Fluoxetine

Zamkati

• Musanayambe kumwa fluoxetine,
• Fluoxetine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga fluoxetine 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.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa fluoxetine kapena mankhwala ena opatsirana ngakhale mutakhala wamkulu zaka 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 fluoxetine, 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 kulandira mankhwala ndi fluoxetine. 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.

Fluoxetine (Prozac) imagwiritsidwa ntchito kuthana ndi kukhumudwa, kusokonezeka maganizo (malingaliro ovuta omwe sangachoke komanso kufunika kochita zinthu mobwerezabwereza), mavuto ena akudya, ndi mantha (mwadzidzidzi, ziwopsezo zosayembekezereka za mantha akulu ndi kuda nkhawa ndi izi). Fluoxetine (Sarafem) imagwiritsidwa ntchito kuthana ndi zizindikiritso za premenstrual dysphoric disorder, kuphatikiza kusinthasintha kwa malingaliro, kukwiya, kutupira, komanso kukoma mtima m'mawere. Amagwiritsidwanso ntchito limodzi ndi olanzapine (Zyprexa) kuchiza kukhumudwa komwe sikunayankhe mankhwala ena ndi magawo okhumudwa mwa anthu omwe ali ndi bipolar I disorder (manic-depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania, ndi zina malingaliro osazolowereka). Fluoxetine ali mgulu la mankhwala otchedwa serotonin reuptake inhibitors (SSRIs) osankhidwa. Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin, chinthu chachilengedwe muubongo chomwe chimathandizira kukhalabe olimba m'maganizo.

Fluoxetine (Prozac) imabwera ngati kapisozi, piritsi, kuchedwa kutulutsidwa (kutulutsa mankhwala m'matumbo) kapisozi, ndi yankho (madzi) kumwa pakamwa. Fluoxetine itha kumwa kapena popanda chakudya. Fluoxetine (Sarafem) amabwera ngati kapisozi woti amwe pakamwa. Ma Fluoxetine (Prozac) makapisozi, mapiritsi, ndi madzi nthawi zambiri amatengedwa kamodzi patsiku m'mawa kapena kawiri patsiku m'mawa komanso masana. Fluoxetine makapisozi omwe amatulutsidwa mochedwa amatengedwa kamodzi pa sabata. Fluoxetine (Sarafem) nthawi zambiri amatengedwa kamodzi patsiku, mwina tsiku lililonse la mwezi kapena masiku ena amwezi. Tengani fluoxetine mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani fluoxetine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi otulutsidwa mochedwa; musazidule, kuziphwanya, kapena kuzitafuna.

Dokotala wanu akhoza kukuyambitsani pa fluoxetine wocheperako pang'ono ndi pang'ono ndikuwonjezera kuchuluka kwanu.

Zitha kutenga milungu 4 mpaka 5 kapena kupitilira apo musanapindule ndi fluoxetine. Pitirizani kumwa fluoxetine ngakhale mukumva bwino. Osasiya kumwa fluoxetine osalankhula ndi dokotala. Mukasiya mwadzidzidzi kumwa fluoxetine, mutha kukhala ndi zizindikilo zakutha monga kusintha kwa malingaliro, kukwiya, kuzunguzika, chizungulire, dzanzi kapena kulira m'manja kapena m'mapazi, nkhawa, thukuta, kusokonezeka mutu, kutopa, komanso kuvutika kugona kapena kugona. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Fluoxetine nthawi zina amagwiritsidwanso ntchito kuthana ndi uchidakwa, kusowa chidwi, kuchepa kwamalire, kusowa tulo, kupweteka mutu, matenda amisala, posttraumatic stress disorder, Tourette's syndrome, kunenepa kwambiri, mavuto azakugonana, ndi phobias. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanayambe kumwa fluoxetine,

• Uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi fluoxetine, mankhwala ena aliwonse, kapena zosakaniza zilizonse pakukonzekera kwa fluoxetine. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala ngati mukumwa pimozide (Orap), thioridazine, kapena monoamine oxidase (MAO) inhibitor monga isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) , ndi tranylcypromine (Parnate), kapena ngati mwasiya kumwa monoamine oxidase inhibitor m'masabata awiri apitawa. Dokotala wanu angakuuzeni kuti simuyenera kumwa fluoxetine. Mukasiya kumwa fluoxetine, muyenera kudikirira masabata osachepera 5 musanayambe kumwa thioridazine kapena monoamine oxidase inhibitor.
• auzeni dokotala ndi wazamankhwala mankhwala ena omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: alprazolam (Xanax); amiodarone (Pacerone, Nexterone); maantibayotiki ena monga erythromycin (E.E.S, Eryc, Ery-tab), gatifloxacin, moxifloxacin (Avelox), ndi sparfloxacin (sipapezeka ku U.S., Zagam); amphetamines monga amphetamine (ku Adderall), dextroamphetamine (Dexedrine, Dextrostat, ku Adderall), ndi methamphetamine (Desoxyn); maanticoagulants ('oonda magazi') monga warfarin (Coumadin, Jantoven); antidepressants (elevator elevator) monga amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimontramine (Surimontramine); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); busipulo; clopidogrel (Plavix); diazepam (Valium); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); dolasetron (Anzemet); fentanyl (Duragesic, Lazanda, Subsys, ena); zachilengedwe (Tambocor); insulin kapena mankhwala akumwa ashuga; lifiyamu (Lithobid); mankhwala a nkhawa ndi matenda a Parkinson; mankhwala a matenda amisala monga chlorpromazine, clozapine (Clozaril, Versacloz), droperidol (Inapsine), haloperidol (Haldol), iloperidone (Fanapt), ndi ziprasidone (Geodon); methadone (Methadose); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); pentamidine (Pentam); quinidine (mu Nuedexta); kupeza; mankhwala ogwidwa monga carbamazepine (Epitol, Tegretol, Teril) ndi phenytoin (Dilantin, Phenytek); mankhwala ogonetsa; mapiritsi ogona; zina zoteteza serotonin-reuptake inhibitors monga citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra), kapena fluvoxamine (Luvox); mankhwala a serotonin-norepinephrine reuptake inhibitors (SNRI) a desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), ndi venlafaxine; sotalol (Betapace, Sorine); tramadol (Ultram); zotetezera; ndi vinblastine (Velban). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu zakumwa zowonjezera zakudya ndi mankhwala azitsamba omwe mukumwa, makamaka mankhwala omwe ali ndi wort ya St. John kapena tryptophan.
• auzeni adotolo ngati inu kapena aliyense m'banja mwanu mwakhalapo kapena mwakhalapo ndi nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi). Uzaninso dokotala wanu ngati muli ndi potaziyamu kapena magnesium wambiri m'magazi anu kapena mukumuthandizidwa ndi mankhwala a electroshock (njira yomwe timagalimoto tating'onoting'ono ta magetsi timatumizidwa kuubongo kuti tithandizire matenda ena amisala). Uzani dokotala wanu ngati mwangodwala kumene mtima ndipo ngati mwakhala mukulephera mtima, matenda ashuga, khunyu, kapena chiwindi kapena matenda amtima.
• uzani dokotala wanu ngati muli ndi pakati, makamaka ngati muli m'miyezi ingapo yapitayo ya mimba yanu, kapena ngati mukufuna kutenga pakati kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga fluoxetine, itanani dokotala wanu. Fluoxetine imatha kubweretsa mavuto kwa ana obadwa kumene atabadwa ngati atatengedwa m'miyezi yapitayi yamimba.
• muyenera kudziwa kuti fluoxetine imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.
• muyenera kudziwa kuti fluoxetine 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.

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.

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

• manjenje
• nkhawa
• kuvuta kugona kapena kugona
• nseru
• kutsegula m'mimba
• pakamwa pouma
• kutentha pa chifuwa
• kuyasamula
• kufooka
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kusowa chilakolako
• kuonda
• Zosintha pakugonana kapena kuthekera
• thukuta kwambiri
• kupweteka mutu, kusokonezeka, kufooka, kuvuta kuyang'ana, kapena kukumbukira kukumbukira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:

• zidzolo
• ming'oma kapena matuza
• kuyabwa
• malungo
• kupweteka pamodzi
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• kusokonezeka, kutentha thupi, kutuluka thukuta, kusokonezeka, kugunda kwa mtima kapena kusasinthasintha, kunjenjemera, kuuma kwambiri kwa minofu kapena kugwedezeka, kuyerekezera zinthu, kusowa kolumikizana, nseru, kusanza, kapena kutsegula m'mimba
• mofulumira, wosakwiya, kapena kugunda kwa mtima osasinthasintha
• kupuma movutikira
• chizungulire kapena kukomoka
• kugwidwa
• kutuluka magazi kapena kuphwanya

Fluoxetine imatha kuchepa chilakolako ndikupangitsa kuchepa kwa ana. Dokotala wa mwana wanu amayang'ana kukula kwake mosamala. Lankhulani ndi dokotala wa mwana wanu ngati muli ndi nkhawa zakukula kapena kulemera kwa mwana wanu akamamwa mankhwalawa. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopatsa mwana wanu fluoxetine.

Fluoxetine 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. Zisunge kutentha komanso kutali ndi kuwala, 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:

• kusakhazikika
• chisokonezo
• kusayankha
• manjenje
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• chizungulire
• kugunda kwamtima msanga, kosasinthasintha, kapena kwamphamvu
• kuwona zinthu kapena kumva mawu omwe kulibe (kuyerekezera zinthu)
• malungo
• kukomoka
• chikomokere (kutaya chidziwitso kwakanthawi)

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwayesa kuti mukumwa fluoxetine.

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.

• Prozac^®
• Prozac^® Mlungu uliwonse
• Kuthamanga^®
• Sarafem^®
• Kudzikonda^®

• Chizindikiro^® (yokhala ndi Fluoxetine, Olanzapine)