I-Cannabidiol

-Delile

• Ngaphambi kokuthatha i-cannabidiol,
• I-Cannabidiol 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-Cannabidiol isetshenziselwa ukulawula ukubanjwa kwabantu abadala nezingane ezineminyaka engu-1 nangaphezulu nge-Lennox-Gastaut syndrome (isifo esiqala ebuntwaneni futhi esidala ukuquleka, ukubambezeleka kokukhula, nezinkinga zokuziphatha), iDravet syndrome (isifo esiqala ekuqaleni ubuntwana futhi kubanga ukuquleka futhi kamuva kungaholela ekubambezelekeni kokuthuthuka kanye nasekushintsheni kokudla, ukulinganisela, nokuhamba), noma i-tuberous sclerosis complex (TSC; isimo sofuzo esibangela ukuthi izimila zikhule ezithweni eziningi). I-Cannabidiol isekilasini lemithi ebizwa ngama-cannabinoids. Akwaziwa kahle ukuthi i-cannabidiol isebenza kanjani ukuvimbela umsebenzi wokuquleka.

I-Cannabidiol iza njengesisombululo (uketshezi) ukuthatha ngomlomo. Imvamisa iphuzwa kabili ngosuku. Ungathatha i-cannabidiol ngokudla noma ngaphandle kokudla, kodwa qiniseka ukuyithatha ngendlela efanayo isikhathi ngasinye. Thatha i-cannabidiol 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-cannabidiol njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Sebenzisa isirinji yomlomo eze nomuthi ukukala isisombululo. Ingabe hhayi sebenzisa isipuni sasekhaya ukukala umthamo wakho.

Sebenzisa isirinji yomlomo eyomile njalo lapho uphuza umuthi. Isixazululo singaguquka uma amanzi engena ebhodleleni lemithi noma ngaphakathi kwesirinji, kodwa lokhu ngeke kukushintshe ukuphepha noma ukuthi umuthi usebenza kahle kangakanani.

Isixazululo somlomo singanikezwa ngepayipi lokudla. Uma une-tube yokudla, buza udokotela wakho ukuthi kufanele uwuthathe kanjani umuthi. Landela lezi zinkomba ngokucophelela.

Udokotela wakho uzokuqala ngomthamo ophansi we-cannabidiol futhi akhuphule kancane umthamo wakho, imvamisa hhayi ngaphezu kwesisodwa njalo ngesonto.

ICannabidiol iyasiza ukulawula isimo sakho, kepha ayiselaphi. Qhubeka uthathe i-cannabidiol noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-cannabidiol ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-cannabidiol, ungahlangabezana nezimpawu zokuhoxa njengokuquleka okusha noma okuba kubi kakhulu. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-cannabidiol futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

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

Ngaphambi kokuthatha i-cannabidiol,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-cannabidiol, noma yimiphi eminye imithi, uwoyela wembewu yesame, noma ezinye izithako zekhambi le-cannabidiol. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha 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: imishanguzo; imithi yokukhathazeka; i-bupropion (i-Aplenzin, iZyban); i-caffeine; carbamazepine (Carbatrol, Equetro, Tegretol, Teril); i-cimetidine (Tagamet); i-clarithromycin (ku-Biaxin); i-clobazam (Onfi); diazepam (Diastat, Valium); diflunisal; i-diltiazem (Cardizem, Cartia, Taztia, abanye); i-efavirenz (Sustiva); i-erythromycin (E.E.S, Eryped, Ery-tab); esomeprazole (Nexium); i-felbamate (Felbatol); fenofibrate (Antara); i-fluoxetine (i-Prozac); i-fluvoxamine (i-Luvox); gemfibrozil (Lopid); indinavir (Crixivan); i-isoniazid (iLaniazid, eRifater); itraconazole (Onmel, Sporanox); ketoconazole; i-lamotrigine (iLamictal); i-lansoprazole (Prevacid); i-lorazepam (i-Ativan); imithi yokugula kwengqondo; i-morphine (i-Astramorph, i-Kadian); nefazodone; i-nelfinavir (i-Viracept); i-nevirapine (i-Viramune); omeprazole (Prilosec); izinto zokuvimbela inzalo ngomlomo; i-pantoprazole (Protonix); i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, eRifamate, eRifater); i-ritonavir (iNorvir, eKaletra); isidambisi; amaphilisi okulala; imithi yokuquleka; i-theophylline (i-Elixophyllin, i-Theo-24); i-ticlopidine; okokunciphisa umzimba; i-valproate (i-Depacon); i-verapamil (Verelan); kanye ne-voriconazole (Vfend). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-cannabidiol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo, ikakhulukazi iSt John's Wort.
• utshele udokotela wakho uma uphuza noma wake waphuza utshwala obuningi noma wasebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqweni noma imithamo eyeqile yemithi kadokotela. Phinda utshele udokotela wakho uma uke waba nokudangala, izinkinga zemizwa, imicabango yokuzibulala noma isimilo, noma isifo sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-cannabidiol, shayela udokotela wakho.
• kufanele wazi ukuthi i-cannabidiol ingakwenza ukozele noma ungakwazi ukugxilisa ingqondo. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-cannabidiol. Utshwala bungenza imiphumela emibi ethile evela ku-cannabidiol ibe yimbi kakhulu.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-cannabidiol. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants ukwelapha izimo ezahlukahlukene phakathi kwezifundo zokwelashwa baba nokuzibulala ngesikhathi belashwa. Kunobungozi bokuthi ungathola ushintsho empilweni yakho yengqondo uma uthatha umuthi we-anticonvulsant ofana ne-cannabidiol, kepha kungahle kube nengozi yokuthi uzohlangabezana nezinguquko empilweni yakho yengqondo uma isimo sakho singelashwa. Wena nodokotela wakho nizonquma ukuthi izingozi zokuthatha umuthi we-anticonvulsant zinkulu yini kunezingozi zokungawuthathi umuthi. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukwethuka; ukuphazamiseka noma ukungahlaliseki; ukucasuka okusha noma okuya kuba kubi, ukukhathazeka, noma ukucindezeleka; ukwenza izinkanuko eziyingozi; ubunzima bokulala noma ukulala; ulaka, intukuthelo, noma ukuziphatha okunodlame; i-mania (i-frenzied, imood ejabule ngokungavamile); ukukhuluma noma ukucabanga ngokufuna ukuzilimaza noma ukuqeda impilo yakho; ukuhoxa kubangani nomndeni; ukukhathazeka ngokufa nokufa; ukuphana ngezinto eziyigugu; noma olunye uguquko olungajwayelekile ekuziphatheni noma emoyeni. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

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

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• isifo sohudo
• ukukhathala
• ubunzima bokulala noma ukulala
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ubuhlungu besisu noma ukungaphatheki kahle
• ukukhipha amathe noma ngokweqile
• izinkinga zokuhamba

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

• ukuqubuka
• isifuba
• ububomvu
• ukulahlekelwa ukudla; isicanucanu; ukuhlanza; isikhumba esiphuzi noma amehlo; ukulunywa; ukufiphaza okungavamile komchamo; noma ubuhlungu bendawo yangaphezulu esiswini noma ukungaphatheki kahle
• umkhuhlane, ukukhwehlela, noma ezinye izimpawu zokutheleleka

I-Cannabidiol 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. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungafaki esiqandisini noma umise isixazululo. Lahla noma yisiphi isisombululo somlomo esingasetshenziswanga esisele emavikini ayi-12 ngemuva kokuqala ukuvula ibhodlela.

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 kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ngaphambi nangesikhathi sokwelashwa kwakho ukuze ahlole impendulo yomzimba wakho ku-cannabidiol.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-cannabidiol.

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-Epidiolex^®