Dihydroergotamine Injection a me ka Nasal Spray

Anter

• E hoʻohana ai i ka hopena no ka pahu kui, e hāhai i kēia mau kaʻina hana:
• E hoʻohana ai i ka ehu ihu, e hāhai i kēia mau kaʻina hana:
• Ma mua o ka hoʻohana ʻana i dihydroergotamine,
• Hiki i ka Dihydroergotamine ke hopena i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku ʻole. ʻO ka hapa nui o kēia mau ʻōuli, keu hoʻi nā mea e pili ana i ka ihu, ʻoi aku paha ka hopena inā ʻoe e hoʻohana i ka ʻehu nasal:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Mai lawe i ka dihydroergotamine inā ʻoe e lawe i kekahi o nā lāʻau aʻe: antifungals e like me itraconazole (Sporanox) a me ketoconazole (Nizoral); Nā mea hoʻopalekana protease HIV e like me indinavir (Crixivan), nelfinavir (Viracept), a me ritonavir (Norvir); aiʻole nā ​​lāʻauʻalopero macrolide e like me clarithromycin (Biaxin), erythromycin (E.E.S., E-Mycin, Erythrocin), a me troleandomycin (TAO).

Hoʻohana ʻia ʻo Dihydroergotamine e mālama i ka maʻi poʻo o ka migraine. ʻO Dihydroergotamine kahi papa o nā lāʻau i kapa ʻia ʻo ergot alkaloids. Hana ia ma ka hoʻopaʻa ʻana i nā kīʻaha koko i ka lolo a me ka hoʻōki ʻana i ka hoʻokuʻu ʻana o nā mea kūlohelohe i ka lolo e kumu i ka pehu.

Hele mai ʻo Dihydroergotamine ma ke ʻano he hopena e hoʻokomo i ka subcutaneously (ma lalo o ka ʻili) a me kahi ʻehu e hoʻohana ʻia i ka ihu. Hoʻohana ʻia ia e pono ai no ka ulu poʻo o ka migraine. 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. E hoʻohana pono i ka dihydroergotamine e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Hiki i ka Dihydroergotamine ke hōʻino i ka puʻuwai a me nā mea ʻē aʻe inā hoʻohana pinepine ʻia. Pono e hoʻohana wale ʻia ʻo Dihydroergotamine e mālama ai i ka migraine e holo nei. Mai hoʻohana i ka dihydroergotamine e pale aku ai i ka migraine mai ka hoʻomaka ʻana a i ʻole e mālama i kahi ʻeha poʻo ʻē aʻe i manaʻo ʻokoʻa ma mua o kāu migraine maʻamau. ʻAʻole pono e hoʻohana ʻia ka Dihydroergotamine i kēlā me kēia lā.E haʻi aku kāu kauka iā ʻoe i nā manawa āu e hoʻohana ai i ka dihydroergotamine i kēlā me kēia pule.

Hiki paha iā ʻoe ke loaʻa i kāu mahele lāʻau mua o dihydroergotamine ma ke keʻena o kāu kauka i hiki i kāu kauka ke nānā i kāu hopena i ka lāʻau a e ʻike pono ʻoe pehea e hoʻohana pono ai i ka nasal spray a lawelawe pololei i ka injection. Ma hope o kēlā, hiki iā ʻoe ke pīpī a ʻokiʻoki paha i ka dihydroergotamine ma ka home. E ʻike pono ʻoe a me nā mea e kōkua iā ʻoe e hoʻopili i ka lāʻau e heluhelu i ka ʻike a ka mea hana no ka mea maʻi e hele mai me dihydroergotamine ma mua o ka hoʻohana ʻana iā ia no ka manawa mua ma ka home.

Inā ʻoe e hoʻohana nei i ka hopena no ka pahu kui, ʻaʻole pono ʻoe e hoʻohana hou i nā syringes. E hoʻolei i nā ʻūheheʻe i loko o kahi pahu kūpaʻa. E noi i kāu kauka a kauka paha pehea e hoʻolei ai i ka pahu kūpaʻa kū ʻole.

E hoʻohana ai i ka hopena no ka pahu kui, e hāhai i kēia mau kaʻina hana:

1. E hōʻoia i kāu ampule e hōʻoia i ka palekana o ka hoʻohana. Mai hoʻohana i ka ampule inā ua haki, wāwahi, i lepili me ka lā palena pau i hala, a i ʻole loaʻa i kahi wai kala, ʻohu, a i piha i ka wai. E hoʻihoʻi i kēlā ampule i ka hale kūʻai lāʻau a hoʻohana i kahi ampule ʻokoʻa.
2. E holoi maikaʻi i kou mau lima me ke kopa a me ka wai.
3. E hōʻoia e hōʻoia i ka wai ma lalo o ka ampule. Inā aia kekahi wai ma ka piko o ka ampule, e hoʻopili mālie iā ia me kou manamana lima a hiki i kona hina ʻana i lalo.
4. E paʻa i ka lalo o ka ampule i hoʻokahi lima. E paʻa i ka piko o ka ampule ma waena o ka manamana nui a me ka kuhikuhi o kou lima ʻē aʻe. Aia paha kou manamana nui ma luna o ke kiko ma ka piko o ka ampule. E hoʻokuʻi i luna o ka ampule i hope me kou manamana nui a hiki i ka wā e haki ai.
5. E hoʻopili i ka ampule ma kahi kihi 45 degere a hoʻokomo i ka nila i loko o ka ampule.
6. E huki mālie i ka plunger a kū mau a hiki i ka piko o ka plunger me ka lāʻau i haʻi ʻia e kāu kauka iā ʻoe e komo.
7. E hoʻopaʻa i ke syringe me ka nila e kuhikuhi ana i luna a nānā inā loaʻa nā ʻōhū o ka ea. Inā loaʻa i ka syringe nā ʻōhū lewa, kāomi iā ia me kou manamana lima a hiki i ka piʻi ʻana o nā huʻa i luna. A laila e hoʻolohi mālie i ka plunger a ʻike ʻoe i kahi kulu o ka lāʻau ma ka wēlau o ka nila.
8. E hōʻoia i ka syringe e ʻike pono aia ka mahele lāʻau kūpono, keu hoʻi inā ʻoe e hemo i nā huʻa ea. Inā ʻaʻohe o ke syringe i ka mahele lāʻau kūpono, e hana hou i nā ʻanuʻu 5 a 7.
9. Koho i kahi e hoʻopili i ka lāʻau ma nā ʻūhā, ma luna pono o ka kuli. E holoi i kahi me kahi wai ʻawa e hoʻohana ana i kahi neʻe paʻa, pōʻai, a ʻae e maloʻo.
10. E hoʻopaʻa i ke syringe me ka lima hoʻokahi a paʻa i kahi ʻili o ka ʻili a puni ka pūnaewele injection me ka lima ʻē aʻe. E hoʻokuʻi i ke kui kele i loko o ka ʻili ma ke kihi 45- a 90-kekelē.
11. E mālama i ke kui kele i loko o ka ʻili, a huki hope iki i ka plunger.
12. Inā kū ke koko i ka syringe, huki i ke kui kele i waho o ka ʻili a hana hou i ka ʻanuʻu 11.
13. E hoʻokuʻi i ka plunger a hiki i lalo e hoʻopili i ka lāʻau.
14. Huki koke i ka nila mai ka ʻili ma ka ʻaoʻao like āu i hoʻokomo ai.
15. E kaomi i kahi papa ʻalekohola hou ma ka pūnaewele injection a hamo iā ia.

E hoʻohana ai i ka ehu ihu, e hāhai i kēia mau kaʻina hana:

1. E hōʻoia i kāu ampule e hōʻoia i ka palekana o ka hoʻohana. Mai hoʻohana i ka ampule inā ua haki, wāwahi ʻia, lepili ʻia me ka lā palena pau i hala, a i ʻole loaʻa i kahi wai kala, ʻohu, a i ʻole ʻāpana i piha i ka wai. E hoʻihoʻi i kēlā ampule i ka hale kūʻai lāʻau a hoʻohana i kahi ampule ʻokoʻa.
2. E hōʻoia e hōʻoia i ka wai ma lalo o ka ampule. Inā aia kekahi wai ma ka piko o ka ampule, e hoʻolohi mālie iā ia me kou manamana lima a hiki i kona hina ʻana i lalo.
3. E kau pololei i ka ampule a kū i luna i ka luawai o ka hihia hui. Pono e paʻa ka pāpale haʻihaʻi a e kuhikuhi ana i luna.
4. E kuʻi mālie i ka poʻi o ka hihia ʻaha a ʻūlū a lohe ʻoe i ka hāmama ʻana o ka ampule.
5. E wehe i ka hihia hui, akā mai wehe i ka ampule mai ka luawai.
6. E paʻa i ka sprayer nasal e ke apo metala me ka pāpale e kuhikuhi ana i luna. E kaomi iā ia ma luna o ka ampule a hiki i ke kaomi ʻana. E hōʻoia i ka lalo o ka sprayer e hōʻoia i ka pololei o ka ampule. Inā ʻaʻole pololei, paʻi mālie me kou manamana lima.
7. Wehe i ka sprayer nasal mai ka luawai a hemo i ka pāpale mai ka sprayer. Akahele e hoʻopā ʻole i ka piko o ka sprayer.
8. E hoʻomaikaʻi i ka pauma, kuhikuhi i ka sprayer mai kou alo a ʻehā mau manawa. E pīpī kekahi mau lāʻau i ka ea, akā e waiho ka lāʻau piha o ka lāʻau i ka mea sprayer.
9. E kau i ka piko o ka sprayer i loko o kēlā me kēia nostril a kaomi i lalo e hoʻokuʻu i hoʻokahi spray piha. Mai kuli i kou poʻo i hope a honi ʻoiai ʻoe e pīpī nei. E holo ka lāʻau a inā loaʻa iā ʻoe ka ihu ihu, anuanu, a i ʻole nā ​​maʻi āpau.
10. E kali i 15 mau minuke a hoʻokuʻu hou i hoʻokahi ʻehu piha i kēlā me kēia nostril.
11. Hoʻolei o ka sprayer a ampule. E hoʻonoho i kahi ʻāpana lāʻau mahele lāʻau hou i kāu hihia hui i mākaukau ʻoe no kāu hoʻouka hou. E hoʻolei i ka hihia o ka hālāwai ma hope o kāu hoʻohana ʻana ia mea e hoʻomākaukau i ʻehā sprayers.

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 hoʻohana ʻana i dihydroergotamine,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka dihydroergotamine, nā alkaloid ʻē aʻe e like me bromocriptine (Parlodel), ergonovine (Ergotrate), ergotamine (Cafergot, Ercaf, nā mea ʻē aʻe), methylergonovine (Methergine), a me methysergide (Sansert), a i ʻole nā ​​mea ʻē aʻe nā lāʻau.
• mai lawe i ka dihydroergotamine i loko o 24 mau hola o ka lawe ʻana i nā alkaloid ergot e like me bromocriptine (Parlodel), ergonovine (Ergotrate), ergotamine (Cafergot, Ercaf, a me nā mea ʻē aʻe), methylergonovine (Methergine), a me methysergide (Sansert); a i ʻole nā ​​lāʻau ʻē aʻe no migraine e like me frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), a me zolmitriptan (Zomig).
• e haʻi i kāu kauka a me ka mea lapaʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole ʻē aʻe, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei. E ʻike pono i kekahi o kēia mau mea: beta blockers e like me propranolol (Inderal); cimetidine (Tagamet); clotrimazole (Lotrimin); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Mea kākau); diltiazem (Cardizem, Dilacor, Tiazac); epinephrine (Epipen); fluconazole (Diflucan); isoniazid (INH, Nydrazid); nā lāʻau no ke anu a me ka hānō; metronidazole (Flagyl); nefazodone (Serzone); nā pale pale waha (nā pā kaohi hānau); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), a me sertraline (Zoloft); saquinavir (Fortovase, Invirase); verapamil (Calan, Covera, Isoptin, Verelan); zafirlukast (Hoʻohui); a me zileuton (Zyflo). 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 loaʻa iā ʻoe ka moʻolelo ʻohana o ka maʻi puʻuwai a inā ʻoe i loaʻa a i ʻole loaʻa i ke koko kiʻekiʻe. kiʻekiʻe kolesterol; mimikō; Maʻi ʻo Raynaud (kahi kūlana e hoʻopili i nā manamana lima a me nā manamana wāwae); nā maʻi e hoʻopili i kou holo a i ʻole nā ​​aʻa. sepsis (kahi maʻi nui i ke koko); ʻoki ma kou puʻuwai a i ʻole nā ​​kīʻaha koko; he puʻuwai puʻuwai; aiʻole ka puʻupaʻa, ate, akemāmā, a maʻi puʻuwai paha.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka dihydroergotamine, e kāhea koke i kāu kauka.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka dihydroergotamine.
• e haʻi i kāu kauka inā hoʻohana ʻoe i nā huahana paka. ʻO ka puhipaka ʻana mai ka paka ʻana me ka hoʻohana ʻana i kēia lāʻau e hoʻonui ai i ka hopena o nā hopena koʻikoʻi.

E kamaʻilio me kāu kauka e pili ana i ka inu ʻana i ka wai huaʻomaʻo i ka lawe ʻana i kēia lāʻau.

Hiki i ka Dihydroergotamine ke hopena i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku ʻole. ʻO ka hapa nui o kēia mau ʻōuli, keu hoʻi nā mea e pili ana i ka ihu, ʻoi aku paha ka hopena inā ʻoe e hoʻohana i ka ʻehu nasal:

• ihu ihu
• ʻino a ʻeha paha ma ka ihu a i ʻole ka ʻāʻī
• maloʻo i ka ihu
• ihu ihu
• loli ka ʻono
• hoʻohuhū ʻōpū
• ka luaʻi
• ʻūpā
• luhi loa
• nāwaliwali

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

• hoʻololi ke kala, numbness a kani paha i nā manamana lima a me nā manamana wāwae
• ʻeha ʻeha ma nā lima a me nā wāwae
• nāwaliwali i nā lima a me nā wāwae
• ʻeha ka umauma
• ka wikiwiki a lohi paha o ka helu o ka puʻuwai
• pehu
• ʻūlili
• anu, ʻili ʻili
• ʻolelo lohi a paʻakikī paha
• ʻūpā
• maule

Hiki i ka Dihydroergotamine ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.

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. Mai hoʻomaʻalili a paʻa hau paha. E hoʻolei i nā lāʻau i hoʻohana ʻole ʻia no ka pahu ʻana 1 hola ma hope o kou wehe ʻana i ka ampule. E hoʻolei i ka ihu ihu i hoʻohana ʻole ʻia ma 8 mau hola ma hope o kou wehe ʻana i ka ampule.

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:

• numbness, tingling, a me ka ʻeha ma nā manamana a me nā manamana wāwae
• kala polū ma nā manamana lima a me nā manamana wāwae
• hanu lohi
• hoʻohuhū ʻōpū
• ka luaʻi
• maule ana
• ʻike hihi
• ʻūpā
• huikau
• ka hopu ʻana
• koma
• ʻeha ka ʻōpū

Mālama i nā manawa āpau me kāu kauka. E kauoha paha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ka dihydroergotamine.

Mai ʻae i kekahi e hoʻohana 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.

• DHE-45^® Pākuʻi
• Migranal^® ʻEhu Nasal