I-Milnacipran

-Delile

• Ngaphambi kokuthatha i-milnacipran,
• IMilnacipran ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

IMilnacipran ayisetshenziswanga ukwelapha ukudangala, kepha ingeyesigaba semithi esifanayo nemithi eminingi elwa nokudangala. Ngaphambi kokuba uthathe i-milnacipran, kufanele wazi izingozi zokuthatha imishanguzo yokulwa nezingcindezi ngoba ukuthatha i-milnacipran kungaba nezingozi ezifanayo. Ngesikhathi sokuhlolwa komtholampilo, lolu hlobo lwe-antidepressant ('mood elevator') lwadala ukuthi inani elincane lezingane, intsha kanye nabantu abadala (abafika eminyakeni engama-24) bazibulale (bacabange ukuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukukwenza ngakho). 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 ingakanani le ngozi engakanani nokuthi kufanele icatshangelwe kangakanani ekunqumeni ukuthi ingane noma intsha kufanele ilashwe ngomuthi wokulwa nokucindezelwa noma onjenge-anti-depressant. Izingane ezingaphansi kweminyaka engu-18 ubudala akufanele zivame ukuthatha i-milnacipran, kodwa kwezinye izimo, udokotela anganquma ukuthi i-milnacipran iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-milnacipran 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, injabulo engajwayelekile. 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-milnacipran, 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-milnacipran. 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 noma umnakekeli wakho kufanele ukhulume nodokotela wakho ngezingozi nezinzuzo zokwelapha isimo sakho nge-milnacipran noma ngezinye izindlela zokwelapha. Kufanele futhi ukhulume ngobungozi nezinzuzo zokungaselaphi isimo sakho. Yize ukuthatha imilnacipran noma imishanguzo efanayo kungandisa ubungozi bokuthi uzozibulala, kufanele wazi ukuthi kunezinye izinto ezandisa le ngozi. Uma unesifo sokudangala noma esinye isifo sengqondo, kunengozi enkulu kakhulu yokuthi uzozibulala. Le ngozi ingaphezulu uma wena noma omunye emndenini wakho unenkinga yokuphazamiseka kwengqondo okuguquguqukayo (imoji eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile), imania (ukukhungatheka, imizwa ejabule ngokungajwayelekile), 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.

IMilnacipran isetshenziselwa ukwelapha i-fibromyalgia (isimo esihlala isikhathi eside esingadala ubuhlungu, ukuqina kwemisipha nobumnene, ukukhathala, nobunzima bokulala noma ukulala). IMilnacipran isekilasini lemithi ebizwa nge-serotonin ekhethiwe ne-norepinephrine reuptake inhibitors (SNRIs). Isebenza ngokwandisa inani le-serotonin ne-norepinephrine, izinto zemvelo ezisiza ukumisa ukuhamba kwezimpawu zobuhlungu ebuchosheni.

IMilnacipran iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kabili ngosuku. IMilnacipran ingathathwa nokudla noma ngaphandle kokudla, kepha ukuyithatha nokudla kuzonciphisa amathuba okuthi imilnacipran izokhathaza isisu sakho. Thatha i-milnacipran ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-milnacipran njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho uzokuqala ngomthamo ophansi wemilnacipran futhi akhuphule kancane umthamo wakho ngesonto lokuqala lokwelashwa.

IMilnacipran ingasiza ukulawula izimpawu ze-fibromyalgia, kepha ngeke iyelaphe. Ungayeki ukuthatha i-milnacipran ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-milnacipran, ungahlangabezana nezimpawu zokuhoxa njengokushintshashintsha kwemizwelo, ukucasuka, isicanucanu, isiyezi, ukuba ndikindiki noma ukuncinza ezandleni noma ezinyaweni, ukukhathazeka, ukudideka, ikhanda, ukukhathala, ubunzima bokulala noma ukulala, ukukhala izindlebe, injabulo engajwayelekile, noma ukuquleka. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

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

Ngaphambi kokuthatha i-milnacipran,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-milnacipran, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi e-milnacipran. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuthatha i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-milnacipran. Uma uyeka ukuthatha i-milnacipran, udokotela wakho angakutshela ukuthi kufanele ulinde okungenani izinsuku ezi-5 ngaphambi kokuba uqale ukuthatha i-MAO inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela noma ongayinikezwa, amavithamini, noma imikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); buspirone; i-clonidine (iCatapres); i-digoxin (i-Lanoxicaps, i-Digitek, i-Lanoxin); isisu (‘amaphilisi amanzi’); i-epinephrine (Epipen, Primatene Mist); fentanyl (Abstral, Actiq, Fentora, Onsolis, abanye); lithium (Eskalith, Lithobid); imishanguzo yokukhathazeka, ukugula kwengqondo, ubuhlungu, noma ukuquleka; imithi yezinhlungu ze-migraine ezifana ne-almotriptan (Axert), i-eletriptan (i-Relpax), i-frovatriptan (i-Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (i-Imitrex), ne-zolmitriptan (iZomig); isidambisi; i-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); amaphilisi okulala; i-tramadol; okokunciphisa umzimba; i-serotonin / norepinephrine reuptake inhibitors ekhethiwe (SNRIs) efana ne-duloxetine (Cymbalta), desvenlafaxine (Pristiq), ne-venlafaxine (Effexor); kanye nama-tricyclics antidepressants anjenge-amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), i-trimipramine (iSurmontil). 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 iSt John's wort ne-tryptophan.
• Tshela udokotela wakho uma une-glaucoma (ingcindezi eyengeziwe esweni engaholela ekulahlekelweni kombono). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-milnacipran.
• utshele udokotela wakho uma uphuza noma wake waphuza utshwala obuningi nokuthi uke waba nomfutho wegazi ophakeme noma wake; ukuquleka; ukushaya kwenhliziyo okungajwayelekile; i-prostate ekhulisiwe noma evuvukile (indlala yokuzala yowesilisa); ubunzima bokuchama; izinkinga zokopha; noma isifo senhliziyo, sezinso, noma sesibindi.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-milnacipran, shayela udokotela wakho. IMilnacipran 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-milnacipran.
• kufanele wazi ukuthi i-milnacipran ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-milnacipran.

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.

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

• isicanucanu
• ukuhlanza
• ukuqunjelwa
• ubuhlungu besisu
• ukuncipha komzimba
• umlomo owomile
• umuzwa wokufudumala kobuso okweqile kanye / noma ububomvu
• ikhanda
• ukungaboni kahle
• kwehle isifiso sobulili noma ikhono
• ubuhlungu noma ukuvuvukala kwamasende
• ubunzima bokuchama
• ukuqubuka
• ukulunywa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukudideka
• ubunzima bokugxila
• izinkinga zememori
• ukujuluka noma umkhuhlane
• isifo sohudo
• isiyezi
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuqina okukhulu kwemisipha
• ubuthakathaka
• ukuhamba okungazinzile okungadala ukuwa
• isithuthwane
• ukuquleka
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• yehlisa noma yeka ukuphefumula
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• ukuphefumula kanzima
• ukukhathala ngokweqile
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukuphuzi kwesikhumba noma kwamehlo
• izimpawu ezinjengomkhuhlane
• indle emnyama neyokulinda
• igazi elibomvu endle
• ukuhlanza okunegazi
• hlanza okubukeka njengezizathu zekhofi
• ukopha okungajwayelekile noma ukulinyazwa
• ukuphuma kwamakhala
• amabala amancane abomvu ngqo ngaphansi kwesikhumba

IMilnacipran 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:

• ukulala ngokweqile
• ukudideka
• isiyezi
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• yehlisa noma yamisa ukushaya kwenhliziyo nokuphefumula

Gcina wonke ama-aphoyintimenti nodokotela wakho. Udokotela wakho uzohlola umfutho wegazi bese ushaya njalo ngesikhathi sokwelashwa kwakho nge-milnacipran.

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-Savella^®