I-Fluvoxamine

-Delile

• Ngaphambi kokuthatha i-fluvoxamine,
• I-Fluvoxamine 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 ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokulwa nengcindezi ('mood elevators') efana ne-fluvoxamine phakathi nezifundo zokwelashwa 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-fluvoxamine 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-fluvoxamine, 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-fluvoxamine. 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-Fluvoxamine isetshenziselwa ukwelapha ukukhathazeka ngokweqile (imicabango ekhathazayo engeke isuke nesidingo sokwenza isenzo esithile kaninginingi) nesifo sokukhathazeka komphakathi (ukwesaba kakhulu ukuxhumana nabanye noma ukwenza phambi kwabanye okuphazamisa okujwayelekile impilo). I-Fluvoxamine isekilasini lemithi ebizwa nge-serotonin reuptake inhibitors ekhethiwe (SSRIs). Isebenza ngokwandisa inani le-serotonin, into yemvelo ebuchosheni esiza ukugcina ukulinganisela kwengqondo.

I-Fluvoxamine iza njengethebhulethi kanye nephilisi elikhululiwe elizothathwa ngomlomo. Ithebhulethi imvamisa iphuzwa kanye nsuku zonke ngesikhathi sokulala noma kabili ngosuku, kanye ekuseni kanye nangesikhathi sokulala. Iphilisi elikhululwa isikhathi eside liyathathwa, noma ngaphandle kokudla, kanye nsuku zonke ngesikhathi sokulala. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-fluvoxamine njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi akhishwe isikhathi eside; ungazichobozi noma uzihlafune.

Udokotela wakho angakuqala ngomthamo ophansi we-fluvoxamine futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa njalo ngesonto, kuya ngokuthi umuthi usebenza kanjani kuwe kanye nemiphumela oyitholayo.

Kungathatha amasonto ambalwa noma ngaphezulu ukuthi uzwe inzuzo ephelele ye-fluvoxamine. Qhubeka uthathe i-fluvoxamine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-fluvoxamine ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-fluvoxamine, ungahle uhlangabezane nezimpawu zokuhoxa njengokucasuka; ukuyaluza; isiyezi; ukukhathazeka ngokweqile; ukungakhululeki; ukudideka; ikhanda; ukukhathala; ukuguquka kwemizwelo; ubunzima bokulala noma ukulala; noma ubuhlungu, ukuvutha, ukuba ndikindiki, ukuhayiza noma 'ukushaqeka kukagesi' ezandleni noma ezinyaweni. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

I-Fluvoxamine nayo isetshenziswa kwesinye isikhathi ukwelapha ukucindezeleka.Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-fluvoxamine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-fluvoxamine, noma imuphi omunye umuthi, noma iziphi izithako kumaphilisi e-fluvoxamine nakuma-capsule akhishwe isikhathi eside. Buza udokotela wakho noma usokhemisi uhlu lwezithako ..
• tshela udokotela wakho uma uthatha i-alosetron (Lotronex), i-astemizole (Hismanal) (ayitholakali e-US), i-cisapride (Propulsid) (ayitholakali e-US), i-pimozide (i-Orap), i-ramelteon (i-Rozerem), i-terfenadine (i-Seldane) (ayitholakali e-US), tizanidine (Zanaflex), noma i-thioridazine. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-fluvoxamine.
• Tshela udokotela wakho uma uphuza le mishanguzo elandelayo noma uma uyekile ukuyiphuza phakathi nezinsuku eziyi-14 ezedlule: i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue; i-phenelzine (i-Nardil), i-rasagiline (i-Azilect), i-selegiline (i-Eldepryl, i-Emsam, i-Zelapar), ne-tranylcypromine (i-Parnate). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-fluvoxamine. Uma uyeka ukuthatha i-fluvoxamine, kufanele ulinde okungenani izinsuku eziyi-14 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma ongayinikezwa, namavithamini owaphuzayo noma ohlela ukuwaphuza. Qiniseka ukuthi usho noma ikuphi kokulandelayo: alprazolam (Xanax); ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin); i-aspirin noma imikhiqizo equkethe i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala ezifana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); ama-beta-blocker afana ne-metoprolol (Lopressor, Toprol) ne-propranolol (Inderal, e-Inderide); ibuspirone (BuSpar); carbamazepine (Tegretol); i-clopidogrel (i-Plavix), i-clozapine (i-Clozaril); i-cyclosporine (iNeoral, iSandimmune); i-dextromethorphan (emithini yokukhwehlela); diazepam (Valium); i-diltiazem (iCardizem); isisu (‘amaphilisi amanzi’); fentanyl (Abstral, Actiq, Fentora, Onsolis, abanye); i-haloperidol (iHaldol); ketoconazole (Nizoral); i-lithium; 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-methadone (i-Dolophine, i-Methadose); i-mexiletine (Mexitil); i-metoclopramide; i-midazolam (iVesi); omeprazole (Prilosec, Zegerid); eminye imithi yokukhathazeka, ukucindezeleka, noma ukugula kwengqondo; i-phenytoin (iDilantin); i-sibutramine (iMeridia); i-tacrine (i-Cognex); i-theophylline (Theo-Dur); i-tramadol (i-Ultram, ku-Ultracet); i-triazolam (iHalcion); ne-quinidine. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi kanye nezithako zokudla okunomsoco ozithathayo, ikakhulukazi imikhiqizo equkethe iSt John's wort ne-tryptophan.
• utshele udokotela wakho uma uphuza noma wake waphuza utshwala obuningi noma usebenzise izidakamizwa zasemgwaqweni noma usebenzise ngokweqile imithi kadokotela. Phinda utshele udokotela wakho uma uke wahlaselwa yisifo sokuwa, noma inhliziyo, izinso, i-adrenal, noma isifo sesibindi.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-fluvoxamine, shayela udokotela wakho. I-Fluvoxamine 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-fluvoxamine.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele noma uthinte ukwahlulela kwakho, ukucabanga noma amakhono emoto. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Akufanele uphuze utshwala ngenkathi uthatha i-fluvoxamine.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.
• kufanele wazi ukuthi i-fluvoxamine 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.

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

• ukozela
• ubunzima bokugxila, izinkinga zememori, noma ukudideka
• umlomo owomile
• ikhanda
• isicanucanu
• ukuhlanza
• isifo sohudo
• ubuhlungu besisu
• ukuqunjelwa
• ukugaya ukudla
• igesi
• shintsha ukunambitheka
• ukuncipha kokudla
• ukuncipha komzimba
• uvalo
• ubuthakathaka
• ukungazinzi
• izinguquko ku-sex drive noma ikhono

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

• ubuhlungu besifuba
• izinkinga ngokuxhumanisa
• isiyezi
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• umkhuhlane, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, nokuqina kwemisipha okunzima
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukuncinza ezandleni noma ezinyaweni
• ukuzamazama kwesitho somzimba ongeke ukwazi ukusilawula
• ukuqubuka
• isifuba
• ukuphefumula okuhamba kancane noma okunzima
• isithuthwane
• ukulahlekelwa ukwazi
• ukopha okungajwayelekile noma ukulinyazwa
• impumulo enegazi
• ukuhlanza igazi noma into ebukeka njengezizathu zekhofi
• igazi elibomvu kulindle noma indle emnyama neyokulinda

I-Fluvoxamine 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:

• abafundi abakhulisiwe (umbuthano omnyama enkabeni yeso)
• ukungazinzi
• isiyezi
• ukozela
• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuphefumula kanzima
• izinguquko ekushayeni kwenhliziyo
• ukuzamazama kwesitho somzimba ongeke ukwazi ukusilawula
• ukudlikiza
• izinguquko zokuqapha
• ukulahlekelwa ukwazi

Kubalulekile ukugcina konke ukubonana nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yakho ku-fluvoxamine.

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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