Desipramine

Umxholo

• Ngaphambi kokuba uthathe i-desipramine,
• I-Desipramine inokubangela iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba ngaba ezinye zeempawu ziba nzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye IZILUMKISO EZIZODWA, tsalela umnxeba kwangoko 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') ezinje nge-desipramine 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-desipramine, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-desipramine lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-desipramine 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 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-desipramine, 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-desipramine. 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 ubudala bakho, 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-Desipramine isetyenziselwa ukunyanga uxinzelelo. I-Desipramine ikwiklasi yamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokwandisa izixa zezinto ezithile zendalo kwingqondo ezifunekayo kulungelelwaniso lwengqondo.

I-Desipramine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye okanye nangaphezulu ngemini kwaye inokuthathwa kunye okanye ngaphandle kokutya. Thatha i-desipramine malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-desipramine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho unokukuqala kwidosi esezantsi yedesipramine kwaye ngokuthe ngcembe wandise idosi yakho.

Kungathatha iiveki ezi-2 ukuya kwezi-3 ukuba uve isibonelelo esipheleleyo sedesipramine. Qhubeka nokuthatha i-desipramine nokuba uziva uphilile. Ungayeki ukuthatha i-desipramine ngaphandle kokuthetha nogqirha wakho. Ukuba ngequbuliso uyeka ukuthatha i-desipramine, unokufumana iimpawu zokurhoxa ezinje ngokuba ngathi ubucaphucaphu, intloko ebuhlungu kunye nokuba buthathaka. 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-desipramine,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-desipramine, i-clomipramine (Anafranil), imipramine (Tofranil), i-trimipramine (i-Surmontil), nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-desipramine. Buza ugqirha wakho okanye usokhemesti 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 i-desipramine. Ukuba uyeka ukuthatha i-desipramine, kuya kufuneka ulinde ubuncinci iintsuku ezili-14 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, iimveliso zamakhambi kunye nezongezo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: ii-anticoagulants (izinciphisi zegazi) ezinjengewarfarin (Coumadin); antihistamines; cimetidine (iTagamet); ii-estrogens; i-flecainide (iTambocor); i-fluoxetine (Prozac); guanethidine (Ismelin); levodopa (iSinemet, iLarodopa); lithium (Eskalith, Lithobid); amayeza oxinzelelo lwegazi oluphezulu, ukuxhuzula, isifo sikaParkinson, isifo seswekile, ukugula ngengqondo, isicaphucaphu, isifuba, umkhuhlane, okanye uxabana; imethylphenidate (Ritalin); izihlunu ezonwabisayo; izinto zokucwangcisa ngomlomo; phenobarbital; ipropafenone (Rythmol); quinidine; ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njengecitalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), kunye sertraline (Zoloft); iipilisi zokulala; amayeza e-thyroid; kunye noxinzelelo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Ugqirha wakho angakuxelela ukuba ungathathi i-desipramine ukuba uyekile ukuthatha i-fluoxetine kwiiveki ezi-5 ezidlulileyo.
• xelela ugqirha wakho ukuba ngaba ukhe wahlaselwa sisifo sentliziyo kutshanje. Ugqirha wakho unokukuxelela ukuba akufuneki uthathe i-desipramine.
• xelela ugqirha wakho ukuba nabani na kusapho lwakho ukhe wabethwa yintliziyo ngendlela engaqhelekanga okanye wasweleka ngesiquphe. Xelela ugqirha wakho ukuba ukhe unesifo sentliziyo okanye semithambo yegazi efana noxinzelelo lwegazi, i-atherosclerosis (ukuqina kwemithambo), i-angina (iintlungu zesifuba), ukubetha kwentliziyo okungaqhelekanga, okanye isifo sentliziyo; i-Prostate eyandisiweyo (idlala lokuzala) ubunzima bokuchama; isifo seswekile; ukuxhuzula; i-thyroid gland engapheliyo; i-schizophrenia (isifo sengqondo esibangela ukuphazamiseka okanye ukucinga okungaqhelekanga, ukuphelelwa ngumdla ebomini, kunye neemvakalelo ezinamandla okanye ezingalunganga); okanye isibindi okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-desipramine, biza ugqirha wakho.
• thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-desipramine ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-desipramine kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziswa ukunyanga imeko efanayo.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-desipramine.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha eli yeza.
• xelela ugqirha wakho ukuba usebenzisa iimveliso zecuba. Ukutshaya icuba kunokunciphisa ukusebenza kweli yeza.
• Kuya kufuneka uyazi ukuba i-desipramine inokubangela ukuba i-angle-closure glaucoma (imeko apho ulwelo luvaliwe ngequbuliso kwaye lungakwazi ukuphuma esweni kubangele ukunyuka 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-Desipramine inokubangela iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba ngaba ezinye zeempawu ziba nzima okanye azihambi:

• isicaphucaphu
• ukozela
• ubuthathaka okanye ukudinwa
• amaphupha amabi
• umlomo owomileyo
• ulusu lubuthathaka ngakumbi kukukhanya kwelanga kunesiqhelo
• utshintsho kwisondlo okanye ubunzima
• ukuqhina
• ubunzima bokuchama
• ukuchama rhoqo
• utshintsho kwi-sex drive okanye kubuchule
• ukubila okugqithisileyo

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

• umhlathi, intamo, kunye nokuqaqamba kwemisipha yangasemva
• intetho ecothayo okanye enzima
• ukuhamba ngokukhawuleza
• ukushukuma okungalawulekiyo okanye ukushukuma kwelungu lomzimba
• ifiva
• ubunzima bokuphefumla okanye ukugwinya
• Irhashalala elibi
• mthubi ulusu okanye amehlo
• ukubetha kwentliziyo ngokungaqhelekanga
• ukuxhuzula
• umqala obuhlungu, umkhuhlane kunye neminye imiqondiso yosulelo

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 la mayeza kwisitya angene ngaphakathi, avalwe ngokuqinileyo, kwaye ngaphandle kokufikelela kwabantwana. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

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

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.

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 libanda kungaquka oku kulandelayo:

• ukubetha kwentliziyo ngokungaqhelekanga
• ukuxhuzula
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• ukudideka
• ukubona izinto ezingekhoyo
• ukwandisa abafundi (izangqa ezimnyama phakathi kwamehlo)
• ukozela
• ukuphazamiseka
• ifiva
• ubushushu bomzimba obuphantsi
• izihlunu eziqinileyo
• ukugabha

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela nabani na ongomnye 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.

• Ipropathi^®