I-Methylphenidate

-Delile

• Uma uthatha ukumiswa okuthatha isikhathi eside (i-Quillivant XR), landela lezi zinyathelo ukukala umthamo:
• Ngaphambi kokuthatha i-methylphenidate,
• I-Methylphenidate ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Methylphenidate ingaba ukwakheka komkhuba. Ungathathi umthamo omkhulu, wuthathe kaningi, uwuthathe isikhathi eside, noma uwuthathe ngendlela ehlukile kunaleyo ebekwe ngudokotela wakho. Uma uthatha i-methylphenidate eningi, ungathola ukuthi umuthi awusazilawuli izimpawu zakho, ungazizwa unesidingo sokuthatha inani elikhulu lomuthi, futhi ungathola izinguquko ezingavamile ekuziphatheni kwakho. Tshela udokotela wakho uma uphuza noma uphuze kakhulu utshwala, usebenzise noma wake wasebenzisa izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imithi kadokotela.

Ungayeki ukuthatha i-methylphenidate 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 uma ngokungazelelwe uyeka ukuthatha i-methylphenidate ngemuva kokuyisebenzisa ngokweqile. Udokotela wakho angadinga ukukuqapha ngokucophelela ngemuva kokuyeka ukuthatha i-methylphenidate, 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 ngemethylphenidate kungalimaza abanye futhi kuphambene nomthetho. Gcina i-methylphenidate endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Gcina umbhalo walokho ukuthi kusale imishanguzo emingaki ukuze wazi ukuthi ikhona yini engekho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-methylphenidate futhi isikhathi ngasinye lapho uthola imishanguzo eminingi. 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.

I-Methylphenidate isetshenziswa njengengxenye yohlelo lokwelashwa ukulawula izimpawu zokunganakekelwa kahle kwe-hyperactivity disorder (ADHD; ubunzima bokugxila, ukulawula izenzo, nokuhlala uthule noma uthule ukwedlula abanye abantu abalinganayo) kubantu abadala nasezinganeni. I-Methylphenidate (Methylin) nayo isetshenziselwa ukwelapha i-narcolepsy (inkinga yokulala edala ukulala ngokweqile emini nokuhlaselwa okungazelelwe kokulala). IMethylphenidate isekilasini lemithi ebizwa ngokuthi izikhuthazi zesistimu yezinzwa (i-CNS). Isebenza ngokushintsha inani lezinto ezithile zemvelo ebuchosheni.

IMethylphenidate iza njengethebhulethi ekhishwa ngokushesha, ithebhulethi ehlafunwayo, isisombululo (uketshezi), ukumiswa okusebenza isikhathi eside (ukunwetshwa), ithebhulethi esebenza phakathi (ukukhishwa okukhishwe), ukusebenza okude (okunwetshiwe) -release) i-capsule, ithebhulethi esebenza isikhathi eside (enwetshiwe-ekhishwa), ithebhulethi esebenza isikhathi eside (enwetshiwe) ithebhulethi ehlafunwayo, kanye nethebhulethi esebenza isikhathi eside (enwetshiwe) ithebhulethi ehlukaniswa ngomlomo (ithebhulethi encibilika ngokushesha emlonyeni) . Ithebhulethi esebenza isikhathi eside, amaphilisi ahlukaniswa ngomlomo, nama-capsule anikezela ngemithi ethile khona manjalo futhi akhiphe inani elisele njengomthamo wokuzinza wemithi isikhathi eside. Zonke lezi zinhlobo ze-methylphenidate zithathwa ngomlomo. Amathebulethi avamile, amaphilisi angahlaziyeki (iMethylin), nesixazululo (iMethylin) imvamisa aphuzwa kabili noma kathathu ngosuku ngabantu abadala futhi kabili ngosuku ngabantwana, okungcono imizuzu engama-35 kuye kwengama-40 ngaphambi kokudla. Abantu abadala abathatha imithamo emithathu kufanele bathathe umthamo wokugcina ngaphambi kuka-6: 00 ntambama, ukuze umuthi ungabangeli ubunzima bokulala noma ukulala. Amaphilisi asebenza phakathi nendawo avame ukuphuzwa kanye noma kabili ngosuku, ekuseni futhi kwesinye isikhathi ntambama ekuqaleni kwemizuzu engama-30 kuya kwengama-45 ngaphambi kokudla. I-capsule esebenza isikhathi eside (iMetadate CD) ivame ukuthathwa kanye ngosuku ngaphambi kokudla kwasekuseni; ithebhulethi esebenza isikhathi eside (i-Concerta), ithebhulethi esetshenziswayo esebenza isikhathi eside (i-Quillichew ER), ukumiswa okusebenza isikhathi eside (i-Quillivant XR), nama-capsule asebenza isikhathi eside (i-Aptensio XR, i-Ritalin LA) ngokuvamile athathwa kanye ngosuku ekuseni noma ngaphandle kokudla. Ukumiswa okusebenze isikhathi eside (iQuillivant XR) kuzoqala ukusebenza ngokushesha uma kuthathwa nokudla. Ithebhulethi esebenza isikhathi eside ngomlomo ehlukanisayo ngomlomo (i-Cotempla XR-ODT) kanye ne-capsule esebenza isikhathi eside (i-Adhansia XR) ivame ukuthathwa kanye ngosuku ekuseni futhi kufanele ithathwe ngokungaguquguquki, kungaba njalo ngokudla noma njalo ngaphandle kokudla. I-capsule esebenza isikhathi eside (i-Jornay PM) ivame ukuthathwa kanye nsuku zonke kusihlwa (phakathi kuka-6: 30 ntambama no-9: 30 pm), futhi kufanele ithathwe ngokungaguquguquki, ngasikhathi sinye njalo kusihlwa futhi njalo ngokudla noma njalo ngaphandle ukudla.

Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-methylphenidate njengoba iqondisiwe.

Ungazami ukusunduza ithebhulethi ekhululwe ngomlomo ehlukaniswe ngomlomo (i-Cotempla XR-ODT) ngokusebenzisa i-blister pack foil. Esikhundleni salokho, sebenzisa izandla ezomile ukukhipha emuva ukupakisha kwe-foil. Khipha ngokushesha ithebhulethi uyibeke emlonyeni wakho. Ithebhulethi izoncibilika ngokushesha futhi ingagwinywa ngamathe; awekho amanzi adingekayo ukugwinya ithebhulethi.

Kufanele uhlafune kahle amaphilisi ahlafunwayo asheshe akhululwe bese uphuza ingilazi egcwele (okungenani ama-ounces ayi-8) wamanzi noma olunye uketshezi. Uma uthatha ithebhulethi eshibhile esheshe i-chewable ngaphandle ketshezi olwanele, ithebhulethi ingakhukhumala futhi ivimbe umphimbo futhi ingakudinisa. Uma unesihlungu esifubeni, uhlanza, noma unenkinga yokugwinya noma ukuphefumula ngemuva kokuthatha ithebhulethi ehlafunwayo, kufanele ushayele udokotela wakho noma uthole ukwelashwa okuphuthumayo ngokushesha.

Gwinya amathebulethi asebenza phakathi nendawo futhi asebenza isikhathi eside namaphilisi; ungawahlukanisi, ungawahlafune noma uwagxoze. Kodwa-ke, uma ungakwazi ukugwinya amaphilisi asebenza isikhathi eside (i-Aptensio XR, i-Jornay PM, i-Metadate CD, i-Ritalin LA), ungawavula ngokucophelela amaphilisi bese ufafaza konke okuqukethwe kusipuni se-appleauce epholile noma ekamelweni lokushisa, noma isikhathi eside- ama-capsule asebenzayo (i-Adhansia XR), ungawavula amaphilisi bese ufafaza konke okuqukethwe kusipuni se-appleauce noma i-yogurt. Gwinya (ngaphandle kokuhlafuna) le ngxube ngokushesha ngemuva kokuyilungiselela (kungakapheli imizuzu eyi-10 uma uthatha i-Adhansia XR) bese uphuza ingilazi yamanzi ukuze uqiniseke ukuthi uwugwinyile wonke umuthi. Ungayigcini le ngxube ukuze uyisebenzise esikhathini esizayo.

Uma uthatha ithebhulethi ehlafunwayo esebenza isikhathi eside (i-Quillichew ER) futhi udokotela wakho ukutshele ukuthi uthathe ingxenye yethebhulethi ukuthola inani elifanele lomthamo wakho, phula i-20 mg noma i-30 mg yethebhulethi esetshenziswayo esebenza isikhathi eside ngokucophelela eduze imigqa efakiwe kuyo. Kodwa-ke, ithebhulethi engu-40 mg esebenza isikhathi eside ehlafunwayo ayitholakali futhi ayikwazi ukuhlukaniswa noma ihlukaniswe.

Uma uthatha ukumiswa okuthatha isikhathi eside (i-Quillivant XR), landela lezi zinyathelo ukukala umthamo:

1. Susa ibhodlela lemithi ne-dosing dispenser ebhokisini. Hlola ukuze uqiniseke ukuthi ibhodlela linemithi engamanzi. Shayela usokhemisi wakho futhi ungawusebenzisi umuthi uma ibhodlela liqukethe impuphu noma uma kungekho okokuhambisa okokufaka ebhokisini.
2. Nyakazisa ibhodlela ubheke phansi naphansi okungenani imizuzwana eyishumi ukuxuba umuthi ngokulinganayo.
3. Susa ikepisi lebhodlela. Bheka ukuthi i-adaptha yebhodlela ifakwe phezulu ebhodleleni.
4. Uma i-adaptha yebhodlela ingafakwanga ngaphezulu kwebhodlela, lifake ngokubeka phansi i-adaptha ekuvulekeni kwebhodlela bese uyicindezela ngokuqinile kuyo ngesithupha sakho. Shayela usokhemisi wakho uma ibhokisi lingenayo i-adaptha yebhodlela. Ungasusi i-adaptha yebhodlela ebhodleleni uma selifakiwe.
5. Faka ichopho lesisetshenziswa sokufaka umthamo ku-adaptha yamabhodlela bese ucindezela i-plunger yonke indlela.
6. Jikisa ibhodlela ubheke phansi.
7. Donsela i-plunger emuva ukuze ukhiphe inani lokumiswa ngomlomo elibekwe ngudokotela wakho. Uma ungenaso isiqiniseko sokuthi ulinganisa kanjani kahle umthamo owunikwe ngudokotela, buza udokotela noma usokhemisi wakho.
8. Susa isihlinzeki sokulinganisa bese ugoqa kancane ukumiswa komlomo ngqo emlonyeni wakho noma emlonyeni wengane yakho.
9. Faka ikepisi ebhodleleni bese uvale uvalwe.
10. Hlanza i-dosing dispenser njalo emva kokuyisebenzisa ngokuyifaka ku-washwasher noma ngokuhlanza ngamanzi ompompi.

Udokotela wakho angakuqala ngomthamo ophansi we-methylphenidate futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa 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.

Udokotela wakho angakutshela ukuthi uyeke ukuthatha i-methylphenidate ngezikhathi ezithile ukubona ukuthi umuthi usadingeka yini. Landela lezi zinkomba ngokucophelela.

Eminye imikhiqizo ye-methylphenidate ingahle ingakwazi ukufakwa esikhundleni somunye. Buza usokhemisi wakho uma unanoma yimiphi imibuzo ngohlobo lomkhiqizo we-methylphenidate odolwe ngudokotela wakho.

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

Ngaphambi kokuthatha i-methylphenidate,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-methylphenidate, kunoma imiphi eminye imithi, i-aspirin (uma uthatha i-Adhansia XR), udayi we-tartrazine (udayi ophuzi kokunye ukudla okucutshungulwayo nemithi; uma uthatha i-Adhansia XR), noma ezinye izithako umkhiqizo we-methylphenidate owuthathayo. Buza udokotela wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitors, kufaka phakathi isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine ( I-Parnate), noma uyekile ukuwathatha ezinsukwini eziyi-14 ezedlule. 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 imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); imishanguzo efana ne-clomipramine (Anafranil), desipramine (Norpramin), ne-imipramine (Tofranil); ama-decongestants (ukukhwehlela nemithi ebandayo); imithi yesilungulela noma izilonda ezifana ne-esomeprazole (Nexium, eVimovo), i-famotidine (i-Pepcid), i-omeprazole (i-Prilosec, e-Zegerid), noma i-pantoprazole (i-Protonix); imithi yomfutho wegazi ophakeme; imithi yokuquleka efana ne-phenobarbital, phenytoin (Dilantin, Phenytek), ne-primidone (Mysoline); i-methyldopa; i-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax, abanye), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) ne-sertraline (i-Zoloft) ; i-sodium bicarbonate (Ingalo ne-Hammer Baking Soda, i-Soda Mint); kanye ne-venlafaxine (i-Effexor). Uma uthatha iRitalin LA, tshela futhi udokotela wakho uma uthatha ama-antacids noma imishanguzo yesilungulela noma izilonda. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo i-Tourette's syndrome (isimo esibonakala ngesidingo sokwenza iminyakazo ephindaphindwayo noma ukuphinda imisindo noma amagama), ubuso nobuso noma imoto (ukunyakaza okungalawuleki okuphindaphindwayo), noma ukubhula ngamazwi ( ukuphindaphindwa kwemisindo noma amagama okunzima ukuwalawula). Phinda utshele udokotela wakho uma une-glaucoma (ingcindezi eyandisiwe esweni engadala ukulahleka kombono), indlala yegilo engasebenzi ngokweqile, noma imizwa yokukhathazeka, ukungezwani, noma ukuphazamiseka. Udokotela wakho uzokutshela ukuthi ungathathi i-methylphenidate uma unanoma iyiphi yalezi zimo.
• utshele udokotela wakho ukuthi ngabe kukhona yini emndenini wakho owake washaywa yinhliziyo ngokungafanele noma oshone ngokuzumayo. Phinda utshele udokotela wakho uma usanda kuba nesifo senhliziyo futhi uma uke waba nenkinga yenhliziyo, umfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, isifo senhliziyo noma somthambo wegazi, ukuqina kwemithambo yegazi, i-cardiomyopathy (ukuqina kwesicubu senhliziyo ), noma ezinye izinkinga zenhliziyo. Udokotela wakho uzokutshela ukuthi ungathathi i-methylphenidate uma unesimo senhliziyo noma uma kunengozi enkulu yokuthi ungahle ube nesimo senhliziyo.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo sokucindezeleka noma esake saba khona noma esake saba khona, ukuphazamiseka kwengqondo okuguquguqukayo (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile), i-mania (edidekile, imizwa ejabule ngokungajwayelekile), noma uke wacabanga noma wazama ukuzibulala. Phinda utshele udokotela wakho uma uke waquleka noma wakha wahlushwa, i-electroencephalogram engajwayelekile (i-EEG; isivivinyo esilinganisa ukusebenza kukagesi ebuchosheni), izinkinga zokujikeleza kweminwe noma izinzwane, noma ukugula ngengqondo. Uma uthatha ithebhulethi esebenza isikhathi eside (i-Concerta), tshela udokotela wakho uma unciphisa noma uvimba uhlelo lwakho lokugaya ukudla.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-methylphenidate, shayela udokotela wakho.
• tshela udokotela wakho uma uncelisa noma uhlela ukuncelisa. Uma uncelisa ngenkathi uthatha i-methylphenidate udokotela wakho angakutshela ukuthi ubuke ingane yakho eduze ngokuxakaniseka okungavamile, ubunzima bokulala, ukungathandi ukudla, noma ukuncipha komzimba.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-methylphenidate uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-methylphenidate ngoba ayiphephile njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-methylphenidate.
• qaphela ukuthi akufanele uphuze iziphuzo ezidakayo ngenkathi uthatha ithebhulethi esetshenziswayo esethathe isikhathi eside (i-Quillichew ER), ithebhulethi esebenza ngomlomo ehlukanisa ngomlomo isikhathi eside (Cotempla^® I-XR-ODT), noma i-capsule esebenza isikhathi eside (i-Adhansia XR noma i-Jornay PM).
• uma une-phenylketonuria (i-PKU, isimo esizuzwe njengefa lapho kufanele kudliwe ukudla okhethekile ukuvimbela ukubambezeleka kwengqondo), kufanele wazi ukuthi amaphilisi atholakalayo akhishwa ngokushesha futhi asebenza isikhathi eside aqukethe i-aspartame eyakha i-phenylalanine.
• kufanele wazi ukuthi i-methylphenidate kufanele isetshenziswe njengengxenye yohlelo lokwelashwa oluphelele lwe-ADHD, olungafaka ukwelulekwa nemfundo ekhethekile. Qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho kanye / noma yomelaphi.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Khuluma nodokotela wakho noma usokhemisi mayelana nokuthi kufanele uthathe isikhathi esingakanani emtholampilo wakho ongasetshenziswanga ngosuku ukuze kungabangeli ubunzima ekulaleni noma ekulaleni. Kodwa-ke, uma sekuyisikhathi sedosi yakho elandelayo ehleliwe, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Uma uthatha i-capsule esebenza isikhathi eside (i-Jornay PM), thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula ngalobo busuku. Kodwa-ke, uma sekusile ngakusasa, yeqa umthamo ongabanjwanga we-capsule esebenza isikhathi eside (i-Jornay PM) bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• uvalo
• ukucasuka
• ubunzima bokulala noma ukulala
• isiyezi
• isicanucanu
• ukuhlanza
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ubuhlungu besisu
• isifo sohudo
• isilungulela
• umlomo owomile
• ikhanda
• ukuqina kwemisipha
• ukozela
• ukunyakaza okungalawuleki kwengxenye yomzimba
• ukungahlaliseki
• kwehle isifiso sobulili
• ukujuluka okusindayo
• ukuhlungu obusemhlane

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• ubuhlungu besifuba
• ukuphelelwa umoya
• ukukhathala ngokweqile
• inkulumo ehamba kancane noma enzima
• ukuquleka
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• isithuthwane
• izinguquko embonweni noma ukufiphala kwamehlo
• ukuyaluza
• ukukholwa izinto ezingelona iqiniso
• uzizwe usola ngokungavamile abanye
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• izithuthuthu zezimoto noma ezokukhuluma
• ukudana
• imizwa ejabule ngokweqile
• ukuguquka kwemizwelo
• ukuvinjelwa okuvamile, okubuhlungu
• ukwakhiwa okuhlala isikhathi eside kunamahora ama-4
• ukuphazamiseka, ubuhlungu, noma ukuzwela ekushiseni eminweni noma ezinzwaneni
• ukushintsha kombala wesikhumba kusuka kokuphaphathekile kuya kokuluhlaza okwesibhakabhaka kuya kokubomvu eminweni noma ezinzwaneni
• amanxeba angachazeki eminweni noma ezinzwaneni
• imfiva
• isifuba
• ukuqubuka
• isikhumba esishayayo noma esikhanyayo
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, izindebe, umlomo, ulimi, noma umphimbo
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya

I-Methylphenidate 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 i-methylphenidate enganeni yakho.

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa, kude nokukhanya nokushisa okweqile nomswakama (hhayi endlini yangasese). Gcina i-methylphenidate endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Gcina umbhalo walokho ukuthi mangaki amaphilisi noma amaphilisi noma ukuthi kusala uketshezi olungakanani ukuze wazi ukuthi kukhona yini umuthi ongekho.

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 okulandelayo:

• ukuhlanza
• isicanucanu
• isifo sohudo
• ukuphelelwa amandla, ukungaboni kahle, noma isiyezi
• ukungahlaliseki
• ukuphefumula ngokushesha okungavamile
• ukukhathazeka
• ukuyaluza
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukudikiza kwemisipha
• isithuthwane
• ukulahlekelwa ukwazi
• injabulo engafanele
• ukudideka
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• ukujuluka
• ukuqhuma
• ikhanda
• imfiva
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• ukunwetshwa kwabafundi (imibuthano emnyama phakathi kwamehlo)
• umlomo owomile noma amakhala
• ubuthakathaka bemisipha, ukukhathala, noma umchamo omnyama

Uma uthatha amaphilisi asebenza isikhathi eside e-methylphenidate (Concerta), ungahle ubone into ebukeka njengethebhulethi esitulweni sakho. Leli igobolondo nje elingenalutho lethebhulethi, futhi lokhu akusho ukuthi awutholanga umthamo wakho ophelele wemithi.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angahlola umfutho wegazi nokushaya kwenhliziyo yakho bese a-oda izivivinyo ezithile zebhu ukuze ahlole impendulo yakho ku-methylphenidate.

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.

• I-Adhansia XR^®
• I-Aptensio XR^®
• I-Concerta^®
• Cotempla^® I-XR-ODT
• UJornay PM^®
• Imethadatha^® CD
• Imethadatha^® ER^¶
• I-Methylin^®
• I-Methylin^® ER^¶
• I-Quillichew^® ER
• I-Quillivant^® XR
• URitalin^®¶
• URitalin^® LA
• URitalin^® I-SR^¶

• I-Methylphenidylacetate hydrochloride

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