Clomipramine

Zamkati

• Musanamwe clomipramine,
• Clomipramine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• 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:
• Zizindikiro za bongo zingaphatikizepo izi:

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

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa clomipramine kapena mankhwala ena opatsirana ngakhale mutakhala wamkulu kuposa zaka 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; 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 clomipramine, 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 mankhwala ndi clomipramine. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kupeza Buku la Mankhwala kuchokera patsamba la FDA: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273.

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.

Clomipramine imagwiritsidwa ntchito pochiza anthu omwe ali ndimatenda osokoneza bongo (zomwe zimayambitsa malingaliro osafunikira mobwerezabwereza komanso kufunika kokhala ndi machitidwe ena mobwerezabwereza). Clomipramine ali mgulu la mankhwala otchedwa tricyclic antidepressants. Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin, chinthu chachilengedwe muubongo chomwe chimafunikira kuti mukhale ndi malingaliro abwino.

Clomipramine amabwera ngati kapisozi woti amwe pakamwa. Kumayambiriro kwa chithandizo, clomipramine nthawi zambiri amatengedwa katatu patsiku ndi chakudya pamene thupi limazolowera mankhwala. Pambuyo pa chithandizo cha milungu ingapo, clomipramine imamwedwa kamodzi patsiku pogona. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani clomipramine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa clomipramine ndipo pang'onopang'ono muwonjezere mlingo wanu.

Zitha kutenga milungu ingapo kapena kupitilira apo kuti mumve kupindula ndi clomipramine. Pitirizani kumwa clomipramine ngakhale mukumva bwino. Osasiya kumwa clomipramine osalankhula ndi dokotala. Mukasiya kumwa clomipramine mwadzidzidzi, mutha kukhala ndi chizungulire, mseru, kusanza, kupweteka mutu, kufooka, mavuto ogona, malungo, komanso kukwiya. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Musanamwe clomipramine,

• auzeni adotolo ndi asayansi yanu ngati muli ndi vuto la clomipramine, mankhwala ena opatsirana pogonana monga amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamero) , protriptyline (Vivactil), ndi trimipramine (Surmontil); Mankhwala ena aliwonse, kapena chilichonse chosagwira ntchito m'makapisozi a clomipramine. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza zopanda ntchito.
• 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 clomipramine. Mukasiya kumwa clomipramine, 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); benztropine (Cogentin); cimetidine (Tagamet); clonidine (Catapres); dicyclomine (Bentyl); digoxin (Lanoxin); disulfiram; zachilengedwe (Tambocor); guanethidine (Ismelin); haloperidol (Haldol); levodopa (Sinemet, Dopar); mankhwala a nseru, chizungulire, kapena matenda amisala; methylphenidate (Concerta, Metadate, Ritalin); kulera pakamwa; phenobarbital; mankhwala; mankhwala (Rythmol); quinidine; secobarbital (Wachigawo); mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga fluoxetine (Prozac, Sarafem), sertraline (Zoloft), ndi paroxetine (Paxil); zotetezera; ndi trihexyphenidyl (Artane); ndi mavitamini. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira. Dokotala wanu angakuuzeni kuti musatenge clomipramine ngati mwasiya kumwa fluoxetine m'masabata 5 apitawa.
• uzani dokotala wanu ngati mwangodwala kumene mtima. Dokotala wanu angakuuzeni kuti simuyenera kumwa clomipramine.
• Uzani dokotala ngati mukumwa mankhwala a electroshock therapy (njira yomwe magetsi amagwiritsidwa ntchito pang'ono kuubongo kuti athe kuchiza matenda ena amisala), ngati mumamwa kapena mumamwa mowa wambiri komanso ngati munagwapo kapena munagwapo , kuwonongeka kwaubongo, mavuto amkodzo kapena prostate (chiwalo choberekera chachimuna), kugunda kwamtima kosazolowereka, mavuto a kuthamanga kwa magazi, mavuto a chithokomiro, kapena matenda amtima, impso, kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga clomipramine, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga clomipramine ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa clomipramine chifukwa siotetezeka kapena yothandiza monga mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa clomipramine.
• Muyenera kudziwa kuti mankhwalawa atha kukupangitsani kugona komanso kuti aziwonjezera chiopsezo choti mudzagwidwa. Osayendetsa galimoto, kugwiritsa ntchito makina, kusambira, kapena kukwera mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.
• muyenera kudziwa kuti clomipramine imatha kuyambitsa khungu lotseka la glaucoma (vuto lomwe madzimadzi amatsekedwa mwadzidzidzi ndikulephera kutuluka m'maso ndikupangitsa kuwonjezeka kwachangu, kwakuthwa kwa kupsyinjika kwa diso komwe kumatha kudzetsa 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 mumakonda kudya.

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.

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

• Kusinza
• pakamwa pouma
• nseru
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• manjenje
• amachepetsa kuthekera kwakugonana
• kuchepa kukumbukira kapena kusinkhasinkha
• mutu
• mphuno yodzaza
• kusintha kwa njala kapena kulemera

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:

• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugwidwa
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• kuvuta kukodza kapena kutaya chikhodzodzo
• kukhulupirira zinthu zomwe sizowona
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kugwedezeka
• kuvuta kupuma kapena kupuma mwachangu
• kuuma kwambiri kwa minofu
• kutopa kapena kufooka kosazolowereka
• zilonda zapakhosi, malungo, ndi zizindikiro zina za matenda

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 izi:

• kugwidwa
• chikomokere (kutaya chidziwitso kwakanthawi)
• Kusinza
• kusakhazikika
• kutayika kwa mgwirizano
• thukuta
• minofu yolimba
• mayendedwe achilendo
• kugunda kwamtima mwachangu
• kupuma pang'ono
• kutulutsa kwa buluu pakhungu
• malungo
• kukulitsa ophunzira (mdima wakuda pakati pa diso)
• kuchepa pokodza

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.

• Anafranil^®