I-Protriptyline

-Delile

• Ngaphambi kokuthatha i-protriptyline,
• I-Protriptyline ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokulwa nengcindezi ('mood elevators') efana ne-protriptyline 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-protriptyline, kodwa kwezinye izimo, udokotela anganquma ukuthi i-protriptyline iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-protriptyline noma amanye ama-anti-depressants noma ngabe umdala ngaphezu 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-protriptyline, 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-protriptyline. 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.

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

I-Protriptyline iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kathathu noma kane ngosuku. Thatha i-protriptyline ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-protriptyline ncamashi njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-protriptyline futhi akhuphule kancane umthamo wakho. Udokotela wakho anganciphisa umthamo wakho ngemuva kokulawulwa kwesimo sakho.

I-Protriptyline ilawula ukudangala kepha ayikulapheki. Qhubeka uthathe i-protriptyline noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-protriptyline ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-protriptyline, ungahle uhlangabezane nezimpawu zokuhoxa ezifana nesicanucanu, ikhanda elibi, nokuntuleka kwamandla.

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

Ngaphambi kokuthatha i-protriptyline,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-protriptyline noma eminye imithi.
• Tshela udokotela wakho uma uthatha i-cisapride (Propulsid) (ayitholakali e-U.S.) noma i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan); i-phenelzine (i-Nardil), i-selegiline (i-Eldepryl, i-Emsam, i-Zelapar), ne-tranylcypromine (i-Parnate), noma uma uthathe i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho uzokutshela ukuthi akufanele uthathe i-protriptyline.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone, Pacerone); ama-antihistamine; i-bupropion (Wellbutrin); i-celecoxib (Celebrex); i-cimetidine (Tagamet); i-doxorubicin (Adriamycin); i-guanethidine (Ismelin); ipratropium (Atrovent); imishanguzo yokukhathazeka, isifuba somoya, imikhuhlane, isifo sikashukela, isifo samathumbu esibuhlungu, ukugula kwengqondo, ukugula okunyakazayo, isifo sikaParkinson, ukuquleka, izilonda, noma izinkinga zomchamo; imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-flecainide (Tambocor), i-moricizine (i-Ethmozine), ne-propafenone (i-Rythmol); i-methadone (i-Dolophine); i-metoclopramide (Reglan); amanye ama-anti-depressants; i-quinidine; i-ranitidine (iZantac); i-reserpine (i-Serpasil); i-ritonavir (i-Norvir); ama-serotonin reuptake inhibitors (SSRIs) akhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); isidambisi; amaphilisi okulala; i-terbinafine (iLamisil); imishanguzo yegilo; i-tramadol (i-Ultram); kanye nezithambisi. 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 uzokutshela ukuthi ungathathi i-protriptyline.
• utshele udokotela wakho uma uphuza kakhulu utshwala; uma uthola ukwelashwa kwe-electroshock (inqubo lapho kunikezwa khona ama-shock amancane kagesi ebuchosheni ukwelapha izifo ezithile zengqondo); noma uma uke waba ne-prostate enwetshiwe (isitho sowesilisa sokuzala), ubunzima bokuchama, ukugula ngengqondo, ukuquleka, i-hyperthyroidism (indlala yegilo eyeqile), noma isifo sikashukela.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-protriptyline, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-protriptyline uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-protriptyline ngoba ayiphephile futhi ayisebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-protriptyline.
• kufanele wazi ukuthi i-protriptyline 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-Protriptyline ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
• kufanele wazi ukuthi i-protriptyline ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-protriptylineline. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-protriptyline 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-Protriptyline ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• izinguquko zesisindo
• ukunambitheka okungavamile emlonyeni
• ubuhlungu besisu noma amajaqamba
• isilungulela
• umlomo owomile
• ukuqunjelwa
• ukozela
• isiyezi
• amaphupho amabi
• ikhanda
• ukuchama njalo, ikakhulukazi ebusuku
• ubunzima bokuchama
• abafundi abanzi
• izinguquko ku-sex drive noma ikhono
• ukukhuliswa kwamabele kwabesilisa nabesifazane
• ukungazinzi
• kukhala ezindlebeni
• ukulahleka kwezinwele
• ukuqhuma
• ukujuluka
• ulimi olumnyama

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:

• inkulumo ehamba kancane noma enzima
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ukuchoboza ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo, okushaya ngamandla, noma okungajwayelekile
• ukuqubuka noma isifuba
• ukulunywa
• ukuvuvukala kobuso noma kolimi
• ukuphuzi kwesikhumba noma kwamehlo
• imihlathi, intamo, kanye nokuqaqamba kwemisipha emuva
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuquleka
• ukuhamba kanzima
• ukopha okungajwayelekile noma ukulinyazwa
• isithuthwane
• ukudideka
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• ukukholwa izinto ezingelona iqiniso
• imfiva
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni

I-Protriptyline 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukushaya kwenhliziyo okungajwayelekile
• ukulahlekelwa ukwazi
• ukuquleka
• isithuthwane
• ukudideka
• izinkinga zokugxila
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• ukuyaluza
• ukozela
• imisipha eqinile
• ukuhlanza
• imfiva
• ukushisa komzimba okubandayo

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-Vivactil^®