Katemera

Zamkati

• Musanatenge venlafaxine,
• Venlafaxine imatha kuyambitsa mavuto. Itanani dokotala wanu ngati chimodzi mwazizindikiro izi ndi zoopsa kapena sichitha:
• Zotsatira zina zoyipa zingakhale zazikulu. 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 venlafaxine 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 venlafaxine, koma nthawi zina, dokotala amatha kusankha kuti venlafaxine ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa venlafaxine kapena mankhwala ena opatsirana ngakhale mutakhala azaka zopitilira 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 venlafaxine, 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 venlafaxine. 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.

Venlafaxine imagwiritsidwa ntchito pochiza kukhumudwa. Makapisozi a Venlafaxine otulutsidwa (otenga nthawi yayitali) amagwiritsidwanso ntchito kuthana ndi matenda amisala (GAD; kuda nkhawa mopitirira muyeso zomwe ndizovuta kuwongolera), matenda amisala (mantha akulu olumikizana ndi ena kapena kuchita pamaso pa ena zomwe zimasokoneza chizolowezi life), komanso matenda amantha (mwadzidzidzi, kuwukira mosayembekezereka kwamantha akulu komanso kuda nkhawa ndi izi). Venlafaxine ali mgulu la mankhwala otchedwa serotonin osankha ndi norepinephrine reuptake inhibitors (SNRIs). Zimagwira ntchito poonjezera kuchuluka kwa serotonin ndi norepinephrine, zinthu zachilengedwe muubongo zomwe zimathandizira kukhalabe olimba m'maganizo.

Venlafaxine imabwera ngati piritsi kapena kapisozi womasulidwa kuti atenge pakamwa. Mapiritsiwo amatengedwa kawiri kapena katatu patsiku ndi chakudya. Kapisozi womasulidwa nthawi zambiri amatengedwa kamodzi tsiku lililonse m'mawa kapena madzulo ndi chakudya. Tengani venlafaxine nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani venlafaxine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kapena kwa nthawi yayitali kuposa momwe adalangizira dokotala.

Kumeza capsule yotulutsidwa yonse; musagawane, kutafuna, kapena kuphwanya, kapena kuyika m'madzi. Ngati simungathe kumeza kapisozi womasuliridwayo, mutha kutsegula mosamalitsa kapisoziyo ndikuwaza zonse zomwe zili pakapuni ya apulole. Kumeza (osatafuna) chisakanizochi mukangokonzekera ndikumwa madzi kuti muwonetsetse kuti mwameza mankhwala onsewo.

Dokotala wanu angakuyambitseni ndi mlingo wochepa wa venlafaxine ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo kamodzi pa masiku 4 mpaka 7. Uzani dokotala wanu momwe mukumvera mukamalandira chithandizo kuti dokotala asinthe mlingo wanu moyenera.

Venlafaxine imayang'anira kukhumudwa koma siyichiritsa. Zitha kutenga milungu 6 mpaka 8 kapena kupitilira apo kuti mumve bwino mankhwalawa. Pitirizani kumwa venlafaxine ngakhale mukumva bwino. Osasiya kumwa venlafaxine osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Mukasiya kumwa venlafaxine mwadzidzidzi, mutha kukhala ndi zizindikilo zobwerera m'mbuyo monga kusokonezeka; nkhawa; chisokonezo; chisoni; kukwiya; chisangalalo chambiri kapena chosazolowereka; kusowa kwa mgwirizano; kuvuta kugona kapena kugona; malotowo; nseru; kusanza; kusowa chilakolako; kutsegula m'mimba; pakamwa pouma; thukuta; kulira m'makutu; kugwidwa; kapena kuwotcha, kumva kulasalasa, kufooka, kapena kumverera ngati kugwedezeka kwamagetsi mbali iliyonse ya thupi. Uzani dokotala wanu ngati mukukumana ndi zizindikiro izi mukamachepetsa venlafaxine kapena mukangosiya kumwa venlafaxine.

Venlafaxine nthawi zina amagwiritsidwanso ntchito kuthana ndi zotentha (zotentha; kutentha kwamphamvu mwadzidzidzi ndi thukuta) mwa amayi omwe adayamba kusamba ('kusintha kwa moyo', kutha kwa msambo) kapena omwe akumwa mankhwala kuti athetse khansa ya m'mawere . Lankhulani ndi dokotala kapena wamankhwala za kuopsa kogwiritsa ntchito venlafaxine pochiza matenda anu.

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

Musanatenge venlafaxine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la venlafaxine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a venlafaxine kapena makapisozi otulutsidwa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo ngati mukumwa mankhwala a monoamine oxidase (MAO), monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kumwa mankhwalawa m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti simuyenera kumwa venlafaxine. Mukasiya kumwa venlafaxine, dokotala wanu angakuuzeni kuti muyenera kudikirira masiku osachepera 7 musanayambe kumwa MAO inhibitor.
• uzani dokotala ndi wamankhwala mankhwala ena omwe mumalandira ndi mavitamini omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); amiodarone (Cordarone, Pacerone); mankhwala ena opatsirana; cimetidine (Tagamet); clozapine (Clozaril); okodzetsa ('mapiritsi amadzi'); duloxetine (Cymbalta); haloperidol (Haldol); imipramine (Tofranil); indinavir (Crixivan); ketoconazole (Nizoral); mzere (Zyvox); lifiyamu; mankhwala a nkhawa, matenda amisala, kupweteka, khunyu, kapena kuonda; mankhwala a migraine monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); methadone (Dolophine); methylene buluu; fentamini (Adipex P, Ionamin); mwambo (Norvir); mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); sibutramine (Meridia); mapiritsi ogona; tramadol (Ultram); ndi zotontholetsa. 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 wort ya St. John's ndi tryptophan.
• uzani dokotala wanu ngati munagwiritsidwapo ntchito mankhwala osokoneza bongo kapena kumwa mankhwala osokoneza bongo mopitirira muyeso. Uzaninso dokotala wanu ngati mwangodwala kumene mtima ndipo ngati mwakhalapo kapena mwakhalapo ndi kuthamanga kwa magazi, kuthamanga kwa cholesterol m'mwazi, kapena mtima, impso, chiwindi, kapena matenda a chithokomiro.
• 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 venlafaxine, itanani dokotala wanu. Venlafaxine imatha kubweretsanso mavuto kwa ana obadwa kumene atabadwa ngati atengedwa m'miyezi yapitayi yamimba.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa venlafaxine.
• muyenera kudziwa kuti mankhwalawa akhoza 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 venlafaxine 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. Ngati mukumwa makapisozi otulutsidwa, musatenge mlingo umodzi patsiku.

Venlafaxine imatha kuyambitsa mavuto. Itanani dokotala wanu ngati chimodzi mwazizindikiro izi ndi zoopsa kapena sichitha:

• Kusinza
• kufooka kapena kutopa
• chizungulire
• mutu
• maloto olakwika
• nseru
• kusanza
• kupweteka m'mimba
• kudzimbidwa
• kutsegula m'mimba
• mpweya
• kutentha pa chifuwa
• kubowola
• pakamwa pouma
• kusintha kwa kulawa chakudya
• kusowa chilakolako
• kuonda
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kulasalasa mbali ina ya thupi
• kulimba kwa minofu
• kugwedezeka
• kuyasamula
• thukuta
• kutentha kapena kutentha
• kukodza pafupipafupi
• kuvuta kukodza
• zilonda zapakhosi, kuzizira, kapena zizindikilo zina za matenda
• kulira m'makutu
• kusintha kwa chikhumbo chakugonana kapena kuthekera
• kukulitsa ophunzira (mabwalo akuda pakati pa maso)

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

• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• kupweteka pachifuwa
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• kugwidwa
• kuvulaza kapena kutuluka mwachilendo
• mawanga ang'onoang'ono ofiirira pakhungu
• kupweteka kwa diso kapena kufiira
• malungo, thukuta, chisokonezo, kugunda kwamtima mwachangu kapena mosasinthasintha, komanso kuuma kwambiri kwa minofu
• malungo
• mavuto ndi mgwirizano
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• chikomokere (kutaya chidziwitso kwakanthawi)

Venlafaxine imachedwetsa kukula ndi kunenepa kwa ana. Ngati mwana wanu amamwa venlafaxine, dokotala wa mwana wanu amayang'anitsitsa kukula kwa mwana wanu mosamala. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopatsa venlafaxine kwa mwana wanu.

Venlafaxine 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).

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:

• chizungulire
• nseru
• kusanza
• kutentha, kumva kulasalasa, kapena kufooka kwa manja ndi mapazi
• kukula kwa mwana wasukulu (pakati wakuda wa diso)
• kupweteka kwa minofu
• kutentha ndi kuzizira
• kugona
• kugwidwa
• mofulumira, wosakwiya, kapena kugunda kwa mtima osasinthasintha
• chikomokere (kutaya chidziwitso kwakanthawi)

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'ana kuthamanga kwa magazi kwanu pafupipafupi ndikulamula mayeso ena a labu kuti muwone kuyankha kwanu kwa venlafaxine.

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.

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