Lybalvi
Ukusetshenziswa kwe-olanzapine ne-samidorphan kuhlanganiswe ekwelapheni i-schizophrenia. Kungase futhi kusetshenziswe yodwa noma ngemithi eminye (isib. i-lithium noma i-valproate) ukwelapha i-mania noma izigameko ezihlanganisiwe ezingxenye yesifo se-bipolar (ukugula okuphazamisekile). Lolu lwemi lumelwe lungasetshenziswa ekwelapheni izinkinga zokuziphatha kubantu abadala asebekhulile abane-dementia. Lolu lwemi lutholakala kuphela ngomyalelo wodokotela. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Uma ukhetha ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma oluhambisana nokwelapha imithi noma ezinye izidakamizwa. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela yokuhlanganiswa kwe-olanzapine ne-samidorphan kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kokuxuba kwe-olanzapine ne-samidorphan kubantu abadala. Kodwa-ke, abantu abadala banesibopho esikhulu sokuba nemiphumela emibi, okungadingeka ukunakekelwa nokulungiswa komthamo kubantu abamukela le mithi. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yimiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ayikhuthazwa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ngokuvamile akusikhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili izidakamizwa ziyalelwa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi ulisebenzisa kangakanani olunye noma kokubili izidakamizwa. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yemiphumela emibi ethile, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili izidakamizwa ziyalelwa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi ulisebenzisa kangakanani olunye noma kokubili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma ngesikhathi sokudla izinhlobo ezithile zokudla ngoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile akusikhuthazwa, kodwa kungagwenyeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi ulisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile yokusebenzisa ukudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Thatha leli leyeza ngokuqondile njengoba uqondiswe ngudokotela wakho. Ungathathi okuningi kwalokhu, ungalithathi kaningi, futhi ungalithathi isikhathi eside kunalokho oqondiswe ngudokotela wakho. Leli leyeza kufanele libe ne-Medication Guide. Funda futhi ulandele imiyalo ngokucophelela. Buza udokotela wakho noma umthengisi wezidakamizwa uma unemibuzo. Cela umthengisi wezidakamizwa i-medication guide uma ungenayo. Ungathatha leli leyeza ngokudla noma ngaphandle kokudla. Gwinya ithebulethi yonke. Ungayicwili, ungayiqhekeza, noma ungayikhononde. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani leyeza olithathayo lixhomeke emandleni eleyeza. Futhi, inani lezinani olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinani, nobude besikhathi olithatha khona leli leyeza kuya ngenkinga yezokwelapha oyisebenzisela ngayo. Uma uphuthelwa yisilinganiso saleli leyeza, silithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesilinganiso sakho esilandelayo, susa isilinganiso esiphuthelwe bese ubuyela esikimini sakho sokuthola isilinganiso. Ungawandisi ama-doses. Gcina leli leyeza esitsheni esivaliwe ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungawagqabi. Gcina ungafinyeleleki ezinganeni. Ungagcini leyeza eliphelile noma leyeza elingasasetshenziswa. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle njani noma yiliphi leyeza ongeke ulisetshenzise.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.