Lorazepam
Qanacsan
- Kahor qaadashada lorazepam,
- Lorazepam wuxuu sababi karaa waxyeelo. Wac dhakhtarkaaga haddii astaamaha soo socda midkood uu daran yahay ama uusan tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIINTA MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
Lorazepam waxay kordhin kartaa halista dhibaatooyinka neefsashada ee halista ah ama nolosha halista ah, suuxdin, ama miyir-beel haddii loo isticmaalo daawooyinka qaarkood. U sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad u qaadato daawooyinka opiate-ka qaarkood qufaca sida Codein (Triacin-C, Tuzistra XR) ama hydrocodone (Anexsia, Norco, Zyfrel) ama xanuun sida codeine (Fiorinal) ), fentanyl (Actiq, Duragesic, Subsys, kuwa kale), hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (Oxycet, in Perco gudaha Roxicet, kuwa kale), iyo tramadol (Conzip, Ultram, in Ultracet). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga oo si taxadar leh ayuu kuu kormeeri doonaa. Haddii aad qaadatid lorazepam mid ka mid ah daawooyinkaan oo aad yeelato mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama isla markiiba raadso daryeel caafimaad oo degdeg ah: dawakhaad aan caadi ahayn, madax wareer, hurdo saa'id ah, neefsasho gaabis ah ama dhib badan, ama jawaab celin la'aan. Hubso in daryeel bixiyahaaga ama xubnaha qoyskaaga ay ogyihiin calaamadaha halista ah si ay ugu wici karaan dhakhtarka ama daryeelka caafimaadka degdegga ah haddii aadan awoodin inaad iskaa u doonato daaweyn.
Lorazepam waxay caado u noqon kartaa sameynta. Ha qaadan qadar ka weyn, qaad inta badan, ama waqti ka dheer sida dhakhtarkaagu kuu sheego. U sheeg dhakhtarkaaga haddii aad waligaa khamri cabtay, haddii aad isticmaasho ama aad waligaa isticmaasho daroogada waddooyinka, ama aad si xad dhaaf ah u isticmaasho daawooyinka laguu qoray. Ha cabin aalkolo ama ha isticmaalin daroogada waddada inta lagu jiro daweyntaada. Cabitaanka aalkolada ama isticmaalka daroogada dariiqa inta lagu guda jiro daaweyntaada lorazepam sidoo kale waxay kordhineysaa halista ah inaad la kulanto waxyeelooyinkan halista ah ee nolosha halis gelinaya Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa isku buuqday ama cudur kale oo maskaxda ah.
Lorazepam waxay sababi kartaa ku tiirsanaan jir ahaaneed (xaalad taas oo astaamo jireed oo aan fiicneyn ay dhacaan haddii daawo si lama filaan ah loo joojiyo ama loo qaato qadar yar), gaar ahaan haddii aad qaadato dhowr maalmood illaa dhowr toddobaad. Ha u joojin qaadashada daawadan ama qaadashada qadar yar adigoon la hadlin dhakhtarkaaga. Joojinta lorazepam si lama filaan ah ayaa uga sii dari karta xaaladaada waxayna sababi kartaa astaamaha ka bixitaanka oo socon kara dhowr toddobaad illaa in ka badan 12 bilood. Dhakhtarkaaga ayaa laga yaabaa inuu hoos u dhigo qiyaastaada lorazepam. Wac dhakhtarkaaga ama u hesho daaweyn caafimaad oo deg deg ah haddii aad isku aragto mid ka mid ah astaamaha soo socda: dhaqdhaqaaqyo aan caadi ahayn; dhagahaaga ka yeeraya; walaac; dhibaatooyinka xusuusta; adkaanshaha feejignaanta; dhibaatooyinka hurdada; suuxdinta; gariirid; murqaha oo la rogrogo; isbeddelada caafimaadka maskaxda; niyad jab; gubashada ama ku garaacayo gacmahaaga, gacmahaaga, lugahaaga ama cagahaaga; aragista ama maqalka waxyaalaha dadka kale arkin ama maqlaan; fikradaha waxyeelada ama naftaada ama dadka kale; xamaasad xad dhaaf ah; ama luminta taabashada xaqiiqda.
Lorazepam waxaa loo isticmaalaa in lagu yareeyo walwalka. Lorazepam wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'benzodiazepines'. Waxay ku shaqeysaa iyadoo hoos u dhigeysa howlaha maskaxda si loogu oggolaado nasasho.
Lorazepam waxay u timaadaa sidii kaniiniga oo kale oo xoog saar (dareere) si afka looga qaato. Badanaa waxaa la qaataa laba ama seddex jeer maalintii waxaana laga yaabaa in la qaato ama aan la cunin. 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 lorazepam sida saxda ee lagu faray.
Maaddada loo yaqaan 'Lorazepam concentrate' (dareeraha) waxay la timaadaa dhibco si gaar ah loogu calaamadeeyay qiyaasta qiyaasta Weydiiso farmashiistaha inuu ku tuso sida loo isticmaalo daroogada. Ku milmi isku-uruurinta 1 wiqiyadood (30 mililitir) ama in ka badan oo biyo ah, casiir ah, ama cabbitaanno kaarboon leh ka hor inta aanad qaadan. Waxaa sidoo kale lagu qasi karaa tufaax ama pudding waxyar ka hor intaadan qaadan qiyaasta.
Lorazepam sidoo kale waxaa loo isticmaalaa in lagu daaweeyo cilladda mindhicirka xanaaqsan, suuxdin, hurdo la'aan, iyo lallabbo iyo matag ka yimaada daaweynta kansarka iyo in la xakameeyo kacsanaanta ay keento ka tagitaanka aalkoladu. Kala hadal dhakhtarkaaga khataraha suurtagalka ah ee u isticmaalka daawadan xaaladdaada.
Daawadan waxaa loo qori karaa adeegsi kale. Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada lorazepam,
- u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay lorazepam, alprazolam (Xanax), chlordiazepoxide (Librium, in Librax), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), diazepam (Valium), estazolam, flurazepam, oxazepam, temazepam (Restoril), triazolam (Halcion), dawooyin kale oo kasta, ama wax ka mid ah maaddooyinka ku jira kiniiniyada lorazepam ama uruurinta. Weydii dhakhtarkaaga ama farmashiistaha liiska waxyaabaha ay ka kooban yihiin.
- 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: antihistamines; digoxin (Lanoxin); levodopa (oo ku yaal Ritary, Sinemet, Stalevo); daawooyinka niyadjabka, qallalka, cudurka Parkinson, neefta, hargabka, ama xasaasiyadda; nasashada murqaha; ka hortagga uurka; probenecid (Probalan, oo ku taal Col-Probenecid); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); dajiya; kaniiniyada hurdada; theophylline (Elixophyllin, Theo 24, Theochron); dejiyeyaasha; iyo valproic acid (Depakene) Dhaqtarkaaga waxaa laga yaabaa inuu u baahdo inuu badalo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu kormeero dhibaatooyinka soo raaca.
- u sheeg dhakhtarkaaga haddii aad qabtid glaucoma. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan daawada lorazepam.
- u sheeg dhakhtarkaaga haddii aad suuxdo ama weligaa kugu dhacdo; ama sanbabada, wadnaha, ama cudurka beerka.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanaysid lorazepam, wac dhakhtarkaaga isla markiiba.
- kala hadal dhakhtarkaaga khataraha iyo faa'iidooyinka qaadashada daawadan haddii aad tahay 65 sano jir ama ka weyn. Dadka waaweyn ee waayeelka ah waa inay qaataan qadar yar oo ah lorazepam maxaa yeelay qiyaasaha ka sareeya malaha waxtar badan waxayna u badan tahay inay keenaan waxyeelo daran.
- haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso lorazepam.
- waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.
Haddii aad qaadatid dhowr qiyaasood maalintii oo aad seegto qaddar, ka bood qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.
Lorazepam wuxuu sababi karaa waxyeelo. Wac dhakhtarkaaga haddii astaamaha soo socda midkood uu daran yahay ama uusan tagin:
- lulmid
- dawakhaad
- daallan
- daciifnimo
- afka qalalan
- shuban
- lallabbo
- isbedelka cuntada
- nasasho la'aan ama reyn reyn
- calool istaag
- kaadida oo ku adkaata
- kaadi badan
- aragga oo xumaada
- isbeddelada kufsiga galmada ama awoodda
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIINTA MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
- socod shuffling
- joogto ah, gariir wanaagsan ama awood la'aan fadhiisasho
- qandho
- finan maqaarka oo daran
- hurdi maqaarka ama indhaha
- garaaca wadnaha oo aan joogto ahayn
Lorazepam 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 kuleylka iyo qoyaanka badan (ha ku jirin musqusha).
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
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.
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.
Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarrada qaarkood si loo hubiyo jawaabtaada lorazepam.
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.
- Ativan®
- Lorazepam Intensol®