Inkqubo yokukhusela

Umxholo

• Ngaphambi kokuba uthathe iprothini,
• Inkqubo yokukhusela inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

Inani elincinci labantwana, ulutsha, kunye nabantu abadala abancinci (ukuya kuthi ga kwi-24 yeminyaka ubudala) abathathe i-anti-depressants ('mood elevators') ezinje ngeprotriptyline ngexesha lezifundo zeklinikhi baba ukuzibulala (ukucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo ). 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 ipripriptyline, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-protriptyline lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha iprotextline okanye ezinye izinto zokuthomalalisa uxinzelelo nokuba sele umdala ngaphezulu kweminyaka engama-24. 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-protriptyline, 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 ngeprotriptyline. 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 ukuba ungakanani ubudala, 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.

Inkqubo yokukhusela isetyenziselwa ukunyanga uxinzelelo. Iprotriptyline ikudidi lwamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokwandisa isixa sezinto ezithile zendalo kwingqondo ezikunceda ukugcina ulungelelwaniso lwengqondo.

Iprotriptyline iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kathathu okanye kane ngemini. Thatha umgca weprotriptyline ngamaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha umgca weprotriptyline ngqo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho uya kukuqala ngedosi esezantsi yeprotriptyline kwaye ngokuthe ngcembe andise idosi yakho. Ugqirha wakho unokunciphisa idosi emva kokuba imeko yakho ilawulwa.

Ukukhuselwa kwe-Protriptyline control kodwa akunyangi. Qhubeka uthatha iprothini nangona uziva uphilile. Ungayeki ukuthatha iproteipline ngaphandle kokuthetha nogqirha wakho. Ukuba ngequbuliso uyeka ukuthatha iproteyline, unokufumana iimpawu zokurhoxa ezinje ngesicaphucaphu, intloko ebuhlungu kunye nokuswela amandla.

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

Ngaphambi kokuba uthathe iprothini,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba u-aleji kwi-protriptyline okanye naliphi na iyeza.
• xelela ugqirha wakho ukuba uthatha i-cisapride (Propulsid) (ayifumaneki e-U.S) okanye kwi-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan); phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate), okanye ukuba uthathe i-MAO inhibitor kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba akufuneki uthathe iprotextline.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: amiodarone (Cordarone, Pacerone); antihistamines; ibupropion (Wellbutrin); iselecoxib (iCelebrex); cimetidine (iTagamet); doxorubicin (Adriamycin); guanethidine (Ismelin); ipratropium (Atrovent); amayeza oxinzelelo, isifuba, ukubanda, isifo seswekile, isifo sesisu, isifo sengqondo, ukugula, isifo sikaParkinson, ukuxhuzula, izilonda, okanye iingxaki zomchamo; amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-flecainide (Tambocor), moricizine (Ethmozine), kunye nepropafenone (Rythmol); imethadone (iDolophine); metoclopramide (Reglan); ezinye izinto ezichasayo; quinidine; i-ranitidine (iZantac); i-reserpine (iSerpasil); i-ritonavir (iNorvir); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), kunye ne-sertraline (i-Zoloft); ukuthomalalisa; iipilisi zokulala; terbinafine (ILamisil); amayeza e-thyroid; itramadol (Ultram); kunye noxinzelelo. 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 protriptylineline.
• xelela ugqirha wakho ukuba usela kakhulu utywala; ukuba ufumana unyango lwe-electroshock (inkqubo apho uhlaselo oluncinci lombane lwenziwa kwingqondo ukunyanga izigulo ezithile zengqondo); okanye ukuba une-prostate eyandisiweyo (ilungu lomntu lokuzala), ubunzima bokuchama, ukugula ngengqondo, ukuxhuzula, i-hyperthyroidism (idlala lengqula), okanye iswekile.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-protriptyline, biza ugqirha wakho.
• thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha iprotextline ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-protriptylineline kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziselwa ukunyanga imeko efanayo.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha iprothini.
• Kuya kufuneka uyazi ukuba protriptyline 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. Iprotriptyline inokwenza ulusu lwakho lubuthathaka kwilanga.
• Kuya kufuneka uyazi ukuba i-protriptyline inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo yokulala. Oku kuqheleke ngakumbi xa uqala ukuthatha iprotriptyline. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
• Kuya kufuneka uyazi ukuba iprotriptyline inokubangela 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.

Inkqubo yokukhusela inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukugabha
• urhudo
• Ukuphelelwa ngumdla wokutya
• utshintsho lobunzima
• incasa engaqhelekanga emlonyeni
• isisu esibuhlungu okanye iicramps
• isilungulela
• umlomo owomileyo
• ukuqhina
• ukozela
• isiyezi
• amaphupha amabi
• intloko ebuhlungu
• ukuchama rhoqo, ngakumbi ebusuku
• ubunzima bokuchama
• abafundi ngokubanzi
• utshintsho kwi-sex drive okanye kubuchule
• ukwandiswa kwamabele emadodeni nakwabafazi
• ukungazinzi
• kukhala ezindlebeni
• ukulahleka kweenwele
• ukugungxula
• ukubila
• ulwimi olumnyama

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela umnxeba kwangoko:

• intetho ecothayo okanye enzima
• ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
• ukutyumza iintlungu zesifuba
• ukukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
• irhashalala okanye urticaria
• ukurhawuzelela
• ukudumba kobuso okanye ulwimi
• mthubi ulusu okanye amehlo
• umhlathi, intamo, kunye nokuqaqamba kwemisipha yangasemva
• ukushukuma okungalawulekiyo kwilungu lomzimba
• isiqaqa
• ubunzima bokuhamba
• ukopha okungaqhelekanga okanye ukugruzuka
• ukuxhuzula
• ukudideka
• i-hallucination (ukubona izinto okanye ukuva amazwi angabikho)
• ukukholelwa izinto ezingeyonyani
• ifiva
• intlungu, ukutshisa, okanye ukubetha ezandleni nasezinyaweni

Inkqubo yokukhusela 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.

Iimpawu libanda kungaquka oku kulandelayo:

• ukubetha kwentliziyo ngokungaqhelekanga
• ukulahleka kwengqondo
• isiqaqa
• ukuxhuzula
• ukudideka
• iingxaki zokugxila
• i-hallucination (ukubona izinto okanye ukuva amazwi angabikho)
• ukuphazamiseka
• ukozela
• izihlunu eziqinileyo
• ukugabha
• ifiva
• ubushushu bomzimba obubandayo

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.

• Vivactil^®