Munyori: William Ramirez
Zuva Rekusika: 19 Gunyana 2021
Gadziridza Zuva: 21 Chikumi 2024
Anonim
Stewart Factor, MD: Long-Term Data on Apomorphine Sublingual Film in Parkinson
Vhidhiyo: Stewart Factor, MD: Long-Term Data on Apomorphine Sublingual Film in Parkinson

Zvemukati

Apomorphine sublingual inoshandiswa kurapa `` kubvisa '' zvikamu (nguva dzekunetseka kufamba, kufamba, uye kutaura zvinogona kuitika semushonga unopera kana zvisina kurongeka) muvanhu vane chirwere chePasinson chakakwira (PD; kusagadzikana kweiyo nervous system inokonzeresa matambudziko nekufamba, mhasuru kutonga, uye chiyero) Apomorphine iri mukirasi yemishonga inonzi dopamine agonists. Inoshanda nekuita panzvimbo yedopamine, chinhu chechisikigo chakagadzirwa muuropi chinodiwa kudzora kufamba.

Apomorphine inouya sefirimu remhando yepamusoro kutora pasi porurimi. Apomorphine sublingual inowanzo shandiswa pazvinenge zvichidikanwa, zvinoenderana nemazita echiremba wako. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa apomorphine sublingual chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Usashandise wechipiri dose weapomorphine sublingual pakurapa imwecheteyo "off" episode. Mirira angangoita maawa maviri pakati pemadhosi uye usashandise anodarika mashanu madhizaini pazuva.


Chiremba wako anokupa mumwe mushonga unonzi trimethobenzamide (Tigan) waunotora paunotanga kushandisa apomorphine zvinyorwa zvidiki. Mushonga uyu unobatsira kudzikisira mukana wako wekuvandudza kusvotwa uye kurutsa paunenge uchishandisa apomorphine, kunyanya panguva yekutanga kwekurapa. Chiremba wako anogona kukuudza iwe kuti utange kutora trimethobenzamide mazuva matatu usati watanga kushandisa apomorphine, uye kuenderera uchizvitora kwemwedzi miviri. Iwe unofanirwa kuziva kuti kutora trimethobenzamide pamwe neapomorphine kunogona kuwedzera njodzi yako yekutsumwaira, dzungu, uye kudonha. Zvisinei, usarega kutora trimethobenzamide usina kutanga wataura nachiremba wako.

Iwe unozogamuchira yako yekutanga dosi yeapomorphine muhofisi yezvokurapa uko chiremba wako anokwanisa kunyatso tarisisa mamiriro ako kuti uone dosi yako. Mushure meizvozvo, chiremba wako anokuudza kuti ushandise apomorphine zvinyorwa zvidiki kumba uye kuti utarise mhedzisiro yakaipa.

Kuti ushandise apomorphine sublingual firimu, tevera nhanho idzi:

  1. Inwa mvura kuti unyorove muromo wako.
  2. Vhura homwe uchishandisa mapapiro tabo. Ita shuwa yekuisa minwe yako chaiko pamatanho akakwidzwa pane yega bapiro tebhu. Zvinyoro dhonza mapapiro emapapaneti kuti uvhure homwe. Usavhure iyo foil pasuru kusvikira wagadzirira kushandisa mushonga. Usacheke kana kubvarura iyo firimu.
  3. Bata apomorphine sublingual firimu pakati peminwe yako nekunze kwekunze uye bvisa iyo firimu rese kubva muhomwe. Shandisa apomorphine sublingual firimu izere. Kana ikatyoka, irase uye shandisa mushonga mutsva.
  4. Isa yose sublingual firimu pasi perurimi rwako kusvika kumashure zvakanyanya pasi perurimi rwako sezvaungagone. Vhara muromo wako.
  5. Siya iyo firimu iri panzvimbo kusvikira yanyungudika zvachose. Zvinogona kutora maminetsi matatu kuti firimu rinyungudike. Usatsvage kana kumedza iyo firimu. Usamedze mate ako kana kutaura apo firimu rinonyungudika.
  6. Vhura muromo wako kuti uone kana firimu racho ranyungudika zvachose.
  7. Mushure mekunge firimu remitauro miviri raparara zvachose, unogona kumedza zvakare.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.


Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa apomorphine,

  • udza chiremba wako uye wemishonga kana uri weergoria kune apomorphine, chero mimwe mishonga, sulfites, kana chero zvimwe zvinongedzo muapomorphine zvinyorwa zvidiki. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako kana uri kutora alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso), ondansetron (Zofran), kana palonosetron (Aloxi). Chiremba wako anogona kukuudza kuti usashandise apomorphine kana uri kutora imwe yemishonga iyi.
  • 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: azithromycin (Zithromax), chlorpromazine, chloroquine, ciprofloxacin (Cipro), haloperidol (Haldol); mishonga yekurapa yakakwira BP; methadone (Dolophine); metoclopramide (Reglan); prochlorperazine (Compro); promethazine; mapiritsi ekurara; thiothixene; kana zvinodzivirira. Uyezve udza chiremba wako kana wemishonga kana iwe uri kutora nitrate senge isosorbide dinitrate (Isordil, muBidil), isosorbide mononitrate (Monoket), kana nitroglycerin (Nitro-Dur, Nitrostat, mamwe) anouya semapiritsi, zvinyorwa zvidiki (pasi perurimi) Mahwendefa, mapiritsi, zvigamba, pastes, uye mafuta.Kumbira chiremba wako kana wemishonga kana iwe usina chokwadi kana paine imwe yemishonga yako ine nitrate. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • iwe unofanirwa kuziva kuti kana iwe ukashandisa nitroglycerin pasi perurimi rwako uchishandisa apomorphine zvinyorwa zvidiki, yako BP inogona kudzikira uye kukonzera dzungu. Mushure mekushandisa apomorphine sublingual, iwe unofanirwa kurara usati uye / kana mushure mekushandisa nitroglycerin.
  • udza chiremba wako kana iwe uchinwa doro kana kana iwe kana wakambove nenguva yakareba yeQT (chinetso chisingawanzo moyo chinogona kukonzeresa kurova kwemoyo zvisina kufanira, kufenda, kana kufa kamwe kamwe), kupera simba zvitsinga, mashoma potasium kana magnesium muropa, kurova kwemoyo kunononoka kana kusingaite, kushomeka kweropa, kusagadzikana kwekurara, sitiroko, kurohwa-mini, kana zvimwe zvinetso zvehuropi, asthma, kufamba kusingadzoreki nekudonha, chirwere chepfungwa, kana moyo, itsvo, kana chirwere chechiropa.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa apomorphine zvinyorwa zvidiki, dana chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa apomorhine zvinyorwa zvidiki.
  • iwe unofanirwa kuziva kuti apomorphine inogona kukuwisira iwe. Usafambisa mota, shandisa michina, kana kuita chero chinhu chingakuise panjodzi yekukuvara kusvika iwe waziva kuti mushonga uyu unokubata sei.
  • haufanire kunwa doro iwe uri kushandisa apomorphine. Doro rinogona kuita kuti mhedzisiro kubva apomorphine iwedzere.
  • iwe unofanirwa kuziva kuti apomorphine inogona kukonzeresa dzungu, musoro wakareruka, kusvotwa, kudikitira, nekufenda kana iwe uchimuka nekukurumidza zvakanyanya kubva pakunyepa kana kugara panzvimbo. Izvi zvinowanzoitika kana iwe ukatanga kushandisa apomorphine kana kutevera kuwedzera kwedosi. Kuti udzivise dambudziko iri, simuka pamubhedha kana simuka panzvimbo yaunogara zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka.
  • iwe unofanirwa kuziva kuti vamwe vanhu vakatora mishonga senge apomorphine vakatanga matambudziko ekubhejera kana zvimwe zvinokurudzira zvakanyanya kana hunhu hwaive hwekumanikidza kana husina kujairika kwavari, sekuwedzera kwekushuva kwepabonde kana maitiro. Iko hakuna ruzivo rwakaringana kutaura kuti vanhu vakagadzira matambudziko aya nekuti ivo vakatora mushonga kana nekuda kwezvimwe zvikonzero. Fonera chiremba wako kana iwe uine shungu yekubheja iyo yakaoma kudzora, iwe une zvakakomba kukurudzira, kana iwe uri kutadza kudzora maitiro ako. Udza nhengo dzemhuri yako nezve njodzi iyi kuitira kuti vafonere chiremba kunyangwe iwe usinga zive kuti kubhejera kwako kana zvimwe zvinokuchidzira zvakanyanya kana maitiro asina kujairika rave dambudziko.
  • iwe unofanirwa kuziva kuti iwe unogona kungoerekana wabatwa nehope panguva yemabasa ako ezuva nezuva paunenge uchishandisa apomorphine zvinyorwa zvidiki. Unogona kusanzwa kukotsira usati warara. Kana iwe ukangoerekana warara iwe paunenge uchiita chiitiko chezuva nezuva senge kudya, kutaura, kana kutarisa terevhizheni, fonera chiremba wako. Usatyaire mota kana kushandisa michina kusvikira wataura nachiremba wako.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.


Mushonga uyu unowanzo shandiswa sekudikanwa.

Apomorphine sublingual inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kurutsa
  • muromo wakaoma
  • musoro
  • dzihwa
  • kuneta
  • kutsvuka kwemuromo, maronda, kuoma, kuzvimba, kana kurwadziwa
  • kurwadziwa nekumedza

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muZVINONYANYA ZVINOKOSHA, dana chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • mapundu; mikoko; kuvava; kuzvimba kwechiso, huro, rurimi, kana miromo; kutsvaira; kuoma kwehuro; kana kunetseka kufema kana kumedza
  • kudonha
  • kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo), hutsinye hunhu, kushungurudzika, kunzwa kunge vanhu vari kukurwisa, kana kusagadzikana pfungwa
  • fivha, mitsipa yakaoma, shanduko mukufema kana kurova kwemoyo, kana kuvhiringidzika
  • kupfupika kwemweya wekufema, kurova kwehana nekukurumidza, kurwadziwa pachipfuva, kana dzungu
  • kurwadza kunorwadza kusingaendi

Dzimwe mhuka dzemurabhoritari dzakapihwa apomorphine sejekiseni yakagadzira chirwere chemaziso. Hazvizivikanwe kana apomorphine zvinyorwa zvidiki zvinowedzera njodzi yechirwere cheziso muvanhu. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu.

Apomorphine sublingual inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa 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 runowanikwawo pamhepo 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 achishandisa 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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