Doxepin (Kukhumudwa, Kuda nkhawa)

Zamkati

• Musanayambe kumwa doxepin,
• Doxepin angayambitse mavuto. Itanani dokotala wanu ngati chimodzi mwazizindikirozi ndi zoopsa kapena sichitha:
• Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA KWAMBIRI kapena ZOSANGALATSA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

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

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa mankhwala a doxepin 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; ndikukhala ndi nkhawa, 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 doxepin, makamaka kumayambiriro kwa chithandizo chanu. Onetsetsani kuti mwasunga nthawi yonse yoyendera ofesi yanu ndi dokotala.

Dokotala kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi doxepin. 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.

Doxepin imagwiritsidwa ntchito kuthana ndi kukhumudwa komanso kuda nkhawa. Doxepin ali mgulu la mankhwala otchedwa tricyclic antidepressants. Zimagwira ntchito pakuwonjezera kuchuluka kwa zinthu zina zachilengedwe muubongo zomwe zimafunikira kuti mukhale ndi malingaliro abwino.

Doxepin imapezekanso ngati piritsi yothandizira kusowa tulo. Izi zimangopereka chidziwitso chokhudza doxepin kukhumudwa kapena kuda nkhawa. Ngati mukugwiritsa ntchito mankhwalawa kusowa tulo, werengani monograph yotchedwa doxepin (kusowa tulo).

Doxepin imabwera ngati kapisozi, kapena kusungunula (madzi) oti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena katatu patsiku ndipo amatha kumwedwa kapena wopanda chakudya. Yesetsani kumwa doxepin mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani doxepin ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Doxepin concentrate (madzi amkamwa) amabwera ndi chojambula chodziwika bwino choyezera mlingo. Funsani wamankhwala wanu kuti akuwonetseni momwe mungagwiritsire ntchito dropper. Sakanizani kusungunuka kwa madzi oundi (120 mL); mkaka wathunthu kapena wosakaniza; kapena lalanje, zipatso zamphesa, phwetekere, prune, kapena madzi a chinanazi musanadye. Osazisakaniza ndi zakumwa za kaboni (zakumwa zoziziritsa kukhosi).

Zitha kutenga milungu ingapo kapena kupitilira apo kuti mumve mphamvu yonse ya doxepin. Pitirizani kumwa doxepin ngakhale mukumva bwino. Osasiya kumwa doxepin osalankhula ndi dokotala. Dokotala wanu angafune kuchepetsa mlingo wanu pang'onopang'ono.

Doxepin imagwiritsidwanso ntchito pochizira ming'oma yayikulu popanda chifukwa chodziwika. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanayambe kumwa doxepin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la doxepin, amoxapine, loxapine, mankhwala ena aliwonse, kapena zosakaniza zilizonse za makapisozi a doxapine, kapena chidwi.
• uzani dokotala ngati mukumwa monoamine oxidase (MAO) inhibitor monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kumwa MAO inhibitor m'masiku 14 apitawa. Uzani dokotala wanu ngati mukumwa kapena kulandira methylene buluu (Provayblue) kapena linezolid (Zyvox). Dokotala wanu angakuuzeni kuti musatenge doxepin. Mukasiya kumwa doxepin, muyenera kudikirira masiku osachepera 14 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: ma antipsychotic monga chlorpromazine, fluphenazine, perphenazine, prochlorperazine (Compro, Procomp), thioridazine, trifluoperazine; bupropion (Wellbutrin, Zyban, ena, mu Contrave); cimetidine (Tagamet); duloxetine (Cymbalta); zachilengedwe (Tambocor); mankhwala (Rythmol); quinidine (mu Nuedexta); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi seroftraline ( ; ndi tolazamide (Tolinase). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Dokotala wanu angakuuzeni kuti musatenge doxepin ngati mwamwa fluoxetine m'masabata 5 apitawa.
• uzani dokotala wanu ngati muli ndi glaucoma kapena mukuvutika kukodza. Dokotala wanu angakuuzeni kuti musatenge doxepin.
• auzeni adotolo ngati mudamwa kapena mudamwa mowa wambiri, kapena mudakhalapo ndi mphumu, kapena chiwindi kapena matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga doxepin ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa doxepin chifukwa siotetezeka kapena yothandiza ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa doxepin. Mowa umatha kukulitsa mavuto obwera chifukwa cha doxepin.
• muyenera kudziwa kuti doxepin 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 wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Doxepin angayambitse mavuto. Itanani dokotala wanu ngati chimodzi mwazizindikirozi ndi zoopsa kapena sichitha:

• nseru
• kusanza
• kufooka kapena kutopa
• chizungulire
• onjezani kukula kwa ophunzira
• pakamwa pouma
• zilonda mkamwa
• khungu lodziwika bwino ndi dzuwa kuposa masiku onse
• kuchapa
• kusintha kwa njala kapena kulemera
• amasintha momwe zinthu zimamvekera
• kudzimbidwa
• kudzimbidwa
• kutsegula m'mimba
• kuvuta kukodza
• ludzu lokwanira komanso kukodza
• kulira m'makutu anu
• Zosintha pakugonana
• machende otupa
• kukula kukula kwa mawere
• Kutulutsa kwamkaka kuchokera kumawerewere azimayi
• thukuta kwambiri
• kuzizira
• mutu
• kutayika tsitsi

Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA KWAMBIRI kapena ZOSANGALATSA, itanani dokotala wanu mwachangu:

• chikasu cha khungu kapena maso
• kugunda kwamtima mwachangu
• kutuluka mwachilendo kapena kuphwanya
• zotupa pakhungu, kuyabwa, kapena kutupa

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).

Doxepin angayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina 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). Sungani makapisozi a doxepin kutali ndi kuwala.

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 kosasinthasintha
• kumva kusokonezeka, kusokonezeka, kapena kugona
• zovuta kulingalira
• kugwidwa
• kuuma minofu
• kusanza
• onjezani kukula kwa ophunzira
• kuyerekezera zinthu m'maso (kuwona zinthu kapena kumva mawu omwe kulibe)
• malungo
• kutentha kwa thupi
• chikomokere (kutaya chidziwitso kwakanthawi)

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.

• Sinequan^® Makapisozi^¶
• Sinequan^® Njira Yothetsera^¶

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