Imvelaphi yeLevomilnacipran

Umxholo

• Ngaphambi kokuba uthathe i-levomilnacipran,
• I-Levomilnacipran inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu, yeka ukuthatha i-levomilnacipran kwaye ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:
• 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') ezinjenge-levomilnacipran 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. Lo mngcipheko kufuneka uthathelwe ingqalelo kwaye uthelekiswe nezibonelelo ezinokubakho kunyango loxinzelelo, ekuthatheni isigqibo sokuba ngaba umntwana okanye ulutsha kufuneka athathe i-anti-depressant. Abantwana abangaphantsi kweminyaka eli-18 ubudala akufuneki bathathe i-levomilnacipran, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-levomilnacipran lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-levomilnacipran okanye ezinye izinto ezichasayo 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; kunye nefrenzied 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-levomilnacipran, ngakumbi ekuqaleni konyango lwakho. Qiniseka ukuba ugcina lonke ixesha lokundwendwela eofisini nogqirha wakho.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-levomilnacipran kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

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.

I-Levomilnacipran isetyenziselwa ukunyanga uxinzelelo. I-Levomilnacipran 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-Levomilnacipran iza njenge-capsule ekhulisiweyo (esebenza ixesha elide) ekufuneka ithathe ngomlomo. Ihlala ithathwa kanye yonke imihla kunye okanye ngaphandle kokutya. Thatha i-levomilnacipran 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-levomilnacipran ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya zonke iifomsile; sukuwavula, uwahlafune, okanye uwaqhekeze.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-levomilnacipran kwaye ngokuthe ngcembe wandise idosi yakho, hayi ngaphezulu kwesinye kanye kwiintsuku ezimbini.

I-Levomilnacipran ilawula uxinzelelo kodwa ayilunyangi. Ingathatha iiveki ezimbalwa okanye ngaphezulu ngaphambi kokuba uzive izibonelelo ze-levomilnacipran. Qhubeka nokuthatha i-levomilnacipran nokuba uziva uphilile. Ungayeki ukuthatha i-levomilnacipran ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngequbuliso uyeka ukuthatha i-levomilnacipran, unokufumana iimpawu zokurhoxa ezinje ngokutshintsha kwemood, ukuphazamiseka, ukuba nochuku, isiyezi, ukukhala ezindlebeni, ukothuka, uxinzelelo, ukudideka, ukudinwa, ubunzima bokulala okanye ukuhlala ulele, ubundindisholo okanye ukurhawuzelela iingalo, imilenze, izandla, okanye iinyawo, intloko ebuhlungu, ukubila, ukwanda, okanye isicaphucaphu. Tshela ugqirha wakho ukuba unazo naziphi na kwezi mpawu xa idosi ye-levomilnacipran yehla.

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

Ngaphambi kokuba uthathe i-levomilnacipran,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-levomilnacipran, i-milnacipran, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwii-capsules. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-monoamine oxidase (MAO) inhibitors, kubandakanya isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate) okanye uyekile ukuthatha i-MAO inhibitor ngaphakathi kwiiveki ezi-2 ezidlulileyo okanye ukuba uthatha i-linezolid (Zyvox) okanye imethylene eluhlaza okwesibhakabhaka. Ugqirha wakho uya kukuxelela ukuba ungathathi i-levomilnacipran. Ukuba uyeka ukuthatha i-levomilnacipran, kuya kufuneka ulinde iveki enye ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); antidepressants ('mood elevators') ezinje ngeamitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor) Vivactil), kunye ne-trimipramine (Surmontil); i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezinjenge-ibuprofen (Advil, Motrin), kunye ne-naproxen (Aleve, Naprosyn); buspirone (Buspar); i-clarithromycin (i-Biaxin, kwi-Prevac); umchamo ('iipilisi zamanzi'); fentanyl (Actiq, Duragesic, Fentora); ketoconazole (Nizoral); lithium (Eskalith, Lithobid); amayeza okugula ngengqondo afana ne-clozapine (Clozaril) kunye ne-haloperidol (Haldol); amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), kunye zolmitriptan (Zomig); itramadol (Ultram); i-ritonavir (iNorvir); kunye ne-sibutramine (iMeridia; ayisafumaneki e-United States. Ugqirha wakho kusenokufuneka ukuba atshintshe amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. 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 ukhe waba noxinzelelo lwegazi oluphezulu, ukugcinwa komchamo okanye iingxaki xa uchama, amanqanaba asetyuwa (isodiyamu) egazini lakho, ukuxhuzula, okanye izintso okanye isifo sentliziyo.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-levomilnacipran, tsalela ugqirha wakho.
• thintela ukusebenzisa iziselo ezinxilisayo ngelixa uthatha i-levomilnacipran.
• Kuya kufuneka uyazi ukuba i-levomilnacipran inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-levomilnacipran inokubangela uxinzelelo lwegazi oluphezulu. Uxinzelelo lwegazi kufuneka luhlolwe rhoqo ngelixa ufumana i-levomilnacipran.
• Kuya kufuneka uyazi ukuba i-levomilnacipran 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.

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

• isicaphucaphu
• ukuqhina
• ukubila okugqithisileyo
• utshintsho kwisantya sentliziyo kunye noxinzelelo lwegazi
• Ukungasebenzi kakuhle kwe-erectile
• ukugabha
• utshintsho kwi-sex drive okanye kubuchule
• ukunciphisa ukutya

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu, yeka ukuthatha i-levomilnacipran kwaye ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:

• irhashalala
• urhwebo
• ukudumba
• ubunzima bokuphefumla okanye ukugwinya
• umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga, kunye nokuqina kwemisipha okanye ukujijeka
• ukopha ngokungaqhelekanga okanye ukugruzuka
• ubunzima bokuchama okanye ukungakwazi ukuchama
• ukukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga

I-Levomilnacipran 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 nokukhanya, ubushushu 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.

Ukuba umntu uginye i-levomilnacipran, tsalela umnxeba iziko lakho lolawulo lwetyhefu kwindawo yoku-1-800-222-1222. Ukuba ixhoba liye lawa okanye aliphefumli, tsalela umnxeba iinkonzo zongxamiseko zengingqi kwi911.

Iimpawu libanda kungaquka oku kulandelayo:

• ukubona izinto okanye ukuva amazwi angekhoyo (hallucinating)
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukuxhuzula
• isiyezi
• ukungazinzi

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri.

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.

• Fetzima^®