I-Donepezil

-Delile

• Ngaphambi kokuthatha i-donepezil,
• I-Donepezil ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Donepezil isetshenziselwa ukwelapha ukuwohloka komqondo (ukuphazamiseka kobuchopho okuthinta ikhono lokukhumbula, ukucabanga kahle, ukuxhumana, nokwenza imisebenzi yansuku zonke futhi kungadala ushintsho esimweni sengqondo nobuntu) kubantu abanesifo i-Alzheimer's (AD; isifo sobuchopho esibulala kancane inkumbulo kanye nekhono lokucabanga, ukufunda, ukuxhumana nokuphatha imisebenzi yansuku zonke). I-Donepezil isekilasini lemithi ebizwa nge-cholinesterase inhibitors. Ithuthukisa ukusebenza kwengqondo (njengememori, ukunaka, ikhono lokuxhumana nabanye, ukukhuluma, ukucabanga kahle, nokwenza imisebenzi ejwayelekile yansuku zonke) ngokwandisa inani lezinto ezithile ezenzeka ngokwemvelo ebuchosheni. I-Donepezil ingathuthukisa ikhono lokucabanga nokukhumbula noma yehlise ukulahleka kwalawa makhono kubantu abane-AD. Kodwa-ke, i-donepezil ngeke yelaphe i-AD noma ivimbele ukulahleka kwamakhono engqondo ngesikhathi esizayo.

I-Donepezil iza njengethebhulethi kanye nethebhulethi ehlukaniswa ngomlomo (ithebhulethi encibilika ngokushesha emlonyeni) ukuthatha ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla, kusihlwa ngaphambi nje kokulala. Thatha i-donepezil ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-donepezil njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Donepezil isiza ukulawula izimpawu zesifo i-Alzheimer kodwa ayiselaphi. Qhubeka uthathe i-donepezil noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-donepezil ngaphandle kokukhuluma nodokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-donepezil futhi akhuphule umthamo wakho ngemuva kwamasonto amane kuya kwayisithupha. Udokotela wakho angakhuphula umthamo wakho futhi ezinyangeni ezintathu noma ngaphezulu kamuva.

Gwinya ithebhulethi engu-23-mg ephelele; ungayihlukanisi, uyichoboze noma uyihlafune. Tshela udokotela wakho uma ungakwazi ukugwinya ithebhulethi ngokuphelele.

Ukuthatha ithebhulethi ehlakazeka ngomlomo, beka ithebhulethi ngolimi lwakho bese uyilinda ichitheke. Phuza amanzi ngemuva kokucibilika kwethebhulethi.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha i-donepezil,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-donepezil, noma imiphi imishanguzo ye-piperidine, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi e-donepezil noma amaphilisi ahlukaniswa ngomlomo. Buza udokotela wakho noma usokhemisi uma ungazi ukuthi umuthi owugulisayo kuwumuthi we-piperidine. Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi 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 yikuphi kokulandelayo: ama-antihistamines; i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-bethanechol (iDuvoid, i-Urecholine); carbamazepine (Tegretol); i-dexamethasone (i-Decadron, i-Dexone); ipratropium (Atrovent); ketoconazole (Nizoral); imishanguzo ye-glaucoma, isifo samathumbu esicasulayo, ukugula okunyakazayo, i-myasthenia gravis, isifo sika-Parkinson, izilonda, noma izinkinga zomchamo; i-phenobarbital (Luminal, Solfoton); i-phenytoin (iDilantin); i-quinidine (i-Quinidex); kanye ne-rifampin (i-Rifadin, i-Rimactane). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unesisindo esingaphansi kuka-120 lb (55 kg) futhi uma uke wopha esiswini noma emathunjini; isilonda; ukushaya kwenhliziyo okungajwayelekile, okuhamba kancane, noma okusheshayo, ubunzima bokuchama; isifuba somoya; isifo samaphaphu esingapheliyo (iqembu lesifo samaphaphu kufaka phakathi i-bronchitis engapheli noma i-emphysema); noma izinso, isibindi, noma isifo senhliziyo.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-donepezil, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-donepezil.

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

Uma ukhohlwa ukuthatha umthamo we-donepezil, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile. Uma ungathathi i-donepezil, isonto eli-1 noma ngaphezulu, kufanele ushayele udokotela wakho ngaphambi kokuqala ukuthatha lo muthi futhi.

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

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ukuchama kaningi
• ubunzima bokulawula ukuchama
• amajaqamba
• ubuhlungu obuhlangene, ukuvuvukala, noma ukuqina
• ubuhlungu
• ukukhathala ngokweqile
• ubunzima bokulala noma ukulala
• ikhanda
• isiyezi
• uvalo
• ukudana
• ukudideka
• izinguquko ekuziphatheni noma kwemizwa
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• amaphupho angajwayelekile
• okubomvu, ukukala, isikhumba esilumayo

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

• ukuquleka
• ukushaya kwenhliziyo okuhamba kancane
• ubuhlungu besifuba
• izinkinga zokuphefumula ezintsha noma eziya ziba zimbi
• ubuhlungu obusha noma obukhulayo besisu noma isilungulela
• indle emnyama noma yokulibala
• igazi elibomvu endle
• ukuhlanza okunegazi
• hlanza okubukeka njengezizathu zekhofi
• ubunzima bokuchama noma ubuhlungu lapho uchama
• ubuhlungu beqolo
• imfiva
• isithuthwane
• ukushintsha kombala noma ukulinyazwa kwesikhumba

I-Donepezil ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

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:

• isicanucanu
• ukuhlanza
• ukumunca amathe
• ukujuluka
• ukushaya kwenhliziyo okuhamba kancane
• ukuphefumula kanzima
• ubuthakathaka bemisipha
• ukuquleka
• isithuthwane

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-Aricept^®
• I-Aricept^® ODT
• I-Namzaric^®(njengomkhiqizo ohlanganisiwe oqukethe iDonepezil, iMemantine)