Mlembi: Janice Evans
Tsiku La Chilengedwe: 28 Kulayi 2021
Sinthani Tsiku: 23 Kuni 2024
Anonim
TRIMIPRAMINE (SURMONTIL) - PHARMACIST REVIEW - #187
Kanema: TRIMIPRAMINE (SURMONTIL) - PHARMACIST REVIEW - #187

Zamkati

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga trimipramine panthawi yamaphunziro azachipatala adadzipha (kuganiza zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa kutero ). Ana, achinyamata, komanso achikulire omwe amamwa mankhwala opanikizika kuti athetse kuvutika maganizo kapena matenda ena amisala atha kukhala ofuna kudzipha kuposa ana, achinyamata, komanso achikulire omwe samamwa mankhwala opatsirana kuti athetse vutoli. Komabe, akatswiri sakudziwa kuti chiwopsezo chake ndi chachikulu bwanji komanso kuti chikuyenera kuganiziridwa bwanji posankha ngati mwana kapena wachinyamata ayenera kumwa mankhwala opatsirana. Ana ochepera zaka 18 sayenera kumwa trimipramine, koma nthawi zina, dokotala amatha kusankha kuti trimipramine ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa trimipramine kapena mankhwala ena opatsirana ngakhale mutakhala wamkulu zaka zopitilira 24. Mutha kudzipha, makamaka kumayambiriro kwa chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka kapena kuchepa. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: kukhumudwa kwatsopano kapena kukulira; kuganiza zodzipweteka kapena kudzipha, kapena kukonzekera kapena kuyesa kutero; kuda nkhawa kwambiri; kusakhazikika; mantha; zovuta kugona kapena kugona; nkhanza; kukwiya; kuchita mosaganizira; kusakhazikika kwakukulu; ndi chisangalalo chachilendo. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira adotolo mukalephera kupeza chithandizo chanokha.


Wothandizira zaumoyo wanu adzafuna kukuwonani nthawi zambiri mukamamwa trimipramine, makamaka kumayambiriro kwa chithandizo chanu. Onetsetsani kuti mwasunga nthawi yonse yoyendera ofesi yanu ndi dokotala.

Dokotala kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi trimipramine. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso.Muthanso kupeza Buku la Mankhwala kuchokera patsamba la FDA: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273.

Ziribe kanthu msinkhu wanu, musanamwe mankhwala opondereza, inu, kholo lanu, kapena amene amakusamalirani muyenera kukambirana ndi dokotala za kuopsa ndi zabwino zakuchiza matenda anu ndi mankhwala opondereza kapena mankhwala ena. Muyeneranso kukambirana za kuopsa ndi maubwino osachiza matenda anu. Muyenera kudziwa kuti kukhumudwa kapena matenda amisala kumawonjezera chiopsezo chodzipha. Vutoli limakhala lalikulu ngati inu kapena aliyense m'banja mwanu mwakhalapo kapena mwakhalapo ndi vuto losinthasintha zochitika (kusinthasintha komwe kumachokera pakukhumudwa ndikukhala osangalala kwambiri) kapena mania (kukwiya, kusangalala modabwitsa) kapena kuganizira kapena kuyesa kudzipha. Lankhulani ndi dokotala wanu za matenda anu, zizindikiro zanu, komanso mbiri yazachipatala yanokha komanso yabanja. Inu ndi dokotala wanu mudzasankha mtundu wa chithandizo choyenera kwa inu.


Trimipramine imagwiritsidwa ntchito pochiza kukhumudwa. Trimipramine ali mgulu la mankhwala otchedwa tricyclic antidepressants. Zimagwira ntchito pakuwonjezera kuchuluka kwa zinthu zina zachilengedwe muubongo zomwe zimafunikira kuti mukhale ndi malingaliro abwino.

Trimipramine amabwera ngati kapisozi woti amwe pakamwa. Nthawi zambiri amatengedwa kamodzi kapena katatu patsiku. Tengani trimipramine mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani trimipramine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akuyambitsani pamlingo wochepa wa trimipramine ndipo pang'onopang'ono muwonjezere mlingo wanu.

Zitha kutenga milungu inayi musanapindule ndi trimipramine. Pitirizani kumwa trimipramine ngakhale mukumva bwino. Osasiya kumwa trimipramine osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.


Musanayambe kumwa trimipramine,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi matupi awo sagwirizana ndi trimipramine, clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), kapena mankhwala ena aliwonse, kapenanso chilichonse chazipangizo za makapisozi a trimipramine. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
  • Uzani dokotala ngati mukumwa mankhwala a monoamine oxidase (MAO), kuphatikizapo isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) ndi tranylcypromine (Parnate) kapena ngati mwamwa choletsa MAO m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti musamwe trimipramine.
  • Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: cimetidine (Tagamet); othandizira; guanethidine (Ismelin); ipratropium (Atrovent); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, zilonda, kapena mavuto amikodzo; mankhwala a kugunda kwamtima kosafanana monga quinidine (Quinidex), flecainide (Tambocor), ndi propafenone (Rythmol); mankhwala ena opatsirana; ndi serotonin reuptake inhibitors (SSRIs) monga fluoxetine (Prozac, Sarafem), paroxetine (Paxil), ndi sertraline (Zoloft). Uzani dokotala wanu kapena wamankhwala ngati mwasiya kumwa fluoxetine (Prozac, Sarafem) m'masabata 5 apitawa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • uzani dokotala wanu ngati mwangodwala kumene mtima. Dokotala wanu angakuuzeni kuti musamwe trimipramine.
  • auzeni adotolo ngati mwakhala mukukulitsidwa kwa prostate (chiberekero chamwamuna), kuvuta kukodza, matenda a chithokomiro, khunyu, kapena matenda amtima, impso, kapena chiwindi.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga trimipramine, itanani dokotala wanu.
  • lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa trimipramine ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa trimipramine chifukwa siotetezeka kapena yothandiza ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa trimipramine.
  • muyenera kudziwa kuti trimipramine imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.
  • konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Trimipramine imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa.
  • muyenera kudziwa kuti trimipramine imatha kuyambitsa khungu lotseka la glaucoma (vuto lomwe madzimadzi amatsekedwa mwadzidzidzi ndikulephera kutuluka m'maso ndikupangitsa kuwonjezeka kwachangu, koopsa kwa kuthamanga kwa diso komwe kumatha kubweretsa kutayika kwa masomphenya). Lankhulani ndi dokotala wanu za kuyezetsa maso musanayambe kumwa mankhwalawa. Ngati muli ndi nseru, kupweteka kwa diso, kusintha masomphenya, monga kuwona mphete zamitundu yozungulira magetsi, ndi kutupa kapena kufiyira mkati kapena mozungulira, itanani dokotala wanu kapena pitani kuchipatala mwadzidzidzi nthawi yomweyo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Trimipramine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • nseru
  • kusanza
  • kutsegula m'mimba
  • kupweteka m'mimba
  • Kusinza
  • kufooka kapena kutopa
  • chisangalalo kapena nkhawa
  • chisokonezo
  • chizungulire
  • mutu
  • maloto olakwika
  • pakamwa pouma
  • kusintha kwa njala kapena kulemera
  • kudzimbidwa
  • kuvuta kukodza
  • kukodza pafupipafupi
  • Zosintha pakugonana kapena kuthekera
  • thukuta kwambiri
  • kulira m'makutu
  • kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA KWAMBIRI kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

  • nsagwada, khosi, ndi minofu kumbuyo
  • mawu odekha kapena ovuta
  • kuyenda mosinthana
  • kugwedezeka kosalamulirika kwa gawo lina la thupi
  • malungo ndi zilonda zapakhosi
  • kuvuta kupuma kapena kumeza
  • zidzolo
  • chikasu cha khungu kapena maso
  • kugwidwa
  • kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)
  • kupweteka pachifuwa
  • kugunda kapena kugunda kwamtima kosazolowereka

Trimipramine imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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