I-Phenelzine

-Delile

• Ngaphambi kokuthatha i-phenelzine,
• I-Phenelzine ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe kukhona kulezi zimpawu ezilandelayo 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 ('mood elevators') efana ne-phenelzine 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-phenelzine, kodwa kwezinye izimo, udokotela anganquma ukuthi i-phenelzine iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-phenelzine 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-phenelzine, 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-phenelzine. 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-Phenelzine isetshenziselwa ukwelapha ukudangala kubantu abangazange basizwe eminye imithi. I-Phenelzine isekilasini lemithi ebizwa nge-monoamine oxidase inhibitors (MAOIs). Isebenza ngokwandisa inani lezinto ezithile zemvelo ezidingekayo ukugcina ukulinganisela kwengqondo.

I-Phenelzine iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kathathu ngosuku ,. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-phenelzine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-phenelzine futhi akhuphule kancane umthamo wakho. Ngemuva kokuthi izimpawu zakho sezithuthukile, udokotela wakho cishe uzokwehlisa kancane kancane umthamo wakho. Landela lezi zinkomba ngokucophelela.

I-Phenelzine ilawula izimpawu zokudangala kepha ayiyelaphi le nkinga. Kungathatha amasonto ama-4 noma ngaphezulu ukuze uzwe inzuzo ephelele ye-phenelzine. Qhubeka uthathe i-phenelzine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-phenelzine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukunciphisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-phenelzine, ungahle uhlangabezane nezimpawu zokuhoxa njengamaphupho amabi, ukukhathazeka, ukulahlekelwa ukuxhumana neqiniso, isicanucanu, ukuhlanza nobuthakathaka.

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

Ngaphambi kokuthatha i-phenelzine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-phenelzine noma eminye imithi.
• Tshela udokotela wakho uma uthatha, usanda kuthatha, noma uhlela ukuthatha noma imiphi yale mithi kadokotela elandelayo kanye nemithi engeyona kadokotela: amanye ama-anti-depressants afaka i-amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin ( Sinequan), imipramine (Tofranil), maprotiline, mirtazapine (Remeron), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimipramine (Surmontil); ama-amphetamine afana ne-amphetamine (e-Adderall), i-benzphetamine (i-Didrexetamine, i-Didrexetamine , e-Adderall), kanye ne-methamphetamine (Desoxyn); i-bupropion (Wellbutrin, 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); i-duloxetine (iCymbalta); i-epinephrine (Epipen, Primatene Mist); i-guanethidine (Ismelin) (ayitholakali e-U.S.); levodopa (Larodopa, eSinemet); imithi yokwaliwa yizifo, ukukhwehlela nezimpawu ezibandayo, i-hay fever; ukukhathazeka, izinkinga zesinus, noma ukwehla kwesisindo (amaphilisi okudla, ukucindezela kokudla); imithi yokuquleka efana ne-carbamazepine (Tegretol); imithi ye-narcotic yezinhlungu; ama-decongestants emakhaleni, kufaka phakathi amaconsi ekhaleni kanye nezifafazi; amanye ama-MAO afana ne-isocarboxazid (Marplan); i-pargyline (ayitholakali e-U.S.), i-procarbazine (Matulane), i-tranylcypromine (i-Parnate), ne-selegiline (i-Eldepryl, i-Emsam, i-Zelapar); i-meperidine (i-Demerol); i-methyldopa (i-Aldomet); ‘Amaphilisi wepep’; isidambisi; i-serotonin reuptake inhibitors ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); amaphilisi okulala; okokunciphisa umzimba; venlafaxine (Effexor); nemithi equkethe utshwala (Nyquil, elixirs, others). Udokotela wakho angakutshela ukuthi ungathathi i-phenelzine 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 okulandelayo: ama-barbiturates afana ne-pentobarbital (Nembutal), phenobarbital (Luminal), ne-secobarbital (Seconal); ama-beta blockers anjenge-atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), nepropranolol (Inderal); ukhilimu we-doxepin (uZonelon), i-insulin nemithi yomlomo yesifo sikashukela; kanye nemithi yomfutho wegazi ophakeme kubandakanya i-diuretics ('amaphilisi amanzi'), ne-reserpine (Serpalan). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi akuqaphele ngokucophelela ngemiphumela emibi.
• kufanele wazi ukuthi i-phenelzine 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-phenelzine ngaphambi kokuba uqale ukusebenzisa noma yimiphi imithi emisha.
• Tshela udokotela wakho uma uthatha noma iziphi izithasiselo zokudla okunempilo, ikakhulukazi i-phenylalanine (i-DLPA) (equkethwe kwimikhiqizo enoshukela efana ne-sodas yokudla nokudla, imishanguzo yamakhompiyutha, neminye imishanguzo kadokotela), i-rauwolfia, i-tyrosine, noma i-tryptophan.
• Tshela udokotela wakho uma uke waba ne-pheochromocytoma (isimila esiswini esincane esiseduze nezinso) noma isifo senhliziyo noma sesibindi. Udokotela wakho angakutshela ukuthi ungathathi i-phenelzine.
• utshele udokotela wakho uma usebenzisa izidakamizwa zasemgwaqweni. Phinda utshele udokotela wakho uma uke waba nomfutho wegazi ophakeme noma wake waba nawo; isifo sikashukela; ukuquleka; i-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisekile, ukuphelelwa yintshisekelo empilweni, nemizwelo enamandla noma engajwayelekile); ukuyaluza; noma ukungasebenzi kahle noma ezinye izinkinga zokunyakaza.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-phenelzine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-phenelzine.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• ungaphuzi utshwala ngenkathi uthatha i-phenelzine. Utshwala bungenza imiphumela emibi ye-phenelzine ibe yimbi kakhulu.
• kufanele wazi ukuthi i-phenelzine ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-phenelzine. 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-phenelzine. 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-phenelzine. 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-Phenelzine ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe kukhona kulezi zimpawu ezilandelayo ezinzima noma ezingapheli:

• ukozela
• ubuthakathaka
• isiyezi
• umlomo owomile
• ukuqunjelwa
• ukuzuza kwesisindo
• kwehle ikhono lezocansi
• ukuzamazama okungalawuleki kwanoma iyiphi ingxenye yomzimba
• ukuncibilika kwemisipha noma ukudlikiza

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
• ukuqina kwentamo noma ukukhathazeka
• ubuhlungu besifuba
• isicanucanu
• ukuhlanza
• ukujuluka
• abafundi abanzi (imibuthano emnyama phakathi kwamehlo)
• amehlo azwela ukukhanya kunokujwayelekile
• ukuvuvukala kobuso, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukuphuzi kwesikhumba noma kwamehlo

I-Phenelzine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma uhlangabezana nezinkinga ezingavamile ngenkathi uthatha lo muthi.

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:

• ukozela
• isiyezi
• ukuquleka
• ukucasuka
• ukukhathazeka ngokweqile
• ukuyaluza
• ikhanda
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukuqina komhlathi
• iqiniswe ngokuqinile emuva
• isithuthwane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• ukushesha, ukushaya okungajwayelekile
• ubuhlungu besifuba
• ukuphefumula kancane
• imfiva
• ukujuluka
• epholile, isikhumba se-clammy

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzohlola umfutho wegazi lakho njalo ngenkathi welashwa nge-phenelzine.

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.

• Nardil^®