IPhenelzine
Umxholo
- Ngaphambi kokuba uthathe i-phenelzine,
- I-Phenelzine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezi zimpawu zilandelayo 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 phenelzine 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-phenelzine, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-phenelzine lelona nyango lilungileyo lokunyanga imeko yomntwana.
Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-phenelzine 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 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-phenelzine, 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 phenelzine. 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-Phenelzine isetyenziselwa ukunyanga uxinzelelo kubantu abangakhange bancedwe ngamanye amayeza. I-Phenelzine ikwiklasi yamayeza abizwa ngokuba yi-monoamine oxidase inhibitors (MAOIs). Isebenza ngokwandisa isixa sezinto ezithile zendalo ezifunekayo ukugcina ulungelelwaniso lwengqondo.
I-Phenelzine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kathathu ngemini,. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-phenelzine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Ugqirha wakho uya kukuqala ngedosi esezantsi ye-phenelzine kwaye ngokuthe ngcembe andise idosi yakho. Emva kokuba iimpawu zakho ziphuculwe, ugqirha wakho uya kunciphisa ngokuthe ngcembe idosi yakho. Landela le miyalelo ngononophelo.
I-Phenelzine ilawula iimpawu zoxinzelelo kodwa ayiyinyangi imeko. Ingathatha iiveki ezi-4 okanye ngaphezulu ukuba uve isibonelelo esipheleleyo se-phenelzine. Qhubeka nokuthatha i-phenelzine nokuba uziva uphilile. Sukuyeka ukuthatha i-phenelzine ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho mhlawumbi uya kufuna ukunciphisa umthamo wakho ngokuthe ngcembe. Ukuba uyeka ngequbuliso ukuthatha i-phenelzine, unokufumana iimpawu zokurhoxa ezinje ngamaphupha amabi, ukuphazamiseka, ukuphulukana nokunxibelelana nenyani, isicaphucaphu, ukugabha kunye nokuba buthathaka.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-phenelzine,
- xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-phenelzine okanye nawaphi na amanye amayeza.
- xelela ugqirha wakho ukuba uthatha, usandula ukuthatha, okanye ucwangcise ukuthatha naliphi na la mayeza alandelayo kunye nalawo anganyanzelwanga: ezinye izinto zokunyanga uxinzelelo kubandakanya i-amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin ( Sinequan), imipramine (Tofranil), maprotiline, mirtazapine (Remeron), nortriptyline (Pamelor), protriptyline (Vivactil), kunye ne-trimipramine (Surmontil); amphetamines ezifana neamphetamine (eAdderall), benzphetamine (Didrexetamine) , eAdderall), kunye ne-methamphetamine (Desoxyn); bupropion (Wellbutrin, Zyban); buspirone (BuSpar); i-caffeine (i-No-Doz, iPep-ekhawulezayo, iVivarin); cyclobenzaprine (Flexeril); I-dexfenfluramine (Redux) (ayifumaneki e-US); dextromethorphan (Robitussin, abanye); duloxetine (ICymbalta); epinephrine (Epipen, Primatene Mist); i-guanethidine (Ismelin) (ayifumaneki e-US); levodopa (Larodopa, kwiSinemet); amayeza e-allergies, ukukhohlela kunye neempawu ezibandayo, ifiva; unxunguphalo, iingxaki zesono, okanye ukwehla kobunzima (iipilisi zokutya, ezokuthintela ukutya); amayeza okubanjwa njenge-carbamazepine (Tegretol); amayeza e-narcotic entlungu; iimpumlo zempumlo, kubandakanya amathontsi empumlo kunye nezitshizi; ezinye ii-MAOIs ezinjenge-isocarboxazid (Marplan); I-pargyline (ayifumaneki e-US), procarbazine (Matulane), tranylcypromine (Parnate), kunye ne selegiline (Eldepryl, Emsam, Zelapar); meperidine (iDemerol); imethyldopa (Aldomet); ‘Iipilisi zepep’; ukuthomalalisa; i-serotonin reuptake inhibitors ekhethiweyo efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), kunye ne-sertraline (i-Zoloft); iipilisi zokulala; izinto zokuthomalalisa; venlafaxine (Effexor); kunye namayeza aqukethe utywala (Nyquil, elixirs, abanye). Ugqirha wakho unokukuxelela ukuba ungathathi i-phenelzine ukuba uthatha okanye usandula ukuyeka ukuthatha elinye okanye ngaphezulu kula 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-barbiturates enjenge pentobarbital (Nembutal), phenobarbital (Luminal), kunye ne-secobarbital (Seconal); ii-beta blockers ezinje nge-atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), kunye nepropranolol (Inderal); cream doxepin (Zonelon), insulin kunye amayeza ngomlomo seswekile; kunye namayeza oxinzelelo oluphezulu lwegazi kubandakanya i-diuretics ('iipilisi zamanzi'), kunye ne-reserpine (Serpalan). Ugqirha wakho unokufuna ukutshintsha amayeza akho kwaye akuqwalasele ngononophelo kwiziphumo ebezingalindelekanga.
- Kuya kufuneka uyazi ukuba i-phenelzine 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 iphenelzine ngaphambi kokuba uqale ukuthatha nawaphi na amayeza amatsha.
- xelela ugqirha wakho ukuba uthatha naziphi na izongezo zesondlo, ngakumbi i-phenylalanine (i-DLPA) (equlethwe kwimveliso ye-aspartame enencasa enje ngee-sodas zokutya kunye nokutya, amayeza e-counter-counter, kunye namanye amayeza amiselweyo), i-rauwolfia, i-tyrosine, okanye i-tryptophan.
- xelela ugqirha wakho ukuba unayo okanye wakha wanayo i-pheochromocytoma (ithumba kwincindi encinci kufutshane nezintso) okanye isifo sentliziyo okanye sesibindi. Ugqirha wakho unokukuxelela ukuba ungathathi i-phenelzine.
- xelela ugqirha wakho ukuba usebenzisa iziyobisi esitalatweni. Xelela ugqirha wakho ukuba ukhe wanalo uxinzelelo lwegazi oluphezulu; isifo seswekile; ukuxhuzula; i-schizophrenia (ukugula ngengqondo okubangela ukucinga okuphazamisekileyo, ukuphelelwa ngumdla ebomini, kunye neemvakalelo ezinamandla okanye ezingaqhelekanga); ukuphazamiseka; okanye hyperactivity okanye ezinye iingxaki zokuhamba.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-phenelzine, tsalela umnxeba ugqirha wakho.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-phenelzine.
- Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
- ungaseli utywala ngelixa uthatha i-phenelzine. Utywala bunokuzenza iziphumo ezibi kakhulu ze-phenelzine.
- Kuya kufuneka uyazi ukuba i-phenelzine inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo yokulala. Oku kuqheleke ngakumbi xa uqala ukuthatha i-phenelzine. 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 kunye ne-phenelzine. 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 icaffeine ngexesha lonyango lwe phenelzine. 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-Phenelzine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezi zimpawu zilandelayo zinzima okanye azihambi:
- ukozela
- ubuthathaka
- isiyezi
- umlomo owomileyo
- ukuqhina
- ukutyeba kwakho
- ukunciphisa amandla esini
- ukushukuma okungalawulekiyo kwalo naliphi na ilungu lomzimba
- ukuxhuma kwezihlunu okanye ukuxhuzula
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
- ukuqina kwentamo okanye ukukhathazeka
- iintlungu zesifuba
- isicaphucaphu
- ukugabha
- ukubila
- abafundi ababanzi (izangqa ezimnyama embindini wamehlo)
- Amehlo anochuku ekukhanyeni kunesiqhelo
- ukudumba kobuso, umqala, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
- ubunzima bokuphefumla okanye ukugwinya
- mthubi ulusu okanye amehlo
I-Phenelzine inokubangela ezinye iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba unazo naziphi na iingxaki ezingaqhelekanga ngelixa uthatha eli yeza.
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:
- ukozela
- isiyezi
- ukudinwa
- ukucaphuka
- Uxinzelelo
- ukuphazamiseka
- intloko ebuhlungu
- ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
- Ukuqinisa umhlathi
- ukuqina ngokuqinileyo
- ukuxhuzula
- isiqaqa (ukulahleka kwengqondo ixesha elithile)
- ngokukhawuleza, ukubetha okungaqhelekanga
- iintlungu zesifuba
- ukuphefumla okucothayo
- ifiva
- ukubila
- epholileyo, ulusu clammy
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uza kujonga uxinzelelo lwegazi rhoqo kunyango lwakho nge-phenelzine.
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.
- Nardil®