Milnacipran

Zamkati

• Asanatenge milnacipran,
• Milnacipran ikhoza kuyambitsa mavuto. 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, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo:

Milnacipran sichigwiritsidwa ntchito kuthana ndi kukhumudwa, koma ndi ya gulu lomwelo la mankhwala monga ambiri opatsirana pogonana. Musanayambe kumwa milnacipran, muyenera kudziwa kuopsa kogwiritsa ntchito mankhwala opatsirana pogonana chifukwa kumwa milnacipran kumatha kukhala ndi zoopsa zomwezo. Pakati pa maphunziro azachipatala, antidepressant yamtunduwu ('mood lifti') idapangitsa ana ochepa, achinyamata, ndi achikulire (mpaka zaka 24) kudzipha (kuganiza zodzivulaza kapena kudzipha kapena kukonzekera kapena kuyesa kuchita kotero). 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 akuyenera kupatsidwa mankhwala ochepetsa nkhawa kapena opatsirana pogonana. Ana ochepera zaka 18 sayenera kumwa milnacipran, koma nthawi zina, dokotala amatha kusankha kuti milnacipran ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa milnacipran ngakhale mutakhala wamkulu wazaka 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; ndikukhala ndi nkhawa, 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 milnacipran, 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 milnacipran. 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 kapena amene amakusamalirani muyenera kukambirana ndi dokotala za kuopsa ndi zabwino zakuchiza matenda anu ndi milnacipran kapena ndi mankhwala ena. Muyeneranso kukambirana za kuopsa ndi maubwino osachiza matenda anu. Ngakhale kumwa mankhwala a milnacipran kapena mankhwala ofanana nawo kungakulitse chiopsezo chodzipha, muyenera kudziwa kuti palinso zinthu zina zomwe zimawonjezera chiopsezo. Ngati mukuvutika maganizo kapena matenda ena amisala, pali chiopsezo chowonjezeka choti mudzipha. Vutoli limakhala lalikulu ngati inu kapena aliyense m'banja mwanu mwakhalapo kapena mwakhalapo ndi vuto losinthasintha zochitika (kusinthasintha komwe kumasintha kuchokera pakukhumudwa ndikukhala osangalala kwambiri), 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.

Milnacipran imagwiritsidwa ntchito pochizira fibromyalgia (vuto lokhalitsa lomwe lingayambitse kupweteka, kuuma kwa minofu ndi kufatsa, kutopa, komanso kuvutika kugona kapena kugona). Milnacipran ili mgulu la mankhwala otchedwa serotonin osankha ndi norepinephrine reuptake inhibitors (SNRIs). Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin ndi norepinephrine, zinthu zachilengedwe zomwe zimathandiza kuyimitsa mayendedwe amizere yopweteka muubongo.

Milnacipran imabwera ngati piritsi kuti itengeke pakamwa. Nthawi zambiri amatengedwa kawiri patsiku. Milnacipran imatha kutengedwa kapena yopanda chakudya, koma kuidya ndi chakudya kumachepetsa mwayi woti milnacipran ikusokonezeni m'mimba mwanu. Tengani milnacipran mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani milnacipran ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akuyambitsani pa milnacipran yocheperako ndipo pang'onopang'ono muwonjezere mlingo wanu sabata yoyamba yamankhwala.

Milnacipran itha kuthandizira kuwongolera zizindikilo za fibromyalgia, koma sichichiritsa. Osasiya kumwa milnacipran osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa milnacipran, mutha kukhala ndi zizindikilo zakutha monga kusintha kwa malingaliro, kukwiya, kuzunzika, chizungulire, dzanzi kapena kumva kulira m'manja kapena m'mapazi, nkhawa, chisokonezo, mutu, kutopa, kuvutika kugona kapena kugona, kulira mu makutu, chisangalalo chachilendo, kapena khunyu. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Asanatenge milnacipran,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi milnacipran, mankhwala ena aliwonse, kapena chilichonse mwazomwe zimaphatikizidwa m'mapiritsi a milnacipran. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala ngati mukumwa 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 milnacipran. Mukasiya kumwa milnacipran, adokotala angakuuzeni kuti muyenera kudikirira masiku osachepera 5 musanayambe kumwa MAO inhibitor.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); busipulo; clonidine (Catapres); digoxin (Lanoxicaps, Digitek, Lanoxin); okodzetsa ('mapiritsi amadzi'); epinephrine (Epipen, Primatene Mist); fentanyl (Abstral, Actiq, Fentora, Onsolis, ena); lifiyamu (Eskalith, Lithobid); mankhwala a nkhawa, matenda amisala, kupweteka, kapena kugwidwa; mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); mapiritsi ogona; tramadol; zotetezera; serotonin / norepinephrine reuptake inhibitors (SNRIs) monga duloxetine (Cymbalta), desvenlafaxine (Pristiq), ndi venlafaxine (Effexor); ndi mankhwala opatsirana pogonana monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), trimipramine (Surmontil). 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 wort ya St. John's ndi tryptophan.
• uzani dokotala wanu ngati muli ndi glaucoma (kuwonjezeka kwa kupanikizika m'maso komwe kungapangitse kuti musawonongeke). Dokotala wanu angakuuzeni kuti musatenge milnacipran.
• auzeni adotolo ngati mumamwa kapena mudamwa mowa wambiri komanso ngati mwakhalapo ndi kuthamanga kwa magazi; kugwidwa; kugunda kwamtima kosasintha; kukulitsa kapena kutupa prostate (chiberekero chamwamuna); zovuta kukodza; kutaya 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 milnacipran, itanani dokotala wanu. Milnacipran imatha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atengedwa m'miyezi yapitayi yamimba.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa milnacipran.
• muyenera kudziwa kuti milnacipran imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa zakumwa zoledzeretsa mukamamwa milnacipran.

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.

Milnacipran ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kudzimbidwa
• kupweteka m'mimba
• kuonda
• pakamwa pouma
• kumverera kwa kutentha kwa nkhope ndi / kapena kufiira
• mutu
• kusawona bwino
• Kuchepetsa chilakolako chogonana kapena kuthekera
• kupweteka kapena kutupa kwa machende
• kuvuta kukodza
• zidzolo
• kuyabwa

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

• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• chisokonezo
• zovuta kulingalira
• mavuto okumbukira
• thukuta kapena malungo
• kutsegula m'mimba
• chizungulire
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kuuma kwambiri kwa minofu
• kufooka
• kuyenda kosakhazikika komwe kungayambitse kugwa
• kugwidwa
• kukomoka
• chikomokere (kutaya chidziwitso kwakanthawi)
• adachepetsa kapena kusiya kupuma
• kuthamanga kapena kugunda kwamtima
• kuvuta kupuma
• kutopa kwambiri
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• zizindikiro ngati chimfine
• mipando yakuda ndi yodikira
• magazi ofiira m'mipando
• masanzi amagazi
• kusanza komwe kumawoneka ngati malo a khofi
• kutuluka mwachilendo kapena kuphwanya
• mwazi wa m'mphuno
• mawanga ofiira ang'onoang'ono pansi pa khungu

Milnacipran 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:

• kugona kwambiri
• chisokonezo
• chizungulire
• chikomokere (kutaya chidziwitso kwakanthawi)
• kuchepa kapena kuyimitsa kugunda kwa mtima ndikupuma

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu amakuyang'anirani kuthamanga kwa magazi kwanu komanso kuthamanga kwa magazi nthawi zonse mukamamwa mankhwala a milnacipran.

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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