Umgca weNortriptyline

Umxholo

• Ngaphambi kokuba uthathe i-nortriptyline,
• I-Nortriptyline 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 kumacandelo ESILUMKISO ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• 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-nortriptyline 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-nortriptyline, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-nortriptyline lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-nortriptyline okanye ezinye izinto ezichasayo nokuba sele umdala ngaphezulu kweminyaka engama-24 ubudala. Ungazibulala, ngakumbi ekuqaleni konyango lwakho nangalo naliphi na ixesha apho idosi yakho inyuswe okanye yehlisiwe. 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-nortriptyline, 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-nortriptyline. 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-Nortriptyline isetyenziselwa ukunyanga uxinzelelo. I-Nortriptyline ikwiqela lamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokwandisa isixa sezinto ezithile zendalo kwingqondo ezifunekayo ukugcina ulungelelwaniso lwengqondo.

I-Nortriptyline iza njengecapsule kunye nolwelo oluthathwa ngomlomo ukuthatha ngomlomo. Ihlala ithathwa kube kanye ukuya kwesine ngosuku kwaye inokuthathwa kunye okanye ngaphandle kokutya. Thatha i-nortriptyline ngamaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-nortriptyline ngqo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho uya kukuqala ngedosi esezantsi ye-nortriptyline kwaye ngokuthe ngcembe andise idosi yakho.

Qhubeka uthathe i-nortriptyline nokuba uziva uphilile. Ungayeki ukuthatha i-nortriptyline ngaphandle kokuthetha nogqirha wakho. Ukuba ngequbuliso uyeka ukuthatha i-nortriptyline, unokufumana iimpawu zokurhoxa ezinjengentloko, isicaphucaphu kunye nobuthathaka. Ugqirha wakho uya kufuna ukunciphisa umthamo wakho ngokuthe ngcembe.

I-Nortriptyline ngamanye amaxesha isetyenziselwa ukunyanga ukuphazamiseka kwengqondo kunye ne-post-herpetic neuralgia (ukutshisa, iintlungu zokuhlaba, okanye iintlungu ezinokuhlala iinyanga okanye iminyaka emva kosulelo lwe-shingles). I-Nortriptyline ngamanye amaxesha isetyenziselwa ukunceda abantu bayeke ukutshaya. Thetha nogqirha wakho malunga neengozi zokusebenzisa la mayeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-nortriptyline,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-nortriptyline kunye nezinye i-tricyclic anti-depressants ezifana ne-desipramine (Norpramin), i-clomipramine (i-Anafranil), i-imipramine (i-Tofranil), i-trimipramine (i-Surmontil), nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-nortriptyline ulwelo. 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-nortriptyline. Ukuba uyeka ukuthatha i-nortriptyline, 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 neemveliso zamayeza ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: ii-anticoagulants (izinciphisi zegazi) ezifana ne-warfarin (Coumadin, Jantoven); antihistamines; chlorpropamide (Diabinese); cimetidine (iTagamet); i-flecainide (iTambocor); guanethidine (Ismelin); lithium (Eskalith, Lithobid); amayeza oxinzelelo lwegazi oluphezulu, ukuxhuzula, isifo sikaParkinson, isifo seswekile, isifuba, isicaphucaphu, ukugula ngengqondo, ukubanda, okanye ukunganyangeki; imethylphenidate (Ritalin); izihlunu ezonwabisayo; ipropafenone (iRhythmol); quinidine; ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (i-Celexa), i-escitalopram (i-Lexapro), 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. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ngaba ukhe wahlaselwa sisifo sentliziyo kutshanje. Ugqirha wakho unokukuxelela ukuba ungathathi i-nortriptyline.
• xelela ugqirha wakho ukuba ukhe wakhulisa iprostate (idlala lokuzala), kunzima ukuchama, isifo seswekile, ukuxhuzula, isifo sengqondo (isifo sengqondo esenza ukuba uphazamiseke okanye ucinge ngendlela engaqhelekanga, ukuphulukana nomdla ebomini, kunye neemvakalelo ezinamandla okanye ezingafanelekanga ), i-thyroid gland, okanye isibindi, intso, okanye isifo senhliziyo.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-nortriptyline, tsalela ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-nortriptyline.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• thetha nogqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha eli yeza.
• cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. Umda we-Nortriptyline unokwenza ulusu lwakho lubuthathaka kwilanga.
• Kuya kufuneka uyazi ukuba i-nortriptyline inokubangela i-angle-closure glaucoma (imeko apho ulwelo luvaliwe ngequbuliso kwaye lungakwazi ukuphuma esweni kubangele ukunyuka okukhawulezileyo, okunzima 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-Nortriptyline inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukozela
• ubuthathaka okanye ukudinwa
• imincili okanye ixhala
• amaphupha amabi
• umlomo owomileyo
• 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 kumacandelo ESILUMKISO ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• umhlathi, intamo, kunye nokuqaqamba kwemisipha yangasemva
• intetho ecothayo okanye enzima
• ukuhamba ngokukhawuleza
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ifiva
• ubunzima bokuphefumla okanye ukugwinya
• irhashalala
• mthubi ulusu okanye amehlo
• ukubetha kwentliziyo ngokungaqhelekanga

I-Nortriptyline 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
• ukubona izinto ezingekhoyo
• ukwandisa abafundi (izangqa ezimnyama phakathi kwamehlo)
• ukozela
• ukuphazamiseka
• ifiva
• ubushushu bomzimba obuphantsi
• izihlunu eziqinileyo
• ukugabha

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yakho kwi-nortriptyline.

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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