I-Fluticasone ne-Salmeterol Oral Inhalation

-Delile

• Ngaphambi kokusebenzisa i-fluticasone ne-salmeterol inhalation yomlomo,
• IFluticasone ne-salmeterol kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Inhlanganisela ye-fluticasone ne-salmeterol (i-Advair Diskus, i-Advair HFA, i-AirDuo Respiclick) isetshenziselwa ukwelapha ubunzima bokuphefumula, ukuphefumula, ukuphefumula, ukukhwehlela kanye nokuqina kwesifuba okubangelwa yisifuba somoya. Inhlanganisela ye-fluticasone ne-salmeterol (i-Advair Diskus) isetshenziselwa ukuvimbela nokwelapha ukuphefumula, ukuphefumula, ukukhwehlela, nokuqina kwesifuba okubangelwa yisifo esingapheliyo sokuphazamiseka kwamaphaphu (COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli kanye ne-emphysema). Inhlanganisela ye-fluticasone ne-salmeterol (i-Advair Diskus) isetshenziswa kubantu abadala nasezinganeni ezineminyaka engu-4 nangaphezulu. Inhlanganisela ye-fluticasone ne-salmeterol (i-Advair HFA, i-AirDuo Respiclick) isetshenziswa ezinganeni ezineminyaka engu-12 nangaphezulu. UFluticasone usesigabeni semithi ebizwa ngama-steroids. Isebenza ngokunciphisa ukuvuvukala ezindleleni zomoya. I-Salmeterol isekilasini lemithi ebizwa ngama-beta-agonists asebenza isikhathi eside (LABAs). Isebenza ngokuphumula nokuvula izindima zomoya emaphashini, kwenze kube lula ukuphefumula.

Inhlanganisela ye-fluticasone ne-salmeterol iza njenge-powder nanjengesixazululo sokuhogela ngomlomo usebenzisa i-inhaler eyenzelwe ngokukhethekile. Imvamisa isetshenziswa kabili ngosuku, ekuseni nakusihlwa, iqhelelene ngamahora ayi-12. Sebenzisa i-fluticasone ne-salmeterol ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-fluticasone ne-salmeterol njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Khuluma nodokotela wakho mayelana nokuthi kufanele uyithathe kanjani eminye imishanguzo yakho yomlomo noma ehogelwayo ye-asthma ngenkathi welashwa nge-salmeterol ne-fluticasone inhalation. Uma ngabe ubusebenzisa i-beta agonist inhaler esebenza okwesikhashana efana ne-albuterol (Proventil, Ventolin) njalo, udokotela wakho uzokutshela ukuthi uyeke ukuyisebenzisa njalo kepha uqhubeke nokuyisebenzisa ukuphatha ukuhlaselwa okungazelelwe kwezimpawu zesifuba somoya. Landela lezi zinkomba ngokucophelela. Ungaguquli indlela osebenzisa ngayo noma yimiphi imithi yakho noma uyeke ukuphuza noma imiphi imithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ungasebenzisi i-fluticasone ne-salmeterol ngesikhathi sokuhlaselwa yisifuba somoya noma i-COPD. Udokotela wakho uzokunikeza i-inhaler emfushane ezosebenza ngesikhathi sokuhlaselwa.

I-Fluticasone ne-salmeterol inhalation ilawula izimpawu zezifo ezithile zamaphaphu kepha ayizelaphi lezi zimo. Kungathatha isonto noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-fluticasone ne-salmeterol. Qhubeka nokusebenzisa i-fluticasone ne-salmeterol noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa i-fluticasone ne-salmeterol ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukusebenzisa i-fluticasone ne-salmeterol inhalation, izimpawu zakho zingabuya.

Ngaphambi kokusebenzisa i-fluticasone ne-salmeterol inhalation (i-Advair Diskus, i-Advair HFA, noma i-AirDuo Respiclick) okokuqala ngqa, funda imiyalo yephakheji ebhaliwe eza nayo. Bheka imidwebo nemiyalo yephakheji ngokucophelela futhi uqiniseke ukuthi uyazibona zonke izingxenye ze-inhaler. Buza udokotela wakho, usokhemisi, noma umelaphi wokuphefumula ukuthi akubonise ukuthi ungayisebenzisa kanjani i-inhaler. Zijwayeze ukusebenzisa i-inhaler yakho ngenkathi bebuka, ngakho-ke uqinisekile ukuthi uyenza ngendlela efanele.

Uma ingane yakho izosebenzisa i-fluticasone ne-salmeterol inhalation, qiniseka ukuthi iyayazi ukuthi iyisebenzisa kanjani. Buka ingane yakho njalo lapho isebenzisa i-inhaler ukuze uqiniseke ukuthi uyisebenzisa kahle.

Ungalokothi ukhiphe i-inhaler, uthathe i-inhaler, noma ugeze okokufaka umlomo noma enye ingxenye ye-inhaler. Gcina i-inhaler yomile. Ungayisebenzisi i-inhaler nge-spacer.

Buza usokhemisi noma udokotela wakho ikhophi ye-fluticasone ne-salmeterol inhalation (i-Advair Diskus, i-Advair HFA, noma i-AirDuo Respiclick) imininingwane yomkhiqizi wesiguli.

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

Ngaphambi kokusebenzisa i-fluticasone ne-salmeterol inhalation yomlomo,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-fluticasone (i-Flonase, i-Flovent), i-salmeterol (i-Serevent), noma imiphi eminye imithi, amaprotheni obisi, noma yikuphi ukudla, noma iziphi izithako ze-fluticasone ne-salmeterol inhalation yomlomo. Buza usokhemisi wakho noma uhlole Imininingwane Yesiguli ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma usebenzisa enye i-LABA efana ne-formoterol (i-Perforomist, eDulera, e-Symbicort) noma i-salmeterol (iSerevent, e-Advair). Le mithi akufanele isetshenziswe nge-inhalation ye-fluticasone ne-salmeterol. Udokotela wakho uzokutshela ukuthi imiphi imithi okufanele uyisebenzise nokuthi imiphi imithi okufanele uyeke ukuyisebenzisa.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antifungal athile afana ne-itraconazole (Onmel, Sporanox) ne-ketoconazole; ama-beta-blocker anjenge-atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), nepropranolol (Inderal); i-clarithromycin (i-Biaxin, ku-Prevpac); isisu (‘amaphilisi amanzi’); I-HIV protease inhibitors efana ne-atazanavir (Reyataz), indinavir (Crixivan), i-nelfinavir (i-Viracept), i-ritonavir (i-Norvir), ne-saquinavir (i-Invirase); eminye imithi ye-asthma noma i-COPD; imithi yokuquleka; i-metronidazole (i-Flagyl); nefazodone; ne-telithromycin (Ketek; ayisatholakali e-U.S.). Phinda utshele udokotela kanye nosokhemisi wakho uma uthatha le mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: imishanguzo efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil) , i-nortriptyline (i-Pamelor), i-protriptyline (i-Vivactil), ne-trimipramine (i-Surmontil); kanye ne-monoamine oxidase (MAO) inhibitors, kufaka phakathi isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate). Eminye imishanguzo eminingi ingaxhumana ne-fluticasone ne-salmeterol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo samathambo (isimo lapho amathambo eba buthakathaka futhi abuthaka khona), futhi uma uke waba nomfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, ukuquleka, i-hyperthyroidism (indlala yegilo eyeqile ), isifo sikashukela, isifo sofuba (i-TB), i-cataract (ukufiphalisa ilensi yeso), i-glaucoma (isifo samehlo), noma yisiphi isimo esithinta amasosha akho omzimba, noma isifo sesibindi noma senhliziyo. Phinda utshele udokotela wakho uma unesifo se-herpes eye noma olunye uhlobo lokutheleleka futhi uma ubhema noma usebenzisa imikhiqizo kagwayi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-fluticasone ne-salmeterol, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-fluticasone ne-salmeterol.
• Tshela udokotela wakho uma ungakaze ube nenkukhu noma isimungumungwane futhi awugonyelwanga lezi zifo. Hlala kude nabantu abagulayo, ikakhulukazi abantu abanenkukhu noma isimungumungwane. Uma uchayekile kulezi zifo noma uma uba nezimpawu zala magciwane, shayela udokotela wakho ngokushesha. Ungahle udinge ukuthola umuthi wokugoma ukuze uvikeleke kulezi zifo.

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

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Musa ukuhogela umthamo ophindwe kabili ukwenzela okulahlekile.

IFluticasone ne-salmeterol kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhala eligijimayo
• ukuthimula
• Umphimbo obuhlungu
• ukucasuka komphimbo
• ubuhlungu besono
• ikhanda
• isicanucanu
• ukuhlanza
• isifo sohudo
• ubuhlungu besisu
• ubuhlungu bemisipha namathambo
• isiyezi
• ubuthakathaka
• ukukhathala
• ukujuluka
• ubuhlungu bezinyo
• ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula
• izinkinga zokulala

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, shayela udokotela wakho ngokushesha:

• ukukhwehlela, ukuvunguza, noma ukuqina kwesifuba okuqala ngokushesha ngemuva kokuhogela i-fluticasone ne-salmeterol
• isifuba
• ukuqubuka
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuminyaniswa noma ubunzima bokugwinya
• ukushaqeka
• umsindo, ukuphefumula okuphezulu
• ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• ukuquleka
• ubuhlungu besifuba
• ukukhwehlela
• ukushisa noma ukuncinza ezandleni noma ezinyaweni
• amabala amhlophe emlonyeni
• umkhuhlane, ukubanda, nezinye izimpawu zokutheleleka

I-Fluticasone ne-salmeterol kungadala ukuthi izingane zikhule kancane. Udokotela wengane yakho uzoqapha ukukhula kwengane yakho ngokucophelela. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

I-Fluticasone ne-salmeterol zingakhuphula ubungozi bokuthi uzoba ne-glaucoma noma i-cataract. Kuzodingeka ukuthi ube nokuhlolwa kwamehlo okujwayelekile ngesikhathi sokwelashwa kwakho nge-fluticasone ne-salmeterol. Tshela udokotela wakho uma unokunye kwalokhu okulandelayo: ubuhlungu, ukuba bomvu, noma ukungaphatheki kahle kwamehlo; ukungaboni kahle, ukubona ama-halos noma imibala ekhanyayo ezungeze amalambu; noma olunye uguquko kumbono. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

I-Fluticasone ne-salmeterol ingakhuphula ubungozi bokuhlaselwa kwamathambo. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

IFluticasone ne-salmeterol kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa 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 nelanga, ukushisa okweqile nomswakama (hhayi endlini yangasese). Khuluma nosokhemisi wakho ngokulahlwa okufanele kwemithi yakho.

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:

• isithuthwane
• ubuhlungu besifuba
• isiyezi
• ukuquleka
• ukungaboni kahle
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• uvalo
• ikhanda
• ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula
• amajaqamba noma ubuthakathaka
• umlomo owomile
• isicanucanu
• ukukhathala ngokweqile
• ukungabi namandla
• ubunzima bokulala noma ukulala

Gcina wonke ama-aphoyintimenti nodokotela wakho nodokotela wamehlo.

Ungavumeli omunye umuntu asebenzise 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-Advair^® Diskus
• I-Advair^® I-HFA
• I-AirDuo^® Phendula