Selegiline

Umxholo

• Ngaphambi kokuba uthathe i-selegiline,
• I-Selegiline 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, tsalela umnxeba kwangoko:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

I-Selegiline isetyenziselwa ukunceda ukulawula iimpawu zesifo sika-Parkinson (PD; ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubunzima ngokuhamba, ukulawula izihlunu, kunye nokulingana) kubantu abathatha indibaniselwano ye-levodopa kunye ne-carbidopa (Sinemet). I-Selegiline inokunceda abantu abanesifo sika-Parkinson ngokunciphisa idosi ye-levodopa / carbidopa efunekayo ukulawula iimpawu, ukumisa iziphumo ze-levodopa / carbidopa ekunxibeni phakathi kweedosi, kunye nokwandisa ubude bexesha i-levodopa / carbidopa iya kuqhubeka nokulawula iimpawu. I-Selegiline ikwiqela lamayeza abizwa ngokuba yi-monoamine oxidase type B (MAO-B) inhibitors. Isebenza ngokwandisa inani le-dopamine (into yendalo efunekayo ukulawula ukuhamba) kwingqondo.

I-Selegiline iza njengecapsule kunye nencithakalo yomlomo (yokunyibilika) yecwecwe lokuthatha ngomlomo. I-capsule ihlala ithathwa kabini ngemini ngesidlo sakusasa nangasemini. Ithebhulethi eyahlayo ngomlomo ihlala ithathwa kanye ngemini ngaphambi kwesidlo sakusasa ngaphandle kokutya, amanzi, okanye ezinye izinto ezingamanzi. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-selegiline ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho. Ukuba uthatha i-selegiline eninzi, unokufumana ukonyuka ngesiquphe nangokuyingozi kuxinzelelo lwegazi.

Ukuba uthatha ithebhulethi yokuqhekeza ngomlomo, musa ukuyisusa iblister equlathe iipilisi kwisingxobo sangaphandle de ube ukulungele ukuthatha idosi. Xa ilixesha ledosi yakho, susa ikhadi leblister kwisingxobo sangaphandle kwaye usebenzise izandla ezomileyo ukukhupha iblister enye. Ungazami ukutyhala ithebhulethi ngefoyile. Beka ithebhulethi ngolwimi lwakho kwaye ulinde inyibilike. Musa ukuginya icwecwe. Musa ukutya okanye usele nantoni na kangangemizuzu emi-5 ngaphambi kokuba uthathe ithebhulethi kunye nemizuzu emi-5 emva kokuba uyithabathe ithebhulethi.

Ukuba uthatha ithebhulethi yokuqhekeza ngomlomo, ugqirha unokukuqala ngedosi esezantsi ye-selegiline kwaye wandise idosi yakho emva kweeveki ezintandathu.

Tshela ugqirha wakho ukuba ufumana isicaphucaphu, iintlungu zesisu, okanye isiyezi. Ugqirha wakho unokunciphisa idosi ye-levodopa / carbidopa ngexesha lonyango lwakho nge-selegiline, ngakumbi ukuba ufumana ezi mpawu okanye ezinye iimpawu ezingaqhelekanga. Landela le miyalelo ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba awazi ukuba lingakanani iyeza ekufuneka ulithathile. Sukutshintsha iidosi zalo naliphi na iyeza lakho ngaphandle kokuba ugqirha ukuxelele ukuba kufanele.

I-Selegiline inokunceda ukulawula iimpawu ze-PD, kodwa ayizukuyinyanga imeko. Sukuyeka ukuthatha i-selegiline ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngesiquphe ukuthatha amayeza kwisifo sika-Parkinson esifana ne-selegiline, unokufumana umkhuhlane, ukubila, izihlunu eziqinileyo, kunye nokulahleka kwengqondo. Fowunela ugqirha wakho ukuba ufumana ezi okanye ezinye iimpawu ezingaqhelekanga emva kokuba uyekile ukuthatha i-selegiline.

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

Ngaphambi kokuba uthathe i-selegiline,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-selegiline, okanye nawaphi na amanye amayeza.
• xelela ugqirha wakho ukuba uthatha, usandula ukuthatha, okanye uceba ukuthatha nayiphi na le miyalelo ilandelayo kunye nonyango olungabhaliswanga: dextromethorphan (Robitussin); meperidine (iDemerol); imethadone (iDolophine), ipropoxyphene (iDarvon); tramadol (Ultram, kwi-Ultracet); kunye namanye amayeza aqukethe i-selegiline (i-Eldepryl, i-Emsam, iZelapar). Ugqirha wakho unokukuxelela ukuba ungathathi i-selegiline ukuba uthatha okanye usandula ukuthatha nawaphi na amayeza. Ukuba uyeka ukuthatha i-selegiline, ugqirha wakho unokukuxelela ukuba ungawathathi la mayeza de kube kudlule ubuncinci iintsuku ezili-14 okoko wagqibela ukuthatha i-selegiline.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anti-depressants efana ne-amitriptyline (Elavil) kunye ne-imipramine (Tofranil); icarbamazepine (iCarbatrol, iEquetro); amayeza okukhohlela kunye neempawu ezibandayo okanye ukunciphisa umzimba; nafcillin; phenobarbital; phenytoin (Dilantin); i-serotonin reuptake inhibitors ekhethiweyo njenge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), kunye sertraline (Zoloft); Kunye nerifampin (Rifadin, Rimactane). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akujonge ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe unesifo sesibindi okanye sezintso.
• ukuba une-phenylketonuria (PKU; imeko ezuzwe njengelifa apho ukutya okukhethekileyo kufuneka kulandelwe ukuthintela ukudodobala kwengqondo), kuya kufuneka wazi ukuba amacwecwe odiliza ngomlomo aqukethe i-phenylalanine.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-selegiline, tsalela umnxeba ugqirha wakho.
• Kuya kufuneka uyazi ukuba i-selegiline inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo oxokileyo kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-selegiline. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.

Buza ugqirha wakho ukuba ufuna ukuthintela nakuphi na ukutya ngexesha lonyango kunye ne-selegiline. Ugqirha wakho uya kuthi akuxelele ukuba unokuqhubeka nokutya okuqhelekileyo okoko nje uthatha i-selegiline kanye njengoko kuyalelwe.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yedosi.Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• isiyezi
• intloko elula
• isiqaqa
• umlomo owomileyo
• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• kunzima ukugwinya
• isilungulela
• urhudo
• irhasi
• ukuqhina
• ubunzima bokulala okanye ukulala
• amaphupha angaqhelekanga
• ukozela
• ukudakumba
• iintlungu, ngakumbi emilenzeni okanye emqolo
• iintlungu zemisipha okanye ubuthathaka
• amabala emfusa eluswini
• irhashalala
• ubomvu, ukucaphuka, okanye izilonda emlonyeni (ukuba uthatha iipilisi ezihlaziya ngomlomo)

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

• intloko ebuhlungu
• iintlungu zesifuba
• ngokukhawuleza, ngokungaqhelekanga, okanye ukubetha kwentliziyo
• ukubila
• ngesiquphe, isicaphucaphu esiqatha nokugabha
• ukudideka
• iqine okanye iqaqambe intamo
• ukushukuma okungalawulekiyo kwilungu lomzimba wakho
• iintshukumo ezingaqhelekanga ekunzima ukuzilawula
• ukubona izinto ezingekhoyo (ukubona into okanye ukuva amazwi angabikho)
• ubunzima bokuphefumla

Abantu abane-PD banokuba nomngcipheko okhulayo we-melanoma (uhlobo lomhlaza wesikhumba). Akukho lwazi lwaneleyo ukuxelela ukuba i-selegiline okanye amanye amayeza ePD anyusa umngcipheko we-melanoma. Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-selegiline kunye nokuba kufuneka uhlolwe ulusu ngexesha lonyango lwakho.

I-Selegiline inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Lahla naziphi na iipilisi ezingasetyenziswanga ngomlomo ezonakalisa iipilisi emva kweenyanga ezintathu emva kokuba uvula ingxowa yokukhusela.

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:

• ukozela
• isiyezi
• ukudinwa
• ukucaphuka
• Uxinzelelo
• ukuphazamiseka
• intloko ebuhlungu
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• ukuqina kwemihlathi
• ukuqina kunye nokugoba komqolo
• ukuxhuzula
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• ukubetha ngokukhawuleza nokungahambi kakuhle
• iintlungu zesifuba
• ukuphefumla okucothayo
• ukubila
• ifiva
• Kuyabanda, ulusu olunombala

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.

• UEldepryl^®
• Zelapar^®