Zolpidem

-Delile

• Ukuze usebenzise isifutho somlomo, landela lezi zinkombandlela nalezo ezivela kulebula lephakeji:
• Ngaphambi kokuthatha i-zolpidem,
• I-Zolpidem ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, noma lezo ezibalwe eziXWAYISWENI EZIBALULEKILE noma ezingxenyeni ezithile zokuqapha, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Zolpidem ingadala isimilo sokulala esibi noma esengozini yokuphila. Abanye abantu abathathe i-zolpidem bavuka embhedeni bashayela izimoto zabo, balungisa futhi badla ukudla, baya ocansini, bashaya izingcingo, bahamba ubuthongo, noma babandakanyeka kweminye imisebenzi bengakavuki ngokuphelele. Ngemuva kokuvuka kwabo, laba bantu abakwazanga ukukhumbula abakwenzile. Tshela udokotela wakho uma ngabe uke waba nokuziphatha okungajwayelekile kokulala ngenkathi uthatha i-zolpidem. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi lezi zimpawu zinzima nokuthi ushayele udokotela wakho uma zenzeka. Yeka ukuthatha i-zolpidem bese ufonela udokotela wakho ngokushesha uma uthola ukuthi ubeshayela noma wenza noma yini enye engajwayelekile ngenkathi ulele.

I-Zolpidem isetshenziselwa ukwelapha ukuqwasha (ubunzima bokulala noma ukulala). I-Zolpidem ingeyesigaba semithi ebizwa ngokuthi i-sedative-hypnotics. Isebenza ngokunciphisa umsebenzi ebuchosheni ukuvumela ukulala.

I-Zolpidem iza njengethebhulethi (i-Ambien) nethebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside) (i-Ambien CR) ezothathwa ngomlomo. I-Zolpidem ibuye futhi njengethebhulethi yolimi oluthile (i-Edluar, Intermezzo) ukubeka ngaphansi kolimi kanye nesifutho somlomo (i-Zolpimist), esifuthiselwa emlonyeni phezu kolimi. Uma uphuza amaphilisi, amaphilisi akhishwa isikhathi eside, amathebulethi amancane (i-Edluar), noma isifutho somlomo, uzothatha umuthi njengoba kudingeka, hhayi isikhathi esisodwa ngosuku, ngaphambi nje kokulala. Uma uphuza amaphilisi wezilimi ezingaphansi (i-Intermezzo), uzothatha umuthi njengoba kudingeka, hhayi isikhathi esingaphezu kwesisodwa ebusuku uma uvuka futhi unenkinga yokubuyela ekulaleni. I-Zolpidem izosebenza ngokushesha uma ingathathwa ngokudla noma ngokushesha ngemuva kokudla. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-zolpidem njengoba iqondisiwe.

Mhlawumbe uzolala ngokushesha ngemuva kokuthatha i-zolpidem futhi uzohlala ulele isikhashana ngemuva kokuphuza umuthi. Hlela ukulala ngemuva nje kokuphuza amaphilisi e-zolpidem, amaphilisi akhishwa isikhathi eside, amaphilisi wezilimi ezincane (i-Edluar), nesifutho somlomo nokuhlala embhedeni amahora angu-7 kuya kwayi-8. Thatha amaphilisi wezilimi ezingama-zolpidem (Intermezzo) kuphela uma usuvele usembhedeni futhi ungahlala embhedeni okungenani amahora amane ngaphezulu. Ungathathi i-zolpidem uma uzokwazi ukuhlala ulele ngenombolo edingekayo yamahora ngemuva kokuthatha umuthi. Uma uvuka maduzane ngemuva kokuthatha i-zolpidem, ungahle wehlelwe ukozela nezinkinga ngememori, ukuqapha, noma ukusebenzisana.

Gwinya wonke amaphilisi akhululiwe; ungawahlukanisi, ungawahlafune noma uwagxoze. Tshela udokotela noma usokhemisi wakho uma ungakwazi ukugwinya amaphilisi.

Musa ukuvula isikhwama esiqukethe ithebhulethi yolimi oluthile (Intermezzo) uze ulungele ukuthatha ithebhulethi. Ukususa ithebhulethi engezansi (i-Edluar) kuphakethe le-blister, khipha ungqimba oluphezulu wephepha bese uphusha ithebhulethi ngocwecwe. Ukuthatha noma yiluphi uhlobo lwethebhulethi yolimi olungezansi, beka ithebhulethi ngaphansi kolimi lwakho, bese ulinda ukuthi incibilike. Ungayigwinyi ithebhulethi yonke noma uthathe ithebhulethi ngamanzi.

Ukuze usebenzise isifutho somlomo, landela lezi zinkombandlela nalezo ezivela kulebula lephakeji:

1. Ngaphambi kokusebenzisa i-zolpidem spray okokuqala, noma uma ungasebenzisi ibhodlela lokufafaza izinsuku eziyi-14, kufanele uqale ngepompo.
2. Layini imicibisholo esigqokweni nasesisekelo sesitsha. Cindezela ikepisi emicibisholo bese udonsa ikepisi bese uwahlukanisa ngokuhlukana. Susa ikepisi elicacile lokuvikela kupompo.
3. Ukwenza ipompo kuqala, bamba isitsha siqonde. Khomba ukuvuleka kwesifutho esimnyama kude nobuso bakho nabanye abantu. Cindezela phansi kupompo ngomunwe wakho wesandulela, ukhiphe bese uyivumela ibuyele endaweni yokuqala bese uphinda amahlandla ama-4. Kufanele ubone isifutho esihle siphuma esitsheni.
4. Ukuze usebenzise isifutho se-zolpidem, bamba isitsha siqonde ngokuvulwa kwesifutho esimnyama ngqo emlonyeni wakho, ngaphezulu kolimi lwakho. Cindezela phansi ngokugcwele kupompo ukuze uqiniseke ukuthi kufuthwa umthamo ophelele we-zolpidem.
5. Vumela ipompo libuyele endaweni yokuqala. Uma udokotela wakho ekunikeze isifutho esisodwa kuphela se-zolpidem, faka ikepisi ecacile yokuzivikela emuva kwepompo phezulu kwesisekelo ngemuva kokusetshenziswa ngakunye. Uma udokotela wakho enqume izifutho ezimbili ze-zolpidem ngomthamo wakho, isifutho sesibili kufanele sisetshenziswe.
6. Thwebula ikepisi elingazweli ezinganeni libuyele esisekelweni bese ujikelezisa ikepisi nesisekelo ukuze imicibisholo ingabekwa kolayini. Lokhu kwenzelwa ukuvikela ingane ukuthi isebenzise ibhodlela lenkungu yesifutho.

Izinkinga zakho zokulala kufanele zithuthuke kungakapheli izinsuku eziyi-7 kuya kwezingu-10 ngemuva kokuqala ukuthatha i-zolpidem. Shayela udokotela wakho uma izinkinga zakho zokulala zingathuthuki ngalesi sikhathi noma uma ziba zimbi kakhulu nganoma yisiphi isikhathi lapho welashwa.

I-Zolpidem kufanele ijwayelwe ukuthathwa isikhathi esifushane. Uma uthatha i-zolpidem amasonto ama-2 noma ngaphezulu, i-zolpidem kungenzeka ingakusizi ukulala njengoba yenzile ngenkathi uqala ukuthatha umuthi. Khuluma nodokotela wakho ngezingozi zokuthatha i-zolpidem amasonto ama-2 noma ngaphezulu.

I-Zolpidem ingaba umkhuba wokwakha. Ungathathi umthamo omkhulu we-zolpidem, uthathe kaningi, noma uthathe isikhathi eside kunokuyalelwa ngudokotela wakho.

Ungayeki ukuthatha i-zolpidem ngaphandle kokukhuluma nodokotela wakho, ikakhulukazi uma uyithathe isikhathi esingaphezu kwamasonto amabili. Uma ngokungazelelwe uyeka ukuthatha i-zolpidem, ungahle ube nemizwa engathandeki noma ushintsho lwemizwa noma ungathola ezinye izimpawu zokuhoxa njengokuxhaxha, ikhanda elikhanyayo, isisu kanye namajaqamba, isicanucanu, ukuhlanza, ukujuluka, ukugeleza, ukukhathala, ukukhala okungalawuleki, uvalo, ukwethuka , ubunzima bokulala noma ukuhlala ulele, ukuzamazama okungalawuleki kwengxenye yomzimba wakho, futhi kuyaqabukela, ukuquleka.

Ungaba nobunzima bokulala noma ukulala ngobusuku bokuqala ngemuva kokuyeka ukuthatha i-zolpidem kunalokho owawukwenza ngaphambi kokuba uqale ukuthatha umuthi. Lokhu kujwayelekile futhi kuvame ukuba ngcono ngaphandle kokwelashwa ngemuva kobusuku obubodwa noma obubili.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-zolpidem 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/downloads/Drugs/DrugSafety/ucm089833.pdf) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

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

Ngaphambi kokuthatha i-zolpidem,

• Tshela udokotela wakho kanye nosokhemisi uma une-allerg ku-zolpidem, noma imiphi eminye imithi, noma ezinye izithako zomkhiqizo we-zolpidem owusebenzisayo. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kwalokhu okulandelayo: imishanguzo yokudambisa ingcindezi (’mood elevators’) efaka imipramine (Tofranil) ne-sertraline (Zoloft); i-chlorpromazine; itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); imishanguzo yokukhathazeka, imikhuhlane noma ukungezwani komzimba, ukugula kwengqondo, ubuhlungu, noma ukuquleka; i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• akufanele uphuze amaphilisi okulala angaphezu kwelilodwa ngobusuku obubodwa. Uma ngabe uphuze umkhiqizo we-zolpidem noma uhlobo oluhlukile lwephilisi lokulala ngesikhathi sokulala futhi uvuka phakathi kwamabili, akufanele uthathe ithebhulethi yolulimi lwe-zolpidem (Intermezzo) noma elinye iphilisi lokulala.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• tshela udokotela wakho uma uphuza noma wake waphuza utshwala obuningi, wasebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imithi kadokotela. Tshela nodokotela wakho uma uke waba nokudangala noma wake waba nakho; ukugula ngengqondo; imicabango yokuzilimaza noma ukuzibulala noma ukuzama ukwenza kanjalo; inkinga ngokuthimula okunzima; i-apnea yokulala (isimo lapho ukuphefumula kuyeka khona izikhathi eziningi ebusuku); ezinye izinkinga zokuphefumula noma izifo zamaphaphu ezifana nesifuba somoya, i-bronchitis, ne-emphysema; i-myasthenia gravis (isimo esidala ubuthakathaka bemisipha ethile); noma isifo sezinso noma sesibindi.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, hlela ukukhulelwa, noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-zolpidem, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-zolpidem uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-zolpidem ngoba ayiphephile futhi ayisebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-zolpidem.
• kufanele wazi ukuthi i-zolpidem ingadala ukozela, yehlise ukuqapha kwengqondo, isikhathi sokuphendula isikhathi eside, izinkinga zokuxhumanisa usuku ngemuva kokuyithatha, futhi kungakhuphula ubungozi bokuthi ungawa. Nakekela ngokweqile ukuze uqiniseke ukuthi awuwa, ikakhulukazi uma uvuka embhedeni phakathi kwamabili. Ikhono lakho lokushayela noma ukusebenzisa imishini ngosuku olulandelayo ngemuva kokuthatha i-zolpidem lingakhubazeka noma ngabe uzizwa uphapheme ngokuphelele. Ungashayeli imoto noma usebenzise imishini ngosuku olulandelayo ngemuva kokuthatha umkhiqizo olpidem okhipha isikhathi eside. Khuluma nodokotela wakho ngezingozi zokushayela noma imishini yokusebenza ngosuku olulandelayo ngemuva kokuthatha noma yimiphi eminye imikhiqizo ye-zolpidem.
• ungaphuzi utshwala ngenkathi welashwa nge-zolpidem. Utshwala bungenza imiphumela emibi ye-zolpidem ibe yimbi kakhulu.
• kufanele wazi ukuthi isimilo sakho nempilo yakho yengqondo kungashintsha ngezindlela ezingalindelekile ngenkathi uthatha lo muthi. Kunzima ukusho ukuthi lezi zinguquko zibangelwa yi-zolpidem noma ngabe zibangelwa ukugula ngokomzimba noma kwengqondo okungenzeka ukuthi usuvele unakho noma uvele ngokuzumayo. Tshela udokotela wakho khona manjalo uma uhlangabezana nalezi zimpawu ezilandelayo: ulaka, isimilo noma isimilo esiphumayo ngokungajwayelekile, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), uzizwe sengathi ungaphandle komzimba wakho, izinkinga zememori, ubunzima bokugxila , ukukhathazeka, ukucasuka kalula, ukukhuluma okuhamba kancane noma ukunyakaza, ukucindezeleka okusha noma okuya kuba kubi kakhulu, ukucabanga ngokuzibulala noma ukuzama ukwenza kanjalo, ukudideka, kanye nolunye uguquko emicabangweni yakho ejwayelekile, imizwa, noma indlela oziphatha ngayo. Qiniseka ukuthi umndeni wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukushayela udokotela uma ungakwazi ukufuna ukwelashwa uwedwa.

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

Lo muthi uthathwa njengoba kudingeka. Ungathatha i-zolpidem noma ngabe ingemuva kwesikhathi esivamile, inqobo nje uma uzokwazi ukuhlala embhedeni ngenombolo edingekayo yamahora ngemuva kokukuthatha.

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

• ukozela
• ukukhathala
• ikhanda
• isiyezi
• ubumhlophe
• ‘Umuzwa odakiwe’
• ukuhamba ungazinzile
• kunzima ukugcina ibhalansi
• isicanucanu
• ukuqunjelwa
• isifo sohudo
• igesi
• isilungulela
• ubuhlungu besisu noma isisa
• izinguquko ekudleni
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukudonsa ezandleni, izingalo, izinyawo, noma imilenze
• amaphupho angajwayelekile
• ubomvu, ukuvutha, noma ukugcoba kolimi (ngamathebulethi amancane)
• umlomo owomile noma umphimbo
• ukukhala, ubuhlungu, noma ukulunywa ezindlebeni
• ukubomvu kwamehlo
• ubuhlungu bemisipha noma amajaqamba
• Ubuhlungu obuhlangene, emuva, noma entanyeni
• ukuphuma kwegazi okunzima

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, noma lezo ezibalwe eziXWAYISWENI EZIBALULEKILE noma ezingxenyeni ezithile zokuqapha, shayela udokotela wakho ngokushesha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, noma umphimbo
• ukuzwa ukuthi umphimbo uyavaleka
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• ukuphelelwa umoya
• amehlo aphuzi noma isikhumba
• indle enombala okhanyayo
• isicanucanu
• ukuhlanza
• ukushaya kwenhliziyo
• ubuhlungu besifuba
• ukungaboni kahle noma ezinye izinkinga zombono

I-Zolpidem 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. Yigcine ekamelweni lokushisa, kude nokushisa okweqile, ukukhanya, nomswakama (hhayi endlini yangasese). Ungafaki iqhwa lomlomo we-zolpidem. Gcina ibhodlela lokufafaza ngomlomo liqondile.

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
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• ukuphefumula okuphuzile noma ukushaya kwenhliziyo

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. I-Zolpidem 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.

• Ambien^®
• Ambien^® CR
• U-Edluar^®
• Intermezzo^®
• Zolpimist^®