Umbhali: Marcus Baldwin
Umhla Wokudalwa: 21 Isilimela 2021
Hlaziya Umhla: 16 Eyenkanga 2024
Anonim
Bromocriptine for both Pakinson disease and Diabetes Mellitus
Ividiyo: Bromocriptine for both Pakinson disease and Diabetes Mellitus

Umxholo

I-Bromocriptine (Parlodel) isetyenziselwa ukunyanga iimpawu ze-hyperprolactinemia (amanqanaba aphezulu wento yendalo ebizwa ngokuba yi-prolactin emzimbeni) kubandakanya ukungabikho kwexesha lokuya exesheni, ukukhutshwa kwiingono, ukungachumi (ubunzima bokukhulelwa) kunye ne-hypogonadism (amanqanaba asezantsi ezinto ezithile zendalo. iyafuneka kuphuhliso oluqhelekileyo kunye nokusebenza ngokwesondo). I-Bromocriptine (Parlodel) inokusetyenziselwa ukunyanga i-hyperprolactinemia ebangelwa ziindidi ezithile zamathumba ezivelisa iprolactin, kwaye inokuzinciphisa ezi tumors. I-Bromocriptine (Parlodel) ikwasetyenziswa yodwa okanye nezinye iindlela zonyango ukunyanga i-acromegaly (imeko apho kukho ukukhula kakhulu kwehomoni emzimbeni) kunye nesifo sika-Parkinson (PD; ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubunzima ngokuhamba, ukulawula izihlunu, kunye nokulinganisela). I-Bromocriptine (i-Cycloset) isetyenziswa kwinkqubo yokutya kunye neyokuzilolonga kwaye ngamanye amaxesha namanye amayeza okulawula amanqanaba eswekile yegazi kubantu abanesifo seswekile sesi-2 (imeko apho umzimba ungasebenzisi i-insulin ngokwesiqhelo kwaye ngenxa yoko awukwazi ukulawula ubungakanani beswekile egazini. ). I-Bromocriptine (i-Cycloset) ayisetyenziswanga ukunyanga uhlobo lweswekile (imeko apho umzimba ungayivelisi i-insulin kwaye ngenxa yoko ayinakho ukulawula ubungakanani beswekile egazini) okanye isifo seswekile ketoacidosis (imeko enzulu enokuthi ikhule ukuba iswekile ephezulu yegazi ayisiyiyo baphathwe). I-Bromocriptine ikwiklasi yamayeza abizwa ngokuba yi-dopamine receptor agonists. Iphatha i-hyperprolactinemia ngokunciphisa inani leprolactin emzimbeni. Inyanga i-acromegaly ngokunciphisa inani lokukhula kwehomoni emzimbeni. Inyanga isifo sika-Parkinson ngokuvuselela imithambo-luvo elawula intshukumo. Indlela i-bromocriptine esebenza ngayo ukunyanga isifo seswekile ayaziwa.


I-Bromocriptine (Parlodel) iza njengecapsule kunye necwecwe lokuthatha ngomlomo. I-Bromocriptine (i-Cycloset) iza njengecwecwe lokuthatha ngomlomo. Xa i-bromocriptine (Parlodel) isetyenziselwa ukunyanga i-hyperprolactinemia, ihlala ithathwa kanye ngemini ngokutya. Xa i-bromocriptine (Parlodel) isetyenziselwa ukunyanga i-acromegaly, ihlala ithathwa kanye ngemini ngexesha lokulala kunye nokutya. Xa i-bromocriptine (iParlodel) isetyenziselwa ukunyanga isifo sika-Parkinson, ihlala ithathwa kabini ngemini ngokutya. I-Bromocriptine (i-Cycloset) ihlala ithathwa kanye ngemini ngokutya ngaphakathi kweeyure ezi-2 zokuvuka ekuseni. Thatha i-bromocriptine malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-bromocriptine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho uya kukuqala ngedosi esezantsi ye-bromocriptine kwaye ngokuthe ngcembe andise idosi yakho, hayi ngaphezulu kwesinye kanye kwiintsuku ezingama-2 ukuya kwezi-28. Ixesha lokunyuka kwedosi lixhomekeke kwimeko yokuphathwa kunye nakwimpendulo yakho kunyango.


I-Bromocriptine inokunceda ukulawula imeko yakho kodwa ayizukuyinyanga. Kungathatha ixesha ukuba uzive ngokupheleleyo isibonelelo se-bromocriptine. Sukuyeka ukuthatha i-bromocriptine ungakhange uthethe nogqirha wakho. Ukuba uyeka ukuthatha i-bromocriptine, imeko yakho inokuba mandundu.

Ukuba uthatha i-bromocriptine (Cycloset) yeswekile, cela usokhemesti okanye ugqirha wakho ikopi yolwazi lomenzi wesigulana.

I-Bromocriptine akufuneki isetyenziselwe ukuyeka ukuvelisa ubisi lwebele kubafazi abaye baqhomfa okanye bazala umntwana ofileyo okanye abakhethe ukungancancisi; I-bromocriptine inokubangela iziphumo ezibi okanye ezibulalayo kwaba bafazi. Thetha nogqirha wakho malunga neengozi zokusebenzisa la mayeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-bromocriptine,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-bromocriptine; I-ergot alkaloids efana ne-cabergoline (Dostinex), dihydroergotamine (DHE 45, Migranal), i-ergoloid mesylates (iJerminal, iHydergine), i-ergonovine (i-Ergotrate), i-ergotamine (i-Bellergal-S, iCafergot, i-Ergomar, i-Wigraine), i-methylergonine Sansert), kunye negolide (Permax); nawaphi na amanye amayeza; okanye nasiphi na isithako esenziwe kwiipilisi zeebromocriptine okanye kwiicapsules. Buza usokhemesti wakho uluhlu lwezithako.
  • 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: amitriptyline (Elavil); izinto zokubulala ezinje nge-itraconazole (Sporanox) kunye ne-ketoconazole (Nizoral); antihistamines; ichloramphenicol; dexamethasone (iDecadron, iDexpak); ezinye i-dopamine agonists ezinjenge cabergoline (Dostinex), levodopa (Dopar, Larodopa), igolide (Permax), kunye ne ropinirole (Requip); Uhlobo lwamayeza e-ergot anjenge-dihydroergotamine (DHE 45, Migranal), i-ergoloid mesylates (iGerminal, iHydergine), i-ergonovine (i-Ergotrate), i-ergotamine (iBellergal-S, iCafergot, i-Ergomar, iWigraine), i-methylergonovine (Methergine), kunye ne-methysergide (Sans) ; haloperidol (iHaldol); imipramine (Tofranil); i-insulin; ii-macrolide antibiotics ezifana ne-clarithromycin (i-Biaxin, kwi-PrevPac) kunye ne-erythromycin (i-EES, i-E-Mycin, i-Erythrocin); amayeza athile kwintsholongwane kaGawulayo (i-HIV) okanye i-immunodeficiency syndrome (i-AIDS) efana ne-indinavir (Crixivan), nelfinavir (Viracept), kunye ne-ritonavir (Norvir, e-Kaletra); amayeza ngomlomo seswekile; amayeza esifuba, umkhuhlane, uxinzelelo lwegazi oluphezulu, migraines, kunye isicaphucaphu; amayeza okugula ngengqondo afana ne-clozapine (Clozaril, FazaClo), olanzapine (Zyprexa, kwi-Symbyax), thiothixene (Navane), kunye ne-ziprasidone (Geodon); imethyldopa (eAldoril); metoclopramide (Reglan); nefazodone; i-octreotide (iSandostatin); ipimozide (Orap); probenecid (kwi-Col-Probenecid, Probalan); gqithisela; irifampin (Rifadin, eRifamate, eRifater, eRimactane); kunye nes sumatriptan (Imitrex). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-bromocriptine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
  • xelela ugqirha wakho ukuba unoxinzelelo oluphezulu lwegazi okanye intloko ebangela ukuba utyhafe. Ugqirha wakho unokukuxelela ukuba ungathathi i-bromocriptine.
  • xelela ugqirha wakho ukuba ngaba usandula ukubeleka, ukuba ukhe waf ’isiqaqa, nokuba ukhe wahlaselwa yintliziyo; ukubetha kwentliziyo okukhawulezayo, okukhawulezayo, okanye okungaqhelekanga; isigulo sengqondo; uxinzelelo lwegazi olusezantsi ukopha esiswini okanye emathunjini; Isifo sikaRaynaud (imeko apho izandla neenyawo ziba ndindisholo kwaye zipholile xa zichanekile kubushushu obubandayo); Intliziyo, isifo, okanye isifo sesibindi; okanye nayiphi na imeko ekuthintela ekutyeni ukutya okuqukethe iswekile, isitashi, okanye iimveliso zobisi ngesiqhelo.
  • xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba uthatha i-bromocriptine (Parlodel) ukunyanga ukunqongophala kokuya exesheni kunye nokungachumi okubangelwa yi-hyperprolactinemia, sebenzisa indlela yolawulo lokuzalwa ngaphandle kwezicwangcisi zehomoni (iipilisi zokulawula ukuzalwa, iipatches, imisesane, okanye inaliti) de ube nexesha lokuya exesheni rhoqo; emva koko uyeke ukusebenzisa inzala. Kuya kufuneka uvavanyelwe ukukhulelwa kube kanye kwiiveki ezi-4 ukuba awuyi exesheni. Nje ukuba ixesha lakho lokuya exesheni libuye, kuya kufuneka uvavanyelwe ukukhulelwa nangaliphi na ixesha lokuya esikhathini kwiintsuku ezi-3 emva kwexesha. Ukuba awunqweneli ukukhulelwa, sebenzisa indlela yolawulo lokuzalwa ngaphandle kwendlela yokucwangcisa yehomoni ngelixa uthatha i-bromocriptine. Ukuba ukhulelwa ngexesha lonyango lwakho nge-bromocriptine, yeka ukuthatha amayeza kwaye ubize ugqirha wakho.
  • musa ukuncancisa xa uthatha i-bromocriptine.
  • ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-bromocriptine (Cycloset).
  • Kuya kufuneka uyazi ukuba i-bromocriptine inokukwenza wozele kwaye ikwenze ulale ngequbuliso. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-bromocriptine.Utywala bunokwenza iziphumo ebezingalindelekanga ukuba zibi ngakumbi kwi-bromocriptine.
  • Kuya kufuneka uyazi ukuba i-bromocriptine inokubangela ukuba ube nesiyezi, isicaphucaphu, ukubila, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo oxokileyo kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-bromocriptine okanye xa idosi yakho inyuswe. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
  • buza ugqirha wakho ukuba wenzeni ukuba uyagula, uhlasele usulelo okanye umkhuhlane, amava oxinzelelo angaqhelekanga, okanye wenzakele. Ezi meko zinokuchaphazela iswekile yegazi kunye nenani le-bromocriptine (Cycloset) onokuyifuna.

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


Qiniseka ukuba ulandela yonke imithambo kunye nezincomo zokutya ezenziwe ngugqirha wakho okanye ugqirha otya ukutya.

Ukuba uthatha i-bromocriptine (Parlodel), thatha idosi ephosiweyo kwakamsinya 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.

Ukuba uthatha i-bromocriptine (Cycloset) kanye ngemini kwaye uyiphose idosi yakho yasekuseni, linda kude kube kusasa kusasa ukuba uthathe amayeza akho. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Eli yeza linokubangela utshintsho kwiswekile yegazi lakho. Kuya kufuneka uyazi iimpawu zeswekile esezantsi kunye ephezulu yegazi kwaye wenzeni ukuba unayo le miqondiso.

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

  • isicaphucaphu
  • ukugabha
  • urhudo
  • ukuqhina
  • isisu esiswini
  • isilungulela
  • Ukuphelelwa ngumdla wokutya
  • intloko ebuhlungu
  • ubuthathaka
  • ukudinwa
  • utywala okanye intloko
  • ukozela
  • ubunzima bokulala okanye ukulala
  • ukudakumba

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

  • isiqaqa
  • ukuphuma kwamanzi empumlweni
  • ukuba ndindisholo, ukubetha, okanye iintlungu kwiminwe yakho ingakumbi kwimozulu ebandayo
  • izitulo ezimnyama kunye nokulinda
  • ukugabha okunegazi
  • ukugabha okubonakala ngathi yindawo yekofu
  • ukudumba kweenyawo, amaqatha okanye imilenze esezantsi
  • ukuxhuzula
  • intloko ebuhlungu
  • ukungaboni kakuhle okanye ukungaboni kakuhle
  • intetho ecothayo okanye enzima
  • ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
  • iintlungu zesifuba
  • iintlungu ezingalweni, emqolo, entanyeni okanye emhlathini
  • ukuqhawukelwa ngumphefumlo
  • ukudideka
  • ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)

I-Bromocriptine 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 nokukhanya, ubushushu obungaphaya, 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
  • ukuqhina
  • ukubila
  • ulusu oluthuthu
  • imvakalelo ngokubanzi yokungonwabi okanye ukungonwabi
  • ukunqongophala kwamandla
  • isiqaqa
  • isiyezi
  • ukozela
  • ukudideka
  • ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
  • ukukholelwa izinto ezingeyonyani
  • ukuzamla ngokuphindaphindiweyo

Gcina konke ukuqeshwa nogqirha wakho, ugqirha wamehlo, kunye nelabhoratri. Uxinzelelo lwegazi kufuneka luhlolwe rhoqo. Ugqirha wakho unoku-odola uviwo lwamehlo rhoqo kunye novavanyo oluthile lwelebhu ukujonga impendulo yomzimba wakho kwi-bromocriptine. Iswekile yegazi lakho kunye ne-hemoglobin eglycosylated (HbA1c) kufuneka ihlolwe rhoqo ukumisela impendulo yakho kwi-bromocriptine (Cycloset). Ugqirha wakho uya kukuxelela ukuba ungayijonga njani impendulo yakho kwi-bromocriptine (Cycloset) ngokulinganisa igazi okanye umchamo wamanqanaba eswekile ekhaya. Landela le miyalelo ngononophelo.

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.

  • Inkanyamba®
  • Iparlodel®
  • Bromocryptine
  • Brom-ergocryptine
  • 2-Bromoergocryptine
  • I-2-Br-alpha-ergocryptine
Ukuhlaziywa kokugqibela-04/15/2017

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