Dextromethorphan da Quinidine

Wadatacce

• Kafin shan dextromethorphan da quinidine,
• Haɗuwa da dextromethorphan da quinidine na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:
• Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun, kira likitan ku nan da nan:
• Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da:

Ana amfani da haɗin dextromethorphan da quinidine don magance cutar ta pseudobulbar (PBA; yanayin kwatsam, yawan fashewa da kuka ko dariya wanda ba za a iya sarrafa shi ba) a cikin mutane da wasu yanayi kamar su amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition) wanda jijiyoyin da ke sarrafa motsi na tsoka a hankali suke mutuwa, suna haifar da jijiyoyi su ragu kuma su raunana) ko cutar ƙwanƙwasa mai yawa (cutar da jijiyoyi ba sa aiki da kyau kuma marasa lafiya na iya fuskantar rauni, dushewa, rashin daidaito na tsoka da matsaloli tare da hangen nesa, magana, da kuma kula da mafitsara). Dextromethorphan yana cikin ajin magunguna wanda ake kira wakilan tsarin juyayi na tsakiya. Ba a san hanyar da take aiki a cikin kwakwalwa don magance PBA ba. Quinidine yana cikin rukunin magungunan da ake kira antiarrhythmics. Idan aka hada shi da dextromethorphan, quinidine yana aiki ta hanyar kara yawan dextromethorphan a jiki.

Haɗuwa da dextromethorphan da quinidine sun zo a matsayin kwantena don ɗauka ta baki. Yawanci ana ɗaukarsa ko ba abinci sau ɗaya a rana tsawon kwana 7. Bayan kwana 7, ana shan shi kowane awa 12. Kar ka ɗauki fiye da allurai 2 a cikin awanni 24. Tabbatar bada izinin kimanin awanni 12 tsakanin kowane kashi. Deauki dextromethorphan da quinidine a kusan lokaci guda (s) kowace rana. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Takeauki haɗin dextromethorphan da quinidine daidai yadda aka umurta. Kar ka ɗauki ƙari ko ƙasa da shi ko ka sha shi sau da yawa fiye da yadda likitanka ya tsara.

Kwararka na iya bincika lokaci-lokaci don ganin ko har yanzu ana buƙatar wannan maganin don sarrafa alamunku. Bi waɗannan kwatance a hankali.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin shan dextromethorphan da quinidine,

• gayawa likitan ka da likitan ka idan kana rashin lafiyan dextromethorphan, quinidine (Quinidex), quinine (Qualaquin), mefloquine (Lariam), duk wasu magunguna, ko kuma wani sinadaran a hade dextromethorphan da quinidine capsules. Tambayi likitan ku kan jerin kayan hadin.
• gaya wa likitanka idan kana shan mefloquine (Lariam), pimozide (Orap), quinine (Qualaquin) thioridazine, ko kuma wani samfurin da yake dauke da quinidine (Quinidex). Kila likitanku zai gaya muku kar ku sha dextromethorphan da quinidine idan kuna shan ɗaya ko fiye daga waɗannan magunguna.
• gaya wa likitanka da likitan kantin ku wasu irin magunguna da magunguna marasa magani, bitamin, kayan abinci mai gina jiki, da kayan ganyen da kuke sha ko shirin dauka. Tabbatar da ambaci wani daga cikin masu zuwa: maganin kashe kuzari ciki har da clomipramine (Anafranil), desipramine (Doxepin, Sinequan), fluoxetine (Prozac, Sarafem), nefazodone, da paroxetine (Paxil, Pexeva); aprepitant (Emend); clarithromycin (Biaxin, Prevpac); tari da magungunan sanyi masu dauke da dextromethorphan; ɓarna; digoxin (Lanoxin, Digitek); erythromycin (E.E.S. E-Mycin, Erythrocin); fluconazole (Diflucan); itraconazole (Sporanox); ketoconazole (Nizoral); wasu magunguna don kwayar cutar kanjamau (HIV) kamar atazanavir (Reyataz), amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, a Kaletra), da saquinavir (Invse) magunguna don bugun zuciya mara izini irin su amiodarone (Cordarone), diltiazem (Cardizem, Cartia, Tiazac, wasu), disspyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid, Pronestyl), sotalol (Betapace), da verapamil (Calan, Covera, Isoptin, Verelan, a cikin Tarka); magunguna don ciwo kamar codeine, hydrocodone (a cikin Hydrogesic, Lorcet, Lortab, Vicodin, Zydone, wasu), da methadone; moxifloxacin (Avelox); sparfloxacin (Zagam); da teliththromycin (Ketek). Har ila yau, gaya wa likitan ku ko likitan magunguna idan kuna shan waɗannan magunguna ko kuma sun daina shan su a cikin makonni biyu da suka gabata: Masu hana MAO ciki har da isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl ), da kuma tranylcypromine (Parnate). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa. Sauran magunguna da yawa na iya yin ma'amala da dextromethorphan da quinidine, don haka ka tabbata ka gaya wa likitanka duk magungunan da kake sha, har ma waɗanda ba su bayyana a wannan jeri ba.
• gaya wa likitanka idan kana da ko ka taba samun wadannan halaye yayin shan quinidine, quinine, ko mefloquine: raguwar adadin kwayoyin jini a cikin kashin jikin ka, lupus (yanayin da jiki ke afkawa kayan jikin ta wanda ke haifar da lalacewa da kumburi ), ko ciwon hanta (kumburin hanta). Har ila yau, gaya wa likitanka idan kana da ko ka taɓa samun rikicewar zuciya mara kyau ko gazawar zuciya. Kila likitanku zai gaya muku kar ku dauki sitromethorphan da quinidine.
• gaya wa likitanka idan kana da ko ka taɓa yin myasthenia gravis (cuta na tsarin mai juyayi wanda ke haifar da raunin tsoka), tarihin amfani da miyagun ƙwayoyi a titi ko amfani da kwaya ba da amfani ba, hawan jini, bugun jini, ƙananan matakan potassium ko magnesium jininka, ko zuciya, koda, ko cutar hanta.
• gaya wa likitanka idan kana da juna biyu, shirya yin ciki, ko kuma shayarwa. Idan kayi ciki yayin shan hadewar dextromethorphan da quinidine, kira likitanka.
• idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likita ko likitan hakori cewa kuna shan dextromethorphan da quinidine.
• ya kamata ku sani cewa dextromethorphan da quinidine na iya sanya ku cikin damuwa. Yana da mahimmanci a kiyaye don gujewa faduwa yayin shan wannan magani.
• Tambayi likitanka game da amintaccen amfani da giya yayin shan shan dextromethorphan da quinidine. Barasa na iya haifar da illa daga wannan magani mafi muni.

Yi magana da likitanka game da cin ɗanyen inabi da shan ruwan anab yayin shan wannan magani.

Sai dai idan likitanku ya gaya muku in ba haka ba, ci gaba da abincinku na yau da kullun.

Tsallake kashi da aka rasa kuma ɗauki kashi na gaba a lokaci na yau da kullun. Kar a sha kashi biyu domin biyan wanda aka rasa. Tabbatar bada izinin awanni 12 tsakanin allurai.

Haɗuwa da dextromethorphan da quinidine na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

• gudawa
• amai
• gas
• ciwon ciki
• tari
• idanu bushe ko baki
• rauni
• jijiyoyin tsoka
• kumburin hannu, ƙafa, idon kafa, ko ƙananan ƙafafu
• fitsari mai yawa, mai zafi, ko wahala
• fitsari mai girgije ko mai tsananin ƙamshi

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun, kira likitan ku nan da nan:

• zazzaɓi
• zubar jini ko rauni
• tsoka ko haɗin gwiwa
• kurji
• kumburin fuska, maƙogwaro, harshe, ko leɓɓa
• kumburin kumburin lymph
• bushewar fuska
• wahalar numfashi
• rashin haske
• suma
• saurin bugawa

Haɗuwa da dextromethorphan da quinidine na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin shan wannan magani.

Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).

Kiyaye wannan magani a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara da dabbobin gida zasu isa. Ajiye shi a zafin jiki na ɗaki kuma nesa da yawan zafin rana da danshi (ba cikin gidan wanka ba).

Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku. Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.

Yana da mahimmanci a kiyaye dukkan magunguna ba tare da gani ba kuma yara su isa kamar yadda kwantena da yawa (kamar masu ba da maganin kwaya na mako-mako da waɗanda suke don maganin ido, creams, faci, da kuma inhalers) ba sa jure yara kuma yara ƙanana na iya buɗe su cikin sauƙi. Don kare ƙananan yara daga guba, koyaushe kulle maɓallan aminci kuma nan da nan sanya magani a cikin amintaccen wuri - wanda ke sama da nesa kuma daga ganinsu kuma ya isa. http://www.upandaway.org

Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.

Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da:

• tashin zuciya
• amai
• gudawa
• jiri
• ciwon kai
• ringing a cikin kunnuwa
• dushe ko gani biyu
• rikicewa
• canje-canje a cikin bugun zuciya
• wahalar numfashi
• rasa sani
• kamuwa
• canje-canje a cikin hanzarin tsoka
• asarar daidaituwa
• sabon abu tashin hankali
• tunani mara kyau

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Kwararka na iya yin odar wasu gwaje-gwajen gwaje-gwaje don bincika amsar jikinka ga dextromethorphan da quinidine. Hakanan likitan ku na iya yin odar kwayar cutar ta lantarki (ECG; gwajin da ke auna aikin lantarki a cikin zuciya) kafin da yayin aikin ku.

Kar ka bari wani ya sha maganin ka. Tambayi likitan ku duk wata tambaya da kuke da ita game da sake shigar da takardar sayan ku.

Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.

• Nuedexta^®