Mea Kākau: Gregory Harris
Lā O Ka Hana: 15 Apelila 2021
HōʻAno Hou I Ka Lā: 21 Nowemapa 2024
Anonim
Role of Olanzapine in Bipolar Mixed Feature Management
Wikiō: Role of Olanzapine in Bipolar Mixed Feature Management

Anter

Ua hōʻike ʻia nā noiʻi i nā mākua ʻelemakule me ka dementia (kahi maʻi lolo e pili ana i ka hiki ke hoʻomanaʻo, noʻonoʻo pono, kamaʻilio, a hana i nā hana o kēlā me kēia lā a hiki ke hoʻololi i ka naʻau a me ke ʻano) e lawe i nā antipsychotics (nā lāʻau no ka maʻi noʻonoʻo) e like me ka olanzapine loaʻa ka manawa kūpono o ka make i ka wā o ka lāʻau. Hiki paha i nā mākua me ka dementia ke loaʻa ka manawa ʻoi loa o ka hahau ʻana a i ʻole ka puʻupuʻu liʻiliʻi i ka wā o ka lapaʻau.

ʻAʻole ʻae ʻia ʻo Olanzapine e ka Food and Drug Administration (FDA) no ka hoʻomaʻamaʻa ʻana i nā maʻi o ka lawena i nā mākua me ka dementia. E kamaʻilio me ke kauka nāna i kuhikuhi i kēia lāʻau inā ʻoe, he lālā ʻohana, a i ʻole kekahi mea āu e mālama ai he dementia a ke lawe nei ʻoe i ka olanzapine. No ka ʻike hou aku e kipa i ka pūnaewele FDA: http://www.fda.gov/Drugs

Hoʻohana ʻia ʻo Olanzapine e mālama i nā ʻōuli o schizophrenia (kahi maʻi noʻonoʻo e hoʻopilikia ai i kahi noʻonoʻo a ʻano ʻē paha, nalowale o ka hoihoi i ke ola, a me nā manaʻo ikaika a kūpono ʻole paha) i nā mākua a me nā ʻōpio 13 mau makahiki a ʻoi paha. Hoʻohana ʻia ia e mālama i ka maʻi bipolar (manic depressive maʻi; kahi maʻi e hoʻoulu ai i nā ʻāpana o ke kaumaha, nā ʻāpana o ka mania, a me nā ʻano ʻano ʻē aʻe ʻē aʻe) i nā mākua a me nā ʻōpio he 13 mau makahiki a ʻoi paha. Aia ʻo Olanzapine i kahi papa o nā lāʻau i kapa ʻia atypical antipsychotics. Hana ia ma ka hoʻololi ʻana i ka hana o kekahi mau mea kūlohelohe i ka lolo.


Hele mai ʻo Olanzapine ma ke ʻano he papaha a me kahi papa hoʻohaʻahaʻa waha (papa e hoʻonā koke i ka waha) e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. E lawe i ka olanzapine ma kahi o ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pololei i ka olanzapine e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Mai hoʻāʻo e pahu i ka papa hoʻohaunaele waha ma o ka pepa. Akā, e hoʻohana i nā lima maloʻo e ihi i ka pepa pepa pepa. Lawe koke i ka papa a waiho i loko o kou waha. E hoʻopau koke ka papa a hiki ke ale ʻia me ka ʻole o ka wai.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau olanzapine haʻahaʻa a hoʻonui iki i kāu lāʻau.

Hiki i ka Olanzapine ke kōkua i ke kaohi i kāu mau ʻōuli, akā ʻaʻole ia e hoʻōla i kou ʻano. He mau pule paha ka lōʻihi a lōʻihi paha ma mua o kou ʻike ʻana i ka pono piha o ka olanzapine. E hoʻomau i ka lawe ʻana i ka olanzapine inā ʻoluʻolu ʻoe. Mai hōʻoki i ka lawe ʻana i ka olanzapine me ke kamaʻilio ʻole ʻana me kāu kauka. E makemake paha kāu kauka e hōʻemi i kāu lāʻau.


Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka olanzapine,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka olanzapine a i ʻole nā ​​lāʻau ʻē aʻe.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E haʻi pono i kekahi o kēia mau mea: antidepressants; antihistamines; carbamazepine (Tegretol); ʻO nā agonists dopamine e like me bromocriptine (Parlodel), cabergoline (Dostinex), levodopa (Dopar, Larodopa), pergolide (Permax), a me ropinirole (Requip); fluoroquinolone antibiotics me ciprofloxacin (Cipro), gatifloxacin (Tequin) (ʻaʻole loaʻa i ʻAmelika Hui Pū ʻIa), levofloxacin (Levaquin), norfloxacin (Noroxin), ofloxacin (Floxin), a me nā mea ʻē aʻe; fluvoxamine (Luvox); ipratropium (Atrovent); nā lāʻau no ka hopohopo, ke koko kiʻekiʻe, nā maʻi huhū o ka naʻau, nā maʻi noʻonoʻo, nā maʻi neʻe, ka maʻi ʻo Parkinson, ka hopu ʻana i ka maʻi, ulcer, a i ʻole nā ​​pilikia urinary; omeprazole (Prilosec); rifampin (Rifadin); nā mea hoʻonanea; paina moe; ticlopidine (Ticlid); a me nā tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā hoʻohana a hoʻohana paha ʻoe i nā lāʻau lapaʻau o ke alanui a i ʻole i hoʻohana nui ʻole i nā lāʻau lapaʻau a inā ʻoe i loaʻa a i ʻole loaʻa i ka maʻi kīkē, kahi mini-hahau, maʻi puʻuwai a i ʻole he puʻuwai puʻuwai, he puʻuwai puʻuwai ʻole, kū ʻole ka puʻuwai, pilikia urinary ka hopu ʻana, ka maʻi ʻaʻai umauma, nā ʻano a pau e paʻakikī iā ʻoe e ale, pilikia i ka mālama ʻana i kāu kaulike, kiʻekiʻe a haʻahaʻa paha ke koko, kahi kiʻekiʻe o nā momona (kolesterol a me nā triglycerides) i loko o kou koko, kahi helu haʻahaʻa o nā hunaola keokeo, ke ake. aiʻole maʻi maʻi prostate, ileus paralytic (ke ʻano i hiki ʻole i ka meaʻai ke neʻe i loko o ka ʻōpū); glaucoma (kahi ʻano maka), a i ʻole ke kō kiʻekiʻe o ke kō, a inā ʻo ʻoe a ʻo kekahi paha o kou ʻohana i loaʻa a loaʻa paha i ka maʻi diabetes. E haʻi i kāu kauka inā loaʻa ʻoe i ka constipation, ka luaʻi kūpilikiʻi a i ʻole diarrhea a i ʻole nā ​​hōʻailona o ka make wai i kēia manawa, a i ʻole inā hoʻomohala ʻoe i kēia mau hōʻailona i kēlā me kēia manawa i kāu wā e lapaʻau ai. E haʻi pū i kāu kauka inā pono ʻoe e hoʻōki i ka lawe ʻana i kahi lāʻau no ka maʻi noʻonoʻo ma muli o nā hopena ʻino.
  • e haʻi i kāu kauka inā hāpai ʻoe, keu hoʻi inā ʻoe i nā mahina i hala hope o kou hāpai ʻana, a inā ʻoe e hoʻolālā e hāpai a i hānai waiu paha. Inā hāpai ʻoe i ka lawe ʻana i ka olanzapine, e kāhea i kāu kauka. Hiki paha i ka Olanzapine ke hoʻopilikia i nā keiki hānau hou ma hope o ka lawe ʻana inā lawe ʻia i nā mahina hope o ka hāpai ʻana.
  • inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka olanzapine.
  • pono ʻoe e ʻike ʻo ka olanzapine paha ʻoe e hiamoe ai. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • pono ʻoe e ʻike hiki i ka waiʻona ke hoʻohui i ka hiamoe i hoʻokumu ʻia e kēia lāʻau. Mai inu i ka waiʻona i ka wā e lawe ana i ka olanzapine.
  • e haʻi i kāu kauka inā hoʻohana ʻoe i nā huahana paka. Hiki i ka uahi paka ʻana ke hōʻemi i ka pono o kēia lāʻau.
  • pono ʻoe e ʻike e ʻike paha ʻoe i ka hyperglycemia (hoʻonui i kāu kō kō) ʻoiai ʻoe e lawe nei i kēia lāʻau, ʻoiai inā ʻaʻohe ou diabetes. Inā loaʻa iā ʻoe ka schizophrenia, ʻoi aku paha ka hoʻomohala ʻana i ka maʻi diabetes ma mua o ka poʻe i loaʻa ʻole ka schizophrenia, a ʻo ka lawe ʻana i ka olanzapine a i ʻole nā ​​lāʻau like e hoʻonui ai i kēia pilikia. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi o nā ʻōuli aʻe ke lawe nei ʻoe i ka olanzapine: make wai loa, mimiki pinepine, pololi nui, ʻike maka ʻole, a nāwaliwali paha. He mea nui ia e kāhea aku i kāu kauka ke loaʻa koke iā ʻoe kekahi o kēia mau ʻōuli, no ka mea, hiki i ke kō kō ke kiʻekiʻe ke kumu i kahi kūlana koʻikoʻi i kapa ʻia ʻo ketoacidosis. Lilo paha ʻo Ketoacidosis i mea hoʻoweliweli i ke ola ke mālama ʻole ʻia ia i ka wā mua. ʻO nā ʻōuli o ketoacidosis e komo pū me: waha maloʻo, nausea a me ka luaʻi, ka hanu o ka hanu, ka hanu e ʻaʻala i ka hua, a me ka emi o ka ʻike.
  • pono ʻoe e ʻike ʻo ka olanzapine ke kumu o ka wikiwiki o ka puʻuwai a me ka lohi o ka puʻuwai, dizziness, lightheadedness, a maule hoʻi ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe i ka lawe ʻana i ka olanzapine. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.
  • pono ʻoe e ʻike i ka olanzapine e paʻakikī ai i kou kino e hoʻomaʻalili ke wela nui ia. E haʻi i kāu kauka inā ʻoe e hoʻolālā e hana i ka hoʻoikaika kino a i ʻole e hōʻike ʻia i ka wela nui.
  • inā loaʻa iā ʻoe ka phenylketonuria (PKU, kahi ʻano hoʻoilina e pono ai e ukali ʻia kahi papaʻai kūikawā e pale ai i ka noʻonoʻo ʻole o ka noʻonoʻo), pono ʻoe e ʻike he ʻāpana aspartame nā phenylalanine i loko o nā papa hoʻohaʻahaʻa waha.
  • pono ʻoe e ʻike i ka wā e hoʻohana ʻia ai ka olanzapine e mālama ai i nā ʻōpio, pono e hoʻohana ʻia ma ke ʻano he ʻāpana o kahi papahana hoʻomaʻamaʻa huina e komo pū paha me ka ʻōlelo aʻoaʻo a me ke kākoʻo aʻo. E ʻike pono i kāu keiki e ukali nei i nā ʻōlelo aʻoaʻo a ke kauka a me / a i ʻole therapist.

E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona i ka wā e lawe ana i kēia lāʻau.


E ʻike pono e inu i ka wai i kēlā me kēia lā ʻoiai ʻoe e lawe nei i kēia lāʻau.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

ʻO Olanzapine paha ke kumu o nā hopena. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻino, hoʻoluhi, a i ʻole pilikia i ka mālama ʻana i kāu kaulike
  • hoʻomaha ʻole
  • hana maʻamau ʻole
  • kaumaha
  • paʻakikī e hiamoe a hiamoe paha
  • nāwaliwali
  • paʻakikī i ka hele wāwae
  • kōpaʻa
  • loaʻa kaupaona
  • waha maloo
  • ʻeha ma nā lima, nā wāwae, hoʻi, a me nā ami
  • hoʻonui ka umauma a hoʻokuʻu paha
  • lohi a hala paha i nā wā menstrual
  • hoʻemi i ka moekolohe

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a i ʻole ka ʻĀINA WAIWAI SPECIAL, e kāhea koke i kāu kauka:

  • ka hopu ʻana
  • nā hoʻololi i ka hihiʻo
  • ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a i nā wāwae lalo
  • neʻe ʻole o kou helehelena a kino paha i hiki ʻole iā ʻoe ke kāohi
  • hāʻule ʻana
  • ʻeha ka ʻāʻī, ke kuni, ke anu, a me nā ʻōuli ʻē aʻe o ka maʻi
  • nāʻiʻo paʻa loa
  • hou sweating
  • wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
  • hū e hiki ke kū mai me ke kuni, nā pehu pehu, a me ka pehu o ka maka
  • ʻulaʻula a peeling paha
  • hives
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana

ʻO Olanzapine paha ke kumu o nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

ʻO ka lawe ʻana i ka olanzapine e hoʻonui ai i ka pae o nā momona i loko o kou koko. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka olanzapine.

ʻOi aku ka nui o nā ʻōpio e lawe i ka olanzapine ma mua o ka poʻe mākua i lawe i ka olanzapine i mea e loaʻa ai ke kaupaona, hoʻonui i nā kiʻekiʻe o ka momona i loko o ko lākou koko, hoʻomohala i nā pilikia o ke ake, a ʻike i nā hopena e like me ka hiamoe, hoʻonui i ka umauma, a hoʻokuʻu ʻia mai nā umauma. E kamaʻilio me kāu kauka o kāu keiki e pili ana i nā pilikia o ka mālama ʻana i kāu keiki me ka olanzapine. Koho paha kāu kauka o kāu keiki e kau mua i ka lāʻau ʻokoʻa i loaʻa ʻole i kēia mau pilikia.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. E mālama mau i nā papa hoʻokaʻawale waha i kā lākou pūʻolo i sila ʻia, a hoʻohana koke iā lākou ma hope o ka wehe ʻana o ka pūʻolo.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • hiamoe
  • haʻi waha
  • hoohaunaele
  • puʻuwai wikiwiki
  • neʻe hiki ʻole hiki ʻole iā ʻoe ke kaohi
  • koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka olanzapine.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau.E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • Zyprexa®
  • Zyprexa® Zydis
  • Symbyax® (i loaʻa Fluoxetine, Olanzapine)
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