Mawallafi: Janice Evans
Ranar Halitta: 26 Yuli 2021
Sabuntawa: 18 Nuwamba 2024
Anonim
Critical evaluation of Safinamide – Video abstract [ID 77749]
Video: Critical evaluation of Safinamide – Video abstract [ID 77749]

Wadatacce

Ana amfani da Safinamide tare da haɗin levodopa da carbidopa (Duopa, Rytary, Sinemet, wasu) don magance ɓangarorin '' kashe '' (lokutan wahalar motsi, tafiya, da magana wanda zai iya faruwa yayin da shan magani ke ƙarewa ko bazuwar) a mutanen da ke fama da cutar Parkinson (PD; rikicewar tsarin juyayi wanda ke haifar da matsaloli tare da motsi, sarrafa tsoka, da daidaitawa). Safinamide yana cikin ƙungiyar magunguna da ake kira masu hana ƙwayoyin monoamine oxidase. Yana aiki ta hanyar ƙara yawan kwayar dopamine (abin da ake buƙata don sarrafa motsi) a cikin kwakwalwa.

Safinamide ta zo ne azaman kwamfutar hannu don ɗauka da baki. Ana yawanci ɗauka tare ko ba abinci sau ɗaya a rana. Saauki safinamide a kusan lokaci ɗaya 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. Saauki safinamide 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.


Kila likitanku zai fara muku akan ƙananan safinamide kuma zai iya ƙara yawan ku sau ɗaya bayan akalla makonni 2 na magani.

Kada ka daina shan safinamide ba tare da yin magana da likitanka ba. Kwararren likitanku zai iya rage yawan ku kafin tsayawa. Idan ba zato ba tsammani ka daina shan safinamide, zaka iya fuskantar bayyanar cututtuka irin su zazzabi; musclearfin tsoka; rikicewa; ko canje-canje a cikin sani. Faɗa wa likitan ku idan kun sami ɗayan waɗannan alamun lokacin da aka rage adadin ku na safinamide.

Tambayi likitan ko likitan ku don kwafin bayanan masu sana'anta ga mai haƙuri.

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

Kafin shan safinamide,

  • gaya ma likitan ka da likitan ka idan kana rashin lafiyan safinamide (kumburi na baki ko na harshe, numfashi), duk wani magani, ko kuma wani sinadari a cikin allunan safinamide. Tambayi likitan ku kan jerin kayan hadin.
  • gaya wa likitanka idan kana shan daya daga cikin wadannan: amfetamines (masu kara kuzari, ’uppers’) kamar su amphetamine (Adderall, Adzenys, Dyanavel XR, a Adderall), dextroamphetamine (Dexedrine, in Adderall), da methamphetamine (Desoxyn); wasu magungunan kashe jini kamar su amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), mirtazapine (Remeron) da trazodone; buspirone; cyclobenzaprine (Amrix); methylphenidate (Aptensio, Metadate, Ritalin, wasu); opioids kamar meperidine (Demerol), methadone (Dolophine, Methadose), propoxyphene (ba a samunsa a Amurka; Darvon), ko tramadol (Conzip, Ultram, a Ultracet); zababben serotonin da norepinephrine reuptake inhibitors (SSNRIs) kamar duloxetine (Cymbalta) da venlafaxine (Effexor); da kuma santsin St. Hakanan ka gayawa likitanka idan kana shan mai hana MAO kamar isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ko tranylcypromine (Parnate) .ko sun daina shan su a cikin makonni biyu da suka gabata. Kila likitanku zai gaya muku cewa kada ku ɗauki safinamide tare da ɗayan waɗannan magunguna. Idan ka daina shan safinamide, ya kamata ka jira aƙalla kwanaki 14 kafin fara shan ɗayan waɗannan magunguna. Hakanan, kar a ɗauki dextromethorphan (a cikin Robitussin DM; ana samun sa cikin yawancin tari mara izini da kayan sanyi) tare da safinamide.
  • 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 kowane ɗayan masu zuwa: maganin ƙwaƙwalwa kamar su clozapine (Clozaril, Fazaclo, Versacloz) da olanzapine (Zyprexa); benzodiazepines irin su alprazolam (Xanax), diazepam (Diastat, Valium), lorazepam (Ativan), temazepam (Restoril), da triazolam (Halcion); magunguna don mura da cututtukan jiki (ƙaddarawa) gami da waɗanda aka sanya a cikin ido ko hanci; imatinib (Gleevec); irinotecan (Camptosar, Onivyde); isoniazid (Laniazid, a cikin Rifamate, a cikin Rifater); lapatinib (Tykerb); methotrexate (Otrexup, Rasuvo); metoclopramide (Reglan); mitoxantrone; rosuvastatin (Crestor); masu zaɓin maganin serotonin waɗanda aka zaɓa kamar su citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax, wasu), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), da sertraline (Zoloft); sulfasalazine (Azulfidine); da topotecan (Hycamtin). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa.
  • gaya wa likitanka idan kana da cutar hanta. Kila likitanku zai gaya muku kar ku sha safinamide.
  • gaya wa likitanka idan kana da ko ka taba samun tabin hankali kamar schizophrenia (cutar tabin hankali da ke haifar da rikicewar tunani, rashin sha'awa a rayuwa, da kuma karfi ko motsin rai na daban), rikicewar bipolar (yanayin da ke canzawa daga bakin ciki zuwa mummunan tashin hankali) , ko kwakwalwa; ko kuma idan kana da hawan jini ko kaɗan; dyskinesia (ƙungiyoyi masu haɗari); ko matsalolin bacci. Hakanan ka gayawa likitanka idan kai ko dan uwanka sun taba ko sun sami matsala game da kwayar idanun na ku ko kuma zabiya (yanayin gado wanda ke haifar da rashin launi a fata, gashi da idanuwa).
  • gaya wa likitanka idan kana da ciki ko ka shirya yin ciki. Idan kun kasance ciki yayin shan safinamide, kira likitan ku.
  • gaya wa likitanka idan kana shan nono ko kuma shirin shayarwa.
  • ya kamata ku sani cewa safinamide na iya sa ku bacci ko kuma zai iya sa ku fara bacci ba zato ba tsammani yayin ayyukanku na yau da kullun. Ba za ku iya jin barci ba ko kuma ku sami wasu alamun gargaɗi kafin ku yi barci ba zato ba tsammani.Kada ku tuƙa mota, yi aiki da injina, aiki a tsayi, ko kuma shiga cikin ayyukan haɗari masu haɗari a farkon jinyar ku har sai kun san yadda maganin yake shafar ku. Idan kwatsam kayi bacci yayin da kake yin wani abu kamar kallon talabijin, magana, cin abinci, ko hawa mota, ko kuma idan ka zama mai yawan bacci, musamman da rana, kira likitanka. Karka fitar da mota, kayi aiki a manyan wurare, ko sarrafa inji har sai kayi magana da likitanka.
  • tuna cewa barasa na iya karawa cikin barcin da wannan magani ya haifar. Kada ku sha giya yayin shan safinamide.
  • ya kamata ku sani cewa wasu mutanen da suka sha magunguna irin su safinamide sun haifar da matsalolin caca ko wasu buƙatu masu ƙarfi ko halaye waɗanda suka zama tilas ko al'ada a gare su, kamar ƙara yawan sha'awar jima'i ko ɗabi'a. Kira likitan ku idan kuna da sha'awar yin caca wanda ke da wuyar sarrafawa, kuna da ƙwarin gwiwa, ko ba ku iya sarrafa halayenku ba. Faɗa wa danginku game da wannan haɗarin don su iya kiran likita ko da kuwa ba ku san cewa caca ko duk wata damuwa mai ƙarfi ko halaye marasa kyau sun zama matsala ba.

Kuna iya fuskantar mummunan aiki idan kun ci abincin da ke cikin tyramine yayin maganinku tare da safinamide. Ana samun Tyramine a cikin abinci da abubuwan sha da yawa, gami da nama, kaji, kifi, ko cuku wanda aka sha, tsufa, da aka ajiye shi ba daidai ba, ko aka lalata shi; wasu 'ya'yan itace, kayan lambu, da wake; abubuwan sha; da kayayyakin yisti waɗanda suka yi fermented. Likitanku ko likitan abincinku zasu gaya muku abincin da dole ne ku guji gaba ɗaya, kuma waɗanne abinci ne da zaku iya ci da ƙananan. Idan kun ci abincin da ke cikin kwayar cuta yayin shan safinamide, tuntuɓi likitan ku.


Tsallake kashi da aka rasa kuma ɗauki kashi na gaba a lokacin da aka saba washegari. Kar a sha kashi biyu domin biyan wanda aka rasa.

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

  • tashin zuciya
  • wahalar bacci ko bacci

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

  • taɓarɓarewar jiki ko saurin motsa jiki wanda ba za ku iya sarrafawa ba
  • hangen nesa ya canza
  • Mafarki (ganin abubuwa ko jin muryoyin da babu su)
  • imani na yaudara (gaskata abubuwan da ba na gaske ba)
  • tashin hankali, mafarki, zazzabi, zufa, rudani, bugun zuciya mai sauri, rawan jiki, tsananin jijiya ko karkatarwar jiki, rashin daidaito, jiri, amai, ko gudawa

Safinamide 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).

Ajiye wannan maganin a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara 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.

Ci gaba da duk alƙawura tare da likitan 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.

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