Zolmitriptan

Qanacsan

• Kahor qaadashada zolmitriptan,
• Zolmitriptan wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• 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:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Zolmitriptan waxaa loo isticmaalaa in lagu daaweeyo astaamaha madax xanuunka dhanjafka (madax xanuun aad u daran oo mararka qaar la socda lallabbo iyo u nuglaanshaha dhawaqa iyo iftiinka). Zolmitriptan wuxuu ku jiraa fasal dawooyin 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 xannibaadda sii deynta walxaha dabiiciga ah qaarkood ee keena xanuunka, lallabbo, iyo calaamadaha kale ee dhanjafka. Zolmitriptan kama hortagayo weerarada dhanjafka ama hoos uma dhigayo tirada madax xanuunka aad qabto.

Zolmitriptan wuxuu u yimaadaa sida kaniiniga iyo kaniinka afka ku kala tagaya (kaniiniga si dhaqso ah ugu milma afka) si loogu qaato afka. Waxaa badanaa lagu qaataa calaamadaha ugu horeeya ee madax xanuunka dhanjafka. Haddii calaamadahaagu ay soo fiicnaadaan ka dib marka aad qaadatid zolmitriptan laakiin aad soo noqotid 2 saacadood ama ka badan ka dib, waxaad qaadan kartaa kiniin labaad. Si kastaba ha noqotee, haddii astaamahaagu aysan fiicnayn ka dib qaadashada zolmitriptan, ha u qaadan kiniin labaad adiga oo aan wicin dhakhtarkaaga. Dhakhtarkaaga ayaa kuu sheegi doona tirada ugu badan ee kaniiniyada ah ama kaniin ahaan kala firdhiya oo 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. U qaado zolmitriptan 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 horeysa ee zolmitriptan xafiiska dhaqtarka ama goobaha kale ee caafimaadka halkaas oo lagugu kormeeri karo falcelinta halista ah.

Haddii dhakhtarkaagu kuu qoray qadar ka hooseeya 2.5 mg, waxaad u isticmaali kartaa farahaaga inaad ku jebiso kaniiniga 2.5-mg ee khadka u qeybiya kala badh. Si kastaba ha noqotee, waa inaadan jebin ama kala qaybin kiniinka afka ku kala tagaya.

Si aad u qaadato kiniinka afka ku kala tagaya, isticmaal gacmaha qalalan si aad dib ugu xoqdo baakada bireed. Isla markiiba soo bixi kaniiniga oo mari carrabkaaga. Kiniiniga si dhakhso ah ayuu u milmi doonaa waxaana lagu liqi karaa candhuuf. Looma baahna biyo si loo liqo kiniinnada kala daadanaya. Ha furin baakada foornada ama ha ka saarin kiniinka afka ku kala tagaya inta aanad diyaar u ahayn inaad qaadato.

Wac dhakhtarkaaga haddii madax-xanuunadu aysan fiicnaanin ama ay dhacaan marar badan ka dib qaadashada zolmitriptan.

Haddii aad qaadatid zolmitriptan in badan ama ka badan muddada lagu taliyey, madax-xanuunkaagu wuu ka sii dari karaa ama wuu dhici karaa marar badan. Waa inaadan qaadan zolmitriptan ama daawo kale oo madax xanuun ah in kabadan 10 maalmood bishiiba. Wac dhakhtarkaaga haddii aad u baahan tahay inaad qaadato zolmitriptan si aad u daaweyso wax ka badan saddex madax xanuun muddo 1 bilood gudahood ah.

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

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada zolmitriptan,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay zolmitriptan, dawooyinka kale, ama wax ka mid ah maaddooyinka ku jira kiniinnada zolmitriptan ama kiniinnada kala daadanaya. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• ha qaadan zolmitriptan haddii aad qaadatay mid ka mid ah daawooyinka soo socda 24-kii saac ee la soo dhaafay: agonistayaasha kale ee daawadayaasha serotonin resepor sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt) , ama sumatriptan (Imitrex, in Treximet); ama daawooyinka nooca ergot sida bromocriptine (Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot, Ergomar, Wigraine), methylergono ), iyo pergolide (Permax).
• ha qaadan zolmitriptan haddii aad qaadanaysid aaladda monoamine oxidase A (MAO-A) sida isocarboxazid (Marplan), phenelzine (Parnate), ama tranylcypromine (Nardil) ama haddii aad qaadatay mid ka mid ah daawooyinkan labadii toddobaad ee la soo dhaafay.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, ama alaabta geedaha ah ee aad qaadaneyso 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 nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); cimetidine (Tagamet); ka hortagga uurka ('kaniiniyada ka hortagga uurka'); propranolol (Inderal); xakameynayayaasha celceliska serotonin (SSRIs) sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), iyo sertraline (Zoloft); iyo serotonin / norepinephrine reuptake inhibitors (SNRIs) sida desvenlafaxine (Pristiq), duloxetine (Cymbalta), sibutramine (Meridia), iyo venlafaxine (Effexor). 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'; ama dhibaatooyinka wareega sida xididdada xididdada dhiigga, xinjirowga dhiigga ee lugaha, cudurka Raynaud (dhibaatooyinka socodka dhiigga ee faraha, suulasha, dhegaha, iyo sanka), ama cudurada caloosha (shuban dhiig leh iyo calool xanuun oo ay sababtay hoos u dhaca socodka dhiigga ee xiidmaha) Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan zolmitriptan.
• u sheeg dhakhtarkaaga haddii aad sigaar cabtid ama aad cayilan tahay; haddii aad qabto ama aad waligaa yeelatay dhiig kar, kolestarool sare, sonkorow, ama beerka ama cudur kelyaha; 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 zolmitriptan, wac dhakhtarkaaga.
• waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh ama wareersan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida zolmitriptan kuu saameynayo.
• kala hadal dhakhtarkaaga astaamaha madax xanuunkaaga si aad u hubiso in ay keeneen xanuunka dhanjafka. Zolmitriptan looma isticmaali karo in lagu daaweeyo noocyada madax xanuunka dhanjafka qaarkood (hemiplegic ama basilar) ama noocyada kale ee madax xanuunka (sida madax xanuunka kutlada).
• haddii aad leedahay phenylketonuria (PKU, xaalad la iska dhaxlo oo ah in cunno gaar ah la raaco si looga hortago dib-u-dhac maskaxeed), waa inaad ogaataa in kiniinnada kala daadanaya ee afka ku jira ay ku jiraan aspartame sameeya phenylalanine.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

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

• dareemid diiran ama qabow
• lulmid
• afka qalalan
• lallabbo
• laabjeex
• dhidid
• dawakhaad ama suuxdin

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:

• xanuun, cidhiidhi, cadaadis, ama culays laabta, cunaha, qoorta, ama daanka
• gaabis ah ama hadal adag
• daciifnimo ama kabuubyo gacan ama lug ah
• dhakhso, garaacid, ama wadno garaac aan caadi ahayn
• shuban dhiig ah
• calool xanuun kadis ah ama daran
• cirro ama midab buluug ah oo faraha iyo suulasha ah
• neefta oo ku qabata
• bararka indhaha, wejiga, dibnaha, carrabka, ama cunaha
• neefsashada ama wax liqidda oo ku adkaata
• xabeeb
• finan
• finan
• 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 iftiinka, kuleylka xad-dhaafka ah, iyo qoyaanka (ha ku jirin musqusha). Tuur kiniin kasta oo afka ku kala tagaya oo aad ka soo saartay baakada finka laakiin aadan isla markiiba isticmaalin.

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:

• lulmo xad dhaaf ah

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 madax xanuun kugu dhaceyso iyo markaad qaadaneyso zolmitriptan.

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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