Sildenafil
Zvemukati
- Usati watora sildenafil,
- Sildenafil inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
Sildenafil (Viagra) inoshandiswa kurapa erectile dysfunction (kushaya simba; kusakwanisa kuwana kana kuchengeta erection) muvarume. Sildenafil (Revatio) inoshandiswa kugadzirisa kugona kwekurovedza muviri kune vanhu vakuru vane pulmonary arterial hypertension (PAH; kuwedzerwa kweropa mumidziyo inotakura ropa kuenda kumapapu, zvichikonzera kufema kwekufema, dzungu, uye kuneta). Vana havafanirwe kazhinji kutora sildenafil, asi mune dzimwe nguva, chiremba anogona kusarudza kuti sildenafil (Revatio) ndiwo mushonga wakanakisa wekurapa mamiriro emwana. Sildenafil iri mukirasi yemishonga inonzi phosphodiesterase (PDE) inhibitors. Sildenafil inobata erectile kudzvinyirira nekuwedzera kuyerera kweropa kuenda kunhengo yepenisheni panguva yekusimudzira pabonde. Uku kuwedzerwa kweropa kuyerera kunogona kukonzera kumisikidzwa. Sildenafil inobata PAH nekuzorodza tsinga dzeropa mumapapu kutendera ropa kuyerera zviri nyore.
Kana iwe uri kutora sildenafil kurapa erectile dysfunction, iwe unofanirwa kuziva kuti haina kurapa erectile kusagadzikana kana kuwedzera chishuwo chepabonde. Sildenafil haidziviriri kubata pamuviri kana kupararira kwezvirwere zvepabonde zvakadai sehutachiona hwehutachiona hwehutachiona hweHIV.
Sildenafil inouya sehwendefa uye kumiswa (mvura; Revatio chete) kutora nemuromo.
Kana iwe uri kutora sildenafil kurapa kusagadzikana kwe erectile, tevera zvirevo zvechiremba wako uye nhungamiro mundima ino. Tora sildenafil pazvinodiwa usati waita bonde. Iyo yakanakisa nguva yekutora sildenafil ingangoita 1 awa usati waita bonde, asi iwe unogona kutora mushonga chero nguva kubva pa4 maawa kusvika makumi matatu maminetsi pamberi pebonde. Sildenafil kazhinji haifanire kutorwa kanopfuura kamwe chete maawa makumi maviri nemana. Kana uine mamwe mamiriro ehutano kana uri kutora mimwe mishonga, chiremba wako anogona kukuudza kuti utore sildenafil kashoma. Unogona kutora sildenafil uine kana usina chikafu. Nekudaro, kana iwe ukatora sildenafil nechikafu chakakora-mafuta, zvinotora nguva yakareba kuti mushonga utange kushanda.
Kana iwe uri kutora sildenafil kurapa PAH, tevera zvirevo zvechiremba wako uye nhungamiro mundima ino. Iwe unozogona kutora sildenafil katatu pazuva kana kana pasina chikafu. Tora sildenafil panguva dzakatenderedza nguva dzakafanana zuva rega rega, uye isa nzvimbo yako mayadhi anenge maawa mana kusvika matanhatu akaparadzana.
Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora sildenafil chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Zunza mvura zvakanaka kwemasekondi gumi usati washandisa kusanganisa mushonga zvakaenzana. Shandisa sirinji yemuromo inopihwa nemushonga wako kuyera uye kutora yako dose. Tevedza mirayiridzo yemugadziri yekushandisa uye kuchenesa sirinji yemuromo. Usasanganise iyo mvura nemimwe mishonga kana kuwedzera chero chinhu kunhuhwirira mushonga.
Kana iwe uri kutora sildenafil ye erectile dysfunction, chiremba wako angangotanga iwe paavhareji muyero we sildenafil uye kuwedzera kana kudzikisa dosi yako zvichienderana nemhinduro yako kumushonga. Udza chiremba wako kana sildenafil isiri kushanda zvakanaka kana kana uri kusangana nemhedzisiro.
Kana iwe uri kutora sildenafil yePAH, iwe unofanirwa kuziva kuti sildenafil inodzora PAH asi hairape. Enderera kutora sildenafil kunyangwe iwe uchinzwa zvakanaka Usarega kutora sildenafil usina kutaura nachiremba wako.
Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.
Mushonga uyu dzimwe nguva unonyorerwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora sildenafil,
- udza chiremba wako uye wemishonga kana uri weergoria kune sildenafil, chero mimwe mishonga, kana chero chinhu chinogadzirwa mune sildenafil zvigadzirwa. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
- usatora sildenafil kana uri kutora kana uchangobva kutora riociguat (Adempas) kana nitrate (mishonga yekurwadziwa pachipfuva) senge isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), uye nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat , vamwe). MaNitrate anouya semapiritsi, zvinyorwa zvidiki (pasi perurimi) mahwendefa, mapiritsi, zvigamba, pastes uye mafuta. Kumbira chiremba wako kana iwe usina chokwadi kana paine imwe yemishonga yako ine nitrate.
- usatora zvinodhaka zvemumigwagwa zvine nitrate senge amyl nitrate uye butyl nitrate ('poppers') uchitora sildenafil.
- udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: alpha blockers senge alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, muJalyn), uye terazosin; amlodipine (Norvasc, muAmturnide, muTekamlo); mamwe maantifungal akadai itraconazole (Onmel, Sporanox) uye ketoconazole (Nizoral); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); mamwe mabarbiturate akadai sebutalbital (muButapap, muFioricet, muFiorinal, vamwe) uye secobarbital (Seconal); beta blockers senge atenolol (Tenormin, muTenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, muDutoprol), nadolol (Corgard, muCorzide), uye propranolol (Hemangeol, Inderal LA, InnoPran); bosentan (Tracleer); cimetidine; efavirenz (Sustiva, muAtripla); erythromycin (EES, E-Mycin, Erythrocin); HIV protease inhibitors inosanganisira amprenavir (Agenerase; haichawanikwi muUS), atazanavir (Reyataz, muEvotaz), darunavir (Prezista, muPrezcixix), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir Viracept), ritonavir (Norvir, muKaletra), saquinavir (Invirase), uye tipranavir (Aptivus); nevirapine (Viramune); mimwe mishonga kana zvishandiso zvekurapa kusagadzikana kwe erectile; mishonga yehigh blood pressure; mimwe mishonga yekubatwa inosanganisira carbamazepine (Carbatrol, Epitol, Tegretol, vamwe), phenobarbital, uye phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); uye rifampin (Rifadin, Rimactane, muRifamate, muRifater). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.Mimwe mishonga yakawanda inogona zvakare kubatana nesildenafil, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isingaonekwe pane ino runyorwa.
- udza chiremba wako kuti ndezvipi zvigadzirwa zvemishonga zvauri kutora kana kuronga kutora, kunyanya St. John's wort.
- udza chiremba wako kana iwe uchisvuta, kana iwe wakambove nekumiswa kwakagara kwemaawa akati wandei, uye kana iwe uchangobva kurasikirwa neakawanda mvura yemumuviri (kupera mvura mumuviri). Izvi zvinogona kuitika kana iwe uchirwara nefivha, manyoka, kana kurutsa; ziya zvakawanda; kana kusanwa zvinwiwa zvakakwana. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chemapapu veno-occlusive chirwere (PVOD; kuvharika kwemitsipa mumapapu); chironda chemudumbu; mwoyo, itsvo, kana chirwere chechiropa; chirwere chemwoyo; kurova kwemoyo zvisina kujairika; sitiroko; kurwadziwa muchipfuva; yakakwira kana yakaderera BP; cholesterol yakawanda; chirwere chekubuda ropa; matambudziko ekutenderera kweropa, maseru eropa matambudziko senge sickle cell anemia (chirwere chemasero matsvuku eropa), multiple myeloma (cancer yemasero eplasma), kana leukemia (cancer yemasero machena eropa); mamiriro anokanganisa chimiro chepenis (semuenzaniso, kufungidzira, cavernosal fibrosis, kana chirwere chePyronie); kana chirwere cheshuga. Uyezve udza chiremba wako kana iwe kana imwe yemhuri yako uine kana wakambove nechirwere cheziso senge retinitis pigmentosa (yakagara nhaka mamiriro eziso anokonzeresa kurasikirwa kwemaonero) kana kana iwe wakambove nekukurumidza kurasikirwa kwakanyanya kwekuona, kunyanya kana iwe waive akaudza kuti kurasikirwa kwechiono kwakakonzerwa nekuvharika kweropa kuyerera kune tsinga dzinokubatsira iwe kuona.
- kana iwe uri mukadzi uye uri kutora sildenafil kurapa PAH, udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora sildenafil, fonera chiremba wako.
- kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba wako kana chiremba wemazino kuti urikutora sildenafil.
- kana iwe uri kutora sildenafil kurapa kusagadzikana kwe erectile, udza chiremba wako kana iwe wakamborairwa nachiremba wezvehutano kuti usaite zvepabonde nekuda kwezvikonzero zvekurapa kana kana iwe wakambove nekurwadziwa kwepfupa panguva yekuita bonde. Kuita zvepabonde kunogona kunge kuri kushushikana pamoyo wako, kunyanya kana uine chirwere chemwoyo. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinzwa kurwadziwa,
- udza vese vanokupa hutano kuti urikutora sildenafil. Kana iwe ukazomboda kurapwa kwekukurumidzira kwedambudziko remwoyo, vanokupa hutano vanokurapa vanozofanira kuziva pawakapedzisira kutora sildenafil.
Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.
Kana iwe uri kutora sildenafil ye erectile kudzvinyirira, haugone kupotsa dosi sezvo uyu mushonga uchitorwa sezviri kudikanwa, kwete pane yakajairwa dosing purogiramu.
Kana iwe uri kutora sildenafil yePAH, tora iyo yakarasika dhizai nekukurumidza kana uchinge uchayeuka izvozvo. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Sildenafil inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- musoro
- chirungurira
- manyoka
- kumhanya (kunzwa kwekudziya)
- mhino dzemhino
- kunetseka kurara kana kuramba wakarara
- chiveve, kupisa, kana kugwinha mumaoko, maoko, tsoka, kana makumbo
- tsandanyama aches
- shanduko pakuona kwemavara (kuona bhuruu tinge pazvinhu kana kunetsekana kutaurira mutsauko pakati pebhuruu negirini)
- kunzwisisika kuchiedza
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
- kamwe kamwe kurasikirwa kukuru kwechiono (ona pazasi kuti uwane rumwe ruzivo)
- kusaona zvakanaka
- kuderera kamwe kamwe kana kurasikirwa kwekunzwa
- kurira munzeve
- dzungu kana hurema
- kufenda
- kurwadziwa pachipfuva
- kuwedzera kufema kwekufema
- erection inorwadza kana inogara kwenguva yakareba kupfuura maawa mana
- kuchenesa kana kupisa panguva yekuita weti
- mapundu
Vamwe varwere vakaona kurasikirwa kamwe kamwe kwevamwe kana kwavo kwese kuona mushure mekutora sildenafil kana imwe mishonga yakafanana nesildenafil. Iko kurasikirwa kwechiratidzo kwaive kwechigarire mune dzimwe nguva. Hazvizivikanwe kana kurasikirwa kwemaonero kwakakonzerwa nemushonga. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitora sildenafil, dana chiremba wako nekukasira. Usatore mimwe mibairo yesildenafil kana mimwe mishonga yakadai tadalafil (Cialis) kana vardenafil (Levitra) kusvikira wataura nachiremba wako.
Pakave nemishumo yekurwadziwa kwemoyo, sitiroko, kurova kwemoyo zvisina kujairika, kubuda ropa muuropi kana mapapu, kukwira kweropa, uye kufa kamwe kamwe muvarume vakatora sildenafil ye erectile dysfunction. Vazhinji, asi kwete vese, vevanhu ava vaive nematambudziko emoyo vasati vatora sildenafil. Hazvizivikanwe kana zviitiko izvi zvakakonzerwa nesildenafil, zvekuita bonde, chirwere chemwoyo, kana mubatanidzwa weizvi nezvimwe zvikonzero Taura nachiremba wako nezve njodzi dzekutora sildenafil.
Vamwe varwere vakaona kudzikira kamwe kamwe kana kurasikirwa kwekunzwa mushure mekutora sildenafil kana imwe mishonga yakafanana nesildenafil. Kurasikirwa kwekunzwa kwaiwanzo sanganisira nzeve imwe chete uye yaisawanzo gadziridza apo mushonga wainge wamiswa. Hazvizivikanwe kana kurasikirwa kwekunzwa kwakakonzerwa nemushonga. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitora sildenafil, dana chiremba wako nekukasira. Kana iwe uri kutora sildenafil (Viagra) ye erectile dysfunction, usatore chero mamwe madosi e sildenafil (Viagra) kana mishonga yakafanana senge tadalafil (Cialis) kana vardenafil (Levitra) kusvikira iwe uchitaura nachiremba wako. Kana iwe uri kutora sildenafil (Revatio) yePAH, usamire kutora mishonga yako kusvikira wataura nachiremba wako.
Sildenafil inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge 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. Chengetedza mahwendefa pakushambidza kwemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Chengetedza kuturika patembiricha yemukati kana mufiriji, asi usazviisa chando. Rasa kumiswa chero kupi kusingashandiswe mushure memazuva makumi matanhatu.
Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika 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 wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. 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. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-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.
- Revatio®
- Viagra®