Sildenafil

-Delile

• Ngaphambi kokuthatha i-sildenafil,
• I-Sildenafil 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:

ISildenafil (Viagra) isetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ukungabi namandla, ukungakwazi ukuthola noma ukugcina ukwakhiwa) emadodeni. I-Sildenafil (i-Revatio) isetshenziselwa ukuthuthukisa ikhono lokuzivocavoca kubantu abadala abane-pulmonary arterial hypertension (PAH; umfutho wegazi ophezulu ezitsheni ezihambisa igazi emaphashini, kubangele ukuphefumula, isiyezi nokukhathala). Izingane akufanele zivame ukuthatha i-sildenafil, kodwa kwezinye izimo, udokotela anganquma ukuthi i-sildenafil (i-Revatio) iyimithi engcono kakhulu yokwelapha isimo sengane. USildenafil usekilasini lemithi ebizwa nge-phosphodiesterase (PDE) inhibitors. USildenafil uphatha ukungasebenzi kahle kwe-erectile ngokwandisa ukugeleza kwegazi kuya epeni ngesikhathi sokuvuselelwa kocansi. Lokhu kukhuphuka kwegazi kungadala ukwakhiwa. USildenafil welapha i-PAH ngokuxegisa imithambo yegazi emaphashini ukuvumela igazi ligeleze kalula.

Uma uthatha i-sildenafil ukwelapha ukungasebenzi kahle kwe-erectile, kufanele wazi ukuthi ayikwelaphi ukungasebenzi kahle kwe-erectile noma ikhulise isifiso sobulili. I-Sildenafil ayikuvimbeli ukukhulelwa noma ukusabalala kwezifo ezithathelwana ngocansi njenge-human immunodeficiency virus (HIV).

ISildenafil iza njengethebhulethi nokumiswa (uketshezi; i-Revatio kuphela) ukuthatha ngomlomo.

Uma uthatha i-sildenafil ukwelapha ukungasebenzi kahle kwe-erectile, landela izinkomba zikadokotela wakho kanye nemihlahlandlela ekulesi sigaba. Thatha i-sildenafil njengoba kudingeka ngaphambi kocansi. Isikhathi esihle sokuthatha i-sildenafil cishe yihora elingu-1 ngaphambi kocansi, kepha ungathatha umuthi nganoma yisiphi isikhathi kusuka emahoreni ama-4 kuye kumizuzu engama-30 ngaphambi kocansi. ISildenafil imvamisa akufanele ithathwe ngaphezu kwesisodwa njalo emahoreni angama-24. Uma unezimo ezithile zempilo noma uthatha imithi ethile, udokotela wakho angakutshela ukuthi uthathe i-sildenafil kaningi. Ungathatha i-sildenafil ngokudla noma ngaphandle kokudla. Kodwa-ke, uma uthatha i-sildenafil ngesidlo esinamafutha amaningi, kuzothatha isikhathi eside ukuthi umuthi uqale ukusebenza.

Uma uthatha i-sildenafil ukwelapha i-PAH, landela izinkomba zikadokotela wakho kanye nemihlahlandlela ekulesi sigaba. Mhlawumbe uzothatha i-sildenafil kathathu ngosuku ngokudla noma ngaphandle kokudla. Thatha i-sildenafil ngasikhathi sinye nsuku zonke, bese ubeka imithamo yakho cishe ngamahora amane kuya kwayisithupha ngaphandle.

Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-sildenafil njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Nyakazisa uketshezi kahle imizuzwana eyi-10 ngaphambi kokusebenzisa ngakunye ukuxuba umuthi ngokulinganayo. Sebenzisa isirinji yomlomo enikezwe ngemithi yakho ukukala futhi uthathe umthamo wakho. Landela izinkomba zomkhiqizi zokusebenzisa nokuhlanza isirinji yomlomo. Ungahlanganisi uketshezi neminye imithi noma ungeze noma yini ukunambitha umuthi.

Uma uthatha i-sildenafil ngokungasebenzi kahle kwe-erectile, udokotela wakho kungenzeka akuqale ngomthamo omaphakathi we-sildenafil futhi akhuphule noma anciphise umthamo wakho ngokuya ngempendulo yakho emithini. Tshela udokotela wakho uma i-sildenafil ingasebenzi kahle noma uma unemiphumela emibi.

Uma uthatha i-sildenafil ye-PAH, kufanele wazi ukuthi i-sildenafil ilawula i-PAH kepha ayiyelaphi. Qhubeka uthathe i-sildenafil noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-sildenafil ngaphandle kokukhuluma nodokotela wakho.

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-sildenafil,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-sildenafil, noma imiphi eminye imishanguzo, noma ezinye izithako kumikhiqizo ye-sildenafil. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• ungathathi i-sildenafil uma uthatha noma usanda kuthatha i-riociguat (Adempas) noma i-nitrate (imithi yezinhlungu esifubeni) efana ne-isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), ne-nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat , abanye). Ama-nitrate eza njengamathebulethi, ama-tablet (ngaphansi kolimi) amaphilisi, izifutho, ama-patches, ama-pastes, namafutha. Buza udokotela wakho uma ungaqiniseki ukuthi imiphi imithi yakho iqukethe ama-nitrate.
• ungathathi izidakamizwa zasemgwaqweni eziqukethe ama-nitrate afana ne-amyl nitrate ne-butyl nitrate ('poppers') ngenkathi uthatha i-sildenafil.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-alpha blocker efana ne-alfuzosin (Uroxatral), i-doxazosin (i-Cardura), i-prazosin (i-Minipress), i-tamsulosin (i-Flomax, i-Jalyn), ne-terazosin; i-amlodipine (iNorvasc, e-Amturnide, eTekamlo); ezinye izinto zokuvikela ezifana ne-itraconazole (i-Onmel, i-Sporanox) ne-ketoconazole (i-Nizoral); ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); ama-barbiturate athile afana ne-butalbital (e-Butapap, e-Fioricet, e-Fiorinal, amanye) ne-secobarbital (Seconal); ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kanye nepropranolol (Hemangeol, Inderal LA, InnoPran); i-bosentan (iTracleer); i-cimetidine; i-efavirenz (iSustiva, e-Atripla); i-erythromycin (E.E.S., E-Mycin, Erythrocin); I-HIV protease inhibitors kufaka phakathi i-amprenavir (Agenerase; ayisatholakali e-US), atazanavir (Reyataz, e-Evotaz), darunavir (Prezista, e-Prezcobix), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir I-Viracept), i-ritonavir (i-Norvir, e-Kaletra), i-saquinavir (i-Invirase), ne-tipranavir (i-Aptivus); i-nevirapine (i-Viramune); eminye imithi noma amadivayisi okwelapha ukungasebenzi kahle kwe-erectile; imithi yomfutho wegazi ophakeme; imithi ethile yokuquleka okubandakanya i-carbamazepine (Carbatrol, Epitol, Tegretol, abanye), phenobarbital, ne-phenytoin (Dilantin, Phenytek); i-rifabutin (i-Mycobutin); kanye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.Eminye imithi eminingi ingaxhumana ne-sildenafil, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha, ikakhulukazi i-wort yaseSt.
• Tshela udokotela wakho uma ubhema, uma ngabe uke wakhiwa okwadonsa amahora amaningi, futhi uma usanda kulahlekelwa inani elikhulu loketshezi lomzimba (ukoma). Lokhu kungenzeka uma ugula uphethwe umkhuhlane, uhudo, noma uhlanza; ujuluke kakhulu; noma ungaphuzi iziphuzo ezanele. Tshela nodokotela wakho uma uke waba nesifo se-veno-occlusive pulmonary (PVOD; ukuvinjelwa kwemithambo emaphashini); isilonda esiswini; isifo senhliziyo, sezinso noma sesibindi; isifo senhliziyo; ukushaya kwenhliziyo okungajwayelekile; isifo sohlangothi; ubuhlungu besifuba; umfutho wegazi ophakeme noma ophansi; i-cholesterol ephezulu; ukuphazamiseka kokopha; izinkinga zokujikeleza kwegazi; izinkinga zamangqamuzana egazi njenge-sickle cell anemia (isifo samangqamuzana abomvu egazi), i-myeloma eminingi (umdlavuza wamaseli e-plasma), noma i-leukemia (umdlavuza wamaseli amhlophe egazi); izimo ezithinta ukwakheka kwepipi (isb., i-angulation, i-cavernosal fibrosis, noma isifo se-Peyronie); noma isifo sikashukela. Phinda utshele udokotela wakho ukuthi ngabe wena noma omunye wamalungu omndeni wakho unaso noma wake waba nesifo samehlo esifana ne-retinitis pigmentosa (isimo sehlo esizuzwe njengefa esidala ukungaboni kahle) noma uma uke waba nokulahleka kombono okungazelelwe, ikakhulukazi uma utshele ukuthi ukulahleka kombono kubangelwe ukuvinjelwa kokugeleza kwegazi kuya emithanjeni ekusiza ukuthi ubone.
• uma ungowesifazane futhi uthatha i-sildenafil ukwelapha i-PAH, tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-sildenafil, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-sildenafil.
• uma uthatha i-sildenafil ukwelapha ukungasebenzi kahle kwe-erectile, tshela udokotela wakho uma ngabe uke welulekwa nguchwepheshe wezokunakekelwa kwezempilo ukuthi ugweme ukwenza ucansi ngenxa yezizathu zezokwelapha noma uma wake wezwa ubuhlungu besifuba ngesikhathi sokwenza ucansi. Umsebenzi wezocansi ungaba yingcindezi enhliziyweni yakho, ikakhulukazi uma unesifo senhliziyo. Uma uzwa ubuhlungu besifuba, isiyezi, noma isicanucanu ngesikhathi sokwenza ucansi, shayela udokotela wakho ngokushesha futhi ugweme ukwenza ucansi kuze kube yilapho udokotela wakho ekutshela ngenye indlela.
• Tshela bonke abahlinzeki bakho bezempilo ukuthi uthatha i-sildenafil. Uma kwenzeka udinga ukwelashwa okuphuthumayo ngenkinga yenhliziyo, abahlinzeki bokunakekelwa kwezempilo abakuphathisayo kuzodingeka bazi ukuthi ugcine nini ukuthatha i-sildenafil.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

Uma uthatha i-sildenafil ngokungasebenzi kahle kwe-erectile, akunakwenzeka ukuthi uphuthelwe ngumthamo njengoba lo muthi uthathwa njengoba kudingeka, hhayi esimisweni esivamile sokulinganisa.

Uma uthatha i-sildenafil ye-PAH, thatha isilinganiso esilahlekile 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.

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

• ikhanda
• isilungulela
• isifo sohudo
• ukuqhuma (ukuzwa kwemfudumalo)
• ukuphuma kwamakhala
• ubunzima bokulala noma ukulala
• ukuba ndikindiki, ukushiswa, noma ukuncinza ezingalweni, ezandleni, ezinyaweni noma emilenzeni
• ubuhlungu bemisipha
• izinguquko kumbono wombala (ukubona i-tinge eluhlaza okwesibhakabhaka ezintweni noma ukuthola ubunzima bokuhlukanisa umehluko phakathi kokuluhlaza okotshani nokuluhlaza)
• ukuzwela ekukhanyeni

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

• ukulahleka okukhulu kombono ngokungazelelwe (bheka ngezansi ukuthola eminye imininingwane)
• ukungaboni kahle
• ukwehla okungazelelwe noma ukulahleka kwezindlebe
• kukhala ezindlebeni
• isiyezi noma ikhanda elikhanyayo
• ukuquleka
• ubuhlungu besifuba
• ukuphefumula okuya kusiba kubi
• ukwakhiwa okubuhlungu noma okuhlala isikhathi eside kunamahora ama-4
• ukuluma noma ukushisa ngesikhathi uchama
• ukuqubuka

Ezinye iziguli zathola ukulahleka okungazelelwe kweminye noma yonke imibono yazo ngemuva kokuthatha i-sildenafil noma eminye imithi efana ne-sildenafil. Ukulahleka kombono bekuhlala unomphela kwezinye izimo. Akwaziwa ukuthi ukulahleka kombono kubangelwe yimithi. Uma uhlangabezana nokulahleka okungazelelwe kombono ngenkathi uthatha i-sildenafil, shayela udokotela wakho ngokushesha. Ungathathi eminye imithamo ye-sildenafil noma imishanguzo efana ne-tadalafil (Cialis) noma i-vardenafil (i-Levitra) uze ukhulume nodokotela wakho.

Kuke kwaba nemibiko yokuhlaselwa yisifo senhliziyo, isifo sohlangothi, ukushaya kwenhliziyo okungajwayelekile, ukopha ebuchosheni noma emaphashini, umfutho wegazi ophakeme, nokufa okungazelelwe kwabesilisa abathathe i-sildenafil ngenxa yokungasebenzi kahle kwe-erectile. Iningi, kepha hhayi bonke, laba bantu babenezinkinga zenhliziyo ngaphambi kokuthatha i-sildenafil. Akwaziwa ukuthi ngabe le micimbi ibangelwe yi-sildenafil, umsebenzi wezocansi, isifo senhliziyo, noma inhlanganisela yalezi nezinye izimbangela.Khuluma nodokotela wakho ngezingozi zokuthatha i-sildenafil.

Ezinye iziguli zithole ukwehla okungazelelwe noma ukulahleka kwezindlebe ngemuva kokuthatha i-sildenafil noma eminye imithi efana ne-sildenafil. Ukulahleka kokuzwa kwakuvame ukubandakanya indlebe eyodwa kuphela futhi kwakungathuthuki ngaso sonke isikhathi lapho umuthi umiswa. Akwaziwa ukuthi ukulahleka kokuzwa kudalwe yimithi yini. Uma uzwa ukulahlekelwa okungazelelwe kokuzwa, kwesinye isikhathi ngokukhala ezindlebeni noma isiyezi, ngenkathi uthatha i-sildenafil, shayela udokotela wakho ngokushesha. Uma uthatha i-sildenafil (Viagra) yokungasebenzi kahle kwe-erectile, ungathathi eminye imithamo ye-sildenafil (Viagra) noma imishanguzo efana ne-tadalafil (Cialis) noma i-vardenafil (i-Levitra) uze ukhulume nodokotela wakho. Uma uthatha i-sildenafil (Revatio) ye-PAH, ungayeki ukuthatha imishanguzo yakho uze ukhulume nodokotela wakho.

I-Sildenafil 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 amaphilisi ekamelweni lokushisa kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Gcina ukumiswa ekamelweni lokushisa noma esiqandisini, kepha ungakumisi. Lahla noma yikuphi ukumiswa okungasetshenziswanga ngemuva kwezinsuku ezingama-60.

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.

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.

• Ukuvuselelwa^®
• I-Viagra^®