Bupropion

Zamkati

• Musanatenge bupropion,
• Bupropion imatha kubweretsa zovuta. 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 KWAMBIRI kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
• Ngati mukukumana ndi izi, siyani kumwa bupropion ndikuyimbira dokotala mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Kwa anthu omwe amatenga bupropion (Wellbutrin) kukhumudwa:

Chiwerengero chochepa cha ana, achinyamata, komanso achikulire (mpaka zaka 24) omwe amamwa mankhwala opatsirana pogonana ('ma elevator') monga bupropion 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. Vutoli liyenera kuganiziridwa ndikuyerekeza ndi phindu lomwe lingakhalepo pakuthandizira kukhumudwa, posankha ngati mwana kapena wachinyamata ayenera kumwa mankhwala opanikizika. Ana ochepera zaka 18 sayenera kumwa bupropion, koma nthawi zina, dokotala amatha kusankha kuti bupropion ndiye mankhwala abwino kwambiri ochizira matenda amwana.

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, makamaka koyambirira kwa chithandizo chanu kapena nthawi iliyonse yomwe mlingo wanu ukuwonjezeka kapena kutsika. Vutoli limakhala lalikulu ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi vuto losinthasintha zochitika kapena mania kapena adaganiza zodzipha. 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.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa bupropion kapena mankhwala ena opatsirana ngakhale mutakhala wamkulu zaka zopitilira 24 kapena ngati mulibe matenda amisala ndipo mukumwa bupropion kuti muchiritse matenda amtundu wina. 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.

Kwa odwala onse omwe amatenga bupropion:

Wothandizira zaumoyo wanu adzafuna kukuwonani nthawi zambiri mukamamwa bupropion, makamaka kumayambiriro kwa chithandizo chanu. Onetsetsani kuti mwasungitsa nthawi yonse yokumana kapena kukaona ofesi ndi dokotala.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso zaopanga (Medication Guide) mukayamba mankhwala ndi bupropion ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA): http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga bupropion.

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) amagwiritsidwa ntchito pochiza kukhumudwa. Bupropion (Aplenzin, Wellbutrin XL) imagwiritsidwanso ntchito kuthana ndi vuto la nyengo (SAD; magawo okhumudwa omwe amapezeka nthawi yomweyo chaka chilichonse [nthawi zambiri kugwa ndi nthawi yozizira koma kumachitika kawirikawiri m'miyezi yachilimwe kapena yotentha]). Bupropion (Zyban) imagwiritsidwa ntchito kuthandiza anthu kusiya kusuta. Bupropion ali mgulu la mankhwala otchedwa antidepressants. Zimagwira ndikuwonjezera zochitika zina muubongo.

Bupropion imabwera ngati piritsi komanso piritsi lokhazikika kapena lotulutsa nthawi yayitali kuti mugwiritse pakamwa. Piritsi lokhazikika (Wellbutrin) nthawi zambiri limatengedwa katatu patsiku, ndi kuchepa kwa maola osachepera 6, kapena kanayi patsiku, ndimayeso osachepera maola 4 padera. Piritsi lotulutsidwa mosalekeza (Wellbutrin SR, Zyban) nthawi zambiri limatengedwa kawiri patsiku, ndikuchepetsa pang'ono maola 8. Piritsi lotulutsa nthawi yayitali (Aplenzin, Wellbutrin XL) nthawi zambiri amatengedwa kamodzi tsiku lililonse m'mawa; Mlingo wa piritsi lotulutsidwayo liyenera kutengedwa osachepera maola 24 padera. Bupropion ikagwiritsidwa ntchito pochiza matenda okhudzana ndi nyengo, nthawi zambiri amatengedwa kamodzi patsiku m'mawa kuyambira m'mawa, kupitilira nthawi yozizira, ndikuyimilira koyambirira kwamasika. Nthawi zina kumwa bupropion m'munsi kumatengedwa milungu iwiri mankhwala asanayimitsidwe. Tengani bupropion ndi chakudya ngati mankhwala akukukhumudwitsani m'mimba. Ngati mukuvutika kugona kapena kugona, musatenge bupropion pafupi kwambiri ndi nthawi yogona. Tengani bupropion mozungulira nthawi imodzimodzi tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani bupropion ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa ndi omasulidwa kwathunthu; osagawana, kutafuna, kapena kuwaphwanya.

Dokotala wanu mwina angakuyambitseni pa bupropion wocheperako ndipo pang'onopang'ono muwonjezere mlingo wanu.

Zitha kutenga milungu 4 kapena kupitilira apo kuti mumve bwino bupropion. Pitirizani kutenga bupropion ngakhale mutakhala bwino. Osasiya kumwa bupropion osalankhula ndi dokotala. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono.

Bupropion nthawi zina imagwiritsidwanso ntchito kuthana ndi zovuta za odwala matenda a bipolar (manic depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania, ndi zovuta zina) komanso kuthana ndi vuto la kuchepa kwa matenda (ADHD; zovuta kwambiri kuyang'ana , kuwongolera zochita, ndikukhala chete kapena chete kuposa anthu ena amisinkhu yofanana). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge bupropion,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi bupropion, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a bupropion. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• 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 bupropion.
• osatenga zopitilira chimodzi zomwe zimakhala ndi bupropion nthawi imodzi. Mutha kulandira mankhwala ochulukirapo komanso kukumana ndi zovuta zina.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amantadine (Symmetrel); zotchinga beta monga atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), ndi propranolol (Inderal); cimetidine (Tagamet); clopidogrel (Plavix); cyclophosphamide (Cytoxan, Neosar); efavirenz (Sustiva, ku Atripla); insulin kapena mankhwala akumwa ashuga; mankhwala a kugunda kwamtima kosasinthasintha monga flecainide (Tambocor) ndi propafenone (Rythmol); mankhwala a matenda amisala monga haloperidol (Haldol), risperidone (Risperdal), ndi thioridazine (Mellaril); mankhwala a khunyu monga carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), ndi phenytoin (Dilantin); levodopa (Sinemet, Larodopa); lopinavir ndi ritonavir (Kaletra); nelfinavir (Viracept); chigamba cha chikonga; mankhwala amlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); orphenadrine (Norflex); mankhwala opatsirana pogonana monga citalopram (Celexa), desipramine (Norpramin), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), paroxetine (Paxil) ndi seroftraline ( ; mwambo (Norvir); mankhwala ogonetsa; mapiritsi ogona; tamoxifen (Nolvadex, Soltamox); theophylline (Theobid, Theo-Dur, ena); thiotepa; ndi ticlopidine (Ticlid). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwagwidwa kapena munagwapo, anorexia nervosa (matenda ovuta kudya) kapena bulimia (matenda ovuta kudya). Komanso muuzeni dokotala ngati mumamwa mowa wambiri koma mukuyembekeza kusiya kumwa mwadzidzidzi kapena mumamwa mankhwala osokoneza bongo koma mukuyembekezera kusiya kumwa mwadzidzidzi. Dokotala wanu angakuuzeni kuti musatenge bupropion.
• uzani dokotala ngati mumamwa mowa wambiri, kugwiritsa ntchito mankhwala osokoneza bongo, kapena kugwiritsa ntchito mankhwala osokoneza bongo mopitirira muyeso komanso ngati munadwalapo mtima; kuvulala pamutu; chotupa muubongo kapena msana wanu; kuthamanga kwa magazi; matenda ashuga; kapena chiwindi, impso, kapena matenda amtima.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga bupropion, itanani dokotala wanu.
• muyenera kudziwa kuti bupropion imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa zakumwa zoledzeretsa mukamamwa bupropion. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku bupropion kukulira.
• muyenera kudziwa kuti bupropion imatha kubweretsa kuwonjezeka kwa kuthamanga kwa magazi. Dokotala wanu amatha kuwona kuthamanga kwa magazi musanayambe kumwa mankhwala komanso nthawi zonse mukamamwa mankhwalawa, makamaka ngati mukugwiritsanso ntchito mankhwala osokoneza bongo a nicotine.
• muyenera kudziwa kuti bupropion 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.
• muyenera kudziwa kuti anthu ena anenapo zisonyezo monga kusintha kwamakhalidwe, nkhanza, kukwiya, kukhumudwa, komanso malingaliro ofuna kudzipha (kuganiza zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa kutero) kwinaku akutenga bupropion kuti asiye kusuta. Udindo wa bupropion pakuyambitsa kusinthaku sikudziwika chifukwa anthu omwe amasiya kusuta ndi mankhwala kapena popanda mankhwala amatha kusintha thanzi lawo lam'mutu chifukwa chosiya nicotine. Komabe, zina mwazizindikirozi zidachitika mwa anthu omwe amatenga bupropion ndikupitiliza kusuta. Anthu ena anali ndi izi atayamba kumwa bupropion, ndipo ena adayamba nawo patatha milungu ingapo akuchiritsidwa kapena atasiya bupropion. Zizindikirozi zachitika mwa anthu opanda mbiri yamatenda amisala ndipo zawonjezeka mwa anthu omwe ali ndi matenda amisala kale. Uzani dokotala wanu ngati mwakhalapo ndi vuto la kupsinjika, kapena bipolar disorder (kusinthasintha kosintha kuchokera pakukhumudwa ndikukhala osangalala modabwitsa), schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kosazolowereka, kutaya chidwi m'moyo, komanso kukhumudwa kapena kosayenera) kapena matenda ena amisala. Ngati mukumane ndi izi, siyani kumwa bupropion (Zyban) ndikuyimbira dokotala nthawi yomweyo: malingaliro ofuna kudzipha kapena zochita; kukhumudwa kwatsopano kapena kukulira, nkhawa, kapena mantha; kusakhazikika; kusakhazikika; kukwiya kapena chiwawa; kuchita zowopsa; mania (kukwiya, kusangalala modabwitsa kapena kukwiya); malingaliro kapena zotengeka; kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe); kumva kuti anthu akukutsutsani; kumva kusokonezeka; kapena kusintha kulikonse mwadzidzidzi kapena kosazolowereka pamakhalidwe. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha. Dokotala wanu adzakuyang'anirani mosamala mpaka matenda anu atayamba.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Nthawi zonse lolani nthawi yokwanira kuti idutse pakati pa kuchuluka kwa bupropion. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Bupropion imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kusinza
• nkhawa
• chisangalalo
• kuvuta kugona kapena kugona
• pakamwa pouma
• chizungulire
• mutu
• nseru
• kusanza
• kupweteka m'mimba
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kusowa chilakolako
• kuonda
• kudzimbidwa
• thukuta kwambiri
• kulira m'makutu
• amasintha momwe mumamvera kukoma
• kukodza pafupipafupi
• chikhure

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

• kugwidwa
• chisokonezo
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• mantha opanda pake
• kupweteka kwa minofu kapena molumikizana
• kuthamanga, kugunda, kapena kugunda kwamtima kosazolowereka

Ngati mukukumana ndi izi, siyani kumwa bupropion ndikuyimbira dokotala mwachangu kapena pitani kuchipatala mwadzidzidzi:

• malungo
• zidzolo kapena matuza
• kuyabwa
• ming'oma
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kuvuta kupuma kapena kumeza
• kupweteka pachifuwa

Bupropion 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:

• kulanda
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kutaya chidziwitso
• kuthamanga kapena kugunda kwamtima

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa bupropion.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ngati mukugwiritsa ntchito pulogalamu yotulutsira, mutha kuwona china chake chomwe chikuwoneka ngati piritsi pampando wanu. Ili ndiye chipolopolo chopanda kanthu ndipo sizitanthauza kuti simunalandire mankhwala anu onse.

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.

• Aplenzin^®
• Budeprion^® Chidwi^¶
• Budeprion^® XL^¶
• Buproban^®¶
• Forfivo^® XL
• Wellbutrin^®
• Wellbutrin^® Chidwi
• Wellbutrin^® XL
• Zyban^®

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