Umbhali: Marcus Baldwin
Umhla Wokudalwa: 15 Isilimela 2021
Hlaziya Umhla: 15 Eyenkanga 2024
Anonim
Montelukast - Mechanism, side effects and uses
Ividiyo: Montelukast - Mechanism, side effects and uses

Umxholo

I-Montelukast inokubangela utshintsho olunzulu okanye olusongela ubomi bempilo yengqondo ngelixa uthatha eli yeza okanye emva kokuba unyango luyekile. Tshela ugqirha wakho ukuba ukhe wanalo naluphi na uhlobo lokugula ngengqondo. Nangona kunjalo, kuya kufuneka uyazi ukuba kunokwenzeka ukuphuhlisa olu tshintsho kwimpilo yengqondo kunye nokuziphatha nokuba awuzange ube naziphi na iingxaki zempilo yengqondo kwixa elidlulileyo. Kuya kufuneka ubize ugqirha wakho ngoko nangoko kwaye uyeke ukuthatha i-montelukast ukuba unazo naziphi na kwezi mpawu zilandelayo: ukuphazamiseka, isimilo esinoburharha, ixhala, ukucaphuka, ubunzima bokubeka ingqalelo, ukulahleka kwememori okanye ukulibala, ukudideka, amaphupha angaqhelekanga, ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi (ezo azikho), ukuphinda iingcinga ongenakukwazi ukuzilawula, ukudakumba, ubunzima bokulala okanye ukulala, ukungazoli, ukuhamba ulala, ukucinga ukuzibulala okanye izenzo (ukucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo), okanye ukungcangcazela ( ukushukuma okungalawulekiyo kwilungu lomzimba). Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.


IMontelukast isetyenziselwa ukuthintela ukuvutha, ukuphefumla nzima, ukuqina kwesifuba kunye nokukhohlela okubangelwa sisifuba kubantu abadala nakubantwana abanenyanga ezili-12 ubudala nangaphezulu. I-Montelukast ikwasetyenziselwa ukuthintela i-bronchospasm (ubunzima bokuphefumla) ngexesha lokuzilolonga kubantu abadala nakubantwana abaneminyaka emi-6 nangaphezulu. I-Montelukast isetyenziselwa ukunyanga iimpawu zonyaka (yenzeka kuphela ngamaxesha athile onyaka), i-allergen rhinitis (imeko enxulunyaniswa nokuthimla kunye nokuxinana, impumlo okanye impumlo erhawuzayo) kubantu abadala nakubantwana abaneminyaka emi-2 ubudala nangaphezulu, kunye nokuhlala ixesha elide (yenzeka unyaka wonke) i-allergen rhinitis kubantu abadala nakubantwana kwiinyanga ezi-6 ubudala nangaphezulu. I-Montelukast kufuneka isetyenziselwe ukunyanga i-rhinitis yamaxesha athile okanye engapheliyo kubantu abadala kunye nabantwana abangenakuphathwa ngamanye amayeza. IMontelukast ikudidi lwamayeza abizwa ngokuba zii-leukotriene receptor antagonists (LTRAs). Isebenza ngokuthintela isenzo sezinto emzimbeni ezibangela iimpawu zesifuba kunye ne-allergen rhinitis.


I-Montelukast iza njengethebhulethi, ithebhulethi ehlafunwayo, kunye negranules eziza kuthathwa ngomlomo. I-Montelukast ihlala ithathwa kanye ngemini kunye okanye ngaphandle kokutya. Xa i-montelukast isetyenziselwa ukunyanga i-asthma, kufuneka ithathwe ngokuhlwa. Xa i-montelukast isetyenziselwa ukuthintela ubunzima bokuphefumla ngexesha lokuzilolonga, kufuneka ithathwe ubuncinci iiyure ezi-2 ngaphambi kokuzilolonga. Ukuba uthatha i-montelukast kanye ngemini rhoqo, okanye ukuba uthathe idosi ye-montelukast kwiiyure ezingama-24 ezidlulileyo, akufuneki uthathe idosi eyongezelelweyo ngaphambi kokuba wenze umthambo. Xa i-montelukast isetyenziselwa ukunyanga i-allergen rhinitis, inokuthathwa nangaliphi na ixesha losuku. Thatha i-montelukast malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-montelukast ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ukuba unika umntwana wakho igranules, akufuneki uyivule isingxobo se-foil de abe umntwana wakho ukulungele ukuthatha amayeza. Kukho iindlela ezininzi onokuthi unike umntwana wakho iigranu, ke khetha eyona isebenza ngcono kuwe nakumntwana wakho. Unokugalela zonke igranules ngokuthe ngqo kwipakethi ungene emlonyeni womntwana wakho ukuze uginywe kwangoko. Unokuphalaza yonke ipakethi yegranules kwisitya esicocekileyo kwaye ubeke icephe lamayeza emlonyeni womntwana wakho. Ukuba ukhetha, ungadibanisa yonke ipakethi yegranules kwitispuni ye-1 (5 ml) yokubanda okanye ubushushu begumbi lobisi lwebele, ubisi lwebele, iapile, iminqathe ethambileyo, iayisi khrimu, okanye irayisi. Akufanele udibanise i-granules kunye nokunye ukutya okanye i-liquids, kodwa umntwana wakho angasela nayiphi na into engamanzi emva kokuba athathe i-granules. Ukuba udibanisa igranules kunye nokutya okanye iziselo ezivumelekileyo, sebenzisa imixube phakathi kwemizuzu eli-15. Musa ukugcina umxube wokutya ongasetyenziswanga, ubisi olungumgubo, okanye ubisi lwebele kunye nonyango.


Musa ukusebenzisa i-montelukast ukunyanga uhlaselo lwequbuliso lweempawu zesifuba. Ugqirha wakho uya kumisela i-inhaler emfutshane ukuba ayisebenzise ngexesha lokuhlaselwa. Thetha nogqirha wakho malunga nendlela yokunyanga iimpawu zokuhlaselwa sisifuba ngokukhawuleza. Ukuba iimpawu zakho ze-asthma ziba nzima okanye ukuba uhlaselwa yi-asthma rhoqo, qiniseka ukubiza ugqirha wakho.

Ukuba uthatha i-montelukast ukunyanga i-asthma, qhubeka nokuthatha okanye usebenzise onke amanye amayeza athe ugqirha wakho ukumisele ukunyanga isifuba sakho. Sukuyeka ukuthatha nawaphi na amayeza akho okanye utshintshe iidosi zalo naliphi na iyeza lakho ngaphandle kokuba ugqirha wakho ukuxelele ukuba kufanelekile. Ukuba i-asthma yakho yenziwa mandundu yi-aspirin, sukuyithatha i-aspirin okanye ezinye iziyobisi ezingezizo ezokulwa nokudumba (i-NSAIDs) ngexesha lonyango lwe-montelukast.

IMontelukast ilawula iimpawu zesifuba kunye ne-allergen rhinitis kodwa ayizinyangi ezi meko. Qhubeka nokuthatha i-montelukast nokuba uziva uphilile. Sukuyeka ukuthatha i-montelukast ngaphandle kokuthetha nogqirha wakho.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-montelukast,

  • xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-montelukast okanye nawaphi na amanye amayeza, okanye naziphi na izithako kwi-tablet ye-montelukast, ithebhulethi ehlafunwayo, okanye i-granules.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya igemfibrozil (Lopid), phenobarbital kunye ne-rifampin (Rifadin, Rimactane, eRifamate, Rifater). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akujonge ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ukhe unesifo sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-montelukast, tsalela ugqirha wakho.
  • ukuba une-phenylketonuria (PKU, imeko ekuyo njengelifa apho ukutya okukhethekileyo kufuneka kulandelwe ukuthintela ukudodobala kwengqondo), kuya kufuneka wazi ukuba amacwecwe ahlafunwayo aqukethe i-aspartame eyenza i-phenylalanine.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yokulinganisa Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo. Musa ukuthatha ngaphezulu kwedosi enye ye-montelukast kwisithuba seeyure ezingama-24.

IMontelukast inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • intloko ebuhlungu
  • isilungulela
  • isisu esibuhlungu
  • ukudinwa
  • urhudo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela umnxeba kwangoko:

  • ubunzima bokuphefumla okanye ukugwinya; ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo; ukudakumba; ukurhawuzelela; irhashalala; urhwebo
  • ukudubula, ukuxobuka, okanye ukuchitha ulusu
  • Iimpawu ezinjengomkhuhlane, irhashalala, izikhonkwane kunye neenaliti okanye ukuba ndindisholo ezingalweni okanye emilenzeni, iintlungu nokudumba kwezono
  • intlungu yendlebe, umkhuhlane (kubantwana)

IMontelukast inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nokukhanya nobushushu obungaphezulu kunye nobumanzi (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula.Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

  • isisu esibuhlungu
  • ukozela
  • unxano
  • intloko ebuhlungu
  • ukugabha
  • ukuphumla okanye ukuphazamiseka

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Singulair®
Ukuhlaziywa kokugqibela-05/15/2020

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