Amitriptyline

Zamkati

• Musanatenge amitriptyline,
• Amitriptyline itha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba 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 amitriptyline 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 amitriptyline, koma nthawi zina, dokotala amatha kusankha kuti amitriptyline ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamwa amitriptyline 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 amitriptyline, 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 amitriptyline. 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.

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

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

Dokotala wanu angayambe ndi mlingo wochepa wa amitriptyline ndipo pang'onopang'ono muwonjezere mlingo wanu.

Zitha kutenga milungu ingapo kapena kupitilira apo kuti mupindule ndi amitriptyline. Pitirizani kutenga amitriptyline ngakhale mukumva bwino. Osasiya kumwa amitriptyline osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa amitriptyline, mutha kukhala ndi zizindikilo zakutha monga mseru, kupweteka mutu, komanso kusowa mphamvu. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Amitriptyline imagwiritsidwanso ntchito kuthana ndi vuto la kudya, post-herpetic neuralgia (kuwotcha, kupweteka, kapena zowawa zomwe zimatha miyezi kapena zaka zitadwala matenda a shingles), komanso kupewa mutu wa migraine. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge amitriptyline,

• uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi amitriptyline kapena mankhwala aliwonse.
• uzani dokotala ngati mukumwa cisapride (Propulsid) (sikupezeka ku US) kapena monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate ), kapena ngati mwatenga MAO inhibitor m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti simuyenera kumwa amitriptyline.
• uzani dokotala ndi wamankhwala mankhwala ena akuchipatala ndi osapereka, mavitamini, zowonjezera zakudya, ndi mankhwala omwe mumamwa. Onetsetsani kuti mwatchulapo izi: antihistamines; cimetidine (Tagamet); mapiritsi azakudya; disulfiram (Antabuse); guanethidine (Ismelin); ipratropium (Atrovent); quinidine (Quinidex); mankhwala a kugunda kwamtima kosafanana monga flecainide (Tambocor) ndi propafenone (Rythmol); mankhwala a nkhawa, mphumu, chimfine, matenda opweteka m'mimba, matenda amisala, nseru, matenda a Parkinson, khunyu, zilonda zam'mimba, kapena mavuto amikodzo; mankhwala ena opatsirana; phenobarbital (Bellatal, Solfoton); mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); mapiritsi ogona; mankhwala a chithokomiro; ndi zotontholetsa. Uzani dokotala wanu kapena wamankhwala ngati mwasiya kumwa fluoxetine (Prozac, Sarafem) m'masabata asanu apitawa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwangodwala kumene mtima. Dokotala wanu angakuuzeni kuti musatenge amitriptyline.
• auzeni dokotala ngati mumamwa mowa wambiri komanso ngati mwakhalapo ndi glaucoma (vuto la diso); kukulitsa prostate (gland yobereka yobereka); zovuta kukodza; kugwidwa; chithokomiro chambiri (hyperthyroidism); matenda ashuga; schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi ndi moyo, komanso kukhudzika kapena zosayenera); kapena chiwindi, impso, kapena matenda amtima.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga amitriptyline, itanani dokotala wanu. Osamayamwitsa mukamamwa amitriptyline.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa mankhwalawa ngati muli ndi zaka 65 kapena kupitilira apo. Akuluakulu sayenera kumwa amitriptyline 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 amitriptyline.
• muyenera kudziwa kuti amitriptyline itha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.

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.

Amitriptyline itha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• Kusinza
• kufooka kapena kutopa
• maloto olakwika
• kupweteka mutu
• pakamwa pouma
• kudzimbidwa
• kuvuta kukodza
• kusawona bwino
• kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi
• Zosintha pakugonana kapena kuthekera
• thukuta kwambiri
• kusintha kwa njala kapena kulemera
• chisokonezo
• kusakhazikika

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

• mawu odekha kapena ovuta
• chizungulire kapena kukomoka
• kufooka kapena kufooka kwa mkono kapena mwendo
• kuphwanya kupweteka pachifuwa
• kuthamanga, kugunda, kapena kugunda kwamtima kosazolowereka
• totupa pakhungu kapena ming'oma
• kutupa kwa nkhope ndi lilime
• chikasu cha khungu kapena maso
• nsagwada, khosi, ndi minofu kumbuyo
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kukomoka
• kutuluka mwachilendo kapena kuphwanya
• kugwidwa
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)

Amitriptyline itha 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:

• kugunda kwamtima kosasintha
• kugwidwa
• chikomokere (kutaya chidziwitso kwakanthawi)
• chisokonezo
• mavuto okhazikika
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kubvutika
• Kusinza
• minofu yolimba
• kusanza
• malungo
• kutentha kwa thupi

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku amitriptyline.

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.

• Amitid^®¶
• Amitril^®¶
• Elavil^®¶
• Endep^®¶

• Awiri-Vil^® (yokhala ndi Amitriptyline, Perphenazine)^¶
• Etrafon^® (yokhala ndi Amitriptyline, Perphenazine)^¶
• Limbitrol^® (yokhala ndi Amitriptyline, Chlordiazepoxide)^¶
• Zovuta^® (yokhala ndi Amitriptyline, Perphenazine)^¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.