I-Citalopram

-Delile

• Ngaphambi kokuthatha i-citalopram,
• I-Citalopram 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 okulandelayo:

Inani elincane lezingane, intsha, nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathathe imishanguzo yokudambisa ingcindezi ('mood elevators') efana ne-citalopram 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, 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-citalopram, kodwa kwezinye izimo, udokotela anganquma ukuthi i-citalopram iyimithi engcono kakhulu yokwelapha isimo sengane.

Kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile lapho uthatha i-citalopram 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-citalopram, 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-citalopram. 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 iba phezulu uma wena noma omunye emndenini wakho unenkinga yokuphazamiseka kwengqondo okuguquguqukayo (imoji eguquka isuke ekucindezelekeni iye ekuthokozeni okungavamile) noma i-mania (ididekile, ijabule ngokweqile), noma icabange noma izame ukuzibulala. Khuluma nodokotela wakho ngesimo sakho, izimpawu zakho, nomlando wakho wezempilo nowomndeni. Wena nodokotela wakho niyonquma ukuthi hlobo luni lwezokwelapha olulungele nina.

ICitalopram isetshenziselwa ukwelapha ukucindezeleka. ICitalopram isekilasini lama-anti-depressants abizwa ngokuthi yi-serotonin reuptake inhibitors (SSRIs) ekhethiwe. Kucatshangwa ukuthi kusebenza ngokunyusa inani le-serotonin, into yemvelo ebuchosheni esiza ukugcina ukulinganisela kwengqondo.

ICitalopram iza njengethebhulethi kanye nesisombululo (uketshezi) esizothathwa ngomlomo. Imvamisa iphuzwa kanye ngosuku, ekuseni noma kusihlwa, noma kungadlwanga. Thatha i-citalopram ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-citalopram njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-citalopram futhi akhuphule kancane umthamo wakho, hhayi kaningi ngesonto.

Kungathatha i-1 kuye kumaviki ama-4 ngaphambi kokuthi uqaphele inzuzo ephelele ye-citalopram. Qhubeka uthathe i-citalopram noma ngabe uzizwa uphilile. Uma ngokungazelelwe uyeka ukuthatha i-citalopram, ungahle uhlangabezane nezimpawu zokuhoxa njengokushintshashintsha kwemizwelo, ukucasuka, ukuba nesiyezi, ukuba nesiyezi, ukuba ndikindiki noma ukushaywa ugesi okufana nokushaqeka ezandleni noma ezinyaweni, ukukhathazeka, ukudideka, ikhanda, ukukhathala, isicanucanu, ukujuluka, ukuqhaqhazela, nobunzima bokulala noma ukulala. Ungayeki ukuthatha i-citalopram ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

I-Citalopram nayo kwesinye isikhathi isetshenziselwa ukwelapha ukuphazamiseka kokudla, ukuphuza ngokweqile, ukwethuka (isimo esidala ukuhlaselwa okungazelelwe kokwesaba okukhulu ngaphandle kwesizathu esibonakalayo), i-premenstrual dysphoric disorder (iqembu lezimpawu zomzimba nezingokomzwelo ezenzeka ngaphambi kwesikhathi sokuya esikhathini inyanga ngayinye), kanye ne-phobia yomphakathi (ukukhathazeka ngokweqile ngokuxhumana nabanye). 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-citalopram,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-citalopram, i-escitalopram (Lexapro), noma yimiphi eminye imithi, noma iziphi izithako zomkhiqizo we-citalopram owuthathayo. Khuluma nosokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-pimozide (Orap) noma i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), noma i-tranylcypromine (iParnate) , noma uma uyekile ukuthatha i-MAO inhibitor ezinsukwini eziyi-14 ezedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-citalopram. Uma uyeka ukuthatha i-citalopram, kufanele ulinde okungenani izinsuku eziyi-14 ngaphambi kokuqala ukuthatha i-MAO inhibitor.
• kufanele wazi ukuthi i-citalopram ifana kakhulu nenye i-SSRI, i-escitalopram (Lexapro). Akufanele uthathe le mithi emibili ndawonye.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela noma ongayinikiwe kanye namavithamini owathathayo noma ohlela ukuwathatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone); ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); carbamazepine (Tegretol); i-cimetidine (Tagamet); i-cisapride (i-Propulsid); isisu (’amaphilisi amanzi); i-disopyramide (iNorpace); i-dofetilide (Tikosyn); i-erythromycin (i-EES E-Mycin, i-Erythrocin); i-heparin; lithium (Eskalith, Lithobid); imithi yokukhathazeka, ubuhlungu obungapheli, ukugula kwengqondo, isifo sikaParkinson, nokuquleka; 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-methylene eluhlaza okwesibhakabhaka; i-metoprolol (iLopressor, iTrolrol XL); moxifloxacin (Avelox); omeprazole (Prilosec, Zegerid); enye i-serotonin re-uptake inhibitors ekhethiwe (SSRI) noma i-serotonin – norepinephrine reuptake inhibitors (SNRI) ekhethiwe; i-procainamide (i-Procanbid, i-Pronestyl); i-quinidine (i-Quinidex); isidambisi; sibutramine (Meridia); amaphilisi okulala; i-sotalol (iBetapace); i-sparfloxacin (iZagam); i-thioridazine (Mellaril); i-tramadol (i-Ultram); okokunciphisa umzimba; kanye ne-tricyclic antidepressants efana ne-amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), i-trimipramine (iSurmontil). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-citalopram, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho ukuthi iziphi izithasiselo zokudla okunempilo kanye nemikhiqizo yamakhambi oyithathayo, ikakhulukazi imikhiqizo equkethe iSt John's wort noma i-tryptophan.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo se-QT eside (inkinga engavamile yenhliziyo engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa okungazelelwe) futhi uma usebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqeni noma usebenzise kakhulu imithi kadokotela . Phinda utshele udokotela wakho uma umdala kuneminyaka engama-60 futhi uma uke waba nokushaya kwenhliziyo okuhamba kancane noma okungajwayelekile, umfutho wegazi ophakeme; izinkinga zokopha; unhlangothi; amazinga aphansi we-magnesium noma i-potassium egazini lakho, isifo senhliziyo, ukwehluleka kwenhliziyo (isimo lapho inhliziyo ingakwazi ukupompa igazi elanele kwezinye izingxenye zomzimba) noma kwezinye izimo zenhliziyo; ukuquleka; noma isifo sezinso noma sesibindi. Phinda utshele udokotela wakho uma uhlangabezana nokuhlanza okukhulu, isifo sohudo, noma ukujuluka, noma uma uba nalezi zimpawu noma kunini ngesikhathi sokwelashwa kwakho.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-citalopram, shayela udokotela wakho. I-Citalopram ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
• kufanele wazi ukuthi i-citalopram ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• khuluma nodokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngesikhathi sokwelashwa kwakho nge-citalopram. Utshwala bungenza imiphumela emibi ye-citalopram ibe yimbi kakhulu.
• kufanele wazi ukuthi i-citalopram 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-Citalopram ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• isifo sohudo
• ukuqunjelwa
• ukuhlanza
• ubuhlungu besisu
• isilungulela
• ukuncipha kokudla
• ukuncipha komzimba
• ukuchama kaningi
• ukukhathala ngokweqile
• kuzamula
• ubuthakathaka
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ubuhlungu bemisipha noma bamalunga
• umlomo owomile
• izinguquko ku-sex drive noma ikhono
• izikhathi ezinzima zokuya esikhathini

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
• ukuphelelwa umoya
• isiyezi
• ukuquleka
• ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• imfiva
• ukujuluka okweqile
• ukudideka
• ikhoma (ukulahlekelwa ukwazi)
• ukulahleka kokuxhumanisa
• imisipha eqinile noma eshwibayo
• isifuba noma amabhamuza
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukopha okungajwayelekile noma ukulinyazwa
• ikhanda
• ukungazinzi
• izinkinga zokucabanga, ukugxila, noma inkumbulo
• isithuthwane

I-Citalopram 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-citalopram.

I-Citalopram 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:

• isiyezi
• ukujuluka
• isicanucanu
• ukuhlanza
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukozela
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla
• ukulahleka kwememori
• ukudideka
• isithuthwane
• ikhoma (ukulahlekelwa ukwazi)
• ukuphefumula okusheshayo
• umbala oluhlaza okwesibhakabhaka ozungeze umlomo, iminwe, noma izinzipho
• ubuhlungu bemisipha
• umchamo onombala omnyama

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile zaselebhu kanye nama-electrocardiograms (EKG; isivivinyo sokuqapha izinga lokushaya kwenhliziyo yakho nesigqi sakho) ngaphambi kokuba uqale ukuthatha i-citalopram naphakathi nokwelashwa kwakho ngalo muthi.

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.

• UCelexa^®