine^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.