I-Tranylcypromine

-Delile

• Ngaphambi kokuthatha i-tranylcypromine,
• I-Tranylcypromine 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, nabantu abadala abasebasha (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokulwa nengcindezi ('elevators elevator') efana ne-tranylcypromine 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-tranylcypromine, kodwa kwezinye izimo, udokotela anganquma ukuthi i-tranylcypromine iyimithi engcono kakhulu yokwelapha isimo sengane.

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

I-Tranylcypromine isetshenziselwa ukwelapha ukudangala kubantu abangazange basizwe eminye imithi. I-Tranylcypromine isekilasini lemithi ebizwa nge-monoamine oxidase inhibitors (MAOIs). Isebenza ngokwandisa inani lezinto ezithile zemvelo ezidingekayo ukugcina ukulinganisela kwengqondo.

I-Tranylcypromine iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kabili ngosuku. Thatha i-tranylcypromine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-tranylcypromine njengoba nje kuqondisiwe.

I-Tranylcypromine ingahle yenze umkhuba. Ungathathi umthamo omkhulu, uthathe kaningi, noma uthathe isikhathi eside kunokuyalelwa ngudokotela wakho. Shayela udokotela wakho uma uthola ukuthi ufuna ukuthatha imishanguzo eyengeziwe noma ubona noma yiziphi ezinye izinguquko ezingavamile ekuziphatheni noma emoyeni wakho.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-tranylcypromine futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa njalo emavikini e-1-3. Ngemuva kokuthi izimpawu zakho zithuthuke, udokotela wakho mhlawumbe uzonciphisa kancane umthamo wakho we-tranylcypromine.

I-Tranylcypromine ilawula izimpawu zokudangala kepha ayiyelaphi leyo nkinga. Kungathatha amasonto ama-3 noma ngaphezulu ukuthi uzwe inzuzo ephelele ye-tranylcypromine. Qhubeka uthathe i-tranylcypromine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-tranylcypromine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukwehlisa umthamo wakho kancane kancane.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-tranylcypromine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tranylcypromine noma eminye imithi.
• Tshela udokotela wakho uma uthatha, usanda kuthatha, noma uhlela ukuthatha noma yimiphi imithi kadokotela elandelayo noma engeyona kadokotela: ezinye izidambisi-mkhuba ezibandakanya i-amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), i-doxepin (i-Sinequan), i-imipramine (i-Tofranil), i-maprotiline, i-nortriptyline (i-Pamelor), i-protriptyline (i-Vivactil), ne-trimipramine (i-Surmontil); ama-amphetamine afana ne-amphetamine (e-Adderall), benzphetamine (Didrex), dextroamphetamine (Dexedrine, Dextrostat, e-Adderall), ne-methamphetamine (Desoxyn); i-bupropion (iWellbutrin, iZyban); ibuspirone (BuSpar); i-caffeine (i-No-Doz, i-Quick-Pep, i-Vivarin); i-cyclobenzaprine (Flexeril); i-dexfenfluramine (Redux) (ayitholakali e-U.S.); i-dextromethorphan (iRobitussin, abanye); isisu (‘amaphilisi amanzi’); levodopa (Larodopa, eSinemet); imishanguzo yokungezwani komzimba, ukukhwehlela kanye nezimpawu ezibandayo, ne-hay fever; imishanguzo yomfutho wegazi ophezulu njenge-guanethidine (Ismelin) (ayitholakali e-US), methyldopa (Aldomet), ne-reserpine (Serpalan) Imithi yesifo sikaParkinson, ukukhathazeka, noma ukunciphisa umzimba (amaphilisi okudla); imithi yokuquleka efana ne-carbamazepine (Tegretol); imithi ye-narcotic yezinhlungu; amanye ama-MAO afana ne-isocarboxazid (Marplan); i-pargyline (ayitholakali e-U.S.), phenelzine (Nardil), procarbazine (Matulane), no-selegiline (Eldepryl); i-meperidine (i-Demerol); isidambisi; i-serotonin reuptake inhibitors ekhethiwe efana ne-citalopram (Celexa), i-duloxetine (i-Cymbalta), i-escitalopram (i-Lexapro), i-fluoxetine (i-Prozac), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); amaphilisi okulala; okokunciphisa umzimba; nemithi equkethe utshwala (Nyquil, elixirs, others). Udokotela wakho angakutshela ukuthi ungathathi i-tranylcypromine uma uthatha noma usanda kuyeka ukuthatha eyodwa noma ngaphezulu 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 yikuphi kokulandelayo: i-disulfiram (i-Antabuse), ukhilimu we-doxepin (i-Zonalon), i-insulin nemithi yomlomo yesifo sikashukela, kanye nemithi yokuhlanza noma yokugula kwengqondo. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• kufanele wazi ukuthi i-tranylcypromine ingahlala emzimbeni wakho amasonto ambalwa ngemuva kokuyeka ukuthatha umuthi. Emasontweni ambalwa okuqala ngemuva kokuphela kokwelashwa kwakho, tshela udokotela kanye nosokhemisi ukuthi usanda kuyeka ukuthatha i-tranylcypromine ngaphambi kokuqala ukusebenzisa noma yimiphi imithi emisha.
• Tshela udokotela wakho uma uthatha noma iziphi izithako zokudla okunempilo, ikakhulukazi i-tryptophan.
• utshele udokotela wakho uma uke waba nomfutho wegazi ophakeme noma wake waba nawo; ikhanda elibuhlungu njalo noma elibi; i-pheochromocytoma (isimila esiswini esincane eduze kwezinso); isifo sohlangothi noma ukushaywa okuncane; noma inhliziyo, umthambo wegazi, noma isifo sesibindi. Udokotela wakho angakutshela ukuthi ungathathi i-tranylcypromine.
• utshele udokotela wakho uma usebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqweni noma usebenzise kakhulu imithi kadokotela. Tshela udokotela wakho uma uke waba nokukhathazeka, ukukhathazeka, isifo sikashukela, ukuqubuka, noma isifo sezinso noma se-thyroid.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-tranylcypromine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, noma iyiphi inqubo ye-x-ray, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-tranylcypromine.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Ungaphuzi utshwala ngenkathi uthatha i-tranylcypromine.
• kufanele wazi ukuthi i-tranylcypromine ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-tranylcypromine. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Ungahle uzwe ukusabela okungathi sína uma udla ukudla okune-tyramine enkulu ngesikhathi sokwelashwa kwakho nge-tranylcypromine. 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-tranylcypromine. 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 sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ukozela
• ubuthakathaka
• umlomo owomile
• ukulahlekelwa isifiso sokudla
• isifo sohudo
• ukuqunjelwa
• ubuhlungu besisu
• ukungaboni kahle
• Ukugodola
• kukhala ezindlebeni
• ukuqina kwemisipha noma ukuqhuma
• ukuzamazama okungalawuleki kwanoma iyiphi ingxenye yomzimba
• ukuba ndikindiki, ukushiswa, noma ukuncinza ezingalweni noma emilenzeni
• ubunzima bokuchama
• kwehle ikhono lezocansi
• ukulahleka kwezinwele
• ukuqubuka

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

• ikhanda
• ukushaya kwenhliziyo okuhamba kancane, okusheshayo, noma okushaya ngamandla
• ubuhlungu besifuba noma ukuqina
• ukuqinisa umphimbo
• isicanucanu
• ukujuluka
• imfiva
• kubanda, isikhumba se-clammy
• isiyezi
• ukuqina kwentamo noma ukukhathazeka
• ukuzwela ekukhanyeni
• abafundi abakhulisiwe (imibuthano emnyama phakathi kwamehlo)
• ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala, noma imilenze engezansi
• ukopha okungajwayelekile noma ukulinyazwa
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• ukuphuzi kwesikhumba noma kwamehlo

I-Tranylcypromine 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:

• ubunzima bokulala noma ukulala
• ukungahlaliseki
• ukukhathazeka
• ukuyaluza
• ukudideka
• inkulumo engacacile
• isiyezi
• ubuthakathaka
• ukozela
• ikhanda
• ukudikiza kwemisipha
• imfiva
• ukuqina
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho. Udokotela wakho uzohlola umfutho wegazi lakho kaningi ngesikhathi sokwelashwa kwakho nge-tranylcypromine.

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.

• Umhlonyane^®

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