Pramipexole

-Delile

• Ngaphambi kokuthatha i-pramipexole,
• I-Pramipexole 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:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Pramipexole isetshenziswa yodwa noma neminye imithi yokwelapha izimpawu zesifo sika-Parkinson (PD; ukuphazamiseka kohlelo lwezinzwa oludala ubunzima ngokunyakaza, ukulawula imisipha, nokulinganisela), kufaka phakathi ukuzamazama kwezingxenye zomzimba, ukuqina, ukunyakaza okuhamba kancane, nezinkinga ngebhalansi. I-Pramipexole ibuye isetshenziselwe ukwelapha i-restless legs syndrome (RLS; isimo esidala ukungakhululeki emilenzeni kanye nesifiso esinamandla sokuhambisa imilenze, ikakhulukazi ebusuku nalapho uhleli noma ulele phansi). UPramipexole usesigabeni semithi ebizwa ngama-dopamine agonists. Isebenza ngokusebenza esikhundleni se-dopamine, into yemvelo ebuchosheni edingekayo ukulawula ukunyakaza.

I-Pramipexole iza njengethebhulethi nethebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Lapho i-pramiprexole isetshenziselwa ukwelapha isifo sika-Parkinson, ithebhulethi ejwayelekile ivame ukuthathwa kathathu ngosuku futhi ithebhulethi ekhishwa isikhathi eside ithathwa kanye ngosuku. Lapho i-pramiprexole isetshenziselwa ukwelapha ukuqaqanjelwa kwemilenze, ithebhulethi ejwayelekile ivame ukuthathwa kanye ngosuku, amahora amabili kuya kwamathathu ngaphambi kokulala. Amaphilisi wokukhishwa okwandisiwe kwe-Pramipexole awasetshenziselwa ukwelapha i-syndrome yemilenze engenakuphumula. I-Pramipexole ingathathwa nokudla noma ngaphandle kokudla, kepha ukuthatha i-pramipexole ngokudla kungasiza ekuvikeleni isicanucanu esingabangelwa yimithi. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-pramipexole njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi akhululiwe; ungawahlukanisi, ungawahlafune noma uwagxoze.

Udokotela wakho uzokuqala ngomthamo ophansi we-pramipexole futhi akhuphule kancane umthamo wakho. Udokotela wakho ngeke akhulise umthamo wakho kaningi kaningi ngaphezu kwezinsuku ezine kuya kwezi-7. Kungathatha amasonto ambalwa ngaphambi kokufinyelela umthamo osebenzela wena.

Uma uthatha i-pramipexole ukwelapha isifo semilenze esingazinzi, kufanele wazi ukuthi njengoba ukwelashwa kwakho kuqhubeka, izimpawu zakho zingase zibe zimbi kakhulu, zingaqala kusihlwa noma ntambama, noma zenzeke ekuseni kakhulu. Shayela udokotela wakho uma izimpawu zakho ziba zimbi noma uma ziqala ukwenzeka ngezikhathi ezehlukile kunangaphambili.

I-Pramipexole ilawula izimpawu zesifo sika-Parkinson nesifo semilenze esingenakuphumula kodwa ayizelaphi lezi zimo. Qhubeka uthathe i-pramipexole noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-pramipexole ngaphandle kokukhuluma nodokotela wakho. Uma uthatha i-pramipexole ukwelapha isifo sika-Parkinson futhi ngokungazelelwe uyeke ukuthatha umuthi, ungahlangabezana, umkhuhlane, ukuqina kwemisipha, ushintsho olwazini, nezinye izimpawu. Uma uthatha i-pramipexole ukwelapha i-syndrome yemilenze engenakuphumula futhi ngokungazelelwe uyeke ukuthatha umuthi, izimpawu zakho zingase zibe zimbi kakhulu kunangaphambili ngaphambi kokuba uqale ukuthatha le mithi. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Uma uyeka ukuthatha i-pramipexole nganoma yisiphi isizathu, ungaqali ukuthatha umuthi futhi ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukwandisa umthamo wakho futhi kancane kancane.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha i-pramipexole,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-pramipexole noma yimuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-pramipexole noma amaphilisi akhululiwe. Cela udokotela wakho noma usokhemisi ukuthola uhlu lwezithako ezingasebenzi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imaphi amavithamini emithi kadokotela neyokungabhalisi, izithasiselo zokudla okunempilo nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-antihistamines; i-cimetidine (Tagamet); imishanguzo yokungezwani nezinto ezithile, yokugula ngengqondo, neyesicanucanu; i-metoclopramide (Reglan); isidambisi; amaphilisi okulala; kanye nezithambisi. . Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba nokugula kwengqondo noma unenkinga yokulawula ukunyakaza kwemisipha yakho, inkinga yokulala ngaphandle kwesifo semilenze esingazinzile, isiyezi, ukuquleka, umfutho ophansi wegazi, noma isifo sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-pramipexole, shayela udokotela wakho.
• kufanele wazi ukuthi i-pramipexole ingakwenza ukozele noma ikubangele ukuthi ulale ngokuzumayo phakathi nemisebenzi yakho ejwayelekile yansuku zonke. Ungase ungazweli ukozela ngaphambi kokuba ulale ngokuzumayo. Ungashayeli imoto noma usebenzise imishini ekuqaleni kokwelashwa kwakho uze wazi ukuthi i-pramipexole izokuthinta kanjani. Uma uvele ulale ngokuzumayo ngenkathi wenza okuthile njengokubuka ithelevishini noma ukugibela emotweni, noma uma wozela kakhulu, shayela udokotela wakho ucingo. Ungashayeli noma usebenzise imishini uze ukhulume nodokotela wakho.
• kufanele wazi ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Tshela udokotela wakho uma uphuza njalo utshwala.
• kufanele wazi ukuthi i-pramipexole ingadala isiyezi, ikhanda elikhanyayo, isicanucanu, ukuquleka, noma ukujuluka lapho uvuka ngokushesha okukhulu lapho uhleli noma ulele khona. Lokhu kuvame kakhulu lapho uqala ukuthatha i-pramipexole, noma lapho umthamo wakho wanda. Ukugwema le nkinga, phuma esihlalweni noma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi abanye abantu abathathe imishanguzo efana ne-pramipexole ukwelapha isifo sika-Parkinson noma i-restless legs syndrome baba nezinkinga zokugembula, intshisekelo eyandayo ekuthengeni noma ocansini, izinkinga zokudla ngokweqile, noma ezinye izifiso ezinamandla noma izindlela zokuziphatha ebezicindezela noma ezingavamile kubo. Akukho mininingwane eyanele yokutshela ukuthi ngabe abantu baba nezinkinga yini ngenxa yokuthi bathathe umuthi noma ngenxa yezinye izizathu. Shayela udokotela wakho uma uba nezifiso ezinkulu noma unenkinga yokulawula noma yikuphi kwalokhu kuziphatha. Tshela amalungu omndeni wakho ngalezi zingozi ukuze bakwazi ukushayela udokotela noma ngabe awuboni ukuthi ukuziphatha kwakho sekuyinkinga.
• kufanele wazi ukuthi uma uthatha amaphilisi akhululiwe, ungahle ubone okuthile okubukeka njengethebhulethi evuvukile noma izingcezu ezivuvukile zethebhulethi esitulweni sakho. Uma lokhu kwenzeka, ikakhulukazi kanye nokwanda kwezimpawu zesifo sakho sikaParkinson, shayela udokotela wakho.

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

Uma uthatha amaphilisi ejwayelekile e-pramipexole ukwelapha isifo sika-Parkinson, thatha umthamo ongabanjwanga ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Uma uthatha amaphilisi ejwayelekile e-pramipexole ukwelapha imilenze engazinzile, yeqa umthamo ongabanjwanga. Thatha umthamo wakho ojwayelekile amahora amabili kuya kwangu-3 ngaphambi kokulala kwakho okulandelayo. Ungawuphindi kabili umthamo olandelayo ukwenzela umthamo ongabanjwanga.

Uma uthatha amaphilisi we-pramipexole enwetshiwe futhi uphuthelwa umthamo, thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma kudlule amahora angaphezu kwangu-12 kusukela kumthamo wakho olahlekile, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• isicanucanu
• ubuthakathaka
• isiyezi
• ukulahlekelwa ibhalansi, ukuwa
• ubunzima bokulala noma ukulala
• ubunzima bokukhumbula
• amaphupho angajwayelekile
• isilungulela
• ukuqunjelwa
• isifo sohudo
• umlomo owomile
• amalunga avuvukile, aqinile, noma abuhlungu
• ubuhlungu emhlane, ezingalweni noma emilenzeni
• ukuchama kaningi noma isidingo esiphuthumayo sokuchama
• ubunzima bokuchama noma ubuhlungu lapho uchama

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

• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), ukudideka, isimilo, ulaka
• izinguquko embonweni
• ukunyakaza komzimba okungajwayelekile nokunyakaza ongakwazi ukukulawula
• izinguquko endleleni ohleli noma ume ngayo ongeke ukwazi ukuyilawula, njengokugoba kwentamo yakho, ukugoba phambili okhalweni, noma ukugoba eceleni lapho uhlala, ume noma uhamba,
• umchamo omnyama obomvu, obomvu noma wekhola
• ukuthamba kwemisipha
• ukuqina kwemisipha noma ukuqaqamba
• ubuthakathaka bemisipha

I-Pramipexole 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). Gcina amaphilisi ejwayelekile kude nokukhanya.

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:

• ukushaya kwenhliziyo okusheshayo

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.

• I-Mirapex^®
• I-Mirapex^® ER