I-Metoclopramide Nasal Spray

-Delile

• Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-metoclopramide nasal spray,
• I-Metoclopramide 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, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ukusebenzisa i-metoclopramide nasal spray kungadala ukuthi uthuthukise inkinga yemisipha ebizwa nge-tardive dyskinesia. Uma wenza i-tardive dyskinesia, uzohambisa imisipha yakho, ikakhulukazi imisipha ebusweni bakho ngezindlela ezingavamile. Ngeke ukwazi ukulawula noma ukumisa lokhu kuhamba. I-Tardive dyskinesia kungenzeka ingahambi ngisho nangemva kokuyeka ukusebenzisa i-metoclopramide nasal spray. Uma uthatha isikhathi eside i-metoclopramide, iba nkulu ingozi yokuthi uzoba ne-tardive dyskinesia. Ngakho-ke, udokotela wakho uzokutshela ukuthi ungathathi imikhiqizo ye-metoclopramide isikhathi esingaphezu kwamasonto ayi-12. Ingozi yokuthi uzoba ne-tardive dyskinesia nayo inkulu uma uthatha imishanguzo yokugula ngengqondo, uma unesifo sikashukela, noma uma usumdala, ikakhulukazi uma ungowesifazane. Shayela udokotela wakho ngokushesha uma uba nokunyakaza okungalawuleki komzimba, ikakhulukazi ukumunca izindebe, ukugoqa umlomo, ukuhlafuna, ukuswaca, ukukikiza, ukukhipha ulimi, ukucwayiza, ukunyakaza kwamehlo, noma ukuxhawula izingalo noma imilenze.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-metoclopramide nasal spray kanti isikhathi ngasinye ugcwalisa imishanguzo yakho. 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.

Khuluma nodokotela wakho ngengozi (s) yokusebenzisa i-metoclopramide nasal spray.

I-Metoclopramide nasal spray isetshenziselwa ukuqeda izimpawu ezibangelwa ukuncipha kwesisu kubantu abanesifo sikashukela. Lezi zimpawu zifaka phakathi isicanucanu, ukuhlanza, isilungulela, ukulahlekelwa isifiso sokudla, nokuzizwa usutha okuhlala isikhathi eside ngemuva kokudla. I-Metoclopramide isekilasini lemithi ebizwa ngama-prokinetic agents. Isebenza ngokusheshisa ukuhamba kokudla esiswini nasemathunjini.

I-Metoclopramide nasal spray ifika njengesisombululo (uketshezi) ukufafaza amakhala. Imvamisa ifuthwa ekhaleni elilodwa amahlandla amane ngosuku, imizuzu engama-30 ngaphambi kokudla ngakunye nangesikhathi sokulala amasonto amabili kuya kwayisishiyagalombili. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-metoclopramide nasal spray ngqo njengoba kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Ukuze usebenzise isifutho samakhala, landela lezi zinyathelo:

1. Susa ikepisi nesiqeshana sokuphepha kusuka empompini wokufafaza ngamakhala.
2. Uma usebenzisa i-nasal spray pump okokuqala ngqa, kufanele usebenzise ipompo kuqala. Bamba ibhodlela ngesithupha sakho phansi nenkomba yakho neminwe emaphakathi endaweni emhlophe yehlombe. Khomba ibhodlela liqonde kude namehlo akho. Cindezela phansi bese ukhipha umbhobho ukukhipha izifutho eziyi-10 emoyeni kude nobuso. Uma ungasebenzisanga isifutho sakho samakhala isikhathi esingaphezu kwezinsuku eziyi-14, phinda usebenzise ipompo ngezifutho eziyi-10.
3. Vala ikhala elilodwa ngokubeka ngobunono umunwe wakho ohlangothini lwekhala lakho, sitshekise ikhanda lakho uye phambili, bese ugcina ibhodlela limile, faka ithiphu lamakhala kwenye ikhala.Khomba ithiphu ngasemuva nangaphandle kwekhala. Sebenzisa umunwe wakho wangaphambili nomunwe ophakathi ukuze ucindezele ngokuqinile phansi wombhobho bese ukhipha isifutho. Ukulandela ukufafaza, phunga kahle bese uphefumulela ngaphandle kancane ngomlomo wakho.
4. Sula umfakisicelo ngendwangu ehlanzekile bese uyimboza ngopende.

Uma ungenaso isiqiniseko sokuthi isifutho samakhala singene ekhaleni lakho, ungawuphindaphindi umthamo, bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa.

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

Ngaphambi kokusebenzisa i-metoclopramide nasal spray,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-metoclopramide, noma imuphi omunye umuthi, noma iziphi izithako eziku-metoclopramide nasal spray. Buza udokotela wakho noma usokhemisi noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-antipsychotic (imithi yokwelapha ukugula ngengqondo) efana ne-haloperidol (Haldol); i-apomorphine (i-Kynmobi); i-atovaquone (iMepron, eMalarone); i-bromocriptine (Parlodel, Cycloset); i-bupropion (i-Aplenzin, i-Forfivo, i-Wellbutrin, ku-Contrave); ikhabergini; i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); i-diphenoxylate (eLomotil), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax) i-fosfomycin (i-Monurol); i-insulini; i-levodopa (eRytary, eSinemet, eStalevo); i-loperamide (i-Imodium); i-monoamine oxidase (MAO) inhibitors, kufaka phakathi i-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Emsam, Zelapar), ne-tranylcypromine (i-Parnate); imithi equkethe i-opioid yezinhlungu; i-paroxetine (Paxil, Pexeva); i-posaconazole (Noxafil); i-pramipexole (Mirapex); i-quinidine (ku-Nuedexta); i-ropinirole (i-Requip); i-rotigotine (i-Neupro); isidambisi; i-sirolimus (i-Rapamune); amaphilisi okulala; i-tacrolimus (i-Astagraf, Prograf); kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imithi eminingi ingase futhi ihlanganyele ne-metoclopramide, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
• utshele udokotela wakho uma uke waba nokuvaleka, ukopha, noma ukudabuka esiswini noma emathunjini; i-pheochromocytoma (isimila endlaleni encane eduze kwezinso); izinkinga zokulawula noma ukuhambisa imisipha yakho ngemuva kokuthatha noma imuphi omunye umuthi; noma ukuquleka. Udokotela wakho uzokutshela ukuthi ungasebenzisi i-metoclopramide nasal spray.
• tshela udokotela wakho uma ngabe uke waba nesifo i-Parkinson's (PD; ukuphazamiseka kwesistimu yezinzwa okubangela ubunzima ngokuhamba, ukulawula imisipha, nokulinganisela); umfutho wegazi ophakeme; ukudana noma esinye isifo sengqondo; umdlavuza webele; isifuba somoya; ukushoda kwe-glucose-6-phosphate dehydrogenase (G-6PD) (ukuphazamiseka kwegazi okuzuzwe njengefa); Ukushoda kwe-NAD cytochrome B5 reductase (ukuphazamiseka kwegazi okuzuzwe njengefa); ukwehluleka kwenhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma ezinye izinkinga zenhliziyo; noma isifo sesibindi noma sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-metoclopramide nasal spray, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-metoclopramide nasal spray.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kotshwala ngenkathi uthatha lo muthi. Utshwala bungenza imiphumela emibi ye-metoclopramide ibe yimbi kakhulu.

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

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

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

• ukunambitheka okungathandeki emlonyeni
• ukozela
• ukukhathala ngokweqile
• ubuthakathaka
• ikhanda
• isiyezi
• isifo sohudo
• isicanucanu
• ukukhulisa ibele noma ukukhipha
• uphuthelwe ukuya esikhathini
• kwehle ikhono lezocansi
• ukuchama kaningi
• ukwehluleka ukulawula ukuchama

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

• ukuqina kwemisipha, ikakhulukazi emhlathini noma entanyeni
• ukudana
• ucabanga ngokuzilimaza noma ukuzibulala
• imfiva
• ukuqina kwemisipha
• ukudideka
• ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile
• ukujuluka
• ukungahlaliseki
• uvalo noma i-jitteriness
• ukuyaluza
• ubunzima bokulala noma ukulala
• ukuhamba kancane
• ukuthinta izinyawo
• ukunyakaza okuhamba kancane noma okuqinile
• ubuso obungenalutho
• ukuzamazama okungalawuleki kwengxenye yomzimba
• kunzima ukugcina ibhalansi yakho
• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umlomo, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• imisindo ephezulu ngenkathi uphefumula

I-Metoclopramide 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 ebhodleleni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Lahla ibhodlela emasontweni ama-4 ngemuva kokuvulwa, noma ngabe kukhona isixazululo esisele ebhodleleni.

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:

• ukozela
• ukudideka
• isithuthwane
• ukunyakaza okungavamile, okungalawuleki
• ukungabi namandla
• Umbala oluhlaza okwesibhakabhaka
• ikhanda
• ukuphelelwa umoya

Gcina wonke ama-aphoyintimenti nodokotela 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.

• Gimoti^®