I-Fluoxetine

-Delile

• Ngaphambi kokuthatha i-fluoxetine,
• I-Fluoxetine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO noma SOKUQAPHA, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokulwa nengcindezi ('mood elevators') efana ne-fluoxetine 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.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-fluoxetine 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 i-fluoxetine, 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-fluoxetine. 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-Fluoxetine (i-Prozac) isetshenziselwa ukwelapha ukucindezeleka, ukuphazamiseka okucindezelayo (imicabango ekhathazayo engeke isuke nesidingo sokwenza isenzo esithile kaninginingi), ezinye izinkinga zokudla, nokuhlaselwa ukwethuka (ukuhlaselwa okungazelelwe, okungalindelekile kokwesaba okukhulu futhi ukhathazeke ngalokhu kuhlaselwa). I-Fluoxetine (i-Sarafem) isetshenziselwa ukuqeda izimpawu zesifo se-premenstrual dysphoric disorder, kufaka phakathi ukuguquguquka kwemizwelo, ukucasuka, ukuqunjelwa kanye nobumnene besifuba. Ibuye isetshenziswe kanye ne-olanzapine (Zyprexa) ukwelapha ukudangala okungaphendulanga kweminye imishanguzo neziqephu zokudangala kubantu abane-bipolar I disorder (isifo sokudangala kwengqondo); isifo esibangela iziqephu zokucindezeleka, iziqephu ze-mania, nezinye imizwa engajwayelekile). I-Fluoxetine isekilasini lemithi ebizwa nge-selective serotonin reuptake inhibitors (SSRIs). Isebenza ngokwandisa inani le-serotonin, into yemvelo ebuchosheni esiza ukugcina ukulinganisela kwengqondo.

I-Fluoxetine (i-Prozac) iza njenge-capsule, ithebhulethi, ukukhishwa okubambezelekile (kukhipha umuthi emathunjini), kanye nekhambi (uketshezi) ukuthatha ngomlomo. I-Fluoxetine ingathathwa nokudla noma ngaphandle kokudla. I-Fluoxetine (Sarafem) iza njengephilisi elizothathwa ngomlomo. Ama-capsules we-Fluoxetine (Prozac), amaphilisi, noketshezi kuvame ukuphuzwa kanye ngosuku ekuseni noma kabili ngosuku ekuseni nasemini. I-Fluoxetine amaphilisi akhiphe ukubambezeleka avame ukuthathwa kanye ngesonto. I-Fluoxetine (iSarafem) ivame ukuthathwa kanye ngosuku, kungaba njalo ngosuku lwenyanga noma ngezinsuku ezithile zenyanga. Thatha i-fluoxetine 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-fluoxetine njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi okukhishwa okulibazisekile; ungazisiki, uziqhekeze noma uzihlafune.

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

Kungathatha amasonto ama-4 kuye kwayi-5 noma ngaphezulu ngaphambi kokuthi uzwe ngokugcwele nge-fluoxetine. Qhubeka uphuze i-fluoxetine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-fluoxetine ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ngokungazelelwe ukuthatha i-fluoxetine, ungahle uhlangabezane nezimpawu zokuhoxa njengokushintsha kwemizwelo, ukucasuka, ukuba nesiyezi, ukuba ndikindiki noma ukuhayiza ezandleni noma ezinyaweni, ukukhathazeka, ukujuluka, ukudideka, ikhanda, ukukhathala, nobunzima bokulala noma bokulala. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

I-Fluoxetine nayo kwesinye isikhathi isetshenziselwa ukwelapha ukuphuza ngokweqile, ukuphazamiseka ekunakekeleni, ukungasebenzi kahle kwemingcele, ukuphazamiseka kokulala, ikhanda elibuhlungu, ukugula ngengqondo, ukuphazamiseka kwangemva kokucindezeleka, i-Tourette's syndrome, ukukhuluphala ngokweqile, izinkinga zocansi, ne-phobias. 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-fluoxetine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-fluoxetine, noma imuphi omunye umuthi, noma iziphi izithako kumalungiselelo e-fluoxetine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-pimozide (Orap), thioridazine, noma i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) , kanye ne-tranylcypromine (i-Parnate), noma uma uyekile ukuthatha i-monoamine oxidase inhibitor emasontweni amabili edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi akufanele uthathe i-fluoxetine. Uma uyeka ukuthatha i-fluoxetine, kufanele ulinde okungenani amasonto ama-5 ngaphambi kokuqala ukuthatha i-thioridazine noma i-monoamine oxidase inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela noma ongayinikiwe kanye namavithamini owathathayo noma ohlela ukuwathatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: alprazolam (Xanax); i-amiodarone (i-Pacerone, i-Nexterone); ama-antibiotic athile afana ne-erythromycin (E.E.S, Eryc, Ery-tab), gatifloxacin, moxifloxacin (Avelox), kanye ne-sparfloxacin (engasatholakali e-U.S., Zagam); ama-amphetamine afana ne-amphetamine (e-Adderall), i-dextroamphetamine (i-Dexedrine, i-Dextrostat, e-Adderall), ne-methamphetamine (i-Desoxyn); ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); imishanguzo yokulwa nokudangala (ama-elevator wemizwa) njenge-amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimontramine (Surimipramine) i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); buspirone; i-clopidogrel (i-Plavix); diazepam (Valium); i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); i-dolasetron (i-Anzemet); fentanyl (Duragesic, Lazanda, Subsys, abanye); i-flecainide (iTambocor); i-insulin noma imithi yomlomo yesifo sikashukela; i-lithium (i-Lithobid); imithi yokukhathazeka nesifo sikaParkinson; imishanguzo yokugula ngengqondo njenge-chlorpromazine, i-clozapine (i-Clozaril, i-Versacloz), i-droperidol (i-Inapsine), i-haloperidol (i-Haldol), i-iloperidone (i-Fanapt) ne-ziprasidone (i-Geodon); i-methadone (Methadose); imithi yezinhlungu ze-migraine ezifana ne-almotriptan (Axert), i-eletriptan (i-Relpax), i-frovatriptan (i-Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (i-Imitrex), ne-zolmitriptan (iZomig); i-pentamidine (i-Pentam); i-quinidine (ku-Nuedexta); procainamide; imishanguzo yokuquleka efana ne-carbamazepine (Epitol, Tegretol, Teril) kanye ne-phenytoin (Dilantin, Phenytek); isidambisi; amaphilisi okulala; amanye ama-serotonin-reuptake inhibitors akhethiwe afana ne-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra), noma i-fluvoxamine (i-Luvox); i-serotonin-norepinephrine reuptake inhibitors (SNRI) imithi ye-desvenlafaxine (Khedezla, Pristiq), i-duloxetine (i-Cymbalta), i-levomilnacipran (i-Fetzima), ne-venlafaxine; i-sotalol (iBetapace, iSorine); i-tramadol (i-Ultram); okokunciphisa umzimba; futhi i-vinblastine (iVelban). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi iziphi izithasiselo zokudla okunempilo kanye nemikhiqizo yamakhambi oyithathayo, ikakhulukazi imikhiqizo equkethe iSt John's wort noma i-tryptophan.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesikhathi eside se-QT (inkinga engavamile yenhliziyo engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa okungazelelwe). Phinda utshele udokotela wakho uma unezinga eliphansi le-potassium noma i-magnesium egazini lakho noma welashwa nge-electroshock therapy (inqubo lapho kunikezwa khona ama-shock amancane kagesi ebuchosheni ukwelapha izifo ezithile zengqondo). Tshela udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo futhi uma uke wahluleka noma wake wahluleka yinhliziyo, isifo sikashukela, isifo sokuwa, noma isibindi noma isifo senhliziyo.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-fluoxetine, shayela udokotela wakho. I-Fluoxetine ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
• kufanele wazi ukuthi i-fluoxetine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.
• kufanele wazi ukuthi i-fluoxetine 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.

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

• uvalo
• ukukhathazeka
• ubunzima bokulala noma ukulala
• isicanucanu
• isifo sohudo
• umlomo owomile
• isilungulela
• kuzamula
• ubuthakathaka
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• izinguquko ku-sex drive noma ikhono
• ukujuluka okweqile
• ikhanda, ukudideka, ubuthakathaka, ubunzima bokugxila, noma izinkinga zememori

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

• ukuqubuka
• isifuba noma amabhamuza
• ukulunywa
• imfiva
• ubuhlungu obuhlangene
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukudinwa, umkhuhlane, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqhaqhazela, ukuqina kwemisipha okunzima noma ukudikiza, ukubona izinto ezingekhoyo, ukulahlekelwa ukuhlangana, isicanucanu, ukuhlanza noma isifo sohudo
• ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile
• ukuphelelwa umoya
• isiyezi noma ukuquleka
• isithuthwane
• ukopha okungajwayelekile noma ukulimaza

I-Fluoxetine inganciphisa isifiso sokudla futhi ibangele ukuncipha ezinganeni. Udokotela wengane yakho uzobuka ukukhula kwakhe ngokucophelela. Khuluma nodokotela wengane yakho uma unezinkinga ngokukhula noma isisindo sengane yakho ngenkathi ithatha lo muthi. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho i-fluoxetine.

I-Fluoxetine 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. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukungazinzi
• ukudideka
• ukungaphenduli
• uvalo
• ukuzamazama okungalawuleki kwengxenye yomzimba
• isiyezi
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla
• ukubona izinto noma ukuzwa amazwi angekho (hallucinating)
• imfiva
• ukuquleka
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory (ikakhulukazi lezo ezibandakanya i-methylene blue), tshela udokotela wakho nabasebenzi be-laboratory ukuthi uthatha i-fluoxetine.

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.

• I-Prozac^®
• I-Prozac^® Masonto onke
• I-Rapiflux^®
• USarafem^®
• I-Selfemra^®

• I-Symbyax^® (iqukethe iFluoxetine, i-Olanzapine)