I-Ziprasidone

-Delile

• Ngaphambi kokuthatha i-ziprasidone,
• I-Ziprasidone 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 esigabeni ESIBALULEKILE SESEXWAYISO noma isigaba SOKUQAPHA OKUKHETHEKILE, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ucwaningo lukhombisile ukuthi abantu abadala asebekhulile abanenkinga yokuwohloka komqondo (ukuphazamiseka kobuchopho okuthinta ikhono lokukhumbula, ukucabanga kahle, ukuxhumana, nokwenza imisebenzi yansuku zonke futhi lokho kungadala ushintsho esimweni sengqondo nobuntu) abathatha ama-antipsychotic (imishanguzo yokugula ngengqondo) njenge-ziprasidone babe nengozi eyengeziwe yokufa ngesikhathi sokwelashwa. Abantu abadala asebekhulile abanenkinga yokuwohloka komqondo futhi bangaba nethuba elikhulu lokushaywa unhlangothi noma ukwelashwa okuncane ngesikhathi sokwelashwa.

I-Ziprasidone ayivunyelwe yi-Food and Drug Administration (FDA) ekwelapheni izinkinga zokuziphatha kubantu abadala asebekhulile abanenkinga yokuwohloka komqondo. Khuluma nodokotela onikeze lo muthi uma wena, ilungu lomndeni, noma omunye umuntu omnakekelayo enesifo sengqondo sokuphazamiseka ngokomqondo futhi ethatha i-ziprasidone. Ngeminye imininingwane vakashela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs

I-Ziprasidone isetshenziselwa ukwelapha izimpawu ze-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisekile noma okungajwayelekile, ukuphelelwa yintshisekelo empilweni, kanye nemizwelo enamandla noma engafanele). Ibuye isetshenziselwe ukwelapha iziqephu ze-mania (imimoya efuthelene, ejabule ngokweqile noma ecasukile) noma iziqephu ezixubekile (izimpawu ze-mania kanye nokudangala okwenzeka ndawonye) ezigulini ezinesifo se-bipolar (manic depress disorder; isifo esibanga iziqephu zokucindezeleka, iziqephu we-mania, nezinye izimo ezingavamile). I-Ziprasidone isekilasini lemithi ebizwa ngama-antipyychotic atypical. Isebenza ngokushintsha ukusebenza kwezinto ezithile zemvelo ebuchosheni.

I-Ziprasidone iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa kabili ngosuku ngokudla. Thatha i-ziprasidone ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-ziprasidone ngendlela eqondiswe ngayo. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-ziprasidone futhi akhuphule kancane umthamo wakho.

I-Ziprasidone ingasiza ukulawula izimpawu zakho kepha ngeke iselaphe isimo sakho. Kungathatha amasonto ambalwa noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-ziprasidone. Qhubeka uthathe i-ziprasidone noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-ziprasidone ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-ziprasidone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ziprasidone, noma imiphi eminye imithi, noma iziphi izithako kuma-ziprasidone capsules. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-amiodarone (Cordarone, Pacerone), arsenic trioxide (Trisenox), chlorpromazine, disopyramide (Norpace), dofetilide (Tikosyn), dolasetron (Anzemet), dronedarone (Multaq), droperidol (Inapsine), gatifloin itholakala isikhathi eside e-US), i-halofantrine (Halfan) (ayisatholakali e-US), ibutilide (Corvert), levomethadyl (ORLAAM) (ayisatholakali e-US), mefloquine, mesoridazine (ayisatholakali e-US), moxifloxacin (Avelox), pentamidine (NebuPent, Pentam), pimozide (Orap), probucol (ayisatholakali e-US), procainamide, quinidine (eNuedexta), sotalol (Betapace, Sorine, Sotylize), sparfloxacin (ayisatholakali i-US), i-tacrolimus (i-Astagraf, i-Prograf), noma i-thioridazine. Udokotela wakho angakutshela ukuthi ungathathi i-ziprasidone uma uthatha eyodwa noma ngaphezulu yale mithi. Eminye imishanguzo nayo ingaxhumana ne-ziprasidone, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• 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 kokulandelayo: imishanguzo; imithi yokukhathazeka; carbamazepine (Carbatrol, Tegretol, Teril, nabanye); isisu (‘amaphilisi amanzi’); ama-dopamine agonists afana ne-bromocriptine (i-Cycloset, i-Parlodel), i-cabergoline, i-levodopa (eSinemet), i-pergolide (i-Permax) (engasatholakali e-U.S), ne-ropinirole (i-Requip); ketoconazole (Nizoral); imishanguzo yomfutho wegazi ophakeme, ukugula ngengqondo, ukuquleka, noma ukukhathazeka; nama-sedatives, amaphilisi okulala, noma ama-tranquilizers. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unesifo senhliziyo, i-QT syndrome ende (isimo senhliziyo esingadala isiyezi, ukuquleka, noma ukushaya kwenhliziyo okungajwayelekile), noma ngabe usanda kuhlaselwa yinhliziyo. Udokotela wakho uzokutshela ukuthi ungathathi i-ziprasidone.
• Tshela udokotela wakho uma uke wacabanga noma uzicabangela wena noma ungazibulala, umdlavuza webele, ukushaya kwenhliziyo okungajwayelekile, isifo sohlangothi noma i-ministroke, ukuquleka, isifo sikashukela, i-dyslipidemia (amazinga aphezulu e-cholesterol), unenkinga yokugcina ibhalansi yakho, noma isifo senhliziyo noma sesibindi. Futhi, tshela udokotela wakho uma unamazinga aphansi we-potassium noma i-magnesium egazini lakho, uma usebenzisa noma uke wasebenzisa izidakamizwa zasemgwaqweni noma usebenzise ngokweqile imithi kadokotela, noma unenkinga yokugwinya. Phinda utshele udokotela wakho uma uhuda kakhulu noma uhlanza noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-ziprasidone, shayela udokotela wakho. I-Ziprasidone ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa. Akufanele uncelise ibele uma uthatha i-ziprasidone.
• kufanele wazi ukuthi i-ziprasidone ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Ungaphuzi utshwala ngenkathi uthatha i-ziprasidone.
• kufanele wazi ukuthi ungathola i-hyperglycemia (iyanda kushukela wakho wegazi) ngenkathi uthatha lo muthi, noma ngabe awunaso vele isifo sikashukela. Uma une-schizophrenia, kungenzeka ukuthi ube nesifo sikashukela kunabantu abangenayo i-schizophrenia, futhi ukuthatha i-ziprasidone noma imishanguzo efanayo kungakhuphula le ngozi. Tshela udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu ezilandelayo ngenkathi uthatha i-ziprasidone: ukoma ngokweqile, ukuchama njalo, ukulamba ngokweqile, ukungaboni kahle, noma ubuthakathaka. Kubaluleke kakhulu ukubiza udokotela wakho ngokushesha uma unezinye zalezi zimpawu, ngoba ushukela wegazi ongelashwa ungadala isimo esibi esibizwa nge-ketoacidosis. I-Ketoacidosis ingasongela impilo uma ingelashwa kusenesikhathi. Izimpawu ze-ketoacidosis zifaka phakathi umlomo owomile, isicanucanu nokuhlanza, ukuphefumula okuncane, ukuphefumula okunuka izithelo, nokuncipha kokwazi.
• kufanele wazi ukuthi i-ziprasidone ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-ziprasidone.Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-ziprasidone ingenza kube nzima ukuthi umzimba wakho uphole lapho kushisa kakhulu. Tshela udokotela wakho uma uhlela ukuzivocavoca ngamandla noma uvezwe ukushisa okukhulu.

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

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ikhanda
• ukungahlaliseki
• ukukhathazeka
• ukungabi namandla
• ukuqunjelwa
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ubuhlungu bemisipha
• ubuhlungu besisu
• ikhala eligijimayo
• ukukhwehlela
• ukuzuza kwesisindo
• ukukhulisa ibele noma ukukhipha
• isikhathi sokuya esikhathini sekwephuzile noma esilahlekile
• kwehle ikhono lezocansi
• isiyezi, ukuzizwa ungagxilile, noma unenkinga yokugcina ibhalansi yakho

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO noma isigaba SOKUQAPHA OKUKHETHEKILE, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukunyakaza okungajwayelekile kobuso bakho noma komzimba ongeke ukwazi ukukulawula
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla
• ukuqubuka noma isifuba
• ukulunywa
• amabhamuza noma ukuxebuka kwesikhumba
• izilonda zomlomo
• izindlala ezivuvukele
• imfiva
• Ukugodola
• eqhaqhazela
• ukuqina kwemisipha
• ukuwa
• ukudideka
• ukujuluka
• ukulahlekelwa ukwazi
• ukwakhiwa okubuhlungu kwenduku okuhlala amahora

I-Ziprasidone 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. Ukugcine ekamelweni lokushisa kude nokukhanya 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:

• ukozela
• inkulumo engahambi kahle
• ukunyakaza okungazelelwe ongeke ukwazi ukukulawula
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukukhathazeka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-ziprasidone.

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.

• UGeodon^®