I-Clomipramine

-Delile

• Ngaphambi kokuthatha i-clomipramine,
• I-Clomipramine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• 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-clomipramine 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. Izingane ezingaphansi kweminyaka engu-18 ubudala akufanele zivame ukuthatha i-clomipramine, kodwa kwezinye izimo, udokotela anganquma ukuthi i-clomipramine iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-clomipramine 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 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-clomipramine, 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-clomipramine. 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/InformationbyDrugClass/UCM096273.

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-Clomipramine isetshenziselwa ukwelapha abantu abane-obsessive-compulsive disorder (isimo esidala imicabango engafuneki ephindaphindiwe kanye nesidingo sokwenza isimilo esithile kaninginingi). I-Clomipramine iseqenjini lemithi ebizwa nge-tricyclic antidepressants. Isebenza ngokwandisa inani le-serotonin, into yemvelo ebuchosheni edingekayo ukugcina ukulinganisela kwengqondo.

I-Clomipramine iza njengephilisi elizothathwa ngomlomo. Ekuqaleni kokwelashwa, i-clomipramine ivame ukuthathwa kathathu ngosuku ngokudla njengoba umzimba ulungisa umuthi. Ngemuva kwamasonto ambalwa okwelashwa, i-clomipramine ivame ukuthathwa kanye ngosuku ngesikhathi sokulala. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-clomipramine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

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

Kungathatha amasonto ambalwa noma ngaphezulu ukuthi uzwe inzuzo ephelele ye-clomipramine. Qhubeka uthathe i-clomipramine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-clomipramine ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-clomipramine, ungathola izimpawu zokuhoxa ezifana nesiyezi, isicanucanu, ukuhlanza, ikhanda elibuhlungu, ubuthakathaka, izinkinga zokulala, umkhuhlane kanye nokucasuka. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Ngaphambi kokuthatha i-clomipramine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-clomipramine, amanye ama-tricyclic antidepressants anjenge-amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamela) , i-protriptyline (Vivactil), ne-trimipramine (iSurmontil); noma imuphi omunye umuthi, noma iziphi izithako ezingasebenzi kumaphilisi we-clomipramine. Buza udokotela wakho noma usokhemisi uhlu lwezithako ezingasebenzi.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma uma uyekile ukuthatha i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho uzokutshela ukuthi ungathathi i-clomipramine. Uma uyeka ukuthatha i-clomipramine, kufanele ulinde okungenani izinsuku eziyi-14 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-benztropine (Cogentin); i-cimetidine (Tagamet); i-clonidine (iCatapres); i-dicyclomine (i-Bentyl); i-digoxin (i-Lanoxin); i-disulfiram; i-flecainide (iTambocor); i-guanethidine (Ismelin); i-haloperidol (iHaldol); i-levodopa (iSinemet, iDopar); imithi yokuhlanza, isiyezi, noma ukugula kwengqondo; i-methylphenidate (Concerta, Metadate, Ritalin); izinto zokuvimbela inzalo ngomlomo; i-phenobarbital; i-phenytoin; propafenone (Rythmol); i-quinidine; isecobarbital (Seconal); isidambisi; i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs) efana ne-fluoxetine (i-Prozac, i-Sarafem), i-sertraline (i-Zoloft), ne-paroxetine (i-Paxil); okokunciphisa umzimba; kanye ne-trihexyphenidyl (Artane); namavithamini. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Udokotela wakho angakutshela ukuthi ungathathi i-clomipramine uma uyekile ukuthatha i-fluoxetine phakathi namasonto ama-5 edlule.
• tshela udokotela wakho uma ngabe usanda kuhlaselwa yinhliziyo. Udokotela wakho angakutshela ukuthi akufanele uthathe i-clomipramine.
• Tshela udokotela wakho uma welashwa nge-electroshock therapy (inqubo lapho kuqhutshwa khona ama-shock amancane kagesi ebuchosheni ukwelapha izifo ezithile zengqondo), uma uphuza noma wake waphuza utshwala obuningi futhi uma uke waquleka noma wake wahlaselwa , ukulimala kobuchopho, izinkinga ngohlelo lwakho lokuchama noma i-prostate (isitho sowesilisa sokuzala), ukushaya kwenhliziyo okungajwayelekile, izinkinga ngomfutho wegazi, izinkinga ze-thyroid, noma isifo senhliziyo, sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-clomipramine, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-clomipramine uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-clomipramine ngoba akuphephile futhi akusebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-clomipramine.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele futhi ungakhuphula ubungozi bokuthi uzoquleka. Ungashayeli imoto, sebenzisa imishini, ukubhukuda, noma ukukhuphuka kuze kube yilapho wazi ukuthi lo muthi ukuthinta kanjani.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.
• kufanele wazi ukuthi i-clomipramine 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-Clomipramine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukozela
• umlomo owomile
• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• uvalo
• kwehle ikhono lezocansi
• kwehle inkumbulo noma ukugxila
• ikhanda
• ikhala eligcwele
• shintsha ekudleni noma isisindo

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

• ukuzamazama okungalawuleki kwengxenye yomzimba
• isithuthwane
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla
• ubunzima bokuchama noma ukulahlekelwa ukulawula isinye
• ukukholwa izinto ezingelona iqiniso
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukuqhaqhazela
• ukuphefumula kanzima noma ukuphefumula okusheshayo
• ukuqina okukhulu kwemisipha
• ukukhathala okungajwayelekile noma ubuthakathaka
• umphimbo obuhlungu, umkhuhlane nezinye izimpawu zokutheleleka

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:

• isithuthwane
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
• ukozela
• ukungahlaliseki
• ukulahleka kokuxhumanisa
• ukujuluka
• imisipha eqinile
• ukunyakaza okungavamile
• ukushaya kwenhliziyo okusheshayo
• ukuphefumula kancane
• ukushintsha kombala okuluhlaza okwesibhakabhaka kwesikhumba
• imfiva
• abafundi abakhulisiwe (imibuthano emnyama enkabeni yeso)
• ukuncipha kokuchama

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.

• Anafranil^®