Isotretinoin

-Delile

• Ngaphambi kokuthatha i-isotretinoin,
• I-Isotretinoin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, yeka ukuthatha i-isotretinoin bese ushayela udokotela wakho noma uthole ukwelashwa okuphuthumayo ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Kuzo zonke iziguli:

I-Isotretinoin akumele ithathwe yiziguli ezikhulelwe noma ezingakhulelwa. Kunobungozi obukhulu bokuthi i-isotretinoin izodala ukulahleka kokukhulelwa, noma ibangele ukuthi ingane izalwe kusenesikhathi, ifa ngemuva nje kokuzalwa, noma izalwe inokukhubazeka kokuzalwa (izinkinga zomzimba ezikhona ngesikhathi sokuzalwa).

Sekusungulwe uhlelo olubizwa nge-iPLEDGE ukwenza isiqiniseko sokuthi abesifazane abakhulelwe abayithathi i-isotretinoin nokuthi abesifazane abakhulelwa ngenkathi bephuza i-isotretinoin. Zonke iziguli, kufaka phakathi abesifazane abangakwazi ukukhulelwa nabesilisa, bangathola i-isotretinoin kuphela uma bebhaliswe ne-iPLEDGE, banesidakamizwa esivela kudokotela obhaliswe ne-iPLEDGE bese begcwalisa incwadi ekhemisi ebhaliswe ne-iPLEDGE. Ungathengi i-isotretinoin ngaphezulu kwe-inthanethi.

Uzothola ulwazi mayelana nobungozi bokuthatha i-isotretinoin futhi kufanele usayine iphepha lokuvuma elinolwazi elisho ukuthi uyaluqonda lolu lwazi ngaphambi kokuthola umuthi. Uzodinga ukubona udokotela wakho njalo ngenyanga ngenkathi welashwa ukuze ukhulume ngesimo sakho nangemiphumela emibi obhekene nayo. Ekuvakasheni ngakunye, udokotela wakho angakunika incwadi kadokotela yezinsuku ezingama-30 yemithi engenakho ukugcwaliswa. Uma ungowesifazane ongakhulelwa, kuzodingeka futhi ukuthi uhlolwe ukukhulelwa ebhodini eligunyaziwe njalo ngenyanga bese ugcwaliswa umuthi kadokotela wakho futhi uqoqwe zingakapheli izinsuku eziyi-7 zokuhlolwa kwakho kokukhulelwa. Uma ungowesilisa noma uma ungowesifazane ongakwazi ukukhulelwa, kufanele ukuthi lo mgomo ugcwaliswe futhi uthathwe zingakapheli izinsuku ezingama-30 uvakashelwe udokotela wakho. Usokhemisi wakho akakwazi ukukhipha umuthi wakho uma uza ukuwuthatha emva kwesikhathi esivunyelwe.

Tshela udokotela wakho uma ungakuqondi konke otshelwe ngakho mayelana ne-isotretinoin kanye nohlelo lwe-iPLEDGE noma uma ungacabangi ukuthi uzokwazi ukugcina ama-aphoyintimenti noma ugcwalise incwadi yakho kadokotela njalo ngenyanga.

Udokotela wakho uzokunika inombolo kamazisi kanye nekhadi lapho uqala ukwelashwa kwakho. Uzodinga le nombolo ukugcwalisa imiyalo yakho futhi uthole ulwazi kusuka kuwebhusayithi ye-iPLEDGE nolayini wefoni. Gcina ikhadi endaweni ephephile lapho lingalahleki khona. Uma ulahlekelwa yikhadi lakho, ungacela umuntu ozongena esikhundleni sakhe ngokusebenzisa iwebhusayithi noma ulayini wefoni.

Unganikeli ngegazi ngenkathi uthatha i-isotretinoin kanye nenyanga engu-1 ngemuva kokwelashwa kwakho.

Ungabelani nge-isotretinoin nanoma ngubani omunye umuntu, ngisho nomuntu onezimpawu ezifanayo onazo.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-isotretinoin 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), iwebhusayithi yomenzi, noma iwebhusayithi yohlelo lwe-iPLEDGE (http://www.ipledgeprogram.com) ukuthola Umhlahlandlela Wezokwelapha.

Khuluma nodokotela wakho ngezingozi zokuthatha i-isotretinoin.

Ezigulini zesifazane:

Uma ungakhulelwa, kuzodingeka uhlangabezane nezimfuneko ezithile ngesikhathi sokwelashwa kwakho nge-isotretinoin. Udinga ukuhlangabezana nalezi zidingo noma ungakaqali ukuya esikhathini (ukuba nezinyanga njalo ngenyanga) noma uke waba ne-tubal ligation ('amashubhu aboshiwe'; ukuhlinzwa ukuvimbela ukukhulelwa). Ungaxolelwa ukuhlangabezana nalezi zidingo kuphela uma ungazange uye esikhathini izinyanga eziyi-12 zilandelana futhi udokotela wakho athi usudlulile ukuya esikhathini (ushintsho lwempilo) noma uhlinziwe ukukhipha isizalo sakho kanye / noma womabili amaqanda. Uma kungekho kulokhu okuyiqiniso kuwe, kuzofanela uhlangabezane nezimfuneko ezingezansi.

Kufanele usebenzise izindlela ezimbili ezamukelekayo zokulawulwa kokubeletha inyanga engu-1 ngaphambi kokuba uqale ukuthatha i-isotretinoin, ngesikhathi sokwelashwa kwakho nenyanga eyodwa ngemuva kokwelashwa kwakho. Udokotela wakho uzokutshela ukuthi yiziphi izindlela zokulawula ukubeletha ezamukelekayo futhi uzokunikeza imininingwane ebhaliwe mayelana nokulawulwa kokuzalwa. Ungavakashela futhi mahhala nodokotela noma uchwepheshe wokuhlela umndeni ukuze ukhulume ngokulawulwa kokuzalwa okulungele wena. Kufanele usebenzise lezi zinhlobo ezimbili zokulawula ukubeletha ngaso sonke isikhathi ngaphandle kokuthi ungathembisa ukuthi ngeke ube nokuxhumana ngokocansi nowesilisa inyanga eyodwa ngaphambi kokwelashwa kwakho, ngesikhathi sokwelashwa kwakho, nangenyanga eyodwa ngemuva kokwelashwa kwakho.

Uma ukhetha ukuthatha i-isotretinoin, kungumsebenzi wakho ukugwema ukukhulelwa inyanga engu-1 ngaphambi, ngesikhathi, nangenyanga engu-1 ngemuva kokwelashwa kwakho. Kufanele uqonde ukuthi noma yiluphi uhlobo lokulawulwa kokuzalwa lungahluleka. Ngakho-ke, kubaluleke kakhulu ukunciphisa ubungozi bokukhulelwa ngengozi ngokusebenzisa izindlela ezimbili zokulawula ukubeletha ngaso sonke isikhathi. Tshela udokotela wakho uma ungakuqondi konke otshelwe ngakho mayelana nokulawulwa kokuzalwa noma ungacabangi ukuthi uzokwazi ukusebenzisa izindlela ezimbili zokulawula inzalo ngaso sonke isikhathi.

Uma uhlela ukusebenzisa izinto zokuvimbela inzalo zomlomo (amaphilisi okulawula ukubeletha) ngenkathi uthatha i-isotretinoin, tshela udokotela wakho igama lephilisi ozolisebenzisa. I-Isotretinoin iphazamisa isenzo se-micro-dosed progestin ('minipill') yokuvimbela inzalo yomlomo (Ovrette, Micronor, Nor-QD). Ungasebenzisi lolu hlobo lokulawulwa kokubeletha ngenkathi uthatha i-isotretinoin.

Uma uhlela ukusebenzisa izinto zokuvimbela inzalo ze-hormonal (amaphilisi okulawula ukubeletha, amapeshi, okufakelwa, imijovo, izindandatho, noma amadivayisi we-intrauterine), qiniseka ukuthi utshela udokotela wakho ngayo yonke imishanguzo, amavithamini, nezithasiselo zamakhambi ozithathayo. Imithi eminingi iphazamisa isenzo sezindlela zokuvimbela inzalo zamahomoni. Ungathathi i-wort yaseSt. John uma usebenzisa noma yiluphi uhlobo lokuvimbela inzalo ngamahomoni.

Kufanele ube nokuhlolwa okubili kokukhulelwa ngaphambi kokuba uqale ukuthatha i-isotretinoin. Udokotela wakho uzokutshela ukuthi uzozihlola nini futhi kuphi. Kuzodingeka futhi ukuthi uhlolwe ukukhulelwa elabhorethri inyanga nenyanga ngesikhathi sokwelashwa kwakho, lapho uthatha umthamo wakho wokugcina nezinsuku ezingama-30 ngemuva kokuthatha umthamo wakho wokugcina.

Uzodinga ukuxhumana nohlelo lwe-iPLEDGE ngocingo noma nge-inthanethi njalo ngenyanga ukuqinisekisa izindlela ezimbili zokulawulwa kokuzalwa ozisebenzisayo nokuphendula imibuzo emibili ngohlelo lwe-iPLEDGE. Uzokwazi ukuqhubeka nokuthola i-isotretinoin uma ukwenzile lokhu, uma uvakashele udokotela wakho ukukhuluma ngendlela ozizwa ngayo nokuthi uyisebenzisa kanjani indlela yakho yokulawula ukuzalwa nokuthi ngabe uvivinyelwe kabi esikhathini esidlule 7 izinsuku.

Yeka ukuthatha i-isotretinoin bese ushayela udokotela wakho ngokushesha uma ucabanga ukuthi ukhulelwe, uphuthelwa ukuya esikhathini, noma uya ocansini ngaphandle kokusebenzisa izindlela ezimbili zokulawula ukubeletha. Uma ukhulelwa ngesikhathi sokwelashwa kwakho noma zingakapheli izinsuku ezingama-30 ukwelashwa kwakho, udokotela wakho ezoxhumana nohlelo lwe-iPLEDGE, umenzi we-isotretinoin, ne-Food and Drug Administration (FDA). Uzokhuluma nodokotela ogxile ezinkingeni ngesikhathi sokukhulelwa ongakusiza wenze izinqumo ezilungele wena nengane yakho. Imininingwane ngempilo yakho nangempilo yengane yakho izosetshenziselwa ukusiza odokotela ukuthi bafunde kabanzi ngemiphumela ye-isotretinoin ezinganeni ezingakazalwa.

Ezigulini zesilisa:

Inani elincane kakhulu le-isotretinoin cishe lizoba sesidunjini sakho lapho uthatha imithamo ebekiwe yalomuthi. Akwaziwa ukuthi ngabe le mali encane ye-isotretinoin ingalimaza umbungu uma umlingani wakho ekhulelwe noma ekhulelwa. Tshela udokotela wakho uma umlingani wakho ekhulelwe, ehlela ukukhulelwa, noma ekhulelwa ngenkathi ukwelashwa kwakho ne-isotretinoin.

I-Isotretinoin isetshenziselwa ukwelapha induna enamandla ye-recalcitrant nodular (uhlobo oluthile lomqubuko onzima) olungasizwanga ngezinye izindlela zokwelapha, njengama-antibiotic. I-Isotretinoin isekilasini lemithi ebizwa ngama-retinoids. Isebenza ngokubambezela ukukhiqizwa kwezinto ezithile zemvelo ezingadala induna.

I-Isotretinoin iza njenge-capsule ezothathwa ngomlomo. I-Isotretinoin ivame ukuthathwa kabili ngosuku ngokudla izinyanga ezine kuya kwezingu-5 ngasikhathi. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-isotretinoin njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi ngengilazi egcwele ketshezi. Musa ukuhlafuna, ukuchoboza noma ukuncela amaphilisi.

Udokotela wakho mhlawumbe uzokuqala ngesilinganiso esilinganisweni se-isotretinoin futhi akhuphule noma anciphise umthamo wakho kuye ngokuthi uphendula kahle kangakanani emithini nasemiphumeleni oyitholayo. Landela lezi zinkomba ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma ungaqiniseki ukuthi kufanele uthathe isotretinoin engakanani.

Kungathatha amasonto ambalwa noma ngaphezulu ukuthi uzwe inzuzo ephelele ye-isotretinoin. Induna yakho ingase ibe yimbi kakhulu ekuqaleni kokwelashwa kwakho nge-isotretinoin. Lokhu kujwayelekile futhi akusho ukuthi umuthi awusebenzi. Induna yakho ingaqhubeka ithuthuke noma ngabe usuqedile ukwelashwa kwakho nge-isotretinoin.

I-Isotretinoin isetshenziselwe ukwelapha ezinye izimo zesikhumba nezinye izinhlobo zomdlavuza. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-isotretinoin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-isotretinoin, uvithamini A, noma imuphi omunye umuthi, noma yiziphi izithako ezikuma-capsule e-isotretinoin. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako ezingasebenzi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, imikhiqizo yamakhambi, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi uyayisho imishanguzo yokuquleka efana ne-phenytoin (Dilantin); imithi yokugula kwengqondo; i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol) ne-prednisone; ama-antibiotic e-tetracycline njenge-demeclocycline (i-Declomycin), i-doxycycline (i-Monodox, i-Vibramycin, abanye), i-minocycline (i-Minocin, i-Vectrin), i-oxytetracycline (i-Terramycin), ne-tetracycline (i-Sumycin, i-Tetrex, eminye); namavithamini A. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho uke wacabanga noma wazama ukuzibulala futhi uma wena noma omunye emndenini wakho uke waba nengcindezi, isifo sengqondo, isifo sikashukela, i-asthma, i-osteoporosis (isimo lapho amathambo entekenteke futhi ephuka kalula), i-osteomalacia (amathambo abuthakathaka ngenxa yokushoda kukavithamini D noma ubunzima bokumunca le vithamini), noma ezinye izimo ezibangela amathambo abuthakathaka, izinga eliphezulu le-triglyceride (amanoni egazini), i-lipid metabolism disorder (noma isiphi isimo esenza Kunzima emzimbeni wakho ukucubungula amafutha), i-anorexia nervosa (inkinga yokudla lapho kudliwa khona okuncane kakhulu), noma isifo senhliziyo noma sesibindi. Phinda utshele udokotela wakho ukuthi ukhuluphele ngokweqile noma uma uphuza noma wake waphuza kakhulu utshwala.
• ungancelisi ibele ngenkathi uthatha i-isotretinoin kanye nenyanga e-1 ngemuva kokuyeka ukuthatha i-isotretinoin.
• hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. I-Isotretinoin ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
• kufanele wazi ukuthi i-isotretinoin ingadala ushintsho emicabangweni yakho, ekuziphatheni, noma empilweni yengqondo. Ezinye iziguli ezithathe i-isotretinoin ziye zaba nokucindezeleka noma i-psychosis (ukulahlekelwa ukuxhumana neqiniso), ziye zaba nodlame, zacabanga ukuzibulala noma ukuzilimaza, futhi ziye zazama noma zaphumelela ukwenza kanjalo. Wena noma umndeni wakho kufanele ushayele udokotela wakho khona manjalo uma uhlangabezana nalezi zimpawu ezilandelayo: ukukhathazeka, ukudabuka, ukukhala, ukuphelelwa yintshisekelo ezintweni obukade uzijabulela, ukungenzi kahle esikoleni noma emsebenzini, ukulala ngaphezu kokujwayelekile, ubunzima bokuwa ukulala noma ukulala, ukucasuka, ulaka, ulaka, ukushintsha kwesifiso sokudla noma isisindo, ubunzima bokugxila, ukuhoxa kubangani noma emndenini, ukungabi namandla, imizwa yokungabi nalutho noma ukuzizwa unecala, ucabanga ukuzibulala noma ukuzilimaza, ukwenza imicabango eyingozi, noma ukubona izinto ezingekho (ukubona noma ukuzwa izinto ezingekho). Qiniseka ukuthi amalungu omndeni wakho ayazi ukuthi yiziphi izimpawu ezibucayi ukuze akwazi ukushayela udokotela uma ungakwazi ukufuna ukwelashwa wedwa.
• kufanele wazi ukuthi i-isotretinoin ingadala ukuthi amehlo akho ezwe omile futhi yenze ukugqoka amalensi wokuxhumana kungakhululeki ngesikhathi nangemva kokwelashwa kwakho.
• kufanele wazi ukuthi i-isotretinoin inganciphisa amandla akho okubona ebumnyameni. Le nkinga ingaqala ngokuzumayo nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho futhi ingaqhubeka ngemuva kokuthi ukwelashwa kwakho kumisiwe. Qaphela kakhulu lapho ushayela noma usebenzisa imishini ebusuku.
• hlela ukugwema ukususwa kwezinwele ngokufakwa i-wax, ukwelashwa kwesikhumba nge-laser, kanye ne-dermabrasion (ukuxegiselwa kokuhlinzwa kwesikhumba) ngenkathi uthatha i-isotretinoin nezinyanga eziyisithupha ngemuva kokwelashwa kwakho. I-Isotretinoin yandisa ubungozi bokuthi uzoba nezibazi kusuka kulezi zindlela zokwelapha. Buza udokotela wakho ukuthi ungazithola nini lezi zindlela zokuphepha ngokuphepha.
• khuluma nodokotela wakho ngaphambi kokuba uhlanganyele ekusebenzeni kanzima njengomdlalo. I-Isotretinoin ingadala ukuthi amathambo enze buthakathaka noma ashube ngokungavamile futhi ingakhuphula ubungozi bokulimala kwamathambo kubantu abenza izinhlobo ezithile zomsebenzi womzimba. Uma wephula ithambo ngesikhathi sokwelashwa kwakho, qiniseka ukuthi utshela bonke abahlinzeki bakho bezempilo ukuthi uthatha i-isotretinoin.

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

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

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

• izindebe ezibomvu, eziqhekekile nezibuhlungu
• isikhumba esomile, amehlo, umlomo, noma ikhala
• ukuphuma kwamakhala
• izinguquko kumbala wesikhumba
• ukuxebuka isikhumba ezintendeni zezandla nasematheni ezinyawo
• izinguquko ezipikili
• ukuphulukiswa okuphuzile kokusikeka noma izilonda
• ukopha noma ukuvuvukala kwezinsini
• ukulahleka kwezinwele noma ukukhula kwezinwele okungafuneki
• ukujuluka
• ukuqhuma
• izwi liyashintsha
• ukukhathala
• izimpawu ezibandayo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, yeka ukuthatha i-isotretinoin bese ushayela udokotela wakho noma uthole ukwelashwa okuphuthumayo ngokushesha:

• ikhanda
• ukungaboni kahle
• isiyezi
• isicanucanu
• ukuhlanza
• isithuthwane
• inkulumo ehamba kancane noma enzima
• ubuthakathaka noma ukuba ndikindiki kwengxenye eyodwa noma uhlangothi lomzimba
• ubuhlungu besisu
• ubuhlungu besifuba
• ubunzima bokugwinya noma ubuhlungu lapho ugwinya
• isilungulela esisha noma esiba sibi kakhulu
• isifo sohudo
• ukuphuma kwegazi
• ukuphuzi kwesikhumba noma kwamehlo
• umchamo onombala omnyama
• ubuhlungu emuva, ithambo, amalunga noma imisipha
• ubuthakathaka bemisipha
• kunzima ukuzwa
• kukhala ezindlebeni
• izinkinga zokubona
• ukoma okubuhlungu noma okungapheli kwamehlo
• ukoma okungajwayelekile
• ukuchama kaningi
• ukuphefumula kanzima
• ukuquleka
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• amehlo abomvu, avuvukile, alumayo noma anezinyembezi
• imfiva
• ukuqubuka
• isikhumba esikhulayo noma esikhanyayo, ikakhulukazi emilenzeni, ezingalweni noma ebusweni
• izilonda emlonyeni, emphinjeni, ekhaleni, noma emehlweni
• amabala abomvu noma imihuzuko emilenzeni
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ubunzima bokugwinya noma ubuhlungu lapho ugwinya

I-Isotretinoin ingadala ukuthi amathambo ayeke ukukhula masinyane ebusheni. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

I-Isotretinoin 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).

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:

• ukuhlanza
• ukuqhuma
• izindebe ezinzima
• ubuhlungu besisu
• ikhanda
• isiyezi
• ukulahleka kokuxhumanisa

Noma ngubani othathe ukudlula ngokweqile kwe-isotretinoin kufanele azi ngengozi yokukhubazeka kokuzalwa okubangelwa i-isotretinoin futhi akufanele anikele ngegazi inyanga eyodwa ngemuva kokudlula ngokweqile. Owesifazane okhulelwe kufanele akhulume nodokotela babo ngezingozi zokuqhubeka nokukhulelwa ngemuva kokudlula ngokweqile. Abesifazane abangakhulelwa kufanele basebenzise izindlela ezimbili zokulawula ukubeletha inyanga e-1 ngemuva kokudlula ngokweqile. Abesilisa abalingani babo abakhulelwe noma abangakhulelwa kufanele basebenzise amakhondomu noma bagweme ukuxhumana ngokobulili nalowo mlingani inyanga engu-1 ngemuva kokudlula ngokweqile ngoba i-isotretinoin ingaba khona kusidoda.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zebhu ukuze ahlole impendulo yakho ku-isotretinoin.

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-Absorica^®
• I-Accutane^®¶
• Shwele^®
• UClaravis^®
• I-Myorisan^®
• Sotret^®¶
• UZenatane^®

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