Umbhali: Janice Evans
Umhla Wokudalwa: 28 Eyekhala 2021
Hlaziya Umhla: 23 Isilimela 2024
Anonim
TRIMIPRAMINE (SURMONTIL) - PHARMACIST REVIEW - #187
Ividiyo: TRIMIPRAMINE (SURMONTIL) - PHARMACIST REVIEW - #187

Umxholo

Inani elincinci labantwana, ulutsha, kunye nabantu abadala abancinci (ukuya kuthi ga kwi-24 yeminyaka ubudala) abathathe i-anti-depressants ('mood elevators') ezinje nge-trimipramine ngexesha lezifundo zeklinikhi bazibulala ). Abantwana, ulutsha, kunye nabantu abadala abancinci abathatha i-anti-depressant ukunyanga uxinzelelo okanye ezinye izifo zengqondo banokuba semngciphekweni wokuzibulala kunabantwana, ulutsha, kunye nabantu abadala abancinci abangazithathiyo ukunyanga ezi meko. Nangona kunjalo, iingcali aziqinisekanga malunga nokuba ungakanani na lo mngcipheko kwaye ingakanani ekufuneka ithathelwe ingqalelo xa usenza isigqibo sokuba ingaba umntwana okanye ulutsha kufuneka athathe i-anti-depressant. Abantwana abangaphantsi kweminyaka eli-18 ubudala akufuneki bathathe i-trimipramine, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-trimipramine lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-trimipramine okanye ezinye i-anti-depressants nokuba umdala ngaphezulu kweminyaka eyi-24. Ungazibulala, ngakumbi ekuqaleni konyango lwakho kwaye nangaliphi na ixesha apho idosi yakho inyuswe okanye inciphile. Wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka ubize ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: ukudakumba okutsha okanye okuya kusiba mandundu; ukucinga ngokuzenzakalisa okanye ukuzibulala, okanye ukucwangcisa okanye ukuzama ukwenza njalo; ukukhathazeka kakhulu; ukuphazamiseka; uloyiko; ubunzima bokulala okanye ukulala; indlela yokuziphatha enengcwangu; ukucaphuka; ukwenza ngaphandle kokucinga; ukungazinzi okukhulu; kunye nefrenzied yimincili engaqhelekanga. Qiniseka ukuba usapho lwakho okanye umntu okhathalela umntwana wakho uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha xa ungakwazi ukufuna unyango ngokwakho.


Umboneleli wakho wezempilo uya kufuna ukukubona rhoqo ngelixa uthatha i-trimipramine, ngakumbi ekuqaleni konyango lwakho. Qiniseka ukuba ugcina lonke ixesha lokundwendwela eofisini nogqirha wakho.

Ugqirha okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-trimipramine. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo.Unokufumana nesikhokelo seMithi kwiwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273.

Kungakhathaliseki ubudala bakho, ngaphambi kokuba uthathe i-anti-depressant, wena, umzali wakho, okanye umnakekeli wakho kufuneka uthethe nodokotela wakho malunga neengozi kunye neenzuzo zokunyanga imeko yakho nge-anti-depressant okanye ngezinye iindlela zonyango. Kuya kufuneka uthethe ngomngcipheko kunye nezibonelelo zokungayinyangi imeko yakho. Kuya kufuneka uyazi ukuba ukudakumba okanye esinye isifo sengqondo sonyusa kakhulu umngcipheko wokuba ungazibulala. Lo mngcipheko uphezulu ukuba wena okanye nabani na kusapho lwakho ukhe waba nengxaki yokuphazamiseka engqondweni (imeko etshintsha ukusuka ekudandathekeni iye ekubeni nemincili engaqhelekanga) okanye i-mania (ididekile, imo engaqhelekanga) okanye uye wacinga okanye wazama ukuzibulala. Thetha nogqirha wakho malunga nemeko yakho, iimpawu, kunye nembali yonyango lwakho kunye nosapho. Wena kunye nogqirha wakho uya kuthatha isigqibo sokuba loluphi uhlobo lonyango olulungele wena.


I-Trimipramine isetyenziselwa ukunyanga uxinzelelo. I-Trimipramine ikwiklasi yamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokwandisa isixa sezinto ezithile zendalo kwingqondo ezifunekayo ukugcina ulungelelwaniso lwengqondo.

I-Trimipramine iza njengecapsule ukuthatha ngomlomo. Ihlala ithathwa kube kathathu ngemini. Thatha i-trimipramine malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-trimipramine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho uyakuqala kwidosi ephantsi ye-trimipramine kwaye ngokuthe ngcembe wandise idosi yakho.

Kungathatha ukuya kwiiveki ezi-4 ngaphambi kokuba uve isibonelelo se-trimipramine. Qhubeka uthathe i-trimipramine nokuba uziva uphilile. Sukuyeka ukuthatha i-trimipramine ungakhange uthethe nogqirha wakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.


Ngaphambi kokuba uthathe i-trimipramine,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-trimipramine, i-clomipramine (Anafranil), i-desipramine (i-Norpramin), i-imipramine (i-Tofranil), okanye nawaphi na amanye amayeza, okanye naziphi na izithako ezikwii-capsules ze-trimipramine. Buza ugqirha wakho okanye usokhemesti uluhlu lwezithako.
  • xelela ugqirha wakho ukuba uthatha i-monoamine oxidase (MAO) inhibitors, kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) kunye ne-tranylcypromine (Parnate) okanye ukuba uthathe isithintelo se-MAO kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba ungathathi i-trimipramine.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qinisekisa ukukhankanya nayiphi na kwezi zilandelayo: cimetidine (Tagamet); izinto zokuthambisa; guanethidine (Ismelin); ipratropium (Atrovent); amayeza okuba nesifo sesisu, isifo sokuhamba, isifo sikaParkinson, izilonda, okanye iingxaki zomchamo; amayeza okubetha kwentliziyo ngokungaqhelekanga njengequinidine (Quinidex), flecainide (Tambocor), kunye nepropafenone (Rythmol); ezinye izinto ezichasayo; kunye nokukhetha i-serotonin reuptake inhibitors (i-SSRIs) efana ne-fluoxetine (Prozac, Sarafem), paroxetine (Paxil), kunye ne-sertraline (Zoloft). Xelela ugqirha wakho okanye usokhemesti ukuba uyekile ukuthatha ifluoxetine (Prozac, Sarafem) kwiiveki ezi-5 ezidlulileyo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ngaba ukhe wahlaselwa sisifo sentliziyo kutshanje. Ugqirha wakho uya kukuxelela ukuba ungathathi i-trimipramine.
  • xelela ugqirha wakho ukuba ukhe wakhulisa i-prostate (idlala lokuzala), ubunzima bokuchama, isifo se-thyroid, ukuxhuzula, okanye intliziyo, izintso, okanye isifo sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-trimipramine, tsalela ugqirha wakho.
  • thetha nogqirha wakho malunga nobungozi kunye nezibonelelo zokuthatha i-trimipramine ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-trimipramine kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziswa ukunyanga imeko efanayo.
  • ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-trimipramine.
  • Kuya kufuneka uyazi ukuba i-trimipramine inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza.
  • cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. I-Trimipramine inokwenza ulusu lwakho lubuthathaka kwilanga.
  • Kuya kufuneka uyazi ukuba i-trimipramine inokubangela ukuba i-angle-closure glaucoma (imeko apho ulwelo luvaliwe ngequbuliso kwaye lungakwazi ukuphuma esweni kubangele ukonyuka okukhawulezileyo, okukhulu koxinzelelo lwamehlo olunokubangela ukulahleka kombono). Thetha nogqirha wakho malunga nokuhlolwa kwamehlo ngaphambi kokuba uqale ukuthatha eli yeza. Ukuba unesicaphucaphu, iintlungu zamehlo, utshintsho kumbono, njengokubona amakhonkco anemibala ajikeleze izibane, kunye nokudumba okanye ukuba bomvu ngaphakathi okanye ejikeleze iliso, tsalela ugqirha okanye ufumane unyango olukhawulezileyo kwangoko.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Trimipramine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • isicaphucaphu
  • ukugabha
  • urhudo
  • isisu esibuhlungu
  • ukozela
  • ubuthathaka okanye ukudinwa
  • imincili okanye ixhala
  • ukudideka
  • isiyezi
  • intloko ebuhlungu
  • amaphupha amabi
  • umlomo owomileyo
  • utshintsho kwisondlo okanye ubunzima
  • ukuqhina
  • ubunzima bokuchama
  • ukuchama rhoqo
  • utshintsho kwi-sex drive okanye kubuchule
  • ukubila okugqithisileyo
  • kukhala ezindlebeni
  • intlungu, ukutshisa, okanye ukubetha ezandleni nasezinyaweni

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kumacandelo ESILUMKISO ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

  • umhlathi, intamo, kunye nokuqaqamba kwemisipha yangasemva
  • intetho ecothayo okanye enzima
  • ukuhamba ngokukhawuleza
  • ukushukuma okungalawulekiyo kwilungu lomzimba
  • umkhuhlane kunye nomqala obuhlungu
  • ubunzima bokuphefumla okanye ukugwinya
  • irhashalala
  • mthubi ulusu okanye amehlo
  • ukuxhuzula
  • ukubona izinto okanye ukuva amazwi angekhoyo (hallucinating)
  • iintlungu zesifuba
  • ukubetha okanye ukubetha kwentliziyo okungaqhelekanga

I-Trimipramine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

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Ukuhlaziywa kokugqibela-09/15/2018

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