Imilnacipran

Umxholo

• Ngaphambi kokuba uthathe i-milnacipran,
• IMilnacipran 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 ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

IMilnacipran ayisetyenziswanga ukunyanga uxinzelelo, kodwa ikwiklasi enye yamayeza njengezinto ezininzi zokuthomalalisa uxinzelelo. Ngaphambi kokuba uthathe i-milnacipran, kuya kufuneka uyazi ubungozi bokuthatha i-anti-depressants kuba ukuthatha i-milnacipran kunokuba nemingcipheko efanayo. Ngexesha lezifundo zeklinikhi, olu hlobo lwe-anti-depressant ('mood elevator') lubangele inani elincinci labantwana, ulutsha, kunye nabantu abadala abancinci (ukuya kuthi ga kwi-24 yeminyaka ubudala) ukuba bazibulale (bacinge ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza ke). 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 anyangwe nge-anti-depressant okanye i-anti-depressant-like iyeza. Abantwana abangaphantsi kweminyaka eli-18 ubudala akufuneki bathathe i-milnacipran, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-milnacipran lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-milnacipran nokuba ungaphezulu kweminyaka engama-24 ubudala. 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; kwaye udidekile, yimincili engaqhelekanga. 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-milnacipran, 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-milnacipran. 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.

Nokuba ungakanani na ubudala, ngaphambi kokuba uthathe i-anti-depressant, wena okanye umntu omkhathalelayo kufuneka uthethe nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokunyanga imeko yakho nge-milnacipran okanye ngezinye iindlela zonyango. Kuya kufuneka uthethe ngomngcipheko kunye nezibonelelo zokungayinyangi imeko yakho. Nangona ukuthatha i-milnacipran okanye amayeza afanayo kunokwandisa umngcipheko wokuba uza kuzibulala, kuya kufuneka uyazi ukuba kukho ezinye izinto ezonyusa lomngcipheko. Ukuba unoxinzelelo okanye esinye isifo sengqondo, kukho umngcipheko owandileyo wokuba uza kuzibulala. Lo mngcipheko uphezulu ukuba wena okanye nabani na kusapho lwakho ukhe waba nengxaki yokuphazamiseka engqondweni (imood etshintsha ukusuka ekudandathekeni iye ekubeni nemincili engaqhelekanga), i-mania (enomsindo, ukonwaba ngendlela engaqhelekanga), okanye ucinga okanye uzame 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.

IMilnacipran isetyenziselwa ukunyanga i-fibromyalgia (imeko ehlala ixesha elide enokubangela iintlungu, ukuqina kwemisipha kunye nokuthantamisa, ukudinwa, kunye nobunzima bokulala okanye ukulala). IMilnacipran ikudidi lwamayeza abizwa ngokuba yi-serotonin ekhethiweyo kunye ne-norepinephrine reuptake inhibitors (SNRIs). Isebenza ngokwandisa inani le-serotonin kunye ne-norepinephrine, izinto zendalo ezinceda ukumisa ukuhamba kweempawu zentlungu kwingqondo.

IMilnacipran iza njengecwecwe eliza kuthathwa ngomlomo. Ihlala ithathwa amaxesha amabini ngosuku. IMilnacipran inokuthathwa kunye okanye ngaphandle kokutya, kodwa ukuyithatha ngokutya kuya kunciphisa ithuba lokuba i-milnacipran isiphazamise isisu sakho. Thatha i-milnacipran kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-milnacipran ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho uza kukuqala ngedosi esezantsi yemilnacipran kwaye ngokuthe ngcembe wandise idosi yakho kwiveki yokuqala yonyango.

IMilnacipran inokunceda ukulawula iimpawu ze-fibromyalgia, kodwa ayizukuyinyanga. Sukuyeka ukuthatha i-milnacipran ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngequbuliso ukuthatha i-milnacipran, unokufumana iimpawu zokurhoxa ezinje ngokutshintsha kwemood, ukuba nochuku, ukuphazamiseka, isiyezi, ukuba ndindisholo okanye ukubetha ezandleni okanye ezinyaweni, unxunguphalo, ukudideka, intloko ebuhlungu, ukudinwa, ubunzima bokulala okanye ukulala, ukukhala kwi iindlebe, imincili engaqhelekanga, okanye ukuxhuzula. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

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

Ngaphambi kokuba uthathe i-milnacipran,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-milnacipran, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-milnacipran. 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 i-MAO inhibitor kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba ungathathi imilnacipran. Ukuba uyeka ukuthatha i-milnacipran, ugqirha wakho angakuxelela ukuba kufuneka ulinde ubuncinci iintsuku ezi-5 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo okanye ongabhaliswanga, iivithamini, okanye iimveliso zamayeza ozisebenzisayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin); i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezifana ne-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); buspirone; iklonidine (Catapres); I-digoxin (iLanoxicaps, iDigitek, iLanoxin); umchamo ('iipilisi zamanzi'); epinephrine (Epipen, Primatene Mist); fentanyl (Abstral, Actiq, Fentora, Onsolis, nabanye); lithium (Eskalith, Lithobid); amayeza oxinzelelo, ukugula ngengqondo, iintlungu, okanye ukuxhuzula; amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), kunye zolmitriptan (Zomig); ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njengecitalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), kunye sertraline (Zoloft); iipilisi zokulala; i-tramadol; izinto zokuthomalalisa; i-serotonin / norepinephrine reuptake inhibitors ekhethiweyo (i-SNRIs) enjenge-duloxetine (iCymbalta), i-desvenlafaxine (iPristiq), kunye ne-venlafaxine (i-Effexor); kunye neetricclics antidepressants ezinje ngeamitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), itrimipramine (iSurmontil). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi izongezo zesondlo kunye neemveliso zamayeza owathathayo, ngakumbi iSt John's wort kunye ne-tryptophan.
• xelela ugqirha wakho ukuba uneglaucoma (ukunyuka koxinzelelo kwiso elinokubangela ukulahleka kombono). Ugqirha wakho uya kukuxelela ukuba ungathathi imilnacipran.
• xelela ugqirha wakho ukuba uyasela okanye wakha wasela izixa ezikhulu zotywala kwaye ukuba ubukhe wanalo uxinzelelo lwegazi oluphezulu; ukuxhuzula; ukubetha kwentliziyo ngokungaqhelekanga; ukwandiswa okanye ukudumba kweprostate (idlala lokuzala); ubunzima bokuchama; iingxaki zokopha; 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 imilnacipran, tsalela ugqirha wakho. IMilnacipran inokubangela iingxaki kwiintsana ezisandula ukuzalwa emva kokubeleka ukuba zithathwa ngeenyanga zokugqibela zokukhulelwa.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-milnacipran.
• Kuya kufuneka uyazi ukuba i-milnacipran inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• thetha nogqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-milnacipran.

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.

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

• isicaphucaphu
• ukugabha
• ukuqhina
• isisu esibuhlungu
• ukuhla ukusinda
• umlomo owomileyo
• imvakalelo yobushushu bobuso obugqithisileyo kunye / okanye ubomvu
• intloko ebuhlungu
• ukungaboni kakuhle
• ukunciphisa umnqweno wesini okanye amandla
• iintlungu okanye ukudumba kwamasende
• ubunzima bokuchama
• irhashalala
• ukurhawuzelela

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• ukudideka
• ubunzima bokugxila
• iingxaki zememori
• ukubila okanye umkhuhlane
• urhudo
• isiyezi
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukuqina kwemisipha kakhulu
• ubuthathaka
• Ukuhamba okungazinzanga okunokubangela ukuwa
• ukuxhuzula
• isiqaqa
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• ucothisile okanye uyeke ukuphefumla
• ngokukhawuleza okanye ukubetha kwentliziyo
• ubunzima bokuphefumla
• ukudinwa kakhulu
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• mthubi ulusu okanye amehlo
• Iimpawu ezinjengomkhuhlane
• izitulo ezimnyama kunye nokulinda
• Igazi elibomvu ilindle
• ukugabha okunegazi
• ukugabha okujongeka njengendawo yekofu
• ukopha okungaqhelekanga okanye ukugruzuka
• impumlo
• amabala amancinci abomvu ngokuthe ngqo phantsi kolusu

IMilnacipran 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:

• ukulala kakhulu
• ukudideka
• isiyezi
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• yacotha okanye yeka ukubetha kwentliziyo kunye nokuphefumla

Gcina lonke ixesha lokudibana nogqirha wakho. Ugqirha wakho uza kujonga uxinzelelo lwegazi kunye nokubetha rhoqo ngexesha lonyango lwakho nge-milnacipran.

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.

• Savella^®