Mea Kākau: Gregory Harris
Lā O Ka Hana: 9 Apelila 2021
HōʻAno Hou I Ka Lā: 19 Nowemapa 2024
Anonim
Pharmacology - Antipsychotics - Haloperidol, Clozapine,
Wikiō: Pharmacology - Antipsychotics - Haloperidol, Clozapine,

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 chlorpromazine. loaʻa ka manawa kūpono o ka make i ka wā o ka lāʻau.

ʻAʻole ʻae ʻia ʻo Chlorpromazine e ka Food and Drug Administration (FDA) no ka mālama ʻana i nā pilikia o ka lawena i ka poʻe ʻelemākule me ka dementia. E kamaʻilio me ke kauka nāna i kuhikuhi i kēia lāʻau inā ʻoe, he lālā o ka ʻohana, a i ʻole kekahi mea āu e mālama ai he dementia a ke lawe nei i ka chlorpromazine. No ka ʻike hou aku, e kipa i ka pūnaewele FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm

Hoʻohana ʻia ʻo Chlorpromazine e mālama i nā ʻōuli o schizophrenia (kahi maʻi noʻonoʻo e hoʻopilikia ai a noʻonoʻo ʻole paha, nalowale o ka hoihoi i ke ola, a me nā manaʻo ikaika a kūpono ʻole paha) a me nā maʻi psychotic ʻē aʻe (nā kumu e hōʻike i ka paʻakikī e haʻi i ka ʻokoʻa ma waena o nā mea a i ʻole nā ​​manaʻo maoli a me nā mea a i ʻole nā ​​manaʻo ʻaʻole maoli) a mālama i nā ʻōuli o ka mania (huhū, ʻano pīhoihoi ʻole) i ka poʻe i loaʻa ka maʻi bipolar (manic depressive maʻi; kahi ʻano e hoʻoulu ai i nā mana o ka mania, nā ʻāpana o ke kaumaha, a me nā mea ʻē aʻe ʻē aʻe. ʻanoʻano). Hoʻohana ʻia ʻo Chlorpromazine e mālama i nā pilikia kūpilikiʻi koʻikoʻi e like me ka pahū, hana hoʻomake a me ka hyperactivity i nā keiki 1 a 12 mau makahiki. Hoʻohana ʻia ʻo Chlorpromazine e kaohi i ka nausea a me ka luaʻi, e hoʻomaha ai i ka hiccups i hala i hoʻokahi mahina a ʻoi paha, a e hoʻomaha ai i ka hoʻomaha a me ka makaʻu i hiki ke hana ʻia ma mua o ke ʻoki ʻana. Hoʻohana ʻia ʻo Chlorpromazine e mālama i ka porphyria intermittent maha (kahi e kūkulu ʻia ai kekahi mau mea kūlohelohe i ke kino a hōʻeha i ka ʻōpū, hoʻololi i ka noʻonoʻo a me ka lawena, a me nā ʻōuli ʻē aʻe). Hoʻohana pū ʻia ʻo Chlorpromazine me nā lāʻau ʻē aʻe e mālama ai i ka tetanus (kahi maʻi nui e hoʻoweliweli i nā mākala, ʻo ia hoʻi ka ʻāʻī o ka iwi). Aia ʻo Chlorpromazine i loko o ka papa o nā lāʻau i kapa ʻia he antipsychotics maʻamau. Hana ia ma ka hoʻololi ʻana i ka hana o kekahi mau mea kūlohelohe i ka lolo a me nā ʻāpana ʻē aʻe o ke kino.


Hele mai ʻo Chlorpromazine ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia ʻo Chlorpromazine i ʻelua a ʻehā mau manawa i ka lā. Ke hoʻohana ʻia ʻo chlorpromazine e kāohi i ka nausea a me ka luaʻi, lawe mau ʻia ia i kēlā me kēia 4-6 mau hola e pono ai. Ke hoʻohana ʻia ʻo chlorpromazine e hōʻoluʻolu i ka makaʻu ma mua o ke kaha ʻana, lawe mau ʻia ia ma 2-3 mau hola ma mua o ke kaha ʻana. Ke hoʻohana ʻia ʻo chlorpromazine e hoʻōla i ka hiccups, lawe pinepine ʻia ia 3-4 mau manawa i ka lā a hiki i nā lā he 3 a i ʻole a kū ka hiccups. Inā ʻaʻole kū nā hiccups ma hope o 3 mau lā o ka mālama ʻana, pono e hoʻohana ʻia kahi lāʻau ʻokoʻa. Inā ʻoe e lawe nei i ka chlorpromazine i kahi papa manawa maʻamau, lawe ia 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 pololei i ka chlorpromazine 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 hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o chlorpromazine a hoʻonui iki i kāu lāʻau. Hiki i kāu kauka ke hōʻemi i kāu lāʻau i ka manawa e kāohi ʻia kāu ʻano. E haʻi pono i kāu kauka i kou ʻano i kou wā e mālama ai me ka chlorpromazine.


Inā ʻoe e lawe i ka chlorpromazine e mālama i ka schizophrenia a i ʻole kahi maʻi psychotic ʻē aʻe, hiki i ka chlorpromazine ke kaohi i kāu mau hōʻailona akā ʻaʻole e hoʻōla i kou ʻano. E hoʻomau i ka lawe ʻana i ka chlorpromazine ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka chlorpromazine me ka walaʻau ʻole ʻana me kāu kauka. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau. Inā kū koke ʻoe i ka lawe ʻana i ka chlorpromazine, ʻike paha ʻoe i ka haʻalele ʻana i nā ʻōuli, e like me ka nausea, ka luaʻi, ʻeha o ka ʻōpū, ʻūpē, a me ka naue.

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

Ma mua o ka lawe ʻana i ka chlorpromazine,

  • e haʻi i kāu kauka a me ka kauka inā ua maʻi ʻoe i ka chlorpromazine; nā phenothiazine e like me fluphenazine, perphenazine, prochlorperazine (Compazine), promethazine (Phenergan), thioridazine, a me trifluoperazine; 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: anticoagulants (nā mea lahilahi o ke koko) e like me warfarin (Coumadin); antidepressants; antihistamines; atropine (ma Motofen, ma Lomotil, ma Lonox); nā barbiturates e like me pentobarbital (Nembutal), phenobarbital (Luminal), a me secobarbital (Seconal); chemotherapy maʻi ʻaʻai; diuretics (paila wai); epinephrine (Epipen); guanethidine (ʻaʻole loaʻa ma ka US); ipratropium (Atrovent); lithium (Eskalith, Lithobid); nā lāʻau no ka hopohopo, maʻi ʻōpū huhū, maʻi noʻonoʻo, maʻi neʻe, maʻi ʻo Parkinson, ulcer, a i ʻole nā ​​pilikia urinary; nā lāʻau no ka hopu ʻana e like me phenytoin (Dilantin); nā lāʻau narcotic no ka ʻeha; propranolol (Inderal); nā mea hoʻonanea; paina moe; 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 loaʻa iā ʻoe a i loaʻa paha i ka hānō. (ka maʻi māmā e hōʻemi i ka hanu); kahi maʻi i kou mau māmā a i ʻole nā ​​paipu bronchial (nā paipu e lawe i ka ea i nā akemāmā); pilikia e mālama i kāu kaulike; glaucoma (ke ʻano e hoʻonui ai ke kaomi o ka maka i hiki ke alakaʻi i ka nalo lohi o ka ʻike); maʻi ʻaʻai umauma; pheochromocytoma (ʻōpuʻu ma kahi gland liʻiliʻi kokoke i nā puʻupaʻa); ka hopu ʻana; kahi electroencephalogram abnormal (EEG; hōʻoia e hoʻopaʻa i ka hana uila i ka lolo); nā kūlana e hoʻopili i ka hana ʻana o nā hunaola koko e kou iwi iwi; aiʻole ka puʻuwai, ka ate, a me nā maʻi puʻupaʻa. E haʻi pū aku 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 a i ʻole a inā ʻoe e hoʻolālā e hana pū me nā insecticides organofosfor (kahi ʻano kemika i hoʻohana ʻia e pepehi i nā mea kolo).
  • inā ʻoe e hoʻohana ana i ka chlorpromazine e mālama ai i ka nausea a me ka luaʻi, he mea nui e haʻi i kāu kauka e pili ana i nā ʻōuli ʻē aʻe āu e ʻike nei, ʻo ia hoʻi ka listlessness; hiamoe; huikau; hoʻouka kaua; ka hopu ʻana; ʻeha poʻo poʻo; nā pilikia me ka hihiʻo, ka lohe, ka ʻōlelo, a me ke kaulike paha; ʻeha o ka ʻōpū a i ʻole hāhā; a i ʻole ka paʻa paʻa. ʻO ka lohi a me ka luaʻi e ʻike ʻia me kēia mau ʻōuli he hōʻailona paha ia o kahi kūlana ʻoi aku ke koʻikoʻi ʻaʻole pono e mālama ʻia me chlorpromazine.
  • e haʻi i kāu kauka inā hāpai ʻoe, keu hoʻi inā ʻoe i nā mahina hope o kou hāpai ʻana, a inā ʻoe e hoʻolālā e hāpai a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka chlorpromazine, e kāhea i kāu kauka. Hiki i nā Chlorpromazine 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 kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe nei ʻoe i ka chlorpromazine.
  • inā loaʻa iā ʻoe kahi myelogram (x-ray ninaninau i ka iwi kuamoʻo), e haʻi i kāu kauka a me ka radiographer e lawe nei ʻoe i ka chlorpromazine. E haʻi paha kāu kauka iā ʻoe mai lawe i ka chlorpromazine no 2 mau lā ma mua o ka myelogram a no hoʻokahi lā ma hope o ka myelogram.
  • pono ʻoe e ʻike i kēia lāʻau ʻana e hiamoe ai ʻoe a hiki ke hoʻololi i kou noʻonoʻo a me kāu neʻe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana ʻana o ka waiʻona i kou wā e mālama ai me chlorpromazine. Hiki i ka waiʻona ke hana i nā hopena ʻino o chlorpromazine i ʻoi aku ka maikaʻi.
  • e hoʻolālā e hōʻalo i ka hōʻike kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a komo i nā lole pale, nā aniani aniani, a me ka sunscreen. Hiki i ka Chlorpromazine ke hana i kou ʻili i ka lā.
  • pono ʻoe e ʻike ʻo ka chlorpromazine paha ke kumu o ka puʻupuʻu, ka uila, ka puʻuwai wikiwiki, a me ka maʻule, ʻoiai ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻO ka mea maʻamau kēia i ka hoʻomaka o ka mālama ʻana me chlorpromazine, keu hoʻi ma hope o ka mahele mua. 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 paʻakikī ʻana o chlorpromazine i kou kino e hōʻoluʻolu ke hele a wela loa. 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 ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.


Inā ʻoe e lawe i ka chlorpromazine ma kahi papa manawa maʻamau a haʻalele ʻoe i kahi lāʻau, lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia. 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 Chlorpromazine ke hana i nā hopena ʻaoʻao. 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
  • helehelena hakahaka
  • hele wāwae
  • hoʻomaha ʻole
  • hoohaunaele
  • hopohopo
  • ʻano ʻoniʻoni, hoʻolohi, a i ʻole hiki ʻole ke kāohi ʻia o kekahi ʻāpana o ke kino
  • paʻakikī e hiamoe a hiamoe paha
  • māhuahua ka makemake
  • loaʻa kaupaona
  • hana waiū umauma
  • hoʻonui umauma
  • hala ha awina
  • hoʻemi i ka moekolohe
  • nā hoʻololi i ke kala o ka ʻili
  • waha maloo
  • ihu i ukuhi ʻia
  • pilikia urino
  • ke ākea a hoʻopili paha o nā haumāna (ʻeleʻele i waena o nā maka)

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:

  • fiva
  • ʻoʻoleʻa o ka mākala
  • hāʻule ʻana
  • huikau
  • wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
  • ka houʻu ʻana
  • melemele o ka ʻili a me nā maka
  • nā ʻōuli like flu
  • ʻeha ka ʻāʻī, haʻalulu, a me nā hōʻailona ʻē aʻe o ka maʻi
  • kahe koko ʻole ʻana a palapū paha
  • ʻāʻī ʻāʻī
  • alelo e puka ana i ka waha
  • paʻa i ka ʻāʻī
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • ʻoni, maikaʻi ke ʻano o ke alelo
  • ke kaohi ʻole, ka helehelena, ka waha, a me ka neʻe ʻana o ka iwi
  • ka hopu ʻana
  • ʻōhū
  • hūwī
  • hives
  • ʻūlili
  • ka pehu o nā maka, ka maka, ka waha, ka lehelehe, ke alelo, ka ʻāʻī, nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • pohihihi o ka hihiʻo, keu aku i ka pō
  • ke ʻike nei i nā mea āpau me ke kala ʻalani

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).

Hiki i ka Chlorpromazine ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe i kēia lāʻau.

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.

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
  • nalowale o ka ʻike
  • ʻano ʻoniʻoni, hoʻolohi, a i ʻole hiki ʻole ke kāohi ʻia o kekahi ʻāpana o ke kino
  • hoohaunaele
  • hoʻomaha ʻole
  • fiva
  • ka hopu ʻana
  • waha maloo
  • kuʻi puʻuwai ʻole

Mālama i nā manawa āpau me kāu kauka a me kāu kauka maka. Pono ʻoe e hoʻonohonoho maʻamau i nā hoʻokolokolo maka i ka wā o kāu mālama ʻana me chlorpromazine no ka mea ʻo ka chlorpromazine ka mea e pilikia ai ka maka.

Ma mua o ka hoʻāʻo ʻana o kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka chlorpromazine.

Hoʻopilikia paha ʻo Chlorpromazine i nā hopena o nā hoʻokolohua hāpai home. E kamaʻilio me kāu kauka inā manaʻo ʻoe e hāpai ana ʻoe i kāu mālama ʻana me chlorpromazine.

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.

  • Promapar®
  • Thorazine®

ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.

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Noureen DeWulf: "E nānā ana iā Donuts Nixes Cravings"

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ʻO Noureen DeWulf pāʻani paha i kahi kaikamahine ʻāhiu a me nā holoholona ma FX' Mālama Huhū, akā i ke ola maoli, he ipo piha ʻo ia. ʻO ka mea like wale nō me kāna ʻano ʻo Lacey? ʻO kā lākou aloha...