Amitriptyline

Umxholo

• Ngaphambi kokuba uthathe i-amitriptyline,
• I-Amitriptyline 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-amitriptyline 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-amitriptyline, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-amitriptyline lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-amitriptyline okanye ezinye i-anti-depressants nokuba sele umdala ngaphezulu kweminyaka engama-24. 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-amitriptyline, 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-amitriptyline. 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-Amitriptyline isetyenziselwa ukunyanga iimpawu zoxinzelelo. I-Amitriptyline ikudidi lwamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokwandisa isixa sezinto ezithile zendalo kwingqondo ezifunekayo ukugcina ulungelelwaniso lwengqondo.

I-Amitriptyline iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye ukuya kathathu ngemini. Thatha i-amitriptyline ngeenxa zonke ngaxeshanye yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-amitriptyline ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho uya kuqala ngedosi esezantsi ye-amitriptyline kwaye ngokuthe ngcembe andise idosi yakho.

Kungathatha iiveki ezimbalwa okanye ngaphezulu ngaphambi kokuba uve isibonelelo esipheleleyo se-amitriptyline. Qhubeka uthathe i-amitriptyline nokuba uziva uphilile. Ungayeki ukuthatha i-amitriptyline ngaphandle kokuthetha nogqirha wakho. Ukuba ngequbuliso uyeka ukuthatha i-amitriptyline, unokufumana iimpawu zokurhoxa ezinje ngesicaphucaphu, intloko ebuhlungu kunye nokuswela amandla. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

I-Amitriptyline ikwasetyenziselwa ukunyanga iingxaki zokutya, i-post-herpetic neuralgia (ukutshisa, iintlungu zokuhlaba, okanye iintlungu ezinokuhlala iinyanga okanye iminyaka emva kosulelo lwe-shingles), kunye nokukhusela iintlungu zentloko. Thetha nogqirha wakho malunga neengozi zokusebenzisa la mayeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-amitriptyline,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-amitriptyline okanye nawaphi na amanye amayeza.
• xelela ugqirha wakho ukuba uthatha i-cisapride (Propulsid) (ayifumaneki e-US) okanye i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate) ), okanye ukuba uthathe i-MAO inhibitor kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba awufanele uthathe i-amitriptyline.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: antihistamines; cimetidine (iTagamet); iipilisi zokutya; disulfiram (Antabuse); guanethidine (Ismelin); ipratropium (Atrovent); quinidine (Quinidex); amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-flecainide (Tambocor) kunye nepropafenone (Rythmol); amayeza oxinzelelo, isifuba, ukubanda, isifo sesisu esinganyangekiyo, isifo sengqondo, isicaphucaphu, isifo sikaParkinson, ukuxhuzula, izilonda, okanye iingxaki zomchamo; ezinye izinto ezichasayo; phenobarbital (iBellatal, iSolfoton); ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), kunye ne-sertraline (i-Zoloft); iipilisi zokulala; amayeza e-thyroid; kunye noxinzelelo. Xelela ugqirha wakho okanye usokhemesti ukuba uyekile ukuthatha i-fluoxetine (Prozac, Sarafem) kwiiveki ezi-5 ezidlulileyo.
• xelela ugqirha wakho ukuba ngaba ukhe wahlaselwa sisifo sentliziyo kutshanje. Ugqirha wakho uya kukuxelela ukuba ungathathi i-amitriptyline.
• xelela ugqirha wakho ukuba usela utywala kakhulu kwaye ukuba ukhe wanaso okanye wakha wanaso i-glaucoma (imeko yamehlo); i-prostate eyandisiweyo (idlala lokuzala); ubunzima bokuchama; ukuxhuzula; i-thyroid gland (hyperthyroidism); isifo seswekile; i-schizophrenia (isifo sengqondo esibangela ukuphazamiseka okanye ukucinga okungaqhelekanga, ukuphelelwa ngumdla ebomini, kunye neemvakalelo ezinamandla okanye ezingalunganga); okanye isibindi, izintso, okanye isifo sentliziyo.
• xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba ukhulelwa ngelixa uthatha i-amitriptyline, tsalela ugqirha wakho. Musa ukuncancisa ibele ngelixa uthatha i-amitriptyline.
• thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha la mayeza ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-amitriptyline kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziselwa ukunyanga imeko efanayo.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-amitriptyline.
• Kuya kufuneka uyazi ukuba i-amitriptyline inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza.

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

• isicaphucaphu
• ukugabha
• ukozela
• ubuthathaka okanye ukudinwa
• amaphupha amabi
• intloko ebuhlungu
• umlomo owomileyo
• ukuqhina
• ubunzima bokuchama
• ukungaboni kakuhle
• intlungu, ukutshisa, okanye ukubetha ezandleni nasezinyaweni
• utshintsho kwi-sex drive okanye kubuchule
• ukubila okugqithisileyo
• utshintsho kwisondlo okanye ubunzima
• ukudideka
• ukungazinzi

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:

• intetho ecothayo okanye enzima
• isiyezi okanye ukudinwa
• ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
• ukutyumza iintlungu zesifuba
• ukukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
• irhashalala elukhuni okanye urticaria
• ukudumba kobuso nolwimi
• mthubi ulusu okanye amehlo
• umhlathi, intamo, kunye nokuqaqamba kwemisipha yangasemva
• ukushukuma okungalawulekiyo kwilungu lomzimba
• isiqaqa
• ukopha okungaqhelekanga okanye ukugruzuka
• ukuxhuzula
• i-hallucinating (ukubona izinto okanye ukuva amazwi angabikho)

I-Amitriptyline 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:

• ukubetha kwentliziyo ngokungaqhelekanga
• ukuxhuzula
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• ukudideka
• iingxaki zokugxila
• i-hallucinating (ukubona izinto okanye ukuva amazwi angabikho)
• ukuphazamiseka
• ukozela
• izihlunu eziqinileyo
• ukugabha
• ifiva
• ubushushu bomzimba obubandayo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho angayalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-amitriptyline.

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.

• Amitid^®¶
• Amitril^®¶
• Elavil^®¶
• Endep^®¶

• I-Duo-Vil^® (Iqulethe i-Amitriptyline, Perphenazine)^¶
• Etrafon^® (Iqulethe i-Amitriptyline, Perphenazine)^¶
• ILimbitrol^® (Iqulethe i-Amitriptyline, Chlordiazepoxide)^¶
• Triavil^® (Iqulethe i-Amitriptyline, Perphenazine)^¶

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.