I-Serdexmethylphenidate kunye ne-Dexmethylphenidate
Umxholo
- Ngaphambi kokuba uthathe i-serdexmethylphenidate kunye ne-dexmethylphenidate,
- I-Serdexmethylphenidate kunye ne-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 okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
- Iimpawu zokudlula ngaphezulu zinokubandakanya:
Umdibaniso we-serdexmethylphenidate kunye ne-dexmethylphenidate inokwenza umkhwa. Musa ukuthatha idosi enkulu, yithathe rhoqo, okanye uthathe ixesha elide kunokuba umiselwe ngugqirha. Ukuba uthatha i-serdexmethylphenidate eninzi kunye ne-dexmethylphenidate, unokuqhubeka nokuziva isidingo sokuthatha amayeza amaninzi, kwaye unokufumana utshintsho olungaqhelekanga kwindlela oziphethe ngayo. Wena okanye umntu omkhathalelayo kufuneka uxelele ugqirha wakho kwangoko ukuba unazo naziphi na kwezi mpawu: ukukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga; ukubila; abafundi abaxubileyo; imo engaqhelekanga; ukungazinzi; ukucaphuka; 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.
Tshela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho uyasela okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, okanye wasebenzisa kakhulu amayeza kagqirha.
Sukuyeka ukuthatha i-serdexmethylphenidate kunye ne-dexmethylphenidate ngaphandle kokuthetha nogqirha wakho, ngakumbi ukuba ulisebenzisile. Ugqirha wakho uya kunciphisa idosi ngokuthe ngcembe kwaye abeke esweni ngononophelo ngeli xesha. Unokuhlakulela ukudakumba okukhulu kunye nokudinwa kakhulu ukuba unokuyeka ukuthatha i-serdexmethylphenidate kunye ne-dexmethylphenidate emva kokuyisebenzisa gwenxa. Ugqirha wakho unokufuna ukukujonga ngononophelo emva kokuba uyeke ukuthatha i-serdexmethylphenidate kunye ne-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-serdexmethylphenidate kunye ne-dexmethylphenidate kunokwenzakalisa abanye kwaye kuchasene nomthetho. Gcina i-serdexmethylphenidate kunye ne-dexmethylphenidate kwindawo ekhuselekileyo ukuze kungabikho namnye umntu onokuyithatha ngengozi okanye ngenjongo. Gcina umkhondo wokuba zingaphi iicapsules ezisele ukuze wazi ukuba zikho na ezingekhoyo.
Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-serdexmethylphenidate kunye ne-dexmethylphenidate kwaye ngalo lonke ixesha ugcwalisa amayeza akho. 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.
Indibaniselwano ye-serdexmethylphenidate kunye ne-dexmethylphenidate isetyenziswa njengenxalenye yenkqubo yonyango yokulawula iimpawu zokunqongophala kokuphazamiseka kwengqondo (ADHD; ubunzima bokugxila, ukulawula isenzo, kunye nokuhlala uzolile okanye uthule kunabanye abantu abakwiminyaka efanayo) kubantu abadala nakubantwana Iminyaka emi-6 ubudala nangaphezulu. Umdibaniso we-serdexmethylphenidate kunye ne-dexmethylphenidate ikwiklasi yamayeza abizwa ngokuba sisistim se-nervous system esikhuthazayo. La mayeza asebenza ngokutshintsha izixa ezithile zezinto zendalo kwingqondo.
Umdibaniso we-serdexmethylphenidate kunye ne-dexmethylphenidate iza njengecapsule yokuthatha ngomlomo. Ihlala ithathwa kanye yonke imihla kusasa kunye okanye ngaphandle kokutya. Thatha i-serdexmethylphenidate kunye ne-dexmethylphenidate ngexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-serdexmethylphenidate kunye ne-dexmethylphenidate ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Ginya zonke iifomsile; sukuzihlafuna okanye uzityumze. Ukuba awukwazi ukugwinya i-capsule, unokuvula i-capsule uze ufefe yonke into malunga ne-2 oz (50 mL) yamanzi okanye kwi-2 ithisipuni ye-appleauce. Ginya okanye utye lo mxube kwangoko kwimizuzu eli-10 yokuxubeka. Musa ukugcina umxube wamayeza ukuze uwasebenzise kwixesha elizayo.
Ugqirha wakho uya kukuqala ngedosi esezantsi ye-serdexmethylphenidate kunye ne-dexmethylphenidate kwaye wandise idosi yakho ngokuthe ngcembe, 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.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-serdexmethylphenidate kunye ne-dexmethylphenidate,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-serdexmethylphenidate, methylphenidate, dexmethylphenidate, nawaphi na amanye amayeza, okanye nasiphi na isithako esikwi-capsule ye-serdexmethylphenidate kunye ne-dexmethylphenidate. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
- xelela ugqirha wakho ukuba uthatha la mayeza alandelayo okanye uyekile ukuwathatha kwiintsuku ezili-14 ezidlulileyo: i-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), okanye tranylcypromine (iParnate). Ugqirha wakho uya kukuxelela ukuba ungathathi i-methylphenidate 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-alpha blockers ezinje nge-alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, eJalyn), kunye neterazosin; i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, e Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (e Prinzide, e Zestoretic), moexipril (Univasc, in Unopic) , Prestalia), quinapril (Accupril, ngesiQuinaretic), ramipril (Altace), okanye trandolapril (eTarka); ii-angiotensin receptor blockers (ARBs) ezinje nge-azilsartan (Edarbi, e-Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar e-Azor, kwi-Benicar HCT, e-Tribenzor), nase-telmisartan (Micardis, e-Micardis HCT, e-Twynsta); ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, e Corzide), propranolol (Inderal, Innopran, eInderide), kunye ne timolol (Blocadren, e Timolide); iicalcium block blockers ezinje nge-diltiazem (Cardizem), nicardipine, nifedipine (Adalat, Procardia), kunye ne-verapamil (Calan, Verelan, eTarka); 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); venlafaxine (Effexor); kunye ne risperidone (Risperdal). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho ukuba nabani na kusapho lwakho ukhe wabethwa yintliziyo ngendlela engaqhelekanga okanye wasweleka ngesiquphe. Xelela ugqirha wakho ukuba ubusandula ukuba nesifo sentliziyo kwaye ukuba ukhe wanesiphene sentliziyo, uxinzelelo oluphezulu lwegazi, ukubetha kwentliziyo ngokungaqhelekanga, ukuqina kwemithambo, isifo sentliziyo okanye semithambo yegazi, okanye ezinye iingxaki zentliziyo. Ugqirha wakho uya kukuvavanya ukuze abone ukuba intliziyo kunye nemithambo yegazi iphilile. Ugqirha wakho uya kukuxelela ukuba ungathathi i-serdexmethylphenidate kunye ne-dexmethylphenidate ukuba unesifo sentliziyo okanye ukuba kukho umngcipheko ophezulu wokuba unokufumana 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), okanye i-mania (ididekile, idlamke ngokungaqhelekanga), okanye icinge okanye izame ukuzibulala. Xelela ugqirha wakho ukuba ukhe wagula ngengqondo, okanye iingxaki zokujikeleza kwiminwe okanye iinzwane.
- xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba ukhulelwa ngelixa uthatha i-serdexmethylphenidate kunye ne-dexmethylphenidate, tsalela ugqirha wakho.
- xelela ugqirha wakho ukuba uncelisa. Ukuba uncancisa ngelixa uthatha i-serdexmethylphenidate kunye ne-dexmethylphenidate, jonga usana olunyiswe ngononophelo ngononophelo, ukunciphisa umzimba, okanye ukondla okungalunganga. Shayela ugqirha wakho ngokukhawuleza ukuba umntwana oncelisayo unayo nayiphi na impawu.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-serdexmethylphenidate kunye ne-dexmethylphenidate.
- Kuya kufuneka uyazi ukuba i-serdexmethylphenidate kunye ne-dexmethylphenidate kufuneka isetyenziswe njengenxalenye yenkqubo yonyango iyonke ye-ADHD, enokubandakanya iingcebiso 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 elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.
I-Serdexmethylphenidate kunye ne-dexmethylphenidate inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- ukuhla ukusinda
- isicaphucaphu
- isilungulela
- isiyezi
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
- irhashalala
- urhwebo
- ukurhawuzelela
- ukudakumba
- ukukholelwa izinto ezingeyonyani
- ukuziva ukrokrela abanye ngokungaqhelekanga
- i-hallucinating (ukubona izinto okanye ukuva amazwi angabikho)
- i-mania (i-frenzied okanye i-mood engaqhelekanga)
- umbala obomvu okanye ohlaza okwesibhakabhaka weminwe okanye iinzwane
- intlungu, ukuba ndindisholo, ukutshisa, okanye ukubetha ezandleni okanye ezinyaweni
- amanxeba angachazwanga avela kwiminwe okanye iinzwane
- ukudumba okanye ukuxobuka kolusu
- rhoqo, ukwenziwa kobuhlungu
- ulwakhiwo oluhlala ixesha elide kuneeyure ezingama-4
I-Serdexmethylphenidate kunye ne-dexmethylphenidate inokubangela ukufa ngesiquphe ebantwaneni nakwishumi elivisayo, ngakumbi abantwana okanye abakwishumi elivisayo abaneziphene zentliziyo okanye iingxaki zentliziyo ezinzulu. 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-Serdexmethylphenidate kunye ne-dexmethylphenidate inokucothisa 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-serdexmethylphenidate kunye ne-dexmethylphenidate kumntwana wakho.
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:
- isicaphucaphu
- ukugabha
- urhudo
- ukungazinzi
- ixhala
- ukuphazamiseka
- ukungcangcazela
- ukuxhuma kwezihlunu
- ukuxhuzula
- ulonwabo olukhulu
- ukudideka
- i-hallucinating (ukubona izinto okanye ukuva amazwi angabikho)
- Ukuphambuka
- ukubila
- ukugungxula
- intloko ebuhlungu
- ifiva
- ukukhawuleza kwentliziyo okanye okungaqhelekanga
- abafundi abaxubileyo
- ukungaboni kakuhle
- iintlungu zemisipha kunye nobuthathaka
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uza kujonga uxinzelelo lwegazi kunye nokubetha kwentliziyo kunye noku-odola uvavanyo oluthile lweelebhu ukujonga impendulo yomzimba wakho kwi-serdexmethylphenidate kunye ne-dexmethylphenidate.
Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.
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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