Momwe maonekedwe amasiyana ndi mankhwala ena a chifuwa
Delsym ndi chizindikiro cha madzi a chifuwa omwe amapangidwa ndi kupanga nthawi yotulutsidwa ya mankhwala otchedwa dextromethorphan. Dextromethorphan imapezeka mu chifuwa chachikulu, kutentha, ndi mankhwala a chimfine, kuphatikizapo Robitussin , Dimetapp, ndi Theraflu.
Delsym amagwiritsidwa ntchito pofuna kuthandizira kanthawi kochepa chifuwa chomwe chimayambitsidwa ndi mphuno yaing'ono komanso kupwetekedwa mtima kwadzidzidzi komanso kutsekedwa kovuta.
Zosakaniza Zogwira Ntchito
Delsym amaimira zosiyana ndi zina za dextromethorphan-based formulations chifukwa chogwiritsira ntchito chikuzunguliridwa ndi pulasitiki yomwe imatchedwa polistirex. Mukamayamwa, kamolekisi ya pulasitiki imasungunuka pang'onopang'ono ndi mimba ya asidi, kumasula mankhwala m'thupi kuposa maola 12. Ndizo zokhazo mankhwala ochotsera chifuwa choposa.
Msuzi umodzi (5mL) wa dextromethorphan polistirex ndi ofanana ndi mamita 30 a dextromethorphan.
Ndondomeko Yoperekedwa
Delsym ingagwiritsidwe ntchito kwa akuluakulu ndi ana oposa anayi. Sitiyenera kugwiritsidwa ntchito kwa ana ocheperapo anayi pokhapokha ataperekedwa ndi dokotala. Mlingo wovomerezeka uli motere:
- Akuluakulu ndi ana 12 ndi kupitirira: masipuniketi awiri (10 mL) maola khumi ndi awiri (12), osadutsa supuni 4 (ma lita 20) mu maola 24
- Ana asanu ndi mmodzi mpaka pansi pa 12: supuni imodzi (5 mL) maola khumi ndi awiri, osapitirira supuni khumi (10 mL) mu maola 24
- Ana anayi pansi pa asanu ndi limodzi: hafu ya supuni (2.5 mL) maola 12, osadutsa supuni imodzi (5 mL) mu maola 24
Zotsatira Zogwirizana
Ngakhale kuti Delsym amadziwika kuti ndi otetezeka ngati amagwiritsidwa ntchito monga momwe akuyankhira, ikhoza kuyambitsa zotsatira zina mwa ena, ambiri mwa iwo ndi ofatsa komanso odziletsa.
Zina mwa zotsatira zoyipa:
- Kugona
- Chizungulire
- Kutopa
- Nausea
- Kuwawa kwam'mimba
- Kuthamanga
- Kutsekedwa
- Kuthamangitsidwa
- Kutentha
- Rash
Kusamvana ndi kulingalira
Musatenge Delsym ngati mutatenga monoamine oxidase inhibitors (MAOIs) kapena mutatenga chimodzi m'masabata awiri apitayo.
MAOIs ndi kalasi ya mankhwala omwe amagwiritsidwa ntchito kuti athetse kuvutika maganizo, nkhawa, ndi matenda ena.
Muyenera kusiya Delsym ndikuitana dokotala ngati zizindikiro zanu zikuwonjezereka, kumatha masiku opitirira asanu ndi awiri, kapena akutsatiridwa ndi malungo omwe amakhalapo kwa masiku osachepera atatu. Kwa ana, malamulo omwewo amagwiritsidwa ntchito ngati zizindikirozo zatha masiku oposa asanu.
Chenjezo la overdose
Dextromethorphan imagwiritsidwa ntchito zosangalatsa ndi ena, ndipo, atatengedwa mopitirira muyeso, ingayambitse chiwonongeko cha hallucinogenic chofanana ndi mankhwala a ketamine ndi PCP. Zizindikiro zimaphatikizapo kutengeka kwa thupi, kusangalala, kusangalala, komanso kutaya nthawi.
N'zosavuta kuwonjezera pa dextromethorphan ndi katatu katatu mlingo woyenera. Zotsatirazi zimatha kusiyana ndi kukula kwa thupi ndi kutuluka kwa mankhwala. Ngati mutagwiritsa ntchito dextromethorphan, zotsatira zake zingakhale zovuta ndipo zingakhalepo:
- Masomphenya obisika kapena masomphenya awiri
- Kuthamanga kwa magazi (kuthamanga kwa magazi)
- Kuthamanga kwa magazi (hypotension)
- Kukwapula
- Anawopsezedwa kwambiri
- Kuthamanga kwa minofu
- Vuto lakumidzi
- Kupuma pang'ono
Nthawi zambiri, kuchepa kwa nthawi yochepa, kuthamanga kwa mtima kwambiri ( tachycardia ), ndi kuphulika kumachitika, zomwe zimafunikira chithandizo cham'tsogolo.
Kugwiritsa ntchito nthawi zosangalatsa nthawi yaitali kungabweretse zizindikiro zobwerera, nthawi zina zovuta.
Imfa yadziwikanso kuti imabwera chifukwa chokwera kwambiri malemba a dextromethorphan.
> Zotsatira:
> Logan B .; Goldfogel, G ;; Hamilton, R. et al. "Akufa asanu chifukwa cha > kuzunzidwa > kwa dextromethorphan kugulitsidwa pa intaneti." J Anal Toxicol. 2009; 33 (2): 99-103.
> Utsogoleri wa US Food and Drug Administration. "Malangizo pa Dextromethorphan Polistirex ." Silver Spring, Maryland; May 2008.