I-Escitalopram

-Delile

• Ngaphambi kokuthatha i-escitalopram,
• I-Escitalopram 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, Biza udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokudambisa ingcindezi ('mood elevators') efana ne-escitalopram 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 eyi-12 akufanele zivame ukuthatha i-escitalopram, kepha kwezinye izimo, udokotela anganquma ukuthi i-escitalopram iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-escitalopram noma amanye ama-anti-depressants noma ngabe umdala ngaphezu kweminyaka engama-24. Ungase uzibulale, ikakhulukazi ekuqaleni kokwelashwa kwakho futhi nganoma yisiphi isikhathi lapho umthamo wakho wanda noma wehla.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 ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

Umhlinzeki wakho wezokunakekelwa kwempilo uzofuna ukukubona kaningi ngenkathi uthatha i-escitalopram, 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-escitalopram. 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/ucm085729.htm.

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. Tshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enesifo sokuphazamiseka kwengqondo okuguquguqukayo (imizwa eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile) noma i-mania (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-Escitalopram isetshenziselwa ukwelapha ukucindezeleka kubantu abadala nasezinganeni nasebusheni eminyakeni eyi-12 edlule noma ngaphezulu. I-Escitalopram nayo isetshenziselwa ukwelapha ukukhathazeka okujwayelekile (i-GAD; ukukhathazeka ngokweqile nokungezwani okuphazamisa impilo yansuku zonke futhi kuhlala izinyanga eziyisithupha noma ngaphezulu) kubantu abadala. I-Escitalopram isekilasini lama-anti-depressants abizwa ngokuthi yi-serotonin reuptake inhibitors (SSRIs) ekhethiwe. Isebenza ngokwandisa inani le-serotonin, into yemvelo ebuchosheni esiza ukugcina ukulinganisela kwengqondo.

I-Escitalopram iza njengethebhulethi kanye nesisombululo (uketshezi) esizothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-escitalopram, yithathe cishe ngesikhathi esifanayo nsuku zonke, ekuseni noma kusihlwa. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-escitalopram njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-escitalopram futhi akhuphule umthamo wakho ngemuva kweviki elilodwa.

Kungathatha i-1 kuye kumaviki ama-4 noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-escitalopram. Qhubeka nokuthatha i-escitalopram noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-escitalopram ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-escitalopram, ungahle uhlangabezane nezimpawu zokuhoxa njengokushintsha kwemizwelo, ukucasuka, isicanucanu, isizungu, ukushisa, ukuba ndikindiki, noma ukuhayiza ezandleni noma ezinyaweni, ukukhathazeka, ukudideka, ikhanda, ukujuluka, ukukhathala, nobunzima bokuwa ukulala noma ukuhlala ulele. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

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

Ngaphambi kokuthatha i-escitalopram,

• Tshela udokotela noma usokhemisi wakho uma unegciwane ku-escitalopram, citalopram (Celexa), noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi noma isixazululo. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-pimozide (Orap) noma i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuthatha i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-escitalopram. Uma uyeka ukuthatha i-escitalopram, kufanele ulinde okungenani izinsuku eziyi-14 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• kufanele wazi ukuthi i-escitalopram ifana kakhulu nenye i-SSRI, i-citalopram (uCelexa). Akufanele uthathe le mithi emibili ndawonye.
• Tshela udokotela wakho noma usokhemisi ukuthi imiphi imishanguzo kadokotela noma ongayinikeli kadokotela namavithamini owathathayo noma ohlela ukuwaphuza. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin); ama-amphetamine afana ne-amphetamine (e-Adderall, e-Mydayis), i-dextroamphetamine (i-Dexedrine, e-Adderall), ne-methamphetamine (i-Desoxyn); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); buspirone; carbamazepine (Tegretol); i-cimetidine (Tagamet); isisu (‘amaphilisi amanzi’); i-fentanyl (Actiq, Duragesic, Fentora, Lazanda, Subsys); ketoconazole (Sporanox); i-lithium (i-Lithobid); i-linezolid (iZyvox); imithi yokukhathazeka, ukugula kwengqondo, noma ukuquleka; imithi yezinhlungu ze-migraine ezifana ne-almotriptan, i-eletriptan (i-Relpax), i-frovatriptan (i-Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (i-Imitrex, i-Tosymra, i-Treximet), ne-zolmitriptan (iZomig); i-metoprolol (iLopressor, iTrolrol XL); enye i-serotonin re-uptake inhibitors ekhethiwe (SSRI) noma i-serotonin – norepinephrine reuptake inhibitors (SNRI) ekhethiwe; isidambisi; amaphilisi okulala; i-tramadol (i-Conzip, i-Qdolo, i-Ultram, ku-Ultracet); okokunciphisa umzimba; nama-tricyclic antidepressants anjenge-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimipramine. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi iziphi izithako zokudla okunempilo kanye nemikhiqizo yamakhambi oyithathayo, ikakhulukazi imikhiqizo equkethe iSt John's wort noma i-tryptophan.
• utshele udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo futhi uma uke waba nomfutho wegazi ophakeme noma wake waba nawo noma wake waba nawo isifo sohlangothi; izinkinga zokopha; ukuquleka; noma isibindi, izinso, noma isifo senhliziyo.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-escitalopram, shayela udokotela wakho. I-Escitalopram ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-escitalopram.
• kufanele wazi ukuthi i-escitalopram ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.
• kufanele wazi ukuthi i-escitalopram 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-Escitalopram ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• isifo sohudo
• ukuqunjelwa
• izinguquko ku-sex drive noma ikhono
• ukozela
• ukujuluka okwandayo
• isiyezi
• isilungulela
• ubuhlungu besisu
• ukukhathala ngokweqile
• umlomo owomile
• ukuncipha kokudla
• ukuncipha komzimba
• izimpawu ezinjengomkhuhlane
• ikhala eligijimayo
• ukuthimula

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

• injabulo engajwayelekile
• ukubona izinto noma ukuzwa amazwi angekho (hallucinating)
• ukuqubuka
• isifuba noma amabhamuza
• ukulunywa
• imfiva
• ubuhlungu obuhlangene
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• umkhuhlane, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha okunzima noma ukudikiza, ukuyaluza, ukubona izinto ezingekho, ukwehluleka ukuhlangana, isicanucanu, ukuhlanza noma isifo sohudo
• ukopha okungajwayelekile noma ukulimaza
• ikhanda
• ukungazinzi
• izinkinga zokucabanga, ukugxila, noma inkumbulo
• isithuthwane

I-Escitalopram 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).

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.

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

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.

Izimpawu zokudlula ngokweqile zingafaka:

• isiyezi
• isicanucanu
• ukuhlanza
• ukozela
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• isithuthwane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory (ikakhulukazi lezo ezibandakanya i-methylene blue), tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-escitalopram.

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-Lexapro^®