Vilazodone
Zamkati
- Musanatenge vilazodone,
- Vilazodone imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena ZOCHITIKA ZOCHITIKA, itanani dokotala wanu mwachangu:
- Zizindikiro za bongo zingaphatikizepo izi:
Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga vilazodone 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 vilazodone, koma nthawi zina, dokotala amatha kusankha kuti vilazodone ndiye mankhwala abwino kwambiri ochizira matenda amwana.
Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa vilazodone 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; chisangalalo chachilendo; kapena kusintha kwina kulikonse m'malingaliro anu, momwe mumamvera, kapena momwe mumakhalira. 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 vilazodone, makamaka kumayambiriro kwa chithandizo chanu. Onetsetsani kuti mwasunga nthawi yonse yoyendera ofesi yanu ndi dokotala.
Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi vilazodone ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.
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.
Vilazodone imagwiritsidwa ntchito pochiza kukhumudwa. Vilazodone ali mgulu la mankhwala otchedwa serotonin reuptake inhibitors (SSRIs) osankhika komanso ndi 5HT1A receptor pang'ono agonist. Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin, chinthu chachilengedwe muubongo chomwe chimathandizira kukhalabe olimba m'maganizo.
Vilazodone imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kamodzi patsiku. Tengani vilazodone mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani vilazodone ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Dokotala wanu mwina angakuyambitseni pa vilazodone yochepa ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi masiku asanu ndi awiri.
Vilazodone imayang'anira kukhumudwa koma siyimachiritsa. Zitha kutenga milungu ingapo musanapindule ndi vilazodone. Pitilizani kumwa vilazodone ngakhale mukumva bwino. Osasiya kumwa vilazodone osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Mukasiya kumwa vilazodone mwadzidzidzi, mutha kukhala ndi zizindikilo zobwerera monga chizungulire nseru; mutu; chisokonezo; kukwiya; kusakhazikika; zovuta kugona kapena kugona; nkhawa; kutopa kwambiri; kugwidwa; kupweteka, kuwotcha, kapena kumva kulira m'manja kapena m'mapazi; kapena thukuta. Uzani dokotala wanu ngati mukukumana ndi izi mwazomwe mukuchepetsa mlingo wa vilazodone kapena mukangosiya kumwa vilazodone.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge vilazodone,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la vilazodone, mankhwala ena aliwonse, kapena chilichonse chopezeka m'mapiritsi a vilazodone. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
- auzeni adotolo ngati mukumwa mankhwala a monoamine oxidase (MAO), monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kumwa mankhwalawa m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti simuyenera kumwa vilazodone. Mukasiya kumwa vilazodone, adokotala angakuuzeni kuti muyenera kudikirira masiku 14 musanayambe kumwa MAO inhibitor.
- uzani dokotala ndi wamankhwala mankhwala ena omwe mumalandira ndi mavitamini omwe mukumwa kapena omwe mukufuna kumwa.Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); ma antifungal ena monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); mankhwala; aspirin ndi mankhwala ena osakanikirana ndi kutupa (NSAIDs) monga ibuprofen (Advil, Motrin, ena) ndi naproxen (Aleve, Naprosyn, ena); buspirone (BuSpar); clarithromycin (Biaxin, mu PrevPac); okodzetsa ('mapiritsi amadzi'); erythromycin (EES, E-Mycin, Erythrocin); mzere; lifiyamu (Eskalith, Lithobid); mankhwala a nkhawa, matenda amisala, kapena nseru; 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); mankhwala ogwidwa monga mephenytoin (Mesantoin); methylene buluu; metoclopramide (Reglan); nefazodone; mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Pristiq), duloxetine (Cymbalta), ndi venlafaxine (Effexor); mapiritsi ogona; 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 vilazodone, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse 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 wanu ngati mwakhalapo ndi vuto lakukha magazi, khunyu, kapena matenda a 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 vilazodone, itanani dokotala wanu. Vilazodone imatha 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 mukumwa vilazodone.
- muyenera kudziwa kuti vilazodone imatha kukupangitsani kugona komanso kukhudza kuweruza ndi kuganiza kwanu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Funsani adotolo za zakumwa zoledzeretsa pamene mukumwa vilazodone. Mowa umatha kupangitsa mavuto omwe amabwera chifukwa cha vilazodone.
- muyenera kudziwa kuti vilazodone imatha kuyambitsa khungu lotseka la glaucoma (vuto lomwe madzimadzi amatsekedwa mwadzidzidzi ndikulephera kutuluka m'maso ndikupangitsa kuwonjezeka kwachangu, kwakuthwa kwa kupsyinjika 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.
Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.
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.
Vilazodone imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- pakamwa pouma
- kuchuluka kudya
- kutentha pa chifuwa
- mpweya
- chizungulire
- kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi
- kugwedezeka kosalamulirika kwa gawo lina la thupi
- maloto achilendo
- kutopa
- kupweteka pamodzi
- kusintha kwa chikhumbo chakugonana kapena kuthekera
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena ZOCHITIKA ZOCHITIKA, itanani dokotala wanu mwachangu:
- zidzolo
- ming'oma
- kutupa
- kuvuta kupuma
- kutaya chidziwitso
- kugwidwa
- malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
- kutsegula m'mimba
- nseru
- kusanza
- kutuluka mwachilendo kapena kuphwanya
- mwazi wa m'mphuno
- madontho ang'ono ofiira kapena ofiirira pakhungu
- kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
- mutu
- zovuta kulingalira
- mavuto okumbukira
- kufooka
- mavuto ndi mgwirizano
- kuchuluka kwa kugwa
- kukomoka
Vilazodone imatha 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 izi:
- malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
- kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
- kusowa mphamvu
- kusakhazikika
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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