Kuyanjana

Zamkati

• Musanatenge escitalopram,
• Escitalopram ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikiro izi kapena zomwe zalembedwa mgawo la CHENJEZO LAPANSI kapena NKHANI ZOCHITIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga escitalopram panthawi yamaphunziro azachipatala adayamba kudzipha (kuganiza zodzivulaza 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 12 sayenera kutenga escitalopram, koma nthawi zina, dokotala amatha kusankha kuti escitalopram ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa mankhwala a escitalopram kapena mankhwala ena opatsirana ngakhale mutakhala azaka zopitilira 24. Mutha kudzipha, makamaka kumayambiriro kwa chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka kapena kutsika.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 dokotala ngati mukulephera kupeza chithandizo chanokha.

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

Dokotala kapena wamankhwala amakupatsirani pepala lazidziwitso zaopanga (Medication Guide) mukayamba mankhwala ndi escitalopram. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kupeza Maupangiri a Medication kuchokera patsamba la FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

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. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi matenda ochititsa munthu kusinthasintha zochitika (kusinthika komwe kumasintha kuchokera pakukhumudwa kupita kusangalala modabwitsa) kapena mania (wokwiya, wokhumudwa modabwitsa) kapena adaganiza kapena adayesa 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.

Escitalopram imagwiritsidwa ntchito kuthana ndi kukhumudwa kwa akulu ndi ana komanso achinyamata zaka 12 zapitazo kapena kupitilira apo. Escitalopram imagwiritsidwanso ntchito kuthana ndi matenda amisala (GAD; kuda nkhawa kwambiri komanso kusokonezeka komwe kumasokoneza moyo watsiku ndi tsiku ndikukhala miyezi 6 kapena kupitilira apo) mwa akulu. Escitalopram ili mgulu la opanikizika omwe amatchedwa serotonin reuptake inhibitors (SSRIs). Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin, chinthu chachilengedwe muubongo chomwe chimathandizira kukhalabe olimba m'maganizo.

Escitalopram imabwera ngati piritsi komanso yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Kukuthandizani kukumbukira kukumbukira kutenga escitalopram, imwani nthawi yomweyo tsiku lililonse, m'mawa kapena madzulo. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani escitalopram ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa escitalopram ndikuwonjezera mlingo wanu pakatha sabata limodzi.

Zitha kutenga 1 mpaka 4 masabata kapena kupitilira apo kuti mumve bwino za escitalopram. Pitirizani kutenga escitalopram ngakhale mukumva bwino. Osasiya kumwa escitalopram osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kutenga escitalopram, mutha kukhala ndi zizindikilo zakusiya monga kusintha kwa malingaliro, kukwiya, kusanza, chizungulire, chizungulire, kuwotcha, kapena dzanzi m'manja kapena m'mapazi, nkhawa, chisokonezo, mutu, thukuta, kutopa, komanso kuvuta kugwa kugona kapena kugona. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Musanatenge escitalopram,

• uzani dokotala wanu kapena wamankhwala ngati muli ndi matupi awo sagwirizana ndi escitalopram, citalopram (Celexa), mankhwala ena aliwonse, kapena chilichonse cha mapiritsi kapena yankho. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani dokotala ngati mukumwa pimozide (Orap) kapena monoamine oxidase (MAO) inhibitor monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kumwa choletsa MAO m'masiku 14 apitawa. Dokotala wanu mwina angakuuzeni kuti musatenge escitalopram. Mukasiya kumwa escitalopram, muyenera kudikirira masiku osachepera 14 musanayambe kumwa MAO inhibitor.
• Muyenera kudziwa kuti escitalopram ndiyofanana kwambiri ndi SSRI ina, citalopram (Celexa). Simuyenera kumwa mankhwala awiriwa limodzi.
• Uzani dokotala wanu kapena wamankhwala mankhwala omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); amphetamines monga amphetamine (ku Adderall, ku Mydayis), dextroamphetamine (Dexedrine, ku Adderall), ndi methamphetamine (Desoxyn); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); busipulo; carbamazepine (Tegretol); cimetidine (Tagamet); okodzetsa ('mapiritsi amadzi'); fentanyl (Actiq, Duragesic, Fentora, Lazanda, Subsys); ketoconazole (Sporanox); lifiyamu (Lithobid); mzere (Zyvox); mankhwala a nkhawa, matenda amisala, kapena kugwidwa; mankhwala a mutu waching'alang'ala monga almotriptan, eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, Tosymra, ku Treximet), ndi zolmitriptan (Zomig); metoprolol (Lopressor, Toprol XL); mankhwala ena osankhidwa a serotonin re-uptake inhibitors (SSRI) kapena mankhwala a serotonin-norepinephrine reuptake inhibitors (SNRI); mankhwala ogonetsa; mapiritsi ogona; tramadol (Conzip, Qdolo, Ultram, mu Ultracet); zotetezera; komanso mankhwala opatsirana pogonana a tricyclic monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipramine. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu zakumwa zowonjezera zakudya ndi mankhwala azitsamba omwe mukumwa, makamaka mankhwala okhala ndi St. John's wort kapena tryptophan.
• auzeni adotolo ngati mwadwala matenda a mtima posachedwa ndipo ngati mwadwalapo kapena munathapo kuthamanga magazi; sitiroko; kutaya magazi; kugwidwa; kapena chiwindi, impso, kapena matenda amtima.
• uzani dokotala wanu ngati muli ndi pakati, makamaka ngati muli m'miyezi ingapo yapitayo ya mimba yanu, kapena ngati mukufuna kutenga pakati kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga escitalopram, itanani dokotala wanu. Escitalopram itha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atatengedwa m'miyezi yapitayi yamimba.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukugwiritsa ntchito escitalopram.
• muyenera kudziwa kuti escitalopram imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.
• muyenera kudziwa kuti escitalopram 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.

Escitalopram ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutsegula m'mimba
• kudzimbidwa
• Zosintha pakugonana kapena kuthekera
• Kusinza
• thukuta lowonjezeka
• chizungulire
• kutentha pa chifuwa
• kupweteka m'mimba
• kutopa kwambiri
• pakamwa pouma
• kuchepa kudya
• kuonda
• zizindikiro ngati chimfine
• mphuno
• kuyetsemula

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikiro izi kapena zomwe zalembedwa mgawo la CHENJEZO LAPANSI kapena NKHANI ZOCHITIKA, itanani dokotala wanu mwachangu:

• chisangalalo chachilendo
• kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)
• zidzolo
• ming'oma kapena matuza
• kuyabwa
• malungo
• kupweteka pamodzi
• kutupa kwa nkhope, mmero, lilime, milomo, kapena maso
• malungo, thukuta, chisokonezo, kugunda kwamtima kapena kusakhazikika, kuuma kwambiri kwa minofu kapena kugwedezeka, kusakhazikika, kuyerekezera zinthu m'maganizo, kutaya mgwirizano, nseru, kusanza, kapena kutsegula m'mimba
• kutuluka magazi kapena kuphwanya
• mutu
• kusakhazikika
• mavuto ndi kulingalira, kusinkhasinkha, kapena kukumbukira
• kugwidwa

Escitalopram ikhoza kuyambitsa 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).

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.

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

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.

Zizindikiro za bongo zingaphatikizepo:

• chizungulire
• nseru
• kusanza
• Kusinza
• kuthamanga kapena kugunda kwamtima
• kugwidwa
• chikomokere (kutaya chidziwitso kwakanthawi)

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo anu komanso ogwira nawo ntchito kuti mukumwa mankhwalawa.

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.

• Lexapro^®