Mirtazapine

Zamkati

• Musanatenge mirtazapine,
• Mirtazapine 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 ZABWINO, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

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

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

Mirtazapine imagwiritsidwa ntchito pochiza kukhumudwa. Mirtazapine ali mgulu la mankhwala otchedwa antidepressants. Zimagwira ntchito poonjezera zochitika zina muubongo kuti zisunge bwino.

Mirtazapine amabwera ngati piritsi komanso piritsi lowonongeka kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku asanagone. Itha kumwedwa kapena wopanda chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani mirtazapine ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kuti mutenge piritsi lowonongera mirtazapine, tsegulani chithuza ndi manja owuma ndikuyika piritsi lilime lanu. Phalelo lidzasweka pa lilime ndipo limatha kumezedwa ndi malovu. Palibe madzi omwe amafunikira kuti amezere mapiritsi omwe amafa. Piritsi litachotsedwa pa blister, silingasungidwe. Musagawanitse mapiritsi ophatikizika a mirtazapine.

Zitha kutenga milungu ingapo kapena kupitilira apo kuti mumve bwino mirtazapine. Pitilizani kumwa mirtazapine ngakhale mukumva bwino. Osasiya kumwa mirtazapine osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Musanatenge mirtazapine,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi mirtazapine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a mirtazapine kapena mapiritsi osweka. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• auzeni adotolo ngati mukumwa mankhwala a monoamine oxidase (MAO) 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 mirtazapine. Mukasiya kumwa mirtazapine, muyenera kudikirira masiku osachepera 14 musanayambe kumwa MAO inhibitor.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antidepressants monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), ndi trimipilram mankhwala ena monga fungoconazole (Nizoral); busipulo; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, zina); cimetidine (Tagamet); diazepam (Valium); erythromycin (EES, E-mycin, Erythrocin); fentanyl (Abstral, Actiq, Fentora, Onsolis, ena); lifiyamu (Eskalith, Lithobid); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); mankhwala ena ochizira HIV; mankhwala a nkhawa ndi khunyu; nefazodone; phenytoin (Dilantin); rifampin (Rimactane, Rifadin, ku Rifater, ku Rifamate); mankhwala ogonetsa; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Pristiq), duloxetine (Cymbalta), ndi venlafaxine (Effexor); mapiritsi ogona; tramadol (Ultram); ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• auzeni adotolo ngati mwadwalapo mtima, kuthamanga magazi, mtima, impso, kapena matenda a chiwindi, kapena cholesterol.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga mirtazapine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa mirtazapine.
• 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.
• ngati muli ndi phenylketonuria (PKU, mkhalidwe wobadwa nawo momwe muyenera kudya chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe), muyenera kudziwa kuti mapiritsi omwe amawonongeka pakamwa amakhala ndi aspartame yomwe imapanga phenylalanine.
• muyenera kudziwa kuti mirtazapine 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.

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

• Kusinza
• chizungulire
• nkhawa
• chisokonezo
• kuchuluka kulemera ndi njala
• pakamwa pouma
• kudzimbidwa
• nseru
• kusanza

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

• Zizindikiro ngati chimfine, malungo, kuzizira, zilonda zapakhosi, zilonda mkamwa, kapena zizindikilo zina za matenda
• kupweteka pachifuwa
• kugunda kwamtima mwachangu
• kugwidwa

Mirtazapine 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.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone yankho lanu ku mirtazapine.

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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