Duloxetine

Zamkati

• Musanatenge duloxetine,
• Duloxetine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zotsatirapo zotsatirazi, kapena zomwe zatchulidwa mgulu la CHENJEZO CHENJEZO kapena CHENJEZO ZOCHITIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('' ma elevator '') monga duloxetine panthawi yamaphunziro azachipatala adadzipha (kuganiza zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa chitani chomwecho). 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 duloxetine, koma nthawi zina, dokotala amatha kusankha kuti duloxetine ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamwa duloxetine kapena mankhwala ena opatsirana ngakhale mutakhala azaka zopitilira 24. Kusinthaku kumatha kuchitika ngakhale mutakhala kuti mulibe matenda amisala ndipo mukumwa duloxetine kuti muthandizire mtundu wina wamakhalidwe. Mutha kudzipha, makamaka kumayambiriro kwa chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka kapena kutsika. Inu, banja lanu, kapena wosamalira muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: kukhumudwa kwatsopano kapena kukulirakulira; kuganiza zodzipweteka kapena kudzipha, kapena kukonzekera kapena kuyesa kutero; kuda nkhawa kwambiri; kusakhazikika; mantha; zovuta kugona kapena kugona; nkhanza kapena nkhanza; kukwiya; kuchita mosaganizira; kusakhazikika kwakukulu; chisangalalo chachilendo; kapena kusintha kwina kulikonse pamakhalidwe. Onetsetsani kuti achibale anu kapena omwe amakusamalirani amakufunsani tsiku ndi tsiku ndipo akudziwa zomwe zingakhale zovuta kuti athe kuyimbira adotolo ngati mukulephera kupeza chithandizo chanokha.

Wothandizira zaumoyo wanu adzafuna kukuwonani nthawi zambiri mukamamwa duloxetine, 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 kulandira mankhwala ndi duloxetine. 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. Vutoli limakhala lalikulu ngati inu kapena aliyense m'banja mwanu mwakhalapo kapena mwakhalapo ndi vuto losinthasintha zochitika (kusinthika komwe kumasintha kuchokera kukhumudwa kupita kusangalala modabwitsa) kapena mania (kukwiya, kusangalala modabwitsa), kukhumudwa, 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.

Duloxetine imagwiritsidwa ntchito kuthana ndi kukhumudwa kwa achikulire komanso matenda amisala (GAD; kuda nkhawa kwambiri komanso kusokonezeka komwe kumasokoneza moyo watsiku ndi tsiku ndikukhala kwa miyezi 6 kapena kupitilira apo) kwa akulu ndi ana azaka 7 kapena kupitirira. Duloxetine imagwiritsidwanso ntchito kuthana ndi kupweteka komanso kumva kulira chifukwa cha matenda ashuga (kuwonongeka kwa mitsempha yomwe imatha kukhala ndi anthu omwe ali ndi matenda ashuga) mwa akulu ndi fibromyalgia (vuto lokhalitsa lomwe lingayambitse kupweteka, kuuma kwa minofu ndi kufatsa, kutopa, komanso kuvuta kugona kapena kugona) mwa akulu ndi ana azaka 13 kapena kupitilira apo. Amagwiritsidwanso ntchito kuthana ndi mafupa kapena minofu yopitilira ululu monga kupweteka kwa msana kapena osteoarthritis (kupweteka kwamagulu kapena kuuma komwe kumatha kukulirakulira pakapita nthawi) mwa akulu. Duloxetine ali mgulu la mankhwala otchedwa serotonin osankha ndi norepinephrine reuptake inhibitors (SNRIs). Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin ndi norepinephrine, zinthu zachilengedwe muubongo zomwe zimathandizira kukhazikika kwamaganizidwe ndikuletsa kusuntha kwa zizindikilo zopweteka muubongo.

Duloxetine imabwera ngati kutulutsidwa kochedwa (kumatulutsa mankhwalawo m'matumbo kuti athane ndi kuwonongeka kwa mankhwala ndi zidulo zam'mimba) kapisozi woti amwe pakamwa. Duloxetine ikagwiritsidwa ntchito kuthana ndi kukhumudwa, nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku ndi chakudya kapena opanda. Duloxetine imagwiritsidwa ntchito pochiza matenda amisala, kupweteka kwa matenda ashuga, fibromyalgia, kapena kupweteka kwa mafupa kapena minofu, nthawi zambiri kumatengedwa kamodzi patsiku kapena wopanda chakudya. Tengani duloxetine mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani duloxetine ndendende momwe mwalangizira. Musatenge pang'ono kapena pang'ono, muzitenga nthawi zambiri, kapena muzitenga nthawi yayitali kuposa momwe dokotala adanenera.

Kumeza makapisozi otulutsidwa mochedwa; osagawana, kutafuna, kapena kuwaphwanya. Osatsegula makapisozi otulutsidwa mochedwa ndikusakaniza zomwe zili ndi zakumwa kapena kuwaza zomwe zili pachakudya.

Dokotala wanu akhoza kukuyambitsani pa mlingo wochepa wa mankhwala ndikuwonjezera mlingo wanu pakatha sabata imodzi.

Duloxetine itha kuthandizira kuwongolera zizindikilo zanu koma sichitha matenda anu. Zitha kutenga 1 mpaka 4 masabata kapena kupitilira apo musanalandire duloxetine. Pitirizani kumwa duloxetine ngakhale mukumva bwino. Osasiya kumwa duloxetine osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Ngati mwasiya mwadzidzidzi kumwa duloxetine, mutha kukhala ndi zizindikilo zakutha monga mseru; kusanza; kutsegula m'mimba; nkhawa; chizungulire; kutopa; mutu; kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kupweteka m'manja kapena m'mapazi; kukwiya; zovuta kugona kapena kugona; thukuta; ndi maloto owopsa. Uzani dokotala wanu ngati mukukumana ndi zina mwazizindikirozi mukamachepetsa duloxetine.

Duloxetine nthawi zina imagwiritsidwanso ntchito kuthana ndi kupsinjika kwamitsempha kwam'mitsempha (kutuluka kwamkodzo panthawi yochita zolimbitsa thupi monga kukhosomola, kuyetsemula, kuseka, komanso kuchita masewera olimbitsa thupi) mwa amayi. Lankhulani ndi dokotala wanu za kugwiritsa ntchito mankhwalawa kuti athetse vuto lanu.

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

Musanatenge duloxetine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la duloxetine, mankhwala aliwonse, kapena chilichonse chosakaniza mu makapisozi a duloxetine omwe amachedwa kutulutsidwa. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• uzani dokotala ngati mukumwa thioridazine kapena monoamine oxidase (MAO) inhibitor, monga isocarboxazid (Marplan), linezolid (Zyvox); methylene buluu; phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kumwa MAO inhibitor m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti musatenge duloxetine. Mukasiya kumwa duloxetine, muyenera kudikirira masiku osachepera 5 musanayambe kumwa MAO inhibitor.
• auzeni dokotala ndi wazamankhwala mankhwala ena omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antidepressants monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protripiline Surmontil); mankhwala; aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); busipulo; cimetidine (Tagamet); okodzetsa ('mapiritsi amadzi'); fentanyl (Abstral, Actiq, Fentora, Onsolis, ena); mankhwala osagunda pamtima monga amiodarone (Cordarone), flecainide (Tambocor), moricizine (Ethmozine), propafenone (Rythmol), ndi quinidine (Quinidex); mankhwala a nkhawa, kuthamanga kwa magazi, matenda amisala, kupweteka, ndi nseru; propranolol (mawonekedwe); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); lifiyamu (Eskalith, Lithobid); proton pump inhibitors monga lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), ndi rabeprazole (Aciphex); mankhwala a quinolone monga ciprofloxacin (Cipro) ndi enoxacin (Penetrex); mankhwala ogonetsa; mitundu ina ya serotonin reuptake inhibitors (SSRIs) monga fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox) ndi paroxetine (Paxil); sibutramine (Meridia); mapiritsi ogona; theophylline (Theochron, Theolair); tramadol (Ultram); ndi zotontholetsa. Mankhwala ena ambiri amatha kulumikizana ndi duloxetine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. 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.
• uzani dokotala ngati mumamwa kapena mumamwa mowa wambiri kapena ngati munagwiritsapo ntchito mankhwala osokoneza bongo kapena munagwiritsirapo ntchito mankhwala akuchipatala. Muuzeni dokotala ngati mwadwalapo kapena mwakhalapo ndi vuto la mtima; kuthamanga kwa magazi; kugwidwa; mitsempha yamitsempha yamitsempha (kutsekeka kapena kuchepa kwa mitsempha yamagazi yomwe imafikitsa pamtima); kapena matenda a mtima, chiwindi, kapena impso. Ngati muli ndi matenda ashuga, onetsetsani kuti mukulankhula ndi adotolo zavuto lanu kuti adziwe ngati duloxetine ili yoyenera kwa inu.
• 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 duloxetine, itanani dokotala wanu. Duloxetine imatha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atatengedwa m'miyezi yapitayi yamimba.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa duloxetine.
• muyenera kudziwa kuti duloxetine imatha kukupangitsani kugona, kuzunguzika, kapena kukhudza kuweruza kwanu, kuganiza kapena kulumikizana. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa duloxetine. Mowa umatha kuonjezera chiopsezo cha zotsatirapo zoyipa kuchokera ku duloxetine.
• Muyenera kudziwa kuti duloxetine imatha kuyambitsa chizungulire, kupepuka mutu, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa duloxetine kapena kuchuluka kwa mlingo. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• Muyenera kudziwa kuti duloxetine imatha kubweretsa kuthamanga kwa magazi. Muyenera kuyezetsa magazi anu musanayambe kumwa mankhwala komanso nthawi zonse mukamamwa mankhwalawa.
• muyenera kudziwa kuti duloxetine 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 kudzetsa 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.

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

• nseru
• kusanza
• kudzimbidwa
• kutsegula m'mimba
• kutentha pa chifuwa
• kupweteka m'mimba
• kuchepa kudya
• pakamwa pouma
• kuchuluka kukodza
• kuvuta kukodza
• thukuta kapena thukuta usiku
• chizungulire
• mutu
• kutopa
• kufooka
• Kusinza
• kupweteka kwa minofu kapena kukokana
• kusintha kwa chikhumbo chakugonana kapena kuthekera
• kugwedezeka kosalamulirika kwa gawo lina la thupi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zotsatirapo zotsatirazi, kapena zomwe zatchulidwa mgulu la CHENJEZO CHENJEZO kapena CHENJEZO ZOCHITIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kuvulaza kapena kutuluka mwachilendo
• kupweteka kumtunda chakumanja kwam'mimba
• kutupa pamimba
• kuyabwa
• chikasu cha khungu kapena maso
• mkodzo wachikuda
• kusowa chilakolako
• kutopa kwambiri kapena kufooka
• chisokonezo
• zizindikiro ngati chimfine
• malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
• malungo
• matuza kapena khungu losenda
• zidzolo
• ming'oma
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali

Duloxetine 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).

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 izi:

• kubvutika
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kugunda kwamtima mwachangu
• malungo
• kutayika kwa mgwirizano
• nseru
• kusanza
• kutsegula m'mimba
• Kusinza
• kugwidwa
• chizungulire
• wamisala
• kukomoka
• kusayankha

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.

• Cymbalta^®