Umeclidinium kunye neVilanterol Oral Inhalation

Umxholo

• Ukusebenzisa i-inhaler, landela la manyathelo:
• Ngaphambi kokusebenzisa umeclidinium kunye ne-vilanterol,
• I-Umeclidinium kunye ne-vilanterol kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, yeka ukusebenzisa i-umeclidinium kunye ne-vilanterol kwaye ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Indibaniselwano ye-umeclidinium kunye ne-vilanterol isetyenziselwa ukulawula ukubetha, ukuphefumla kancinci, ukukhwehlela, kunye nokuqina kwesifuba okubangelwa sisifo esinganyangekiyo semiphunga (COPD; iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya, ezibandakanya i-bronchitis engapheliyo kunye ne-emphysema). I-Umeclidinium ikudidi lwamayeza abizwa ngokuba yi-anticholinergics. UVilanterol ukwiklasi yamayeza abizwa ngokuba yi-beta-agonists (LABAs) esebenza ixesha elide. La mayeza asebenza ngokuphumla kunye nokuvula iipaseji zomoya kwimiphunga, zisenza kube lula ukuphefumla.

Indibaniselwano ye-umeclidinium kunye ne-vilanterol iza njengomgubo wokuphefumla ngomlomo usebenzisa inhaler ekhethekileyo. Ihlala iphefumlelwe kanye ngemini. Tsala umeclidinium kunye ne-vilanterol ngexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa umeclidinium kunye ne-vilanterol ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Sukusebenzisa i-umeclidinium kunye ne-vilanterol inhalation ukunyanga ukuhlaselwa ngequbuliso kweCOPD. Ugqirha wakho uya kukuyalela amayeza e-beta agonist asebenza ngokufutshane njenge-albuterol (Accuneb, Proair, Proventil, Ventolin) oza kuyisebenzisa xa uhlaselwa. Ukuba ubusebenzisa olu hlobo lwamayeza rhoqo ngaphambi kokuba uqale unyango nge-umeclidinium kunye ne-vilanterol, ugqirha wakho uya kuthi akakuyeke ukuyisebenzisa rhoqo kodwa uqhubeke nokuyisebenzisa ukuphatha uhlaselo.

I-Umeclidinium kunye ne-vilanterol inhalation akufuneki isetyenziselwe ukunyanga i-COPD ekhula ngokukhawuleza. Biza ugqirha wakho okanye ufumane uncedo lonyango olungxamisekileyo ukuba iingxaki zakho zokuphefumla ziya zisiba mbi, ukuba kufuneka usebenzise i-inhaler yakho emfutshane ukunyanga uhlaselo lweCOPD rhoqo, okanye ukuba i-inhaler yakho emfutshane ayizinciphisi iimpawu zakho.

I-Umeclidinium kunye ne-vilanterol inhalation control COPD kodwa ayiyinyangi. Qhubeka nokusebenzisa i-umeclidinium kunye ne-vilanterol nokuba uziva uphilile. Sukuyeka ukusebenzisa i-umeclidinium kunye ne-vilanterol ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ukusebenzisa i-umeclidinium kunye ne-vilanterol inhalation, iimpawu zakho zinokuba zibi ngakumbi.

Ngaphambi kokuba usebenzise umeclidinium kunye ne-vilanterol inhalation okokuqala, cela ugqirha wakho, usokhemisi, okanye ugqirha wokuphefumla akubonise indlela yokusebenzisa i-inhaler. Ziqhelise ukusebenzisa i-inhaler yakho ngelixa ijongileyo.

Ukusebenzisa i-inhaler, landela la manyathelo:

1. Ukuba uza kusebenzisa i-inhaler entsha okokuqala, yisuse ebhokisini nakwitreyi yefoyile. Gcwalisa "i-Tray evulekileyo" kunye ne "Lahla" izithuba kwileyibhile ye-inhaler kunye nomhla owavula ngayo itreyi kunye nomhla weeveki ezi-6 kamva xa kufuneka ubeke endaweni ye-inhaler.
2. Xa ulungele ukungenisa idosi yakho, tyibilika isiciko phantsi ukuze ubhentsise umlomo de ucofe. Ukuba uvula kwaye uvale inhaler ngaphandle kokusebenzisa idosi yakho, uya kuwachitha amayeza.
3. Ikhawuntari iya kubalwa phantsi nge-1 ngalo lonke ixesha uvula isiciko. Ukuba ikhawuntari ayibali phantsi, i-inhaler yakho ayizukukunika amayeza. Ukuba i-inhaler yakho ayibali phantsi, tsalela usokhemisti okanye ugqirha wakho.
4. Gcina inhaler kude nomlomo wakho kwaye uphefumlele ngaphandle kangangoko unako. Musa ukuphefumlela emlonyeni.
5. Beka into oyithethayo phakathi kwemilebe yakho, uze uvale imilebe yakho ngokungqongqo. Thatha ixesha elide, elizinzileyo, lokuphefumla okukhulu ngomlomo wakho. Musa ukuphefumla ngeempumlo zakho. Lumka ungavali umoya omoya ngeminwe yakho.
6. Susa i-inhaler emlonyeni wakho, kwaye ubambe umphefumlo wakho kangangesithuba semizuzwana emi-3 ukuya kwezi-4 okanye okoko unako. Phefumlela ngaphandle kancinane.
7. Unakho okanye ungangcamli okanye uve amayeza akhutshwe yi-inhaler. Nokuba awuyenzi, musa ukungenisa elinye idosi. Ukuba awuqinisekanga ukuba ufumana idosi yakho ye-umeclidinium kunye ne-vilanterol, tsalela ugqirha wakho okanye usokhemesti.
8. Unokucoca umlomo ngomzimba owomileyo, ukuba uyafuneka. Slayida isiciko ngaphezulu komlomo ukuya kuthi ga ngoku ukuya kuvala inhaler.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokusebenzisa umeclidinium kunye ne-vilanterol,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-umeclidinium, i-vilanterol, nawaphi na amanye amayeza, iprotein yobisi, okanye nasiphi na isithako se-umeclidinium kunye ne-vilanterol inhalation. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho ukuba usebenzisa enye i-LABA efana ne-arformoterol (Brovana), formoterol (Perforomist, Bevespi Aerosphere, Duaklir Pressair, Dulera, Symbicort), indacaterol (Arcapta), olodaterol (Striverdi Respimat, eStiolto Respimat), okanye salmeterol (Serevent, kwiAdvair). Ugqirha wakho uza kukuxelela ukuba leliphi iyeza ekufuneka ulisebenzisile kwaye leliphi iyeza ekufuneka uyeke ukulisebenzisa.
• 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 oku kulandelayo: ii-antifungals ezinje nge-itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, kunye ne-voriconazole (Vfend); antihistamines; iatropine ii-beta-blockers ezinje nge-atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), kunye nepropranolol (Inderal, Innopran); I-clarithromycin; ikhonkco (Vaprisol); umchamo ('iipilisi zamanzi'); I-HIV protease inhibitors efana ne-indinavir (Crixivan), lopinavir (e-Kaletra), nelfinavir (Viracept), ritonavir (Norvir), kunye ne-saquinavir (Invirase); amanye amayeza e-COPD kubandakanya i-aclidinium (Tudorza Pressair), ipratropium (Atrovent HFA), kunye ne-tiotropium (Spiriva); amayeza okuba nesifo sesisu, isifo sokuhamba, isifo sikaParkinson, izilonda, okanye iingxaki zomchamo; kunye nefazodone. Xelela ugqirha wakho kunye nosokhemesti ukuba uthatha la mayeza alandelayo okanye uyekile ukuwathatha kwezi veki zimbini zidlulileyo: i-anti-depressants efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye netrimipramine (iSurmontil); amiodarone (Nexterone, iPacerone); anagrelide (Agrylin); chloroquine; chlorpromazine; ililostazol; ciprofloxacin (Cipro); ikitalopram (uCelexa); I-clarithromycin; iDisopyramide (iNorpace); dofetilide (iTikosyn); I-donepezil (iAricept); idronarone (iMultaq); I-escitalopram (iLexapro); i-flecainide (iTambocor); i-fluconazole (iDiflucan); haloperidol (iHaldol); ibutilide (iCorvert); levofloxacin; imethadone (iDolophine, iMethadose); moxifloxacin (Avelox); I-ondansetron (iZuplenz, iZofran); ipentamidine (iPentam); ipimozide (Orap); ukuvelisa; quinidine (kwiNuedexta); i-sotalol (iBetapace, iSorine, iSotylize); thioridazine; kunye ne-monoamine oxidase (MAO) inhibitors enjenge-isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), kunye ne-tranylcypromine (iParnate). Uninzi lwamanye amayeza anokusebenzisana ne-umeclidinium kunye ne-vilanterol, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba unesi sifo. Ugqirha wakho uza kukuxelela ukuba ungasebenzisi i-umeclidinium kunye ne-vilanterol ngaphandle kokuba uyayisebenzisa kunye nonyango lwe-inhaled steroid.
• xelela ugqirha wakho ukuba ukhe wanalo uxinzelelo oluphezulu lwegazi, ukubetha kwentliziyo okungaqhelekanga, isongezo se-QT (isingqi esingaqhelekanga sentliziyo esinokukhokelela ekuphelelweni lithemba, ukubhubha, ukubanjwa, okanye ukufa ngesiquphe), ukuxhuzula, isifo seswekile, iglaucoma (isifo samehlo ), ukugcinwa komchamo (ubunzima bokuchama), iingxaki zeprotate okanye isinyi, okanye intliziyo, idlala lengqula okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa i-umeclidinium kunye ne-vilanterol, tsalela ugqirha wakho.
• Kuya kufuneka uyazi ukuba umeclidinium kunye ne-vilanterol inhalation ngamanye amaxesha ibangela ukuvutha kunye nobunzima bokuphefumla kwangoko emva kokuba uphefumlelwe. Ukuba oku kuyenzeka, biza ugqirha wakho kwangoko. Sukusebenzisa i-umeclidinium kunye ne-vilanterol inhalation kwakhona ngaphandle kokuba ugqirha wakho akuxelele ukuba kufanele.

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

Phefumlela idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukusebenzisa idosi engaphezulu kwesinye ngosuku kwaye musa ukungenisa idosi ephindwe kabini ukwenza into ephosiweyo.

I-Umeclidinium kunye ne-vilanterol kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukungcangcazela kwelungu lomzimba ongenakulilawula
• uvalo
• ukuvuza impumlo, umqala obuhlungu
• ukuqhina
• urhudo
• iintlungu ezingalweni okanye emilenzeni
• ukudumba kwezihlunu
• intlungu yentamo
• umqolo obuhlungu
• intlungu edibeneyo
• intlungu zesisu
• intloko ebuhlungu
• isicaphucaphu
• isiyezi
• Lizinyo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, yeka ukusebenzisa i-umeclidinium kunye ne-vilanterol kwaye ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:

• irhashalala
• urhwebo
• ukurhawuzelela
• ukudumba kobuso, umlomo, okanye ulwimi
• ukubetha, ukukhawuleza, okanye ukubetha kwentliziyo okungaqhelekanga
• iintlungu zesifuba
• iintlungu zamehlo, ubomvu, okanye ukungonwabi; ukungaboni kakuhle; ukubona iihalos okanye imibala eqaqambileyo ejikeleze izibane, ngamanye amaxesha kunye nesicaphucaphu kunye nokugabha
• ubunzima bokuchama okanye ukuchama kumjelo obuthathaka okanye ukuvuza
• Ukuchama rhoqo okanye okubuhlungu

I-Umeclidinium kunye ne-vilanterol kunokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa 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 kwi-foil tray langena, livaliwe ngokuqinileyo, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nelanga, ubushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Yilahle inhaler iiveki ezi-6 emva kokuba uyisusile kwitreyi yefoyile okanye emva kokuba kusetyenziswe yonke iblister (xa isibali sedosi sifunda u-0), nayiphi na eza kuqala.

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 libanda kungaquka oku kulandelayo:

• ukuxhuzula
• iintlungu zesifuba
• ukuqhawukelwa ngumphefumlo
• isiyezi
• ngokukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
• uvalo
• intloko ebuhlungu
• ukungcangcazela kwelungu lomzimba ongenakulilawula
• izihlunu zemithambo okanye ubuthathaka
• umlomo owomileyo
• kushushu, komile, kuluhlaza ulusu
• isicaphucaphu
• ukudinwa kakhulu
• ubunzima bokulala okanye ukulala
• ukungaboni kakuhle
• abafundi abaxubileyo
• ukubona izinto okanye ukuva amazwi angekhoyo (hallucinating)

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya i-methylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa umeclidinium kunye ne-vilanterol.

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.

• UAnoro Ellipta^® (Iqulethe umeclidinium, vilanterol)