Dextromethorphan thiab Quinidine

Zoo Siab

• Ua ntej noj cov dextromethorphan thiab quinidine,
• Kev sib xyaw ntawm dextromethorphan thiab quinidine tuaj yeem ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
• Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
• Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:

Kev sib xyaw ntawm dextromethorphan thiab quinidine yog siv los kho tus mob pseudobulbar cuam tshuam (PBA; ib qho xwm txheej ntawm kev quaj nrov nrov los yog luag uas tsis tuaj yeem tswj tau) hauv cov neeg muaj qee yam mob xws li amyotrophic lateral sclerosis (ALS, Lou Gehrig's mob; tus mob; nyob rau hauv cov hlab ntsha uas tswj cov leeg txav maj mam tuag, ua rau cov leeg ua kom tsawg thiab ua kom tsis muaj zog) los yog ntau tus sclerosis (kab mob uas cov leeg tsis ua haujlwm zoo thiab cov neeg mob yuav muaj qhov tsis muaj zog, ua tsis taus pa, poob ntawm cov leeg ua kom sib haum thiab teeb meem nrog pom kev, hais lus, thiab zais zis). Dextromethorphan nyob hauv chav kawm ntawm cov tshuaj hu ua nruab nrab hauv lub paj hlwb cov chaw ua haujlwm. Txoj kev nws ua haujlwm hauv lub hlwb los kho PBA yog tsis paub. Quinidine nyob hauv chav kawm ntawm cov tshuaj noj hu ua antiarrhythmics. Thaum ua ke nrog dextromethorphan, quinidine ua hauj lwm los ntawm kev nce dextromethorphan ntau ntau hauv lub cev.

Kev sib xyaw ntawm dextromethorphan thiab quinidine los ua tshuaj ntsiav los noj ntawm qhov ncauj. Nws feem ntau yog noj nrog lossis tsis noj ib zaug ib hnub rau 7 hnub. Tom qab 7 hnub, nws yog coj txhua 12 teev. Tsis txhob haus ntau tshaj 2 koob tshuaj hauv 24-teev. Nco ntsoov cia txog 12 teev nyob nruab nrab ntawm ib koob. Noj cov tshuaj dextromethorphan thiab quinidine nyob rau tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj ua ke ntawm dextromethorphan thiab quinidine raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Tej zaum koj tus kws kho mob yuav kuaj ib ntus dhau ib ntus los saib seb puas tseem siv cov tshuaj no los tswj koj tus mob. Ua raws li cov lus qhia no kom zoo.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj cov dextromethorphan thiab quinidine,

• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau dextromethorphan, quinidine (Quinidex), quinine (Qualaquin), mefloquine (Lariam), lwm yam tshuaj noj, lossis ib yam ntawm cov tshuaj ua ke nrog dextromethorphan thiab quinidine tsiav tshuaj. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
• qhia rau koj tus kws kho mob yog tias koj noj mefloquine (Lariam), pimozide (Orap), quinine (Qualaquin) thioridazine, lossis lwm yam khoom muaj quinidine (Quinidex). Koj tus kws kho mob yuav qhia koj kom tsis txhob noj dextromethorphan thiab quinidine yog tias koj noj ib lossis ntau dua ntawm cov tshuaj no.
• qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: cov tshuaj tiv thaiv kab mob suav nrog clomipramine (Anafranil), desipramine (Doxepin, Sinequan), fluoxetine (Prozac, Sarafem), nefazodone, thiab paroxetine (Paxil, Pexeva); aprepitant (Hloov Kho); clarithromycin (Biaxin, Prevpac); tshuaj hnoos thiab mob khaub thuas uas muaj dextromethorphan; cisapride; digoxin (Lanoxin, Digitek); erythromycin (E.E.S. E-Mycin, Erythrocin); fluconazole (Diflucan); itraconazole (Sporanox); ketoconazole (Nizoral); qee cov tshuaj rau tib neeg cov tshuaj tiv thaiv kab mob (HIV) xws li atazanavir (Reyataz), amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, hauv Kaletra), thiab saquinavir (Invi); cov tshuaj noj rau lub plawv tsis xwm yeem xws li amiodarone (Cordarone), diltiazem (Cardizem, Cartia, Tiazac, lwm tus), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid, Pronestyl), sotalol (Betapace), thiab verapamil (Calan,) Covera, Isoptin, Verelan, hauv Tarka); cov tshuaj rau qhov mob xws li codeine, hydrocodone (hauv Hydrogesic, Lorcet, Lortab, Vicodin, Zydone, lwm tus), thiab tshuaj txiav yeeb (Methadone); moxifloxacin (Avelox); sparfloxacin (Zagam); thiab teliththromycin (Ketek). Kuj qhia koj tus kws kho mob lossis kws muag tshuaj yog tias koj noj cov tshuaj hauv qab no lossis tau tsum tsis noj lawv hauv ob lub lis piam dhau los: MAO inhibitors suav nrog isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl) ), thiab tranylcypromine (Parnate). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv. Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog dextromethorphan thiab quinidine, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias cov uas tsis tshwm hauv cov npe no.
• qhia rau koj tus kws kho mob yog tias koj muaj lossis tau muaj cov xwm txheej li no thaum noj quinidine, quinine, lossis mefloquine: txo qis cov qe ntshav hauv koj lub cev pob txha, lupus (mob uas lub cev tawm tsam nws cov nqaij ua rau kev puas tsuaj thiab o ), lossis mob rau daim siab (o rau lub siab). Thiab qhia koj tus kws kho mob yog tias koj muaj lossis puas tau muaj lub plawv tsis xwm yeem lossis lub plawv tsis ua haujlwm. Koj tus kws kho mob yuav qhia koj kom tsis txhob takedextromethorphan thiab quinidine.
• qhia rau koj tus kws kho mob yog tias koj tau lossis tau puas tau muaj myasthenia gravis (qhov tsis zoo ntawm cov leeg hlwb uas ua rau cov leeg tsis muaj zog), keeb kwm ntawm txoj kev siv tshuaj los yog tshuaj tsis raug cai, mob ntshav siab, mob stroke, ntshav qab zib tsawg lossis magnesium nyob hauv. koj cov ntshav, lossis lub plawv, raum, lossis kab mob siab.
• qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj cev xeeb tub thaum noj cov dextromethorphan thiab quinidine, hu rau koj tus kws kho mob.
• yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav uas koj noj dextromethorphan thiab quinidine.
• koj yuav tsum paub tias dextromethorphan thiab quinidine tuaj yeem ua rau koj kiv taub hau. Nws yog ib qho tseem ceeb kom ceev faj kom tsis txhob poob thaum siv cov tshuaj no.
• nug koj tus kws kho mob txog kev haus dej haus cawv thaum siv tshuaj dextromethorphan thiab quinidine. Cawv yuav ua rau cov kev mob tshwm sim los ntawm cov tshuaj no tsis zoo.

Tham nrog koj tus kws kho mob txog kev noj txiv kab ntxwv qaub thiab haus kua txiv thaum lub sijhawm noj cov tshuaj no.

Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.

Hla lub tshuaj uas tsis nco qab noj thiab rov qab noj dua ntxiv thaum lub sijhawm so. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug. Nco ntsoov cia sijhawm ntev li 12 teev ntawm kev txhaj tshuaj.

Kev sib xyaw ntawm dextromethorphan thiab quinidine tuaj yeem ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

• zawv plab
• ntuav
• roj
• mob plab
• hnoos
• qhov muag qhuav los yog qhov ncauj
• tsis muaj zog
• mob leeg pob txha
• o ntawm tes, taw, pob taws, lossis ceg qis
• nquag, mob, lossis tso zis nyuaj
• pos huab los yog muaj zog ntxhiab tso zis

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:

• ua npaws
• ntshav txawv lossis doog ntshav
• leeg mob lossis mob pob qij txha
• ua pob
• o ntawm lub ntsej muag, lub caj pas, tus nplaig, lossis daim di ncauj
• o cov qog ntshav o
• txhaws qa
• ua pa nyuaj
• lub teeb ci ntsa iab
• tsaus muag
• lub plawv dhia ceev ceev

Kev sib xyaw ntawm dextromethorphan thiab quinidine tuaj yeem ua rau muaj kev phiv ntxiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm menyuam yaus thiab tsiaj. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:

• xeev siab
• ntuav
• zawv plab
• kiv taub hau
• mob taub hau
• coov hauv pob ntseg
• qhov muag plooj lossis ob lub zeem muag
• tsis meej pem
• hloov hauv lub siab khiav ceev
• ua pa nyuaj
• tsis nco qab
• qaug dab peg
• kev hloov pauv ntawm cov leeg nqaij
• poob kev sib koom tes
• kev txawv txawv heev
• kev xav txawv txav

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj sim kuaj xyuas koj lub cev cov lus teb rau dextromethorphan thiab quinidine. Koj tus kws kho mob kuj tuaj yeem xaj hluav taws xob (ECG; ntsuas ntsuas qhov ntsuas hluav taws xob hauv plawv) ua ntej thiab thaum kho koj.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

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