Midodrine
Anter
- Ma mua o ka lawe ʻana i ka midodrine,
- Hiki i ka Midodrine ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e hoʻōki i ka lawe ʻana i ka midodrine a kāhea koke aku i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hiki i ka Midodrine ke kumu i ke kiʻekiʻe o ke kiʻekiʻe (ke koko kiʻekiʻe e kū i ka wā e moe palahalaha ana ma kou kua). E hoʻohana wale ʻia kēia lāʻau e nā poʻe nona ke kaomi haʻahaʻa e hōʻemi loa i ko lākou hiki ke hana i nā hana o kēlā me kēia lā a ʻaʻole hiki ke mālama maikaʻi ʻia me nā lāʻau ʻē aʻe. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i ke koko kiʻekiʻe. E haʻi i kāu kauka a me ka kauka inā ʻoe e lawe i ka dihydroergotamine (DHE, Migranal). E haʻi pū aku i kāu kauka a me ka mea lapaʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole ʻē aʻe āu e lawe nei, e like me ka ephedrine, phenylephrine, phenylpropanolamine, a me pseudoephedrine. Nui nā huahana nonprescription i loaʻa i kēia mau lāʻau (e laʻa me nā pilaʻai a me nā lāʻau no ke kahe a me ke anu), no laila e nānā pono i nā lepili. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka midodrine a kāhea koke aku i kāu kauka: ʻike i kou puʻuwai puʻuwai, e kuʻi nei i loko o kou mau pepeiao, ʻeha poʻo, a ʻike ʻole i ka ʻike. Ma hope o ka hoʻomaka ʻana o ka lāʻau ʻana, haʻi paha kāu kauka iā ʻoe e hoʻomau i ka lawe ʻana i ka midodrine inā loaʻa iā ʻoe kahi hoʻomaikaʻi nui i kāu mau hōʻailona. E kamaʻilio me kāu kauka e pili ana i kou ʻano ke lawe i kēia lāʻau.
Mālama i nā manawa āpau me kāu kauka. Pono ʻoe e hōʻoia i kou kaomi koko i ke kū a me nā kūlana pālahalaha ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau a ʻoiai ʻoe e lawe ana i ka midodrine.
E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka midodrine.
Hoʻohana ʻia ʻo Midodrine e mālama i ka hypotension orthostatic (hāʻule koke i ke kahe o ke koko e kū ana i ka manawa e kū ai ke kanaka i kahi kūlana kū. Aia ʻo Midodrine i kahi papa o nā lāʻau i kapa ʻia nā agonists alpha-adrenergic. Hana ia ma ka hoʻopiʻi ʻana i nā kīʻaha koko, kahi e hoʻonui ai i ke kahe o ke koko.
Hele mai ʻo Midodrine ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia ia ʻekolu mau manawa i ka lā i nā hola o ke ao (e like me ke kakahiaka, ke awakea, a me ke ahiahi ahiahi [ma mua o 6PM]) me nā kaha i hoʻokaʻawale ʻia ma kahi o 3 mau hola ke kaʻawale. E lawe i ka lā hope loa o ka midodrine ma mua o ka ʻaina ahiahi a ma ka liʻiliʻi he 4 mau hola ma mua o ka hiamoe. Lawe i ka midodrine ma nā 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 pono i ka midodrine 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.
E lawe i ka midodrine i nā hola o ke ao ke kū pono ʻoe. Hōʻalo i ka lawe ʻana i kahi lāʻau i kou wā e moe ana i lalo no kekahi lōʻihi o ka manawa. E kamaʻilio pū me kāu kauka e pili ana pehea e hoʻonohonoho ai iā ʻoe iho ke moe ʻoe i lalo. E haʻi paha kāu kauka iā ʻoe e hāpai i ke poʻo o kou wahi moe ke hoʻomaha a hiamoe paha.
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 midodrine,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka midodrine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o ka papa midodrine. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e ʻōlelo i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me nā mea o kēia mau mea: alpha blockers e like me doxazosin (Cardura), prazosin (Minipress), a me terazosin; beta blockers e like me acebutolol (Sectral), atenolol (Tenormin, ma Tenoretic), betaxolol, bisoprolol (Zebeta, ma Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, i Corzide), pindolol, propranolol (Inderal, InnoPran XL), sotalol (Betapace, Betapace AF, Sorine), a me timolol; digoxin (Lanoxin); fludrocortisone; a me nā lāʻau no ka maʻi noʻonoʻo. 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 he paʻakikī ʻoe i ka mimiki, pheochromocytoma (tumo ma luna o kahi gland kokoke i nā puʻupaʻa), hyperthyroidism (ke ʻano e hana ʻia ke hana ka thyroid gland i ka nui o ka hormone thyroid) a i ʻole ka maʻi puʻuwai a i ʻole nā puʻuwai. E haʻi paha kāu kauka iā ʻoe mai lawe i ka midodrine.
- e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi diabetes, nā pilikia ʻike, a i ʻole nā maʻi ate.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka midodrine, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka midodrine.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E lawe i ka lāʻau i hala ma hope ke hoʻomanaʻo ʻoe iā ia, ʻoiai ka liʻiliʻi ma 4 mau hola ma mua o kou hiamoe. 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.
Hiki i ka Midodrine ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- numbness a me ka ʻalalā ʻana
- ʻili ʻili
- kuʻi kuʻi
- haʻalulu
- urination pinepine
- mimiki pono
- pilikia urino
- hūwī
- ʻeha ka ʻōpū
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e hoʻōki i ka lawe ʻana i ka midodrine a kāhea koke aku i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.
- ʻūlū puʻuwai
- ʻūpā
- maule ana
Hiki i ka Midodrine ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe 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 mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (ʻaʻole i loko o ka lua.
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.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- ʻike i kou puʻuwai puʻuwai
- ke kuʻi nei i kou mau pepeiao
- ʻeha poʻo
- ʻike hihi
- kuʻi kuʻi
- anu huʻihuʻi
- pilikia urino
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka midodrine.
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.
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¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 02/15/2021