Naldemedine

Qanacsan

• Ka hor intaadan qaadan naldemedine,
• Naldemedine 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, jooji qaadashada naldemedine oo wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Naldemedine waxaa loo isticmaalaa in lagu daaweeyo calool istaagga ay sababto daawooyinka xanuunka opioid (narcotic) ee dadka qaangaarka ah ee qaba xanuun joogto ah (oo socda) oo uusan sababin kansar. Naldemedine wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan 'peripherally acting mu-opioid receptor antagonists'. Waxay ku shaqeysaa iyadoo laga ilaalinayo mindhicirka waxyeelada daawooyinka opioid (narcotic).

Naldemedine wuxuu u yimaadaa kiniin ahaan afka laga qaato. Waxaa badanaa la qaataa hal mar maalintii, iyada oo aan la cunin ama aan la cunin. Qaado naldemedine waqti isku mid ah maalin kasta. 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 naldemedine sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

U sheeg dhakhtarkaaga haddii aad joojiso qaadashada daawooyinka opioid. Haddii aad joojiso qaadashada daawooyinka opioid, waa inaad sidoo kale joojisaa qaadashada naldemedine.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo-saaraha (Hagaha Daawada) markaad bilawdo daaweynta naldemedine iyo markasta oo aad dib u buuxiso dawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) si aad u hesho Hagaha Daawada.

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

Ka hor intaadan qaadan naldemedine,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay naldemedine, dawooyinka kale, ama mid ka mid ah maaddooyinka ku jira kiniiniyada naldemedine. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, ee aad qaadaneyso ama aad qorsheyneyso inaad qaadato Hubso inaad sheegto mid ka mid ah kuwan soo socda: amiodarone (Cordarone); danaysane (Emend); atazanavir (Reyataz, oo ku taal Evotaz); captopril (Capoten, gudaha Capozide); karbamazepine (Tegretol); clarithromycin (Biaxin, gudaha PrevPac); cyclosporine (Gengraf, Neoral, Sandimmune); diltiazem (Cardizem, Dilacor, Tiazac); efavirenz (gudaha Atripla, Sustiva); erythromycin (E.E.S, E-Mycin, Erythrocin); fluconazole (Diflucan); itraconazole (Onmel, Sporonax); ketoconazole (Nizoral); kooxaha kale ee opioid antagonists sida methylnaltrexone (Relistor), naloxegol (Movantik), naloxone (Evzio, in Bunavail, in Suboxone, in Zubsolv), ama naltrexone (Revia, Contrave, Embeda, Vivitrol); phenytoin (Dilantin, Phenytek); quinidine; rifampin (Rifadin, gudaha Rifamate, Rifater, Rimactane); ritonavir (Norvir, Kaletra, Technivie, Viekira); saquinavir (Invirase): ama verapamil (Calan, Covera, Isoptin, Verelan). 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 naldemedine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanayso, gaar ahaan quercetin iyo St. John's wort.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa yeelatay xannibaad caloosha ah (xannuun ku jira mindhicirkaaga). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan naldemedine.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa yeelatay dhibaatooyin caloosha ama mindhicirka ah oo ay ka mid yihiin nabar caloosha ah (nabarro ku dhaca dahaarka caloosha), kansarka caloosha ama mindhicirka, Crohn's disease (xaalad jirku ku weeraro dahaarka marinka dheef-shiidka. , keena xanuun, shuban, miisaanka oo hoos u dhaca, iyo qandho), diverticulitis (boorsooyin yar yar oo ku jira xuubka mindhicirka weyn oo barari kara), ama Ogilvie's syndrome (xaalad uu ku jiro xiidmaha oo ku soo boodaya), ama cudur ku dhaca beerka .
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanayso naldemedine, wac dhakhtarkaaga.

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

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

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

• matagid
• shuban
• lallabbo
• calool xanuun
• dhidid
• qarqaryo
• dareemid qabow
• dhaqid
• qandho
• indhaha biyo leh
• sanka oo dareera
• hindhiso
• walaac
• xanaaq
• gariir aan la koontarooli karin qayb ka mid ah jirka
• garaaca wadnaha
• hamaansasho

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, jooji qaadashada naldemedine oo wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• xanuun daran, joogto ah, ama xanuun caloosha oo sii xumaada
• neefsashada oo adkaata
• finan

Naldemedine wuxuu sababi karaa waxyeelo kale.Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid 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 ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog iftiinka, kuleylka badan iyo qoyaanka (ha ku jirin musqusha).

Ku keydi naldemedine meel aamin ah si aan cid kale ugu qaadin si kama 'ah ama ula kac ah. La soco inta kiniin ee hadhay si aad u ogaato haddii ay jiraan wax maqan.

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:

• qarqaryo
• dhidid
• shuban
• lallabbo
• matagid
• calool xanuun
• dawakhaad

Dhammaan ballamaha la dhig dhakhtarkaaga.

Rijeetadan lama buuxin karo. Hubso inaad ballan la sameysatid dhakhtarkaaga si joogto ah si aan lagaa helin daawada.

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.

• Symproic^®

• Naldemedine Tosylate