Mlembi: Clyde Lopez
Tsiku La Chilengedwe: 25 Kulayi 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
VORTIOXETINE (TRINTELLIX) - PHARMACIST REVIEW - #81
Kanema: VORTIOXETINE (TRINTELLIX) - PHARMACIST REVIEW - #81

Zamkati

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga vortioxetine 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, palinso zoopsa ngati vuto la kukhumudwa silichiritsidwa kwa ana ndi achinyamata. Lankhulani ndi dokotala wa mwana wanu za zoopsazi komanso ngati mwana wanu ayenera kumwa mankhwala opatsirana. Vortioxetine siinaphunzirepo kwa ana ochepera zaka 18.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa vortioxetine 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 vortioxetine, 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 vortioxetine. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kupeza Buku la Mankhwala 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.


Vortioxetine imagwiritsidwa ntchito kuthana ndi kukhumudwa kwa akulu. Vortioxetine ali mgulu la mankhwala otchedwa serotonin modulators. Zimagwira ntchito makamaka pakukulitsa kuchuluka kwa serotonin, chinthu chachilengedwe muubongo chomwe chimathandizira kukhalabe olimba m'maganizo.

Vortioxetine imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kamodzi patsiku. Tengani vortioxetine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani vortioxetine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu amatha kusintha mlingo wa vortioxetine kutengera momwe mumayankhira kuchipatala komanso ngati mungakhale ndi zovuta zina. Onetsetsani kuti mwalankhula ndi dokotala za momwe mukumvera mukamalandira vortioxetine.

Zitha kutenga masabata awiri kapena anayi kapena kupitilira apo musanapindule ndi vortioxetine. Pitirizani kumwa vortioxetine ngakhale mukumva bwino. Osasiya kumwa vortioxetine osalankhula ndi dokotala. Mukasiya kumwa vortioxetine mwadzidzidzi, mutha kukhala ndi zovuta zina monga kupweteka mutu, kuuma kwa minofu, kusinthasintha kwamaganizidwe, kupsa mtima, chizungulire, kapena mphuno. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono.


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

Musanatenge vortioxetine,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la vortioxetine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a vortioxetine. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
  • Uzani dokotala ngati mukumwa mankhwala a monoamine oxidase (MAO), kuphatikizapo isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate) kapena ngati ndasiya kuwamwa mkati mwa masabata awiri apitawa. Dokotala wanu angakuuzeni kuti musatenge vortioxetine. Mukasiya kumwa vortioxetine, muyenera kudikirira masiku osachepera 21 musanayambe kumwa MAO inhibitor.
  • uzani dokotala ndi wamankhwala mankhwala ena akuchipatala omwe simukulembera, ndi mavitamini, zowonjezera zakudya zomwe mumamwa kapena zomwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antidepressants ('mood lifters') monga amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactiline), ; bupropion (Aplenzin, Forfivo, Wellbutrin, Zyban); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); busipulo; carbamazepine (Carbatrol, Equetro, Tegretol); okodzetsa ('mapiritsi amadzi'); fentanyl (Actiq, Duragesic, Fentora, Lazanda, ena); lifiyamu (Lithobid); mankhwala a matenda amisala; mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); phenytoin (Dilantin, Phenytek); quinidine (mu Nuedexta); rifampin (Rifadin, Rimactane); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), ndi venlafaxine (Effexor); ndi tramadol (Conzip, Ulltram). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • uzani dokotala wanu za mankhwala azitsamba ndi zowonjezera zakudya zomwe mumamwa, makamaka wort St. John's and tryptophan.
  • uzani dokotala ngati muli ndi sodium wocheperako pang'ono m'magazi anu, ngati mumamwa kapena mumamwa mowa wambiri, komanso ngati munagwidwa kapena munayamba mwagwidwa, mukudwala magazi, kapena matenda a chiwindi.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga vortioxetine, itanani dokotala wanu. Vortioxetine imatha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atamwa m'miyezi yaposachedwa yapakati.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, kapena kuyezetsa magazi komwe kumakhudza utoto, uzani dokotala kapena dokotala kuti mukumwa vortioxetine.
  • muyenera kudziwa kuti vortioxetine imakhudza kuweruza kwanu, kuganiza kwanu, ndi mayendedwe anu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa vortioxetine.
  • muyenera kudziwa kuti vortioxetine 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.

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

  • nseru
  • kusanza
  • kutsegula m'mimba
  • kudzimbidwa
  • mpweya
  • pakamwa pouma
  • chizungulire
  • maloto achilendo
  • 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
  • kuyabwa
  • kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
  • ukali
  • kuvuta kupuma kapena kumeza
  • kuvulaza kapena kutuluka mwachilendo
  • malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
  • m'mphuno
  • mutu
  • zovuta kulingalira
  • mavuto okumbukira
  • chisokonezo
  • kufooka
  • kusakhazikika
  • kuyerekezera zinthu m'maganizo
  • kukomoka
  • kugwidwa
  • chikomokere (kutaya chidziwitso kwakanthawi)

Vortioxetine 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:

  • nseru
  • kusanza
  • chizungulire
  • kutsegula m'mimba
  • kupweteka m'mimba
  • kuyabwa
  • kugona
  • kuchapa

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo anu ndi ogwira nawo ntchito kuti mumamwa vortioxetine.

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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  • Brintellix®

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