Clomipramine

Umxholo

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

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-clomipramine okanye ezinye i-anti-depressants nokuba sele umdala ngaphezulu kweminyaka eyi-24. Ungazibulala, ngakumbi ekuqaleni konyango lwakho nangalo naliphi na ixesha apho idosi yakho inyuswe okanye 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 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-clomipramine, 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-clomipramine. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Unokufumana nesikhokelo seMithi kwiwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273.

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-Clomipramine isetyenziselwa ukunyanga abantu abanesifo esinyanzelekileyo (imeko ebangela iingcinga ezingafunekiyo eziphindaphindiweyo kunye nesidingo sokwenza isimilo esithile ngaphezulu). I-Clomipramine ikwiqela lamayeza abizwa ngokuba yi-tricyclic antidepressants. Isebenza ngokwandisa inani le-serotonin, into yendalo kwingqondo efunekayo ukugcina ulungelelwaniso lwengqondo.

I-Clomipramine iza njengecapsule ukuthatha ngomlomo. Ekuqaleni konyango, i-clomipramine ihlala ithathwa kathathu ngemini ngokutya njengoko umzimba uhlengahlengiswa kunyango. Emva kweeveki ezininzi zonyango, i-clomipramine ihlala ithathwa kanye ngemini ngexesha lokulala. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-clomipramine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho unokukuqala kwidosi esezantsi ye-clomipramine kwaye ngokuthe ngcembe wandise idosi yakho.

Kungathatha iiveki ezininzi okanye ixesha elide ukuba uve isibonelelo esipheleleyo se-clomipramine. Qhubeka uthathe i-clomipramine nokuba uziva uphilile. Ungayeki ukuthatha i-clomipramine ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngequbuliso ukuthatha i-clomipramine, unokufumana iimpawu zokurhoxa ezinje ngesiyezi, isicaphucaphu, ukugabha, intloko ebuhlungu, ubuthathaka, iingxaki zokulala, umkhuhlane kunye nokucaphuka. Ugqirha wakho mhlawumbi uya kunciphisa umthamo wakho ngokuthe ngcembe.

Ngaphambi kokuba uthathe i-clomipramine,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-clomipramine, ezinye i-tricyclic antidepressants ezinje nge-amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, , protriptyline (Vivactil), kunye ne-trimipramine (Surmontil); naliphi na iyeza, okanye nasiphi na isithako esingasebenziyo kwiicapsom ze-clomipramine. Buza ugqirha wakho okanye usokhemesti uluhlu lwezinto ezingasebenziyo.
• 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-clomipramine. Ukuba uyeka ukuthatha i-clomipramine, 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: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); benztropine (Cogentin); cimetidine (iTagamet); iklonidine (Catapres); i-dicyclomine (iBentyl); idigoxin (Lanoxin); ukungasebenzi kakuhle; i-flecainide (iTambocor); guanethidine (Ismelin); haloperidol (iHaldol); levodopa (iSinemet, iDopar); amayeza isicaphucaphu, isiyezi, okanye isifo sengqondo; imethylphenidate (Concerta, Metadate, Ritalin); izinto zokucwangcisa ngomlomo; phenobarbital; phenytoin; ipropafenone (Rythmol); quinidine; secobarbital (seconal); ukuthomalalisa; i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo efana ne-fluoxetine (Prozac, Sarafem), sertraline (Zoloft), kunye ne-paroxetine (Paxil); izinto zokuthomalalisa; kunye ne-trihexyphenidyl (Artane); kunye neevithamini. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akujonge ngononophelo kwiziphumo ebezingalindelekanga. Ugqirha wakho angakuxelela ukuba ungathathi i-clomipramine ukuba uyekile ukuthatha i-fluoxetine kwiiveki ezi-5 ezidlulileyo.
• xelela ugqirha wakho ukuba ngaba ukhe wahlaselwa sisifo sentliziyo kutshanje. Ugqirha wakho unokukuxelela ukuba akufanele uthathe i-clomipramine.
• xelela ugqirha wakho ukuba uphathwa ngonyango lwe-electroshock (inkqubo apho uhlaselo oluncinci lombane lwenziwa kwingqondo ukunyanga izigulo ezithile zengqondo), ukuba uyasela okanye wakha wasela izixa ezikhulu zotywala kwaye ukuba ukhe waxhuzula , ukonakala kwengqondo, iingxaki kwinkqubo yakho yokuchama okanye iprostate (ilungu lendoda lokuzala), ukubetha kwentliziyo okungaqhelekanga, iingxaki ngoxinzelelo lwegazi, iingxaki ze-thyroid, okanye intliziyo, izintso, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-clomipramine, biza ugqirha wakho.
• thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-clomipramine ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-clomipramine kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziswa ukunyanga imeko efanayo.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-clomipramine.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele kwaye lingonyusa umngcipheko wokuba ubambe. Sukuqhuba imoto, sebenzisa oomatshini, uqubha, okanye unyuke de ube uyazi indlela ekuchaphazela ngayo la mayeza.
• khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza.
• xelela ugqirha wakho ukuba usebenzisa iimveliso zecuba. Ukutshaya icuba kunokunciphisa ukusebenza kweli yeza.
• Kuya kufuneka uyazi ukuba i-clomipramine 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-Clomipramine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukozela
• umlomo owomileyo
• isicaphucaphu
• ukugabha
• urhudo
• ukuqhina
• uvalo
• ukunciphisa amandla esini
• ukunciphisa imemori okanye ukugxila
• intloko ebuhlungu
• Impumlo exineneyo
• utshintsho kwisidlo okanye ubunzima

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:

• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukuxhuzula
• ngokukhawuleza, ngokungaqhelekanga, okanye ukubetha kwentliziyo
• ubunzima bokuchama okanye ukulahleka kolawulo lwesinyi
• ukukholelwa izinto ezingeyonyani
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• ukungcangcazela
• ubunzima bokuphefumla okanye ukuphefumla ngokukhawuleza
• ukuqina kwemisipha kakhulu
• ukudinwa okungaqhelekanga okanye ubuthathaka
• umqala obuhlungu, umkhuhlane kunye neminye imiqondiso yosulelo

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 libanda kungaquka oku kulandelayo:

• ukuxhuzula
• isiqaqa (ukulahleka kwengqondo ixesha elithile)
• ukozela
• ukungazinzi
• ukulahleka koququzelelo
• ukubila
• izihlunu eziqinileyo
• iintshukumo ezingaqhelekanga
• ukubetha kwentliziyo ngokukhawuleza
• ukuphefumla okucothayo
• ukujika umbala oluhlaza okwesikhumba
• ifiva
• ukwandisa abafundi (izangqa ezimnyama embindini wamehlo)
• ukuncipha kokuchama

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.

• Anafranil^®