Mlembi: Gregory Harris
Tsiku La Chilengedwe: 7 Epulo 2021
Sinthani Tsiku: 1 Kulayi 2024
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Pyaar De | Sunny Leone & Rajniesh Duggall | Ankit Tiwari | Beiimaan Love
Kanema: Pyaar De | Sunny Leone & Rajniesh Duggall | Ankit Tiwari | Beiimaan Love

Zamkati

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

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa nortriptyline 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 nortriptyline, 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 nortriptyline. 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.


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

Nortriptyline imabwera ngati kapisozi komanso madzi akumwa kuti amwe pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kanayi patsiku ndipo amatha kumwa kapena wopanda chakudya. Tengani nortriptyline mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani nortriptyline ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

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

Pitirizani kumwa nortriptyline ngakhale mukumva bwino. Osasiya kumwa nortriptyline osalankhula ndi dokotala. Mukasiya kumwa nortriptyline mwadzidzidzi, mutha kukhala ndi zisonyezo zakusiya monga mutu, mseru, ndi kufooka. Dokotala wanu angafune kuchepetsa mlingo wanu pang'onopang'ono.


Nortriptyline nthawi zina imagwiritsidwanso ntchito kuthana ndi zovuta zowopsa ndi post-herpetic neuralgia (kutentha, kupweteka, kapena zowawa zomwe zimatha miyezi kapena zaka pambuyo poti matenda am'mimba). Nortriptyline imagwiritsidwanso ntchito nthawi zina kuthandiza anthu kusiya kusuta. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge nortriptyline,

  • uzani dokotala wanu kapena wamankhwala ngati muli ndi vuto la nortriptyline ndi mankhwala ena opatsirana pogonana monga desipramine (Norpramin), clomipramine (Anafranil), imipramine (Tofranil), trimipramine (Surmontil), mankhwala ena aliwonse, kapena chilichonse cha mankhwala a nortriptyline capsules kapena madzi. 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 nortriptyline. Mukasiya kumwa nortriptyline, 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: maanticoagulants (opopera magazi) monga warfarin (Coumadin, Jantoven); mankhwala; mankhwala enaake (Diabinese); cimetidine (Tagamet); zachilengedwe (Tambocor); guanethidine (Ismelin); lifiyamu (Eskalith, Lithobid); mankhwala a kuthamanga kwa magazi, khunyu, matenda a Parkinson, matenda ashuga, mphumu, nseru, matenda amisala, chimfine, kapena chifuwa; methylphenidate (Ritalin); zotsegula minofu; propafenone (Rhythmol); 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.
  • uzani dokotala wanu ngati mwangodwala kumene mtima. Dokotala wanu angakuuzeni kuti musatenge nortriptyline.
  • Uzani dokotala wanu ngati mwakhalapo ndi prostate yotakata (chiberekero chamwamuna), kuvuta kukodza, matenda ashuga, khunyu, schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kwachilendo, kutaya chidwi ndi moyo, komanso kukhumudwa ), chithokomiro chopitilira muyeso, kapena chiwindi, impso, kapena matenda amtima.
  • uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga nortriptyline, itanani dokotala wanu.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa nortriptyline.
  • muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • lankhulani ndi dokotala wanu zakumwa koyenera kwa mowa mukamamwa mankhwalawa.
  • konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Nortriptyline imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa.
  • muyenera kudziwa kuti nortriptyline 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.

Nortriptyline imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • nseru
  • Kusinza
  • kufooka kapena kutopa
  • chisangalalo kapena nkhawa
  • maloto olakwika
  • pakamwa pouma
  • kusintha kwa njala kapena kulemera
  • kudzimbidwa
  • kuvuta kukodza
  • kukodza pafupipafupi
  • Zosintha pakugonana kapena kuthekera
  • thukuta kwambiri

Zotsatira zina zingakhale zovuta. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA KWAMBIRI kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

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

Nortriptyline 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

  • 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 ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone yankho lanu ku nortriptyline.

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.

  • Aventyl®
  • Pamelor®
Idasinthidwa Komaliza - 08/15/2017

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