Dexmethylphenidate

Umxholo

• Ngaphambi kokuba uthathe i-dexmethylphenidate,
• I-Dexmethylphenidate inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

I-Dexmethylphenidate inokwenza imikhwa. Musa ukuthatha idosi enkulu, yithathe rhoqo, yithathe ixesha elide, okanye uyithathe ngendlela eyahlukileyo kunaleyo ugqirha ugqirha wakho ayenzile. Ukuba uthatha i-dexmethylphenidate eninzi, unokuqhubeka nokuziva unesidingo sokuthatha isixa esikhulu samayeza, kwaye unokufumana utshintsho olungaqhelekanga kwindlela oziphethe ngayo. Wena okanye umntu omkhathalelayo kufuneka uxelele ugqirha wakho ngokukhawuleza, ukuba unazo naziphi na kwezi mpawu zilandelayo: ukukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga; ukubila; abafundi abaxubileyo; imo engaqhelekanga; ukungazinzi; ubunzima bokulala okanye ukulala; ubutshaba ubundlongondlongo ixhala; ukuphelelwa ngumdla wokutya; ukulahleka koququzelelo; intshukumo engalawulekiyo yelungu lomzimba; ulusu olugudileyo; ukugabha; isisu esibuhlungu; okanye ucinga ngokuzenzakalisa okanye ukuzibulala okanye ukubulala abanye okanye ukucwangcisa okanye ukuzama ukwenza njalo. Kwakhona xelela ugqirha wakho ukuba uyasela okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, okanye wawasebenzisa kakhulu amayeza kagqirha.

Sukuyeka ukuthatha i-dexmethylphenidate ngaphandle kokuthetha nogqirha wakho, ngakumbi ukuba ulisebenzise kakhulu iyeza. Ugqirha wakho uya kunciphisa idosi ngokuthe ngcembe kwaye abeke esweni ngononophelo ngeli xesha. Unokuphuhlisa uxinzelelo olukhulu ukuba unokuyeka ukuthatha i-dexmethylphenidate emva kokuyisebenzisa gwenxa. Ugqirha wakho unokufuna ukukujonga ngononophelo emva kokuba uyeke ukuthatha i-dexmethylphenidate, nokuba awukhange ulisebenzise kakubi iyeza, kuba iimpawu zakho zinokuba mandundu xa unyango lumisiwe.

Musa ukuthengisa, ukunika, okanye ukuvumela nabani na ongomnye athathe amayeza akho.Ukuthengisa okanye ukunika i-dexmethylphenidate kuchasene nomthetho kwaye kunokwenzakalisa abanye. Gcina i-dexmethylphenidate kwindawo ekhuselekileyo apho kungekho mntu unokuyithatha ngengozi okanye ngenjongo. Gcina umkhondo wokuba zingaphi iipilisi okanye iicapsules ezishiyekileyo ukuze wazi ukuba zikho na ezingekhoyo.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-dexmethylphenidate kwaye ngalo lonke ixesha ufumana amayeza amaninzi. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

I-Dexmethylphenidate isetyenziswa njengenxalenye yenkqubo yonyango yokulawula ukusilela kokuphazamiseka kwengqondo (ADHD; ubunzima bokugxila, ukulawula isenzo, kunye nokuhlala uzolile okanye uthule kunabanye abantu abakwiminyaka efanayo) kubantu abadala nakubantwana. I-Dexmethylphenidate ikwisigaba samayeza esibizwa ngokuba sisistim se-nervous system (CNS). Isebenza ngokwandisa izixa zezinto ezithile zendalo kwingqondo.

I-Dexmethylphenidate iza njengecwecwe kunye nokukhululwa okwandisiweyo (ixesha elide) njengephilisi oza kuyithatha ngomlomo. Ithebhulethi ihlala ithathwa kabini ngemini, ubuncinci iiyure ezingama-4 ukwahlukana, kunye okanye ngaphandle kokutya. I-capsule yokukhululwa eyandisiweyo ihlala ithathwa kanye ngemini kusasa. Ingathathwa kunye okanye ngaphandle kokutya, kodwa iya kuqala ukusebenza ngokukhawuleza ukuba ithathwa ngaphandle kokutya. Thatha i-dexmethylphenidate malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

Ginya zonke iipilisi ezikhutshiweyo; sukuzihlafuna okanye uzityumze. Ukuba awukwazi ukuginya iphilisi ekhutshiweyo eyandisiweyo, ungavula ngononophelo iphilisi kwaye ufefe imixholo kwicephe leapile. Ginya lo mxube ngoko nangoko, kodwa musa ukuwuhlafuna. Sukugcina lo mxube ukuze uwusebenzise kamva.

Ugqirha wakho uya kukuqala ngedosi esezantsi ye-dexmethylphenidate kwaye ngokuthe ngcembe yonyuse idosi yakho, hayi rhoqo rhoqo kube kanye ngeveki.

Imeko yakho kufuneka iphuculwe ngexesha lonyango lwakho. Biza ugqirha wakho ukuba iimpawu zakho ziba zimbi nangaliphi na ixesha kunyango lwakho okanye ungaphucuki emva kwenyanga e-1.

Ugqirha wakho angakuxelela ukuba uyeke ukuthatha i-dexmethylphenidate amaxesha ngamaxesha ukuze ubone ukuba amayeza usafuneka na. Landela le miyalelo ngononophelo.

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

Ngaphambi kokuba uthathe i-dexmethylphenidate,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-dexmethylphenidate, methylphenidate (Concerta, Metadate, Methylin, Ritalin), okanye amanye amayeza.
• xelela ugqirha wakho ukuba uthatha i-monoamine oxidase (MAO) inhibitors, kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate), okanye ukuba Uyekile ukuzithatha kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba ungathathi i-dexmethylphenidate de kudlule ubuncinci iintsuku ezili-14 okoko wagqibela ukuthatha i-MAO inhibitor.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); i-antidepressants (i-elevators zemood) ezinje nge-amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyine (Vivactiline) ); i-decongestants (ukukhwehlela kunye namayeza abandayo); i-diuretics ethile (iipilisi zamanzi); guanabenz; guanfacine; amayeza kuxinzelelo lwegazi; amayeza okubanjwa afana ne-phenobarbital phenytoin (Dilantin), kunye ne-primidone (Mysoline); imethyldopa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), kunye ne-sertraline (i-Zoloft); kunye ne-venlafaxine (Effexor). Ukuba uthatha iicapsule zokukhupha ezandisiweyo, xelela ugqirha wakho ukuba uthatha ii-antacids, okanye amanye amayeza okubola kwentliziyo okanye izilonda. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ngaba wena okanye omnye umntu kusapho lwakho ukhe wanaso okanye unesifo i-Tourette's syndrome (imeko ebonakaliswa yimfuno yokwenza ukuphinda-phinda izandi okanye ukuphinda izandi okanye amagama), ubuso okanye iimoto (ukuhamba okuphindaphindiweyo okungalawulekiyo), okanye intetho yomlomo ( Ukuphindaphindwa kwezandi okanye amagama ekunzima ukuwalawula). Xelela ugqirha wakho ukuba une-glaucoma, okanye iimvakalelo zoxinzelelo, uxinzelelo, okanye ukuphazamiseka. Ugqirha wakho uya kukuxelela ukuba ungathathi i-dexmethylphenidate.
• xelela ugqirha wakho ukuba nabani na kusapho lwakho ukhe wabethwa yintliziyo ngendlela engaqhelekanga okanye wasweleka ngesiquphe. Xelela ugqirha wakho ukuba ngaba uhlaselwe sisifo sentliziyo kutshanje kwaye ukhe wanesiphene sentliziyo, uxinzelelo oluphezulu lwegazi, ukubetha kwentliziyo ngendlela engaqhelekanga, intliziyo okanye isifo semithambo yegazi, ukuqina kwemithambo; okanye ezinye iingxaki zentliziyo. Ugqirha wakho uya kukuvavanya ukuze abone ukuba intliziyo kunye nemithambo yegazi iphilile. Ugqirha wakho uya kukuxelela ukuba ungathathi i-dexmethylphenidate ukuba unesifo sentliziyo okanye ukuba kukho umngcipheko ophezulu wokuba unokukhulisa imeko yentliziyo.
• xelela ugqirha wakho ukuba ngaba wena okanye omnye umntu kusapho lwakho ukhe wanodandatheko, unengxaki yokuphazamiseka engqondweni (imood etshintsha ukusuka ekudandathekeni iye ekubeni nemincili engaqhelekanga), imania (ididekile, idlamke ngokungaqhelekanga), okanye icinge okanye izame ukuzibulala. Xelela ugqirha wakho ukuba ukhe wanengxaki yokusasaza iminwe okanye iinzwane; ukudakumba; isigulo sengqondo; ukuxhuzula; i-electroencephalogram engaqhelekanga (i-EEG; uvavanyo olulinganisa ukusebenza kombane kwingqondo); okanye isifo se-thyroid.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-dexmethylphenidate, tsalela ugqirha wakho.
• Kuya kufuneka uyazi ukuba i-dexmethylphenidate kufuneka isetyenziswe njengenxalenye yenkqubo yonyango iyonke ye-ADHD, enokubandakanya ukululekwa kunye nemfundo ekhethekileyo. Qiniseka ukuba uyayilandela yonke imiyalelo kagqirha kunye / okanye yonyango.

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

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yedosi. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• isicaphucaphu
• isilungulela
• ukuhla ukusinda
• umlomo owomileyo
• isiyezi
• ukozela
• uvalo okanye ijitteriness
• intloko ebuhlungu

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

• ukudinwa kakhulu
• intetho ecothayo okanye enzima
• isiyezi
• ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
• utshintsho kumbono okanye umbono ophutheleyo
• ukuxhuzula
• ukukholelwa izinto ezingeyonyani
• ukuziva ukrokrela abanye ngokungaqhelekanga
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• utshintsho lweemvakalelo
• ukudakumba
• iimoto okanye intetho yomlomo
• ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo
• irhashalala
• urhwebo
• ukurhawuzelela
• amabala amfusa phantsi kolusu
• ifiva
• ukudumba okanye ukuxobuka kolusu
• intlungu edibeneyo
• rhoqo, ukwenziwa kobuhlungu
• ulwakhiwo oluhlala ixesha elide kuneeyure ezingama-4
• ukuba ndindisholo, iintlungu, okanye uvakalelo kubushushu kwiminwe okanye kwiinzwane
• ukutshintsha kombala wolusu ukusuka kumbala omthubi noluhlaza okwesibhakabhaka ukuya kobomvu kwiminwe okanye kwiinzwane
• amanxeba angachazwanga kwiminwe okanye kwiinzwane

I-Dexmethylphenidate inokubangela ukufa ngesiquphe ebantwaneni nakwishumi elivisayo, ngakumbi abantwana nakwishumi elivisayo abaneziphene zentliziyo okanye iingxaki zentliziyo ezimandundu. La mayeza nawo anokubangela ukufa ngesiquphe, isifo sentliziyo, okanye ukubetha kubantu abadala, ngakumbi abantu abadala abaneziphene zentliziyo okanye iingxaki zentliziyo ezinzulu. Biza ugqirha wakho ngoko nangoko ukuba wena okanye umntwana wakho unayo nayiphi na imiqondiso yeengxaki zentliziyo ngelixa uthatha la mayeza kubandakanya: iintlungu zesifuba, ukuphefumla kancinci, okanye ukuphelelwa ngamandla. Thetha nogqirha wakho malunga nemingcipheko yokuthatha la mayeza.

I-Dexmethylphenidate inokunciphisa ukukhula kwabantwana okanye ukuzuza ubunzima. Ugqirha womntwana wakho uya kujonga ukukhula kwakhe ngononophelo. Thetha nogqirha womntwana wakho ukuba unenkxalabo malunga nokukhula komntwana wakho okanye ukutyeba xa ethatha eli yeza. Thetha nogqirha womntwana wakho malunga neengozi zokunika i-dexmethylphenidate kumntwana wakho.

I-Dexmethylphenidate 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 nobushushu obuninzi kunye nokufuma (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 zokudlula ngaphezulu zinokubandakanya:

• ukugabha
• ukuphazamiseka
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukuxhuma kwezihlunu
• ukuxhuzula
• ukungabikho zingqondweni
• ulonwabo olungafanelekanga
• ukudideka
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• ukubila
• ukugungxula
• intloko ebuhlungu
• ifiva
• ukukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
• ukwandiswa kwabafundi (izangqa ezimnyama phakathi kwamehlo)
• umlomo owomileyo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-dexmethylphenidate.

Lo myalelo awugcwaliseki. Qiniseka ukuba ucwangcisa ixesha lokuqeshwa nogqirha wakho rhoqo ukuze ungaphelelwa ngamayeza.

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.

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