Dextromethorphan kunye neQuinidine

Umxholo

• Ngaphambi kokuthatha i-dextromethorphan kunye nequinidine,
• Ukudityaniswa kwe-dextromethorphan kunye ne-quinidine kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Indibaniselwano ye-dextromethorphan kunye ne-quinidine isetyenziselwa ukunyanga i-pseudobulbar echaphazela (i-PBA; imeko yokuqubuka ngesiquphe, ukukhala okanye ukuhleka okungalawulekiyo) kubantu abaneemeko ezithile ezinje nge-amyotrophic lateral sclerosis (ALS, isifo sikaLou Gehrig; imeko apho imithambo-luvo elawula ukushukuma kwezihlunu ifa kancinci, ibangela ukuba izihlunu zinciphe kwaye zenze buthathaka) okanye isifo sokuqina kwemithambo (isifo apho imithambo-luvo ingasebenzi kakuhle kwaye izigulana zinokuba namava obuthathaka, ukuba ndindisholo, ukuphulukana nolungelelwaniso lwezihlunu kunye neengxaki ngombono, intetho, kunye nolawulo lwesinyi). UDextromethorphan ukwiklasi yamayeza abizwa ngokuba ziiarhente zenkqubo yeemvakalelo. Indlela esebenza ngayo kwingqondo ukunyanga i-PBA ayaziwa. Iquinidine ikwiklasi yamayeza abizwa ngokuba yi-antiarrhythmics. Xa idityaniswe ne-dextromethorphan, i-quinidine isebenza ngokwandisa inani le-dextromethorphan emzimbeni.

Umdibaniso we-dextromethorphan kunye ne-quinidine iza njengecapsule ekufuneka uyithathe ngomlomo. Ihlala ithathwa kunye okanye ngaphandle kokutya kube kanye ngemini kangangeentsuku ezisixhenxe. Emva kweentsuku ezisi-7, ithathwa qho kwiiyure ezili-12. Musa ukuthatha ngaphezulu kweedosi ezi-2 kwisithuba seeyure ezingama-24. Qiniseka ukuba uvumela malunga neeyure ezili-12 phakathi kwedosi nganye. Thatha i-dextromethorphan kunye ne-quinidine ngexesha elifanayo (ii) mihla le. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha indibaniselwano ye-dextromethorphan kunye ne-quinidine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho unokujonga amaxesha ngamaxesha ukuze abone ukuba eliyeza lisadingeka na ukulawula iimpawu zakho. Landela le miyalelo ngononophelo.

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

Ngaphambi kokuthatha i-dextromethorphan kunye nequinidine,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-dextromethorphan, i-quinidine (i-Quinidex), i-quinine (i-Qualaquin), i-mefloquine (i-Lariam), nawaphi na amanye amayeza, okanye naziphi na izithako ezidibeneyo njenge-dextromethorphan kunye ne-quinidine capsules. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-mefloquine (Lariam), pimozide (Orap), quinine (Qualaquin) thioridazine, okanye enye imveliso enequinidine (Quinidex). Ugqirha wakho uya kukuxelela ukuba ungathathi i-dextromethorphan kunye ne-quinidine ukuba uthatha elinye okanye nangaphezulu la mayeza.
• 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: ii-antidepressants kubandakanya i-clomipramine (Anafranil), desipramine (Doxepin, Sinequan), fluoxetine (Prozac, Sarafem), nefazodone, kunye ne-paroxetine (Paxil, Pexeva); Aprepitant (Hlomela); i-clarithromycin (i-Biaxin, i-Prevpac); ukukhohlela kunye namayeza abandayo aqukethe i-dextromethorphan; icisapride; i-digoxin (iLanoxin, iDigitek); i-erythromycin (i-EES E-Mycin, i-Erythrocin); i-fluconazole (iDiflucan); itraconazole (Sporanox); ketoconazole (Nizoral); amayeza athile kwintsholongwane (HIV) efana neatazanavir (Reyataz), amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, e Kaletra), kunye ne saquinavir (Invirase); amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-amiodarone (Cordarone), diltiazem (Cardizem, Cartia, Tiazac, others), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid, Pronestyl), sotalol (Betapace), kunye neverapamil (Calan, Covera, Isoptin, Verelan, eTarka); amayeza eentlungu ezifana ne-codeine, i-hydrocodone (kwi-Hydrogesic, i-Lorcet, i-Lortab, i-Vicodin, i-Zydone, abanye), kunye ne-methadone; moxifloxacin (Avelox); sparfloxacin (iZagam); kunye ne-teliththromycin (Ketek). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha la mayeza alandelayo okanye uyekile ukuwathatha kwezi veki zimbini zidlulileyo: I-MAO inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl ), kunye ne-tranylcypromine (iParnate). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-dextromethorphan kunye ne-quinidine, ke qiniseka ukuxelela ugqirha wakho malunga nawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba ukhe wakha wanemiqathango ilandelayo xa uthatha iquinidine, quinine, okanye mefloquine: ukwehla kwinani leeseli zegazi kumongo wethambo, lupus (imeko apho umzimba uhlasela izicwili zawo ezibangela ukonakala kunye nokudumba ), okanye i-hepatitis (ukudumba kwesibindi). Xelela ugqirha wakho ukuba ukhe wanesingqisho sentliziyo esingaqhelekanga okanye ukusilela kwentliziyo. Ugqirha wakho uya kukuxelela ukuba ungathathi i -xtromethorphan kunye ne-quinidine.
• xelela ugqirha wakho ukuba ukhe wanayo i-myasthenia gravis (ingxaki yenkqubo yemithambo-luvo ebangela ubuthathaka bemisipha), imbali yokusetyenziswa gwenxa kweziyobisi esitratweni okanye ukusetyenziswa gwenxa kweziyobisi ngugqirha, uxinzelelo oluphezulu lwegazi, ukubetha, amanqanaba asezantsi e-potassium okanye wemagniziyam igazi lakho, okanye intliziyo, intso, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha indibaniselwano ye-dextromethorphan kunye nequinidine, tsalela ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-dextromethorphan kunye ne-quinidine.
• Kuya kufuneka uyazi ukuba i-dextromethorphan kunye nequinidine zinokukwenza ube nesiyezi. Kubalulekile ukuba uqaphele ukunqanda ukuwa ngelixa uthatha eli yeza.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-dextromethorphan kunye ne-quinidine. Utywala bunokwenza iziphumo ebezingalindelekanga zibi ngakumbi.

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

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

Tsiba idosi ephosiweyo kwaye uthathe idosi elandelayo ngexesha eliqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo. Qiniseka ukuba uvumela iiyure ezili-12 phakathi kwamayeza.

Ukudityaniswa kwe-dextromethorphan kunye ne-quinidine kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• urhudo
• ukugabha
• irhasi
• isisu esibuhlungu
• ukukhohlela
• amehlo owomileyo okanye umlomo
• ubuthathaka
• ukudumba kwezihlunu
• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
• Ukuchama rhoqo, okubuhlungu, okanye kunzima
• kunamafu okanye umchamo onukayo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

• ifiva
• ukopha okungaqhelekanga okanye ukugruzuka
• intlungu yesihlunu okanye edibeneyo
• irhashalala
• ukudumba kobuso, umqala, ulwimi, okanye imilebe
• ukudumba kwamalungu enkovu
• ukudinwa
• ubunzima bokuphefumla
• intloko elula
• isiqaqa
• ukubetha kwentliziyo okukhawulezayo

Ukudityaniswa kwe-dextromethorphan kunye ne-quinidine kunokubangela 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 nakwizilwanyana zasekhaya. 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.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• isicaphucaphu
• ukugabha
• urhudo
• isiyezi
• intloko ebuhlungu
• kukhala ezindlebeni
• ukungaboni kakuhle okanye umbono ophindwe kabini
• ukudideka
• utshintsho ekubetheni kwentliziyo
• ubunzima bokuphefumla
• ukulahleka kwengqondo
• ukuxhuzula
• utshintsho kwimixholo yemisipha
• ukulahleka koququzelelo
• imincili engaqhelekanga
• ukucinga ngokungaqhelekanga

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-dextromethorphan kunye ne-quinidine. Ugqirha wakho unokuyalela i-electrocardiogram (i-ECG; uvavanyo olulinganisa umsebenzi wombane entliziyweni) ngaphambi nangexesha lonyango lwakho.

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.

• Umxholo^®