Kutchinjiriza

Zamkati

• Musanatenge protriptyline,
• Protriptyline itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA KWAMBIRI kapena ZOSANGALATSA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('mood lifti') monga protriptyline 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 protriptyline, koma nthawi zina, dokotala amatha kusankha kuti protriptyline ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamaganizidwe anu limatha kusintha m'njira zosayembekezereka mukamamwa mankhwala osokoneza bongo 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 protriptyline, 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 chithandizo ndi protriptyline. 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.

Protriptyline imagwiritsidwa ntchito pochiza kukhumudwa. Protriptyline ili mgulu la mankhwala otchedwa tricyclic antidepressants. Zimagwira ntchito pakuwonjezera kuchuluka kwa zinthu zina zachilengedwe muubongo zomwe zimathandizira kukhalabe olimba m'malingaliro.

Protriptyline imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa katatu kapena kanayi patsiku. Tengani protriptyline mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani protriptyline chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu angayambe ndi mlingo wochepa wa protriptyline ndipo pang'onopang'ono muwonjezere mlingo wanu. Dokotala wanu akhoza kuchepetsa mlingo wanu mutatha kulamulira.

Protriptyline imayang'anira kukhumudwa koma siyichiritsa. Pitirizani kutenga protriptyline ngakhale mukumva bwino. Osasiya kumwa protriptyline osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kutenga protriptyline, mutha kukhala ndi zizindikilo zakusiya monga kusanza, kupweteka mutu, komanso kusowa mphamvu.

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

Musanatenge protriptyline,

• uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi protriptyline kapena mankhwala ena aliwonse.
• uzani dokotala ngati mukumwa cisapride (Propulsid) (sikupezeka ku U.S.) kapena monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan); phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwatenga MAO inhibitor m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti simuyenera kutenga protriptyline.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone, Pacerone); mankhwala; bupropion (Wellbutrin); celecoxib (Celebrex); cimetidine (Tagamet); doxorubicin (Adriamycin); guanethidine (Ismelin); ipratropium (Atrovent); mankhwala a nkhawa, mphumu, chimfine, matenda ashuga, matumbo opweteka, matenda amisala, mayendedwe oyenda, matenda a Parkinson, kugwidwa, zilonda zam'mimba, kapena mavuto amikodzo; mankhwala osagunda pamtima monga flecainide (Tambocor), moricizine (Ethmozine), ndi propafenone (Rythmol); methadone (Dolophine); metoclopramide (Reglan); mankhwala ena opatsirana; quinidine; ranitidine (Zantac); kuperekanso (Serpasil); mwambo (Norvir); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); mankhwala ogonetsa; mapiritsi ogona; terbinafine (Lamisil); mankhwala a chithokomiro; tramadol (Ultram); ndi zotontholetsa. 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 musatenge protriptylineline.
• Uzani dokotala ngati mumamwa mowa wambiri; ngati mukumwa mankhwala a electroshock therapy (njira yomwe magetsi ang'onoang'ono amapatsira ubongo kuti athe kuchiza matenda ena amisala); kapena ngati mwakhalapo ndi prostate yotakata (chiwalo choberekera chachimuna), kuvuta kukodza, matenda amisala, kukomoka, hyperthyroidism (chithokomiro chopitilira muyeso), kapena matenda ashuga.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga protriptyline, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga protriptyline ngati muli ndi zaka 65 kapena kupitilira apo. Akuluakulu achikulire sayenera kutenga protriptyline chifukwa sakhala otetezeka kapena ogwira ntchito ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa protriptyline.
• muyenera kudziwa kuti protriptyline 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. Protriptyline imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa.
• Muyenera kudziwa kuti protriptyline imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kutenga protriptyline. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti protriptyline 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.

Protriptyline itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• kusowa chilakolako
• kulemera kumasintha
• kukoma kwachilendo pakamwa
• kupweteka m'mimba kapena kukokana
• kutentha pa chifuwa
• pakamwa pouma
• kudzimbidwa
• Kusinza
• chizungulire
• maloto olakwika
• kupweteka mutu
• pafupipafupi pokodza, makamaka usiku
• kuvuta kukodza
• ophunzira ambiri
• Zosintha pakugonana kapena kuthekera
• kukulitsa mawere mwa amuna ndi akazi
• kusakhazikika
• kulira m'makutu
• kutayika tsitsi
• kuchapa
• thukuta
• lilime lakuda

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

• mawu odekha kapena ovuta
• kufooka kapena kufooka kwa mkono kapena mwendo
• kuphwanya kupweteka pachifuwa
• kuthamanga, kugunda, kapena kugunda kwamtima kosazolowereka
• zidzolo kapena ming'oma
• kuyabwa
• kutupa kwa nkhope kapena lilime
• chikasu cha khungu kapena maso
• nsagwada, khosi, ndi minofu kumbuyo
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kukomoka
• kuyenda movutikira
• kutuluka mwachilendo kapena kuphwanya
• kugwidwa
• chisokonezo
• kuyerekezera zinthu m'maso (kuwona zinthu kapena kumva mawu omwe kulibe)
• kukhulupirira zinthu zomwe sizowona
• malungo
• kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi

Protriptyline 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.

Zizindikiro za bongo zingaphatikizepo izi:

• kugunda kwamtima kosasintha
• kutaya chidziwitso
• kukomoka
• kugwidwa
• chisokonezo
• mavuto okhazikika
• kuyerekezera zinthu m'maso (kuwona zinthu kapena kumva mawu omwe kulibe)
• kubvutika
• Kusinza
• minofu yolimba
• kusanza
• malungo
• kutentha kwa thupi

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.

• Vivactil^®