Ramelteon
Zvemukati
- Usati watora ramelteon,
- Ramelteon inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:
Ramelteon inoshandiswa kubatsira varwere vanorara-kutanga kushaya hope (kunetsekana kurara) kurara nekukurumidza. Ramelteon ari mukirasi yemishonga inonzi melatonin receptor agonists. Inoshanda zvakafanana kune melatonin, chinhu chechisikigo muuropi chinodiwa pakurara.
Ramelteon anouya sehwendefa rekutora nemuromo. Inowanzo kutorwa kamwe chete pazuva, hapana kumberi kwemaminetsi makumi matatu nguva yekurara. Usatore ramelteon pamwe kana nguva pfupi yapfuura kudya. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora ramelteon chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya.
Iwe unogona kurara nekukurumidza mushure mekutora ramelteon. Mushure mekutora ramelteon, iwe unofanirwa kupedzisa chero zvinodiwa zvekugadzirira nguva yekurara woenda kunorara. Usaronge zvimwe zviitiko zvenguva ino. Usatore ramelteon kana ukatadza kuramba wakarara kwemaawa manomwe kusvika masere mushure mekutora mushonga.
Kusuruvara kwako kunofanirwa kuvandudza mukati memazuva manomwe kusvika gumi mushure mekunge watanga kurapwa ne ramelteon. Fonera chiremba wako kana kushaya hope kwako kusiri kuvandudzika panguva ino kana kuwedzera kuipa chero nguva panguva yekurapwa kwako.
Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa ne ramelteon uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora ramelteon,
- udza chiremba wako uye wemishonga kana uri weergoria kune ramelteon, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi e ramelteon. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
- udza chiremba wako kana uri kutora fluvoxamine (Luvox). Chiremba wako angangokuudza kuti usatore ramelteon paunenge uchitora mushonga uyu.
- udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: mamwe antifungals senge fluconazole (Diflucan), itraconazole (Sporanox), uye ketoconazole (Nizoral); cimetidine (Tagamet); clarithromycin (Biaxin, muPrevpac); fluoroquinolones anosanganisira ciprofloxacin (Cipro, Proquin XR), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (Floxin), vamwe; HIV protease inhibitors inosanganisira indinavir (Crixivan), nelfinavir (Viracept), uye ritonavir (Norvir, muKaletra); mishonga yekushushikana, kurwadziwa kana kubatwa; nefazodone; rifampin (Rifadin, muRifamate, muRifater, Rimactane); kunyaradza; mamwe mapiritsi ekurara; ticlopidine (Ticlid); uye zvinodzivirira. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne ramelteon, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
- udza chiremba wako kana iwe wakambofunga nezvekuzviuraya iwe kana kuronga kana kuyedza kuzviita, uye kana iwe kana wakambove uine chirwere chisingaperi chisingavhiringidzi chemapapu (COPD, kukuvara kumapapu kunoita kuti kufema kuome) kana zvimwe chirwere chemapapu, kufema kufema (mamiriro maunombomira kufema kazhinji munguva yehusiku) kana mamwe matambudziko ekufema, kushushikana, chirwere chepfungwa, kana chirwere chechiropa.
- udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora ramelteon, dana chiremba wako.
- iwe unofanirwa kuziva kuti ramelteon inogona kukuita iwe kukotsira masikati. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
- usanwa doro panguva yekurapa kwako ne ramelteon. Doro rinogona kuita kuti mhedzisiro ye ramelteon iwedzere.
- iwe unofanirwa kuziva kuti vamwe vanhu vakatora ramelteon vakabuda pamubhedha ndokutyaira mota dzavo, vakagadzirira nekudya chikafu, vakaita bonde, vakafona, kana vaibatanidzwa mune zvimwe zviitiko vakarara zvishoma. Mushure mekunge vamuka, vanhu ava kazhinji vaisakwanisa kurangarira zvavaive vaita. Fonera chiremba wako ipapo ipapo kana iwe ukaona kuti wanga uchityaira kana kuita chero chimwe chinhu chisina kujairika pawanga wakarara.
- iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunenge uchitora mushonga uyu. Zvakaoma kutaura kana shanduko idzi dzinokonzerwa ne ramelteon kana kana zvichikonzerwa nezvirwere zvepanyama kana zvepfungwa izvo zvauinazvo kana kamwe kamwe zvinokura. Udza chiremba wako ipapo ipapo kana ukasangana nechimwe chezviratidzo zvinotevera: kushungurudzika, kushushikana, kupenga kana kushushikana zvisina kujairika, kuona zvisizvo (kuona zvinhu kana manzwi ekunzwa asipo), hope dzinotyisa, matambudziko ekurangarira, kushungurudzika kutsva kana kuwedzera, kufunga nezve kuyedza kuzviuraya iwe, uye chero shanduko mune ako akajairwa mafungiro, manzwiro, kana maitiro. Iva nechokwadi chekuti mhuri yako inoziva kuti ndezvipi zviratidzo zvingave zvakakomba kuitira kuti vagone kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa wega.
Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.
Ramelteon inongofanirwa kutorwa panguva yekurara. Kana iwe usina kutora ramelteon panguva yekurara uye usingakwanise kukotsira, unogona kutora ramelteon kana uchizokwanisa kuramba uri pamubhedha kwemaawa manomwe kusvika masere mumashure. Usatore ramelteon kana iwe usati wagadzirira kuenda kunorara uye kugara wakarara kweinenge manomwe kusvika maawa masere.
Ramelteon inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Kukotsira kana kuneta
- dzungu
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:
- kuzvimba kwerurimi kana pahuro
- kunetseka kumedza kana kufema
- kunzwa kuti huro iri kuvhara
- kusvotwa
- kurutsa
- zvisina kukodzera kana kupotsa nguva yekuenda kumwedzi
- kubuda kwemukaka kubva mumazamu
- yakaderera chishuwo chepabonde
- Matambudziko ekubereka
Ramelteon inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.
Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).
Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).
Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org
Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.
Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.
Chengetedza zvese zvakagadzwa nachiremba wako.
Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.
Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.
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