IFluoxetine

Umxholo

• Ngaphambi kokuba uthathe i-fluoxetine,
• IFluoxetine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye EZIQHELEKILEYO, tsalela umnxeba kwangoko:
• 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-fluoxetine 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.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-fluoxetine okanye ezinye i-anti-depressants nokuba umdala ngaphezulu kweminyaka eyi-24. 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-fluoxetine, 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-fluoxetine. 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-Fluoxetine (Prozac) isetyenziselwa ukunyanga uxinzelelo, ukuphazamiseka okunyanzelekileyo (iingcinga eziphazamisayo ezingayi kudlula kunye nesidingo sokwenza isenzo esithile ngokuphindaphindiweyo), ukuphazamiseka kokutya, kunye nokuhlaselwa kukothuka (ngequbuliso, uhlaselo olungalindelekanga loloyiko olukhulu kwaye ukhathazekile malunga nolu hlaselo). I-Fluoxetine (Sarafem) isetyenziselwa ukunciphisa iimpawu zesifo sokungaphambi kokuya exesheni, kubandakanya ukutshintsha kwemozulu, ukuba nochuku, ukudumba, kunye nokuthamba kwebele. Isetyenziswa kunye ne-olanzapine (Zyprexa) ukunyanga uxinzelelo olungaphendulanga kwamanye amayeza kunye neziqendu zoxinzelelo kubantu abane-bipolar I disorder (isifo sokudakumba esisifo; isifo esibangela iziqendu zoxinzelelo, iziqendu ze-mania, kunye nezinye Iimvakalelo ezingaqhelekanga). I-Fluoxetine ikudidi lwamayeza abizwa ngokuba yi-serotonin reuptake inhibitors (SSRIs) ekhethiweyo. Isebenza ngokwandisa inani le-serotonin, into yendalo kwingqondo enceda ukugcina ulungelelwaniso lwengqondo.

I-Fluoxetine (Prozac) iza njengecapsule, ithebhulethi, ukukhutshwa okulibazisekileyo (kukhupha iyeza emathunjini) iphilisi, kunye nesisombululo (ulwelo) sokuthatha ngomlomo. IFluoxetine inokuthathwa kunye okanye ngaphandle kokutya. I-Fluoxetine (Sarafem) iza njengecapsule ukuba ithathe ngomlomo. Iifluoxetine (Prozac) njengezingxobo, iipilisi, kunye nolwelo zihlala zithathwa kanye ngemini kusasa okanye kabini ngosuku kusasa nasemini. Iifluoxetine njengepilisi ezikhutshiweyo ezilibazisekileyo zihlala zithathwa kanye ngeveki. I-Fluoxetine (iSarafem) ihlala ithathwa kanye ngemini, nokuba yiyo yonke imihla yenyanga okanye ngeentsuku ezithile zenyanga. Thatha i-fluoxetine 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-fluoxetine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya zonke iicapsule zokukhululwa kulibazisekile; ungazisiki, uzityumze, okanye uzihlafune.

Ugqirha wakho unokukuqala kwidosi ephantsi ye-fluoxetine kwaye ngokuthe ngcembe wandise idosi yakho.

Ingathatha iiveki ezi-4 ukuya kwezi-5 okanye ngaphezulu ngaphambi kokuba uve isibonelelo esipheleleyo se-fluoxetine. Qhubeka nokuthatha i-fluoxetine nokuba uziva uphilile. Sukuyeka ukuthatha i-fluoxetine ungakhange uthethe nogqirha wakho. Ukuba uyeka ngequbuliso ukuthatha i-fluoxetine, unokufumana iimpawu zokurhoxa ezinje ngokutshintsha kwemood, ukuba nochuku, ukuphazamiseka, isiyezi, ukuba ndindisholo okanye ukubetha ezandleni okanye ezinyaweni, unxunguphalo, ukubila, ukudideka, intloko ebuhlungu, ukudinwa, kunye nobunzima bokulala okanye ukulala. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

I-Fluoxetine ngamanye amaxesha isetyenziselwa ukunyanga utywala, ukuphazamiseka kwengqondo, ukuphazamiseka kubuntu, ukungalali kakuhle, intloko ebuhlungu, ukugula ngengqondo, ukuphazamiseka koxinzelelo lwasemva kwexesha, isifo seTourette's, ukutyeba kakhulu, iingxaki zesini, kunye ne-phobias. 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-fluoxetine,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-fluoxetine, nawaphi na amanye amayeza, okanye nasiphi na isithako kumalungiselelo e-fluoxetine. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-pimozide (Orap), thioridazine, okanye 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-monoamine oxidase inhibitor kwiiveki ezi-2 ezidlulileyo. Ugqirha wakho uya kuthi akuxelele ukuba akufuneki uthathe i-fluoxetine. Ukuba uyeka ukuthatha i-fluoxetine, kuya kufuneka ulinde ubuncinci kwiiveki ezi-5 ngaphambi kokuba uqale ukuthatha i-thioridazine okanye i-monoamine oxidase inhibitor.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye unyango kunye neevithamini ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: alprazolam (Xanax); amiodarone (iPacerone, Nexterone); ii-antibiotics ezithile ezifana ne-erythromycin (E.E.S, Eryc, Ery-tab), gatifloxacin, moxifloxacin (Avelox), kunye ne-sparfloxacin (engasekhoyo e-U.S., Zagam); ii-amphetamine ezifana ne-amphetamine (e-Adderall), i-dextroamphetamine (i-Dexedrine, i-Dextrostat, e-Adderall), kunye ne-methamphetamine (i-Desoxyn); ii-anticoagulants (’izinciphisi zegazi’) ezifana ne-warfarin (Coumadin, Jantoven); i-antidepressants (i-elevators zemood) ezinje nge-amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye ne-trimontramine (Surmipramine) i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezifana ne-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); buspirone; iklopidogrel (iPlavix); diazepam (Valium); idigoxin (Lanoxin); umchamo ('iipilisi zamanzi'); idolasetron (Anzemet); fentanyl (Duragesic, Lazanda, Subsys, nabanye); i-flecainide (iTambocor); i-insulin okanye amayeza omlomo eswekile; lithium (Lithobid); amayeza oxinzelelo kunye nesifo sikaParkinson; amayeza okugula ngengqondo njenge-chlorpromazine, i-clozapine (i-Clozaril, i-Versacloz), i-droperidol (i-Inapsine), i-haloperidol (i-Haldol), i-iloperidone (i-Fanapt) kunye ne-ziprasidone (i-Geodon); imethadone (iMethadose); amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), kunye zolmitriptan (Zomig); ipentamidine (iPentam); quinidine (kwiNuedexta); ukuvelisa; amayeza okubanjwa afana ne-carbamazepine (Epitol, Tegretol, Teril) kunye ne phenytoin (Dilantin, Phenytek); ukuthomalalisa; iipilisi zokulala; ezinye i-serotonin-reuptake inhibitors ezinje nge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra), okanye i-fluvoxamine (i-Luvox); i-serotonin-norepinephrine reuptake inhibitors (SNRI) yeyeza desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), kunye ne-venlafaxine; i-sotalol (iBetapace, iSorine); itramadol (Ultram); izinto zokuthomalalisa; kunye nevinblastine (Velban). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi izongezo zesondlo kunye neemveliso zamayeza owathathayo, ngakumbi iimveliso eziqulathe iSt John's wort okanye i-tryptophan.
• xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho unethuba elide le-QT (ingxaki yentliziyo enqabileyo enokubangela ukubetha kwentliziyo ngokungaqhelekanga, ukuphelelwa ngamandla, okanye ukufa ngesiquphe). Xelela ugqirha wakho ukuba unenqanaba eliphantsi le-potassium okanye i-magnesium egazini lakho okanye uphathwa ngonyango lwe-electroshock (inkqubo apho uhlaselo oluncinci lombane lwenziwa kwingqondo ukunyanga izifo ezithile zengqondo). Xelela ugqirha wakho ukuba ngaba ubusandula ukuba nesifo sentliziyo kwaye ukuba ukhe wasilela kwentliziyo, isifo seswekile, ukuxhuzula, okanye isibindi okanye isifo sentliziyo.
• xelela ugqirha wakho ukuba ukhulelwe, ngakumbi ukuba ukwinyanga ezimbalwa ezidlulileyo zokukhulelwa kwakho, okanye ukuba ucwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwa ngelixa uthatha i-fluoxetine, tsalela ugqirha wakho. I-Fluoxetine inokubangela iingxaki kwiintsana ezisandul 'ukuzalwa emva kokubeleka ukuba ithathwa kwiinyanga zokugqibela zokukhulelwa.
• Kuya kufuneka uyazi ukuba i-fluoxetine inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza.
• Kuya kufuneka uyazi ukuba i-fluoxetine 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.

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.

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

• uvalo
• ixhala
• ubunzima bokulala okanye ukulala
• isicaphucaphu
• urhudo
• umlomo owomileyo
• isilungulela
• ukuzamla
• ubuthathaka
• ukushukuma okungalawulekiyo kwilungu lomzimba
• Ukuphelelwa ngumdla wokutya
• ukuhla ukusinda
• utshintsho kwi-sex drive okanye kubuchule
• ukubila okugqithisileyo
• intloko, ukudideka, ubuthathaka, ubunzima bokugxila, okanye iingxaki zememori

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

• irhashalala
• isifuba okanye amadyungudyungu
• ukurhawuzelela
• ifiva
• intlungu edibeneyo
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ubunzima bokuphefumla okanye ukugwinya
• Ukuphazamiseka, umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga, ukungcangcazela, ukuqina kwemisipha okanye ukujija, ukubona izinto ezingekhoyo, ukuphulukana nokulungelelanisa, isicaphucaphu, ukugabha, okanye urhudo
• ukukhawuleza, ukukhawuleza, okanye ukubetha kwentliziyo
• ukuqhawukelwa ngumphefumlo
• isiyezi okanye isiqaqa
• ukuxhuzula
• ukopha ngokungaqhelekanga okanye ukugruzuka

I-Fluoxetine inokunciphisa ukutya kwaye ibangele ukuncipha kubantwana. Ugqirha womntwana wakho uya kujonga ukukhula kwakhe ngononophelo. Thetha nogqirha womntwana wakho ukuba unenkxalabo malunga nokukhula komntwana wakho okanye ubunzima xa ethatha la mayeza. Thetha nogqirha womntwana wakho malunga neengozi zokunika umntwana wakho i-fluoxetine.

IFluoxetine 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 nokukhanya, ubushushu obungaphaya, 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:

• ukungazinzi
• ukudideka
• ukungaphenduli
• uvalo
• ukushukuma okungalawulekiyo kwilungu lomzimba
• isiyezi
• ukukhawuleza kwentliziyo, ukungahambi kakuhle, okanye ukubetha kwentliziyo
• ukubona izinto okanye ukuva amazwi angekhoyo (hallucinating)
• ifiva
• isiqaqa
• isiqaqa (ukulahleka kwengqondo ixesha elithile)

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya imethylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-fluoxetine.

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.

• Iprozac^®
• Iprozac^® Ngeveki
• Ukukhawuleza^®
• USarafem^®
• Ifoto:^®

• Uphawu^® (iqulethe iFluoxetine, iOlanzapine)