Clonazepam

-Delile

• Ngaphambi kokuthatha i-clonazepam,
• IClonazepam ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Clonazepam ingakhuphula ubungozi bezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukuthambisa, noma ikhoma uma zisetshenziswa kanye nemithi ethile. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha imishanguzo ethile yokukhwehlela efana ne-codeine (e-Triacin-C, e-Tuzistra XR) noma i-hydrocodone (e-Anexsia, e-Norco, e-Zyfrel) noma yezinhlungu ezifana ne-codeine (e-Fiorinal ), fentanyl (Actiq, Duragesic, Subsys, abanye), i-hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (e-Oxycet, ePercocet, ku-Roxicet, abanye), ne-tramadol (i-Conzip, i-Ultram, ku-Ultracet). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma uthatha i-clonazepam nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha ngokushesha: isiyezi esingavamile, ikhanda elikhanyayo, ukulala ngokweqile, ukuphefumula okunzima noma okunzima, noma ukungaphenduli. Qiniseka ukuthi umnakekeli wakho noma amalungu omndeni wakho ayazi ukuthi yiziphi izimpawu ezingabucayi ukuze bakwazi ukubiza udokotela noma ukunakekelwa kwezimo eziphuthumayo uma ungakwazi ukufuna ukwelashwa uwedwa.

IClonazepam ingaba umkhuba wokwakha. Ungathathi umthamo omkhulu, thatha kaningi, noma isikhathi eside kunalokho okutshelwa ngudokotela wakho. Tshela udokotela wakho uma uke waphuza utshwala obuningi, uma usebenzisa noma usebenzise izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imithi kadokotela. Ungaphuzi utshwala noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa. Ukuphuza utshwala noma ukusebenzisa izidakamizwa zasemgwaqeni ngenkathi welashwa nge-clonazepam nakho kwandisa ingozi yokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Phinda utshele udokotela wakho uma uke waba nokudangala noma uke waba nokugula okuthile kwengqondo.

I-Clonazepam ingadala ukuncika emzimbeni (isimo lapho kuvela khona izimpawu ezingemnandi zomzimba uma umuthi umiswa ngokungazelelwe noma uthathwe ngemithamo emincane), ikakhulukazi uma uwuthatha izinsuku ezimbalwa uye emavikini ambalwa. Ungayeki ukuthatha le mithi noma uthathe amanani amancane ngaphandle kokukhuluma nodokotela wakho. Ukumisa i-clonazepam ngokuzumayo kungasenza sibe sibi kakhulu isimo sakho futhi kubangele nezimpawu zokuhoxa ezingahlala amasonto ambalwa ziye ngaphezu kwezinyanga eziyi-12. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho we-clonazepam kancane kancane. Shayela udokotela wakho noma uthole ukwelashwa okuphuthumayo uma uhlangabezana nalezi zimpawu ezilandelayo: ukunyakaza okungavamile; kukhala ezindlebeni zakho; ukukhathazeka; izinkinga zememori; ubunzima bokugxila; izinkinga zokulala; ukuquleka; ukuqhaqhazela; ukudikiza kwemisipha; izinguquko empilweni yengqondo; ukucindezeleka; ukuvutha noma ukubhoboza umuzwa ezandleni zakho, ezingalweni, emilenzeni noma ezinyaweni; ukubona noma ukuzwa izinto abanye abangaziboni noma abazizwayo; imicabango yokuzilimaza noma ukuzibulala wena noma abanye; ukukhathazeka ngokweqile; noma ukulahlekelwa ukuxhumana neqiniso.

IClonazepam isetshenziswa yodwa noma ihlanganiswe neminye imithi yokulawula izinhlobo ezithile zokubanjwa. Ibuye isetshenziselwe ukudambisa ukwethuka (ukwethuka okungazelelwe, okungalindelekile kokwesaba okukhulu nokukhathazeka ngalokhu kuhlaselwa). IClonazepam isekilasini lemithi ebizwa nge-benzodiazepines. Isebenza ngokunciphisa umsebenzi kagesi ongajwayelekile ebuchosheni.

IClonazepam iza njengethebhulethi kanye nethebhulethi ehlukaniswa ngomlomo (ithebhulethi encibilika ngokushesha emlonyeni) ukuthatha ngomlomo. Imvamisa kuthathwa kathathu noma kathathu ngosuku ngokudla noma ngaphandle kokudla. Thatha i-clonazepam ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Ungazami ukusunduza ithebhulethi ehlakazeka ngomlomo ngokusebenzisa ucwecwe. Esikhundleni salokho, sebenzisa izandla ezomile ukukhipha emuva ukupakisha kwe-foil. Khipha ngokushesha ithebhulethi uyibeke emlonyeni wakho. Ithebhulethi izoncibilika ngokushesha futhi ingagwinywa noma ngaphandle ketshezi.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-clonazepam futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa ezinsukwini ezintathu.

IClonazepam ingasiza ukulawula isimo sakho, kepha ngeke iselaphe. Kungathatha amasonto ambalwa noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-clonazepam. Qhubeka uthathe i-clonazepam noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-clonazepam ngaphandle kokukhuluma nodokotela wakho, noma ngabe uba nemiphumela engemihle njengokushintshwa okungajwayelekile kokuziphatha noma kwemizwelo, Uma ngokungazelelwe uyeka ukuthatha i-clonazepam, ungahle ube nezimpawu zokuhoxa njengokuquleka okusha noma okuba kubi kakhulu, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), ushintsho ekuziphatheni, ukujuluka, ukuqhaqhazela okungalawuleki kwengxenye yomzimba wakho, isisu noma amajaqamba, ukukhathazeka, noma ubunzima bokulala noma ukulala. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

I-Clonazepam nayo isetshenziselwa ukwelapha izimpawu ze-akathisia (ukungahlaliseki kanye nesidingo sokunyakaza okungapheli) okungenzeka kube nomphumela ohlangothini wokwelashwa ngemithi elwa nokwelashwa (imishanguzo yokugula ngengqondo) nokwelapha ukusabela okunamandla kwe-catatonic (isimo lapho umuntu engenzi ukunyakaza noma ukukhuluma nhlobo noma ukunyakaza noma ukukhuluma ngokungavamile). Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-clonazepam,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-clonazepam, amanye ama-benzodiazepines afana ne-alprazolam (Xanax), i-chlordiazepoxide (i-Librium, eLibrax), i-clorazepate (i-Gen-Xene, i-Tranxene), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flazepam (Ativan), midazolam (Versed), oxazepam, temazepam (Restoril), triazolam (Halcion), noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-clonazepam. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: amiodarone (Cordarone, Nexterone, Pacerone); ama-antibiotic athile afana ne-clarithromycin (i-Biaxin, e-Prevpac), i-erythromycin (i-Erythrocin, i-E-mycin, abanye), ne-troleandomycin (TAO) (ayitholakali e-US); imishanguzo; imishanguzo ethize yokubulala izinhlungu efana ne-itraconazole (Onmel. Sporanox) ne-ketoconazole (Nizoral); ama-antihistamine; ezinye izivimbeli zesiteshi se-calcium ezifana ne-diltiazem (Cardizem, Tiazac, abanye) kanye ne-verapamil (Calan, Covera, Verelan, eTarka); i-cimetidine (Tagamet); I-HIV protease inhibitors efaka i-indinavir (Crixivan), nelfinavir (Viracept), ne-ritonavir (Norvir, eKaletra); imithi yokukhathazeka, imikhuhlane noma ukungezwani komzimba, noma ukugula kwengqondo; eminye imithi yokwelashwa okufana ne-carbamazepine (Epitol, Tegretol, Teril), phenobarbital, phenytoin (Dilantin, Phenytek), noma i-valproic acid (Depakene); ukuphumula kwemisipha; nefazodone; i-rifampin (i-Rifadin, i-Rimactane); isidambisi; ama-serotonin reuptake inhibitors (SSRIs) akhethiwe afana ne-fluvoxamine (Luvox); amanye amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma uke waba ne-glaucoma (ingcindezi eyengeziwe esweni engadala ukulahleka kombono) noma isifo sesibindi. Udokotela wakho angakutshela ukuthi ungathathi i-clonazepam.
• Tshela udokotela wakho uma uke waba nesifo samaphaphu noma sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. IClonazepam ingalimaza umbungu. Uma ukhulelwa ngenkathi uthatha i-clonazepam, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha lo muthi uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile kufanele bathole imithamo ephansi ye-clonazepam ngoba imithamo ephakeme kungenzeka ingasebenzi kangcono futhi ingadala imiphumela emibi kakhulu.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-clonazepam.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile, futhi ungazibulala (ucabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza lokho) ngenkathi uthatha i-clonazepam ukwelashwa kwesifo sokuwa, ukugula kwengqondo, noma ezinye izimo . Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants afana ne-clonazepam ukwelapha izimo ezahlukahlukene phakathi kwezifundo zomtholampilo baba ukuzibulala ngesikhathi belashwa. Abanye balaba bantu bahlakulela imicabango yokuzibulala nokuziphatha kungakapheli isonto elilodwa beqale ukuthatha umuthi. Kunobungozi bokuthi ungathola ushintsho empilweni yakho yengqondo uma uthatha umuthi we-anticonvulsant ofana ne-clonazepam, kepha kungahle kube nengozi yokuthi uzohlangabezana nezinguquko empilweni yakho yengqondo uma isimo sakho singelashwa. Wena nodokotela wakho nizonquma ukuthi izingozi zokuthatha umuthi we-anticonvulsant zinkulu yini kunezingozi zokungawuthathi umuthi. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukwethuka; ukuphazamiseka noma ukungahlaliseki; ukucasuka okusha noma okuya kuba kubi, ukukhathazeka, noma ukucindezeleka; ukwenza izinkanuko eziyingozi; ubunzima bokulala noma ukulala; ulaka, intukuthelo, noma ukuziphatha okunodlame; i-mania (ukudinwa, imizwa ejabule ngokungajwayelekile), ukukhuluma noma ukucabanga ngokufuna ukuzilimaza noma ukuqeda impilo yakho, ukuhoxa kubangani nomndeni; ukukhathazeka ngokufa nokufa, ukunikela ngezinto eziyigugu, noma ezinye izinguquko ezingavamile ekuziphatheni noma emoyeni. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

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.

IClonazepam ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukozela
• isiyezi
• ukungazinzi
• izinkinga ngokuxhumanisa
• ubunzima bokucabanga noma ukukhumbula
• ukwanda kwamathe
• ubuhlungu bemisipha noma bamalunga
• ukuchama kaningi
• ukungaboni kahle
• izinguquko ku-sex drive noma ikhono

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, noma umphimbo
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• ukuphefumula kanzima

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:

• ukozela
• ukudideka
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

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

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. IClonazepam yinto elawulwayo. Okubhalwe phansi kungagcwaliswa izikhathi ezimbalwa kuphela; buza usokhemisi wakho uma unemibuzo.

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-Klonopin^®