Tadalafil

Umxholo

• Ngaphambi kokuba uthathe i-tadalafil,
• I-Tadalafil inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

I-Tadalafil (i-Cialis) isetyenziselwa ukunyanga ukungasebenzi kakuhle kwe-erectile (i-ED, ukungabi namandla; ukungakwazi ukufumana okanye ukugcina ulwakhiwo), kunye neempawu ze-benign prostatic hyperplasia (BPH; iprostate eyandisiweyo) ebandakanya ubunzima bokuchama (ukuthandabuza, ukuqhuba, umlambo obuthathaka, (kunye nokungasebenzi ngokungagqitywanga kwesinyi), ukuchama okubuhlungu, kunye nokuhamba rhoqo komchamo kunye nokungxamiseka kumadoda amadala. I-Tadalafil (i-Adcirca) isetyenziselwa ukuphucula ukubanakho kokuzivocavoca kubantu abane-pulmonary arterial hypertension (PAH; uxinzelelo lwegazi oluphezulu kwimithambo ephethe igazi ukuya emiphungeni, ibangela ukuphefumla okufutshane, isiyezi kunye nokudinwa). I-Tadalafil ikudidi lwamayeza abizwa ngokuba yi-phosphodiesterase (PDE) inhibitors. Isebenza ukuphatha ukungasebenzi kakuhle kwe-erectile ngokwandisa ukuhamba kwegazi ukuya kwilungu lobudoda ngexesha lokuvuselelwa ngokwesondo. Oku kunyuka kokuhamba kwegazi kunokubangela ulwakhiwo. I-Tadalafil inyanga i-PAH ngokuphucula imithambo yegazi emiphungeni ukuvumela igazi ukuba ligele ngokulula.

Ukuba uthatha i-tadalafil ukunyanga ukungasebenzi kakuhle kwe-erectile, kuya kufuneka uyazi ukuba ayinyangi ukungasebenzi kakuhle kwe-erectile okanye yonyuse umnqweno wesini. I-Tadalafil ayikuthinteli ukukhulelwa okanye ukusasazeka kwezifo ezosulela ngokwabelana ngesondo ezifana ne-human immunodeficiency virus (HIV).

I-Tadalafil iza njengecwecwe lokuthatha ngomlomo. Inokuthathwa kunye okanye ngaphandle kokutya.

Ukuba uthatha i-tadalafil ukunyanga ukungasebenzi kakuhle kwe-erectile, landela umkhombandlela kagqirha wakho kunye nezikhokelo ezikulo mhlathi. Zimbini iindlela ezahlukeneyo zokuthatha i-tadalafil, nokuba yeyemihla ngemihla okanye ngendlela efunekayo. Thetha nogqirha wakho malunga nokuba yeyiphi na ishedyuli yokulinganisa efanelekileyo kuwe. I-Tadalafil ngamanye amaxesha ithathwa njengoko ifunekayo, ihlala ubuncinci imizuzu engama-30 ngaphambi komsebenzi wesondo kwaye hayi rhoqo rhoqo kube kanye kwiiyure ezingama-24. Ugqirha wakho uya kukunceda uthathe elona xesha lilungileyo lokuba uthathe i-tadalafil ngaphambi kokuba usebenze ngesondo. I-Tadalafil ngamanye amaxesha ithathwa kanye ngemini yonke imihla ngaphandle kokujonga ixesha lokwabelana ngesondo. Unokuzama isenzo sezesondo nangaliphi na ixesha phakathi kweedosi. Ukuba uthatha i-tadalafil kwishedyuli eqhelekileyo, yithathe ngexesha elifanayo yonke imihla. Ukuba uneemeko ezithile zempilo okanye uthatha amayeza athile, ugqirha wakho unokukuxelela ukuba uthathe i-tadalafil rhoqo okanye unokumisela idosi esezantsi ukuba ithathwe kube kanye ngemini. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-tadalafil ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ukuba uthatha i-tadalafil ukunyanga i-PAH okanye i-BPH, landela umkhombandlela kagqirha wakho kunye nezikhokelo ezikulo mhlathi. Kuya kufuneka uthathe i-tadalafil kwakanye ngosuku. Thatha onke amacwecwe edosi yakho yemihla ngemihla ngexesha elinye ngosuku; musa ukwahlula iipilisi ukuba zithathe njengeedosi ezahlukileyo. Thatha i-tadalafil malunga nexesha elifanayo yonke imihla. Ukuba sele uthatha amayeza ukunyanga i-BPH, ugqirha wakho angakuxelela ukuba uyeke ukuthatha amanye amayeza okungenani usuku olunye ngaphambi kokuba uqale unyango nge-tadalafil. Landela izikhokelo zikagqirha wakho ngocoselelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

Ukuba uthatha i-tadalafil yokungasebenzi kakuhle kwe-erectile, ugqirha wakho uya kukuqala ngeqondo eliphakathi le-tadalafil kwaye andise okanye anciphise idosi ngokuxhomekeke kwimpendulo yakho kunyango. Tshela ugqirha wakho ukuba i-tadalafil ayisebenzi kakuhle okanye ukuba uneziphumo ebezingalindelekanga.

Ukuba uthatha i-tadalafil ye-PAH, kuya kufuneka uyazi ukuba i-tadalafil ilawula i-PAH kodwa ayiyinyangi. Qhubeka uthathe i-tadalafil nokuba uziva uphilile. Sukuyeka ukuthatha i-tadalafil 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-tadalafil,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-tadalafil, nawaphi na amanye amayeza, okanye nasiphi na isithako kwiipilisi ze-tadalafil. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha okanye usandula ukuthatha i-riociguat (Adempas) okanye iitrate ezifana ne-isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), kunye ne-nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, abanye). AmaNitrate eza njengamacwecwe, iilwimi ezincinci (phantsi kolwimi) iipilisi, izitshizi, iipatches, iipasta kunye namafutha okuthambisa. Buza ugqirha wakho ukuba awuqinisekanga ukuba ngaba nawaphi na amayeza akho ane-nitrate. Ugqirha wakho uya kukuxelela ukuba ungathathi i-tadalafil ukuba uthatha iitrate.
• xelela ugqirha wakho ukuba uthatha iziyobisi ezitalatweni eziqukethe iitrate ('poppers') ezinje nge-amyl nitrate, butyl nitrate, okanye nitrite ngelixa uthatha i-tadalafil. Ugqirha wakho uya kukuxelela ukuba ungathathi i-tadalafil ukuba uthatha iziyobisi ezitalatweni ezine-nitrate.
• Kuya kufuneka uyazi ukuba i-tadalafil iyafumaneka phantsi kwegama lophawu I-Adcirca kunye neCialis. Kuya kufuneka uphathwe enye yezi mveliso ngexesha.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nolungabhaliswanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zilandelayo: i-alpha blockers ezinje nge-alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride (Avodart, eJalyn), prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax, e Jalyn), kunye iterazosin; amiodarone (Cordarone, Pacerone); ii-antifungals ezithile ezinjenge fluconazole (Diflucan), griseofulvin (Grifulvin, Gris-PEG), itraconazole (Onmel, Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegel), kunye ne voriconazole (Vfend); Aprepitant (Hlomela); i-bosentan (iTracleer); carbamazepine (Carbatrol, Epitol, Tegretol, Teril, nabanye); i-clarithromycin (i-Biaxin, kwi-Prevpac); diltiazem (Cardizem, Cartia, Tiazac, nabanye); efavirenz (Sustiva, eAtripla); i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin); I-HIV protease inhibitors kubandakanya indinavir (Crixivan), nelfinavir (Viracept), kunye ritonavir (Norvir, e Kaletra), lovastatin (Altocor, kwi Advicor); amayeza kuxinzelelo lwegazi; nefazodone; nevirapine (Viramune); amanye amayeza okanye unyango lwe-erectile dysfunction; amanye amayeza okanye unyango lwe-PAH; phenobarbital; phenytoin (iDilantin, iPhenytek); irifabutin (Mycobutin); irifampin (Rifadin, Rimactane, eRifamate, eRifater); i-sertraline (iZoloft); telithromycin (Ketek); kunye neverapamil (Calan, Covera, Verelan, eTarka). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
• xelela ugqirha wakho ukuba uyatshaya; ukuba ukhe wakha ulwakhiwo oludlulileyo ngaphezulu kweeyure ezingama-4; kwaye ukuba kutshanje unesifo sorhudo, ukugabha, ubungaseli manzi ngokwaneleyo, okanye ukubila kakhulu okunokubangela ukomisa (ukulahleka kwesixa esikhulu samanzi omzimba. Kwakhona xelela ugqirha wakho ukuba ukhe wanayo okanye ukhe wabanesifo semiphunga. isifo (PVOD; ukuvaleka kwemithambo emiphungeni); nayiphi na imeko echaphazela ubume bendoda, isifo seswekile; cholesterol ephezulu; uxinzelelo lwegazi oluphezulu okanye oluphantsi; ukubetha kwentliziyo ngokungaqhelekanga; isifo sentliziyo okanye ukusilela kwentliziyo; i-angina (iintlungu zesifuba); a ukubetha; izilonda esiswini; ukuphazamiseka kwegazi; iingxaki zokuhamba kwegazi; iingxaki zeeseli zegazi ezifana ne-sickle cell anemia (isifo seeseli ezibomvu zegazi), i-myeloma eninzi (umhlaza weeseli ze-plasma), okanye i-leukemia (umhlaza omhlophe iiseli zegazi); okanye intliziyo, izintso, okanye isifo sesibindi. Xelela ugqirha wakho ukuba wena okanye naliphi na ilungu losapho lwakho unesifo samehlo esifana ne-retinitis pigmentosa (imeko yamehlo ezuzwe njengelifa ebangela ukulahleka kombono) okanye ukhe wabona umbono obukhali ngesiquphe ilahleko, ngakumbi ukuba uxelelwe ukuba ukulahleka kombono kubangelwe kukuvaleka kokuhamba kwegazi kwimithambo-luvo ekunceda ubone.
• ukuba ungumfazi kwaye uthatha i-tadalafil ukunyanga i-PAH, xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncelise. Ukuba ukhulelwa ngelixa uthatha i-tadalafil, tsalela umnxeba ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-tadalafil.
• thetha nogqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngexesha lonyango nge-tadalafil. Ukuba usela isixa esikhulu sotywala (ngaphezulu kweiglasi ezintlanu zewayini okanye iifoto ezintlanu zewhiskey) ngelixa uthatha i-tadalafil kunokwenzeka ukuba ufumane iziphumo ezithile ze-tadalafil ezinje ngesiyezi, intloko ebuhlungu, ukubetha kwentliziyo okukhawulezayo, kunye noxinzelelo lwegazi .
• ukuba uthatha i-tadalafil ukunyanga ukungasebenzi kakuhle kwe-erectile, xelela ugqirha wakho ukuba ukhe wacetyiswa yingcali yokhathalelo lwempilo ukunqanda isenzo sesondo ngenxa yezizathu zonyango okanye ukuba ukhe weva iintlungu zesifuba ngexesha lesondo. Umsebenzi wesondo unokuba yingxaki entliziyweni yakho, ngakumbi ukuba unesifo sentliziyo. Ukuba uva iintlungu esifubeni, isiyezi, okanye isicaphucaphu ngexesha lokwabelana ngesondo, tsalela umnxeba kwangoko okanye ufumane unyango lonyango, kwaye uphephe isenzo sesondo de ugqirha akuxelele ngenye indlela.
• xelela bonke ababonelela ngempilo ukuba uthatha i-tadalafil. Ukuba ukhe ufune unyango olungxamisekileyo lwengxaki yentliziyo, ababoneleli ngempilo abakunyangayo kuya kufuneka bazi ukuba ugqibele nini ukuthatha i-tadalafil.

Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yegrapefruit ngelixa uthatha eli yeza.

Ukuba uthatha i-tadalafil yokungasebenzi kakuhle kwe-erectile kwishedyuli eqhelekileyo, thatha idosi ephosiweyo kwakamsinya nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Musa ukuthatha idosi ephindwe kabini okanye ngaphezulu kwedosi enye ngosuku ukwenza enye ephosiweyo.

Ukuba uthatha i-tadalafil ye-PAH okanye ye-BPH, thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• intloko ebuhlungu
• ukunyanzelisa okanye ukukhathazeka
• isicaphucaphu
• urhudo
• ukugungxula
• iintlungu esiswini, ngasemva, izihlunu, iingalo, okanye imilenze
• ukukhohlela

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

• ukwehla ngesiquphe okanye ukulahleka kombono (jonga ngezantsi ngolwazi oluthe kratya)
• ukungaboni kakuhle
• utshintsho kumbono wombala (ukubona i-blue tinge kwizinto okanye ubunzima bokuchaza umahluko phakathi kohlaza okwesibhakabhaka noluhlaza)
• ukuncipha ngesiquphe okanye ukulahleka kwendlebe (jonga ngezantsi ngolwazi oluthe kratya)
• kukhala ezindlebeni
• ulwakhiwo oluhlala ixesha elide kuneeyure ezingama-4
• isiyezi
• iintlungu zesifuba
• urhwebo
• irhashalala
• ubunzima bokuphefumla okanye ukugwinya
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudumba okanye ukuxobuka kolusu

Abanye abaguli bafumana ilahleko ngequbuliso kwezinye okanye yonke imibono yabo emva kokuba bethathe i-tadalafil okanye amanye amayeza afana ne-tadalafil. Ukuphulukana kombono kwakuhlala ngokusisigxina kwezinye iimeko. Ayaziwa ukuba ilahleko yombono ibangelwe ngamayeza. Ukuba ufumana ukulahleka kombono ngequbuliso ngelixa uthatha i-tadalafil, tsalela umnxeba kwangoko okanye ufumane unyango olukhawulezileyo. Ungathathi enye idosi ye-tadalafil okanye amayeza afanayo njenge-sildenafil (Revatio, Viagra) okanye i-vardenafil (i-Levitra) de uthethe nogqirha wakho.

Abanye abaguli bafumana ukwehla ngesiquphe okanye ukulahleka kokuva emva kokuba bethathe i-tadalafil okanye amanye amayeza afana ne-tadalafil. Ukuphulukana nendlebe kuhlala kubandakanya indlebe enye kuphela kwaye bekungasoloko kuphucuka xa iyeka iyeza. Ayaziwa ukuba ilahleko yokuva ibangelwe ngamayeza. Ukuba ufumana ilahleko yokuva ngequbuliso, ngamanye amaxesha ukukhala ezindlebeni okanye isiyezi, ngelixa uthatha i-tadalafil, tsalela umnxeba kwangoko. Ungathathi enye idosi ye-tadalafil okanye amayeza afanayo njenge-sildenafil (Revatio, Viagra) okanye i-vardenafil (i-Levitra) de uthethe nogqirha wakho.

I-Tadalafil 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).

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.

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.

• I-Adcirca^®
• Cialis^®