Imetoclopramide
Umxholo
- Ngaphambi kokuba uthathe i-metoclopramide,
- I-Metoclopramide inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza:
- Iimpawu libanda kungaquka oku kulandelayo:
Ukuthatha i-metoclopramide kunokubangela ukuba uphuhlise ingxaki yemisipha ebizwa ngokuba yi-tardive dyskinesia. Ukuba uphuhlisa i-tardive dyskinesia, uya kushukumisa izihlunu zakho, ngakumbi izihlunu ebusweni bakho ngeendlela ezingaqhelekanga. Awuyi kuba nakho ukulawula okanye ukumisa ezi ntshukumo. I-Tardive dyskinesia ayinakuhamba nasemva kokuba uyeke ukuthatha i-metoclopramide. Okukhona uthatha i-metoclopramide, umngcipheko omkhulu wokuba ube ne-tardive dyskinesia. Ke ngoko, ugqirha wakho uya kuthi kuwe ungathathi i-metoclopramide ixesha elingaphezulu kweeveki ezili-12. Umngcipheko wokuba uza kuphuhlisa i-tardive dyskinesia nawo mkhulu ukuba uthatha amayeza esigulo sengqondo, ukuba unesifo seswekile, okanye ukuba umdala, ngakumbi ukuba ungumfazi. Fowunela ugqirha wakho kwangoko ukuba uhlakulela nayiphi na intshukumo yomzimba engalawulekiyo, ngakumbi ukubetha ngomlomo, ukuhlafuna umlomo, ukuhlafuna, ukufinga iintsimbi, ukukroboza, ukukhupha ulwimi lwakho, ukuqhwanyaza, ukuhamba kwamehlo, okanye ukushukumisa iingalo okanye imilenze.
Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-metoclopramide 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.
Thetha nogqirha wakho malunga neengozi zokuthatha i-metoclopramide.
I-Metoclopramide isetyenziselwa ukunciphisa ukubola kunye nokukhawulezisa ukuphilisa izilonda kunye nezilonda kwi-esophagus (ityhubhu edibanisa umlomo nesisu) kubantu abanesifo se-reflux se-gastroesophageal (GERD; imeko apho ukubuyela umva kwe-asidi esiswini kubangela ukutsha kunye ukwenzakala kwe-esophagus) engakhange ibengcono ngezinye iindlela zonyango. I-Metoclopramide ikwasetyenziselwa ukukhupha iimpawu ezibangelwa kukukhawuleza kwesisu kubantu abanesifo seswekile. Ezi mpawu zibandakanya isicaphucaphu, ukugabha, ukuqaqamba kwentliziyo, ukuphelelwa ngumdla wokutya, kunye nemvakalelo yokugcwala okuhlala ixesha elide emva kokutya. I-Metoclopramide ikudidi lwamayeza abizwa ngokuba ziiarhente zeprokinetic. Isebenza ngokukhawulezisa ukuhamba kokutya ngesisu nangamathumbu.
I-Metoclopramide iza njengethebhulethi, ityibhile yomlomo (yokunyibilika), kunye nesisombululo (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa amaxesha ama-4 ngemini kwisisu esingenanto, imizuzu engama-30 ngaphambi kwesidlo ngasinye kunye nexesha lokulala. Xa i-metoclopramide isetyenziselwa ukunyanga iimpawu ze-GERD, inokuthathwa kancinci rhoqo, ngakumbi ukuba iimpawu zenzeka kuphela ngamaxesha athile emini. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-metoclopramide ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Ukuba uthatha ithebhulethi yokuqhekeza ngomlomo, sebenzisa izandla ezomileyo ukususa ithebhulethi kwiphakheji ngaphambi kokuba uthathe idosi yakho. Ukuba ithebhulethi iyaphuka okanye iyaqhekeka, yilahle kwaye ususe ithebhulethi entsha kwiphakheji. Susa ngobumnene ithebhulethi kwaye uyibeke kwangoko ngaphezulu kulwimi lwakho. Ithebhulethi ihlala inyibilika malunga nomzuzu omnye kwaye inokuginywa ngamathe.
Ukuba uthatha i-metoclopramide ukunyanga iimpawu zokukhupha isisu kancinci okubangelwa sisifo seswekile, kuya kufuneka wazi ukuba iimpawu zakho aziyi kuphucula konke ngaxeshanye. Unokuqaphela ukuba isicaphucaphu siphucula kwangoko kunyango lwakho kwaye siyaqhubeka nokuphucula kwiiveki ezi-3 ezizayo. Ukugabha kunye nokuphelelwa ngumdla kunokuthi kuphuculwe kwangoko kunyango lwakho, kodwa kunokuthatha ixesha elide ukuba iimvakalelo zakho ziphele.
Qhubeka nokuthatha i-metoclopramide nokuba uziva uphilile. Ungayeki ukuthatha i-metoclopramide ngaphandle kokuthetha nogqirha wakho. Unokufumana iimpawu zokurhoxa ezinje ngesiyezi, uvalo, kunye nentloko xa uyeka ukuthatha i-metoclopramide.
I-Metoclopramide ngamanye amaxesha isetyenziselwa ukunyanga iimpawu zokucothisa isisu kubantu abachacha kwiindidi ezithile zoqhaqho, kunye nokukhusela isicaphucaphu kunye nokugabha kubantu abanyangwa ngekhemotherapy yomhlaza. Buza ugqirha wakho malunga nomngcipheko wokusebenzisa eli yeza ukunyanga imeko yakho.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-metoclopramide,
- xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-metoclopramide, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-metoclopramide okanye isisombululo. Buza ugqirha wakho okanye usokhemesti okanye ujonge isiKhokelo seMithi ukuze ufumane uluhlu lwezithako.
- xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo kunye neemveliso zamayeza ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya oku kulandelayo: i-acetaminophen (iTylenol, abanye); antihistamines; iasprini; i-atropine (kwiLonox, eLomotil); icyclosporine (Gengraf, Neoral, Sandimmune); ii-barbiturates ezinje nge-pentobarbital (Nembutal), phenobarbital (Luminal), kunye ne-secobarbital (Seconal); i-digoxin (iLanoxicaps, iLanoxin); haloperidol (Haldol); ipratropium (Atrovent); lithium (Eskalith, Lithobid); levodopa (eSinemet, eStalevo); amayeza oxinzelelo, uxinzelelo lwegazi, isifo sesisu, isifo sokuhamba, isicaphucaphu, isifo sikaParkinson, izilonda, okanye iingxaki zomchamo; i-monoamine oxidase (MAO) inhibitors, kubandakanya isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate); amayeza e-narcotic entlungu; ukuthomalalisa; iipilisi zokulala; i-tetracycline (iBristacycline, iSumycin); okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akujonge ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho ukuba ukhe wanqandwa, ukopha, okanye walila esiswini okanye emathunjini; pheochromocytoma (ithumba kwincindi encinci kufutshane nezintso); okanye ukuxhuzula. Ugqirha wakho uya kukuxelela ukuba ungathathi i-metoclopramide.
- xelela ugqirha wakho ukuba ukhe unesifo sikaParkinson's (PD; ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubunzima ngokuhamba, ukulawula izihlunu, kunye nokulingana); igazi elonyukayo; ukudakumba; umhlaza webele; isifuba; iswekile ye-glucose-6-phosphate dehydrogenase (G-6PD) (isifo segazi esizuzwe njengelifa); I-NADH cytochrome B5 ukunciphisa i-reductase (isifo segazi esizuze ilifa); okanye intliziyo, isibindi, okanye isifo sezintso.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-metoclopramide, tsalela ugqirha wakho.
- thetha nogqirha wakho malunga nomngcipheko kunye nezibonelelo zokuthatha i-metoclopramide ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-metoclopramide, ngaphandle kokuba isetyenziselwa ukunyanga ukukhutshwa kwesisu kancinci, kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziselwa ukunyanga ezo meko.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-metoclopramide.
- Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
- buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha eli yeza. Utywala bungenza iziphumo ebezingalindelekanga ze-metoclopramide zibe mbi ngakumbi.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya kwakho rhoqo.
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-Metoclopramide inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- ukozela
- ukudinwa kakhulu
- ubuthathaka
- intloko ebuhlungu
- isiyezi
- urhudo
- isicaphucaphu
- ukugabha
- ukwandiswa kwamabele okanye ukukhupha
- ukuphoswa lixesha lokuya exesheni
- ukunciphisa amandla esini
- ukuchama rhoqo
- ukungakwazi ukulawula ukuchama
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zikhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza:
- Ukuqina kwezihlunu, ngakumbi emhlathini okanye entanyeni
- iingxaki zokuthetha
- ukudakumba
- ucinga ngokuzenzakalisa okanye ukuzibulala
- ifiva
- ukuqina kwemisipha
- ukudideka
- ukukhawuleza, ukukhawuleza, okanye ukubetha kwentliziyo
- ukubila
- ukungazinzi
- uvalo okanye ijitteriness
- ukuphazamiseka
- ubunzima bokulala okanye ukulala
- ukuhamba
- ukuthinta iinyawo
- ukuhamba kancinci okanye ukuqina
- imbonakalo yobuso engenanto
- ukushukuma okungalawulekiyo kwilungu lomzimba
- kunzima ukugcina ibhalansi yakho
- irhashalala
- urhwebo
- ukudumba kwamehlo, ubuso, imilebe, ulwimi, umlomo, umqala, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
- ukukhawuleza ukutyeba
- ubunzima bokuphefumla okanye ukugwinya
- izandi eziphezulu xa uphefumla
- iingxaki zombono
I-Metoclopramide 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).
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 libanda kungaquka oku kulandelayo:
- ukozela
- ukudideka
- ukuxhuzula
- iintshukumo ezingaqhelekanga, ezingalawulekiyo
- ukunqongophala kwamandla
- Umbala oluhlaza okwesibhakabhaka
- intloko ebuhlungu
- ukuqhawukelwa ngumphefumlo
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.
- IClopra®¶
- UMaxolon®¶
- Metozolv® I-ODT
- Reglan®
¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.
Ukuhlaziywa kokugqibela-10/15/2018