IDoxepin (Ukuqaqanjelwa sisisu)

Umxholo

• Ngaphambi kokuba uthathe i-doxepin (Silenor),
• IDoxepin (Silenor) inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

IDoxepin (Silenor) isetyenziselwa ukunyanga ukulala (kunzima ukulala okanye ukulala) kubantu abanengxaki yokulala. IDoxepin (Silenor) ikwiklasi yamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokunciphisa umsebenzi kwingqondo ukuvumela ukulala.

I-Doxepin ikwafumaneka njengephilisi kunye nolwelo ukunyanga uxinzelelo kunye noxinzelelo. Le monograph inika kuphela ulwazi malunga ne-doxepin (Silenor) yokuqaqanjelwa sisisu. Ukuba usebenzisa eli yeza kuxinzelelo okanye uxinzelelo, funda i-monograph enesihloko esithi doxepin (uxinzelelo, uxinzelelo).

IDoxepin (Silenor) iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye ngemini, ngaphakathi kwemizuzu engama-30 yokulala. Musa ukuthatha i-doxepin (Silenor) kwiiyure ezi-3 zokutya. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-doxepin (Silenor) ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Uya kuba ulala kamsinya emva kokuba uthathe i-doxepin (Silenor) kwaye uya kuhlala ulele ixesha elithile emva kokuba uthathe amayeza. Cwangcisa ukulala kanye emva kokuba uthathe i-doxepin (Silenor) kwaye uhlale ebhedini iiyure ezisi-7 ukuya kwezi-8. Musa ukuthatha i-doxepin (Silenor) ukuba ngekhe ukwazi ukulala kwangoko kwaye ulale iiyure ezisi-7 ukuya kwezi-8 emva kokuthatha iyeza.

Kuya kufuneka uqale ukulala ngcono kwiintsuku zokuqala zonyango kunye ne-doxepin (Silenor). Ukuba ubuthongo bakho abuphucuki kwisithuba seentsuku ezisi-7 ukuya kwezi-10, okanye usiya uba mbi ugqirha.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-doxepin (Silenor) kwaye ngalo lonke ixesha uzalisa 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) ukufumana isiKhokelo seyeza.

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

Ngaphambi kokuba uthathe i-doxepin (Silenor),

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-doxepin (Silenor), i-amoxapine, i-loxapine, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-doxepin (Silenor). 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), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate), okanye ukuba uyekile ukuthatha i-MAO inhibitor kwiintsuku ezili-14 ezidlulileyo. Xelela ugqirha wakho ukuba uthatha okanye ufumana imethylene eluhlaza okwesibhakabhaka (Provayblue) okanye i-linezolid (iZyvox). Ugqirha wakho uya kukuxelela ukuba ungathathi i-doxepin. Ukuba uyeka ukuthatha i-doxepin, kuya kufuneka ulinde ubuncinci iintsuku ezili-14 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qinisekisa ukukhankanya nayiphi na kwezi zilandelayo: cimetidine (Tagamet); amayeza ukukhwehlela, ukubanda, okanye i-aleji; quinidine (kwiNuedexta); ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (i-Celexa), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) kunye ne-seroftraline ( ; ezinye iipilisi zokulala; tolazamide; kunye noxinzelelo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-doxepin (Silenor), ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba unayo okanye wakha wanaso i-glaucoma enganyangekiyo, okanye ukugcinwa komchamo (ukungakwazi ukukhupha isinyi ngokupheleleyo okanye kwaphela). Ugqirha wakho unokukuxelela ukuba ungathathi i-doxepin (Silenor).
• xelela ugqirha wakho ukuba wakhe wanxila okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa iziyobisi esitalatweni, okanye wasebenzisa amayeza kagqirha asetyenzisiweyo. Xelela ugqirha wakho ukuba ukhe wanalo uxinzelelo, ukugula ngengqondo, ukucinga ukuzibulala, ukungalali kakuhle (ingxaki yokulala ebangela ukuphefumla kuyeke okwexeshana xa ulele), okanye isifo sezintso okanye sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-doxepin (Silenor), tsalela umnxeba ugqirha wakho.
• Kuya kufuneka uyazi ukuba i-doxepin (Silenor) inokukwenza wozele. Ungaqhubi imoto, sebenzisa oomatshini, okanye wenze ezinye izinto eziyingozi ebusuku emva kokuthatha i-doxepin (Silenor). Musa ukuqhuba imoto okanye usebenzise oomatshini ngosuku olulandelayo de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba utywala bunokongeza ukozela okubangelwa leli yeza. Musa ukusela utywala ngelixa uthatha i-doxepin (Silenor).
• Kuya kufuneka uyazi ukuba abanye abantu abathathe i-doxepin (Silenor) behle ebhedini baqhuba iimoto zabo, balungisa kwaye batya ukutya, balala ngesondo, batsalela umnxeba, bahamba belele, okanye bathatha inxaxheba kwezinye izinto ngelixa bengavukanga ngokupheleleyo. Emva kokuba bevukile, aba bantu bahlala bengakwazi ukukhumbula into abayenzileyo. Biza ugqirha wakho ngoko nangoko ukuba ufumanisa ukuba uqhuba okanye wenza enye into engaqhelekanga ngelixa ulele.

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

I-Doxepin (Silenor) kufuneka ithathwe kuphela ngexesha lokulala. Ukuba awukhange uthathe i-doxepin (Silenor) ngaphambi kokuba ulale kwaye unengxaki yokulala, ungathatha i-doxepin (Silenor) ukuba uza kukwazi ukulala ebhedini iiyure ezisi-7 ukuya kwezi-8 emva koko. Sukuthatha idosi ephindwe kabini ye-doxepin (Silenor) ukwenza idosi ephosiweyo.

IDoxepin (Silenor) inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• isiyezi

IDoxepin (Silenor) 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, kunye 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:

• ukubetha kwentliziyo ngendlela engaqhelekanga
• uziva uphazamisekile, udidekile okanye uyozela
• ingxaki yokujonga
• ukuxhuzula
• ukuqina kwemisipha
• ukugabha
• ukwanda kubungakanani bomfundi
• i-hallucination (ukubona izinto okanye ukuva amazwi angabikho)
• ifiva
• ubushushu bomzimba obubandayo
• isiqaqa (ukulahleka kwengqondo ixesha elithile)

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.

• Silenor^®