Cirbadda Ondansetron

Qanacsan

• Kahor intaadan isticmaalin ondansetron,
• Ondansetron 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 astaamaha soo socda, wac takhtarkaaga isla markiiba ama raadso daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Cirbadda Ondansetron waxaa loo isticmaalaa in looga hortago lallabbo iyo matag ay keento kansarka kiimikada iyo qalliinka. Ondansetron wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan serotonin 5-HT₃ antagonistayaasha soo dhaweynta. Waxay ku shaqeysaa iyadoo la xakameynayo ficilka serotonin, walax dabiici ah oo sababi kara lallabo iyo matag.

Ondansetron wuxuu u yimaadaa xalka (dareeraha) in lagu mudo xididka (xididka) ama muruqyada (muruqa) daryeel caafimaad bixiyaha isbitaalka ama rugta caafimaadka. Marka ondansetron loo isticmaalo in looga hortago lallabbo iyo matag ay keento kiimoteraabiga, badanaa waxaa la siiyaa 30 daqiiqo kahor bilawga daaweynta kemotherabi. Qiyaaso dheeri ah ayaa la siin karaa 4 saacadood kadib qiyaasta ugu horeysa ee ondansetron iyo 8 saacadood kadib qiyaasta ugu horeysa ee ondansetron, haddii loo baahdo. Marka ondansetron loo isticmaalo in looga hortago lallabbo iyo matag qalliin, waxaa badanaa la siiyaa qalliinka ka hor. Ondansetron sidoo kale mararka qaar waxaa la siiyaa qalliinka kadib bukaanada la kulma lallabbo iyo matag iyo kuwa aan helin ondansetron qalliinka ka hor.

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

Kahor intaadan isticmaalin ondansetron,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay ondansetron, alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), palonosetron (Aloxi), ama daawooyin kaleba: ama mid ka mid ah maaddooyinka ku jira duritaanka ondansetron Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanayso apomorphine (Apokyn). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin ondansetron haddii aad qaadanaysid dawadan.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku 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: amiodarone (Cordarone, Pacerone); azithromycin (Zithromax); dawooyinka qaarkood ee suuxdinta sida carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), ama phenytoin (Dilantin); chloroquine (Aralen); chlorpromazine; citalopram (Celexa); clarithromycin (Biaxin, gudaha Prevpac); durayaasha ('kaniiniyada biyaha'); erythromycin (E.E.S., Erythrocin, kuwa kale); fentanyl (Abstral, Actiq, Duragesic, Fentora, Lazanda, Onsolis, Subsys); flecainide; haloperidol (Haldol); lithium (Lithobid); daawooyinka lagu daaweeyo xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), iyo zolmitriptan (Zomig); buluug methylene; mirtazapine (Remeron); monoamine oxidase (MAO) inhibitors ay ka mid yihiin isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate); moxifloxacin (Avelox); pentamidine (Nebu-Pent); pimozide (Orap); procainamide; quinidine; rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); xulashada serotonin / norepinephrine reuptake inhibitors (SNRIs) sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), iyo venlafaxine (Effexor XR); xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), iyo sertraline (Zolo); sotalol (Betapace, Sorine); thioridazine; tramadol (Conzip, Ultram, oo ku taal Ultracet); iyo vandetanib (Caprelsa). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara ondansetron, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu leeyahay ama uu weligiis soo maray QT syndrome (xaalad kordhinaysa halista ah inuu ku dhaco wadno garaac aan caadi ahayn oo u horseedi kara miyir beelid ama dhimasho kedis ah), ama nooc kale oo wadno-garaac aan caadi ahayn ama dhibaato wadnaha ah, ama haddii aad yeelatay ama aad waligaa yeelatay heerar hoose oo magnesium ama potassium ah dhiigaaga, wadnaha oo istaaga (HF; xaalad aanu wadnuhu dhiigga ku filan ugu ridi karin qaybaha kale ee jirka), ama cudurka beerka.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanayso ondansetron, wac dhakhtarkaaga.

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

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

• madax xanuun
• calool istaag
• lulmid
• dareemid qabow ama dhaxan
• xanuun, gubasho, kabuubyo, ama xoqan gacanta ama cagaha
• qandho
• duritaanka xanuunka, guduudasho, barar, diirimaad, ama gubasho

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, wac takhtarkaaga isla markiiba ama raadso daaweyn caafimaad oo degdeg ah:

• finan
• finan
• cuncun
• bararka indhaha, wajiga, dibnaha, carrabka, cunaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• xabeeb
• neefsashada ama wax liqidda oo ku adkaata
• xabad xanuun
• neefta oo ku qabata
• dawakhaad, madax-fudeyd, ama suuxdin
• wadna garaac, gaabis ah ama aan caadi ahayn
• aragga daciifka ah ama luminta aragga
• madax wareer
• kacsan
• dhalanteed (aragtida wax ama maqalka codad aan jirin)
• qandho
• dhidid badan
• jahwareer
• lallabbo, matag, ama shuban
• luminta isuduwidda
• murqaha oo adkaada ama foorara
• qalal
• miyir beelid (miyir beelid)

Ondansetron wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleysid dawadan.

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 waxaa lagu keydin doonaa isbitaalka ama rugta caafimaadka.

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:

• aragga oo kedis ah muddo gaaban
• dawakhaad ama madax-wareer
• miyir beelid
• calool istaag
• wadne garaac aan joogto ahayn

Dhammaan ballamaha la dhig dhakhtarkaaga.

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.

• Zofran^® Cirbad