I-Fluticasone, i-Umeclidinium, ne-Vilanterol Oral Inhalation

-Delile

• Ngaphambi kokusebenzisa i-fluticasone, umeclidinium, ne-vilanterol,
• IFluticasone, umeclidinium, ne-vilanterol kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Inhlanganisela ye-fluticasone, umeclidinium, ne-vilanterol isetshenziselwa ukulawula ukuphefumula, ukuphefumula, ukukhwehlela, nokuqina kwesifuba okubangelwa i-pulmonary engapheli (COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya, okubandakanya i-bronchitis engapheli ne-emphysema) . Ibuye isetshenziselwe abantu abadala ukulawula ukuphefumula, ukuphefumula okuncane, ukukhwehlela, nokuqina kwesifuba okubangelwa yisifuba somoya. UFluticasone usesigabeni semithi ebizwa ngama-steroids. I-Umeclidinium isekilasini lemithi ebizwa nge-anticholinergics. IVilanterol isekilasini lemithi ebizwa ngama-beta-agonists asebenza isikhathi eside (LABAs). Inhlanganisela ye-fluticasone, umeclidinium, ne-vilanterol isebenza ngokuphumula nokuvula izindima zomoya emaphashini, okwenza kube lula ukuphefumula.

Inhlanganisela ye-fluticasone, umeclidinium, ne-vilanterol iza njengempuphu yokuhogela ngomlomo usebenzisa i-inhaler ekhethekile. Kuvamise ukuhogela kanye ngosuku. Faka i-fluticasone, i-umeclidinium, ne-vilanterol ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Ungasebenzisi i-fluticasone, i-umeclidinium, ne-vilanterol inhalation ngesikhathi sokuhlaselwa okungazelelwe kwe-COPD noma i-asthma. Udokotela wakho uzokunikeza i-inhaler emfushane yokwenza (i-rescue) ongayisebenzisa ngesikhathi sokuhlaselwa yi-COPD noma i-asthma.

I-Fluticasone, umeclidinium, ne-vilanterol inhalation ilawula i-COPD noma i-asthma kepha ayiyelaphi. Qhubeka nokusebenzisa i-fluticasone, umeclidinium, ne-vilanterol noma ngabe uzizwa kahle. Ungayeki ukusebenzisa i-fluticasone, umeclidinium, ne-vilanterol ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukusebenzisa i-fluticasone, umeclidinium, ne-vilanterol inhalation, izimpawu zakho zingabuya.

Ngaphambi kokusebenzisa i-fluticasone, umeclidinium, ne-vilanterol inhalation okokuqala, funda imiyalo ebhaliwe eza nayo. Buza udokotela wakho, usokhemisi, noma umelaphi wokuphefumula ukuthi akubonise ukuthi ungayisebenzisa kanjani i-inhaler. Zijwayeze ukusebenzisa i-inhaler yakho ngenkathi bekubuka.

Ngemuva kokuhogela, hlambulula umlomo wakho ngamanzi uphinde ufeze amanzi; ungagwinyi amanzi.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokusebenzisa i-fluticasone, umeclidinium, ne-vilanterol,

• Tshela udokotela kanye nosokhemisi wakho uma une-allergies ku-fluticasone (Flonase, Flovent), umeclidinium (Incruse Ellipta, e-Anoro Ellipta), vilanterol (e-Anoro Ellipta, eBreo Ellipta), noma imiphi eminye imithi, amaprotheni obisi, noma ezinye izithako i-fluticasone, umeclidinium, ne-vilanterol inhalation yomlomo. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma usebenzisa enye i-LABA efana ne-arformoterol (Brovana), i-formoterol (i-Perforomist, e-Dulera), i-indacaterol (i-Arcapta), noma i-salmeterol (e-Advair, eSerevent). Le mithi akufanele isetshenziswe kanye ne-fluticasone, umeclidinium, ne-vilanterol inhalation. Udokotela wakho uzokutshela ukuthi imiphi imithi okufanele uyisebenzise nokuthi imiphi imithi okufanele uyeke ukuyisebenzisa.
• Tshela udokotela wakho uma usebenzisa enye i-LABA efana ne-arformoterol (Brovana), i-formoterol (i-Perforomist, e-Dulera), i-indacaterol (i-Arcapta), noma i-salmeterol (e-Advair, eSerevent). Le mithi akufanele isetshenziswe kanye ne-fluticasone, umeclidinium, ne-vilanterol inhalation. Udokotela wakho uzokutshela ukuthi imiphi imithi okufanele uyisebenzise nokuthi imiphi imithi okufanele uyeke ukuyisebenzisa.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antifungal anjenge-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole, ne-voriconazole (i-Vfend); ama-antihistamine; i-atropine (eLomotil, Motofen); ama-beta-blocker anjenge-atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), nepropranolol (Inderal, Innopran); i-clarithromycin (i-Biaxin); i-conivaptan (iVaprisol); isisu (‘amaphilisi amanzi’); I-HIV protease inhibitors efana ne-indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), ritonavir (Norvir), kanye ne-saquinavir (Invirase); eminye imithi ye-COPD kufaka phakathi i-aclidinium (Tudorza Pressair), ipratropium (Atrovent HFA), ne-tiotropium (Spiriva); imishanguzo yezifo zamathumbu ezicasulayo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; nefazodone; i-telithromycin (Ketek; ayisatholakali e-U.S.); ne-troleandomycin (TAO; ayisatholakali e-U.S.). Phinda utshele udokotela kanye nosokhemisi wakho uma uthatha le mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: imishanguzo efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil) , i-nortriptyline (i-Pamelor), i-protriptyline (i-Vivactil), ne-trimipramine (i-Surmontil); kanye ne-monoamine oxidase (MAO) inhibitors, kufaka phakathi isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam), ne-tranylcypromine (i-Parnate). Eminye imishanguzo eminingi ingaxhumana ne-fluticasone, umeclidinium, ne-vilanterol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo samathambo (isimo lapho amathambo eba buthakathaka futhi abuthaka khona), futhi uma uke waba nomfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, ukuquleka, i-hyperthyroidism (isimo ku okune-hormone yegilo eningi kakhulu emzimbeni), isifo sikashukela, i-glaucoma (isifo samehlo), i-cataract (ukufiphalisa ilensi yamehlo), isifo sofuba (i-TB), noma isiphi isimo esithinta amasosha akho omzimba, izinkinga zesinye noma zesinye, noma isifo senhliziyo noma sesibindi. Phinda utshele udokotela wakho uma unesifo se-herpes eye, i-pneumonia, noma olunye uhlobo lokutheleleka.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-fluticasone, umeclidinium, ne-vilanterol, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-fluticasone, umeclidinium, ne-vilanterol.
• Tshela udokotela wakho uma ungakaze ube nenkukhu noma isimungumungwane futhi awugonyelwanga lezi zifo. Hlala kude nabantu abagulayo, ikakhulukazi abantu abanenkukhu noma isimungumungwane. Uma uchayekile kulezi zifo noma uma uba nezimpawu zala magciwane, shayela udokotela wakho ngokushesha. Ungahle udinge ukuthola umuthi wokugoma ukuze uvikeleke kulezi zifo.

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

Donsela umthamo ongekho lapho usukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ongaphezu kowodwa ngosuku futhi ungadonsi umthamo ophindwe kabili ukwenzela owulahlekile.

IFluticasone, umeclidinium, ne-vilanterol kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• uvalo
• ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula
• ikhala eligobayo noma umphimbo obuhlungu
• izinguquko zokunambitheka
• ukuhlungu obusemhlane

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• isifuba
• ukuqubuka
• ukuvuvukala kobuso, umphimbo, noma ulimi
• ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• ubuhlungu besifuba
• ukukhwehlela, ukuvunguza, noma ukuqina kwesifuba okuqala ngemuva kokuhogela umuthi
• ukuzizwa ukhathele, ubuthakathaka, isicanucanu, ukuhlanza noma ukungabi namandla
• ubunzima bokuchama noma ukuchama emfudlaneni obuthakathaka noma emaceleni
• ukuchama kaningi noma okubuhlungu
• amabala amhlophe emlonyeni noma emphinjeni
• umkhuhlane, ukubanda, noma ezinye izimpawu zokutheleleka
• ukukhwehlela, ukuphefumula kanzima, noma ukushintsha umbala wesikhwehlela (amafinyila ongahle ukhwehlele)

I-Fluticasone, i-umeclidinium, ne-vilanterol kungandisa ubungozi bokuthi uzoba ne-glaucoma noma i-cataract. Kuzodingeka ukuthi ube nokuhlolwa kwamehlo okujwayelekile ngesikhathi sokwelashwa kwakho nge-fluticasone, umeclidinium, ne-vilanterol. Tshela udokotela wakho uma unokunye kwalokhu okulandelayo: ubuhlungu, ukuba bomvu, noma ukungaphatheki kahle kwamehlo; ukungaboni kahle; ukubona ama-halos noma imibala ekhanyayo ezungeze amalambu; noma olunye uguquko kumbono. Kuzodingeka ukuthi ube nokuhlolwa kwamehlo okuvamile nokuhlolwa kwethambo ngesikhathi sokwelashwa kwakho nge-fluticasone, umeclidinium, ne-vilanterol.

I-Fluticasone, i-umeclidinium, ne-vilanterol ingakhuphula ingozi yokuba ne-osteoporosis. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

I-Fluticasone, umeclidinium, ne-vilanterol kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Gcina le mithi kusigaqa se-foil efikile, ivaliwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Ukugcine ekamelweni lokushisa kude nelanga, ukushisa okweqile nomswakama (hhayi endlini yangasese). Lahla i-inhaler emasontweni ayisithupha ngemuva kokuyikhipha ku-foil overwrap noma ngemuva kokuthi kusetshenziswe yonke ibhamuza (lapho inkomba yedosi ifunda u-0), noma yikuphi okuza kuqala.

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
• ubuhlungu besifuba
• ukuphelelwa umoya
• isiyezi
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• uvalo
• ikhanda
• ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula
• amajaqamba noma ubuthakathaka
• umlomo owomile
• isicanucanu
• ukukhathala ngokweqile
• ubunzima bokulala noma ukulala

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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.

• UTrelegy Ellipta^®