Isocarboxazid

-Delile

• Ngaphambi kokuthatha i-isocarboxazid,
• Isocarboxazid 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 esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

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

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-isocarboxazid noma amanye ama-anti-depressants noma ngabe ungumuntu omdala ongaphezu kweminyaka engama-24 ubudala. 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 isocarboxazid, 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-isocarboxazid. 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.

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.

Isocarboxazid isetshenziselwa ukwelapha ukudangala kubantu abangazange basizwe ngamanye ama-anti-depressants. Isocarboxazid isekilasini lemithi ebizwa nge-monoamine oxidase (MAO) inhibitors. Isebenza ngokwandisa inani lezinto ezithile zemvelo ebuchosheni ezisiza ukugcina ukulinganisela kwengqondo.

Isocarboxazid iza njengethebhulethi ezothathwa ngomlomo. Imvamisa ithathwa phakathi kwezikhathi ezimbili noma ezine ngosuku. Thatha i-isocarboxazid ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-isocarboxazid njengoba iqondisiwe.

Gwinya amaphilisi ngamanzi noma ngolunye uketshezi. Uma ungeke ukwazi ukuwagwinya amaphilisi, ungawadiliza futhi uwagwinye amaphilisi aqhephukile ngokudla noma uketshezi.

Isocarboxazid ingahle yenze umkhuba. Ungathathi umthamo omkhulu, uthathe kaningi, noma uthathe isikhathi eside kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-isocarboxazid futhi kancane kancane akhuphule umthamo wakho, hhayi kaningi ngaphezu kwesisodwa njalo ezinsukwini ezi-2 kuye kwezi-4 ekuqaleni, bese hhayi kaningi ngaphezu kwesisodwa ngesonto. Ngemuva kokuthi izimpawu zakho zithuthuke, udokotela wakho cishe uzokwehlisa kancane kancane umthamo wakho we-isocarboxazid.

Isocarboxazid isetshenziselwa ukwelapha ukudangala kepha ayiyelaphi. Kungathatha amasonto amathathu kuya kwayisithupha noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-isocarboxazid. Tshela udokotela wakho uma izimpawu zakho zingathuthuki phakathi namasonto ayisithupha okuqala okwelashwa kwakho nge-isocarboxazid. Uma izimpawu zakho zithuthuka ngesikhathi sokwelashwa kwakho, qhubeka uthathe i-isocarboxazid. Ungayeki ukuthatha isocarboxazid ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-isocarboxazid,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-isocarboxazid, noma imuphi omunye umuthi, noma iziphi izithako ezingasebenzi kumaphilisi e-isocarboxazid. Buza usokhemisi wakho ukuthola uhlu lwezithako ezingasebenzi.
• ungathathi i-isocarboxazid uma uthatha noma uhlela ukuthatha noma imuphi umuthi kadokotela noma imishanguzo engabhaliswanga: eminye imishanguzo efana ne-amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan) , imipramine (Tofranil), maprotiline, nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), trimipramine (Surmontil), kanye ne-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-fluoxetine (Prozac), i-fluvoxamine (i-Luxetine), ne-sertraline (iZoloft); ama-amphetamine afana ne-amphetamine (e-Adderall), i-benzphetamine (i-Didrex), i-dextroamphetamine (i-Dexedrine, i-Dextrostat, e-Adderall), ne-methamphetamine (i-Desoxyn); ama-antihistamine; ama-barbiturates afana ne-pentobarbital (Nembutal), phenobarbital (Luminal), ne-secobarbital (Seconal); i-bupropion (iWellbutrin, iZyban); ibuspirone (BuSpar); i-caffeine (i-No-Doz, i-Quick-Pep, i-Vivarin); i-cyclobenzaprine (Flexeril); i-dextromethorphan (iRobitussin, abanye); isisu (‘amaphilisi amanzi’); i-duloxetine (iCymbalta); i-ephedrine (ngemishanguzo yokukhwehlela nemakhaza, eyayitholakala phambilini e-US njengesithako sezithako zokudla); i-epinephrine (i-Epipen); i-guanethidine (Ismelin; ayitholakali ngokuthengisa e-US); levodopa (Laradopa, eSinemet); imishanguzo yokungezwani komzimba, i-asthma, ukukhwehlela, nezimpawu ezibandayo, kufaka phakathi amaconsi ekhaleni; imishanguzo yomfutho wegazi ophakeme, ukugula ngengqondo, ukukhathazeka, ubuhlungu, noma ukwehlisa isisindo (amaphilisi okudla); imithi yokuquleka efana ne-carbamazepine (Tegretol); i-methyldopa (i-Aldomet); methylphenidate (Concerta, Metadate, Ritalin, abanye); amanye ama-MAO inhibitors anjenge phenelzine (Nardil), procarbazine (Matulane), tranylcypromine (Parnate), kanye ne selegiline (Eldepryl, Emsam, Zelapar); i-reserpine (iSerpalan); isidambisi; amaphilisi okulala; okokunciphisa umzimba; nemithi equkethe utshwala (Nyquil, elixirs, others). Tshela udokotela wakho uma usanda kuthatha noma iyiphi yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela noma ongayibhalisi, amavithamini, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: disulfiram (Antabuse); ukhilimu we-doxepin (iZonalon); i-insulini; imithi yomlomo yesifo sikashukela; nemithi yokuhlanza. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• kufanele wazi ukuthi i-isocarboxazid ingahlala emzimbeni wakho amasonto ama-2 ngemuva kokuyeka ukuthatha umuthi. Tshela udokotela wakho kanye nosokhemisi ukuthi usanda kuyeka ukuphuza i-isocarboxazid ngaphambi kokuba uqale ukuthatha noma yimiphi imithi emisha phakathi namasonto amabili okuqala ngemuva kokuyeka ukuphuza i-isocarboxazid.
• Tshela udokotela wakho uma uthatha noma iziphi izithasiselo zokudla okunempilo, ikakhulukazi i-phenylalanine (i-DLPA; equkethwe kumikhiqizo enoshukela efana ne-sodas yokudla kanye nokudla, imishanguzo yokuthenga, neminye imishanguzo kadokotela), i-tyrosine, noma i-tryptophan.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo schizophrenia (ukugula ngengqondo okubangela ukucabanga okuphazamisekile, ukulahlekelwa intshisekelo empilweni, kanye nemizwelo enamandla noma engajwayelekile). Tshela nodokotela wakho ukuthi wake wasebenzisa izidakamizwa zasemgwaqweni noma wasebenzisa ngokweqile imithi kadokotela futhi uma uke walimala ekhanda noma wake walimala; ukungasebenzi kahle; ikhanda; umfutho wegazi ophakeme; ubuhlungu besifuba; isifo senhliziyo; i-stroke noma i-mini-stroke; i-pheochromocytoma (isimila endlaleni encane eduze kwezinso); ukuquleka; isifo sikashukela; noma isibindi, izinso, i-thyroid, noma isifo senhliziyo.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-isocarboxazid, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, noma iyiphi inqubo ye-x-ray, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-isocarboxazid.
• kufanele wazi ukuthi i-isocarboxazid ingakwenza ukozele. Ungashayeli imoto, ushayele indiza, usebenzise imishini, ukhuphuke isitebhisi, noma usebenze ezindaweni eziphakeme uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Ungaphuzi utshwala ngenkathi uthatha i-isocarboxazid.
• kufanele wazi ukuthi i-isocarboxazid ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha isocarboxazid. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Ungase uthole ukusabela okungathi sína uma udla ukudla okune-tyramine enkulu ngesikhathi sokwelashwa kwakho nge-isocarboxazid. I-Tyramine itholakala ekudleni okuningi, kufaka phakathi inyama, izinkukhu, inhlanzi, noma ushizi oshunqisiwe, osugugile, ogcinwe ngendlela engafanele noma okonakele; izithelo ezithile, imifino, nobhontshisi; iziphuzo ezidakayo; nemikhiqizo yemvubelo ebilile. Udokotela wakho noma isazi sokudla uzokutshela ukuthi yikuphi ukudla okufanele ukugweme ngokuphelele, nokuthi yikuphi ukudla ongakudla ngamanani amancane. Kufanele futhi ugweme ukudla neziphuzo eziqukethe i-caffeine ngenkathi welashwa nge-isocarboxazid. Landela lezi zinkomba ngokucophelela. Buza udokotela wakho noma udokotela wezokudla uma unemibuzo mayelana nokuthi yini ongayidla nokuphuza ngesikhathi sokwelashwa kwakho.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekudlule amahora angaphezu kwangu-2 kusukela bekufanele uthathe umthamo, weqa umthamo ongabanjwanga bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Isocarboxazid ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• umlomo owomile
• ukuqunjelwa
• isifo sohudo
• ubuthakathaka
• ukukhathala ngokweqile
• ukukhohlwa
• kwehle ikhono lezocansi
• ukuchama kaningi, okubuhlungu, noma okunzima

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ikhanda
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• ubuhlungu besifuba
• ukujuluka
• imfiva
• Ukugodola
• kubanda, isikhumba se-clammy
• isiyezi
• ukuqina esifubeni noma emphinjeni
• intamo eqinile noma ebuhlungu
• isicanucanu
• ukuhlanza
• ukuquleka
• ukungaboni kahle
• ukuzwela ekukhanyeni
• abafundi abanzi (indilinga emnyama maphakathi neso)
• ukuphuzi kwesikhumba noma kwamehlo
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuqhuma okungazelelwe kwesitho somzimba
• isithuthwane
• ukuba ndikindiki, ukushiswa, noma ukuncinza ezingalweni noma emilenzeni

Isocarboxazid 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:

• ukushaya kwenhliziyo okusheshayo
• isiyezi
• ukuquleka
• ukungaboni kahle
• isicanucanu
• ikhoma (ukulahlekelwa ukwazi isikhathi eside)
• isithuthwane
• ukuphefumula kancane
• ingqondo eyehlisiwe
• imfiva
• ukujuluka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzohlola umfutho wegazi lakho kaningi futhi uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-isocarboxazid.

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.

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