I-Doxepin (Ukuqwasha)

-Delile

• Ngaphambi kokuthatha i-doxepin (Silenor),
• IDoxepin (Silenor) ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Izimpawu zokudlula ngokweqile zingafaka:

IDoxepin (Silenor) isetshenziselwa ukwelapha ukuqwasha (kunzima ukulala noma ukulala) kubantu abanenkinga yokulala. IDoxepin (Silenor) isekilasini lemithi ebizwa nge-tricyclic antidepressants. Isebenza ngokunciphisa umsebenzi ebuchosheni ukuvumela ukulala.

IDoxepin iyatholakala njengephilisi noketshezi ukwelapha ukudangala nokukhathazeka. Le monograph inikezela kuphela imininingwane nge-doxepin (Silenor) yokuqwasha. Uma usebenzisa lo muthi ukudangala noma ukukhathazeka, funda i-monograph enesihloko esithi doxepin (ukudangala, ukukhathazeka).

IDoxepin (Silenor) iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku, kungakapheli imizuzu engu-30 yesikhathi sokulala. Ungathathi i-doxepin (Silenor) kungakapheli amahora amathathu wokudla. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-doxepin (Silenor) njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Mhlawumbe uzolala ngokushesha ngemuva kokuthatha i-doxepin (Silenor) futhi uzohlala ulele isikhashana ngemuva kokuphuza umuthi. Hlela ukulala ngemuva nje kokuthatha i-doxepin (Silenor) nokuhlala embhedeni amahora angu-7 kuya kwangu-8. Ungathathi i-doxepin (Silenor) uma ungakwazi ukulala ngokushesha bese uhlala ulele amahora ayisikhombisa kuya kwayisishiyagalombili ngemuva kokuthatha umuthi.

Kufanele uqale ukulala kangcono ezinsukwini zokuqala zokwelashwa nge-doxepin (Silenor). Uma ukulala kwakho kungathuthuki zingakapheli izinsuku eziyi-7-10, noma kuba kubi shayela udokotela wakho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-doxepin (Silenor) futhi isikhathi ngasinye lapho ugcwalisa khona incwadi kadokotela. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukuthola uMhlahlandlela Wezokwelapha.

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

Ngaphambi kokuthatha i-doxepin (Silenor),

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-doxepin (Silenor), i-amoxapine, i-loxapine, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-doxepin (Silenor). Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuthatha i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Phinda utshele udokotela wakho uma uthatha noma uthola i-methylene blue (Provayblue) noma i-linezolid (iZyvox). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-doxepin. Uma uyeka ukuthatha i-doxepin, kufanele ulinde okungenani izinsuku eziyi-14 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• 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 yikuphi okulandelayo: i-cimetidine (Tagamet); imithi yokukhwehlela, ukubanda, noma ukungezwani komzimba; i-quinidine (ku-Nuedexta); isidambisi; i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, e-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) ne-seroftraline (i-Sertraline) ; amanye amaphilisi okulala; tolazamide; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-doxepin (Silenor), ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma uke waba ne-glaucoma engalashwa, noma ukugcinwa komchamo (ukungakwazi ukukhipha isinye ngokuphelele noma cha). Udokotela wakho angakutshela ukuthi ungathathi i-doxepin (Silenor).
• utshele udokotela wakho uma uke waphuza utshwala obuningi noma wasebenzisa kakhulu, usebenzise izidakamizwa zasemgwaqweni, noma imithi kadokotela esetshenziswe ngokweqile. Tshela nodokotela wakho uma uke waba nokudangala, ukugula ngengqondo, imicabango yokuzibulala, i-apnea yokulala (inkinga yokulala ebangela ukuphefumula ukuma isikhashana ngesikhathi sokulala), noma isifo sezinso noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-doxepin (Silenor), shayela udokotela wakho.
• kufanele wazi ukuthi i-doxepin (Silenor) ingakwenza ukozele. Ungashayeli imoto, sebenzisa imishini, noma wenze ezinye izinto eziyingozi ebusuku ngemuva kokuthatha i-doxepin (Silenor). Ungashayeli imoto noma usebenzise imishini ngosuku olulandelayo uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Ungaphuzi utshwala ngenkathi uthatha i-doxepin (Silenor).
• kufanele wazi ukuthi abanye abantu abathathe i-doxepin (Silenor) bavuka embhedeni bashayela izimoto zabo, balungisa futhi badla ukudla, benza ucansi, bashaya izingcingo, bahamba belele, noma babandakanyeka kwezinye izinto ngenkathi bengavukanga ngokuphelele. Ngemuva kokuvuka kwabo, laba bantu bebevame ukungakhumbuli abakwenzile. Shayela udokotela wakho ngokushesha uma uthola ukuthi ubeshayela noma wenza noma yini enye engajwayelekile ngenkathi ulele.

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

IDoxepin (Silenor) kufanele ithathwe kuphela ngesikhathi sokulala. Uma ungathathanga i-doxepin (Silenor) ngaphambi kokulala futhi unenkinga yokulala, ungathatha i-doxepin (Silenor) uma uzokwazi ukulala embhedeni okungenani amahora ayi-7 kuya kwayi-8 ngemuva kwalokho. Ungathathi umthamo ophindwe kabili we-doxepin (Silenor) ukwenza isilinganiso esilahlekile.

IDoxepin (Silenor) ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• isiyezi

IDoxepin (Silenor) 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 kude nokukhanya, 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 okungajwayelekile
• ukuzizwa uthukuthele, udidekile noma uyozela
• unenkinga yokugxila
• isithuthwane
• ukuqina kwemisipha
• ukuhlanza
• ukwanda ngosayizi womfundi
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• imfiva
• ukushisa komzimba okubandayo
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

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.

• Silenor^®