Citalopram

Umxholo

• Ngaphambi kokuba uthathe ikitalopram,
• I-Citalopram 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 esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO ATHILE, biza ugqirha ngoko nangoko 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-citalopram 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-citalopram, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-citalopram lelona nyango lilungileyo lokunyanga imeko yomntwana.

Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-citalopram 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; 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-citalopram, 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-citalopram. 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 (ukuphazamiseka, imo engaqhelekanga), okanye ucinga okanye uzame 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.

ICitalopram isetyenziselwa ukunyanga uxinzelelo. I-Citalopram ikwiklasi ye-anti-depressants ebizwa ngokuba yi-serotonin reuptake inhibitors (SSRIs) ekhethiweyo. Kucingelwa ukuba kusebenza ngokunyusa inani le-serotonin, into yendalo kwingqondo enceda ukugcina ulungelelwaniso lwengqondo.

ICitalopram iza njengecwecwe kunye nesisombululo (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa kanye ngemini, kusasa okanye ngokuhlwa, kunye okanye ngaphandle kokutya. Thatha ikitalopram malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha ikitalopram ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-citalopram kwaye ngokuthe ngcembe wandise idosi yakho, hayi rhoqo ngaphezulu kweveki.

Kungathatha iiveki ezi-1 ukuya kwezi-4 ngaphambi kokuba uqaphele isibonelelo esipheleleyo seCitalopram. Qhubeka nokuthatha ikitalopram nokuba uziva uphilile. Ukuba ngequbuliso uyeka ukuthatha i-citalopram, unokufumana iimpawu zokurhoxa ezinje ngokutshintsha kwemood, ukuba nochuku, ukuphazamiseka, isiyezi, ukuba ndindisholo, ukurhawuzelela okanye ukoyikeka kombane ezandleni okanye ezinyaweni, unxunguphalo, ukudideka, intloko ebuhlungu, ukudinwa, isicaphucaphu, ukubila, ukungcangcazela, kunye nobunzima bokulala okanye ukulala. Sukuyeka ukuthatha ikitalopram ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

I-Citalopram ngamanye amaxesha isetyenziselwa ukunyanga iingxaki zokutya, ukunxila, ukuphazamiseka (imeko ebangela uhlaselo ngequbuliso loloyiko olukhulu ngaphandle kwesizathu esibonakalayo), isifo sangaphambi kokuya exesheni (iqela leempawu ezibonakalayo nezomzimba ezenzeka ngaphambi kwexesha lokuya exesheni inyanga nenyanga), kunye ne-phobia yentlalo (uxinzelelo olugqithisileyo lokunxibelelana nabanye). 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 ikitalopram,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-citalopram, i-escitalopram (Lexapro), nawaphi na amanye amayeza, okanye nasiphi na isithako semveliso ye-citalopram oyithathayo. Thetha kumachiza wakho okanye ujonge isiKhokelo seMithi ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-pimozide (Orap) okanye i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), okanye tranylcypromine (Parnate) , okanye ukuba uyekile ukuthatha i-MAO inhibitor kwiintsuku ezili-14 ezidlulileyo. Ugqirha wakho uya kukuxelela ukuba ungathathi ikitalopram. Ukuba uyeka ukuthatha i-citalopram, kuya kufuneka ulinde ubuncinci iintsuku ezili-14 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• Kuya kufuneka uyazi ukuba i-citalopram ifana kakhulu nenye i-SSRI, i-escitalopram (Lexapro). Akufanele uthathe la mayeza amabini kunye.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye unyango kunye neevithamini ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zilandelayo: amiodarone (Cordarone); ii-anticoagulants (’izinciphisi zegazi’) ezifana ne-warfarin (Coumadin, Jantoven); i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezifana ne-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); carbamazepine (Tegretol); cimetidine (iTagamet); i-cisapride (iPropulsid); umchamo (‘iipilisi zamanzi); iDisopyramide (iNorpace); dofetilide (iTikosyn); i-erythromycin (i-EES E-Mycin, i-Erythrocin); heparin; lithium (Eskalith, Lithobid); amayeza oxinzelelo, iintlungu ezingapheliyo, ukugula ngengqondo, isifo sika-Parkinson, kunye nokuxhuzula; amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), kunye zolmitriptan (Zomig); imethylene eluhlaza okwesibhakabhaka; iMetoprolol (iLopressor, iTrolrol XL); moxifloxacin (Avelox); omeprazole (Prilosec, Zegerid); ezinye i-serotonin re-uptake inhibitors (SSRI) okanye amayeza e-serotonin-norepinephrine reuptake inhibitors (SNRI); Ukufumana kwakhona (iProcanbid, Pronestyl); quinidine (Quinidex); ukuthomalalisa; sibutramine (iMeridia); iipilisi zokulala; isotalol (iBetapace); sparfloxacin (iZagam); thioridazine (Mellaril); itramadol (Ultram); izinto zokuthomalalisa; kunye ne-tricyclic antidepressants efana ne-amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), itrimipramine (iSurmontil). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-citalopram, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• 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 omnye umntu kusapho lwakho une-QT syndrome (ingxaki enqabileyo yentliziyo enokubangela ukubetha kwentliziyo ngokungaqhelekanga, ukuphelelwa ngamandla, okanye ukufa ngesiquphe) kwaye ukuba usebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni okanye wawasebenzisa kakhulu amayeza kagqirha . Xelela ugqirha wakho ukuba ungaphezu kweminyaka engama-60 ubudala kwaye ukuba ukhe wabethwa yintliziyo ngokucothayo okanye ngokungaqhelekanga, uxinzelelo lwegazi oluphezulu; iingxaki zokopha; ukubetha; amanqanaba asezantsi e-magnesium okanye i-potassium egazini lakho, isifo sentliziyo, ukusilela kwentliziyo (imeko apho intliziyo ingakwazi ukumpompa igazi elaneleyo kwamanye amalungu omzimba) okanye ezinye iimeko zentliziyo; ukuxhuzula; okanye isifo sezintso okanye sesibindi. Xelela ugqirha wakho ukuba ufumana ukugabha okunzima, urhudo, okanye ukubila, okanye ukuba uziphuhlisa ezi mpawu nangaliphi na ixesha kunyango lwakho.
• xelela ugqirha wakho ukuba ukhulelwe, ngakumbi ukuba ukwinyanga ezimbalwa zokugqibela zokukhulelwa kwakho, okanye ukuba ucwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwa ngelixa uthatha i-citalopram, biza ugqirha wakho. I-Citalopram inokubangela iingxaki kwiintsana ezisandula ukuzalwa emva kokubeleka ukuba zithathiwe kwiinyanga zokugqibela zokukhulelwa.
• Kuya kufuneka uyazi ukuba i-citalopram inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• thetha nogqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngexesha lonyango nge-citalopram. Utywala bungenza iziphumo ebezingalindelekanga ze-citalopram zibe mbi.
• Kuya kufuneka uyazi ukuba i-citalopram 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-Citalopram inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• urhudo
• ukuqhina
• ukugabha
• isisu esibuhlungu
• isilungulela
• ukunciphisa ukutya
• ukuhla ukusinda
• ukuchama rhoqo
• ukudinwa kakhulu
• ukuzamla
• ubuthathaka
• ukushukuma okungalawulekiyo kwilungu lomzimba
• intlungu yesihlunu okanye edibeneyo
• umlomo owomileyo
• utshintsho kwi-sex drive okanye kubuchule
• amaxesha anzima okuya exesheni

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zidweliswe kumacandelo esiXwayiso ESIBALULEKILEYO okanye AMANYATHELO ATHILE, biza ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:

• iintlungu zesifuba
• ukuqhawukelwa ngumphefumlo
• isiyezi
• isiqaqa
• ukukhawuleza, ukukhawuleza, okanye ukubetha kwentliziyo
• i-hallucinating (ukubona izinto okanye ukuva amazwi angabikho)
• ifiva
• ukubila okugqithisileyo
• ukudideka
• isiqaqa (ukulahleka kwengqondo)
• ukulahleka koququzelelo
• izihlunu eziqinileyo okanye ezijijekileyo
• isifuba okanye amadyungudyungu
• irhashalala
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• ukopha okungaqhelekanga okanye ukugruzuka
• intloko ebuhlungu
• ukungazinzi
• iingxaki zokucinga, ukugxila, okanye inkumbulo
• ukuxhuzula

I-Citalopram 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 ikitalopram kumntwana wakho.

I-Citalopram 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:

• isiyezi
• ukubila
• isicaphucaphu
• ukugabha
• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukozela
• ngokukhawuleza, ngokungaqhelekanga, okanye ukubetha kwentliziyo
• ukulahleka kwememori
• ukudideka
• ukuxhuzula
• isiqaqa (ukulahleka kwengqondo)
• ukuphefumla ngokukhawuleza
• umbala oluhlaza okwesibhakabhaka ujikeleze umlomo, iminwe, okanye iinzipho
• iintlungu zemisipha
• umchamo omnyama-mnyama

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unoku-odola uvavanyo oluthile lwelabhoratri kunye ne-electrocardiograms (EKG; uvavanyo lokujonga ukubetha kwentliziyo yakho kunye nesingqisho) ngaphambi kokuba uqale ukuthatha i-citalopram kwaye ngexesha lonyango lwakho neliyeza.

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.

• UCelexa^®