Khalidwe

Zamkati

• Musanatenge levomilnacipran,
• Levomilnacipran angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa levomilnacipran ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga levomilnacipran 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. Vutoli liyenera kuganiziridwa ndikuyerekeza ndi phindu lomwe lingakhalepo pakuthandizira kukhumudwa, posankha ngati mwana kapena wachinyamata ayenera kumwa mankhwala opanikizika. Ana ochepera zaka 18 sayenera kumwa levomilnacipran, koma nthawi zina, dokotala amatha kusankha kuti levomilnacipran ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa levomilnacipran kapena mankhwala ena opatsirana ngakhale mutakhala wamkulu wazaka 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; ndi 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 levomilnacipran, 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 levomilnacipran 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.

Levomilnacipran imagwiritsidwa ntchito pochiza kukhumudwa. Levomilnacipran ali mgulu la mankhwala omwe amatchedwa serotonin yosankha ndi norepinephrine reuptake inhibitors (SNRIs). Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin ndi norepinephrine, zinthu zachilengedwe muubongo zomwe zimathandizira kukhalabe olimba m'maganizo.

Levomilnacipran imabwera ngati kapule yotulutsidwa (yotenga nthawi yayitali) kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse kapena wopanda chakudya. Tengani levomilnacipran mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani levomilnacipran ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse; osatsegula, kutafuna, kapena kuwaphwanya.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa levomilnacipran ndipo pang'onopang'ono muwonjezere mlingo wanu, osaposa kamodzi masiku awiri alionse.

Levomilnacipran imayang'anira kukhumudwa koma siyimachiritsa. Zitha kutenga milungu ingapo kapena kupitilira apo musanapindule ndi levomilnacipran. Pitirizani kumwa levomilnacipran ngakhale mutakhala bwino. Osasiya kumwa levomilnacipran osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Ngati mwasiya mwadzidzidzi kumwa levomilnacipran, mutha kukhala ndi zizindikilo zakutha monga kusintha kwa malingaliro, kusakhazikika, kukwiya, chizungulire, kulira m'makutu, kumva ngati mantha, kuda nkhawa, kusokonezeka, kutopa, kulephera kugona kapena kugona, dzanzi kapena kumva kulira mikono, miyendo, manja, kapena mapazi, kupweteka mutu, kuchuluka thukuta, khunyu, kapena nseru. Uzani dokotala wanu ngati mukukumana ndi zina mwazizindikirozi mukamachepetsa levomilnacipran.

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

Musanatenge levomilnacipran,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la levomilnacipran, milnacipran, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala ngati mukumwa mankhwala a monoamine oxidase (MAO), kuphatikizapo isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate) kapena ngati mwasiya kumwa MAO inhibitor mkati masabata awiri apitawa kapena ngati mukumwa linezolid (Zyvox) kapena methylene buluu. Dokotala wanu angakuuzeni kuti musatenge levomilnacipran. Mukasiya kumwa levomilnacipran, muyenera kudikirira osachepera sabata imodzi musanayambe kumwa MAO inhibitor.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antidepressants ('mood elevator') monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor) Vivactil), ndi trimipramine (Surmontil); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin), ndi naproxen (Aleve, Naprosyn); buspirone (Buspar); clarithromycin (Biaxin, mu Prevac); okodzetsa ('mapiritsi amadzi'); fentanyl (Actiq, Duragesic, Fentora); ketoconazole (Nizoral); lifiyamu (Eskalith, Lithobid); mankhwala a matenda amisala monga clozapine (Clozaril) ndi haloperidol (Haldol); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); tramadol (Ultram); mwambo (Norvir); ndi sibutramine (Meridia; sichikupezeka ku United States. Dokotala wanu angafunikire kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zoyipa. Mankhwala ena ambiri amathanso kulumikizana ndi levomilnacipran, onetsetsani kuti mwauza dokotala wanu zonse mankhwala omwe mukumwa, ngakhale omwe sawoneka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba ndi zowonjezera zakudya zomwe mumamwa, makamaka wort St. John's and tryptophan.
• auzeni adotolo ngati mudakhalapo ndi kuthamanga kwa magazi, kusungidwa kwamikodzo kapena mavuto okodza, kuchepa kwa mchere (sodium) m'magazi anu, khunyu, kapena impso kapena matenda amtima.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga levomilnacipran, itanani dokotala wanu.
• Pewani kumwa zakumwa zoledzeretsa mukamamwa levomilnacipran.
• muyenera kudziwa kuti levomilnacipran imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Muyenera kudziwa kuti levomilnacipran ikhoza kuyambitsa kuthamanga kwa magazi. Magazi anu ayenera kuyang'aniridwa pafupipafupi mukalandira levomilnacipran.
• muyenera kudziwa kuti levomilnacipran 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.

Levomilnacipran angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kudzimbidwa
• thukuta kwambiri
• kusintha kwa kugunda kwa mtima ndi kuthamanga kwa magazi
• Kulephera kwa erectile
• kusanza
• Zosintha pakugonana kapena kuthekera
• kuchepa kudya

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa levomilnacipran ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• zidzolo
• ming'oma
• kutupa
• kuvuta kupuma kapena kumeza
• malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu kapena kugwedezeka
• kutuluka magazi kapena kuphwanya
• kuvuta kukodza kapena kulephera kukodza
• kuthamanga, kugunda, kapena kugunda kwamtima kosazolowereka

Levomilnacipran 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. Zisunge kutentha komanso kutali ndi kuwala, 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.

Ngati wina ameza levomilnacipran, itanani foni ku 1-800-222-1222. Ngati wovulalayo wagwa kapena sakupuma, itanani oyang'anira zadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)
• chikomokere (kutaya chidziwitso kwakanthawi)
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugwidwa
• chizungulire
• kusakhazikika

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

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.

• Fetzima^®