I-Trimipramine

-Delile

• Ngaphambi kokuthatha i-trimipramine,
• I-Trimipramine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokudambisa ingcindezi ('mood elevators') efana ne-trimipramine phakathi nezifundo zomtholampilo baba ukuzibulala (becabanga ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo ). Izingane, intsha, kanye nabantu abadala abasebancane abathatha imishanguzo yokulwisana nokucindezelwa ukwelapha ukudangala noma ezinye izifo zengqondo bangase babe sethubeni lokuzibulala kunezingane, intsha kanye nabantu abadala abangawasebenzisi ama-anti-depressants ukwelapha lezi zimo. Kodwa-ke, ochwepheshe abaqiniseki ngokuthi le ngozi ingakanani nokuthi kufanele icatshangelwe kangakanani ekunqumeni ukuthi ingane noma osemusha kufanele yini athathe i-anti-depressant. Izingane ezingaphansi kweminyaka engu-18 ubudala akufanele zivame ukuthatha i-trimipramine, kodwa kwezinye izimo, udokotela anganquma ukuthi i-trimipramine iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-trimipramine noma amanye ama-anti-depressants noma ngabe ungumuntu omdala ongaphezu kweminyaka engama-24. Ungazibulala, ikakhulukazi ekuqaleni kokwelashwa kwakho futhi noma nini lapho umthamo wakho wanda noma kwehlile. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukucindezeleka okusha noma okuya kuba kubi; ukucabanga ngokuzilimaza noma ukuzibulala, noma ukuhlela noma ukuzama ukwenza kanjalo; ukukhathazeka ngokweqile; ukuyaluza; ukwethuka; ubunzima bokulala noma ukulala; isimilo esinolaka; ukucasuka; ukwenza ngaphandle kokucabanga; ukungahlaliseki okukhulu; nokuhlanya okungajwayelekile. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukushayela udokotela lapho ungakwazi ukufuna ukwelashwa ngokwakho.

Umhlinzeki wakho wezokunakekelwa kwempilo uzofuna ukukubona kaningi ngenkathi uthatha i-trimipramine, ikakhulukazi ekuqaleni kokwelashwa kwakho. Qiniseka ukuthi ugcina wonke ama-aphoyintimenti wokuvakashelwa ehhovisi nodokotela wakho.

Udokotela noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-trimipramine. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo.Ungathola futhi i-Medication Guide kuwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273.

Akunandaba ukuthi uneminyaka emingaki, ngaphambi kokuba uthathe i-anti-depressant, wena, umzali wakho, noma umnakekeli wakho kufanele ukhulume nodokotela wakho ngezingozi nezinzuzo zokwelapha isimo sakho nge-anti-depressant noma ngezinye izindlela zokwelapha. Kufanele futhi ukhulume ngobungozi nezinzuzo zokungaselaphi isimo sakho. Kufanele wazi ukuthi ukuba nokudangala noma esinye isifo sengqondo kusandisa kakhulu ingozi yokuthi uzozibulala. Le ngozi ingaphezulu uma wena noma omunye emndenini wakho unenkinga yokuphazamiseka kwengqondo okuguquguqukayo (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile) noma imania (edidekile, ejabule ngokweqile) noma uke wacabanga noma wazama ukuzibulala. Khuluma nodokotela wakho ngesimo sakho, izimpawu zakho, nomlando wakho wezempilo nowomndeni. Wena nodokotela wakho niyonquma ukuthi hlobo luni lwezokwelapha olulungele nina.

I-Trimipramine isetshenziselwa ukwelapha ukucindezeleka. I-Trimipramine isekilasini lemithi ebizwa nge-tricyclic antidepressants. Isebenza ngokwandisa inani lezinto ezithile zemvelo ebuchosheni ezidingekayo ukugcina ukulinganisela kwengqondo.

I-Trimipramine iza njengephilisi elizothathwa ngomlomo. Imvamisa ithathwa kathathu noma kathathu ngosuku. Thatha i-trimipramine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-trimipramine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho uzokuqala ngomthamo ophansi we-trimipramine futhi akhuphule kancane umthamo wakho.

Kungathatha amasonto amane ngaphambi kokuzwa inzuzo ye-trimipramine. Qhubeka uthathe i-trimipramine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-trimipramine ngaphandle kokukhuluma nodokotela wakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-trimipramine,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-trimipramine, i-clomipramine (i-Anafranil), i-desipramine (i-Norpramin), i-imipramine (i-Tofranil), noma yimuphi omunye umuthi, noma iziphi izithako ezikuma-capsules e-trimipramine. Buza udokotela wakho noma usokhemisi uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitors, kufaka phakathi isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) kanye ne-tranylcypromine (i-Parnate) noma uma uthathe i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-trimipramine.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-cimetidine (Tagamet); ama-decongestants; i-guanethidine (Ismelin); ipratropium (Atrovent); imishanguzo yezifo zamathumbu ezicasulayo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; imishanguzo yokushaya kwenhliziyo okungajwayelekile njengequinidine (Quinidex), flecainide (Tambocor), nepropafenone (Rythmol); amanye ama-anti-depressants; kanye ne-serotonin reuptake inhibitors ekhethiwe (SSRIs) efana ne-fluoxetine (i-Prozac, i-Sarafem), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft). Tshela udokotela wakho noma usokhemisi uma uyekile ukuthatha i-fluoxetine (i-Prozac, i-Sarafem) emasontweni ama-5 edlule. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-trimipramine.
• utshele udokotela wakho uma uke wakhulisa noma wake wakhulisa i-prostate (indlala yokuzala yowesilisa), ubunzima bokuchama, isifo se-thyroid, ukuquleka, noma isifo senhliziyo, sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-trimipramine, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-trimipramine uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-trimipramine ngoba akuphephile futhi akusebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-trimipramine.
• kufanele wazi ukuthi i-trimipramine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.
• hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. I-Trimipramine ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
• kufanele wazi ukuthi i-trimipramine ingadala i-angle-closure glaucoma (isimo lapho uketshezi luvinjwe ngokuzumayo futhi lungakwazi ukuphuma esweni kubangele ukwanda okusheshayo, okunzima kwengcindezi yamehlo okungaholela ekulahlekelweni kombono). Khuluma nodokotela wakho ngokuhlolwa iso ngaphambi kokuba uqale ukusebenzisa le mithi. Uma unesicanucanu, ubuhlungu beso, izinguquko embonweni, njengokubona izindandatho ezinemibala ezungeze izibani, nokuvuvukala noma ukubomvu ngaphakathi noma ezungeze iso, shayela udokotela wakho noma uthole ukwelashwa okuphuthumayo ngokushesha.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Trimipramine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ubuhlungu besisu
• ukozela
• ubuthakathaka noma ukukhathala
• injabulo noma ukukhathazeka
• ukudideka
• isiyezi
• ikhanda
• amaphupho amabi
• umlomo owomile
• ushintsho ekudleni noma isisindo
• ukuqunjelwa
• ubunzima bokuchama
• ukuchama kaningi
• izinguquko ku-sex drive noma ikhono
• ukujuluka okweqile
• kukhala ezindlebeni
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• imihlathi, intamo, kanye nokuqaqamba kwemisipha emuva
• inkulumo ehamba kancane noma enzima
• ukuhamba ngokushova
• ukuzamazama okungalawuleki kwengxenye yomzimba
• umkhuhlane nomphimbo obuhlungu
• ukuphefumula kanzima noma ukugwinya
• ukuqubuka
• ukuphuzi kwesikhumba noma kwamehlo
• isithuthwane
• ukubona izinto noma ukuzwa amazwi angekho (hallucinating)
• ubuhlungu besifuba
• ukushaya kwenhliziyo okushaya ngamandla noma okungajwayelekile

I-Trimipramine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Surmontil^®