Clonidine

-Delile

• Ngaphambi kokuthatha i-clonidine,
• I-Clonidine ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS section, zinzima noma zingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Amaphilisi e-Clonidine (Catapres) asetshenziswa wedwa noma ehlangene neminye imithi yokwelapha umfutho wegazi ophezulu. Amaphilisi e-Clonidine anwetshiwe (asebenza isikhathi eside) (i-Kapvay) asetshenziswa yedwa noma ehlanganiswe neminye imithi njengengxenye yohlelo lokwelashwa ukulawula izimpawu zokwehluleka kokunaka ukungasebenzi (ADHD; ubunzima obengeziwe bokugxila, ukulawula izenzo, nokuhlala uthule noma ethule kunabanye abantu abangontanga efanayo) ezinganeni. UClonidine usesigabeni semithi ebizwa ngama-alpha-agonist hypotensive agents asebenza maphakathi. UClonidine welapha umfutho wegazi ophakeme ngokwehlisa izinga lokushaya kwenhliziyo yakho futhi ephumule nemithambo yegazi ukuze igazi ligeleze kalula emzimbeni. Amathebulethi wokukhishwa kweClonidine anwetshiwe angaphatha i-ADHD ngokuthinta ingxenye yobuchopho elawula ukunakwa nokungafisi.

Umfutho wegazi ophezulu yisimo esivamile futhi uma ungelashwa, ungadala umonakalo ebuchosheni, enhliziyweni, emithanjeni yegazi, ezinso nakwezinye izingxenye zomzimba. Ukulimala kwalezi zitho kungadala isifo senhliziyo, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sohlangothi, ukwehluleka kwezinso, ukungaboni, nezinye izinkinga. Ngaphezu kokuthatha umuthi, ukwenza ushintsho endleleni ophila ngayo kuzosiza nasekulawuleni umfutho wegazi. Lezi zinguquko zifaka phakathi ukudla ukudla okunamafutha nosawoti omncane, ukugcina isisindo esinempilo, ukuzivocavoca okungenani imizuzu engama-30 izinsuku eziningi, ukungabhemi, nokusebenzisa utshwala ngokulinganisela.

IClonidine iza njengethebhulethi kanye nethebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Ithebhulethi ivame ukuthathwa kabili ngosuku ngezikhawu ezihlukanisiwe. Ithebhulethi ekhishwa isikhathi eside ithathwa kanye noma kabili ngosuku ngokudla noma ngaphandle kokudla. Thatha i-clonidine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-clonidine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi akhululiwe; ungazihlukanisi, uzihlafune noma uzichoboze.

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

IClonidine ingasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka uthathe i-clonidine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-clonidine ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ngokungazelelwe ukuthatha i-clonidine, kungadala ukwanda ngokushesha kwengcindezi yegazi lakho kanye nezimpawu ezinjengokwesaba, ikhanda, nokuzamazama okungalawuleki kwengxenye yomzimba. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane ngaphezulu kwezinsuku ezimbili kuya kwezinsuku zethebhulethi ejwayelekile nezinsuku ezi-3 kuya kwezi-7 zethebhulethi ekhishwe isikhathi eside.

I-Clonidine isetshenziswa futhi ekwelapheni i-dysmenorrhea (amajaqamba abuhlungu kakhulu ngesikhathi sokuya esikhathini), inkinga yomfutho wegazi ophakeme (isimo lapho umfutho wegazi lakho uphakeme kakhulu), i-Tourette's syndrome (isimo esivezwa isidingo sokwenza iminyakazo ephindaphindwayo noma ukuphinda imisindo noma amagama), ukushisa okushisayo kokuya esikhathini, nokuhoxiswa kotshwala ne-opiate (narcotic). I-Clonidine iyasetshenziswa futhi futhi njengesizo ekwelashweni kokuyeka ukubhema nokuxilonga i-pheochromocytoma (isimila esivela endlaleni esiseduze nezinso futhi singadala umfutho wegazi ophakeme nokushaya kwenhliziyo okusheshayo). 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-clonidine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-clonidine, noma iziphi izithako zalo, amabala we-clonidine, noma omunye umuthi. Buza usokhemisi wakho ukuthola 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: imishanguzo; ama-beta blockers afana ne-acebutolol (Sectral), atenolol (Tenormin, in Tenoretic), betaxolol, bisoprolol (Zebeta, in Ziac), carvedilol (Coreg), labetalol, metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, in Corzide), pindolol, propranolol (Inderal, Innopran XL, e-Inderide), i-sotalol (iBetapace, iSorine), ne-timolol; ama-calcium channel blocker afana ne-amlodipine (e-Amturnide, eNorvasc, e-Amturnide, e-Tekamlo, amanye), i-diltiazem (i-Cardizem, i-Dilacor XR, i-Dilt-CD, i-Taztia XT, i-Tiazac, abanye), i-felodipine (i-Plendil), i-isradipine, i-nicardipine (i-Cardene ), nifedipine (Adalat CC, Afeditab CR, Procardia), nimodipine, nisoldipine (Sular), kanye ne-verapamil (Calan, Covera, Verelan, abanye, eTarka); i-digoxin (i-Lanoxin); imithi yokukhathazeka, ukugula kwengqondo, noma ukuquleka; isidambisi; amaphilisi okulala; okokunciphisa umzimba; kanye ne-tricyclic antidepressants efana ne-amitriptyline, i-amoxapine, i-clomipramine (i-Anafranil), i-desipramine (i-Norpramin), i-doxepin (i-Silenor), i-imipramine (i-Tofranil), i-maprotiline, i-nortriptyline (i-Pamelor), i-protriptyline (i-Vimactil), ne-Trivipiline (i-Vimactil), ne-Vimactiline), Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke wahlaselwa isifo sohlangothi noma wahlaselwa yisifo sohlangothi, isifo senhliziyo esisanda kwedlula, noma isifo senhliziyo noma sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-clonidine, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokusebenzisa i-clonidine uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukusebenzisa i-clonidine ngoba akuphephile njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-clonidine.
• kufanele wazi ukuthi i-clonidine ingakwenza ukozele noma ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kotshwala ngenkathi uthatha i-clonidine. Utshwala bungenza imiphumela emibi ye-clonidine ibe yimbi kakhulu.
• kufanele wazi ukuthi i-clonidine ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-clonidine. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi amaphilisi wokukhishwa we-clonidine anwetshiwe kufanele asetshenziswe njengengxenye yohlelo oluphelele lokwelashwa lwe-ADHD, olungafaka ukwelulekwa kanye nemfundo ekhethekile. Qiniseka ukuthi ulandela yonke imiyalo kadokotela nodokotela wakho.

Udokotela wakho angakunikeza ukudla okunosawoti ophansi noma okune-sodium eningi. Landela lezi zinkomba ngokucophelela.

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-Clonidine ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS section, zinzima noma zingapheli:

• umlomo owomile
• ukukhathala
• ubuthakathaka
• ikhanda
• uvalo
• kwehle ikhono lezocansi
• isicanucanu
• ukuhlanza
• ukuqunjelwa

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

• ukuqubuka
• isifuba
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ubunzima bokugwinya noma ukuphefumula
• ukushaqeka

I-Clonidine 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).

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:

• ukuquleka
• ukushaya kwenhliziyo okuhamba kancane
• ukuphefumula kanzima
• ngiqhaqhazela
• inkulumo engahambi kahle
• ukukhathala
• ukudideka
• isikhumba esibandayo, esiphaphathekile
• ukozela
• ubuthakathaka
• abafundi abancane (imibuthano emnyama phakathi kwamehlo)

Gcina wonke ama-aphoyintimenti nodokotela wakho. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-clonidine.

Udokotela wakho angakucela ukuthi uhlole ukushaya kwenhliziyo yakho nsuku zonke futhi uzokutshela ukuthi kufanele kusheshe kangakanani. Buza udokotela wakho noma usokhemisi ukuthi akufundise ukuthi ungayithatha kanjani inhliziyo yakho. Uma ukushaya kwakho kuhamba kancane noma kushesha kakhulu kunalokho obekufanele kube yikho, shayela udokotela wakho ngaphambi kokuthatha lo muthi ngalolo suku.

Ukuze unciphise umlomo owomile obangelwa yi-clonidine, hlafuna ushingamu noma uncele uswidi ongaxutshiwe ongenashukela.

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.

• Izinyoni^®
• UJenloga^®¶
• I-Kapvay^®

• Ama-Clorpres^® (equkethe iChlorthalidone, Clonidine)
• Ama-Combipres^® (equkethe iChlorthalidone, Clonidine)^¶

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