Ropinirole

Umxholo

• Ngaphambi kokuba uthathe i-ropinirole,
• I-Ropinirole 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-Ropinirole isetyenziswa yodwa okanye namanye amayeza ukunyanga iimpawu zesifo sika-Parkinson (PD; ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubunzima ngokuhamba, ukulawula imisipha kunye nokulingana), kubandakanya ukushukuma kwamalungu omzimba, ukuqina, ukucothisa iintshukumo, kunye neengxaki ngokulinganisela. I-Ropinirole ikwasetyenziselwa ukunyanga isifo semilenze engenakuphumla (i-RLS okanye i-Ekbom syndrome; imeko ebangela ukungonwabi emilenzeni kunye nomnqweno onamandla wokuhambisa imilenze, ngakumbi ebusuku naxa uhleli okanye ulele phantsi). URopinirole ukwiklasi yamayeza abizwa ngokuba yi-dopamine agonists. Isebenza ngokusebenza endaweni ye-dopamine, into yendalo kwingqondo efunekayo ukulawula ukuhamba.

I-Ropinirole iza njengecwecwe kunye nokukhutshwa okwandisiweyo (okusebenza ixesha elide) ukuthatha ngomlomo. I-Ropinirole ingathathwa kunye nokutya ukukhusela isisu. Xa i-ropinirole isetyenziselwa ukunyanga isifo sika-Parkinson, ithebhulethi eqhelekileyo ihlala ithathwa kathathu ngemini kwaye ithebhulethi ekhutshiweyo ethathwa kanye ithathwa kanye yonke imihla. Xa i-ropinirole isetyenziselwa ukunyanga isifo semilenze engenakuphumla, ithebhulethi yesiqhelo ihlala ithathwa kanye ngemini, iiyure ezi-1 ukuya kwezi-3 ngaphambi kokulala. Iipilisi zokukhupha ezandisiweyo zeRopinirole azisetyenziswanga ukunyanga isifo semilenze engenakuphumla. Thatha i-ropinirole malunga nexesha elifanayo (ii) yonke imihla. Landela umkhombandlela kwileyibhile yakho yonyango ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-ropinirole ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Kukho amanye amayeza anamagama afana negama lophawu lwe-ropinirole. Kuya kufuneka uqiniseke ukuba ufumana i-ropinirole kwaye ayisiyiyo enye yamayeza afanayo ngalo lonke ixesha ugcwalisa amayeza akho. Qiniseka ukuba iphepha likagqirha elikunika lona licacile kwaye lifundeka lula. Kuya kufuneka ulazi igama lonyango lwakho kwaye kutheni usithatha. Ukuba ucinga ukuba unikwe iyeza elingalunganga, thetha nosokhemesti wakho. Sukuthatha naliphi na iyeza ngaphandle kokuba uqinisekile ukuba lonyango oluyalelwe ngugqirha wakho.

Ginya iipilisi zokukhululwa ezandisiweyo; ungahluleli, ungahlaleli, okanye uzityumze.

Ugqirha wakho uyakukuqala kwidosi ephantsi ye-ropinirole kwaye ngokuthe ngcembe wandise idosi yakho ukunceda ukulawula iimpawu zakho. Ukuba uthatha i-ropinirole ukunyanga isifo sika-Parkinson, ugqirha wakho ngekhe anyuse idosi yakho kaninzi kuneveki. Ukuba uthatha i-ropinirole ukunyanga isifo semilenze esingazinzanga, ugqirha wakho uya kuyonyusa idosi yakho emva kweentsuku ezi-2, kwakhona ekupheleni kweveki yokuqala, kwaye kungabi rhoqo rhoqo ngeveki. Kungathatha iiveki ezininzi ngaphambi kokuba ufikelele kwidosi ekusebenzela. Ukuba uthatha i-ropinirole ukunyanga isifo semilenze engazinzanga, unokufumana ikhithi yokuqala enamacwecwe okonyusa amanani ekufuneka ethathwe kwiiveki ezimbini zokuqala zonyango lwakho. Idosi yamayeza oza kuyidinga ixhomekeka ekubeni umzimba wakho uphendula njani kunyango, kwaye unokwahluka kunamanani akule khithi. Ugqirha wakho uza kukuxelela ukuba ungayisebenzisa njani ikiti nokuba kufuneka uzithathe zonke iipilisi eziqulethe. Landela izikhokelo zikagqirha wakho ngononophelo.

I-Ropinirole ilawula iimpawu zesifo sika-Parkinson kunye nesifo semilenze engazinzanga kodwa ayizinyangi ezi meko. Qhubeka uthatha i-ropinirole nokuba uziva uphilile. Sukuyeka ukuthatha i-ropinirole ungakhange uthethe nogqirha wakho. Ukuba uthatha i-ropinirole kwaye ngesiquphe uyeka ukuthatha amayeza, unokufumana umkhuhlane, ukubetha kwentliziyo okukhawulezayo, ukuqina kwemisipha, ukubila, ukudideka kunye nezinye iimpawu. Ukuba ugqirha wakho ukucela ukuba uyeke ukuthatha i-ropinirole, ugqirha wakho uya kunciphisa idosi yakho ngokuthe ngcembe, ngaphezulu kweentsuku ezisi-7.

Ukuba uyeka ukuthatha i-ropinirole ngaso nasiphi na isizathu, ungaqali ukuthatha amayeza kwakhona ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kufuna ukwandisa idosi yakho kwakhona ngokuthe ngcembe.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokuba uthathe i-ropinirole,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-ropinirole, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-ropinirole okanye iipilisi zokukhupha ezandisiweyo. Buza ugqirha wakho okanye usokhemesti uluhlu lwezinto ezikwiipilisi ze-ropinirole eziqhelekileyo okanye ezandisiweyo.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-antidepressants ('mood elevators'); i-antipsychotic (amayeza esigulo sengqondo); icimetidine (iTagamet, iTagamet HB); i-fluoroquinolone antibiotics njenge-ciprofloxacin (Cipro), kunye ne-norfloxacin (Noroxin); i-fluvoxamine (iLuvox); Unyango lwehormone endaweni yalo kunye nonyango lokucwangcisa lwehomoni (ipilisi yolawulo lokuzalwa, iipatches, iiringi kunye nenaliti); i-insulin; i-lansoprazole (Prevacid); levodopa (eSinemet, eStalevo); amayeza oxinzelelo kunye nokuhlutha; amayeza abangela ukozela; metoclopramide (Reglan); mexiletine (Mexitil); imodafanil (Provigil); nafcillin; omeprazole (Prilosec, Zegerid); ukuthomalalisa; iipilisi zokulala; kunye noxinzelelo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Qiniseka ukuba uxelela ugqirha okanye usokhemesti ukuba uyeka ukuthatha nawaphi na amayeza ngelixa uthatha i-ropinirole.
• xelela ugqirha wakho ukuba wakhe wanomdla wokungcakaza okwakunzima ukulawula kwaye ukuba ukhe walala emini ngokungalindelekanga okanye ingxaki yokulala ngaphandle kwesifo semilenze esingazolanga; uxinzelelo lwegazi oluphezulu okanye oluphantsi; ukuphazamiseka kwengqondo (ukugula ngengqondo okubangela ukucinga okungaqhelekanga okanye ukuqonda); okanye intliziyo, isibindi, okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba ukhulelwa ngelixa uthatha i-ropinirole, biza ugqirha wakho. Xelela ugqirha wakho ukuba uyancancisa. I-Ropinirole inokunciphisa inani lobisi lwakho lwebele.
• Kuya kufuneka uyazi ukuba i-ropinirole inokukwenza wozele okanye inokubangela ukuba ulale ngesiquphe ngexesha lomsebenzi wakho wemihla ngemihla. Usenokuziva ukozela okanye ungabinayo nayiphi na imiqondiso ngaphambi kokuba ulale ngequbuliso. Musa ukuqhuba imoto, ukusebenzisa oomatshini, ukusebenza kwiindawo eziphakamileyo, okanye ukuthatha inxaxheba kwizinto ezinokuba yingozi ekuqaleni konyango lwakho de ube uyazi ukuba lichaphazela njani iyeza. Ukuba ngequbuliso ulale xa usenza into enjengokubukela umabonwakude, ukuthetha, ukutya, okanye ukukhwela emotweni, okanye ukuba uyozela kakhulu, ngakumbi ngexesha lasemini, tsalela umnxeba ugqirha wakho. Musa ukuqhuba, ukusebenza kwiindawo eziphakamileyo, okanye ukusebenzisa oomatshini de uthethe nogqirha wakho.
• khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza. Tshela ugqirha wakho ukuba uhlala usela iziselo ezinxilisayo.
• xelela ugqirha wakho ukuba usebenzisa iimveliso zecuba. Biza ugqirha wakho ukuba uqala okanye uyeke ukutshaya ngexesha lonyango lwakho nge-ropinirole. Ukutshaya kunokunciphisa ukusebenza kweli yeza.
• Kuya kufuneka uyazi ukuba abanye abantu abathathe amayeza anje nge-ropinirole bahlakulela iingxaki zokungcakaza okanye ezinye iindlela ezinamandla zokuziphatha okanye zokuziphatha ezinyanzelekileyo okanye ezingaqhelekanga kubo, njengokunyusa iminqweno yesini okanye isimilo. Akukho lwazi lwaneleyo lokuchaza ukuba ingaba abantu baziphuhlisile na ezi ngxaki kuba bathathe amayeza okanye ezinye izizathu. Tsalela umnxeba ugqirha wakho ukuba unomdla wokungcakaza ekunzima ukuwulawula, uneminqweno enzulu, okanye awukwazi ukulawula indlela oziphethe ngayo. Xelela amalungu osapho lwakho ngalo mngcipheko ukuze bakwazi ukubiza ugqirha nokuba awuqondi ukuba ukungcakaza kwakho okanye nayiphi na eminye iminqweno enzulu okanye indlela yokuziphatha engaqhelekanga ibe yingxaki.
• Kuya kufuneka uyazi ukuba i-ropinirole inokubangela ukuba ube nesiyezi, ukuba nentloko elula, isicaphucaphu, okanye ukubila xa usukuma ngokukhawuleza kwindawo ohleli kuyo okanye olele kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-ropinirole okanye ngokunyuka kwethamo le-ropinirole. Ukuthintela le ngxaki, phuma esitulweni okanye ebhedini kancinci, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.

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

Ukuba uthatha iipilisi ze-ropinirole rhoqo ukunyanga isifo sika-Parkinson kwaye uyaphoswa yidosi, thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo.

Ukuba uthatha iipilisi ze-ropinirole rhoqo ukunyanga isifo semilenze engazinzanga kwaye uphoswa yidosi, tsiba idosi ephosiweyo. Thatha idosi yakho yesiqhelo kwiiyure ezi-1 ukuya kwezi-3 ngaphambi kwexesha lakho lokulala elilandelayo. Sukuyiphinda kabini idosi elandelayo ukwenza idosi ephosiweyo.

Ukuba uthatha iipilisi ze-ropinirole ezandisiweyo zokunyanga isifo sika-Parkinson kwaye uphose idosi, thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Buyela kwishedyuli yakho yesiqhelo ngosuku olulandelayo. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• isilungulela okanye igesi
• urhudo
• ukuqhina
• ukunciphisa ukutya
• ukuhla ukusinda
• isiyezi
• ukozela
• ukudinwa
• ubuthathaka
• intloko ebuhlungu
• ukubila okanye ukugungxula
• ukudideka
• ubunzima bokukhumbula okanye ukugxila
• ixhala
• ukungalawuleki, iintshukumo zomzimba ngesiquphe
• ukungcangcazela kwelungu lomzimba ongenakulilawula
• ukuncipha kobuntununtunu (impendulo) ekuchukumiseni
• Rhoqo okanye ngokungxamisekileyo isidingo sokuchama
• ubunzima bokuchama okanye iintlungu xa uchama
• emadodeni, ubunzima bokufezekisa okanye ukugcina ulwakhiwo
• umqolo, umsipha, okanye iintlungu ezidibeneyo
• iintlungu, ukutshisa, ukuba ndindisholo, okanye ukubetha ezandleni okanye ezinyaweni
• ukudumba kwezandla, iingalo, iinyawo, amaqatha okanye imilenze esezantsi
• umlomo owomileyo

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

• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• isiqaqa
• iintlungu zesifuba
• ukucotha, ukukhawuleza, okanye ukubetha kwentliziyo okungaqhelekanga
• irhashalala
• urhwebo
• ukurhawuzelela
• ukudumba kobuso, imilebe, umlomo, ulwimi, okanye umqala
• ukuqhawukelwa ngumphefumlo
• ubunzima bokuginya okanye ukuphefumla
• umbono kabini okanye olunye utshintsho kumbono

Abantu abanesifo sika-Parkinson banokuba nomngcipheko omkhulu wokuphuhlisa i-melanoma (uhlobo lomhlaza wolusu) kunabantu abangenaso isifo sika-Parkinson. Akukho lwazi lwaneleyo ukuxelela ukuba amayeza asetyenziselwa ukunyanga isifo sika-Parkinson esifana ne-ropinirole anyusa umngcipheko wokuba nomhlaza wolusu. Kufuneka ube novavanyo rhoqo lolusu ukujonga i-melanoma ngelixa uthatha i-ropinirole nokuba awunaso isifo sika-Parkinson. Thetha nogqirha wakho malunga nomngcipheko wokuthatha i-ropinirole.

Abanye abantu abathatha i-ropinirole kunye namanye amayeza afanayo baye bavelisa utshintsho lwe-fibrotic (ukutyhafa okanye ukuqina) kwimiphunga yabo kunye nezivalo zentliziyo. Akukaziwa ukuba le ngxaki ibangelwa yi-ropinirole. Thetha nogqirha wakho malunga nomngcipheko wokuthatha la mayeza.

I-Ropinirole 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 nelanga elithe ngqo, 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
• isiyezi
• isiqaqa
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• amaphupha amabi
• ukozela
• ukudideka
• ukubila
• uloyiko xa usendaweni encinci okanye evaliweyo
• iintshukumo zomzimba ekunzima ukuzilawula
• ngokukhawuleza, ngokungaqhelekanga, okanye ukubetha kwentliziyo
• iintlungu zesifuba
• ubuthathaka
• ukukhohlela
• ukuphazamiseka

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.

• Imfuneko^®
• Imfuneko^® XL