Umbhali: Marcus Baldwin
Umhla Wokudalwa: 19 Isilimela 2021
Hlaziya Umhla: 17 Eyenkanga 2024
Anonim
ZOLMITRIPTAN (ZOMIG) - PHARMACIST REVIEW - #89
Ividiyo: ZOLMITRIPTAN (ZOMIG) - PHARMACIST REVIEW - #89

Umxholo

I-Zolmitriptan isetyenziselwa ukunyanga iimpawu zentloko ye-migraine (iintloko ezibukhali maxa wambi ezihamba nesicaphucaphu kunye novakalelo kwisandi nokukhanya). I-Zolmitriptan ikudidi lwamayeza abizwa ngokuba yi-serotonin receptor agonists. Isebenza ngokunciphisa imithambo yegazi ejikeleze ingqondo, imise imiqondiso yeentlungu ekubeni ithunyelwe kwingqondo, kwaye kuthintele ukukhutshwa kwezinto ezithile zendalo ezibangela iintlungu, isicaphucaphu, kunye nezinye iimpawu ze-migraine. I-Zolmitriptan ayikuthinteli ukuhlaselwa kwe-migraine okanye ukunciphisa inani leentloko onazo.

I-Zolmitriptan iza njengecwecwe kunye necwecwe lokutshabalalisa ngomlomo (ithebhulethi inyibilika ngokukhawuleza emlonyeni) ukuyithatha ngomlomo. Ngokuqhelekileyo kuthathwa kwisibonakaliso sokuqala se-migraine. Ukuba iimpawu zakho ziyaphucuka emva kokuba uthathe i-zolmitriptan kodwa ubuye emva kweeyure ezi-2 okanye ngaphezulu, ungathatha ipilisi yesibini. Nangona kunjalo, ukuba iimpawu zakho aziphucuki emva kokuba uthathe i-zolmitriptan, sukuthatha ipilisi yesibini ngaphandle kokubiza ugqirha wakho. Ugqirha wakho uya kukuxelela elona nani liphezulu leetafile okanye iipilisi zokutshabalalisa ngomlomo onokuthi uzithathe kwisithuba seeyure ezingama-24. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-zolmitriptan ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


Ungathabatha idosi yakho yokuqala ye-zolmitriptan kwiofisi kagqirha okanye kwelinye iziko lonyango apho unokujongwa khona xa usabela kakubi.

Ukuba ugqirha wakho umisele idosi engaphantsi kwe-2.5 mg, unokusebenzisa iminwe ukuphula ithebhulethi ye-2.5-mg kumgca owahlula ngesiqingatha. Nangona kunjalo, akufuneki wophule okanye wahlule ithebhulethi eyahlayo ngomlomo.

Ukuthatha ithebhulethi yokuqhekeza ngomlomo, sebenzisa izandla ezomileyo ukukhupha iipakethe zefoyile. Khawuleza ukhuphe icwecwe kwaye ulibeke kulwimi lwakho. Ithebhulethi iya kunyibilika ngokukhawuleza kwaye ingaginywa ngamathe. Akukho manzi afunekayo okuginya iipilisi. Sukuvula ukufakwa kwefoyile okanye ususe ithebhulethi yokuqhekeka ngomlomo de kube sele ukulungele ukuyithatha.

Fowunela ugqirha wakho ukuba iintloko zakho aziphili okanye zenzeke rhoqo emva kokuthatha i-zolmitriptan.

Ukuba uthatha i-zolmitriptan rhoqo okanye ixesha elide kunexesha elicetyiswayo, iintloko zakho zinokuba mandundu okanye zinokwenzeka rhoqo. Akufuneki uthathe i-zolmitriptan okanye naliphi na iyeza lentloko ngaphezulu kweentsuku ezili-10 ngenyanga. Tsalela umnxeba ugqirha wakho ukuba ufuna ukuthatha i-zolmitriptan ukunyanga ngaphezulu kwentloko ezintathu kwinyanga e-1.


Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokuthatha i-zolmitriptan,

  • xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-zolmitriptan, nawaphi na amanye amayeza, okanye nasiphi na isithako kwiipilisi ze-zolmitriptan okanye iipilisi zomlomo ezidilikayo. Buza usokhemesti wakho uluhlu lwezithako.
  • sukuthatha i-zolmitriptan ukuba uthathe naliphi na kula mayeza kwiiyure ezingama-24 ezidlulileyo: ezinye i-serotonin receptor agonists ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt) , okanye sumatriptan (Imitrex, eTreximet); okanye amayeza ohlobo lwe-ergot anje nge-bromocriptine (Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot, Ergomar, Wigraine), methylergonovine (Methergine) ), nangegolide (iPermax).
  • sukuthatha i-zolmitriptan ukuba uthatha i-monoamine oxidase A (MAO-A) inhibitor enjenge-isocarboxazid (Marplan), phenelzine (Parnate), okanye tranylcypromine (Nardil) okanye ukuba uthathe elinye lala mayeza kwezi veki zimbini zidlulileyo.
  • xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, okanye iimveliso zamayeza owathathayo okanye oceba ukuwathatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: acetaminophen (Tylenol); i-antidepressants efana ne-amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), kunye nepritriprine Utywala); i-aspirin kunye nezinye iyeza ezichasayo (i-NSAIDs) ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); cimetidine (iTagamet); izinto zokucwangcisa ngomlomo (’iipilisi zoqingqo-nzala); ipropranolol (Inderal); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (i-Celexa), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), kunye ne-sertraline (i-Zoloft); kunye nokukhetha i-serotonin / norepinephrine reuptake inhibitors (SNRIs) enje nge-desvenlafaxine (Pristiq), duloxetine (Cymbalta), sibutramine (Meridia), kunye ne-venlafaxine (Effexor). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ukhe unesifo sentliziyo; isifo sentliziyo; i-angina (iintlungu zesifuba); ukubetha kwentliziyo okungaqhelekanga; ukubetha okanye 'ukubetha okuncinci'; okanye iingxaki zokuhamba ezifana nemithambo yevaricose, amahlwili egazi emilenzeni, isifo sikaRaynaud (iingxaki zokuhamba kwegazi ukuya eminweni, iinzwane, iindlebe, kunye nempumlo), okanye isifo sesisu (isifo segazi kunye nentlungu esiswini ebangelwa kukuhla kwegazi kuye amathumbu). Ugqirha wakho unokukuxelela ukuba ungathathi i-zolmitriptan.
  • xelela ugqirha wakho ukuba uyatshaya okanye utyebile; ukuba ukhe wakha waba noxinzelelo oluphezulu lwegazi, icholesterol ephezulu, isifo seswekile, okanye isibindi okanye isifo sezintso; ukuba sele uyekile ukuya exesheni (utshintsho lobomi); okanye ukuba kukho naliphi na ilungu losapho elinaso okanye esakha sanesifo sentliziyo okanye ukubetha.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ucwangcisa ukuba neentlobano zesini ngelixa uthatha la mayeza, thetha nogqirha wakho ngeendlela ezifanelekileyo zolawulo lokuzalwa. Ukuba ukhulelwa ngelixa uthatha i-zolmitriptan, tsalela umnxeba ugqirha wakho.
  • Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele okanye ube nesiyezi. Sukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela ekuchaphazela ngayo i-zolmitriptan.
  • thetha nogqirha wakho malunga neempawu zakho zentloko ukuqinisekisa ukuba zibangelwa yimigraine. I-Zolmitriptan akufuneki isetyenziselwe ukunyanga iintlobo ezithile zentloko ye-migraine (i-hemiplegic okanye i-basilar) okanye ezinye iintlobo zentloko (ezinjengeentloko zentloko).
  • ukuba une-phenylketonuria (PKU, imeko ekuyo njengelifa apho ukutya okukhethekileyo kufuneka kulandelwe ukuthintela ukudodobala kwengqondo), kuya kufuneka wazi ukuba amacwecwe odilikayo ngomlomo ane-aspartame eyenza i-phenylalanine.

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


I-Zolmitriptan inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • ukuziva ushushu okanye uyabanda
  • ukozela
  • umlomo owomileyo
  • isicaphucaphu
  • isilungulela
  • ukubila
  • isiyezi okanye ukudinwa

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

  • intlungu, ukuqina, uxinzelelo, okanye ubunzima esifubeni, emqaleni, entanyeni, okanye emhlathini
  • intetho ecothayo okanye enzima
  • ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
  • ngokukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
  • Urhudo olunegazi
  • ngesiquphe okanye ngokuqaqanjelwa sisisu
  • umbala omthubi okanye oluhlaza weminwe neenzwane
  • ukuqhawukelwa ngumphefumlo
  • ukudumba kwamehlo, ubuso, imilebe, ulwimi, okanye umqala
  • ubunzima bokuphefumla okanye ukugwinya
  • ukudinwa
  • irhashalala
  • urhwebo
  • intlungu, ukutshisa, okanye ukubetha ezandleni nasezinyaweni

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, ubushushu obungaphaya, kunye nokufuma (hayi kwigumbi lokuhlambela). Lahla naziphi na iipilisi ezitshabalalisa ngomlomo ozisusileyo kwibhister kodwa awuzange uzisebenzise kwangoko.

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.

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

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 zokudlula ngaphezulu zinokubandakanya:

  • Ukozela kakhulu

Gcina lonke ixesha lokudibana nogqirha wakho. Uxinzelelo lwegazi kufuneka luhlolwe rhoqo.

Kuya kufuneka ugcine idayari yentloko ngokubhala phantsi xa unentloko kwaye xa uthatha i-zolmitriptan.

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.

  • Zomig®
  • Zomig-ZMT®
Ukuhlaziywa kokugqibela- 12/15/2015

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