Sertraline

Umxholo

• Ngaphambi kokuba uthathe i-sertraline,
• I-Sertraline 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-sertraline 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-sertraline okanye ezinye izinto ezichasayo nokuba sele 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; ixhala elitsha okanye elibi; 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-sertraline, 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-sertraline. 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-Sertraline isetyenziselwa ukunyanga uxinzelelo, ukuphazamiseka okunyanzelekileyo (iingcinga eziphazamisayo ezingayi kuhamba kunye nesidingo sokwenza isenzo esithile ngaphezulu), uloyiko (ngesiquphe, uhlaselo olungalindelekanga loloyiko olukhulu kunye nexhala malunga nolu hlaselo), emva Ukuphazamiseka koxinzelelo (ukuphazamisa iimpawu zengqondo ezikhula emva kwamava awoyikisayo), kunye noxinzelelo lwentlalo (uloyiko olukhulu lokunxibelelana nabanye okanye ukwenza phambi kwabanye okuphazamisa ubomi obuqhelekileyo). Isetyenziselwa ukunciphisa iimpawu zesifo sokuphamba kwangaphambi kokuya exesheni, kubandakanya ukutshintsha kwemozulu, ukuba nochuku, ukudumba kunye nokuthamba kwebele. I-Sertraline ikwiklasi ye-anti-depressants ebizwa ngokuba yi-serotonin reuptake inhibitors (SSRIs) ekhethiweyo. Isebenza ngokwandisa inani le-serotonin, into yendalo kwingqondo enceda ukugcina ulungelelwaniso lwengqondo.

I-Sertraline iza njengecwecwe kunye nomxube (ulwelo) oza kuthathwa ngomlomo. Ihlala ithathwa kanye yonke imihla kusasa okanye ngokuhlwa. Ukunyanga ukuphazamiseka kwangaphambi kokuya exesheni, i-sertraline ithathwa kanye ngemini, nokuba yeyiphi na inyanga okanye ngeentsuku ezithile zenyanga. Thatha i-sertraline malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-sertraline ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Umxube weSertraline kufuneka uxutywe ngaphambi kokusetyenziswa. Ngokukhawuleza ngaphambi kokuyithatha, sebenzisa i-dropper enikeziweyo ukususa isixa soxinzelelo ugqirha akuxelele ukuba usithathe. Xuba ugxobhozo nee-ounces ezi-4 (i-1/2 yekomityi [yeemililitha eziyi-120] zamanzi, ijinja ale, ilamuni okanye isoda yesoda, ilamonade, okanye incindi yeorenji. Emva kokuxuba, isisombululo esixutywe sisenokuba mfiliba; oku kuqhelekile. Sukuxuba ukugxila kunye nolunye ulwelo ngaphandle kwezo zidwelisiweyo. Sela isisombululo esicocekileyo kwangoko.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-sertraline kwaye ngokuthe ngcembe wandise idosi yakho, hayi ngaphezulu kw kanye ngeveki.

Ingathatha iiveki ezimbalwa okanye ngaphezulu ngaphambi kokuba uzive ngokupheleleyo nge-sertraline. Qhubeka nokuthatha i-sertraline nokuba uziva uphilile. Sukuyeka ukuthatha i-sertraline ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngequbuliso ukuthatha i-sertraline, unokufumana iimpawu zokurhoxa ezinje ngokuba ngathi ubucaphucaphu, ukubila, ukudakumba, ukutshintsha kwemood, ukuphazamiseka engqondweni okanye ukonwaba ngendlela engaqhelekanga, ukuba nochuku, ixhala, ukudideka, isiyezi, intloko ebuhlungu, ukudinwa, ukuxhuzula, ukukhala ezindlebeni, ukuba ndindisholo okanye ukurhawuzelela iingalo, imilenze, izandla, okanye iinyawo, ubunzima bokulala okanye ukulala.

I-Sertraline ikwasetyenziswa ngamanye amaxesha ukunyanga iintloko kunye neengxaki zesini. 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-sertraline,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-sertraline, nawaphi na amanye amayeza, naziphi na izithako kumalungiselelo e-sertraline, okanye i-latex (efumaneka kwi-dropper ye-concentrate). Ngaphambi kokuba uthathe i-sertraline ye-liquid concentrate, xelela ugqirha wakho ukuba ngaba uxabisa kwi-latex. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate), okanye uyekile ukuwathatha kwiiveki ezi-2 ezidlulileyo, okanye ukuba uthatha ipimozide (Orap). Ugqirha wakho uya kukuxelela ukuba ungathathi i-sertraline. Ukuba uyeka ukuthatha i-sertraline, kuya kufuneka ulinde ubuncinci iiveki ezi-2 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• musa ukuthatha i-disulfiram (Antabuse) ngelixa uthatha ukugxila ngomlomo kwe-sertraline.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qinisekisa ukukhankanya nayiphi na kwezi zilandelayo: amiodarone (Nexterone, Pacerone); amphetamines; ii-anticoagulants ('igazi elincinci') njenge-warfarin (Coumadin, Jantoven) kunye neherparin; i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezifana ne-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); atomoxetine (eStraterra); buspirone, chlorpromazine; i-clopidogrel (Plavix), i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwi-Nuedexta); fentanyl (Actiq, Duragesic, Fentora), droperidol (Inapsine); erythromycin (EES, Eryc, Ery-tab, nabanye); fosphenytoin (iCerebyx); i-gatifloxacin (iZymar, iZymaxid); iloperidone (iFanapt); amayeza oxinzelelo, ukugula ngengqondo, isifo sika-Parkinson, kunye nokuxhuzula; amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-flecainide (Tambocor) kunye nepropafenone (Rythmol); iMetoprolol (iLopressor, iTrolrol XL); amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), kunye zolmitriptan (Zomig); mefloquine; imethadone (iDolophine, iMethadose); moxifloxacin (Avelox); i-nebivolol (Bystolic, kwi-Byvalson); ipentamidine (Nebupent, Pentam); iperphenazine; phenytoin (iDilantin, iPhenytek); ukuvelisa; quinidine (kwiNuedexta); ukuthomalalisa; sibutramine (iMeridia); 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, iSotylize); itacrolimus (Astagraf, Envarsus XR, Prograf); thoridazine; itolterodine (Detrol); iTramadol (iConzip, i-Ultram); izinto zokuthomalalisa; i-tricyclic antidepressants (’mood elevators’) ezinjenge desipramine (Norpramin) okanye protriptyline (Vivactil); okanye i-ziprasidone (Geodon). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi iimveliso zamayeza kunye nezongezelelo zesondlo ozithathayo, ngakumbi iSt John's wort kunye ne-tryptophan.
• xelela ugqirha wakho ukuba ngaba ubusandula ukuba nesifo sentliziyo okanye ukubetha okanye ukuba unoxinzelelo oluphezulu lwegazi, iingxaki zokopha, inqanaba eliphantsi le-sodium egazini lakho kwaye ukuba ukhe waxhuzula okanye wakha waxhuzula okanye isifo sesibindi okanye sentliziyo.
• xelela ugqirha wakho ukuba ukhulelwe, ngakumbi ukuba ukwinyanga ezimbalwa ezidlulileyo zokukhulelwa kwakho, okanye ukuba ucwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwa ngelixa uthatha i-sertraline, tsalela umnxeba ugqirha wakho. I-Sertraline inokubangela iingxaki kwiintsana ezisanda kuzalwa emva kokubeleka ukuba zithathiwe kwiinyanga zokugqibela zokukhulelwa.
• Kuya kufuneka uyazi ukuba i-sertraline inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-sertraline.
• Kuya kufuneka uyazi ukuba i-sertraline 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 elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

• isicaphucaphu
• urhudo
• ukuqhina
• ukugabha
• ubunzima bokulala okanye ukulala
• umlomo owomileyo
• isilungulela
• Ukuphelelwa ngumdla wokutya
• utshintsho lobunzima
• isiyezi
• ukudinwa kakhulu
• intloko ebuhlungu
• uvalo
• ukushukuma okungalawulekiyo kwilungu lomzimba
• utshintsho kwi-sex drive okanye kubuchule
• ukubila okugqithisileyo

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

• ukuxhuzula
• ukopha ngokungaqhelekanga okanye ukugruzuka
• Ukuphazamiseka, ukubona izinto ezingekhoyo, umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo, ukungcangcazela, ukuqina kwemisipha okanye ukujijeka, ukulahleka kokulungelelaniswa, isicaphucaphu, ukugabha, okanye urhudo
• intloko, ubuthathaka, ukungazinzi, ukudideka, okanye iingxaki zememori
• irhashalala
• urhwebo
• ukudumba
• ubunzima bokuphefumla

I-Sertraline 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 i-sertraline emntwaneni wakho.

I-Sertraline 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 libanda kungaquka oku kulandelayo:

• ukozela
• Ukuphazamiseka, ukubona izinto ezingekhoyo, umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo, ukungcangcazela, ukuqina kwemisipha okanye ukujijeka, ukulahleka kokulungelelaniswa, isicaphucaphu, ukugabha, okanye urhudo
• ukudinwa kakhulu
• isiyezi
• ukuphazamiseka
• imania
• ukuxhuzula
• ukulahleka kwengqondo

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-sertraline.

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.

• Zoloft^®