Desipramine

Zamkati

• Musanatenge desipramine,
• Desipramine ikhoza kuyambitsa zovuta. Itanani dokotala wanu ngati chimodzi mwazizindikirozi chikukula kapena sichitha:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, kapena zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZABWINO, 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 desipramine panthawi yamaphunziro azachipatala adayamba kudzipha (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 desipramine, koma nthawi zina, dokotala amatha kusankha kuti desipramine ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa mankhwala a desipramine 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 dokotala ngati mukulephera kupeza chithandizo chanokha.

Wothandizira zaumoyo wanu adzafuna kukuwonani nthawi zambiri mukamamwa desipramine, makamaka kumayambiriro kwa chithandizo chanu. Onetsetsani kuti mwasunga nthawi yonse yoyendera ofesi yanu ndi dokotala.

Dotolo kapena wamankhwala amakupatsirani pepala lazidziwitso za wodwala (Medication Guide) mukayamba mankhwala ndi desipramine. 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.

Desipramine imagwiritsidwa ntchito pochiza kukhumudwa. Desipramine ali mgulu la mankhwala otchedwa tricyclic antidepressants. Zimagwira ntchito pakuwonjezera kuchuluka kwa zinthu zina zachilengedwe muubongo zomwe zimafunikira kuti mukhale ndi malingaliro abwino.

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

Dokotala wanu akhoza kukuyambitsani pa mlingo wochepa wa desipramine ndipo pang'onopang'ono muwonjezere mlingo wanu.

Zitha kutenga milungu iwiri kapena itatu kuti mumve bwino desipramine. Pitirizani kumwa desipramine ngakhale mukumva bwino. Osasiya kumwa desipramine osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa desipramine, mutha kukhala ndi zizindikilo monga kusuta, kupweteka mutu, ndi kufooka. Dokotala wanu angafune kuchepetsa mlingo wanu pang'onopang'ono.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge desipramine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la desipramine, clomipramine (Anafranil), imipramine (Tofranil), trimipramine (Surmontil), mankhwala ena aliwonse, kapena chilichonse cha mapiritsi a desipramine. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• 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 desipramine. Mukasiya kumwa desipramine, muyenera kudikirira masiku osachepera 14 musanayambe kumwa MAO inhibitor.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, mankhwala azitsamba ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: maanticoagulants (ochepetsa magazi) monga warfarin (Coumadin); mankhwala; cimetidine (Tagamet); estrogens; zachilengedwe (Tambocor); fluoxetine (Prozac); guanethidine (Ismelin); levodopa (Sinemet, Larodopa); lifiyamu (Eskalith, Lithobid); mankhwala a kuthamanga kwa magazi, khunyu, matenda a Parkinson, matenda ashuga, matenda amisala, nseru, mphumu, chimfine, kapena chifuwa; methylphenidate (Ritalin); zotsegula minofu; kulera pakamwa; phenobarbital; mankhwala (Rythmol); quinidine; mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); mapiritsi ogona; mankhwala a chithokomiro; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Dokotala wanu angakuuzeni kuti musatenge desipramine ngati mwasiya kumwa fluoxetine m'masabata 5 apitawa.
• uzani dokotala wanu ngati mwangodwala kumene mtima. Dokotala wanu angakuuzeni kuti simuyenera kumwa desipramine.
• auzeni adotolo ngati wina m'banja mwanu wagundidwa kapena wamwalira mwadzidzidzi. Komanso muuzeni dokotala ngati mwakhalapo kapena mwakhalapo ndi matenda amtima kapena amitsempha yamagazi monga kuthamanga kwa magazi, atherosclerosis (kuuma kwa mitsempha), angina (kupweteka pachifuwa), kugunda kwamtima mosasinthasintha, kapena matenda amtima; kukulitsa prostate (vuto loberekera lamwamuna) kuvuta kukodza; matenda ashuga; kugwidwa; chithokomiro chambiri; schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi ndi moyo, komanso kukhudzika kapena zosayenera); kapena chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga desipramine, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa desipramine ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa desipramine chifukwa siotetezeka kapena yothandiza ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa desipramine.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za kumwa moyenera pamene mukumwa mankhwalawa.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.
• muyenera kudziwa kuti desipramine 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.

Desipramine ikhoza kuyambitsa zovuta. Itanani dokotala wanu ngati chimodzi mwazizindikirozi chikukula kapena sichitha:

• nseru
• Kusinza
• kufooka kapena kutopa
• maloto olakwika
• pakamwa pouma
• khungu lodziwika bwino ndi dzuwa kuposa masiku onse
• kusintha kwa njala kapena kulemera
• kudzimbidwa
• kuvuta kukodza
• kukodza pafupipafupi
• Zosintha pakugonana kapena kuthekera
• thukuta kwambiri

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, kapena zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZABWINO, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• nsagwada, khosi, ndi minofu kumbuyo
• mawu odekha kapena ovuta
• kuyenda mosinthana
• kugwedezeka kosalamulirika kapena kuyenda kwa gawo lina la thupi
• malungo
• kuvuta kupuma kapena kumeza
• zidzolo zazikulu
• chikasu cha khungu kapena maso
• kugunda kwamtima kosasintha
• kugwidwa
• zilonda zapakhosi, malungo, ndi zizindikiro zina za matenda

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 komwe ana sangathe kufikira. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

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

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.

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:

• kugunda kwamtima kosasintha
• kugwidwa
• chikomokere (kutaya chidziwitso kwakanthawi)
• chisokonezo
• kuyerekezera zinthu m'maganizo (kuwona zinthu zomwe kulibe)
• ana okulitsa (mdima pakati pa maso)
• Kusinza
• kubvutika
• malungo
• kutentha thupi
• minofu yolimba
• kusanza

Sungani maimidwe onse ndi dokotala wanu.

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.

• Norpramin^®