Chotsani

Zamkati

• Musanatenge desvenlafaxine,
• Desvenlafaxine imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, 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 desvenlafaxine panthawi yamaphunziro azachipatala adadzipha (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 18 sayenera kumwa desvenlafaxine, koma nthawi zina, dokotala amatha kusankha kuti desvenlafaxine ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa mankhwala a desvenlafaxine kapena mankhwala ena opatsirana ngakhale mutakhala wamkulu kuposa zaka 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; kapena 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 desvenlafaxine, 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 desvenlafaxine.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 (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.

Desvenlafaxine amagwiritsidwa ntchito pochiza kukhumudwa. Desvenlafaxine ali mgulu la mankhwala otchedwa serotonin osankha ndi norepinephrine reuptake inhibitors (SNRIs). Zimagwira ntchito poonjezera kuchuluka kwa serotonin ndi norepinephrine, zinthu zachilengedwe muubongo zomwe zimathandizira kukhalabe olimba m'maganizo.

Desvenlafaxine amabwera ngati piritsi lotulutsa (lokhalitsa) kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Tengani desvenlafaxine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani desvenlafaxine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi athunthu ndi madzi ambiri; osagawana, kutafuna, kuwaphwanya, kapena kuwasungunula.

Desvenlafaxine amalamulira kukhumudwa, koma samachiritsa. Zitha kutenga milungu ingapo musanapindule ndi desvenlafaxine. Pitilizani kumwa desvenlafaxine ngakhale mukumva bwino. Osasiya kumwa desvenlafaxine osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Mukasiya kumwa desvenlafaxine mwadzidzidzi, mutha kukhala ndi chizungulire, chisokonezo, mseru, kupweteka mutu, kulira m'makutu, kukwiya, kulephera kudziletsa, kusinthasintha kwakanthawi, kusangalala modabwitsa, kuvutika kugona kapena kugona, kutsegula m'mimba, nkhawa, kutopa kwambiri, maloto achilendo, kugwidwa, thukuta, kugwedezeka kosalamulirika kwa gawo lina la thupi, kapena kupweteka, kuwotcha kapena kumva kulira m'manja kapena m'mapazi. Uzani dokotala wanu ngati mukukumana ndi zina mwazizindikirozi mukamachepetsa mlingo wa desvenlafaxine kapena mukangosiya kumwa desvenlafaxine.

Desvenlafaxine nthawi zina amagwiritsidwanso ntchito kuthana ndi zotentha (zotentha; kutentha kwamwadzidzidzi ndi thukuta) mwa amayi omwe adakumana ndi kusintha kwa msambo ('kusintha kwa moyo'; kutha kwa msambo wamwezi uliwonse). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanatenge desvenlafaxine,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la desvenlafaxine, venlafaxine (Effexor), mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a desvenlafaxine. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukumwa mankhwala a monoamine oxidase (MAO), monga isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kumwa mankhwalawa m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti simuyenera kumwa desvenlafaxine. Mukasiya kumwa desvenlafaxine, dokotala wanu adzakuuzani kuti muyenera kuyembekezera masiku osachepera 7 musanayambe kumwa MAO inhibitor.
• Muyenera kudziwa kuti desvenlafaxine ndi ofanana kwambiri ndi SNRI ina, venlafaxine (Effexor). Simuyenera kumwa mankhwalawa pamodzi.
• Uzani dokotala ndi wazamankhwala mankhwala ena omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amphetamine monga amphetamine (ku Adderall), dextroamphetamine (Dexedrine, Dextrostat, ku Adderall), ndi methamphetamine (Desoxyn); anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin); ma antifungal ena monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); amiodarone (Cordarone, Pacerone); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); atomoxetine (Straterra); buspirone (Buspar); clarithromycin (Biaxin); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); okodzetsa ('mapiritsi amadzi'); fentanyl (Actiq, Duragesic, Fentora); lifiyamu (Eskalith, Lithobid); mankhwala a nkhawa, matenda amisala, kapena kugwidwa; mankhwala ena a kachirombo ka HIV (monga HIV) monga indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir); mankhwala a migraine monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); metoprolol (Lopressor, Toprol XL); masewera; nebivolol (Bystolic); nefazodone; perphenazine (mu Duo-Vil); mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); ma SNRI ena monga duloxetine (Cymbalta); sibutramine (Meridia); mapiritsi ogona; mavitamini (Detrol); tramadol (Ultram); zotetezera; ndi tricyclic antidepressants monga amitriptyline, amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactiline) Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi desvenlafaxine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba ndi zowonjezera zakudya zomwe mumamwa, makamaka wort St. John's and tryptophan.
• uzani dokotala ngati mumagwiritsa ntchito mankhwala osokoneza bongo kapena mumakhalapo ndi mankhwala osokoneza bongo. Uzaninso dokotala wanu ngati mwangodwala kumene mtima ndipo ngati mwakhalapo kapena mwakhalapo ndi: magazi mavuto; sitiroko; kuthamanga kwa magazi; cholesterol kapena triglycerides (mafuta m'magazi); magulu otsika a sodium m'magazi; kapena matenda a mtima, impso, kapena chiwindi.
• 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 desvenlafaxine, itanani dokotala wanu. Desvenlafaxine 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 desvenlafaxine.
• muyenera kudziwa kuti desvenlafaxine imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa desvenlafaxine. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku desvenlafaxine kukulirakulira.
• Muyenera kudziwa kuti mwa achikulire, desvenlafaxine imatha kuyambitsa chizungulire, kupepuka mutu, komanso kukomoka mukadzuka msanga kuchokera pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti desvenlafaxine 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.

Desvenlafaxine imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kudzimbidwa
• kusowa chilakolako
• pakamwa pouma
• chizungulire
• kutopa kwambiri
• maloto achilendo
• kuyasamula
• thukuta
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kulasalasa mbali ina ya thupi
• kukulitsa ophunzira (mabwalo akuda pakati pa maso)
• kusintha kwa chikhumbo chakugonana kapena kuthekera
• kuvuta kukodza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:

• zidzolo
• ming'oma
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• zovuta kumeza kapena kupuma
• kugunda kwamtima mwachangu
• chifuwa
• chifuwa, mkono, msana, khosi, kapena nsagwada
• malungo
• chikomokere (kutaya chidziwitso kwakanthawi)
• kugwidwa
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
• kutuluka mwachilendo kapena kuphwanya
• mwazi wa m'mphuno
• madontho ang'ono ofiira kapena ofiirira pakhungu
• nseru
• kusanza
• kutsegula m'mimba
• mutu
• zovuta kulingalira
• mavuto okumbukira
• chisokonezo
• kufooka
• mavuto ndi mgwirizano
• kuchuluka kwa kugwa
• kukomoka

Desvenlafaxine 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:

• mutu
• kusanza
• kubvutika
• chizungulire
• nseru
• kudzimbidwa
• kutsegula m'mimba
• pakamwa pouma
• kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kulasalasa mbali ina ya thupi
• kugunda kwamtima mwachangu

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'ana kuthamanga kwa magazi kwanu pafupipafupi ndipo amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira desvenlafaxine.

Musanapite kukayezetsa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa desvenlafaxine.

Piritsi lotulutsidwalo silimasungunuka m'mimba mutatha kumeza. Imatulutsa mankhwala pang'onopang'ono ikamadutsa m'thupi lanu. Mutha kuwona zokutira piritsi mu chopondapo. Izi ndi zachilendo ndipo sizitanthauza kuti simunalandire mankhwala athunthu.

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.

• Pristiq^®