I-Venlafaxine

-Delile

• Ngaphambi kokuthatha i-venlafaxine,
• IVenlafaxine ingadala imiphumela emibi. Shayela udokotela wakho uma kukhona kulezi zimpawu ezilandelayo ezinzima noma zingapheli:
• Eminye imiphumela emibi ingaba mibi. 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 abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokulwa nengcindezi ('elevators elevator') efana ne-venlafaxine phakathi nezifundo zomtholampilo baba nokuzibulala ). 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-venlafaxine, kodwa kwezinye izimo, udokotela anganquma ukuthi i-venlafaxine iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-venlafaxine 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-venlafaxine, 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-venlafaxine. 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.

IVenlafaxine isetshenziselwa ukwelapha ukucindezeleka. Amaphilisi weVenlafaxine anwetshiwe (asebenza isikhathi eside) nawo asetshenziselwa ukwelapha ukukhathazeka ngokweqile (GAD; ukukhathazeka ngokweqile okunzima ukukulawula), ukuphazamiseka kokukhathazeka komphakathi (ukwesaba kakhulu ukuxhumana nabanye noma ukwenza phambi kwabanye okuthikameza okujwayelekile life), nokuphazamiseka kwesifo (ukuhlaselwa okungazelelwe, okungalindelekile kokwesaba okukhulu nokukhathazeka ngalokhu kuhlaselwa). IVenlafaxine isekilasini lemithi ebizwa nge-serotonin ekhethiwe ne-norepinephrine reuptake inhibitors (SNRIs). Isebenza ngokwandisa inani le-serotonin ne-norepinephrine, izinto zemvelo ebuchosheni ezisiza ukugcina ukulinganisela kwengqondo.

IVenlafaxine iza njengethebhulethi noma iphilisi elikhishwa isikhathi eside elizothathwa ngomlomo. Ithebhulethi ivame ukuphuzwa kabili noma kathathu ngosuku nokudla. I-capsule ekhishwe isikhathi eside ivame ukuthathwa kanye ngosuku ekuseni noma kusihlwa ngokudla. Thatha i-venlafaxine 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-venlafaxine njengoba nje uqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi noma isikhathi eside kunokuyalelwa ngudokotela wakho.

Gwinya i-capsule ekhishwe isikhathi eside; ungayihlukanisi, ungayihlafune, noma uyichoboze, noma uyibeke emanzini. Uma ungakwazi ukugwinya i-capsule ekhishwe isikhathi eside, ungavula ngokucophelela i-capsule bese ufafaza konke okuqukethwe ku-spoonful of applesauce. Gwinya (ngaphandle kokuhlafuna) le ngxube ngokushesha emva kokuyilungisa bese uphuza ingilazi yamanzi ukuze uqiniseke ukuthi uyigwinye yonke imithi.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-venlafaxine futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa ezinsukwini ezine kuya kwezi-7. Tshela udokotela wakho ukuthi uzizwa kanjani ngesikhathi sokwelashwa kwakho ukuze udokotela wakho akwazi ukulungisa umthamo wakho kahle.

IVenlafaxine ilawula ukucindezeleka kepha ayiyelaphi. Kungathatha amasonto ayisithupha kuya kwayisishiyagalombili noma ngaphezulu ukuthi uzwe inzuzo ephelele yalo muthi. Qhubeka uphuze i-venlafaxine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-venlafaxine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-venlafaxine, ungahlangabezana nezimpawu zokuhoxa njengokuxokozela; ukukhathazeka; ukudideka; isimo esidabukisayo; ukucasuka; injabulo evuthayo noma engavamile; ukuntuleka kokuxhumanisa; unenkinga yokulala noma ukuhlala ulele; amaphupho amabi; isicanucanu; ukuhlanza; ukulahlekelwa ukudla; isifo sohudo; umlomo owomile; ukujuluka; ukukhala ezindlebeni; ukuquleka; noma ukushisa, ukushoshozela, ukuba ndikindiki, noma imizwa efana nokushaqeka kagesi kunoma iyiphi ingxenye yomzimba. Tshela udokotela wakho uma uhlangabezana nalezi zimpawu ngenkathi unciphisa umthamo wakho we-venlafaxine noma ngemuva nje kokuyeka ukuthatha i-venlafaxine.

I-Venlafaxine kwesinye isikhathi isetshenziselwa ukwelapha ukushisa (ukushisa okushisayo; imizwa enamandla yokushisa nokujuluka) kwabesifazane abaye baba nokunqamuka kokuya esikhathini ('ushintsho lwempilo'; ukuphela kwezikhathi zokuya esikhathini njalo ngenyanga) noma abathatha imithi yokwelapha umdlavuza webele . Khuluma nodokotela wakho noma usokhemisi ngezingozi zokusebenzisa i-venlafaxine ukwelapha isimo sakho.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-venlafaxine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-venlafaxine, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi e-venlafaxine noma amaphilisi akhishwa isikhathi eside. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• 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 eyodwa le mithi ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi akufanele uthathe i-venlafaxine. Uma uyeka ukuthatha i-venlafaxine, udokotela wakho uzokutshela ukuthi kufanele ulinde okungenani izinsuku eziyi-7 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, namavithamini owathathayo noma ohlela ukuwaphuza. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin); amiodarone (Cordarone, Pacerone); amanye ama-anti-depressants; i-cimetidine (Tagamet); i-clozapine (iClozaril); isisu (‘amaphilisi amanzi’); i-duloxetine (iCymbalta); i-haloperidol (iHaldol); imipramine (Tofranil); indinavir (Crixivan); ketoconazole (Nizoral); i-linezolid (iZyvox); i-lithium; imishanguzo yokukhathazeka, ukugula kwengqondo, ubuhlungu, ukuqubuka, noma ukunciphisa umzimba; imithi ye-migraine efana 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 (i-Zomig); i-methadone (i-Dolophine); i-methylene eluhlaza okwesibhakabhaka; phentermine (Adipex P, Ionamin); i-ritonavir (i-Norvir); 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); sibutramine (Meridia); amaphilisi okulala; i-tramadol (i-Ultram); kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi iziphi izithako zokudla okunempilo kanye nemikhiqizo yamakhambi oyithathayo, ikakhulukazi iSt John's wort ne-tryptophan.
• utshele udokotela wakho uma wake wasebenzisa izidakamizwa ezingekho emthethweni noma wasebenzisa ngokweqile imithi kadokotela. Phinda utshele udokotela wakho uma usanda kuba nesifo senhliziyo futhi uma uke waba nomfutho wegazi ophakeme noma wahlaselwa isifo soxinzelelo lwegazi, noma inhliziyo, izinso, isibindi noma isifo segilo.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-venlafaxine, shayela udokotela wakho. IVenlafaxine ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-venlafaxine.
• 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.
• kufanele wazi ukuthi i-venlafaxine 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 okuvamile.

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. Uma uthatha amaphilisi akhululiwe, ungathathi umthamo ongaphezu kowodwa ngosuku.

IVenlafaxine ingadala imiphumela emibi. Shayela udokotela wakho uma kukhona kulezi zimpawu ezilandelayo ezinzima noma zingapheli:

• ukozela
• ubuthakathaka noma ukukhathala
• isiyezi
• ikhanda
• amaphupho amabi
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• ukuqunjelwa
• isifo sohudo
• igesi
• isilungulela
• ukubhoboza
• umlomo owomile
• shintsha emandleni okunambitha ukudla
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukushosheka engxenyeni ethile yomzimba
• ukuqina kwemisipha
• ukudikiza
• kuzamula
• ukujuluka
• ukushisa noma ukushisa
• ukuchama kaningi
• ubunzima bokuchama
• umphimbo obuhlungu, amakhaza, noma ezinye izimpawu zokutheleleka
• kukhala ezindlebeni
• izinguquko kwisifiso sobulili noma ikhono
• abafundi abakhulisiwe (imibuthano emnyama phakathi kwamehlo)

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ubuhlungu besifuba
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• isithuthwane
• ukulimaza noma ukopha okungavamile
• amabala amancane ansomi esikhunjeni
• ubuhlungu beso noma ubomvu
• umkhuhlane, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, nokuqina kwemisipha okunzima
• imfiva
• izinkinga ngokuxhumanisa
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

IVenlafaxine inganciphisa ukukhula nokuzuza kwesisindo ezinganeni. Uma ingane yakho ithatha i-venlafaxine, udokotela wengane yakho uzobheka ukukhula kwengane yakho ngokucophelela. Khuluma nodokotela wengane yakho ngezingozi zokunikeza i-venlafaxine enganeni yakho.

IVenlafaxine 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).

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:

• isiyezi
• isicanucanu
• ukuhlanza
• ukushisa, ukuluma, noma ukuba ndikindiki kwezandla nezinyawo
• usayizi okhuphukile womfundi (isikhungo esimnyama seso)
• ubuhlungu bemisipha
• iziphonso ezishisayo nezibandayo
• ubuthongo
• isithuthwane
• ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzohlola umfutho wegazi lakho kaningi bese e-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yakho ku-venlafaxine.

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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