I-Desvenlafaxine

Umxholo

• Ngaphambi kokuba uthathe i-desvenlafaxine,
• I-Desvenlafaxine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye EZIQHELEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Inani elincinci labantwana, ulutsha, kunye nabantu abadala abancinci (ukuya kuthi ga kwi-24 yeminyaka ubudala) abathathe i-anti-depressants ('mood elevators') ezinje nge-desvenlafaxine 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 i-desvenlafaxine, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-desvenlafaxine lelona nyango lilungileyo ukunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-desvenlafaxine okanye ezinye i-anti-depressants nokuba sele umdala ngaphezulu kweminyaka eyi-24. Ungazibulala, ngakumbi ekuqaleni konyango lwakho nangalo naliphi na ixesha apho idosi yakho inyuswe okanye yehlisiwe. 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; okanye ulonwabo olungaqhelekanga. Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.

Umboneleli wakho wezempilo uya kufuna ukukubona rhoqo ngelixa uthatha i-desvenlafaxine, 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-desvenlafaxine.Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Unokufumana nesikhokelo samayeza kwiwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

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-Desvenlafaxine isetyenziselwa ukunyanga uxinzelelo. I-Desvenlafaxine ikwiklasi yamayeza abizwa ngokuba yi-serotonin ekhethiweyo kunye ne-norepinephrine reuptake inhibitors (SNRIs). Isebenza ngokwandisa inani le-serotonin kunye ne-norepinephrine, izinto zendalo kwingqondo ezinceda ukugcina ulungelelwaniso lwengqondo.

I-Desvenlafaxine iza njengepilisi eyandisiweyo (esebenza ixesha elide) ukuba ithathe ngomlomo. Ihlala ithathwa kanye ngemini kunye okanye ngaphandle kokutya. Thatha i-desvenlafaxine malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-desvenlafaxine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya zonke iipilisi ngamanzi amaninzi; musa ukwahlulahlula, ukuhlafuna, ukutyumza, okanye ukuzinyibilikisa.

I-Desvenlafaxine ilawula ukudakumba, kodwa ayiyinyangi. Ingathatha iiveki ezimbalwa ngaphambi kokuba uzive ngokupheleleyo izibonelelo ze-desvenlafaxine. Qhubeka nokuthatha i-desvenlafaxine nokuba uziva uphilile. Sukuyeka ukuthatha i-desvenlafaxine ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngequbuliso uyeka ukuthatha i-desvenlafaxine, unokufumana iimpawu zokurhoxa ezinje ngesiyezi, ukudideka, isicaphucaphu, intloko ebuhlungu, ukukhala ezindlebeni, ukuba nochuku, ukungakwazi ukulawula iimvakalelo, ukutshintsha kwemo yemvakalelo rhoqo, ukonwaba ngokungaqhelekanga, ubunzima bokulala okanye ukulala, urhudo, ixhala, ukudinwa okugqithisileyo, amaphupha angaqhelekanga, ukuxhuzula, ukubila, ukungcangcazela okungalawulekiyo kwilungu lomzimba, okanye iintlungu, ukutshisa okanye ukurhawuzelela ezandleni okanye iinyawo. Tshela ugqirha wakho ukuba unazo naziphi na kwezi mpawu ngelixa unciphisa idosi yakho ye-desvenlafaxine okanye kungekudala emva kokuba uyeke ukuthatha i-desvenlafaxine.

I-Desvenlafaxine ngamanye amaxesha isetyenziselwa ukunyanga ubushushu (ukufudumala okufudumeleyo; iimvakalelo ezomeleleyo zokufudumeza nokubila) kwabasetyhini abanamava okuyeka ukuya exesheni ('utshintsho lobomi'; ukuphela kwexesha lokuya exesheni ngenyanga). Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-desvenlafaxine,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-desvenlafaxine, venlafaxine (Effexor), nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-desvenlafaxine. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-monoamine oxidase (MAO) inhibitor, efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate), okanye ukuba uyekile ukuthatha elinye lala mayeza kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba akufuneki uthathe i-desvenlafaxine. Ukuba uyeka ukuthatha i-desvenlafaxine, ugqirha wakho uya kukuxelela ukuba kufuneka ulinde okungenani iintsuku ezisi-7 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• Kuya kufuneka uyazi ukuba i-desvenlafaxine ifana kakhulu nenye i-SNRI, venlafaxine (Effexor). Akufanele uthathe la mayeza kunye.
• xelela ugqirha wakho kunye nosokhemisti ukuba loluphi olunye amayeza amiselweyo okanye ongabhaliswanga okanye iivithamini ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: amphetamines ezifana neamphetamine (eAdderall), dextroamphetamine (Dexedrine, Dextrostat, eAdderall), kunye methamphetamine (Desoxyn); ii-anticoagulants ('igazi elincinci)' njengewarfarin (Coumadin); ii-antifungals ezithile ezinje nge-itraconazole (Sporanox) kunye ne-ketoconazole (Nizoral); amiodarone (Cordarone, Pacerone); i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezifana ne-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); atomoxetine (eStraterra); buspirone (Buspar); i-clarithromycin (i-Biaxin); i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); umchamo ('iipilisi zamanzi'); fentanyl (Actiq, Duragesic, Fentora); lithium (Eskalith, Lithobid); amayeza oxinzelelo, ukugula ngengqondo, okanye ukuxhuzula; amayeza athile kwintsholongwane (HIV) efana ne-indinavir (Crixivan), nelfinavir (Viracept), kunye ne-ritonavir (Norvir); amayeza e-migraine afana ne-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), kunye zolmitriptan (Zomig); iMetoprolol (iLopressor, iTrolrol XL); midazolam; nebivolol (Bystolic); nefazodone; perphenazine (kwi-Duo-Vil); ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njengecitalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), kunye sertraline (Zoloft); ezinye ii-SNRI ezifana ne-duloxetine (Cymbalta); sibutramine (iMeridia); iipilisi zokulala; itolterodine (Detrol); itramadol (Ultram); izinto zokuthomalalisa; kunye ne-tricyclic antidepressants ezinje nge-amitriptyline, amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactilline). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-desvenlafaxine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba zeziphi iimveliso zamayeza kunye nezongezelelo zesondlo ozithathayo, ngakumbi iSt John's wort kunye ne-tryptophan.
• xelela ugqirha wakho ukuba usebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni okanye wakha wawasebenzisa kakhulu amayeza kagqirha. Xelela ugqirha wakho ukuba ubusandula ukuba nesifo sentliziyo kwaye ukuba ukhe wahlangabezana neengxaki zokopha; ukubetha; igazi elonyukayo; i-cholesterol ephezulu okanye i-triglycerides (amafutha egazini); amanqanaba esodium ephantsi egazini; okanye intliziyo, isifo, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, ngakumbi ukuba ukwinyanga ezimbalwa zokugqibela zokukhulelwa kwakho, okanye ukuba ucwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwa ngelixa uthatha i-desvenlafaxine, tsalela ugqirha wakho. I-Desvenlafaxine inokubangela iingxaki kwiintsana ezisandula ukuzalwa emva kokubeleka ukuba zithathiwe kwiinyanga zokugqibela zokukhulelwa.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-desvenlafaxine.
• Kuya kufuneka uyazi ukuba i-desvenlafaxine inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-desvenlafaxine. Utywala bungazenza iziphumo ezibi kakhulu ezivela kwi-desvenlafaxine.
• Kuya kufuneka uyazi ukuba kubantu abadala abadala, i-desvenlafaxine inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
• Kuya kufuneka uyazi ukuba i-desvenlafaxine inokubangela ukuba i-angle-closure glaucoma (imeko apho ulwelo luvaliwe ngequbuliso kwaye lungakwazi ukuphuma esweni kubangele ukunyuka okukhawulezileyo, okunzima 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-Desvenlafaxine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukuqhina
• Ukuphelelwa ngumdla wokutya
• umlomo owomileyo
• isiyezi
• ukudinwa kakhulu
• amaphupha angaqhelekanga
• ukuzamla
• ukubila
• ukushukuma okungalawulekiyo kwilungu lomzimba
• intlungu, ukutshisa, ukuba ndindisholo, okanye ukubetha kwinxalenye yomzimba
• ukwandisa abafundi (izangqa ezimnyama kumaziko wamehlo)
• utshintsho kwiminqweno yesini okanye amandla
• ubunzima bokuchama

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye EZIQHELEKILEYO, tsalela umnxeba kwangoko:

• irhashalala
• urhwebo
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• ubunzima bokuginya okanye ukuphefumla
• ukubetha kwentliziyo ngokukhawuleza
• ukukhohlela
• isifuba, ingalo, umqolo, intamo, okanye iintlungu zomhlathi
• ifiva
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• ukuxhuzula
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga, kunye nokuqina kwemisipha
• ukopha okungaqhelekanga okanye ukugruzuka
• impumlo
• amachaphaza amancinci abomvu okanye mfusa kulusu
• isicaphucaphu
• ukugabha
• urhudo
• intloko ebuhlungu
• ubunzima bokugxila
• iingxaki zememori
• ukudideka
• ubuthathaka
• iingxaki ngokulungelelanisa
• ukwanda kokuwa
• isiqaqa

I-Desvenlafaxine 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).

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.

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

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 zokudlula ngaphezulu zinokubandakanya:

• intloko ebuhlungu
• ukugabha
• ukuphazamiseka
• isiyezi
• isicaphucaphu
• ukuqhina
• urhudo
• umlomo owomileyo
• intlungu, ukutshisa, ukuba ndindisholo, okanye ukubetha kwinxalenye yomzimba
• ukubetha kwentliziyo ngokukhawuleza

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kujonga uxinzelelo lwegazi rhoqo kwaye unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-desvenlafaxine.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-desvenlafaxine.

Ithebhulethi yokukhululwa eyandisiweyo ayinyibiliki esiswini emva kokuginya. Ikhupha kancinci iyeza njengoko lidlula kwinkqubo yakho yokwetyisa. Unokuqaphela ukutyabeka kwethebhulethi kwisitulo. Oku kuqhelekile kwaye akuthethi ukuba awufumenanga idosi epheleleyo yamayeza.

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.

• Pristiq^®