I-Tranylcypromine
Umxholo
- Ngaphambi kokuba uthathe i-tranylcypromine,
- I-Tranylcypromine 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 kwicandelo LESILUMKISO ELIBALULEKILEYO, 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-tranylcypromine 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-tranylcypromine, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-tranylcypromine lelona nyango lilungileyo lokunyanga imeko yomntwana.
Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-tranylcypromine okanye ezinye i-anti-depressants nokuba umdala ngaphezulu kweminyaka eyi-24. Ungazibulala, ngakumbi ekuqaleni konyango lwakho kwaye nangaliphi na ixesha apho idosi yakho inyukile okanye 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-tranylcypromine, 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-tranylcypromine. 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 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-Tranylcypromine isetyenziselwa ukunyanga uxinzelelo kubantu abangakhange bancedwe ngamanye amayeza. I-Tranylcypromine ikwiklasi yamayeza abizwa ngokuba yi-monoamine oxidase inhibitors (MAOIs). Isebenza ngokwandisa isixa sezinto ezithile zendalo ezifunekayo ukugcina ulungelelwaniso lwengqondo.
I-Tranylcypromine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kabini ngemini. Thatha i-tranylcypromine kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-tranylcypromine ngokuchanekileyo njengoko kuyalelwe.
I-Tranylcypromine inokuba yinto yokwenza umkhwa. Musa ukuthatha idosi enkulu, yithathe rhoqo, okanye uthathe ixesha elide kunokuba umiselwe ngugqirha. Fowunela ugqirha wakho xa ufumanisa ukuba ufuna ukuthatha amayeza ongezelelweyo okanye uqaphele naluphi na utshintsho olungaqhelekanga kwindlela oziphethe ngayo nakwimood.
Ugqirha wakho uya kukuqala ngethamo eliphantsi le-tranylcypromine kwaye ngokuthe ngcembe unyuse idosi yakho, hayi rhoqo rhoqo kube kanye kwiiveki ezi-1-3. Emva kokuba iimpawu zakho ziphuculwe, ugqirha wakho uya kuthi ngokuthe chu anciphise idosi yakho ye-tranylcypromine.
I-Tranylcypromine ilawula iimpawu zoxinzelelo kodwa ayiyinyangi imeko. Ingathatha iiveki ezi-3 okanye ngaphezulu ukuba uve isibonelelo esipheleleyo se-tranylcypromine. Qhubeka nokuthatha i-tranylcypromine nokuba uziva uphilile. Sukuyeka ukuthatha i-tranylcypromine ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kufuna ukunciphisa umthamo wakho ngokuthe ngcembe.
La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-tranylcypromine,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-tranylcypromine okanye amanye amayeza.
- xelela ugqirha wakho ukuba uthatha, usandula ukuthatha, okanye uceba ukuthatha nayiphi na le migqaliselo ilandelayo okanye amayeza anganyanzelekanga: amanye amayeza okunyanga uxinzelelo kubandakanya i-amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), maprotiline, nortriptylineline (Pamelor), protriptyline (Vivactil), kunye ne-trimipramine (Surmontil); ii-amphetamine ezifana ne-amphetamine (e-Adderall), i-benzphetamine (i-Didrex), i-dextroamphetamine (i-Dexedrine, i-Dextrostat, e-Adderall), kunye ne-methamphetamine (i-Desoxyn); ibupropion (iWellbutrin, iZyban); buspirone (BuSpar); i-caffeine (i-No-Doz, iPep-ekhawulezayo, iVivarin); cyclobenzaprine (Flexeril); I-dexfenfluramine (Redux) (ayifumaneki e-US); dextromethorphan (Robitussin, abanye); umchamo ('iipilisi zamanzi'); levodopa (Larodopa, eSinemet); amayeza e-allergies, ukukhohlela kunye neempawu ezibandayo, kunye ne-fever fever; amayeza oxinzelelo lwegazi oluphezulu njenge-guanethidine (Ismelin) (ayifumaneki e-US), methyldopa (Aldomet), kunye ne-reserpine (Serpalan) amayeza esi sifo sikaParkinson, unxunguphalo, okanye ukunciphisa umzimba (iipilisi zokutya); amayeza okubanjwa njenge-carbamazepine (Tegretol); amayeza e-narcotic entlungu; ezinye ii-MAOIs ezinjenge-isocarboxazid (Marplan); I-pargyline (ayifumaneki e-US), phenelzine (Nardil), procarbazine (Matulane), kunye ne selegiline (Eldepryl); meperidine (iDemerol); ukuthomalalisa; i-serotonin reuptake inhibitors ekhethiweyo njenge-citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), kunye ne-sertraline (Zoloft); iipilisi zokulala; izinto zokuthomalalisa; kunye namayeza aqukethe utywala (Nyquil, elixirs, abanye). Ugqirha wakho unokukuxelela ukuba ungathathi i-tranylcypromine ukuba uthatha okanye usandula ukuyeka ukuthatha elinye okanye ngaphezulu kwala mayeza.
- xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nolungabhaliswanga, iivithamini, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-disulfiram (i-Antabuse), i-doxepin cream (iZonalon), i-insulin kunye neyeza lomlomo zesifo seswekile, kunye namayeza okunyanyisa okanye ukugula ngengqondo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- Kuya kufuneka uyazi ukuba i-tranylcypromine inokuhlala emzimbeni wakho kangangeeveki ezininzi emva kokuba uyekile ukuthatha amayeza. Ngexesha leeveki zokuqala emva kokuba unyango lwakho luphelile, xelela ugqirha wakho kunye nosokhemesti ukuba usandula ukuyeka ukuthatha i-tranylcypromine ngaphambi kokuba uqale ukuthatha nawaphi na amayeza amatsha.
- xelela ugqirha wakho ukuba uthatha naziphi na izongezo zesondlo, ngakumbi i-tryptophan.
- xelela ugqirha wakho ukuba ukhe wakha waba noxinzelelo lwegazi oluphezulu; rhoqo okanye iintlungu ezinzima; pheochromocytoma (ithumba kwincindi encinci kufutshane nezintso), ukubetha okanye ukubetha okuncinci; okanye intliziyo, umthambo wegazi, okanye isifo sesibindi. Ugqirha wakho unokukuxelela ukuba ungathathi i-tranylcypromine.
- xelela ugqirha wakho ukuba usebenzisa okanye wakha wasebenzisa iziyobisi zasesitalatweni okanye wawasebenzisa kakhulu amayeza kagqirha. Xelela ugqirha wakho ukuba ukhe wakhathazeka okanye wakhathazeka, unesifo seswekile, uxhuzula, okanye izintso okanye isifo sedlala.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa uthatha i-tranylcypromine, tsalela ugqirha wakho.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, okanye nayiphi na inkqubo ye-x-reyi, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-tranylcypromine.
- Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
- khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza. Musa ukusela utywala ngelixa uthatha i-tranylcypromine.
- Kuya kufuneka uyazi ukuba i-tranylcypromine inokubangela ukuba nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo oxokileyo kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-tranylcypromine. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
Unokufumana impendulo enzulu ukuba utya ukutya okuphezulu kwi-tyramine ngexesha lonyango lwakho nge-tranylcypromine. I-Tyramine ifumaneka kukutya okuninzi, kubandakanya inyama, iinkuku, intlanzi, okanye itshizi etshayiweyo, endala, egcinwe ngokungafanelekanga, okanye eyonakeleyo; iziqhamo ezithile, imifuno, neembotyi; iziselo ezinxilisayo; kunye nemveliso yegwele enegwele. Ugqirha wakho okanye ugqirha otya ukutya okutyayo uya kukuxelela ukuba kukuphi ukutya ekufuneka ukuphephe ngokupheleleyo, kunye nokutya onokukutya ngexabiso elincinci. Kuya kufuneka uphephe ukutya kunye neziselo eziqukethe i-caffeine ngexesha lonyango lwakho nge-tranylcypromine. Landela le miyalelo ngononophelo. Buza ugqirha wakho okanye ugqirha wezidlo ukuba unemibuzo malunga nokuba ungatya ntoni kwaye usele ntoni ngexesha lonyango lwakho.
Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yedosi. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.
I-Tranylcypromine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- ukozela
- ubuthathaka
- umlomo owomileyo
- Ukuphelelwa ngumdla wokutya
- urhudo
- ukuqhina
- isisu esibuhlungu
- ukungaboni kakuhle
- Ukugodola
- kukhala ezindlebeni
- Ukuqinisa izihlunu okanye ukuxhuzula
- ukushukuma okungalawulekiyo kwalo naliphi na ilungu lomzimba
- ukuba ndindisholo, ukutshisa, okanye ukubetha ezingalweni okanye emilenzeni
- ubunzima bokuchama
- ukunciphisa amandla esini
- ukulahleka kweenwele
- irhashalala
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
- intloko ebuhlungu
- ukucotha, ukukhawuleza, okanye ukubetha kwentliziyo
- iintlungu esifubeni okanye ukuqina
- Ukuqina komqala
- isicaphucaphu
- ukubila
- ifiva
- Kuyabanda, ulusu olunombala
- isiyezi
- ukuqina kwentamo okanye ukukhathazeka
- uvakalelo ekukhanyeni
- banzi abafundi (izangqa ezimnyama embindini wamehlo)
- ukudumba kweengalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
- ukopha okungaqhelekanga okanye ukugruzuka
- iintlungu kwinxalenye ephezulu yesisu
- Iimpawu ezinjengomkhuhlane
- mthubi ulusu okanye amehlo
I-Tranylcypromine 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:
- ubunzima bokulala okanye ukulala
- ukungazinzi
- ixhala
- ukuphazamiseka
- ukudideka
- intetho engacacanga
- isiyezi
- ubuthathaka
- ukozela
- intloko ebuhlungu
- ukuxhuma kwezihlunu
- ifiva
- ukuqina
- isiqaqa (ukulahleka kwengqondo ixesha elithile)
Gcina lonke ixesha lokudibana nogqirha wakho. Ugqirha wakho uza kujonga uxinzelelo lwegazi rhoqo kunyango lwakho nge-tranylcypromine.
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.
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