Bromocriptine

Qanacsan

• Kahor qaadashada bromocriptine,
• Dawadani waxay sababi kartaa isbeddel ku dhaca sonkorta dhiiggaaga. Waa inaad ogaataa astaamaha sonkorta dhiiga oo hooseysa iyo kuwa sare iyo waxa la sameeyo haddii aad leedahay astaamahan.
• Bromocriptine 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 dhakhtarkaaga isla markiiba:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Bromocriptine (Parlodel) waxaa loo isticmaalaa in lagu daaweeyo astaamaha hyperprolactinemia (heerarka sare ee walaxda dabiiciga ah ee loo yaqaan prolactin ee jirka) oo ay ku jiraan caadooyin la'aanta caadada, dheecaan ka soo baxa ibta, dhalmo la'aan (uur yeelashada oo dhib ku ah) iyo hypogonadism (heerar hooseeya ee walxaha dabiiciga ah qaarkood) looga baahan yahay koritaanka caadiga ah iyo shaqada galmada). Bromocriptine (Parlodel) ayaa loo isticmaali karaa in lagu daaweeyo cudurka 'hyperprolactinemia' ee ay sababaan noocyada burooyinka qaarkood ee soo saara prolactin, waana laga yaabaa in burooyinkaas ay yaraadaan. Bromocriptine (Parlodel) sidoo kale waxaa loo isticmaalaa kaligiis ama daaweyn kale si loogu daaweeyo acromegaly (xaalad ay kujirto hormoon badan oo korriin jirka ah) iyo cudurka Parkinson (PD; cillad nidaamka neerfaha oo sababa dhibaatooyin xagga dhaqdhaqaaqa, xakameynta muruqyada, iyo dheelitirka). Bromocriptine (Cycloset) waxaa loo isticmaalaa barnaamij cunto iyo jimicsi leh mararka qaarkoodna daawooyin kale si loo xakameeyo heerarka sonkorta dhiiga ee dadka qaba sonkorowga nooca 2 (xaalad ah in jirku uusan u isticmaalin insulin si caadi ah sidaas darteedna uusan xakamayn karin qadarka sonkorta dhiiga ). Bromocriptine (Cycloset) looma isticmaalo in lagu daaweeyo nooca 1aad ee sonkorowga (xaalad jidhku aanu soo saarin insulin oo markaa ma xakamayn karo qadarka sonkorta ee dhiiga ku jirta) ama ketoacidosis ee sonkorowga (xaalad halis ah oo laga yaabo inay soo ifbaxdo hadii sonkorta dhiigu sareyso aysan aheyn) la daweeyey) Bromocriptine waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'dopamine reseptor agonists'. Waxay ku daaweysaa hyperprolactinemia iyadoo hoos u dhigeysa xaddiga prolactin ee jirka. Waxay daaweysaa acromegaly iyadoo hoos u dhigeysa xaddiga hoormoonka koritaanka jirka. Waxay ku daaweyneysaa cudurka Parkinson iyada oo kicinaysa neerfaha xakameynaya dhaqdhaqaaqa. Qaabka bromocriptine uu ugu shaqeeyo daaweynta cudurka macaanka lama yaqaan.

Bromocriptine (Parlodel) waxay u timaaddaa kaabsul iyo kiniin afka lagu qaato. Bromocriptine (Cycloset) wuxuu u yimaadaa kiniin ahaan afka laga qaato. Marka bromocriptine (Parlodel) loo isticmaalo daaweynta hyperprolactinemia, badanaa waxaa lagu qaataa hal mar maalintii cuntada. Marka bromocriptine (Parlodel) loo isticmaalo in lagu daaweeyo acromegaly, badanaa waxaa la qaataa hal jeer maalintii sariirta cuntada. Marka bromocriptine (Parlodel) loo isticmaalo daaweynta cudurka Parkinson, waxaa badanaa lagu qaataa laba jeer maalintii cuntada. Bromocriptine (Cycloset) waxaa badanaa lagu qaataa hal mar maalintii cuntada gudaheeda 2 saacadood gudahood marka la tooso subaxa hore. Qaado bromocriptine qiyaastii isku wakhti (waqtiyo) 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 bromocriptine sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Dhakhtarkaagu wuxuu kuugu bilaabi doonaa qadar yar oo ah bromocriptine wuxuuna si tartiib tartiib ah u kordhin doonaa qiyaastaada, ugu badnaan hal mar 2 ilaa 28 maalmood. Waqtiga qaadashada uu sii kordhayo waxay kuxirantahay xaalada daweynta iyo jawaabtaada daawada.

Bromocriptine wuxuu kaa caawin karaa inuu xakameeyo xaaladaada laakiin ma daaweyn doono. Waxay kugu qaadan kartaa waqti inaad dareento faa iidada buuxda ee bromocriptine. Ha u joojin qaadashada bromocriptine adigoon la hadlin dhakhtarkaaga. Haddii aad joojiso qaadashada bromocriptine, xaaladdaadu way ka sii dari kartaa.

Haddii aad u qaadaneyso bromocriptine (Cycloset) sonkorowga, weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Bromocriptine looma isticmaali karo in lagu joojiyo soo saarida caanaha naaska dumarka soo riday ilmo iska soo rida ama uurka ku dhintay ama doorbiday in aysan naas nuujin; bromocriptine wuxuu sababi karaa waxyeelo halis ah ama u dhinta dumarkaas. Kala hadal dhakhtarkaaga khataraha suurtagalka ah ee u isticmaalka daawadan xaaladdaada.

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

Kahor qaadashada bromocriptine,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay bromocriptine; ergot alkaloids sida cabergoline (Dostinex), dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Germinal, Hydergine), ergonovine (Ergotrate), ergotamine (Bellergal-S, Cafergot, Ergomar, Wigrainegine), methy Sansert), iyo pergolide (Permax); daawooyin kale; ama mid ka mid ah maaddooyinka ku jira kiniiniyada bromocriptine ama kaabsulka. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee 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: amitriptyline (Elavil); antifungals sida itraconazole (Sporanox) iyo ketoconazole (Nizoral); dawooyinka xasaasiyadda; chloramphenicol; dexamethasone (Decadron, Dexpak); agonistayaasha kale ee dopamine sida cabergoline (Dostinex), levodopa (Dopar, Larodopa), pergolide (Permax), iyo ropinirole (Requip); daawooyinka nooca ergot sida dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Germinal, Hydergine), ergonovine (Ergotrate), ergotamine (Bellergal-S, Cafergot, Ergomar, Wigraine), methylergonovine (Methergine) ; haloperidol (Haldol); imipramine (Tofranil); insulin; antibayootigyada 'macrolide antibiotics' sida 'clarithromycin' (Biaxin, in PrevPac) iyo erythromycin (E.E.S., E-Mycin, Erythrocin); dawooyinka qaarkood ee fayraska difaaca jirka ee dadka (HIV) ama cillad la'aanta cillad la'aanta (AIDS) sida indinavir (Crixivan), nelfinavir (Viracept), iyo ritonavir (Norvir, ee Kaletra); daawooyinka afka laga qaato ee sonkorowga; daawooyinka neefta, hargabka, dhiig karka, madax xanuunka, iyo lallabbo; daawooyinka cudurada maskaxda sida clozapine (Clozaril, FazaClo), olanzapine (Zyprexa, in Symbyax), thiothixene (Navane), iyo ziprasidone (Geodon); methyldopa (Aldoril); metoclopramide (Reglan); nefazodone; octreotide (Sandostatin); pimozide (Orap); probenecid (gudaha Col-Probenecid, Probalan); keydka; rifampin (Rifadin, Rifamate, Rifater, Rimactane); iyo sumatriptan (Imitrex). 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 bromocriptine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii aad qabtid dhiig kar ama madax xanuun dhanjaf ah oo sababa suuxdin. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan bromocriptine.
• u sheeg dhakhtarkaaga haddii aad dhawaan dhasho, haddii aad waligaa suuxdo, iyo haddii aad leedahay ama aad waligaa wadno-xanuun qabtid; garaaca wadnaha oo gaabis ah, dhakhso leh, ama aan caadi ahayn; cudurka maskaxda; cadaadis dhiig oo hooseeya, boogaha; dhiig caloosha ama xiidmaha; Cilladda 'Raynaud's Syndrome' (xaalad ay gacmaha iyo cagaha ka noqdaan kuwo suuxsan oo qabow leh marka ay la kulmaan heerkulka qabow); wadnaha, kilyaha, ama cudurka beerka; ama xaalad kasta oo kaa hor istaagta inaad dheefshiido cuntooyinka ay ku jiraan sonkorta, istaarijka, ama waxyaabaha caanaha laga sameeyo si caadi ah.
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad u qaadaneyso bromocriptine (Parlodel) si aad u daaweyso la'aanta caadada iyo dhalmo la'aanta ay keento hyperprolactinemia, isticmaal hab ka hortag uur ah oo aan ahayn ka hortagga uurka ee hormoonka (kiniiniyada xakameynta dhalmada, balastarrada, giraanyada, ama irbado) illaa aad ka heleyso caadada caadada ee caadiga ah; ka dibna jooji isticmaalka ka hortagga uurka. Waa in lagaa baaro uurka hal mar 4tii toddobaadba mar haddii aadan caadada qabin. Marka caadadaadu soo noqoto, waa in lagaa baaraa uurka markasta oo caadadaadu ay ka soo daahdo 3 maalmood. Haddii aadan rabin inaad uur yeelatid, isticmaal hab ka hortagga uurka oo aan ahayn ka hortagga uurka ee hormoon inta aad qaadanaysid bromocriptine. Haddii aad uur yeelato inta lagu jiro daweyntaada bromocriptine, jooji qaadashada daawada oo wac dhakhtarkaaga.
• ha nuujin naaska inta aad qaadaneysid bromocriptine.
• haddii aad qalliin samaynayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso bromocriptine (Cycloset).
• waa inaad ogaataa in bromocriptine uu kaa dhigi karo mid lulmo leh isla markaana kuu sababa inaad si lama filaan ah u seexato. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• weydii dhakhtarkaaga wax ku saabsan isticmaalka aaminka ah ee cabbitaanka khamriga inta aad qaadanayso bromocriptine.Aalkoladu waxay ka sii dari kartaa dhibaatooyinka soo raaca bromocriptine.
• waa inaad ogaataa in bromocriptine ay sababi karto dawakhaad, lallabbo, dhidid, iyo suuxdin markaad si dhakhso leh uga kacdo booska aad jiifayso. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo qaadashada bromocriptine ama marka qiyaastaadu ay korodho. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.
• Weydii dhakhtarkaaga waxa la sameeyo haddii aad xanuunsato, infekshin kugu dhaco ama qandho, walwal aan caadi ahayn aad qabto, ama aad dhaawacdid. Xaaladahan waxay saameyn ku yeelan karaan sonkorta dhiiggaaga iyo xaddiga bromocriptine (Cycloset) ee aad u baahan karto.

Kala hadal dhakhtarkaaga cunista canab-gacmeedka iyo cabitaanka casiirka canabka marka aad qaadanaysid dawadan.

Hubso inaad raacdo dhammaan jimicsiga iyo talooyinka cuntada ee dhakhtarkaagu ama nafaqeeyahaagu kuu qoro.

Haddii aad qaadato bromocriptine (Parlodel), qaado qiyaasta la seegay isla marka aad xusuusatoba. 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.

Haddii aad qaadato bromocriptine (Cycloset) hal mar maalintii oo aad seegto qiyaastaada subaxa, sug ilaa subaxa dambe si aad u qaadato daawadaada. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Dawadani waxay sababi kartaa isbeddel ku dhaca sonkorta dhiiggaaga. Waa inaad ogaataa astaamaha sonkorta dhiiga oo hooseysa iyo kuwa sare iyo waxa la sameeyo haddii aad leedahay astaamahan.

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

• lallabbo
• matagid
• shuban
• calool istaag
• calool xanuun
• laabjeex
• cunto xumo
• madax xanuun
• daciifnimo
• daallan
• dawakhaad ama madax-wareer
• lulmid
• dhibaato xagga hurdada ama hurdada ah
• niyad jab

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:

• miyir beelid
• dheecaan biyo leh oo sanka ka soo baxa
• kabuubyo, xoqid, ama xanuun farahaaga ah gaar ahaan cimilada qabow
• saxaro madow iyo tarry
• matag dhiig leh
• matag wax u eg kafee kafee ah
• bararka cagaha, anqawyada, ama lugaha hoose
• qalal
• madax xanuun daran
• aragga oo xumaada ama daciifa
• gaabis ah ama hadal adag
• daciifnimo ama kabuubyo gacan ama lug ah
• xabad xanuun
• gacmaha, dhabarka, qoorta ama daanka
• neefta oo ku qabata
• jahwareer
• dhalanteed (aragtida wax ama maqalka codad aan jirin)

Bromocriptine 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 xad-dhaafka ah, iyo qoyaanka (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:

• lallabbo
• matagid
• calool istaag
• dhidid
• maqaarka cirro leh
• dareen guud oo raaxo la'aan ama raaxo la'aan
• tamar la’aan
• miyir beelid
• dawakhaad
• lulmid
• jahwareer
• dhalanteed (aragtida wax ama maqalka codad aan jirin)
• rumaysashada waxyaabo aan run ahayn
• hamaansiga ku celcelinta

Dhammaan ballamaha la dhig takhtarkaaga, dhakhtarka indhaha, iyo sheybaarka. Cadaadiska dhiiggaaga waa in marmar la hubiyaa. Dhakhtarkaagu wuxuu dalban karaa baaritaanno indho-indheyn joogto ah iyo baaritaanno shaybaar ah qaarkood si loo hubiyo jawaabta jirkaaga ee bromocriptine. Sonkorta dhiiggaaga iyo glycosylated hemoglobin (HbA1c) waa in si joogto ah loo hubiyaa si loo ogaado jawaabtaada bromocriptine (Cycloset). Dhakhtarkaaga ayaa sidoo kale kuu sheegi doona sida loo hubiyo jawaabtaada bromocriptine (Cycloset) adiga oo ka cabbiraya heerarka sonkorta dhiiggaaga ama gurigaaga. Raac tilmaamahan si taxaddar leh.

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.

• Wareeg^®
• Parlodel^®

• Bromocryptine
• Brom-ergocryptine
• 2-Bromoergocryptine
• 2-Br-alpha-ergocryptine