I-Metoclopramide

-Delile

• Ngaphambi kokuthatha i-metoclopramide,
• I-Metoclopramide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ukuthatha i-metoclopramide kungadala ukuthi uhlakulele inkinga yemisipha ebizwa nge-tardive dyskinesia. Uma wenza i-tardive dyskinesia, uzohambisa imisipha yakho, ikakhulukazi imisipha ebusweni bakho ngezindlela ezingavamile. Ngeke ukwazi ukulawula noma ukumisa lokhu kuhamba. I-Tardive dyskinesia kungenzeka ingahambi ngisho nangemva kokuyeka ukuthatha i-metoclopramide. Uma uthatha isikhathi eside i-metoclopramide, iba nkulu ingozi yokuthi uzoba ne-tardive dyskinesia. Ngakho-ke, udokotela wakho uzokutshela ukuthi ungathathi i-metoclopramide isikhathi esingaphezu kwamasonto ayi-12. Ingozi yokuthi uzoba ne-tardive dyskinesia nayo inkulu uma uthatha imishanguzo yokugula ngengqondo, uma unesifo sikashukela, noma uma usumdala, ikakhulukazi uma ungowesifazane. Shayela udokotela wakho ngokushesha uma uba nokunyakaza okungalawuleki komzimba, ikakhulukazi ukumunca izindebe, ukugoqa umlomo, ukuhlafuna, ukuswaca, ukukikiza, ukukhipha ulimi, ukucwayiza, ukunyakaza kwamehlo, noma ukuxhawula izingalo noma imilenze.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-metoclopramide futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. 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.

Khuluma nodokotela wakho ngezingozi zokuthatha i-metoclopramide.

I-Metoclopramide isetshenziselwa ukuqeda isilungulela futhi isheshise ukuphulukiswa kwezilonda nezilonda esiswini (ishubhu elixhumanisa umlomo nesisu) kubantu abanesifo se-reflux se-gastroesophageal (GERD; isimo lapho ukugeleza emuva kwe-asidi esiswini kubangela isilungulela futhi ukulimala komphimbo) okungazange kube ngcono ngezinye izindlela zokwelapha. I-Metoclopramide nayo isetshenziselwa ukuqeda izimpawu ezibangelwa ukukhipha isisu kancane kubantu abanesifo sikashukela. Lezi zimpawu zifaka phakathi isicanucanu, ukuhlanza, isilungulela, ukulahlekelwa isifiso sokudla, nokuzizwa usutha okuhlala isikhathi eside ngemuva kokudla. I-Metoclopramide isekilasini lemithi ebizwa ngama-prokinetic agents. Isebenza ngokusheshisa ukuhamba kokudla esiswini nasemathunjini.

IMetoclopramide iza njengethebhulethi, ithebhulethi eyahlakazeka ngomlomo (nokuqedwa), kanye nesisombululo (uketshezi) ukuthatha ngomlomo. Imvamisa kuthathwa izikhathi ezine ngosuku esiswini esingenalutho, imizuzu engama-30 ngaphambi kokudla ngakunye nangesikhathi sokulala. Lapho i-metoclopramide isetshenziselwa ukwelapha izimpawu ze-GERD, ingathathwa kaningi, ikakhulukazi uma izimpawu zenzeka ngezikhathi ezithile zosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-metoclopramide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma uthatha ithebhulethi ehlukaniswa ngomlomo, sebenzisa izandla ezomile ukususa ithebhulethi ephaketheni ngaphambi nje kokuba uthathe umthamo wakho. Uma ithebhulethi iphuka noma idilika, yilahle bese ususa ithebhulethi entsha ephaketheni. Susa ngobumnene ithebhulethi bese uyibeka ngokushesha phezu kolimi lwakho. Ithebhulethi ivame ukuncibilika cishe ngomzuzu owodwa futhi ingagwinywa ngamathe.

Uma uthatha i-metoclopramide ukwelapha izimpawu zokwehlisa isisu kancane okubangelwa yisifo sikashukela, kufanele wazi ukuthi izimpawu zakho ngeke zithuthuke ngasikhathi sinye. Ungaqaphela ukuthi isicanucanu sakho siyathuthuka ekuqaleni kokwelashwa kwakho futhi siqhubeka nokuthuthuka emasontweni amathathu alandelayo. Ukuhlanza nokulahlekelwa isifiso sakho sokudla kungaphinda kuthuthuke ekuqaleni kokwelashwa kwakho, kepha kungathatha isikhathi eside ukuthi umuzwa wakho wokugcwala uphele.

Qhubeka uthathe i-metoclopramide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-metoclopramide ngaphandle kokukhuluma nodokotela wakho. Ungase ube nezimpawu zokuhoxa ezifana nesiyezi, uvalo, kanye nekhanda lapho uyeka ukuthatha i-metoclopramide.

I-Metoclopramide nayo kwesinye isikhathi isetshenziselwa ukwelapha izimpawu zokuphuza kwesisu kubantu abaphulukayo ezinhlotsheni ezithile zokuhlinzwa, nokuvikela isicanucanu nokuhlanza kubantu abaphathwa ngamakhemikhali omdlavuza. Buza udokotela wakho ngezingozi zokusebenzisa lo muthi ukwelapha isimo sakho.

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

Ngaphambi kokuthatha i-metoclopramide,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-metoclopramide, noma imuphi omunye umuthi, noma iziphi izithako kumaphilisi we-metoclopramide noma isixazululo. Buza udokotela wakho noma usokhemisi noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetaminophen (iTylenol, abanye); ama-antihistamine; i-aspirin; i-atropine (eLonox, eLomotil); i-cyclosporine (Gengraf, Neoral, Sandimmune); ama-barbiturates afana ne-pentobarbital (Nembutal), phenobarbital (Luminal), ne-secobarbital (Seconal); i-digoxin (i-Lanoxicaps, i-Lanoxin); i-haloperidol (i-Haldol), i-insulin; ipratropium (Atrovent); lithium (Eskalith, Lithobid); levodopa (eSinemet, eStalevo); imishanguzo yokukhathazeka, umfutho wegazi, isifo samathumbu esibuhlungu, ukugula okunyakazayo, isicanucanu, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; i-monoamine oxidase (MAO) inhibitors, kufaka phakathi isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (i-Parnate); imithi ye-narcotic yezinhlungu; isidambisi; amaphilisi okulala; i-tetracycline (iBristacycline, iSumycin); noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nokuvaleka, ukopha, noma ukudabuka esiswini noma emathunjini; i-pheochromocytoma (isimila endlaleni encane eduze kwezinso); noma ukuquleka. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-metoclopramide.
• tshela udokotela wakho uma ngabe uke waba nesifo i-Parkinson's (PD; ukuphazamiseka kwesistimu yezinzwa okubangela ubunzima ngokuhamba, ukulawula imisipha, nokulinganisela); umfutho wegazi ophakeme; ukucindezeleka; umdlavuza webele; i-asthma; i-glucose-6-phosphate dehydrogenase (G-6PD) ukuntuleka (isifo segazi esizuzwe njengefa); Ukushoda kwe-NAD cytochrome B5 reductase (ukuphazamiseka kwegazi okuzuzwe njengefa); noma isifo senhliziyo, isibindi noma sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-metoclopramide, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-metoclopramide uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-metoclopramide, ngaphandle kwalapho isetshenziselwa ukwelapha ukuphuma kwesisu kancane, ngoba akuphephile futhi akusebenzi njengeminye imithi engasetshenziswa ukwelapha lezo zimo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-metoclopramide.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kotshwala ngenkathi uthatha lo muthi. Utshwala bungenza imiphumela emibi ye-metoclopramide ibe yimbi kakhulu.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla kwakho okuvamile.

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

• ukozela
• ukukhathala ngokweqile
• ubuthakathaka
• ikhanda
• isiyezi
• isifo sohudo
• isicanucanu
• ukuhlanza
• ukukhulisa ibele noma ukukhipha
• uphuthelwe ukuya esikhathini
• kwehle ikhono lezocansi
• ukuchama kaningi
• ukwehluleka ukulawula ukuchama

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ukuqina kwemisipha, ikakhulukazi emhlathini noma entanyeni
• izinkinga zokukhuluma
• ukudana
• ucabanga ngokuzilimaza noma ukuzibulala
• imfiva
• ukuqina kwemisipha
• ukudideka
• ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile
• ukujuluka
• ukungahlaliseki
• uvalo noma i-jitteriness
• ukuyaluza
• ubunzima bokulala noma ukulala
• ukuhamba kancane
• ukuthinta izinyawo
• ukunyakaza okuhamba kancane noma okuqinile
• ubuso obungenalutho
• ukuzamazama okungalawuleki kwengxenye yomzimba
• kunzima ukugcina ibhalansi yakho
• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umlomo, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuzuza kwesisindo ngokungazelelwe
• ukuphefumula kanzima noma ukugwinya
• imisindo ephezulu ngenkathi uphefumula
• izinkinga zokubona

I-Metoclopramide 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).

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
• isithuthwane
• ukunyakaza okungavamile, okungalawuleki
• ukungabi namandla
• Umbala oluhlaza okwesibhakabhaka
• ikhanda
• ukuphelelwa umoya

Gcina wonke ama-aphoyintimenti nodokotela wakho.

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.

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