Phenelzine

Zamkati

• Musanatenge phenelzine,
• Phenelzine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zizindikiro izi zili zazikulu kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga phenelzine 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 phenelzine, koma nthawi zina, dokotala amatha kusankha kuti phenelzine ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa phenelzine kapena mankhwala ena opatsirana ngakhale mutakhala wamkulu zaka zopitilira 24. Mutha kudzipha, makamaka kumayambiriro kwa chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka kapena kuchepa. 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 adotolo mukalephera kupeza chithandizo chanokha.

Wothandizira zaumoyo wanu adzafuna kukuwonani nthawi zambiri mukamamwa phenelzine, 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 chithandizo ndi phenelzine. 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.

Phenelzine imagwiritsidwa ntchito pochiza kukhumudwa kwa anthu omwe sanathandizidwe ndi mankhwala ena. Phenelzine ali mgulu la mankhwala otchedwa monoamine oxidase inhibitors (MAOIs). Zimagwira ntchito pakuwonjezera kuchuluka kwa zinthu zina zachilengedwe zomwe zimafunikira kuti mukhale ndi malingaliro abwino.

Phenelzine amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku,. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani phenelzine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu angayambe ndi mlingo wochepa wa phenelzine ndipo pang'onopang'ono muwonjezere mlingo wanu. Zizindikiro zanu zitayamba bwino, dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Tsatirani malangizowa mosamala.

Phenelzine amalamulira zizindikiro za kukhumudwa koma samachiritsa vutoli. Zitha kutenga milungu 4 kapena kupitilira apo kuti mumve kupindula ndi phenelzine. Pitilizani kumwa phenelzine ngakhale mukumva bwino. Osasiya kumwa phenelzine osalankhula ndi dokotala. Dokotala wanu mwina angafune kuchepetsa mlingo wanu pang'onopang'ono. Mukasiya kumwa phenelzine mwadzidzidzi, mutha kukhala ndi zisonyezo zakubwerera m'mbuyo monga maloto olakwika, kusokonezeka, kusayanjana ndi zenizeni, nseru, kusanza, ndi kufooka.

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

Musanatenge phenelzine,

• Uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi phenelzine kapena mankhwala aliwonse.
• auzeni adotolo ngati mukumwa, mwangotenga kumene, kapena mukufuna kumwa mankhwala aliwonse otsatirawa ndi osapereka mankhwala: mankhwala ena opatsirana kuphatikizika kuphatikizapo amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin ( Sinequan), imipramine (Tofranil), maprotiline, mirtazapine (Remeron), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipramine (Surmontil); amphetamines monga amphetamine (ku Adderall), benzphetamine (Didrexetamine, Didrexetamine) , ku Adderall), ndi methamphetamine (Desoxyn); bupropion (Wellbutrin, Zyban); buspirone (BuSpar); tiyi kapena khofi (No-Doz, Quick-Pep, Vivarin); cyclobenzaprine (Flexeril); dexfenfluramine (Redux) (sikupezeka ku U.S.); dextromethorphan (Robitussin, ena); duloxetine (Cymbalta); epinephrine (Epipen, Primatene Mist); guanethidine (Ismelin) (sikupezeka ku US); levodopa (Larodopa, mu Sinemet); mankhwala a chifuwa, chifuwa ndi zizindikiro zozizira, malungo; nkhawa, mavuto a sinus, kapena kuchepa thupi (mapiritsi azakudya, zopondereza kudya); mankhwala ogwidwa monga carbamazepine (Tegretol); mankhwala osokoneza bongo opweteka; zodzikongoletsera m'mphuno, kuphatikiza madontho amphuno ndi opopera; ma MAO ena monga isocarboxazid (Marplan); pargyline (sikupezeka ku US), procarbazine (Matulane), tranylcypromine (Parnate), ndi selegiline (Eldepryl, Emsam, Zelapar); meperidine (Demerol); methyldopa (Aldomet); 'Mapiritsi a pep'; mankhwala ogonetsa; serotonin reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); mapiritsi ogona; zotetezera; venlafaxine (Effexor); ndi mankhwala okhala ndi mowa (Nyquil, elixirs, ena). Dokotala wanu angakuuzeni kuti musatenge phenelzine ngati mukumwa kapena mwasiya kumwa mankhwala amodzi kapena angapo.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: barbiturates monga pentobarbital (Nembutal), phenobarbital (Luminal), ndi secobarbital (Seconal); zotchinga beta monga atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); zonona za doxepin (Zonelon), insulini ndi mankhwala akumwa a shuga; ndi mankhwala a kuthamanga kwa magazi kuphatikiza ma diuretics ('mapiritsi amadzi'), ndi reserpine (Serpalan). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu ndikukuyang'anirani mosamala zotsatira zake.
• muyenera kudziwa kuti phenelzine imatha kukhala mthupi lanu kwa milungu ingapo mutasiya kumwa mankhwala. Pakatha milungu ingapo mutalandira chithandizo, uzani dokotala ndi wamankhwala kuti mwasiya kumwa phenelzine musanayambe kumwa mankhwala atsopano.
• uzani adotolo ngati mukumwa mankhwala aliwonse owonjezera thanzi, makamaka phenylalanine (DLPA) (omwe amapezeka mu aspartame zotsekemera monga zakudya zopangira sodas ndi zakudya, mankhwala owonjezera pa counter, ndi mankhwala ena akuchipatala), rauwolfia, tyrosine, kapena tryptophan.
• uzani dokotala wanu ngati mwakhalapo ndi pheochromocytoma (chotupa pa kansalu kakang'ono pafupi ndi impso) kapena matenda amtima kapena chiwindi. Dokotala wanu akhoza kukuwuzani kuti musatenge phenelzine.
• Uzani dokotala ngati mukugwiritsa ntchito mankhwala osokoneza bongo. Komanso auzeni adotolo ngati mwadwalapo kapena munayamba mwakhalapo ndi kuthamanga kwa magazi; matenda ashuga; kugwidwa; schizophrenia (matenda amisala omwe amachititsa kusokonezeka kwamalingaliro, kutaya chidwi chamoyo, komanso mphamvu kapena zachilendo); kusakhazikika; kapena kusakhazikika kapena zovuta zina zoyenda.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga phenelzine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa phenelzine.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• musamamwe mowa mukamamwa phenelzine. Mowa umatha kukulitsa mavuto obwera chifukwa cha phenelzine.
• muyenera kudziwa kuti phenelzine imatha kuyambitsa chizungulire, kumutu mopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa phenelzine. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.

Mutha kukhala ndi vuto lalikulu mukamadya zakudya zomwe zili ndi tyramine wochuluka mukamachiza phenelzine. Tyramine imapezeka muzakudya zambiri, kuphatikiza nyama, nkhuku, nsomba, kapena tchizi zomwe zasuta, zokalamba, zosungidwa bwino, kapena kuwonongeka; zipatso, ndiwo zamasamba, ndi nyemba; zakumwa zoledzeretsa; ndi zopangira yisiti zofufumitsa. Dokotala wanu kapena wazakudya zakuwuzani zakudya zomwe muyenera kupewa kwathunthu, ndi zakudya zomwe mungadye pang'ono. Muyeneranso kupewa zakudya ndi zakumwa zomwe zili ndi caffeine mukamachiza phenelzine. Tsatirani malangizowa mosamala. Funsani dokotala wanu kapena wazakudya ngati muli ndi mafunso pazomwe mungadye ndi kumwa mukamalandira chithandizo.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Phenelzine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zizindikiro izi zili zazikulu kapena sizichoka:

• Kusinza
• kufooka
• chizungulire
• pakamwa pouma
• kudzimbidwa
• kunenepa
• amachepetsa kuthekera kwakugonana
• kugwedeza kosalamulirika kwa gawo lirilonse la thupi
• kugwedezeka kwa minofu kapena kugwedezeka

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:

• mutu
• pang'onopang'ono, mofulumira, kapena kugunda kwa mtima
• kuuma kwa khosi kapena kupweteka
• kupweteka pachifuwa
• nseru
• kusanza
• thukuta
• ophunzira ambiri (mabwalo akuda pakati pa maso)
• maso owonera kuwala kuposa masiku onse
• kutupa kwa nkhope, mmero, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• chikasu cha khungu kapena maso

Phenelzine amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati mukukumana ndi mavuto achilendo mukamamwa mankhwalawa.

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:

• Kusinza
• chizungulire
• kukomoka
• kupsa mtima
• kusakhudzidwa
• kubvutika
• mutu
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kumangitsa nsagwada
• molimba arched kumbuyo
• kugwidwa
• chikomokere (kutaya chidziwitso kwakanthawi)
• kudya, kugunda kosasinthasintha
• kupweteka pachifuwa
• kupuma pang'ono
• malungo
• thukuta
• khungu loziziritsa

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'ana kuthamanga kwa magazi kwanu nthawi zonse mukamachiritsidwa ndi phenelzine.

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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