I-Nefazodone

-Delile

• Ngaphambi kokuthatha i-nefazodone,
• INefazodone ingadala imiphumela emibi. Shayela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe eziXWAYISWENI EZIBALULEKILE noma ezingxenyeni ezithile zokuqapha, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokudambisa ingcindezi ('mood elevators') efana ne-nefazodone 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, kukhona nezingozi lapho ukucindezeleka kungelashwa ezinganeni nasebusheni. Khuluma nodokotela wengane yakho ngalezi zingozi nokuthi ingane yakho kufanele yini ithathe i-antidepressant. Izingane ezingaphansi kweminyaka engu-18 ubudala akufanele zivame ukuthatha i-nefazodone, kodwa kwezinye izimo, udokotela anganquma ukuthi i-nefazodone iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-nefazodone noma amanye ama-anti-depressants noma ngabe umdala ngaphezu kweminyaka engama-24. 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-nefazodone, 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-nefazodone. 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.

Kungakhathaliseki 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.

INefazodone ingadala ukulimala kwesibindi, okungaba nzima noma kusongele impilo. Tshela udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: isicanucanu, ukuhlanza, ukulahlekelwa isifiso sokudla, ukukhathala ngokweqile, ukungabi namandla, ukuphuzi kwesikhumba noma kwamehlo, ukopha okungavamile noma ukulimaza, umchamo onombala omnyama, ubuhlungu enhla ingxenye yesokudla yesisu, noma izimpawu ezifana nomkhuhlane.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho kwi-nefazodone.

I-Nefazodone isetshenziselwa ukwelapha ukucindezeleka. INefazodone isekilasini lemithi ebizwa nge-serotonin modulators. Isebenza ngokwandisa inani lezinto ezithile zemvelo ebuchosheni ezidingekayo ukugcina ukulinganisela kwengqondo.

INefazodone iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kabili ngosuku noma ngaphandle kokudla. Thatha i-nefazodone ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-nefazodone njengoba nje iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-nefazodone futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo ngesonto.

Kungathatha amasonto ambalwa noma ngaphezulu ukuthi uzwe inzuzo ephelele ye-nefazodone. Qhubeka uthathe i-nefazodone noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-nefazodone ngaphandle kokukhuluma nodokotela wakho. Uma udokotela wakho ekutshela ukuthi uyeke ukuthatha i-nefazodone, udokotela wakho uzofuna ukwehlisa umthamo wakho kancane kancane.

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

Ngaphambi kokuthatha i-nefazodone,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-nefazodone, trazodone (Desyrel), noma eminye imithi.
• Tshela udokotela wakho uma uthatha i-astemizole (Hismanal) (ayitholakali e-US), carbamazepine (Tegretol), cisapride (Propulsid) (ayitholakali e-US), pimozide (Orap), terfenadine (Seldane) (ayitholakali US); noma i-triazolam (i-Halcion) Udokotela wakho uzokutshela ukuthi ungathathi i-nefazodone.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: i-alprazolam (Xanax), ama-anticoagulants ('blood thinner') njenge-warfarin (Coumadin); ibuspirone (BuSpar); imithi yokwehlisa i-cholesterol (ama-statins) njenge-atorvastatin (Lipitor), i-lovastatin (Mevacor), ne-simvastatin (iZocor); i-cyclosporine (iNeoral, iSandimmune); i-digoxin (i-Lanoxin); i-haloperidol (iHaldol); imithi yomfutho wegazi ophakeme, imishanguzo yokuquleka, imithi yokwelapha ukukhathazeka; ukuphumula kwemisipha; i-propranolol (Inderal); isidambisi; amaphilisi okulala; itacrolimus (Prograf); noma izinto zokunciphisa umzimba. . Uma usanda kuyeka ukuthatha i-fluoxetine (i-Prozac, i-Sarafem), udokotela wakho angakutshela ukuthi ulinde amasonto ambalwa ngaphambi kokuqala ukuthatha i-nefazodone. Phinda utshele udokotela noma usokhemisi wakho uma uthatha le mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, EMSAM, Zelapar) noma i-tranylcypromine (iParnate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke wahlaselwa yisifo sokuwa noma wake waquleka; isifo senhliziyo, ubuhlungu besifuba, isifo sohlangothi, noma ezinye izinhlobo zesifo senhliziyo.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-nefazodone, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-nefazodone.
• 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.
• Gwema ukuphuza utshwala ngenkathi uthatha i-nefazodone.
• kufanele wazi ukuthi i-nefazodone ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-nefazodone. Ukusiza ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi isifo sohudo, ukuhlanza, ukungaphuzi uketshezi olwanele, nokujuluka kakhulu kungadala ukwehla kwengcindezi yegazi, okungadala ikhanda elincane nokuquleka. Tshela udokotela wakho uma unanoma iyiphi yalezi zinkinga noma uzithuthukise ngesikhathi sokwelashwa kwakho.

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.

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

• ikhanda
• ubunzima bokugxila
• umlomo owomile
• isilungulela
• ukuqhuma noma ukuzwa ukufudumala
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukuncinza ezandleni noma ezinyaweni
• ukuqunjelwa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo ezibalwe eziXWAYISWENI EZIBALULEKILE noma ezingxenyeni ezithile zokuqapha, shayela udokotela wakho ngokushesha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukushaya kwenhliziyo okuhamba kancane
• izinkinga zememori
• ukufiphala kombono noma ukushintsha kombono
• ukudideka
• isithuthwane
• ukwakhiwa okubuhlungu kwenduku okuhlala isikhathi esingaphezu kwamahora ama-4

INefazodone 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 okulandelayo:

• isicanucanu
• ukuhlanza
• ukozela

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-Serzone^®¶

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