I-Risperidone, Ithebhulethi Yomlomo

-Delile

• Okuvelele kwe-risperidone
• Yini i-risperidone?
• Kungani isetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Risperidone
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Risperidone ingaxhumana neminye imithi
• Ukusebenzisana okwandisa ubungozi bemiphumela emibi
• Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle
• Ungayithatha kanjani i-risperidone
• Amafomu namandla
• Isilinganiso se-schizophrenia
• Umthamo weziqephu zezifo eziphazamisayo zomuntu noma i-bipolar acute
• Isikali sokucasulwa ukuphazamiseka kwe-autistic
• Ukucatshangelwa okukhethekile komthamo
• Izexwayiso zeRisperidone
• Isexwayiso se-FDA: Ingozi eyengeziwe yokufa kwabantu abadala abanokuwohloka komqondo
  
• Ezinye izexwayiso
• Isexwayiso se-Neuroleptic malignant syndrome (NMS)
• Ingozi eyengeziwe yokushaywa unhlangothi noma isifo senhliziyo
• Tardive dyskinesia isixwayiso
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-risperidone
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuzilawula
• Ukuqapha komtholampilo
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-risperidone

1. Ithebhulethi yomlomo iRisperidone iyatholakala njengesidakamizwa esijwayelekile kanye negama lomkhiqizo. Igama lomkhiqizo: Risperdal.
2. I-Risperidone iza njengethebhulethi ejwayelekile, ithebhulethi ehlukaniswa ngomlomo, nesisombululo somlomo. Kubuye futhi njengomjovo onikezwa ngumhlinzeki wezokunakekelwa kwempilo.
3. Ithebhulethi yomlomo iRisperidone isetshenziselwa ukwelapha i-schizophrenia, i-bipolar I disorder, nokucasula okuhambisana nokuphazamiseka kwe-autistic.

Yini i-risperidone?

I-Risperidone ngumuthi kadokotela. Kuza njengethebhulethi yomlomo, ithebhulethi ehlukaniswa ngomlomo, nesisombululo somlomo. Kubuya futhi njengomjovo onikezwa kuphela ngumhlinzeki wezokunakekelwa kwempilo.

Ithebhulethi yomlomo iRisperidone iyatholakala njengesidakamizwa esinegama lomkhiqizo I-Risperdal. Futhi iyatholakala njengesidakamizwa esijwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, umuthi wegama lomkhiqizo nohlobo olujwayelekile lungatholakala ngezindlela nangamandla ahlukahlukene.

Kungani isetshenziswa

I-Risperidone isetshenziselwa ukwelapha izimpawu zezimo eziningana zengqondo. Lokhu kufaka phakathi:

• Ischizophrenia. Lesi yisifo sengqondo esidala izinguquko ekucabangeni noma ekuboneni. Abantu abanalesi simo bangacabanga (babone noma bezwe izinto ezingekho) noma babe nenkohliso (izinkolelo ezingamanga mayelana neqiniso).
• Iziqephu ezibucayi zomuntu noma ezixubekile ezibangelwe yi- i-bipolar I disorder. Lesi sidakamizwa singanikezwa sodwa noma ngemithi i-lithium noma i-divalproex. Abantu abane-bipolar disorder baneziqephu zemizwelo enamandla. Lokhu kungafaka i-mania (isimo esijabule ngokweqile noma esijabule), ukucindezeleka, noma inhlanganisela yakho kokubili.
• Ukuthukuthela okuhambisana ne-autism. I-Autism ithinta indlela umuntu enza ngayo, asebenzelana ngayo nabanye, afunde futhi akhulume ngayo. Izimpawu zokuthukuthela zingabandakanya ukuhlukumeza abanye, ukuzilimaza, ukuthukuthela, nokuguquka kwemizwelo.

I-Risperidone ingasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyithatha neminye imithi.

Isebenza kanjani

I-Risperidone ingeyesigaba semithi ebizwa ngokuthi i-atypical antipsychotic. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Risperidone isebenza ngokuthinta inani lamakhemikhali athile abizwa ngama-neurotransmitters avela ngokwemvelo ebuchosheni bakho. Kucatshangwa ukuthi abantu abane-schizophrenia, i-bipolar disorder, ne-autism banokungalingani kwama-neurotransmitter athile. Lesi sidakamizwa singathuthukisa lokhu kungalingani.

Imiphumela emibi ye-Risperidone

Ithebhulethi yomlomo yeRisperidone ingadala ukozela. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile ye-risperidone ingafaka:

• i-parkinsonism (inkinga yokuhamba)
• i-akathisia (ukungahlaliseki nokukhuthaza ukuhamba)
• i-dystonia (ukusikwa kwemisipha okubangela ukunyakaza nokuphindaphindeka ongakwazi ukukulawula)
• ukuthuthumela (ukunyakaza kwesigqi okungalawuleki engxenyeni eyodwa yomzimba wakho)
• ukulala nokukhathala
• isiyezi
• ukukhathazeka
• ukungaboni kahle
• ubuhlungu besisu noma ukungaphatheki kahle
• ukumunca amathe
• umlomo owomile
• ukwanda kwesifiso sokudla noma ukuzuza kwesisindo
• ukuqubuka
• ikhala eligcwele, izifo ezingenhla zokuphefumula, nokuvuvukala kwekhala lakho nomphimbo

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Ukufa okutheleleka nokushaywa unhlangothi kwabadala abanokuwohloka komqondo
• Isifo esibuhlungu se-Neuroleptic. Izimpawu zingafaka:
  • umkhuhlane omkhulu (ngaphezu kuka-100.4 ° F, noma u-38 ° C)
  • ukujuluka okusindayo
  • imisipha eqinile
  • ukudideka
  • izinguquko ekuphefumuleni kwakho, esigqi senhliziyo, kanye nomfutho wegazi
  • ukwehluleka kwezinso, ngezimpawu ezinjengokuzuza kwesisindo, ukukhathala, noma ukuchama ngaphansi kokujwayelekile noma cha
• I-Tardive dyskinesia. Izimpawu zingafaka:
  • ukunyakaza ebusweni bakho, olimini, noma kwezinye izitho zomzimba ongeke ukwazi ukuzilawula
• I-Hyperglycemia (ushukela ophakeme wegazi). Izimpawu zingafaka:
  • ukuzizwa womile kakhulu
  • edinga ukuchama kaningi kunokujwayelekile
  • ngizizwa ngilambile kakhulu
  • ubuthakathaka noma ukukhathala
  • isicanucanu
  • ukudideka
  • umoya onuka izithelo
• Izinga eliphezulu le-cholesterol ne-triglyceride
• Izinga eliphezulu leprolactin yegazi. Izimpawu zingafaka:
  • ukukhuliswa kwebele
  • ukukhishwa kobisi engonweni yakho
  • ukungasebenzi kahle kwe-erectile (kunzima ukuthola noma ukugcina ukwakhiwa)
  • ukulahlekelwa isikhathi sakho sokuya esikhathini
• I-Orthostatic hypotension (ukwehla kwengcindezi yegazi lapho usukuma endaweni yokuhlala noma yokulala). Izimpawu zingafaka:
  • ubumhlophe
  • ukuquleka
  • isiyezi
• Inani eliphansi lamaseli egazi amhlophe. Izimpawu zingafaka:
  • imfiva
  • ukutheleleka
• Inkinga yokucabanga, nokukhubazeka ukwahlulela namakhono emoto
• Ukuquleka
• Inkinga yokugwinya
• I-Priapism (ukwakhiwa okubuhlungu okuhlala isikhathi esingaphezu kwamahora amane)

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Risperidone ingaxhumana neminye imithi

Ithebhulethi yomlomo yeRisperidone ingasebenzisana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uwaphuza. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuze uthole ukuthi lesi sidakamizwa singaxhumana kanjani nenye into oyithathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukusebenzisana ne-risperidone zibhalwe ngezansi.

Ukusebenzisana okwandisa ubungozi bemiphumela emibi

Ukuthatha i-risperidone ngemithi ethile kuphakamisa ubungozi bakho bemiphumela emibi kusuka ku-risperidone. Lokhu kungenxa yokuthi inani le-risperidone emzimbeni wakho lenyukile, noma yomibili imishanguzo ingadala imiphumela emibi efanayo. Izibonelo zale mithi zifaka:

• Izidakamizwa zokukhathazeka, njenge-alprazolam, i-clonazepam, i-diazepam, i-chlordiazepoxide, ne-lorazepam. Ungaba nokuthokomala okwengeziwe nokulala.
• Ukuphumula kwemisipha, njenge-baclofen, i-cyclobenzaprine, i-methocarbamol, i-tizanidine, i-carisoprodol, ne-metaxalone. Ungaba nokuthokomala okwengeziwe nokulala.
• Izidakamizwa zobuhlungu, njenge-morphine, i-oxycodone, i-fentanyl, i-hydrocodone, i-tramadol ne-codeine. Ungaba nokuthokomala okwengeziwe nokulala.
• Ama-antihistamine, njenge-hydroxyzine, i-diphenhydramine, i-chlorpheniramine, ne-brompheniramine. Ungaba nokuthokomala okwengeziwe nokulala.
• I-Sedative / hypnotics, efana ne-zolpidem, i-temazepam, i-zaleplon, ne-eszopiclone. Ungaba nokuthokomala okwengeziwe nokulala.
• I-Fluoxetine. Ungahle ube nengozi eyengeziwe yokwengezelwa kwesikhawu se-QT, isigqi senhliziyo esingajwayelekile, neminye imiphumela emibi ye-risperidone. Udokotela wakho anganciphisa umthamo wakho we-risperidone.
• I-Paroxetine. Ungahle ube nengozi eyengeziwe yokwengezelwa kwesikhawu se-QT, isigqi senhliziyo esingajwayelekile, neminye imiphumela emibi ye-risperidone. Udokotela wakho anganciphisa umthamo wakho we-risperidone.
• I-Clozapine. Ungaba ne-parkinsonism (inkathazo yokuhamba), ukulala, ukukhathazeka, ukungaboni kahle, neminye imiphumela emibi ye-risperidone. Udokotela wakho uzokuqapha eduze ngemiphumela emibi nobuthi.
• Izidakamizwa zengcindezi yegazi, njenge-amlodipine, lisinopril, losartan, noma i-metoprolol. Ungaba nomfutho wegazi ophansi.
• Izidakamizwa zesifo sikaParkinson, njenge-levodopa, i-pramipexole, noma i-ropinirole. Ungaba nezimpawu zesifo sikaParkinson.

Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle

Lapho i-risperidone isetshenziswa nezidakamizwa ezithile, ingahle ingasebenzi ukwelapha isimo sakho. Lokhu kungenxa yokuthi inani le-risperidone emzimbeni wakho lingehla. Izibonelo zale mithi zifaka:

• Phenytoin. Udokotela wakho angakhuphula umthamo wakho we-risperidone.
• I-Carbamazepine. Udokotela wakho angakhuphula umthamo wakho we-risperidone.
• I-Rifampin. Udokotela wakho angakhuphula umthamo wakho we-risperidone.
• I-Phenobarbital. Udokotela wakho angakhuphula umthamo wakho we-risperidone.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Ungayithatha kanjani i-risperidone

Lolu lwazi lokulinganisa olwenzelwe ithebhulethi yomlomo i-risperidone. Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu namandla

Okujwayelekile: I-Risperidone

• Ifomu: ithebhulethi ehlakazeka ngomlomo
• Amandla: 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg
  • Ifomu: ithebhulethi yomlomo
  • Amandla: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg

Umkhiqizo: IRisperdal M-TAB

• Ifomu: ithebhulethi ehlakazeka ngomlomo
• Amandla: 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg

Umkhiqizo: I-Risperdal

• Ifomu: ithebhulethi yomlomo
• Amandla: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg

Isilinganiso se-schizophrenia

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Isilinganiso sokuqala sokuqala: 2 mg ngosuku ethathwe kanye noma ngemithamo emibili ehlukanisiwe.
• Isikali siyanda: Udokotela wakho angakhuphula kancane umthamo wakho njalo emahoreni angama-24 noma ngaphezulu. Bangayinyusa ngo-1-2 mg ngosuku ngomthamo ka-4-16 mg ngosuku. Udokotela wakho uzoshintsha isilinganiso sakho ngokususelwa ekuphenduleni komzimba wakho kulo muthi.
• Umthamo omkhulu: 16 mg ngosuku.

Isilinganiso sengane (iminyaka eyi-13-17 iminyaka)

• Isilinganiso sokuqala sokuqala: 0.5 mg ngosuku othathwe ekuseni noma kusihlwa.
• Isikali siyanda: Udokotela wakho angakhuphula kancane umthamo wakho njalo emahoreni angama-24 noma ngaphezulu. Bangayinyusa ngo-0.5-1 mg ngosuku, kuze kufike ku-6 mg ngosuku. Udokotela wakho uzoshintsha isilinganiso sakho ngokususelwa ekuphenduleni komzimba wakho kulo muthi.
• Umthamo omkhulu: 6 mg ngosuku.

Isilinganiso sengane (iminyaka engu-0-12 yeminyaka)

Le mithi ayikaze ifundwe ezinganeni ezingaphansi kweminyaka eyi-13. Akufanele isetshenziswe kuleli qembu leminyaka.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Udokotela wakho angakunika isilinganiso sokuqala esiphansi sika-0.5 mg esithathwe kabili ngosuku. Bangakhuphula isilinganiso sakho kancane kancane ukunciphisa ubungozi bemiphumela emibi.

Umthamo weziqephu zezifo eziphazamisayo zomuntu noma i-bipolar acute

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Isilinganiso sokuqala sokuqala: 2-3 mg ngosuku.
• Isikali siyanda: Udokotela wakho angakhuphula kancane umthamo wakho njalo emahoreni angama-24 noma ngaphezulu. Bangayinyusa nge-1 mg ngosuku kumthamo we-1-6 mg ngosuku. Udokotela wakho uzoshintsha isilinganiso sakho ngokususelwa ekuphenduleni komzimba wakho kulo muthi.
• Umthamo omkhulu: 6 mg ngosuku.

Isilinganiso sengane (iminyaka eyi-10-17 iminyaka)

• Isilinganiso sokuqala sokuqala: 0.5 mg ngosuku othathwe ekuseni noma kusihlwa.
• Isikali siyanda: Udokotela wakho angakhuphula kancane umthamo wakho njalo emahoreni angama-24 noma ngaphezulu. Bangayinyusa ngo-0.5-1 mg ngosuku, kuze kufike ku-6 mg ngosuku. Udokotela wakho uzoshintsha isilinganiso sakho ngokususelwa ekuphenduleni komzimba wakho kulo muthi.
• Umthamo omkhulu: 6 mg ngosuku.

Isilinganiso sengane (iminyaka engu-0-9 iminyaka)

Le mithi ayikaze ifundwe ezinganeni ezingaphansi kweminyaka eyi-10. Akufanele isetshenziswe kuleli qembu leminyaka.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Udokotela wakho angakunika isilinganiso sokuqala esiphansi sika-0.5 mg esithathwe kabili ngosuku. Bangakhuphula isilinganiso sakho kancane kancane ukunciphisa ubungozi bemiphumela emibi.

Isikali sokucasulwa ukuphazamiseka kwe-autistic

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

Le mithi ayifundwanga kubantu abadala. Akufanele isetshenziswe kuleli qembu leminyaka.

Isilinganiso sengane (iminyaka engu-5-17)

• Isilinganiso sokuqala sokuqala:
  • Ezinganeni ezinesisindo esingaphansi kwama-44 lbs. (20 kg): Udokotela wakho uzoqala ingane yakho ngo-0.25 mg othathwe kanye ngosuku. Noma udokotela wakho angacela ingane yakho ukuthi ithathe uhhafu wesilinganiso sezinsuku zonke kabili ngosuku.
  • Ezinganeni ezinesisindo esingu-44 lbs. (20 kg) noma ngaphezulu: Udokotela wakho uzoqala ingane yakho ngo-0.5 mg othathwe kanye ngosuku. Noma udokotela wakho angacela ingane yakho ukuthi ithathe uhhafu wesilinganiso sezinsuku zonke kabili ngosuku.
• Isikali siyanda:
  • Ezinganeni ezinesisindo esingaphansi kwama-44 lbs. (20 kg): Ngemuva kwezinsuku ezingama-4 ubuncane, udokotela wakho angakhuphula isilinganiso somntwana wakho sibe ngu-0.5 mg ngosuku. Uma ingane yakho ingaphenduli kulo muthi ngemuva kwezinsuku eziyi-14, udokotela wakho angakhuphula umthamo njalo emavikini amabili noma ngaphezulu. Bangayinyusa ngo-0.25 mg ngosuku.
  • Ezinganeni ezinesisindo esingu-44 lbs. (20 kg) noma ngaphezulu: Ngemuva kwezinsuku ezingama-4 ubuncane, udokotela wakho angakhuphula isilinganiso somntwana wakho sibe ngu-1 mg ngosuku. Uma umzimba wengane yakho ungaphenduli kulo muthi ngemuva kwezinsuku eziyi-14, udokotela wakho angakhuphula umthamo njalo emavikini amabili noma ngaphezulu. Bangayinyusa ngo-0.5 mg ngosuku.
• Umthamo omkhulu: 3 mg ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-4)

Lo muthi awukaze ufundwe ezinganeni ezingaphansi kweminyaka emihlanu. Akufanele isetshenziswe kuleli qembu leminyaka.

Ukucatshangelwa okukhethekile komthamo

Kubantu abanesifo sezinso: Uma unesifo esibi sezinso, isilinganiso sakho sokuqala kufanele sithathwe ngo-0.5 mg kabili ngosuku. Udokotela wakho angakhuphula isilinganiso sakho ngo-0.5 mg noma ngaphansi, sithathwe kabili ngosuku. Uma uthatha umthamo omkhulu kuno-1.5 mg kabili ngosuku, udokotela wakho angakhuphula isilinganiso sakho kanye ngesonto noma ngaphezulu.

Kubantu abanesifo sesibindi: Uma unesifo esibi sesibindi, isilinganiso sakho sokuqala kufanele sithathwe ngo-0.5 mg kabili ngosuku. Udokotela wakho angakhuphula isilinganiso sakho ngo-0.5 mg noma ngaphansi, sithathwe kabili ngosuku. Uma uthatha umthamo omkhulu kuno-1.5 mg kabili ngosuku, udokotela wakho angakhuphula isilinganiso sakho kanye ngesonto noma ngaphezulu.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Izexwayiso zeRisperidone

Isexwayiso se-FDA: Ingozi eyengeziwe yokufa kwabantu abadala abanokuwohloka komqondo

• Lesi sidakamizwa sinesixwayiso sebhokisi elimnyama. Lesi yisexwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi elimnyama sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Lesi sidakamizwa singakhuphula ubungozi bokushona kubantu abadala abanesifo sokuwohloka komqondo (ukuphazamiseka kwengqondo okubangela ukulahleka kwememori). Lesi sidakamizwa asivunyelwe ukwelapha i-psychosis kubantu abadala abanokuwohloka komqondo. I-Psychosis yisimo lapho umuntu elahlekelwa ukuxhumana neqiniso futhi angahle acabangele (abone noma ezwe izinto ezingekho) noma abe nenkohliso (izinkolelo ezingamanga mayelana neqiniso).

Ezinye izexwayiso

Isexwayiso se-Neuroleptic malignant syndrome (NMS)

I-NMS yisimo esingajwayelekile kodwa esibi esingenzeka kubantu abathatha imishanguzo yokuthithibalisa ubuchopho, okubandakanya i-risperidone. Lesi simo singabulala futhi kufanele silashwe esibhedlela. Izimpawu zingafaka:

• umkhuhlane omkhulu
• ukujuluka okusindayo
• imisipha eqinile
• ukudideka
• ukwehluleka kwezinso
• izinguquko ekuphefumuleni kwakho, esigqi senhliziyo, kanye nomfutho wegazi

Ingozi eyengeziwe yokushaywa unhlangothi noma isifo senhliziyo

I-Risperidone ingadala izinguquko ze-metabolic ezingakhuphula ubungozi bokuhlaselwa yisifo sohlangothi noma isifo senhliziyo. Wena nodokotela wakho kufanele nibheke ushukela wegazi, izimpawu zesifo sikashukela (ubuthakathaka noma ukwanda kokuchama, ukoma, noma indlala), isisindo, namazinga e-cholesterol.

Tardive dyskinesia isixwayiso

Lesi sidakamizwa singadala i-tardive dyskinesia. Lesi yisimo esibi esidala ukuthi unyakaze ebusweni, olimini, noma kwezinye izitho zomzimba ongakwazi ukuzilawula. Lesi simo kungenzeka singapheli ngisho noma uyeka ukuthatha lo muthi.

Isexwayiso somzimba

I-Risperidone ingadala ukusabela okweqile komzimba. Izimpawu zingafaka

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi

Uma uthola ukusabela okweqile, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi ngokushesha. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungasithathi lesi sidakamizwa futhi uma uke waba nokusabela okweqile kuso noma kwi-paliperidone. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kotshwala

Ukuphuza iziphuzo ezidakayo ngenkathi uthatha i-risperidone kungakhuphula ubungozi bakho ukozela kusuka ku-risperidone. Uma uphuza utshwala, khuluma nodokotela wakho mayelana nokuthi i-risperidone iphephile yini kuwe.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanesifo sikashukela: Lesi sidakamizwa singakhuphula amazinga kashukela egazini lakho. Lokhu kungenza isifo sakho sikashukela sibe sibi kakhulu. Ushukela wegazi ophakeme kakhulu ungaholela ekuqulekeni noma ekufeni. Uma unesifo sikashukela noma ubungozi besifo sikashukela (njengokukhuluphala ngokweqile noma umlando womndeni wesifo sikashukela), udokotela wakho kufanele ahlole amazinga kashukela egazini lakho ngaphambi nangesikhathi sokwelashwa ngalo muthi.

Kubantu abane-cholesterol ephezulu: Lesi sidakamizwa singakhuphula amazinga akho e-cholesterol ne-triglyceride. Lokhu kungakhuphula ingozi yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi. I-cholesterol ephezulu kungenzeka ingabangeli zimpawu. Udokotela wakho angahlola amazinga akho e-cholesterol ne-triglyceride ngenkathi welashwa ngalo muthi.

Kubantu abanengcindezi yegazi ephansi: Lesi sidakamizwa singase sehlise umfutho wegazi lakho. Lokhu kungenza isimo sakho sibe sibi kakhulu. Udokotela wakho kufanele aqaphe umfutho wegazi lakho ngenkathi uthatha lo muthi.

Kubantu abanenani eliphansi lamaseli amhlophe egazi: Lesi sidakamizwa singaqhubeka sinciphise inani lakho lamaseli amhlophe egazi. Udokotela wakho kufanele aqaphe ukubalwa kwamaseli akho amhlophe kaningi ezinyangeni ezimbalwa zokuqala zokwelashwa ngalo muthi.

Okwabantu abanesithuthwane: Lesi sidakamizwa singadala ukuquleka. Kungaphinde kuthinte ukulawulwa kokubanjwa kwabantu abanesithuthwane. Udokotela wakho kufanele akuqaphele ngokuquleka ngenkathi uthatha lesi sidakamizwa.

Kubantu abane-hyperprolactinemia (amazinga aphezulu e-prolactin): Lesi sidakamizwa singakhuphula amazinga akho e-prolactin. Lokhu kungenza isimo sakho sibe sibi kakhulu. Udokotela wakho kufanele aqaphele amazinga akho egazi le-prolactin ngaphambi kokuqala nangesikhathi sokwelashwa ngalo muthi.

Kubantu abanezinkinga zenhliziyo: Lo muthi unganciphisa umfutho wegazi lakho. Uma unezinkinga zenhliziyo, buza udokotela wakho ukuthi ngabe lo muthi uphephile yini kuwe. Lokhu kufaka umlando wokuhlaselwa yinhliziyo, i-angina (ubuhlungu besifuba), isifo semithambo yenhliziyo, ukwehluleka kwenhliziyo, noma izinkinga zesigqi senhliziyo. I-Risperidone ingenza lezi zimo zibe zimbi kakhulu.

Kubantu abanezinkinga zezinso: Uma unesifo sezinso esilinganiselayo kuya kwesibi, ungahle ungakwazi ukusula lesi sidakamizwa emzimbeni wakho kahle. Lokhu kungadala ukuthi i-risperidone yakheke emzimbeni wakho. Lokhu kungaholela emiphumeleni emibi eminingi.Udokotela wakho anganciphisa umthamo wakho uma unesifo sezinso.

Kubantu abanezinkinga zesibindi: Uma unezinkinga zesibindi, ungahle ungakwazi ukucubungula kahle lesi sidakamizwa. Lokhu kungadala ukuthi i-risperidone yakheke emzimbeni wakho. Lokhu kungaholela emiphumeleni emibi eminingi. Udokotela wakho anganciphisa umthamo wakho uma unesifo sesibindi.

Kubantu abanesifo sikaParkinson noma ukuwohloka komqondo komzimba kaLeyy: Ungahle uzwele kakhulu emiphumeleni yalesi sidakamizwa. Lokhu kusho ukuthi ungathola imiphumela emibi eminingi. Lokhu kungabandakanya ukudideka, ukukhathala, ukuwa kaningi, ukungahambi kahle, ukungazinzi nokufuna ukunyakaza, nezinciphiso zemisipha ezingalawuleki. Kungabandakanya nokushisa okukhulu, ukujuluka okukhulu, imisipha eqinile, nezinguquko ekuphefumuleni kwakho, isigqi senhliziyo, nomfutho wegazi.

Kubantu abane-phenylketonuria (PKU): I-Risperidone tablet ehlukaniswa ngomlomo iqukethe i-phenylalanine. Uma une-PKU, akufanele uthathe leli fomu lomuthi.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Ukucwaninga ngezilwane kukhombise imiphumela emibi embungwini lapho umama ethatha umuthi. Kodwa-ke, akuzange kube nezifundo ezanele ezenziwe ebantwini ukuze kuqinisekiswe ukuthi umuthi ungalithinta kanjani umbungu.

Izingane ezisanda kuzalwa ezizalwe ngomama abasebenzisa lo muthi zingaba nezimpawu zokuhoxa. Lezi zimpawu zingafaka:

• ukungahlaliseki
• ukuxhuga
• ukuqina
• ukuthuthumela (ukunyakaza kwesigqi okungalawuleki engxenyeni eyodwa yomzimba wakho)
• ubuthongo
• izinkinga zokuphefumula
• izinkinga zokudla

Ezinye izingane ezisanda kuzalwa ziyalulama kungakapheli amahora noma izinsuku zingalashwa, kepha ezinye zingadinga ukulaliswa esibhedlela.

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Futhi uma ukhulelwa ngenkathi usebenzisa lo muthi, shayela udokotela wakho ngokushesha. Lesi sidakamizwa kufanele sisetshenziswe kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungaba khona.

Kwabesifazane abancelisayo: I-Risperidone ingadlulela ebisini lwebele futhi ingadala imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwabadala: Izinso, inhliziyo, nesibindi sabantu asebekhulile kungenzeka kungasebenzi kahle njengakuqala. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Abadala kungenzeka babe nethuba le-orthostatic hypotension (ukwehla kwengcindezi yegazi lapho usukuma kusuka endaweni yokuhlala noma yokulala) kubangelwa yilesi sidakamizwa.

Okwezingane:

• Ukwelashwa kwe-schizophrenia. Lesi sidakamizwa asikaze sifundwe futhi akufanele sisetshenziswe ezinganeni ezingaphansi kweminyaka eyi-13 ekwelapheni lesi simo.
• Ukwelashwa kweziqephu zesifo sokuphazamiseka komuntu noma i-bipolar acute. Lesi sidakamizwa asikaze sifundwe futhi akufanele sisetshenziswe ezinganeni ezingaphansi kweminyaka eyi-10 ekwelapheni lesi simo.
• Ekwelapheni ukucasuka nge-autistic disorder. Lesi sidakamizwa asikaze sifundwe futhi akufanele sisetshenziswe ezinganeni ezingaphansi kweminyaka engu-5 ekwelapheni lesi simo.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo ye-Risperidone isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengoba kunqunyiwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo: Isimo sakho singase sibe sibi kakhulu.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

• ukozela
• ubuthongo
• ukushaya kwenhliziyo (ukushaya kwenhliziyo okusheshayo)
• isiyezi
• ukuquleka
• ukuphazamiseka kwemisipha nokuphambana
• imisipha eqinile
• ukuthuthumela (ukunyakaza kwesigqi okungalawuleki engxenyeni eyodwa yomzimba wakho)
• ukuhamba kancane kunokujwayelekile
• ukunyakaza okungajwayelekile, okunyakazayo komzimba
• isithuthwane

Uma ucabanga ukuthi uthathe lo muthi kakhulu, shayela udokotela wakho noma ufune ukuholwa yi-American Association of Poison Control Centers ku-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Kepha uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Ukuziphatha noma imizwa yakho kufanele ithuthuke.

Ukucatshangelwa okubalulekile kokuthatha i-risperidone

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-risperidone tablet tablet.

Jikelele

• Ungathatha i-risperidone ngokudla noma ngaphandle kokudla.
• Ungasika noma uqede ithebhulethi ejwayelekile. Kepha ungasiki noma uqede ithebhulethi eyahlakazekayo

Isitoreji

• Gcina i-risperidone ekamelweni lokushisa. Yigcine phakathi kuka-59 ° F no-77 ° F (15 ° C no-25 ° C).
• Yivikele ekukhanyeni nasemakhazeni.
• Ungayigcini le mithi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray esikhumulweni sezindiza. Abakwazi ukulimaza imithi yakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha ibhokisi elinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuzilawula

Kumathebulethi ahlakazeka ngomlomo, akufanele uwasuse ephaketheni lawo uze ulungele ukuwathatha:

• Ngezandla ezomile, cisha ucwecwe ukuze ukhiphe ithebhulethi. Musa ukusunduza ithebhulethi ngokusebenzisa ucwecwe. Lokhu kungalimaza.
• Beka ithebhulethi ngolimi lwakho zisuka. Izoncibilika emlonyeni wakho ngemizuzwana.
• Gwinya ithebhulethi noma ngaphandle ketshezi.

Ukuqapha komtholampilo

Wena nodokotela wakho kufanele niqaphele izinkinga ezithile zezempilo. Lokhu kungasiza ukuthi uqiniseke ukuthi uhlala uphephile ngenkathi usebenzisa lo muthi. Lezi zinkinga zifaka:

• Umsebenzi wezinso. Udokotela wakho angenza ukuhlolwa kwegazi ukuze abheke ukuthi izinso zakho zisebenza kahle kangakanani. Uma izinso zakho zingasebenzi kahle, udokotela wakho anganciphisa umthamo wakho walesi sidakamizwa.
• Izinkinga zempilo yengqondo nokuziphatha. Wena nodokotela wakho kufanele nibheke noma yiziphi izinguquko ezingavamile ekuziphatheni nasesimweni sengqondo. Lesi sidakamizwa singadala izinkinga ezintsha zempilo yengqondo nokuziphatha, noma izinkinga ezimbi osuvele unazo.
• Umsebenzi wesibindi. Udokotela wakho angenza ukuhlolwa kwegazi ukuze abheke ukuthi isibindi sakho sisebenza kahle kangakanani. Uma isibindi sakho singasebenzi kahle, udokotela wakho anganciphisa isilinganiso sakho salesi sidakamizwa.
• Ushukela wegazi. Lesi sidakamizwa singakhuphula izinga likashukela egazini lakho. Udokotela wakho angaqapha ushukela wegazi lakho ngenkathi uthatha lesi sidakamizwa, ikakhulukazi uma unesifo sikashukela noma usengozini yesifo sikashukela.
• Cholesterol. Lesi sidakamizwa singakhuphula amazinga akho e-cholesterol ne-triglyceride. Udokotela wakho angahlola lawa mazinga ngaphambi kokuqala nangesikhathi sokwelashwa kwakho nalesi sidakamizwa.
• Isisindo. Lesi sidakamizwa singadala ukuthi ukhuluphale. Wena nodokotela wakho kufanele nihlole isisindo sakho ngesikhathi sokwelashwa.

Ngaphambi kokugunyazwa

Ezinye izinkampani zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.