I-Bromocriptine

-Delile

• Ngaphambi kokuthatha i-bromocriptine,
• Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.
• I-Bromocriptine 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:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Bromocriptine (Parlodel) isetshenziselwa ukwelapha izimpawu ze-hyperprolactinemia (amazinga aphezulu ento yemvelo ebizwa nge-prolactin emzimbeni) kubandakanya ukungabi khona esikhathini, ukuphuma ezingubeni, ukungazali (ubunzima bokukhulelwa) kanye ne-hypogonadism (amazinga aphansi wezinto ezithile zemvelo kuyadingeka ekuthuthukisweni okujwayelekile nokusebenza ngokocansi). I-Bromocriptine (Parlodel) ingasetshenziselwa ukwelapha i-hyperprolactinemia ebangelwa izinhlobo ezithile zamathumba ezikhiqiza iprolactin, futhi ingahle inciphise lezi zicubu. I-Bromocriptine (Parlodel) nayo isetshenziswa yodwa noma nezinye izindlela zokwelapha i-acromegaly (isimo lapho kune-hormone yokukhula eningi kakhulu emzimbeni) nesifo sikaParkinson's (PD; ukuphazamiseka kwesistimu yezinzwa okubangela ubunzima bokuhamba, ukulawula imisipha, nokulinganisela). I-Bromocriptine (i-Cycloset) isetshenziswa nohlelo lokudla nokuzivocavoca futhi kwesinye isikhathi neminye imithi yokulawula amazinga kashukela egazini kubantu abanesifo sikashukela sohlobo 2 (isimo lapho umzimba ungasebenzisi i-insulin ngokujwayelekile ngakho-ke awukwazi ukulawula inani likashukela egazini ). I-Bromocriptine (i-Cycloset) ayisetshenziswanga ukwelapha uhlobo lwesifo sikashukela sohlobo 1 (isimo lapho umzimba ungakhiqizi i-insulin ngakho-ke awukwazi ukulawula inani likashukela egazini) noma i-ketoacidosis yesifo sikashukela (isimo esibi esingavela uma ushukela ophakeme wegazi ungekho baphathwe). I-Bromocriptine isekilasini lemithi ebizwa nge-dopamine receptor agonists. Iphatha i-hyperprolactinemia ngokwehlisa inani leprolactin emzimbeni. Iphatha i-acromegaly ngokunciphisa inani lama-hormone okukhula emzimbeni. Welapha isifo sikaParkinson ngokuvuselela izinzwa ezilawula ukunyakaza. Indlela i-bromocriptine esebenza ngayo ekwelapheni isifo sikashukela ayaziwa.

I-Bromocriptine (i-Parlodel) iza njenge-capsule kanye ne-tablet ezothathwa ngomlomo. I-Bromocriptine (i-Cycloset) iza njengethebhulethi ezothathwa ngomlomo. Lapho i-bromocriptine (Parlodel) isetshenziselwa ukwelapha i-hyperprolactinemia, imvamisa kuthathwa kanye ngosuku ngokudla. Lapho i-bromocriptine (iParlodel) isetshenziselwa ukwelapha i-acromegaly, imvamisa ithathwa kanye ngosuku ngesikhathi sokulala nokudla. Lapho i-bromocriptine (Parlodel) isetshenziselwa ukwelapha isifo sika-Parkinson, imvamisa iphuzwa kabili ngosuku ngokudla. I-Bromocriptine (i-Cycloset) ivame ukuthathwa kanye ngosuku ngokudla kungakapheli amahora amabili ivukile ekuseni. Thatha i-bromocriptine cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-bromocriptine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-bromocriptine futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa ezinsukwini ezimbili kuya kwezingu-28. Isikhathi sokwanda komthamo sincike esimweni esiphethwe nasempendulweni yakho emithini.

I-Bromocriptine ingasiza ukulawula isimo sakho kepha ngeke iselaphe. Kungathatha isikhathi esithile ukuthi uzwe inzuzo ephelele ye-bromocriptine. Ungayeki ukuthatha i-bromocriptine ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukuthatha i-bromocriptine, isimo sakho singase sibe sibi kakhulu.

Uma uthatha i-bromocriptine (Cycloset) yesifo sikashukela, cela usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

I-Bromocriptine akufanele isetshenziselwe ukumisa ukukhiqizwa ubisi lwebele kwabesifazane abakhiphe isisu noma bebeletha ingane efile noma abakhethe ukungancelisi ibele; I-bromocriptine ingadala imiphumela emibi kakhulu noma ebulalayo kulaba besifazane. 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-bromocriptine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-bromocriptine; i-ergot alkaloids efana ne-cabergoline (Dostinex), i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Germinal, i-Hydergine), i-ergonovine (i-Ergotrate), i-ergotamine (i-Bellergal-S, i-Cafergot, i-Ergomar, i-Wigraine), i-methylergonine I-Sansert), ne-pergolide (Permax); noma imiphi eminye imithi; noma yiziphi izithako ezibhebheni ze-bromocriptine noma ama-capsules. Buza usokhemisi wakho 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 yikuphi okulandelayo: amitriptyline (Elavil); ama-antifungals afana ne-itraconazole (Sporanox) ne-ketoconazole (i-Nizoral); ama-antihistamine; i-chloramphenicol; i-dexamethasone (i-Decadron, i-Dexpak); amanye ama-dopamine agonists anjenge cabergoline (Dostinex), levodopa (Dopar, Larodopa), pergolide (Permax), ne ropinirole (Requip); Imithi yohlobo lwe-ergot efana ne-dihydroergotamine (DHE 45, Migranal), i-ergoloid mesylates (iGerminal, i-Hydergine), i-ergonovine (i-Ergotrate), i-ergotamine (i-Bellergal-S, i-Cafergot, i-Ergomar, i-Wigraine), i-methylergonovine (Methergine), ne-methysergide (Sans ; i-haloperidol (iHaldol); imipramine (Tofranil); i-insulini; ama-antibiotic e-macrolide njenge-clarithromycin (i-Biaxin, ku-PrevPac) ne-erythromycin (i-E.E.S., i-E-Mycin, i-Erythrocin); imishanguzo ethile yegciwane lesandulela ngculazi (i-HIV) noma i-immunodeficiency syndrome (i-AIDS) efana ne-indinavir (Crixivan), i-nelfinavir (i-Viracept), ne-ritonavir (i-Norvir, e-Kaletra); imithi yomlomo yesifo sikashukela; imithi yesifuba somoya, imikhuhlane, umfutho wegazi ophakeme, i-migraines, ne-nausea; imishanguzo yokugula ngengqondo efana ne-clozapine (Clozaril, FazaClo), i-olanzapine (iZyprexa, e-Symbyax), i-thiothixene (i-Navane), ne-ziprasidone (i-Geodon); i-methyldopa (e-Aldoril); i-metoclopramide (Reglan); nefazodone; i-octreotide (iSandostatin); ipimozide (i-Orap); ama-probenecid (ku-Col-Probenecid, Probalan); qamba kabusha; i-rifampin (iRifadin, eRifamate, eRifater, eRimactane); kanye ne-sumatriptan (Imitrex). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imithi eminingi ingahle ihlanganyele ne-bromocriptine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho uma unengcindezi ephezulu yegazi noma ikhanda elibuhlungu elenza uquleke. Udokotela wakho angakutshela ukuthi ungathathi i-bromocriptine.
• utshele udokotela wakho uma usanda kubeletha, uma wake waquleka, nokuthi wake wahlaselwa yinhliziyo noma wake wahlaselwa yinhliziyo; ukushaya kwenhliziyo okuhamba kancane, okusheshayo, noma okungajwayelekile; ukugula ngengqondo; umfutho wegazi ophansi izilonda; ukopha esiswini noma emathunjini; I-Raynaud’s syndrome (isimo lapho izandla nezinyawo ziba ndikindiki futhi kuphole lapho kuvezwa amazinga okushisa abandayo); isifo senhliziyo, sezinso noma sesibindi; noma yisiphi isimo esivimbela ekugayeni ukudla okuqukethe ushukela, isitashi, noma imikhiqizo yobisi ngokujwayelekile.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-bromocriptine (Parlodel) ukwelapha ukungabi bikho kwezikhathi zokuya esikhathini nokungabi nenzalo okubangelwa yi-hyperprolactinemia, sebenzisa indlela yokulawula ukubeletha ngaphandle kwezindlela zokuvimbela inzalo zamahomoni (amaphilisi okulawula ukubeletha, amabala, izindandatho, noma imijovo) uze ube nezikhathi ezijwayelekile zokuya esikhathini; bese uyeka ukusebenzisa ukuvimbela inzalo. Kufanele uhlolelwe ukukhulelwa kanye njalo emavikini amane uma nje ungasayi esikhathini. Lapho isikhathi sakho sokuya esikhathini sesibuya, kufanele uhlolelwe ukukhulelwa noma kunini lapho isikhathi sakho sokuya esikhathini sifike sekwedlule izinsuku ezintathu. Uma ungafisi ukukhulelwa, sebenzisa indlela yokulawula ukubeletha ngaphandle kwezindlela zokuvimbela inzalo ze-hormonal ngenkathi uthatha i-bromocriptine. Uma ukhulelwa ngesikhathi sokwelashwa kwakho nge-bromocriptine, yeka ukuthatha imithi bese ufonela udokotela wakho.
• ungancelisi ibele ngenkathi uthatha i-bromocriptine.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-bromocriptine (Cycloset).
• kufanele wazi ukuthi i-bromocriptine ingakwenza ukozele futhi ikubangele ukuthi ulale ngokuzumayo. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-bromocriptine.Utshwala bungenza imiphumela emibi ye-bromocriptine ibe yimbi kakhulu.
• kufanele wazi ukuthi i-bromocriptine ingadala isiyezi, isicanucanu, ukujuluka, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-bromocriptine noma lapho umthamo wakho wanda. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• buza udokotela wakho ukuthi yini okufanele uyenze uma ugula, uba nesifo noma umkhuhlane, uba nengcindezi engajwayelekile, noma ulimele. Lezi zimo zingathinta ushukela wegazi lakho kanye nenani le-bromocriptine (Cycloset) ongayidinga.

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

Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo.

Uma uthatha i-bromocriptine (Parlodel), thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Uma uthatha i-bromocriptine (Cycloset) kanye ngosuku bese uphuthelwa umthamo wakho wokusa, linda kuze kube ngakusasa ukuthatha imishanguzo yakho. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.

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

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• amajaqamba esiswini
• isilungulela
• ukulahlekelwa isifiso sokudla
• ikhanda
• ubuthakathaka
• ukukhathala
• isiyezi noma ikhanda elikhanyayo
• ukozela
• ubunzima bokulala noma ukulala
• ukudana

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

• ukuquleka
• ukuphuma kwamanzi emakhaleni
• ukuba ndikindiki, ukuncinza, noma ubuhlungu eminweni yakho ikakhulukazi lapho kubanda
• indle emnyama neyokulinda
• ukuhlanza okunegazi
• izinto zokuhlanza ezibukeka njengezizathu zekhofi
• ukuvuvukala kwezinyawo, amaqakala, noma imilenze engezansi
• isithuthwane
• ikhanda elibi kakhulu
• ukufiphala noma ukubona kahle
• inkulumo ehamba kancane noma enzima
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ubuhlungu besifuba
• ubuhlungu ezingalweni, emhlane, entanyeni noma emihlathini
• ukuphelelwa umoya
• ukudideka
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)

I-Bromocriptine 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. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile, nomswakama (hhayi endlini yangasese).

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.

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

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
• ukuqunjelwa
• ukujuluka
• isikhumba esiphaphathekile
• umuzwa ojwayelekile wokungakhululeki noma wokungakhululeki
• ukungabi namandla
• ukuquleka
• isiyezi
• ukozela
• ukudideka
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukukholwa izinto ezingelona iqiniso
• izamula kaninginingi

Gcina konke ukubonana nodokotela wakho, udokotela wamehlo, kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe ngezikhathi ezithile. Udokotela wakho anga-oda ukuhlolwa njalo kwamehlo nokuhlolwa okuthile kwelebhu ukubheka impendulo yomzimba wakho ku-bromocriptine. Ushukela wegazi ne-hemoglobin yakho eglycosylated (HbA1c) kufanele ihlolwe njalo ukuthola impendulo yakho ku-bromocriptine (Cycloset). Udokotela wakho uzokutshela nokuthi ungayihlola kanjani impendulo yakho ku-bromocriptine (Cycloset) ngokulinganisa amazinga egazi lakho noma umchamo ekhaya. Landela lezi zinkomba ngokucophelela.

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.

• Cycloset^®
• I-Parlodel^®

• I-Bromocryptine
• I-Brom-ergocryptine
• 2-Bromoergocryptine
• I-2-Br-alpha-ergocryptine