Qoraa: Marcus Baldwin
Taariikhda Abuurista: 21 Juun 2021
Taariikhda Cusboonaysiinta: 16 Noofeembar 2024
Anonim
NARATRIPTAN (AMERGE) - PHARMACIST REVIEW - #94
Dareemoleyad: NARATRIPTAN (AMERGE) - PHARMACIST REVIEW - #94

Qanacsan

Naratriptan waxaa loo isticmaalaa in lagu daaweeyo astaamaha madax xanuunka dhanjafka (daran, madax xanuun xoog leh oo mararka qaar la socda lallabbo iyo u nuglaanshaha dhawaqa ama iftiinka). Naratriptan wuxuu ku jiraa nooc daawo ah oo loo yaqaan 'serotonin receptor agonists'. Waxay ku shaqeysaa iyadoo la yareynayo marinnada dhiigga ee hareeraha maskaxda, joojinta calaamadaha xanuunka ee loo dirayo maskaxda, iyo joojinta sii deynta walxaha dabiiciga ah qaarkood ee keena xanuunka, lallabbo, iyo calaamadaha kale ee dhanjafka. Naratriptan kama hortagayo weerarada dhanjafka ama wuxuu yareynayaa tirada madax xanuunka aad qabtid.

Naratriptan wuxuu u yimaadaa kiniin ahaan afka laga qaato. Waxaa badanaa lagu qaataa calaamadaha ugu horeeya ee madax xanuunka dhanjafka. Haddii calaamadahaagu fiicnaadaan ka dib markaad qaadato naratriptan laakiin aad soo noqotid 4 saacadood ama ka badan ka dib, waxaad qaadan kartaa kiniin labaad. Si kastaba ha noqotee, haddii astaamahaagu aysan fiicnayn ka dib markaad qaadato naratriptan, ha u qaadin kiniin labaad ka hor intaadan u wicin dhakhtarkaaga. Dhakhtarkaaga ayaa kuu sheegi doona tirada ugu badan ee kaniiniyada ah ee aad qaadan karto muddo 24-saac ah. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado naratriptan sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.


Waxaad ku qaadan kartaa qiyaastaada ugu horreysa ee naratriptan xafiiska dhaqtarka ama goobaha kale ee caafimaadka halkaas oo lagugu kormeeri karo falcelinta daran.

Wac dhakhtarkaaga haddii madax xanuunkaagu uusan ka soo rayn ama u soo noqnoqdo ka dib qaadashada daawada 'naratriptan'.

Haddii aad qaadato naratriptan inbadan ama ka dheer mudada lagu taliyay, madax xanuunkaagu wuu ka sii dari karaa ama wuu dhici karaa marar badan. Waa inaadan qaadan naratriptan ama daawo kale oo madax xanuun ah in kabadan 10 maalmood bishiiba. Wac dhakhtarkaaga haddii aad u baahan tahay inaad qaadato naratriptan si aad u daaweyso wax ka badan afar madax xanuun muddo 1 bilood gudahood ah.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada naratriptan,

  • u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay naratriptan dawooyin kale, ama wax ka mid ah maaddooyinka ku jira kiniiniyada naratriptan. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
  • ha qaadan naratriptan haddii aad qaadatay mid ka mid ah daawooyinka soo socda 24-kii saac ee la soo dhaafay: agonistayaasha kale ee xasaasiga ah ee serotonin resepor sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), rizatriptan (Maxalt), sumatriptan (Imitrex, gudaha Treximet), ama zolmitriptan (Zomig); ama daawooyinka nooca ergot-ka ah sida bromocriptine (Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot, Ergomar), methylergonovine (Metgler, Metherler, Metherler, Metherler) iyo pergolide (Permax).
  • u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: acetaminophen (Tylenol); dawooyinka lidka diiqadda sida amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vact) Surmontil); asbiriin iyo dawooyinka kale ee non-steroid ee anti-bararka (NSAIDS) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); p-pillerka (kaniiniyada xakameynta dhalmada); xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), fluvoxamine, paroxetine (Paxil), iyo sertraline (Zoloft); iyo serotonin / norepinephrine reuptake inhibitors (SNRIs) sida desvenlafaxine (Pristiq), duloxetine (Cymbalta), sibutramine (Meridia), iyo venlafaxine (Effexor). Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanaysid daawooyinka soo socda ama aad joojisay qaadashadooda labadii toddobaad ee la soo dhaafay: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), iyo tranylcypromine (Parnate). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
  • u sheeg dhakhtarkaaga haddii aad qabtid ama aad waligaa qabtid cudur wadne; wadne qabad; angina (xabad xanuun); garaaca wadnaha oo aan joogto ahayn; istaroog ama 'mini-stroke'; Dhibaatooyinka wareegga sida xididdada xididdada dhiigga, xinjirowga dhiigga ee lugaha, cudurka Raynaud (dhibaatooyinka socodka dhiigga ee faraha, suulasha, dhegaha, iyo sanka), ama cudurka xiidmaha ee ischaemic (shuban dhiig leh iyo calool xanuun oo ay sababtay hoos u dhaca socodka dhiigga ee mindhicirrada) ); Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan qaadan naratriptan.
  • u sheeg dhakhtarkaaga haddii aad sigaar cabtid ama aad cayilan tahay; haddii aad qabto ama aad waligaa yeelatay dhiig kar, sonkorow, kolestarool sare, ama kelyo ama beer xanuun; haddii aad caadada ka gudubtay (nolosha beddelkeeda); ama haddii qof ka mid ah qoyska uu leeyahay ama uu weligiis ku dhacay cudur wadne ama istaroog.
  • u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad qorsheyneyso inaad galmo ahaan firfircoon tahay inta aad qaadanaysid dawadan, kala hadal dhakhtarkaaga hababka wax ku oolka ah ee ka hortagga uurka. Haddii aad uur yeelato intaad qaadanaysid naratriptan, wac dhakhtarkaaga.
  • waa inaad ogaataa in naratriptan uu kaa dhigi karo qof hurdo badan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
  • kala hadal dhakhtarkaaga astaamaha madax xanuunkaaga si aad u hubiso in ay keeneen xanuunka dhanjafka. Naratriptan looma isticmaali karo in lagu daaweeyo noocyo ka mid ah madax xanuunka dhanjafka (hemiplegic ama basilar migraines) ama noocyo kale oo madax xanuun ah (sida madax xanuunka kooxda).

Naratriptan wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

  • daciifnimo
  • daallan
  • calool xanuun
  • lallabbo
  • dawakhaad
  • dareemid diiran ama qabow

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

  • cidhiidhi, xanuun, cadaadis, ama culays laabta, cunaha, qoorta, ama daanka
  • degdeg ah, garaacid, ama wadno garaac aan caadi ahayn
  • neefta oo ku qabata
  • ka soo baxaya dhidid qabow
  • madax wareer
  • daciifnimo ama kabuubyo ama gacan ama lug
  • gaabis ah ama hadal adag
  • neefsashada ama wax liqidda oo ku adkaata
  • barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
  • xabeeb
  • finan
  • finan
  • cuncun
  • calool xanuun kadis ah ama daran
  • shuban dhiig ah
  • calool istaag
  • matagid
  • cirro ama midab buluug ah oo faraha ama suulasha ah
  • xanuun, gubasho, ama ruxruxasho gacmaha ama cagaha

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).


Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org


Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

  • madax wareer
  • qoorta oo xanuun
  • daallan
  • luminta isuduwidda
  • xabad xanuun

Dhammaan ballamaha la dhig dhakhtarkaaga. Cadaadiska dhiiggaaga waa in si joogto ah loo hubiyaa.

Waa inaad ku haysaa xusuus qor madax xanuun adoo qoraya goorta aad madax xanuun leedahay iyo marka aad qaadaneyso naratriptan.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

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