I-Oxybutynin

-Delile

• Ngaphambi kokuthatha i-oxybutynin,
• I-Oxybutynin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalolu phawu olulandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Oxybutynin isetshenziselwa ukwelapha isinye esisebenza ngokweqile (isimo lapho imisipha yesinye ihlangana khona ngokungalawuleki futhi ibangele ukuchama kaningi, isidingo esiphuthumayo sokuchama, nokungakwazi ukulawula ukuchama) kubantu abadala abathile nasezinganeni. I-Oxybutynin isetshenziswa njengethebhulethi ekhishwe isikhathi eside ukulawula imisipha yesinye kubantu abadala nezingane ezineminyaka engu-6 nangaphezulu nge-spina bifida (ukukhubazeka okwenzeka lapho umgogodla ungavali kahle ngaphambi kokuzalwa), noma ezinye izimo zesistimu yezinzwa kuthinta imisipha yesinye. I-Oxybutynin isekilasini lemithi ebizwa nge-anticholinergics / antimuscarinics. Isebenza ngokuxegisa imisipha yesinye.

I-Oxybutynin iza njengethebhulethi, isiraphu, kanye nethebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Amaphilisi kanye nesiraphu kuvame ukuphuzwa kabili noma kane ngosuku. Ithebhulethi ekhishwa enwetshiwe ivame ukuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-oxybutynin 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-oxybutynin njengoba nje kuyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya amaphilisi akhululiwe enziwe ngamanzi amaningi noma olunye uketshezi. Ungahlukanisi, uhlafune, noma uchoboze amaphilisi akhululiwe. Tshela udokotela wakho uma wena noma ingane yakho ungakwazi ukugwinya amaphilisi.

Sebenzisa isipuni noma inkomishi yokulinganisa umthamo ukukala inani elifanele liketshezi kumthamo ngamunye, hhayi isipuni sasekhaya.

Udokotela wakho angakuqala ngomthamo ophansi we-oxybutynin futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo ngesonto.

I-Oxybutynin ingalawula izimpawu zakho kepha ngeke iselaphe isimo sakho. Qhubeka uthathe i-oxybutynin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-oxybutynin ngaphandle kokukhuluma nodokotela wakho.

Ungaqaphela ukuthuthuka kwezinye izimpawu zakho phakathi kwamasonto amabili okuqala wokwelashwa kwakho. Kodwa-ke, kungathatha amasonto ama-6-8 ukuzwa umhlomulo ophelele we-oxybutynin. Khuluma nodokotela wakho uma izimpawu zakho zingathuthuki nhlobo phakathi kwamasonto ayisishiyagalombili.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-oxybutynin,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-oxybutynin, noma imuphi omunye umuthi, noma iziphi izithako kumaphilisi e-oxybutynin, amaphilisi akhishwa isikhathi eside, noma isiraphu. Buza udokotela wakho noma usokhemisi uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone, Pacerone); ama-antibiotic athile afana ne-clarithromycin (Biaxin), i-erythromycin (E.E.S., E-Mycin, Erythrocin), ne-tetracycline (Bristamycin, Sumycin, Tetrex); ezinye izinto zokuvikela ezifana ne-itraconazole (Sporanox), i-miconazole (i-Monistat), ne-ketoconazole (i-Nizoral); ama-antihistamine; i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-cimetidine (Tagamet); i-diltiazem (iCardizem, iDilacor, iTiazac); i-fluvoxamine; ipratropium (Atrovent); izithako zensimbi; imishanguzo ethile yegciwane lesandulela ngculazi (i-HIV) njenge-indinavir (Crixivan), i-nelfinavir (i-Viracept), ne-ritonavir (i-Norvir, e-Kaletra); imishanguzo yezifo zamathumbu ezicasulayo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; imithi ye-osteoporosis (isimo lapho amathambo ebuthakathaka, entekenteke, futhi engaphuka kalula) njenge-alendronate (Fosamax), ibandronate (Boniva), ne-risedronate (Actonel); nefazodone; izithako ze-potassium; i-quinidine; kanye ne-verapamil (Calan, Covera, Isoptin, Verelan). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba ne-angle glaucoma emincane (isimo esibi samehlo esingadala ukulahleka kombono), noma isiphi isimo esivimba isinye sakho ekuchithekeni ngokuphelele, noma yisiphi isimo esibangela ukuba isisu sakho sikhiphe kancane noma ngokungapheleli. Udokotela wakho angakutshela ukuthi ungathathi i-oxybutynin.
• utshele udokotela wakho uma uke waba nesilonda esilimaza ulcerative (isimo esidala ukuvuvukala nezilonda emgqeni wekholoni [amathumbu amakhulu] ne-rectum); isifo se-reflux se-gastroesophageal (GERD; isimo lapho okuqukethwe esiswini kubuyela emuva ku-esophagus futhi kubangele ubuhlungu nesilungulela); i-hernia yokubeletha (isimo lapho ingxenye yodonga lwesisu ikhukhumela ngaphandle, futhi ingadala ubuhlungu nesilungulela); i-hyperthyroidism (isimo lapho kune-hormone yegilo eningi kakhulu emzimbeni); i-myasthenia gravis (ukuphazamiseka kwesistimu yezinzwa okubangela ukuba buthakathaka kwemisipha); Isifo sikaParkinson; ukuwohloka komqondo; ukushaya kwenhliziyo okusheshayo noma okungajwayelekile; umfutho wegazi ophakeme; i-benign prostatic hypertrophy (BPH, ukukhulisa i-prostate, isitho sokuzala sowesilisa); noma isifo senhliziyo, isibindi noma sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-oxybutynin, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha amaphilisi noma isiraphu ye-oxybutynin uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha amaphilisi noma isiraphu ye-oxybutynin ngoba akuphephile futhi kungenzeka kungasebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-oxybutynin.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele noma ubangele ukungaboni kahle. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kotshwala ngenkathi uthatha lo muthi. Utshwala bungenza imiphumela emibi evela ku-oxybutynin ibe yimbi kakhulu.
• kufanele wazi ukuthi i-oxybutynin ingenza kube nzima ukuthi umzimba wakho uphole lapho kushisa kakhulu. Gwema ukuchayeka ekushiseni okukhulu, bese ushayela udokotela wakho noma uthole ukwelashwa okuphuthumayo uma unemfiva noma ezinye izimpawu zokushiswa ukushisa njengesizungu, isicanucanu, ikhanda elibuhlungu, ukudideka, kanye nokushaya ngamandla ngemuva kokuthola ukushisa.

Khuluma nodokotela wakho mayelana nokudla 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-Oxybutynin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• umlomo owomile
• ukungaboni kahle
• amehlo omile, ikhala, noma isikhumba
• ubuhlungu besisu
• ukuqunjelwa
• isifo sohudo
• isicanucanu
• isilungulela
• igesi
• shintsha emandleni okunambitha ukudla
• ikhanda
• isiyezi
• ubuthakathaka
• ukudideka
• ubuthongo
• ubunzima bokulala noma ukulala
• uvalo
• ukuqhuma
• ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi
• ubuhlungu emuva noma ngokuhlanganyela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalolu phawu olulandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, noma umphimbo
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ukuchama kaningi, okuphuthumayo noma okubuhlungu
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla

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).

I-Oxybutynin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

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:

• ukungahlaliseki
• ukuzamazama okungalawuleki kwengxenye yomzimba wakho
• ukucasuka
• isithuthwane
• ukudideka
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukuqhuma
• imfiva
• ukushaya kwenhliziyo okungajwayelekile
• ukuhlanza
• ubunzima bokuchama
• ukuphefumula okuhamba kancane noma okunzima
• ukungakwazi ukunyakaza
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• ukulahleka kwememori
• ukuyaluza
• abafundi abanzi (imibuthano emnyama ezikhungweni zamehlo)
• isikhumba esomile

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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

Uma uthatha ithebhulethi ekhishwe isikhathi eside, ungahle ubone okuthile okubukeka njengethebhulethi kusitulo sakho. Leli igobolondo lethebulethi elingenalutho futhi akusho ukuthi awutholanga umthamo wakho ophelele wemithi.

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-Ditropan^®¶
• I-Ditropan^® XL

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