Sertraline

-Delile

• Ngaphambi kokuthatha i-sertraline,
• I-Sertraline 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 ('elevators elevator') efana ne-sertraline 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.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-sertraline 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; ukukhathazeka okusha noma okukhulayo; 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-sertraline, 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-sertraline. 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.

I-Sertraline isetshenziselwa ukwelapha ukudangala, ukukhathazeka ngokweqile (imicabango ekhathazayo engeke isuke nesidingo sokwenza isenzo esithile kaninginingi), ukuhlaselwa ukwethuka (ukuhlaselwa okungazelelwe, okungalindelekile kokwesaba okukhulu nokukhathazeka ngalokhu kuhlaselwa), ngemuva ukucindezeleka (ukuphazamisa izimpawu zengqondo ezikhula ngemuva kwesipiliyoni esethusayo), kanye nesifo sokukhathazeka komphakathi (ukwesaba kakhulu ukuxhumana nabanye noma ukwenza phambi kwabanye okuphazamisa impilo ejwayelekile). Ibuye isetshenziselwe ukukhulula izimpawu zesifo sokuya esikhathini sokuqala kwangaphambi kokuya esikhathini, kufaka phakathi ukuguquguquka kwemizwelo, ukucasuka, ukuqunjelwa, kanye nobumnene besifuba. I-Sertraline isekilasini lama-anti-depressants abizwa ngokuthi yi-selective serotonin reuptake inhibitors (SSRIs). Isebenza ngokwandisa inani le-serotonin, into yemvelo ebuchosheni esiza ukugcina ukulinganisela kwengqondo.

I-Sertraline iza njengethebhulethi kanye ne-concentrate (uketshezi) ukuthatha ngomlomo. Imvamisa kuthathwa kanye nsuku zonke ekuseni noma kusihlwa. Ukwelapha i-premenstrual dysphoric disorder, i-sertraline ithathwa kanye ngosuku, kungaba nsuku zonke zenyanga noma ngezinsuku ezithile zenyanga. Thatha i-sertraline ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-sertraline njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Ukugxila kwe-Sertraline kufanele kuhlanjululwe ngaphambi kokusetshenziswa. Masinyane ngaphambi kokuyithatha, sebenzisa okokudonsa okunikeziwe ukususa inani lokugxila odokotela abakutshele ukuthi ukulithathe. Hlanganisa i-concentrate nama-ounces ama-4 (1/2 inkomishi [milliliters ayi-120]) wamanzi, i-ginger ale, ulamula noma i-lime soda, ulamula noma ujusi we-orange. Ngemuva kokuxuba, isisombululo esihlanjululwe singaba mnyama; lokhu kujwayelekile. Ungahlanganisi i-concentrate nanoma iziphi iziphuzo ngaphandle kwalezo ezisohlwini. Phuza ikhambi elihlanjululwe ngokushesha.

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

Kungathatha amasonto ambalwa noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-sertraline. Qhubeka uthathe i-sertraline noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-sertraline ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-sertraline, ungahle uhlangabezane nezimpawu zokuhoxa ezifana nokucanuzela kwenhliziyo, ukujuluka, ukucindezeleka, ukuguquka kwemizwelo, ukuthukuthela noma imizwa ejabule ngokungajwayelekile, ukucasuka, ukukhathazeka, ukudideka, isiyezi, ikhanda, ukukhathala, ukuquleka, ukukhala ezindlebeni, ukuba ndikindiki noma ukuluma ezingalweni, emilenzeni, ezandleni, noma ezinyaweni, ubunzima bokulala noma ukulala.

I-Sertraline nayo isetshenziswa kwesinye isikhathi ukwelapha ikhanda kanye nezinkinga zocansi. 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-sertraline,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-sertraline, noma imuphi omunye umuthi, noma iziphi izithako kumalungiselelo we-sertraline, noma i-latex (etholakala kudrophu yokugxila). Ngaphambi kokuthatha i-sertraline liquid concentrate, tshela udokotela wakho uma unegciwane ku-latex. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-monoamine oxidase (MAO) inhibitors kufaka phakathi i-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate), noma umile ukuwathatha emasontweni amabili edlule, noma uma uthatha i-pimozide (Orap). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-sertraline. Uma uyeka ukuthatha i-sertraline, kufanele ulinde okungenani amasonto ama-2 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• ungathathi i-disulfiram (Antabuse) ngenkathi uthatha ukugxila komlomo kwe-sertraline.
• 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 ikuphi kokulandelayo: amiodarone (Nexterone, Pacerone); ama-amphetamines; ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven) ne-heparin; i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-atomoxetine (iStraterra); buspirone, chlorpromazine; i-clopidogrel (i-Plavix), i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; ku-Nuedexta); i-fentanyl (i-Actiq, i-Duragesic, i-Fentora), i-droperidol (i-Inapsine); i-erythromycin (E.E.S, Eryc, Ery-tab, abanye); i-fosphenytoin (i-Cerebyx); i-gatifloxacin (iZymar, iZymaxid); iloperidone (Fanapt); imithi yokukhathazeka, ukugula kwengqondo, isifo sikaParkinson, nokuquleka; imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-flecainide (Tambocor) ne-propafenone (Rythmol); i-metoprolol (iLopressor, iTrolrol XL); 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-mefloquine; i-methadone (i-Dolophine, i-Methadose); moxifloxacin (Avelox); i-nebivolol (Bystolic, e-Byvalson); ipentamidine (Nebupent, Pentam); i-perphenazine; i-phenytoin (iDilantin, Phenytek); procainamide; i-quinidine (ku-Nuedexta); isidambisi; sibutramine (Meridia); 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, iSotylize); tacrolimus (Astagraf, Envarsus XR, Prograf); i-thoridazine; i-tolterodine (i-Detrol); i-tramadol (i-Conzip, i-Ultram); okokunciphisa umzimba; i-tricyclic antidepressants (’mood elevators’) efana ne-desipramine (Norpramin) noma i-protriptyline (Vivactil); noma i-ziprasidone (Geodon). 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 iSt John's wort ne-tryptophan.
• Tshela udokotela wakho uma usanda kuba nesifo senhliziyo noma isifo sohlangothi noma uma unesifo somfutho wegazi ophakeme, izinkinga zokopha, izinga eliphansi le-sodium egazini lakho futhi uma uke waqubuka noma waba nesifo sokuwa noma sesibindi noma senhliziyo.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-sertraline, shayela udokotela wakho. I-Sertraline ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
• kufanele wazi ukuthi i-sertraline ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-sertraline.
• kufanele wazi ukuthi i-sertraline 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 somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• isicanucanu
• isifo sohudo
• ukuqunjelwa
• ukuhlanza
• ubunzima bokulala noma ukulala
• umlomo owomile
• isilungulela
• ukulahlekelwa isifiso sokudla
• izinguquko zesisindo
• isiyezi
• ukukhathala ngokweqile
• ikhanda
• uvalo
• ukuzamazama okungalawuleki kwengxenye yomzimba
• izinguquko ku-sex drive noma ikhono
• ukujuluka okweqile

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

• isithuthwane
• ukopha okungajwayelekile noma ukulimaza
• ukudinwa, ukubona izinto ezingekho kahle, ukushisa komzimba, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqhaqhazela, ukuqina kwemisipha okunzima noma ukudikiza, ukulahlekelwa ukuhlangana, isicanucanu, ukuhlanza noma isifo sohudo
• ikhanda, ubuthakathaka, ukungazinzi, ukudideka, noma izinkinga zememori
• ukuqubuka
• isifuba
• ukuvuvukala
• ukuphefumula kanzima

I-Sertraline inganciphisa ukudla 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-sertraline.

I-Sertraline 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:

• ukozela
• ukudinwa, ukubona izinto ezingekho kahle, ukushisa komzimba, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqhaqhazela, ukuqina kwemisipha okunzima noma ukudikiza, ukulahlekelwa ukuhlangana, isicanucanu, ukuhlanza noma isifo sohudo
• ukukhathala ngokweqile
• isiyezi
• ukuyaluza
• umuzwa
• isithuthwane
• ukulahlekelwa ukwazi

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-sertraline.

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.

• Zoloft^®