ʻO Sildenafil

Anter

• Ma mua o ka lawe ʻana iā sildenafil,
• Hoʻokumu paha ʻo Sildenafil 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, e kāhea koke aku i kāu kauka:

Hoʻohana ʻia ʻo Sildenafil (Viagra) e mālama i ka hana erectile (impotence; hiki ʻole ke kiʻi a mālama i kahi kūkulu) i nā kāne. Hoʻohana ʻia ʻo Sildenafil (Revatio) e hoʻomaikaʻi i ka hiki ke hoʻoikaika kino i nā mākua me ke kiʻekiʻe o ka pulmonary arterial ʻAʻole pono nā keiki e lawe i ka sildenafil, akā i kekahi mau kumu, hoʻoholo paha ke kauka ʻo sildenafil (Revatio) ka lāʻau lapaʻau maikaʻi loa e mālama ai i ke ʻano o ke keiki. Aia ʻo Sildenafil i kahi papa o nā lāʻau i kapa ʻia nā mea kāohi ʻo phosphodiesterase (PDE). Mālama ʻo Sildenafil i ka hana erectile e ka hoʻonui ʻana i ke kahe o ke koko i ka peni i ka wā e hoʻonāukiuki ai i ka wahine. Hiki ke hoʻonui i ke kahe o ke koko i kahi kūkulu. Mālama ʻo Sildenafil iā PAH ma ka hoʻomaha ʻana i nā kīʻaha koko i nā akemāmā e hiki ai i ke kahe ke kahe maʻalahi.

Inā lawe ʻoe i sildenafil e mālama i ka hana erectile, pono ʻoe e ʻike ʻaʻole ia e hoʻōla i ka hana erectile a hoʻonui paha i ka makemake wahine. ʻAʻole pale ʻo Sildenafil i ka hāpai ʻana a i ʻole ka hoʻolaha ʻana o nā maʻi i lawe ʻia e ka moekolohe e like me ka maʻi hoʻomaʻemaʻe kanaka (HIV).

Hele mai ʻo Sildenafil ma ke ʻano he papa a hoʻokuʻu ʻia (wai; Revatio wale nō) e lawe ma ka waha.

Inā lawe ʻoe i sildenafil e mālama i ka hana erectile, e hāhai i nā kuhikuhi a kāu kauka a me nā alakaʻi i kēia paukū. Lawe iā sildenafil e like me ka mea e pono ai ma mua o ka moekolohe. ʻO ka manawa kūpono e lawe ai i sildenafil ma kahi o 1 hola ma mua o ka moekolohe, akā hiki iā ʻoe ke lawe i ka lāʻau i kēlā me kēia manawa mai 4 mau hola a 30 mau minuke ma mua o ka moekolohe. ʻAʻole pono e lawe ʻo Sildenafil ma mua o hoʻokahi manawa i kēlā me kēia 24 hola. Inā loaʻa iā ʻoe kekahi ʻano olakino a lawe paha ʻoe i kekahi mau lāʻau, e haʻi paha kāu kauka iā ʻoe e lawe pinepine i ka sildenafil. Hiki iā ʻoe ke lawe iā sildenafil me ka ʻole o ka meaʻai. Eia nō naʻe, inā ʻoe e lawe i sildenafil me kahi pāʻina momona momona, ʻoi aku ka lōʻihi o ka hoʻomaka ʻana o ka lāʻau e hana.

Inā lawe ʻoe i sildenafil e mālama iā PAH, e hāhai i nā kuhikuhi a kāu kauka a me nā alakaʻi i kēia paukū. E lawe paha ʻoe i sildenafil ʻekolu manawa i ka lā me ka ʻai ʻole. Lawe iā sildenafil ma kahi o nā manawa like i kēlā me kēia lā, a kau i kāu kau ma kahi o 4 a 6 mau hola ke kaʻawale.

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 iā sildenafil 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 hoʻoluliluli maikaʻi i ka wai no 10 kekona ma mua o kēlā me kēia hoʻohana e kāwili kaulike i ka lāʻau. E hoʻohana i ka syringe waha i hāʻawi ʻia me kāu lāʻau e ana a lawe i kāu lāʻau. E hāhai i nā kuhikuhi a ka mea hana e hoʻohana a hoʻomaʻemaʻe i ka syringe waha. Mai kāwili i ka wai me nā lāʻau ʻē aʻe a i ʻole hoʻohui i kekahi mea e ʻono ai ka lāʻau.

Inā ʻoe e lawe nei i ka sildenafil no ka hana erectile, e hoʻomaka paha kāu kauka iā ʻoe ma ka awelika o ka sildenafil a hoʻonui a hoʻemi paha i kāu lāʻau ma muli o kāu pane i ka lāʻau. E haʻi i kāu kauka inā ʻaʻole maikaʻi ʻo sildenafil a i ʻole inā e ʻike ʻoe i nā hopena ʻaoʻao.

Inā lawe ʻoe i sildenafil no PAH, pono ʻoe e ʻike i ka sildenafil kaohi iā PAH akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe iā sildenafil ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i sildenafil me ke kamaʻilio ʻole ʻana me kāu kauka.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

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

Ma mua o ka lawe ʻana iā sildenafil,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka sildenafil, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i nā huahana sildenafil. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
• mai lawe i sildenafil inā ʻoe e lawe a i ʻole lawe i nā riociguat (Adempas) a i ʻole nā ​​nitrates (nā lāʻau no ka ʻeha o ka umauma) e like me isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), a me nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat , haʻi ʻē aʻe). Hele mai nā Nitrates ma ke ʻano he papa, sublingual (ma lalo o ke alelo) papa, sprays, patches, pastes, a me nā hamo. E noi i kāu kauka inā ʻaʻole ʻoe e maopopo inā loaʻa i kekahi o kāu mau lāʻau i nā nitrates.
• mai lawe i nā lāʻau i ke alanui i loaʻa nā nitrates e like me amyl nitrate a me butyl nitrate ('poppers') ʻoiai e lawe ana iā sildenafil.
• 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, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe. E kuhikuhi pono i kekahi o kēia mau mea: alpha blockers e like me alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, ma Jalyn), a me terazosin; amlodipine (Norvasc, ma Amturnide, ma Tekamlo); kekahi mau antifungals e like me itraconazole (Onmel, Sporanox) a me ketoconazole (Nizoral); anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); kekahi mau barbiturates e like me butalbital (i Butapap, i Fioricet, i Fiorinal, a me nā mea ʻē aʻe) a me secobarbital (Seconal); beta blockers e like me atenolol (Tenormin, ma Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ma Dutoprol), nadolol (Corgard, ma Corzide), a me propranolol (Hemangeol, Inderal LA, InnoPran); bosentan (Tracleer); cimetidine; efavirenz (Sustiva, i Atripla); erythromycin (E.E.S., E-Mycin, Erythrocin); Nā mea kūpale protease HIV me amprenavir (Agenerase; ʻaʻole loaʻa hou ma US), atazanavir (Reyataz, ma Evotaz), darunavir (Prezista, i Prezcobix), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir ( Viracept), ritonavir (Norvir, ma Kaletra), saquinavir (Invirase), a me tipranavir (Aptivus); nevirapine (Viramune); nā lāʻau lapaʻau ʻē aʻe a i ʻole nā ​​hāmeʻa e mālama i ka hana erectile; nā lāʻau no ke koko kiʻekiʻe; kekahi mau lāʻau no ka hopu ʻana me ka carbamazepine (Carbatrol, Epitol, Tegretol, a me nā mea ʻē aʻe), phenobarbital, a me phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); a me rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.Nui paha nā lāʻau ʻē aʻe e launa pū me sildenafil, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
• e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe, ʻo ka wort ʻo St.
• e haʻi i kāu kauka inā puhi ʻoe, inā ʻoe i kūkulu i kūkulu he mau hola ka lōʻihi, a inā ua nalowale ʻoe i kahi nui o nā kino wai (dehydration). Hiki i kēia ke hana inā maʻi ʻoe i ke kuni, ka maʻi diarrhea, a i ʻole ka luaʻi; hou ka hou; aiʻole inu inu i ka wai. E haʻi pū i kāu kauka inā loaʻa a loaʻa paha iā ʻoe i ka maʻi pulmonary veno-occlusive maʻi (PVOD; blockage of veins in the lungs); he puu opu; maʻi puʻuwai, puʻuwai, a i ʻole ake maʻi; he puʻuwai puʻuwai; he kuʻi puʻuwai kūpono ʻole; he hahau ʻana; ʻeha ka umauma; kiʻekiʻe a haʻahaʻa paha ke koko; kiʻekiʻe kolesterol; he maʻi hoʻokahe koko; nā pilikia o ke kahe o ke koko; nā pilikia o ke koko e like me ka anemia o ka maʻi maʻi (kahi maʻi o nā hunaola ʻulaʻula), myeloma maha (maʻi ʻaʻai o nā hunaola plasma), a i ʻole leukemia (maʻi ʻaʻai o nā aʻa koko keʻokeʻo); nā kūlana e pili ana i ke kinona o ka peni (e laʻa me ka angulation, cavernosal fibrosis, a i ʻole ka maʻi ʻo Peyronie); a diabetes paha. E haʻi pū aku i kāu kauka inā loaʻa a i ʻole kekahi o kou ʻohana i ka maʻi o ka maka e like me retinitis pigmentosa (kahi ʻano maka i hoʻoili ʻia e lilo ai ka ʻike maka) a i ʻole inā loaʻa koke iā ʻoe ka nalo ʻana o ka ʻike maka, keu hoʻi inā ʻoe haʻi ʻia ʻo ka nalowale o ka hihiʻo ke kumu o ke kahe o ke kahe o ke koko i nā aʻalolo e kōkua iā ʻoe e ʻike.
• inā he wahine ʻoe a ke lawe nei ʻoe i sildenafil e mālama iā PAH, 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 iā sildenafil, e kāhea i kāu kauka.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i kāu kauka a i ʻole kauka niho paha ʻoe e lawe nei iā sildenafil.
• inā ʻoe e lawe nei iā sildenafil e mālama i ka hana erectile, e haʻi i kāu kauka inā ua aʻo ʻia ʻoe e kekahi ʻoihana ola kino e hōʻalo i ka hana moekolohe no nā kumu olakino a i ʻole ua ʻike ʻoe i ka ʻeha o ka umauma i ka wā o ka moekolohe. Hiki paha i kahi hana moekolohe ke koʻikoʻi i kou puʻuwai, keu hoʻi inā he maʻi puʻuwai kou. Inā ʻike ʻoe i ka ʻeha o ka umauma, dizziness, a nausea paha i ka wā o ka moekolohe, e kāhea koke i kāu kauka a pale i ka moekolohe a hiki i ka haʻi ʻana o kāu kauka iā ʻoe.
• e haʻi i kāu poʻe mālama ola āu e lawe nei iā sildenafil. Inā pono ʻoe i ka lāʻau lapaʻau maʻi pōpilikia no kahi pilikia puʻuwai, pono e ʻike nā mea lawelawe olakino nāna e mālama iā ʻoe i ka wā āu i lawe hope ai i ka sildenafil.

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.

Inā ʻoe e lawe nei i ka sildenafil no ka hana erectile, ʻaʻole paha ʻoe e nalo i kahi lāʻau ma muli o ka lawe ʻia ʻana o kēia lāʻau e pono ai, ʻaʻole ma kahi papa hana maʻamau.

Inā ʻoe e lawe nei iā sildenafil no PAH, e 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.

Hoʻokumu paha ʻo Sildenafil i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha poʻo
• puʻuwai puʻuwai
• pāhoehoe
• flushing (manaʻo o ka mehana)
• ihu ihu
• paʻakikī e hiamoe a hiamoe paha
• numbness, puhi ʻana, a i ʻole ke kani ʻana i nā lima, nā lima, nā wāwae, a me nā wāwae
• ʻeha ka ʻili
• nā loli i ka hihi kala (ke ʻike nei i ka uliuli tinge ma nā mea a i ʻole ka paʻakikī e haʻi i ka ʻokoʻa ma waena o ka polū a me ka ʻōmaʻomaʻo
• ʻike i ka mālamalama

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:

• ka nalowale loa ʻana o ka hihi (ʻike ma lalo no ka ʻike hou aku)
• ʻike hihi
• hoʻoliʻiliʻi hikiwawe a i ʻole nalo o ka hoʻolohe ʻana
• kani i nā pepeiao
• dizziness a i ʻole ʻālohilohi
• maule ana
• ʻeha ka umauma
• worsening shortness of breath
• kūkulu ʻeha ʻoi aku ka lōʻihi ma mua o 4 mau hola
• ʻume a ʻā paha i ka wā o ka urination
• hūwī

Ua ʻike kekahi o nā mea maʻi i ka nalowale koke ʻana o kekahi a i ʻole kā lākou ʻike āpau ma hope o ka lawe ʻana i sildenafil a i ʻole nā ​​lāʻau ʻē aʻe e like me sildenafil. Ua paʻa ka nalowale o ka hihi i kekahi mau hihia. ʻAʻole ʻike ʻia inā ua hoʻokumu ʻia ka nalo e ka lāʻau. Inā ʻike ʻoe i ka nalowale ʻana o ka hihiʻo ʻoiai ʻoe e lawe nei iā sildenafil, e kelepona koke i kāu kauka. Mai lawe hou i nā kau o sildenafil a i ʻole nā ​​lāʻau like e like me tadalafil (Cialis) a i ʻole vardenafil (Levitra) a hiki i kou kamaʻilio ʻana me kāu kauka.

Ua loaʻa nā lono o ka puʻuwai puʻuwai, ka hahau, ka puʻuwai puʻuwai ʻole, ke kahe ʻana o ka lolo a i ʻole nā ​​akemāmā, ke koko kiʻekiʻe, a me ka make koke ʻana i nā kāne i lawe i ka sildenafil no ka hana erectile ʻO ka hapa nui, ʻaʻole naʻe āpau o kēia poʻe i pilikia i ka puʻuwai ma mua o ka lawe ʻana i sildenafil. ʻAʻole maopopo inā pili kēia mau hanana i ka sildenafil, ka moekolohe, ka maʻi puʻuwai, a i ʻole ka hui pū ʻana o kēia a me nā kumu ʻē aʻe. E kamaʻilio i kāu kauka e pili ana i nā pilikia o ka lawe ʻana i sildenafil.

Ua ʻike kekahi mau maʻi i ka hōʻemi koke a i ʻole nalo o ka hoʻolohe ʻana ma hope o kā lākou lawe ʻana i sildenafil a i ʻole nā ​​lāʻau ʻē aʻe e like me sildenafil. Hoʻokahi pepeiao wale nō ka lilo o ka hoʻolohe ʻana a ʻaʻole hoʻomaikaʻi mau ke pau ka lāʻau. ʻAʻole ʻike ʻia inā ʻo ka lāʻau ka hopena o ka lohe ʻana. Inā ʻike ʻoe i ka nalo koke o ka lohe, i kekahi manawa me ke kani ʻana o nā pepeiao a me ka puʻupuʻu, ʻoiai ʻoe e lawe nei iā sildenafil, e kelepona koke i kāu kauka. Inā ʻoe e lawe nei i ka sildenafil (Viagra) no ka hana erectile, mai lawe hou i nā kaha o sildenafil (Viagra) a i ʻole nā ​​lāʻau like e like me tadalafil (Cialis) a i ʻole vardenafil (Levitra) a hiki i kou wā e kamaʻilio ai me kāu kauka. Inā lawe ʻoe i sildenafil (Revatio) no PAH, mai hooki i ka lawe ʻana i kāu lāʻau a hiki i kou wā e kamaʻilio ai me kāu kauka.

Hoʻokumu paha ʻo Sildenafil i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe 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 i nā papa i ka mahana o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i loko o ka lua. E mālama i ka hoʻomaha ma ke ana wela o ka lumi a i ʻole i ka pahu hau. E hoʻolei i kahi hoʻomaha i hoʻohana ʻole ʻia ma hope o 60 mau lā.

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

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.

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.

Mālama i nā manawa āpau me kāu kauka.

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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