I-Doxepin (Ukudangala, Ukukhathazeka)

-Delile

• Ngaphambi kokuthatha i-doxepin,
• I-Doxepin ingadala imiphumela emibi. Shayela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:
• Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQapha, 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-doxepin 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-doxepin, kodwa kwezinye izimo, udokotela anganquma ukuthi i-doxepin iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-doxepin 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, injabulo engajwayelekile. 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 i-doxepin, 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-doxepin. 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.

IDoxepin isetshenziselwa ukwelapha ukudana nokukhathazeka. UDoxepin usesigabeni semithi ebizwa nge-tricyclic antidepressants. Isebenza ngokwandisa inani lezinto ezithile zemvelo ebuchosheni ezidingekayo ekulinganisweni kwengqondo.

IDoxepin iyatholakala njengethebhulethi yokwelapha ukuqwasha. Le monograph inika kuphela imininingwane mayelana ne-doxepin yokudangala noma ukukhathazeka. Uma usebenzisa lo muthi ukuqwasha, funda i-monograph enesihloko esithi doxepin (ukuqwasha).

I-Doxepin iza njenge-capsule, noma i-concentrate (i-liquid) ukuthatha ngomlomo. Imvamisa kuthathwa kathathu noma kathathu ngosuku futhi kungathathwa nokudla noma ngaphandle kokudla. Zama ukuthatha i-doxepin 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 i-doxepin njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Doxepin concentrate (uketshezi lomlomo) iza ne-dropper emakwe ngokukhethekile yokulinganisa umthamo. Buza usokhemisi wakho ukuthi akubonise ukuthi usebenzisa kanjani i-dropper. Nciphisa ukugxilwa emanzini ayi-4 (120 ml) wamanzi; ubisi oluphelele noma olunamafutha; noma i-orange, isithelo samagilebhisi, utamatisi, ukuthena noma ijusi likaphayinaphu ngaphambi nje kokukuthatha. Ungayixube neziphuzo ezine-carbonated (iziphuzo ezibandayo).

Kungathatha amasonto ambalwa noma ngaphezulu ukuthi uzwe umphumela ogcwele we-doxepin. Qhubeka uthathe i-doxepin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-doxepin ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukwehlisa umthamo wakho kancane kancane.

I-Doxepin kwesinye isikhathi isetshenziselwa ukwelapha isifuba esingapheli ngaphandle kwesizathu esaziwayo. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-doxepin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-doxepin, i-amoxapine, i-loxapine, noma imuphi omunye umuthi, noma iziphi izithako ezikuma-capsule we-doxapine, noma i-concentrate.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuthatha i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Phinda utshele udokotela wakho uma uthatha noma uthola i-methylene blue (Provayblue) noma i-linezolid (iZyvox). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-doxepin. Uma uyeka ukuthatha i-doxepin, 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-antipsychotic afana ne-chlorpromazine, i-fluphenazine, i-perphenazine, i-prochlorperazine (i-Compro, i-Procomp), i-thioridazine, i-trifluoperazine; i-bupropion (Wellbutrin, Zyban, abanye, ku-Contrave); i-cimetidine (Tagamet); i-duloxetine (iCymbalta); i-flecainide (iTambocor); propafenone (Rythmol); i-quinidine (ku-Nuedexta); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, e-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) ne-seroftraline (i-Sertraline) ; kanye ne-tolazamide (Tolinase). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Udokotela wakho angakutshela ukuthi ungathathi i-doxepin uma uthathe i-fluoxetine emavikini ayisi-5 edlule.
• utshele udokotela wakho uma une-glaucoma noma unenkinga yokuchama. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-doxepin.
• Tshela udokotela wakho uma uke waphuza utshwala obuningi noma wake waphuza kakhulu, noma wake waba nesifo somoya, noma isibindi noma isifo sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha lo muthi, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-doxepin uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-doxepin ngoba ayiphephile futhi ayisebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-doxepin. Utshwala bungenza imiphumela emibi evela ku-doxepin ibe yimbi kakhulu.
• kufanele wazi ukuthi i-doxepin 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.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla kwakho okujwayelekile

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-Doxepin ingadala imiphumela emibi. Shayela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:

• isicanucanu
• ukuhlanza
• ubuthakathaka noma ukukhathala
• isiyezi
• ukwanda ngosayizi womfundi
• umlomo owomile
• izilonda zomlomo
• isikhumba esizwela kakhulu ekukhanyeni kwelanga kunokujwayelekile
• ukuqhuma
• ushintsho ekudleni noma isisindo
• izinguquko endleleni izinto ezinambitheka ngayo
• ukugaya ukudla
• ukuqunjelwa
• isifo sohudo
• ubunzima bokuchama
• ukoma ngokweqile nokuchama
• kukhala ezindlebeni zakho
• izinguquko ku-sex drive
• amasende avuvukile
• usayizi webele owandisiwe
• ukuphuma kobisi ezingubeni zabesifazane
• ukujuluka okweqile
• Ukugodola
• ikhanda
• ukulahleka kwezinwele

Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:

• ukuphuzi kwesikhumba noma kwamehlo
• ukushaya kwenhliziyo okusheshayo
• ukopha okungajwayelekile noma ukulinyazwa
• ukuqubuka kwesikhumba, ukulunywa, noma ukuvuvukala

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-Doxepin ingadala eminye imiphumela emibi. Shayela 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). Gcina amaphilisi we-doxepin kude nokukhanya.

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
• ukuzizwa uthukuthele, udidekile noma uyozela
• unenkinga yokugxila
• isithuthwane
• ukuqina kwemisipha
• ukuhlanza
• ukwanda ngosayizi womfundi
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• imfiva
• ukushisa komzimba okubandayo
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

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.

• Sinequan^® Amaphilisi^¶
• Sinequan^® Isixazululo Esigxile^¶

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