I-Trazodone

-Delile

• Ngaphambi kokuthatha i-trazodone,
• I-Trazodone 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, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

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

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-trazodone 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-trazodone, 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-trazodone. 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. 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-Trazodone isetshenziselwa ukwelapha ukucindezeleka. I-Trazodone isekilasini lemithi ebizwa nge-serotonin modulators. Isebenza ngokwandisa inani le-serotonin, into yemvelo ebuchosheni esiza ukugcina ukulinganisela kwengqondo.

I-Trazodone iza njengethebhulethi futhi njengethebhulethi ekhishwa isikhathi eside (ehlala isikhathi eside) ezothathwa ngomlomo. Ithebhulethi ivame ukuthathwa ngesidlo noma isidlo esincane izikhathi ezimbili noma ngaphezulu ngosuku. Ithebhulethi ekhishwa isikhathi eside ithathwa kanye ngosuku ngesikhathi sokulala esiswini esingenalutho, kungaba ihora elilodwa ngaphambi noma amahora amabili ngemuva kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-trazodone, yithathe ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-trazodone njengoba iqondisiwe. Ungayithathi kancane noma kancane, yithathe kaningi, noma uyithathe isikhathi eside kunokuyalelwa ngudokotela wakho.

Gwinya amathebulethi akhululiwe enziwe aphelele noma aphuke phakathi esigabeni samaphuzu; ungawahlafune noma uwachoboze.

Udokotela wakho angakuqala ngomthamo ophansi we-trazodone futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo ezinsukwini ezi-3 kuye kwezi-4. Udokotela wakho anganciphisa umthamo wakho uma isimo sakho silawulwa.

I-Trazodone ilawula ukudangala, kepha ayiyelaphi. Kungathatha amasonto ama-2 noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-trazodone. Qhubeka uthathe i-trazodone noma ngabe uzizwa uphilile.

Ungayeki ukuthatha i-trazodone ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-trazodone, ungahlangabezana nezimpawu zokuhoxa njengokukhathazeka, ukuphazamiseka, noma ubunzima bokulala noma ukulala. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

I-Trazodone kwesinye isikhathi isetshenziselwa ukwelapha ukuqwasha kanye ne-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisayo noma okungajwayelekile, ukuphelelwa yintshisekelo empilweni, kanye nemizwelo enamandla noma engafanele); ukukhathazeka (ukukhathazeka ngokweqile). I-Trazodone kwesinye isikhathi isetshenziselwa ukulawula ukunyakaza okungajwayelekile, okungalawuleki okungabhekana nakho njengemiphumela emibi yeminye imithi. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-trazodone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-trazodone noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin); imishanguzo; ama-antifungal anjenge ketoconazole (Nizoral), itraconazole (Sporanox), noma i-voriconazole (Vfend); i-aspirin namanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); imishanguzo ethile yegciwane lesandulela ngculazi (i-HIV) noma i-immunodeficiency syndrome (i-AIDS) efana ne-atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, e-Kaletra), ne-saquinavir (i-Invirase); i-cimetidine (Tagamet); i-cisapride (i-Propulsid); i-clarithromycin (i-Biaxin, ku-Prevpac); i-cyclosporine (iNeoral, iSandimmune); i-danazol (iDanocrine); i-delavirdine (i-Rescriptor); i-dexamethasone (i-Decadron); i-digoxin (i-Digitek, i-Lanoxin, i-Lanoxicaps); i-diltiazem (iCardizem, iDilacor, iTiazac); isisu; i-disopyramide (iNorpace); i-dofetilide (Tikosyn); i-erythromycin (E.E.S., E-Mycin, Erythrocin); i-isoniazid (INH, Nydrazid); imithi yokungezwani komzimba, ukukhwehlela noma imikhuhlane; imithi yokukhathazeka, umfutho wegazi ophakeme, ukushaya kwenhliziyo okungajwayelekile, ukugula kwengqondo noma ubuhlungu; imithi yokuquleka efana ne-carbamazepine (Tegretol), i-ethosuximide (i-Zarontin), i-phenobarbital (i-Luminal, i-Solfoton), ne-phenytoin (i-Dilantin); i-linezolid (iZyvox); i-methylene eluhlaza okwesibhakabhaka; i-metronidazole (i-Flagyl); ukuphumula kwemisipha; nefazodone; izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); i-procainamide (i-Procanbid, i-Pronestyl); i-quinidine; i-rifabutin (i-Mycobutin); i-rifampin (i-Rifadin, i-Rimactane); isidambisi; i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs) efana ne-fluoxetine (i-Prozac, i-Sarafem) ne-fluvoxamine (i-Luvox); amaphilisi okulala; okokunciphisa umzimba; i-sotalol (iBetapace, iBetapace AF); i-telithromycin (Ketek); thioridazine; troleandomycin (TAO); i-verapamil (Calan, Isoptin, Verelan); noma i-zafirlukast (Inembile). Futhi, tshela udokotela noma usokhemisi wakho uma uthatha le mithi elandelayo, ebizwa nge-MAO inhibitors, noma uma uyekile ukuyiphuza emasontweni amabili edlule: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) , noma i-tranylcypromine (iParnate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uhudo olunzima noma uhlanza noma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni noma ngabe usanda kuhlaselwa yinhliziyo. Phinda utshele udokotela wakho uma uke waba nengcindezi ephezulu yegazi, i-sickle cell anemia (isifo samangqamuzana abomvu egazi), i-myeloma eminingi (umdlavuza wamaseli e-plasma), i-leukemia (umdlavuza wamaseli amhlophe egazi) i-cavernosal fibrosis, Isifo sikaPeyronie (isimo esithinta ukwakheka kwepipi njenge-angulation), noma inhliziyo, isifo sesibindi noma sezinso.
• I-Trazodone ingadala ukwandiswa kwe-QT (isigqi senhliziyo esingajwayelekile esingaholela ekuphelelweni amandla, ekulahlekelweni ukwazi, ekuqulekeni, noma ekufeni okungazelelwe. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo se-QT eside (isimo esizuzwe njengefa lapho umuntu kungenzeka abe ne-QT prolongation) noma uma uke waba namazinga aphansi we-potassium noma i-magnesium egazini lakho noma ukushaya kwenhliziyo okungajwayelekile.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-trazodone, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-trazodone.
• kufanele wazi ukuthi i-trazodone ingakwenza ukozele futhi ithinte ukwahlulela kwakho. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-trazodone. Utshwala bungenza imiphumela emibi evela ku-trazodone ibe yimbi kakhulu.
• kufanele wazi ukuthi i-trazodone ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-trazodone 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.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

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

• ikhanda
• isicanucanu
• ukuhlanza
• ukunambitheka okubi emlonyeni
• isifo sohudo
• ukuqunjelwa
• ushintsho ekudleni noma isisindo
• ubuthakathaka noma ukukhathala
• uvalo
• isiyezi noma ikhanda elikhanyayo
• ukuzizwa ungazinzile lapho uhamba
• ukuncipha kwekhono lokugxila noma lokukhumbula izinto
• ukudideka
• amaphupho amabi
• ubuhlungu bemisipha
• umlomo owomile
• ukuqubuka
• ukujuluka
• izinguquko kwisifiso sobulili noma ikhono
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuba ndikindiki, ukushiswa, noma ukuncinza ezingalweni, emilenzeni, ezandleni noma ezinyaweni
• ukuncipha kokuxhumana
• amehlo akhathele, abomvu, noma alumayo
• kukhala ezindlebeni

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

• ubuhlungu besifuba
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• ukulahlekelwa ukwazi (ikhoma)
• ukuquleka
• isithuthwane
• ukuphelelwa umoya
• ukulimaza noma ukopha okungavamile

I-Trazodone ingadala ukwakheka okubuhlungu nokuhlala isikhathi eside kwabesilisa. Kwezinye izimo kuye kwadingeka ukwelashwa okuphuthumayo kanye / noma okuhlinzekwayo futhi, kwezinye zalezi zimo, sekwenzeke umonakalo unomphela. Khuluma nodokotela wakho ngengozi yokuthatha i-trazodone.

I-Trazodone 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. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa 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:

• ukuhlanza
• ukozela
• izinguquko ekushayeni kwenhliziyo
• isithuthwane
• ukuphefumula kanzima
• ukwakhiwa okubuhlungu okungapheli

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-Desyrel^®¶
• I-Oleptro^®
• I-Trialodine^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.