I-Serdexmethylphenidate ne-Dexmethylphenidate

-Delile

• Ngaphambi kokuthatha i-serdexmethylphenidate ne-dexmethylphenidate,
• I-Serdexmethylphenidate ne-dexmethylphenidate 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:

Ukuhlanganiswa kwe-serdexmethylphenidate ne-dexmethylphenidate kungakha umkhuba. Ungathathi umthamo omkhulu, uthathe kaningi, noma uthathe isikhathi eside kunokuyalelwa ngudokotela wakho. Uma uthatha kakhulu i-serdexmethylphenidate ne-dexmethylphenidate, ungaqhubeka uzizwe unesidingo sokuphuza inani elikhulu lomuthi, futhi ungathola izinguquko ezingavamile ekuziphatheni kwakho. Wena noma umnakekeli wakho kufanele utshele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile; ukujuluka; abafundi abahluziwe; imizwa ejabule ngokungavamile; ukungahlaliseki; ukucasuka; ubunzima bokulala noma ukulala; ubutha; ulaka; ukukhathazeka; ukulahlekelwa ukudla; ukulahleka kokuxhumanisa; ukunyakaza okungalawuleki kwengxenye yomzimba; isikhumba esikhanyayo; ukuhlanza; ubuhlungu besisu; noma ukucabanga ngokuzilimaza noma ukuzibulala noma ukubulala abanye noma ukuhlela noma ukuzama ukwenza kanjalo.

Tshela udokotela wakho uma wena noma omunye emndenini wakho uphuza noma uke waphuza utshwala obuningi, usebenzisa noma uke wasebenzisa izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imithi kadokotela.

Ungayeki ukuthatha i-serdexmethylphenidate ne-dexmethylphenidate ngaphandle kokukhuluma nodokotela wakho, ikakhulukazi uma usebenzise ngokweqile umuthi. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane futhi akubheke ngokucophelela ngalesi sikhathi. Ungahle ube nokudangala okukhulu nokukhathala okukhulu uma ngokungazelelwe uyeka ukuthatha i-serdexmethylphenidate ne-dexmethylphenidate ngemuva kokuyisebenzisa ngokweqile. Udokotela wakho angadinga ukukuqapha ngokucophelela ngemuva kokuyeka ukuthatha i-serdexmethylphenidate ne-dexmethylphenidate, noma ngabe ungawasebenzisi ngokweqile umuthi, ngoba izimpawu zakho zingase zibe zimbi kakhulu lapho ukwelashwa kumiswa.

Ungathengisi, uphisane, noma uvumele noma ngubani omunye umuntu ukuthi athathe imithi yakho. Ukuthengisa noma ukuphisana nge-serdexmethylphenidate ne-dexmethylphenidate kungalimaza abanye futhi kuphambene nomthetho. Gcina i-serdexmethylphenidate ne-dexmethylphenidate endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngengozi noma ngenhloso. Gcina umbhalo walokho ukuthi mangaki amaphilisi asele ukuze wazi ukuthi akhona yini alahlekile.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-serdexmethylphenidate ne-dexmethylphenidate futhi isikhathi ngasinye lapho ugcwalisa khona imiyalo 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.

Inhlanganisela ye-serdexmethylphenidate ne-dexmethylphenidate isetshenziswa njengengxenye yohlelo lokwelashwa ukulawula izimpawu zokwehluleka kokunaka ukukhathazeka (ADHD; ubunzima bokugxila, ukulawula izenzo, nokuhlala uthule noma uthule ukwedlula abanye abantu abalinganayo ubudala) kubantu abadala nezingane Uneminyaka engu-6 ubudala nangaphezulu. Ukuhlanganiswa kwe-serdexmethylphenidate ne-dexmethylphenidate kusekilasini lemithi ebizwa ngokuthi izikhuthazi zesistimu yezinzwa. Le mithi isebenza ngokushintsha inani lezinto ezithile zemvelo ebuchosheni.

Inhlanganisela ye-serdexmethylphenidate ne-dexmethylphenidate iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa kanye nsuku zonke ekuseni noma ngaphandle kokudla. Thatha i-serdexmethylphenidate ne-dexmethylphenidate ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-serdexmethylphenidate ne-dexmethylphenidate njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi; ungawahlafune noma uwachoboze. Uma ungakwazi ukugwinya i-capsule, ungavula i-capsule bese ufafaza konke okuqukethwe cishe ku-2 oz (50 mL) wamanzi noma kuma-isipuni ama-2 we-applesauce. Gwinya noma udle le ngxube ngokushesha kungakapheli imizuzu eyi-10 uxubekile. Ungayigcini ingxube yemithi ukuze uyisebenzise esikhathini esizayo.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-serdexmethylphenidate ne-dexmethylphenidate futhi akhuphule umthamo wakho kancane kancane, hhayi kaningi ngaphezu kwesisodwa njalo ngesonto.

Isimo sakho kufanele sithuthuke ngesikhathi sokwelashwa kwakho. Shayela udokotela wakho uma izimpawu zakho ziba zimbi noma kunini ngesikhathi sokwelashwa kwakho noma zingathuthuki ngemuva kwenyanga engu-1.

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

Ngaphambi kokuthatha i-serdexmethylphenidate ne-dexmethylphenidate,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-serdexmethylphenidate, methylphenidate, dexmethylphenidate, noma imuphi omunye umuthi, noma iziphi izithako ezikuma-serdexmethylphenidate kanye ne-dexmethylphenidate capsules. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha le mithi elandelayo noma uyekile ukuyiphuza ezinsukwini eziyi-14 ezedlule: i-monoamine oxidase (MAO) inhibitors kufaka phakathi i-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, I-Emsam, iZelapar), noma i-tranylcypromine (iParnate). Udokotela wakho uzokutshela ukuthi ungathathi i-methylphenidate kuze kudlule okungenani izinsuku eziyi-14 selokhu wagcina ukuthatha i-MAO inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-alpha blocker efana ne-alfuzosin (Uroxatral), i-doxazosin (i-Cardura), i-prazosin (i-Minipress), i-tamsulosin (i-Flomax, i-Jalyn), ne-terazosin; i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, ngesi-Vaseretic), i-fosinopril, i-lisinopril (e-Prinzide, e-Zestoretic), i-moexipril (Univasc, i-Uniretic) , e-Prestalia), i-quinapril (i-Accupril, ngesi-Quinaretic), i-ramipril (i-Altace), noma i-trandolapril (eTarka); ama-angiotensin receptor blockers (ama-ARB) anjenge-azilsartan (Edarbi, e-Edarbyclor), amakhandlela (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar) e-Azor, e-Benicar HCT, e-Tribenzor), nase-telmisartan (Micardis, e-Micardis HCT, e-Twynsta); ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), propranolol (Inderal, Innopran, e-Inderide), kanye ne-timolol (Blocadren, eTimolide); ama-calcium channel blockers afana ne-diltiazem (Cardizem), nicardipine, nifedipine (Adalat, Procardia), kanye ne-verapamil (Calan, Verelan, eTarka); ama-serotonin reuptake inhibitors (SSRIs) akhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); venlafaxine (Effexor); kanye ne-risperidone (Risperdal). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi ngabe kukhona yini emndenini wakho owake washaywa yinhliziyo ngokungafanele noma oshone ngokuzumayo. Phinda utshele udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo futhi uma uke waba nenkinga yenhliziyo noma unomuzwa wokuthi uke waba nayo noma cha owake waba nayo, umfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, ukuqina kwemithambo, isifo senhliziyo noma somthambo wegazi, noma ezinye izinkinga zenhliziyo. Udokotela wakho uzokuhlola ukuze abone ukuthi inhliziyo nemithambo yegazi yakho iphilile yini. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-serdexmethylphenidate ne-dexmethylphenidate uma unesimo senhliziyo noma uma kunengozi enkulu yokuthi ungahle ube nesimo senhliziyo.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho uke waba nokucindezeleka, noma i-bipolar disorder (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile), noma i-mania (edidekile, ejabule ngokweqile), noma uke wacabanga noma wazama ukuzibulala. Phinda utshele udokotela wakho uma uke waba nokugula ngengqondo, noma izinkinga zokujikeleza eminwe noma ezinzwaneni.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-serdexmethylphenidate ne-dexmethylphenidate, shayela udokotela wakho.
• tshela udokotela wakho uma uncelisa. Uma uncelisa ngenkathi uthatha i-serdexmethylphenidate ne-dexmethylphenidate, gada usana oluncelisiwe ngokucophelela ngokuxokozela, ukwehla kwesisindo, noma ukungondli kahle. Shayela udokotela wakho ngokushesha uma usana oluncelisiwe lunezinye zalezi zimpawu.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-serdexmethylphenidate ne-dexmethylphenidate.
• kufanele wazi ukuthi i-serdexmethylphenidate ne-dexmethylphenidate kufanele isetshenziswe njengengxenye yohlelo lokwelashwa oluphelele lwe-ADHD, olungafaka ukwelulekwa kanye nemfundo ekhethekile. Qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho kanye / noma yomelaphi.

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

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-Serdexmethylphenidate ne-dexmethylphenidate ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuncipha komzimba
• isicanucanu
• isilungulela
• isiyezi

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

• ukuqubuka
• isifuba
• ukulunywa
• ukudana
• ukukholwa izinto ezingelona iqiniso
• uzizwe usola ngokungavamile abanye
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• i-mania (i-frenzied noma imizwa ejabule ngokungavamile)
• ukuphaphatheka noma umbala oluhlaza okwesibhakabhaka weminwe noma izinzwane
• ubuhlungu, ukuba ndikindiki, ukushiswa, noma ukuhayiza ezandleni noma ezinyaweni
• amanxeba angachazeki avela eminweni noma ezinzwaneni
• isikhumba esishayayo noma esikhanyayo
• ukuvinjelwa okuvamile, okubuhlungu
• ukwakhiwa okuhlala isikhathi eside kunamahora ama-4

I-Serdexmethylphenidate ne-dexmethylphenidate ingadala ukufa okungazelelwe ezinganeni nasebusheni, ikakhulukazi izingane noma intsha enezinkinga zenhliziyo noma enezinkinga ezinkulu zenhliziyo. Lo muthi nawo ungadala ukufa okungazelelwe, isifo senhliziyo noma isifo sohlangothi kubantu abadala, ikakhulukazi abantu abadala abanezinkinga zenhliziyo noma abanezinkinga ezinkulu zenhliziyo. Shayela udokotela wakho ngokushesha uma wena noma ingane yakho unezimpawu zezinkinga zenhliziyo ngenkathi uthatha lo muthi kufaka phakathi: ubuhlungu besifuba, ukuphefumula okuncane, noma ukuquleka. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

I-Serdexmethylphenidate ne-dexmethylphenidate inganciphisa ukukhula kwezingane noma ukuzuza kwesisindo. Udokotela wengane yakho uzobuka ukukhula kwakhe ngokucophelela. Khuluma nodokotela wengane yakho uma unezinkinga ngokukhula kwengane yakho noma ukukhuluphala kwesisindo sayo ngenkathi ithatha lo muthi. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho i-serdexmethylphenidate ne-dexmethylphenidate.

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).

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:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukungahlaliseki
• ukukhathazeka
• ukuyaluza
• ukuthuthumela
• ukudikiza kwemisipha
• ukudlikizela
• injabulo enkulu
• ukudideka
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• i-delirium
• ukujuluka
• ukuqhuma
• ikhanda
• imfiva
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• abafundi abahlanzekile
• ukungaboni kahle
• ubuhlungu bemisipha nobuthakathaka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzohlola umfutho wegazi nokushaya kwenhliziyo yakho bese a-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-serdexmethylphenidate ne-dexmethylphenidate.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Lo muthi awugcwaliseki kabusha. Qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho njalo ukuze ungaphelelwa yimithi.

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.

• Ama-Azstary^®