Imipramine

-Delile

• Ngaphambi kokuthatha imipramine,
• Imipramine 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:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokudambisa ingcindezi ('mood elevators') efana ne-imipramine 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 imipramine ngaphandle kokuvimbela ukoma embhedeni, kodwa kwezinye izimo, udokotela anganquma ukuthi imipramine umuthi ongcono kakhulu wokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-imipramine noma amanye ama-anti-depressants noma ngabe ungumuntu omdala ongaphezu kweminyaka engama-24 ubudala. Ungase uzibulale, ikakhulukazi ekuqaleni kokwelashwa kwakho futhi nganoma yisiphi isikhathi lapho umthamo wakho wanda noma wehla. 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 ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

Umhlinzeki wakho wezokunakekelwa kwempilo uzofuna ukukubona kaningi ngenkathi uthatha imipramine, 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-imipramine. 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/InformationbyDrugClass/UCM096273.

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.

Amaphilisi we-Imipramine namaphilisi asetshenziselwa ukwelapha ukucindezeleka. Amaphilisi e-Imipramine nawo asetshenziselwa ukuvimbela ukoma embhedeni ezinganeni. I-Imipramine isekilasini lemithi ebizwa nge-tricyclic antidepressants. Kwelapha ukucindezeleka ngokwandisa inani lezinto ezithile zemvelo ebuchosheni ezidingekayo ukugcina ukulinganisela kwengqondo. Akukho lwazi olwanele lokuchaza ukuthi imipramine ivimbela kanjani uketshezi kombhede.

I-Imipramine iza njengethebhulethi kanye nephilisi elizothathwa ngomlomo. Lapho kusetshenziswa amaphilisi we-imipramine noma ama-capsules ekwelapheni ukucindezeleka, imvamisa kuthathwa kanye noma ngaphezulu ngosuku futhi kungathathwa nokudla noma ngaphandle kokudla. Lapho kusetshenziswa amaphilisi e-imipramine ukuvimbela ukoma embhedeni ezinganeni, kuvame ukuphuzwa ihora elilodwa ngaphambi kokulala. Izingane ezimanzisa umbhede kusihlwa zinganikezwa umthamo owodwa phakathi nantambama kanye nomunye umthamo ngesikhathi sokulala. Zama ukuthatha imipramine cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha imipramine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-imipramine futhi akhuphule kancane umthamo wakho.

Kungathatha amasonto ama-1-3 noma ngaphezulu ukuthi uzwe inzuzo ephelele ye-imipramine. Qhubeka uthathe imipramine noma ngabe uzizwa uphilile. Ungayeki ukuthatha imipramine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukwehlisa umthamo wakho kancane kancane.

I-Imipramine nayo isetshenziswa ngezikhathi ezithile ukwelapha ukuphazamiseka kokudla kanye nokuphazamiseka kovalo. 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 imipramine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-imipramine, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi we-imipramine noma amaphilisi. Buza udokotela wakho noma usokhemisi uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuthatha i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi imipramine. Uma uyeka ukuthatha imipramine, kufanele ulinde okungenani izinsuku eziyi-14 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-anticoagulants (ama-thinner egazi) njenge-warfarin (i-Coumadin, i-Jantoven); ama-antihistamine; i-cimetidine (Tagamet); i-flecainide (iTambocor); i-levodopa (iSinemet, iLarodopa); lithium (Eskalith, Lithobid); imishanguzo yomfutho wegazi ophakeme, ukugula ngengqondo, isicanucanu, ukuquleka, isifo sikaParkinson, isifuba somoya, imikhuhlane, noma ukungezwani nezinto ezithile komzimba; i-methylphenidate (Ritalin); ukuphumula kwemisipha; propafenone (Rhythmol); i-quinidine; isidambisi; i-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); amaphilisi okulala; imishanguzo yegilo; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Udokotela wakho angakutshela ukuthi ungathathi i-imipramine uma uthathe i-fluoxetine emasontweni ama-5 edlule.
• tshela udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo. Udokotela wakho angakutshela ukuthi ungathathi imipramine.
• Tshela udokotela wakho uma welashwa nge-electroshock therapy (inqubo lapho kunikezwa khona ama-shock amancane kagesi ebuchosheni ukwelapha izifo ezithile zengqondo), futhi uma ngabe uke waba ne-prostate enwetshiwe (indlala yowesilisa yokuzala), ubunzima bokuchama , ukuquleka, indlala yegilo eyeqile, noma isibindi, izinso noma isifo senhliziyo.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha imipramine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha imipramine.
• 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.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.
• hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. I-Imipramine ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha imipramine uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha imipramine ngoba ayiphephile futhi isebenza kahle njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• kufanele wazi ukuthi imipramine ingadala i-angle-closure glaucoma (isimo lapho uketshezi luvinjwe khona 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.

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

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa.

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

• isicanucanu
• ukozela
• ubuthakathaka noma ukukhathala
• injabulo noma ukukhathazeka
• amaphupho amabi
• umlomo owomile
• isikhumba esizwela kakhulu ekukhanyeni kwelanga kunokujwayelekile
• ushintsho ekudleni noma isisindo
• ukuqunjelwa
• ubunzima bokuchama
• ukuchama kaningi
• izinguquko ku-sex drive noma ikhono
• ukujuluka okweqile

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:

• imihlathi, intamo, kanye nokuqaqamba kwemisipha emuva
• inkulumo ehamba kancane noma enzima
• ukuhamba ngokushova
• ukuzamazama okungalawuleki kwengxenye yomzimba
• umkhuhlane, umphimbo obuhlungu, noma ezinye izimpawu zokutheleleka
• ukuphefumula kanzima noma ukugwinya
• ukuqhuma okukhulu
• ukuphuzi kwesikhumba noma kwamehlo
• ukushaya kwenhliziyo okungajwayelekile

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).

I-Imipramine ingadala eminye imiphumela emibi. Tshela udokotela wakho uma unezinkinga 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).

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

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.

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.

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.

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