ISildenafil

Umxholo

• Ngaphambi kokuba uthathe i-sildenafil,
• I-Sildenafil 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:

I-Sildenafil (Viagra) isetyenziselwa ukunyanga ukungasebenzi kakuhle kwe-erectile (ukungabinamandla; ukungakwazi ukufumana okanye ukugcina ulwakhiwo) emadodeni. I-Sildenafil (i-Revatio) isetyenziselwa ukuphucula ukubanakho kokuzivocavoca kubantu abadala abane-pulmonary arterial hypertension (PAH; uxinzelelo lwegazi oluphezulu kwimithambo ephethe igazi ukuya emiphungeni, ibangela ukuphefumla okufutshane, isiyezi kunye nokudinwa). Abantwana akufuneki bathathe i-sildenafil, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-sildenafil (i-Revatio) lelona nyango lilungileyo lokunyanga imeko yomntwana. USildenafil ukwiklasi yamayeza ebizwa ngokuba yi-phosphodiesterase (PDE) inhibitors. I-Sildenafil inyanga ukungasebenzi kakuhle kwe-erectile ngokwandisa ukuhamba kwegazi ukuya kwilungu lobudoda ngexesha lokuvuselelwa ngokwesondo. Oku kunyuka kokuhamba kwegazi kunokubangela ulwakhiwo. I-Sildenafil inyanga i-PAH ngokuphungula imithambo yegazi emiphungeni ukuvumela ukuhamba kwegazi ngokulula.

Ukuba uthatha i-sildenafil ukunyanga ukungasebenzi kakuhle kwe-erectile, kuya kufuneka uyazi ukuba ayinyangi ukungasebenzi kakuhle kwe-erectile okanye yonyuse umnqweno wesini. I-Sildenafil ayikuthinteli ukukhulelwa okanye ukusasazeka kwezifo ezidluliselwa ngeentlobano zesini ezinjenge-human immunodeficiency virus (HIV).

I-Sildenafil iza njengecwecwe kunye nokumiswa (ulwelo; Revatio kuphela) ukuthatha ngomlomo.

Ukuba uthatha i-sildenafil ukunyanga ukungasebenzi kakuhle kwe-erectile, landela umkhombandlela kagqirha wakho kunye nezikhokelo ezikulo mhlathi. Thatha i-sildenafil njengoko kufuneka ngaphambi komsebenzi wesondo. Elona xesha lilungileyo lokuthatha i-sildenafil malunga neyure eli-1 ngaphambi kwemisebenzi yesondo, kodwa ungalithatha iyeza nanini na ukusuka kwiiyure ezi-4 ukuya kwimizuzu engama-30 ngaphambi kokuba usebenze ngesondo. I-Sildenafil ngokwesiqhelo akufuneki ithathwe ngaphezulu kwesinye kwiiyure ezingama-24. Ukuba uneemeko ezithile zempilo okanye uthatha amayeza athile, ugqirha wakho unokukuxelela ukuba uthathe i-sildenafil rhoqo. Ungathatha i-sildenafil kunye okanye ngaphandle kokutya. Nangona kunjalo, ukuba uthatha i-sildenafil ngesidlo esinamafutha aphezulu, kuya kuthatha ixesha elide ukuba amayeza aqale ukusebenza.

Ukuba uthatha i-sildenafil ukunyanga i-PAH, landela umkhombandlela kagqirha wakho kunye nezikhokelo ezikulo mhlathi. Uya kuthatha i-sildenafil kathathu ngemini kunye okanye ngaphandle kokutya. Thatha i-sildenafil ngamaxesha afanayo yonke imihla, kwaye ubeke iidosi zakho malunga neeyure ezi-4 ukuya kwezi-6 ngokwahlukeneyo.

Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-sildenafil ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Hlanganisa ulwelo kakuhle imizuzwana eli-10 phambi kokuba usebenzise lunye ukuxuba amayeza ngokulinganayo. Sebenzisa isirinji yomlomo enikezelwe ngamayeza akho ukulinganisa nokuthatha idosi yakho. Landela umkhombandlela womvelisi wokusebenzisa nokucoca isirinji yomlomo. Musa ukudibanisa ulwelo namanye amayeza okanye ukongeze nantoni na incasa iyeza.

Ukuba uthatha i-sildenafil yokungasebenzi kakuhle kwe-erectile, ugqirha wakho uya kukuqala ngethamo le-sildenafil kwaye andise okanye anciphise idosi ngokuxhomekeke kwimpendulo yakho kunyango. Tshela ugqirha wakho ukuba i-sildenafil ayisebenzi kakuhle okanye ukuba uneziphumo ebezingalindelekanga.

Ukuba uthatha i-sildenafil ye-PAH, kuya kufuneka uyazi ukuba i-sildenafil ilawula i-PAH kodwa ayiyinyangi. Qhubeka nokuthatha i-sildenafil nokuba uziva uphilile. Sukuyeka ukuthatha i-sildenafil ngaphandle kokuthetha nogqirha wakho.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-sildenafil,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-sildenafil, nawaphi na amanye amayeza, okanye nasiphi na isithako semveliso ye-sildenafil. Buza usokhemesti wakho uluhlu lwezithako.
• musa ukuthatha i-sildenafil ukuba uthatha okanye usandula ukuthatha i-riociguat (Adempas) okanye i-nitrate (amayeza entlungu yesifuba) njenge-isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), kunye ne-nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat , Abanye). AmaNitrate eza njengamacwecwe, iilwimi ezincinci (phantsi kolwimi) iipilisi, izitshizi, iipatches, iipasta kunye namafutha okuthambisa. Buza ugqirha wakho ukuba awuqinisekanga ukuba ngaba nawaphi na amayeza akho ane-nitrate.
• musa ukuthatha iziyobisi zasesitalatweni eziqukethe iitrate ezifana ne-amyl nitrate kunye ne-butyl nitrate ('poppers') ngelixa uthatha i-sildenafil.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-alpha blockers ezinje nge-alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, eJalyn), kunye neterazosin; iamlodipine (iNorvasc, eAmturnide, eTekamlo); ii-antifungals ezithile ezinje nge-itraconazole (Onmel, Sporanox) kunye ne-ketoconazole (Nizoral); ii-anticoagulants (’izinciphisi zegazi’) ezifana ne-warfarin (Coumadin, Jantoven); ii-barbiturates ezithile ezinjenge-butalbital (kwi-Butapap, e-Fioricet, e-Fiorinal, ezinye) kunye ne-secobarbital (Seconal); ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kunye nepropranolol (Hemangeol, Inderal LA, InnoPran); i-bosentan (iTracleer); icimetidine; efavirenz (Sustiva, eAtripla); i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin); I-HIV protease inhibitors kubandakanya amprenavir (Agenerase; engasekho e-US), atazanavir (Reyataz, e-Evotaz), darunavir (Prezista, e Prezcobix), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (e Kaletra), nelfinavir Viracept), ritonavir (Norvir, eKaletra), saquinavir (Invirase), kunye netipranavir (Aptivus); nevirapine (Viramune); amanye amayeza okanye izixhobo zokunyanga ukungasebenzi kakuhle kwe-erectile; amayeza kuxinzelelo lwegazi; amayeza athile okubanjwa kubandakanya i-carbamazepine (Carbatrol, Epitol, Tegretol, abanye), phenobarbital, kunye ne phenytoin (Dilantin, Phenytek); irifabutin (Mycobutin); kunye nerifampin (Rifadin, Rimactane, eRifamate, eRifater). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.Uninzi lwamanye amayeza anokusebenzisana ne-sildenafil, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo okanye oceba ukuzithatha, ngakumbi i-wort yaseSt.
• xelela ugqirha wakho ukuba uyatshaya, ukuba ukhe wakha ulwakhiwo olwahlala iiyure ezininzi, kwaye ukuba kutshanje ulahlekelwe sisixa esikhulu samanzi omzimba (ukomisa). Oku kunokwenzeka xa ugula ngumkhuhlane, urhudo, okanye ukugabha; ukubila kakhulu; okanye ungaseli ulwelo olwaneleyo. Xelela ugqirha wakho ukuba ukhe wahlaselwa sisifo semiphunga (venus-occlusive disease) (PVOD; ukuvaleka kwemithambo emiphungeni); isilonda esiswini; Intliziyo, isifo, okanye isifo sesibindi; isifo sentliziyo; ukubetha kwentliziyo ngokungaqhelekanga; ukubetha; iintlungu zesifuba; uxinzelelo lwegazi oluphezulu okanye oluphantsi; cholesterol ephezulu; ukuphazamiseka kwegazi; iingxaki zokuhamba kwegazi; iingxaki zeeseli yegazi ezinje nge-sickle cell anemia (isifo seeseli ezibomvu zegazi), i-myeloma ezininzi (umhlaza weeseli ze-plasma), okanye i-leukemia (umhlaza weeseli ezimhlophe zegazi); iimeko ezichaphazela ukumila kwepenisi (umzekelo, i-angulation, cavernosal fibrosis, okanye isifo se-Peyronie); okanye isifo seswekile. Xelela ugqirha wakho ukuba wena okanye naliphi na ilungu losapho lwakho ukhe unesifo samehlo esifana ne-retinitis pigmentosa (imeko yamehlo ezuzwe njengelifa ebangela ukulahleka kombono) okanye ukuba ukhe waphulukana nombono ngesiquphe, ngakumbi ukuba uxelele ukuba ukulahleka kombono kubangelwe kukuvaleka kokuhamba kwegazi ukuya kwimithambo-luvo ekunceda ubone.
• ukuba ungumfazi kwaye uthatha i-sildenafil ukunyanga i-PAH, xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-sildenafil, tsalela umnxeba ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha wakho okanye ugqirha wamazinyo ukuba uthatha i-sildenafil.
• ukuba uthatha i-sildenafil ukunyanga ukungasebenzi kakuhle kwe-erectile, xelela ugqirha wakho ukuba ukhe wacetyiswa yingcali yokhathalelo lwempilo ukunqanda isenzo sesondo ngenxa yezizathu zonyango okanye ukuba ukhe weva iintlungu zesifuba ngexesha lesondo. Umsebenzi wesondo unokuba yingxaki entliziyweni yakho, ngakumbi ukuba unesifo sentliziyo. Ukuba uva iintlungu esifubeni, isiyezi, okanye isicaphucaphu ngexesha lokwabelana ngesondo, tsalela umnxeba kwangoko kwaye uphephe isenzo sesondo de ugqirha wakho akuxelele ngenye indlela.
• xelela bonke ababoneleli bakho bezempilo ukuba uthatha i-sildenafil. Ukuba ukhe ufune unyango olungxamisekileyo lwengxaki yentliziyo, ababoneleli ngezonyango abakunyangayo kuya kufuneka bazi ukuba ugqibele nini ukuthatha i-sildenafil.

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

Ukuba uthatha i-sildenafil yokungasebenzi kakuhle kwe-erectile, akunakulindeleka ukuba uphulukane nethamo kuba eli yeza lithathwa njengoko lifuneka, hayi kwishedyuli yedosi eqhelekileyo.

Ukuba uthatha i-sildenafil ye-PAH, 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.

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

• intloko ebuhlungu
• isilungulela
• urhudo
• ukucoca (ukuziva ukufudumala)
• impumlo
• ubunzima bokulala okanye ukulala
• ukuba ndindisholo, ukutshisa, okanye ukurhawuzelela iingalo, izandla, iinyawo okanye imilenze
• iintlungu zemisipha
• utshintsho kumbono wombala (ukubona i-blue tinge kwizinto okanye ubunzima bokuchaza umahluko phakathi kohlaza okwesibhakabhaka noluhlaza)
• uvakalelo ekukhanyeni

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

• ukulahleka okukhulu kombono (jonga ngezantsi ngolwazi oluthe kratya)
• ukungaboni kakuhle
• ukuncipha ngesiquphe okanye ukulahleka kwendlebe
• kukhala ezindlebeni
• utywala okanye intloko
• isiqaqa
• iintlungu zesifuba
• ukwanda komoya omfutshane
• ulwakhiwo olubuhlungu okanye oluhlala ixesha elide kuneeyure ezingama-4
• ukurhawuzelela okanye ukutshisa xa uchama
• irhashalala

Abanye abaguli bafumana ilahleko ngequbuliso yeminye okanye yonke umbono wabo emva kokuba bethathe i-sildenafil okanye amanye amayeza afana nesildenafil. Ukuphulukana kombono kwakuhlala ngokusisigxina kwezinye iimeko. Ayaziwa ukuba ilahleko yombono ibangelwe ngamayeza. Ukuba ufumana ukulahleka kombono ngequbuliso ngelixa uthatha i-sildenafil, tsalela umnxeba kwangoko. Musa ukuthatha elinye idosi le-sildenafil okanye amayeza afanayo anje nge-tadalafil (Cialis) okanye i-vardenafil (i-Levitra) de uthethe nogqirha wakho.

Kukho iingxelo zokuhlaselwa sisifo sentliziyo, ukubetha, ukubetha kwentliziyo ngendlela engaqhelekanga, ukopha kwingqondo okanye kwimiphunga, uxinzelelo lwegazi oluphezulu, kunye nokufa ngesiquphe kumadoda athabathe i-sildenafil yokungasebenzi kakuhle kwe-erectile. Uninzi, kodwa ayingabo bonke, baba bantu babeneengxaki zentliziyo ngaphambi kokuba bathathe i-sildenafil. Ayaziwa ukuba ngaba ezi ziganeko zibangelwe yi-sildenafil, isenzo sesondo, isifo sentliziyo, okanye indibaniselwano yezi kunye nezinye izizathu Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-sildenafil.

Abanye abaguli bafumana ukwehla ngesiquphe okanye ukulahleka kokuva emva kokuba bethathe i-sildenafil okanye amanye amayeza afana nesildenafil. Ukuphulukana nendlebe kuhlala kubandakanya indlebe enye kuphela kwaye bekungasoloko kuphucuka xa iyeka iyeza. Ayaziwa ukuba ilahleko yokuva ibangelwe ngamayeza. Ukuba ufumana ilahleko yokuva ngequbuliso, ngamanye amaxesha ukukhala ezindlebeni okanye isiyezi, ngelixa uthatha i-sildenafil, tsalela umnxeba kwangoko. Ukuba uthatha i-sildenafil (Viagra) yokungasebenzi kakuhle kwe-erectile, ungathathi enye idosi ye-sildenafil (Viagra) okanye amayeza afanayo anje nge-tadalafil (Cialis) okanye i-vardenafil (i-Levitra) de uthethe nogqirha wakho. Ukuba uthatha i-sildenafil (Revatio) ye-PAH, musa ukuyeka ukuthatha amayeza akho de uthethe nogqirha wakho.

ISildenafil 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. Gcina iitafile kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Gcina ukunqunyanyiswa kubushushu begumbi okanye kwifriji, kodwa ungazimisi ngumkhenkce. Lahla nakuphi na ukumiswa okungasetyenziswanga emva kweentsuku ezingama-60.

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.

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.

• Uhlaziyo^®
• Viagra^®