USelegiline

-Delile

• Ngaphambi kokuthatha i-selegiline,
• I-Selegiline 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:

I-Selegiline isetshenziselwa ukusiza ukulawula izimpawu zesifo sika-Parkinson's (PD; ukuphazamiseka kwesistimu yezinzwa okubangela ubunzima ngokunyakaza, ukulawula imisipha, nokulinganisela) kubantu abathatha inhlanganisela ye-levodopa ne-carbidopa (Sinemet). I-Selegiline ingasiza abantu abanesifo sika-Parkinson ngokunciphisa umthamo we-levodopa / carbidopa odingekayo ukulawula izimpawu, ukuvimba imiphumela ye-levodopa / carbidopa ekugqokeni phakathi kwamanani, nokwandisa ubude besikhathi i-levodopa / carbidopa izoqhubeka nokulawula izimpawu. USelegiline useqenjini lemithi ebizwa nge-monoamine oxidase type B (MAO-B) inhibitors. Isebenza ngokwandisa inani le-dopamine (into yemvelo edingekayo ukulawula ukunyakaza) ebuchosheni.

USelegiline uza njenge-capsule nethebhulethi elihlakazeka ngomlomo (ukuncibilika) elizothathwa ngomlomo. I-capsule ivame ukuthathwa kabili ngosuku ngesidlo sasekuseni nangesidlo sasemini. Ithebhulethi ehlukaniswa ngomlomo ivame ukuthathwa kanye ngosuku ngaphambi kokudla kwasekuseni ngaphandle kokudla, amanzi, noma olunye uketshezi. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-selegiline njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho. Uma uthatha i-selegiline eningi kakhulu, ungahle uthole ukwanda okungazelelwe futhi okuyingozi kumfutho wegazi.

Uma uthatha ithebhulethi ehlukaniswa ngomlomo, ungasusi ibhamuza eliqukethe amaphilisi esikhwameni sangaphandle uze ulungele ukuthatha umthamo. Uma sekuyisikhathi somthamo wakho, susa ikhadi le-blister esikhwameni sangaphandle bese usebenzisa izandla ezomile ukuxebula ibhamuza elilodwa. Ungazami ukusunduza ithebhulethi ngokusebenzisa ucwecwe. Beka ithebhulethi olimini lwakho bese ulinda ukuthi ichitheke. Ungagwinyi ithebhulethi. Ungadli noma uphuze noma yini imizuzu engu-5 ngaphambi kokuthatha ithebhulethi kanye nemizuzu engu-5 ngemuva kokuthatha ithebhulethi.

Uma uthatha ithebhulethi ehlukaniswa ngomlomo, udokotela wakho angakuqala ngomthamo ophansi we-selegiline futhi akhuphule umthamo wakho ngemuva kwamasonto ayisithupha.

Tshela udokotela wakho uma uhlangabezana nesicanucanu, ubuhlungu besisu, noma isiyezi. Udokotela wakho anganciphisa umthamo wakho we-levodopa / carbidopa ngenkathi welashwa nge-selegiline, ikakhulukazi uma uhlangabezana nalezi zimpawu noma ezinye izimpawu ezingavamile. Landela lezi zinkombandlela ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma ungazi ukuthi ungakanani umuthi okufanele uwuthathe. Ungashintshi imithamo yanoma imuphi umuthi wakho ngaphandle kokuthi udokotela akutshele ukuthi kufanele.

I-Selegiline ingasiza ukulawula izimpawu ze-PD, kepha ngeke iselaphe isimo. Ungayeki ukuthatha i-selegiline ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha imishanguzo yesifo sikaParkinson njenge-selegiline, ungahle ube nomkhuhlane, ukujuluka, imisipha eqinile, nokulahlekelwa ukwazi. Shayela udokotela wakho uma uhlangabezana nalezi zimpawu ezingejwayelekile ngemuva kokuyeka ukuthatha i-selegiline.

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

Ngaphambi kokuthatha i-selegiline,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane leselegiline, noma eminye imithi.
• utshele udokotela wakho uma uthatha, usanda kuthatha, noma uhlela ukuthatha noma imiphi yale mithi kadokotela elandelayo kanye nemithi engabhalisi: i-dextromethorphan (i-Robitussin); i-meperidine (i-Demerol); i-methadone (i-Dolophine), i-propoxyphene (iDarvon); i-tramadol (i-Ultram, ku-Ultracet); kanye neminye imithi equkethe i-selegiline (i-Eldepryl, i-Emsam, i-Zelapar). Udokotela wakho angakutshela ukuthi ungathathi i-selegiline uma uthatha noma usanda kuthatha noma iyiphi yale mithi. Uma uyeka ukuthatha i-selegiline, udokotela wakho angakutshela ukuthi ungayithathi le mithi kuze kudlule okungenani izinsuku eziyi-14 selokhu wagcina ukuthatha i-selegiline.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qinisekisa ukusho noma yikuphi kokulandelayo: imishanguzo efana ne-amitriptyline (Elavil) ne-imipramine (Tofranil); carbamazepine (Carbatrol, Equetro); imithi yokukhwehlela nezimpawu ezibandayo noma yokwehlisa isisindo; nafcillin; i-phenobarbital; i-phenytoin (iDilantin); i-serotonin reuptake inhibitors ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); kanye ne-rifampin (i-Rifadin, i-Rimactane). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nesifo sesibindi noma sezinso.
• uma une-phenylketonuria (PKU; isimo esizuzwe njengefa lapho kufanele kudliwe ukudla okhethekile ukuvimbela ukubola kwengqondo), kufanele wazi ukuthi amaphilisi ahlukaniswa ngomlomo aqukethe i-phenylalanine.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-selegiline, shayela udokotela wakho.
• kufanele wazi ukuthi i-selegiline ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-selegiline. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Buza udokotela wakho uma udinga ukugwema noma yikuphi ukudla ngesikhathi sokwelashwa kwakho nge-selegiline. Udokotela wakho mhlawumbe uzokutshela ukuthi ungaqhubeka nokudla okujwayelekile inqobo nje uma uthatha i-selegiline njengoba nje uqondisiwe.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa.Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• isiyezi
• ubumhlophe
• ukuquleka
• umlomo owomile
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• ubunzima bokugwinya
• isilungulela
• isifo sohudo
• igesi
• ukuqunjelwa
• ubunzima bokulala noma ukulala
• amaphupho angajwayelekile
• ubuthongo
• ukudana
• ubuhlungu, ikakhulukazi emilenzeni noma emhlane
• ubuhlungu bemisipha noma ubuthakathaka
• amabala ansomi esikhunjeni
• ukuqubuka
• ubomvu, ukucasuka, noma izilonda emlonyeni (uma uthatha amaphilisi ahlukanisa ngomlomo)

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

• ikhanda elibi kakhulu
• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla
• ukujuluka
• ngokuzuma, isicanucanu esinzima nokuhlanza
• ukudideka
• intamo eqinile noma ebuhlungu
• ukuzamazama okungalawuleki kwengxenye yomzimba wakho
• ukunyakaza okungavamile okunzima ukulawula
• ukubona izinto ezingekho (ukubona into noma ukuzwa amazwi angekho)
• ukuphefumula kanzima

Abantu abane-PD bangaba nengozi eyengeziwe yokuthuthukisa i-melanoma (uhlobo lomdlavuza wesikhumba). Alukho ulwazi olwanele lokutshela ukuthi i-selegiline noma eminye imishanguzo ye-PD inyusa ingozi ye-melanoma. Khuluma nodokotela wakho ngezingozi zokuthatha i-selegiline nokuthi kufanele yini uhlolwe isikhumba sakho ngesikhathi sokwelashwa kwakho.

I-Selegiline 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). Lahla noma imaphi amaphilisi ahlukaniswa ngomlomo angasetshenziswanga ezinyangeni ezintathu ngemuva kokuvula isikhwama esivikelayo.

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.

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

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:

• ukozela
• isiyezi
• ukuquleka
• ukucasuka
• ukukhathazeka ngokweqile
• ukuyaluza
• ikhanda elibi kakhulu
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukuqina komhlathi
• ukuqina nokugoqa komhlane
• isithuthwane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• ishayela okusheshayo nokungajwayelekile
• ubuhlungu besifuba
• ukuphefumula kancane
• ukujuluka
• imfiva
• kubanda, isikhumba se-clammy

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.

• U-Eldepryl^®
• Zelapar^®