IVenlafaxine

Umxholo

• Ngaphambi kokuba uthathe i-venlafaxine,
• IVenlafaxine inokubangela iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba ngaba ezi mpawu zilandelayo zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. 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') ezinje nge-venlafaxine 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-venlafaxine, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-venlafaxine lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-venlafaxine okanye ezinye i-anti-depressants nokuba ungaphezulu 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-venlafaxine, 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-venlafaxine. 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.

IVenlafaxine isetyenziselwa ukunyanga uxinzelelo. IVenfafaxine eyandisiweyo-yokukhululwa (esebenza ixesha elide) njengezingxobo zikwasetyenziselwa ukunyanga isifo soxinzelelo ngokubanzi (i-GAD; ukukhathazeka okugqithisileyo ekunzima ukukulawula), ukuphazamiseka koxinzelelo ekuhlaleni (uloyiko olukhulu lokunxibelelana nabanye okanye ukwenza phambi kwabanye okuphazamisa okuqhelekileyo Ubomi), kunye noxinzelelo lokuphakuzela (ngequbuliso, uhlaselo olungalindelekanga loloyiko olukhulu kunye nexhala malunga nolu hlaselo). UVenlafaxine ukwiklasi yamayeza abizwa ngokuba yi-serotonin ekhethiweyo kunye ne-norepinephrine reuptake inhibitors (SNRIs). Isebenza ngokwandisa inani le-serotonin kunye ne-norepinephrine, izinto zendalo kwingqondo ezinceda ukugcina ulungelelwaniso lwengqondo.

IVenlafaxine iza njengecwecwe okanye ipilisi eyandisiweyo yokukhupha ngomlomo. Ithebhulethi ihlala ithathwa kabini okanye kathathu ngemini ngokutya. I-capsule ekhutshiweyo ihlala ithathwa kanye yonke imihla kusasa okanye ngokuhlwa ngokutya. Thatha i-venlafaxine malunga namaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-venlafaxine ngokuchanekileyo njengoko kuyalelwe. Sukuyithatha ngaphezulu okanye ngaphantsi okanye uyithathe rhoqo okanye ixesha elide kunokuba umiselwe ngugqirha.

Ginya yonke into ekhululayo; sukuyiqhekeza, uyihlafune, okanye uyityumze, okanye uyibeke emanzini. Ukuba awukwazi ukuginya iphilisi ekhutshiweyo eyandisiweyo, unokuvula ngononophelo iphilisi kwaye ufefe konke okuqulathiweyo ngecephe leapilesauce. Gwinya (ngaphandle kokuhlafuna) lo mxube ngoko nangoko emva kokulungiselela kwaye usele iglasi yamanzi ukuqinisekisa ukuba uluginyile lonke iyeza.

Ugqirha wakho uya kukuqala ngedosi esezantsi ye-venlafaxine kwaye ngokuthe ngcembe uyonyuse idosi yakho, hayi rhoqo rhoqo kube kanye kwiintsuku ezi-4 ukuya kwezi-7. Tshela ugqirha wakho ukuba uziva njani ngexesha lonyango lwakho ukuze ugqirha wakho akwazi ukulungelelanisa idosi yakho ngokufanelekileyo.

IVenlafaxine ilawula uxinzelelo kodwa ayilunyangi. Kungathatha iiveki ezi-6 ukuya kwezi-8 okanye ngaphezulu ukuba uve isibonelelo esipheleleyo sonyango. Qhubeka nokuthatha i-venlafaxine nokuba uziva uphilile. Sukuyeka ukuthatha i-venlafaxine ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngesiquphe uyeka ukuthatha i-venlafaxine, unokufumana iimpawu zokurhoxa njengokuphazamiseka; ixhala; ukudideka; imvakalelo ebuhlungu; ukucaphuka; ukuphazamiseka okanye ukungaqhelekanga; ukungabikho kolungelelwaniso; ingxaki yokulala okanye ukulala; amaphupha amabi; isicaphucaphu; ukugabha; ukuphelelwa ngumdla wokutya; urhudo; umlomo owomileyo; ukubila; ukukhala ezindlebeni; ukuxhuzula; ukutshisa, ukurhawuzelela, ukuba ndindisholo, okanye iimvakalelo ezothusayo zombane nakweliphi na ilungu lomzimba. Tshela ugqirha wakho ukuba unazo naziphi na kwezi mpawu ngelixa unciphisa idosi yakho ye-venlafaxine okanye kungekudala emva kokuba uyeke ukuthatha i-venlafaxine.

I-Venlafaxine ngamanye amaxesha isetyenziselwa ukunyanga ubushushu (ukufudumala okufudumeleyo; iimvakalelo ezomeleleyo zokutshisa nokubila) kwabasetyhini abanamava okuyeka ukuya exesheni ('utshintsho lobomi', ukuphela kwexesha lokuya exesheni) okanye abathatha amayeza ukunyanga umhlaza wamabele. . Thetha nogqirha wakho okanye usokhemesti malunga nemingcipheko yokusebenzisa i-venlafaxine ukunyanga imeko yakho.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-venlafaxine,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-venlafaxine, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-venlafaxine okanye kwiifomsile ezandisiweyo. Buza usokhemesti wakho uluhlu lwezithako.
• 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 enye la mayeza kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uza kukuxelela ukuba akufuneki uthathe i-venlafaxine. Ukuba uyeka ukuthatha i-venlafaxine, ugqirha wakho uya kukuxelela ukuba kufuneka ulinde okungenani iintsuku ezisi-7 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye unyango amayeza amiselweyo nolungabhaliswanga, kunye neevithamini ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin); amiodarone (Cordarone, Pacerone); ezinye izinto ezichasayo; cimetidine (iTagamet); i-clozapine (iClozaril); umchamo ('iipilisi zamanzi'); duloxetine (ICymbalta); haloperidol (iHaldol); imipramine (Tofranil); indinavir (iCrixivan); ketoconazole (Nizoral); ilizolid (Zyvox); lithium; amayeza oxinzelelo, ukugula ngengqondo, iintlungu, ukuxhuzula, okanye ukunciphisa umzimba; amayeza e-migraine afana ne-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), kunye zolmitriptan (Zomig); imethadone (iDolophine); imethylene eluhlaza okwesibhakabhaka; phentermine (Adipex P, Ionamin); i-ritonavir (iNorvir); ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njengecitalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), kunye sertraline (Zoloft); sibutramine (iMeridia); iipilisi zokulala; itramadol (Ultram); kunye noxinzelelo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi izongezo zesondlo kunye neemveliso zamayeza owathathayo, ngakumbi iSt John's wort kunye ne-tryptophan.
• xelela ugqirha wakho ukuba wakhe wasebenzisa iziyobisi ezingekho mthethweni okanye ukusebenzisa amayeza amayeza gwenxa. Xelela ugqirha wakho ukuba ukhe wahlaselwa sisifo sentliziyo kutshanje kwaye ukuba ukhe wakha waba noxinzelelo lwegazi, ukuxhuzula kwegazi, okanye intliziyo, izintso, isibindi, okanye isifo sedlala.
• xelela ugqirha wakho ukuba ukhulelwe, ngakumbi ukuba ukwinyanga ezimbalwa zokugqibela zokukhulelwa kwakho, okanye ukuba ucwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwa ngelixa uthatha i-venlafaxine, tsalela ugqirha wakho. IVenlafaxine inokubangela iingxaki kwiintsana ezisandul 'ukuzalwa emva kokubeleka ukuba zithathiwe kwiinyanga zokugqibela zokukhulelwa.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-venlafaxine.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza 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-venlafaxine 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. Ukuba uthatha iicapsule zokukhululwa ezandisiweyo, sukuthatha idosi engaphezulu kwesinye ngosuku.

IVenlafaxine inokubangela iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba ngaba ezi mpawu zilandelayo zinzima okanye azihambi:

• ukozela
• ubuthathaka okanye ukudinwa
• isiyezi
• intloko ebuhlungu
• amaphupha amabi
• isicaphucaphu
• ukugabha
• isisu esibuhlungu
• ukuqhina
• urhudo
• irhasi
• isilungulela
• ukungqusha
• umlomo owomileyo
• utshintsho kwisakhono sokungcamla ukutya
• Ukuphelelwa ngumdla wokutya
• ukuhla ukusinda
• ukushukuma okungalawulekiyo kwilungu lomzimba
• intlungu, ukutshisa, ukuba ndindisholo, okanye ukubetha kwinxalenye yomzimba
• ukuqina kwemisipha
• ukuxhuzula
• ukuzamla
• ukubila
• ukutshisa okutshisayo okanye ukugungxula
• ukuchama rhoqo
• ubunzima bokuchama
• umqala obuhlungu, ukugodola, okanye ezinye iimpawu zosulelo
• kukhala ezindlebeni
• utshintsho kwiminqweno yesini okanye amandla
• ukwandisa abafundi (izangqa ezimnyama embindini wamehlo)

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO AKHETHEKILEYO, tsalela umnxeba kwangoko:

• irhashalala
• urhwebo
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• iintlungu zesifuba
• ngokukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
• ukuxhuzula
• ukugruzuka okanye ukopha okungaqhelekanga
• amabala amfusa amnyama kulusu
• iintlungu zamehlo okanye ubomvu
• umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga, kunye nokuqina kwemisipha
• ifiva
• iingxaki ngokulungelelanisa
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• isiqaqa (ukulahleka kwengqondo ixesha elithile)

IVenlafaxine inokucothisa ukukhula kunye nokuzuza ubunzima kubantwana. Ukuba umntwana wakho uthatha i-venlafaxine, ugqirha womntwana wakho uya kujonga ukukhula komntwana wakho ngononophelo. Thetha nogqirha womntwana wakho malunga neengozi zokunika i-venlafaxine umntwana wakho.

IVenlafaxine 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).

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 zokudlula ngaphezulu zinokubandakanya:

• isiyezi
• isicaphucaphu
• ukugabha
• ukutshisa, ukubetha, okanye ukuba ndindisholo kwezandla neenyawo
• ukwanda kobungakanani bomfundi (kumbindi omnyama wamehlo)
• iintlungu zemisipha
• ukutshisa nokubanda
• ukozela
• ukuxhuzula
• ukukhawuleza, ukukhawuleza, okanye ukubetha kwentliziyo
• isiqaqa (ukulahleka kwengqondo ixesha elithile)

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uza kujonga uxinzelelo lwegazi rhoqo kwaye ayalele iimvavanyo ezithile zebhu ukujonga impendulo yakho kwi-venlafaxine.

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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