Amitriptyline

-Delile

• Ngaphambi kokuthatha i-amitriptyline,
• I-Amitriptyline 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 abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokulwa nengcindezi ('mood elevators') efana ne-amitriptyline 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 akufanele zivame ukuthatha i-amitriptyline, kodwa kwezinye izimo, udokotela anganquma ukuthi i-amitriptyline iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-amitriptyline noma amanye ama-anti-depressants noma ngabe umdala eminyakeni engaphezu kwengama-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-amitriptyline, 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-amitriptyline. 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-Amitriptyline isetshenziselwa ukwelapha izimpawu zokucindezeleka. I-Amitriptyline isekilasini lemithi ebizwa nge-tricyclic antidepressants. Isebenza ngokwandisa inani lezinto ezithile zemvelo ebuchosheni ezidingekayo ukugcina ukulinganisela kwengqondo.

I-Amitriptyline iza njengethebhulethi ezothathwa ngomlomo. Imvamisa iphuzwa kanye noma kane ngosuku. Thatha i-amitriptyline ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-amitriptyline njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-amitriptyline futhi akhuphule kancane umthamo wakho.

Kungathatha amasonto ambalwa noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-amitriptyline. Qhubeka uthathe i-amitriptyline noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-amitriptyline ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-amitriptyline, ungahle ube nezimpawu zokuhoxa ezifana nesicanucanu, ukuphathwa ikhanda nokuntuleka kwamandla. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

I-Amitriptyline ibuye isetshenziselwe ukwelapha ukuphazamiseka kokudla, i-post-herpetic neuralgia (izinhlungu ezivuthayo, ezigwazayo, noma izinhlungu ezingahlala izinyanga noma iminyaka ngemuva kokutheleleka nge-shingles), nokuvikela ikhanda le-migraine. 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-amitriptyline,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-amitriptyline noma eminye imithi.
• Tshela udokotela wakho uma uthatha i-cisapride (Propulsid) (ayitholakali e-US) noma i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate) ), noma uma uthathe i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi akufanele uthathe i-amitriptyline.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-antihistamines; i-cimetidine (Tagamet); amaphilisi okudla; i-disulfiram (i-Antabuse); i-guanethidine (Ismelin); ipratropium (Atrovent); i-quinidine (i-Quinidex); imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-flecainide (Tambocor) ne-propafenone (Rythmol); imishanguzo yokukhathazeka, isifuba somoya, imikhuhlane, isifo samathumbu esibuhlungu, ukugula ngengqondo, isicanucanu, isifo sikaParkinson, ukuquleka, izilonda, noma izinkinga zomchamo; amanye ama-anti-depressants; i-phenobarbital (iBellatal, iSolfoton); isidambisi; ama-serotonin reuptake inhibitors (SSRIs) akhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); amaphilisi okulala; imishanguzo yegilo; kanye nezithambisi. Tshela udokotela wakho noma usokhemisi uma uyekile ukuthatha i-fluoxetine (i-Prozac, i-Sarafem) emavikini angu-5 edlule.
• tshela udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-amitriptyline.
• utshele udokotela wakho uma uphuza kakhulu utshwala futhi uma uke waba ne-glaucoma (isimo samehlo) noma wake waba naso; i-prostate eyandisiwe (indlala yokuzala yowesilisa); ubunzima bokuchama; ukuquleka; indlala yegilo eyeqile (hyperthyroidism); isifo sikashukela; i-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisekile noma okungajwayelekile, ukuphelelwa yintshisekelo empilweni, nemizwelo enamandla noma engafanele); noma isibindi, izinso, noma isifo senhliziyo.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-amitriptyline, shayela udokotela wakho. Musa ukuncelisa ibele ngenkathi uthatha i-amitriptyline.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha lo muthi uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-amitriptyline ngoba akuphephile futhi akusebenzi njengeminye imishanguzo engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-amitriptyline.
• kufanele wazi ukuthi i-amitriptyline ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.

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.

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

• isicanucanu
• ukuhlanza
• ukozela
• ubuthakathaka noma ukukhathala
• amaphupho amabi
• ikhanda
• umlomo owomile
• ukuqunjelwa
• ubunzima bokuchama
• ukungaboni kahle
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
• izinguquko ku-sex drive noma ikhono
• ukujuluka okweqile
• ushintsho ekudleni noma isisindo
• ukudideka
• ukungazinzi

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

• inkulumo ehamba kancane noma enzima
• isiyezi noma ukuquleka
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ukuchoboza ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo, okushaya ngamandla, noma okungajwayelekile
• ukuqhuma okukhulu kwesikhumba noma isifuba
• ukuvuvukala kobuso nolimi
• ukuphuzi kwesikhumba noma kwamehlo
• imihlathi, intamo, kanye nokuqaqamba kwemisipha emuva
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuquleka
• ukopha okungajwayelekile noma ukulinyazwa
• isithuthwane
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)

I-Amitriptyline 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:

• ukushaya kwenhliziyo okungajwayelekile
• isithuthwane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• ukudideka
• izinkinga zokugxila
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• ukuyaluza
• ukozela
• imisipha eqinile
• ukuhlanza
• imfiva
• ukushisa komzimba okubandayo

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-amitriptyline.

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.

• Amitid^®¶
• Amitril^®¶
• U-Elavil^®¶
• I-Endep^®¶

• I-Duo-Vil^® (equkethe i-Amitriptyline, iPerphenazine)^¶
• U-Etrafon^® (equkethe i-Amitriptyline, iPerphenazine)^¶
• I-Limbitrol^® (equkethe i-Amitriptyline, Chlordiazepoxide)^¶
• Triavil^® (equkethe i-Amitriptyline, iPerphenazine)^¶

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