I-Doxepin (Uxinzelelo, uxinzelelo)

Umxholo

• Ngaphambi kokuba uthathe i-doxepin,
• I-Doxepin inokubangela iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, 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') ezinjenge-doxepin ngexesha lezifundo zeklinikhi bazibulala (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-doxepin, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-doxepin lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-doxepin 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; kwaye udidekile, 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-doxepin, 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-doxepin. 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-Doxepin isetyenziselwa ukunyanga uxinzelelo kunye noxinzelelo. UDoxepin ukwiklasi yamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokwandisa izixa zezinto ezithile zendalo kwingqondo ezifunekayo kulungelelwaniso lwengqondo.

IDoxepin ikwafumaneka njengepilisi yokunyanga ukulala. Le monograph inika kuphela ulwazi malunga ne-doxepin yoxinzelelo okanye uxinzelelo. Ukuba usebenzisa eli yeza ukulungiselela ukulala, funda i-monograph enesihloko esithi doxepin (ukulala).

I-Doxepin iza njengephilisi, okanye ukugxila (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa kube kathathu ngemini kwaye inokuthathwa kunye okanye ngaphandle kokutya. Zama ukuthatha i-doxepin ngeenxa zonke ngexesha elifanayo (imihla) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-doxepin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Umxube we-Doxepin (ulwelo lomlomo) luza ne-dropper ephawulwe ngokukodwa yokulinganisa idosi. Buza usokhemesti wakho akubonise ukuba uyisebenzisa njani i-dropper. Nciphisa ukugxila kwii-ounces ezi-4 (i-120 mL) zamanzi; ubisi olupheleleyo okanye olunamafutha; okanye i-orenji, iidiliya, itumato, ithena, okanye incindi yepayinapile ngaphambi kokuyithatha. Musa ukuyixuba neziselo ezihlwahlwazayo (iziselo ezihlwahlwazayo).

Ingathatha iiveki ezininzi okanye ngaphezulu ukuba uzive ukusebenza ngokupheleleyo kwe-doxepin. Qhubeka nokuthatha i-doxepin nokuba uziva uphilile. Ungayeki ukuthatha i-doxepin ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kufuna ukunciphisa umthamo wakho ngokuthe ngcembe.

I-Doxepin ngamanye amaxesha isetyenziselwa ukunyanga ii-hives ezingapheliyo ngaphandle kwesizathu esaziwayo. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

La mayeza angamiselwa ezinye izinto. Buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-doxepin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-doxepin, i-amoxapine, i-loxapine, nawaphi na amanye amayeza, okanye nasiphi na isithako esikwipilisi ze-doxapine, okanye ukugxila.
• 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 yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-antipsychotic efana ne-chlorpromazine, i-fluphenazine, i-perphenazine, i-prochlorperazine (i-Compro, i-Procomp), i-thioridazine, i-trifluoperazine; bupropion (Wellbutrin, Zyban, abanye, kwiContrave); cimetidine (iTagamet); duloxetine (ICymbalta); i-flecainide (iTambocor); ipropafenone (Rythmol); quinidine (kwiNuedexta); 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 ( ; kunye ne-tolazamide (Tolinase). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Ugqirha wakho angakuxelela ukuba ungathathi i-doxepin ukuba uthathe i-fluoxetine kwiiveki ezi-5 ezidlulileyo.
• xelela ugqirha wakho ukuba uneglaucoma okanye kunzima ukuchama. Ugqirha wakho uya kukuxelela ukuba ungathathi i-doxepin.
• xelela ugqirha wakho ukuba ukhe wasela izixa ezikhulu zotywala, okanye wakha wanesifo sombefu, okanye isibindi okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha la mayeza, biza ugqirha wakho.
• thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-doxepin ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-doxepin kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziswa ukunyanga imeko efanayo.
• 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 kweziselo ezinxilisayo ngelixa uthatha i-doxepin. Utywala bungenza iziphumo ebezingalindelekanga zibi ngakumbi kwi-doxepin.
• Kuya kufuneka uyazi ukuba i-doxepin inokubangela i-angle-closure glaucoma (imeko apho ulwelo luvaliwe ngequbuliso kwaye lungakwazi ukuphuma esweni kubangele ukonyuka 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 yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yedosi. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Doxepin inokubangela iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukugabha
• ubuthathaka okanye ukudinwa
• isiyezi
• ukwanda kubungakanani bomfundi
• umlomo owomileyo
• izilonda zomlomo
• ulusu lubuthathaka ngakumbi kukukhanya kwelanga kunesiqhelo
• ukugungxula
• utshintsho kwisondlo okanye ubunzima
• utshintsho kwindlela izinto ezingcamla ngayo
• ukuqunjelwa
• ukuqhina
• urhudo
• ubunzima bokuchama
• ukunxanwa okugqithisileyo kunye nokuchama
• kukhala ezindlebeni zakho
• utshintsho kwisondo
• amasende adumbile
• ukwanda kwesayizi sebele
• ukukhutshwa kobisi kwiingono zamabhinqa
• ukubila okugqithisileyo
• Ukugodola
• intloko ebuhlungu
• ukulahleka kweenwele

Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela umnxeba kwangoko:

• mthubi ulusu okanye amehlo
• ukubetha kwentliziyo ngokukhawuleza
• ukopha okungaqhelekanga okanye ukugruzuka
• irhashalala, ukurhawuzelela, okanye ukudumba

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).

I-Doxepin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga 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). Gcina iiphilisi ze-doxepin kude nokukhanya.

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.

• Sinequan^® Njengezingxobo^¶
• Sinequan^® Isisombululo esigxile^¶

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