Sertraline

Zamkati

• Musanayambe kumwa sertraline,
• Sertraline amatha 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 sertraline 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.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa sertraline 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 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; kuda nkhawa kwatsopano kapena kukulira; 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 sertraline, makamaka kumayambiriro kwa chithandizo chanu. Onetsetsani kuti mwasunga nthawi yonse yoyendera ofesi yanu ndi dokotala.

Dokotala kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi sertraline. 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.

Sertraline amagwiritsidwa ntchito kuthana ndi kukhumudwa, kukakamizidwa kuchita zinthu mopanikizika (malingaliro ovuta omwe sangachoke komanso kufunika kochita zinthu mobwerezabwereza), kuwopsa kwamantha (kuwukira mwadzidzidzi, mantha osayembekezereka amantha akulu ndikudandaula za izi), pambuyo pake matenda opsinjika (zosokoneza m'malingaliro am'maganizo zomwe zimachitika pambuyo pochita mantha), komanso matenda amisala (mantha akulu olumikizana ndi ena kapena kuchita pamaso pa ena omwe amasokoneza moyo wabwinobwino). Amagwiritsidwanso ntchito kuthana ndi zovuta za premenstrual dysphoric disorder, kuphatikiza kusinthasintha kwa malingaliro, kukwiya, kuphulika, komanso kukoma mtima kwa m'mawere. Sertraline ali mgulu la mankhwala opanikizika omwe amatchedwa serotonin reuptake inhibitors (SSRIs). Zimagwira ntchito pakuwonjezera kuchuluka kwa serotonin, chinthu chachilengedwe muubongo chomwe chimathandiza kukhalabe olimba m'maganizo.

Sertraline amabwera ngati piritsi komanso kaphatikizidwe (madzi) kamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse m'mawa kapena madzulo. Pofuna kuchiza matenda asanakwane, sertraline amatengedwa kamodzi patsiku, tsiku lililonse pamwezi kapena masiku ena amwezi. Tengani sertraline mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani sertraline chimodzimodzi monga momwe mwauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Maganizo a Sertraline ayenera kuchepetsedwa musanagwiritse ntchito. Musanamwe, gwiritsani ntchito choletsedwacho kuti muchotse zomwe dokotala wakuuzani kuti muchite. Sakanizani chidwi ndi mavitamini 4 (1/2 chikho (120 milliliters)) a madzi, ginger ale, mandimu kapena laimu soda, mandimu, kapena madzi a lalanje. Pambuyo kusakaniza, njira yochepetsera ikhoza kukhala yovuta; izi ndi zachilendo. Osasakaniza chidwi ndi zakumwa zilizonse kupatula zomwe zalembedwa. Imwani njira yothetsera yomweyo.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa sertraline ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kamodzi pa sabata.

Zitha kutenga milungu ingapo kapena kupitilira apo kuti musamve bwino za sertraline. Pitirizani kumwa sertraline ngakhale mukumva bwino. Osasiya kumwa sertraline osalankhula ndi dokotala. Ngati mwasiya kumwa sertraline mwadzidzidzi, mutha kukhala ndi zizindikilo monga kusiya kunyowa, kutuluka thukuta, kukhumudwa, kusintha kwa malingaliro, kupsa mtima kapena kusangalala modabwitsa, kukwiya, nkhawa, chisokonezo, chizungulire, kupweteka mutu, kutopa, kugwidwa, kulira m'makutu, kuchita dzanzi kapena kulira mmanja, miyendo, manja, kapena mapazi, kuvutika kugona kapena kugona.

Sertraline imagwiritsidwanso ntchito nthawi zina pochiza mutu komanso mavuto azakugonana. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanayambe kumwa sertraline,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la sertraline, mankhwala ena aliwonse, zosakaniza zilizonse za kukonzekera kwa sertraline, kapena latex (yomwe imapezeka mu dropper ya concentrate). Musanayambe kumwa madzi a sertraline, uzani dokotala ngati muli ndi vuto la latex. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala wanu ngati mukumwa mankhwala a monoamine oxidase (MAO) kuphatikizapo isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena mwasiya kuwatenga mkati mwa masabata awiri apitawa, kapena ngati mukumwa pimozide (Orap). Dokotala wanu angakuuzeni kuti musatenge sertraline. Mukasiya kumwa sertraline, muyenera kudikirira osachepera masabata awiri musanayambe kumwa MAO inhibitor.
• musatenge disulfiram (Antabuse) mukamamwa sertraline.
• 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: amiodarone (Nexterone, Pacerone); amphetamines; anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin, Jantoven) ndi heparin; aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); atomoxetine (Straterra); buspirone, mankhwala a chlorpromazine; clopidogrel (Plavix), dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); fentanyl (Actiq, Duragesic, Fentora), droperidol (Inapsine); erythromycin (EES, Eryc, Ery-tab, ena); fosphenytoin (Cerebyx); gatifloxacin (Zymar, Zymaxid); iloperidone (Fanapt); mankhwala a nkhawa, matenda amisala, matenda a Parkinson, ndi khunyu; mankhwala a kugunda kwamtima kosasinthasintha monga flecainide (Tambocor) ndi propafenone (Rythmol); metoprolol (Lopressor, Toprol XL); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); mefloquine; methadone (Dolophine, Methadose); moxifloxacin (Avelox); nebivolol (Bystolic, mu Byvalson); pentamidine (Nebupent, Pentam); perphenazine; phenytoin (Dilantin, Phenytek); kupeza; quinidine (mu Nuedexta); mankhwala ogonetsa; sibutramine (Meridia); 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, Sotylize); tacrolimus (Astagraf, Envarsus XR, Prograf); thoridazine; mavitamini (Detrol); tramadol (Conzip, Ultram); zotetezera; tricyclic antidepressants ('mood elevator') monga desipramine (Norpramin) kapena protriptyline (Vivactil); kapena ziprasidone (Geodon). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba ndi zowonjezera zakudya zomwe mumamwa, makamaka wort St. John's and tryptophan.
• auzeni dokotala ngati mwangodwala kumene matenda a mtima kapena sitiroko kapena ngati muli ndi kuthamanga kwa magazi, mavuto otaya magazi, kuchepa kwa sodium m'magazi anu komanso ngati mwakhala mukugwidwa kapena mukudwala matenda a chiwindi kapena a mtima.
• 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 sertraline, itanani dokotala wanu. Sertraline atha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atatengedwa m'miyezi yapitayi yamimba.
• muyenera kudziwa kuti sertraline imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa sertraline.
• muyenera kudziwa kuti sertraline 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.

Sertraline amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutsegula m'mimba
• kudzimbidwa
• kusanza
• kuvuta kugona kapena kugona
• pakamwa pouma
• kutentha pa chifuwa
• kusowa chilakolako
• kulemera kumasintha
• chizungulire
• kutopa kwambiri
• mutu
• manjenje
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• Zosintha pakugonana kapena kuthekera
• thukuta kwambiri

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

• kugwidwa
• kutuluka magazi kapena kuphwanya
• kusokonezeka, kuyerekezera zinthu m'maganizo, kuyerekezera thupi, kutentha thupi, thukuta, chisokonezo, kugunda kwa mtima, kunjenjemera, kuuma kwambiri kwa minofu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• kupweteka mutu, kufooka, kusakhazikika, kusokonezeka, kapena mavuto okumbukira
• zidzolo
• ming'oma
• kutupa
• kuvuta kupuma

Sertraline 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 sertraline kwa mwana wanu.

Sertraline amatha kuyambitsa 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 izi:

• Kusinza
• kusokonezeka, kuyerekezera zinthu m'maganizo, kuyerekezera thupi, kutentha thupi, thukuta, chisokonezo, kugunda kwa mtima, kunjenjemera, kuuma kwambiri kwa minofu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• kutopa kwambiri
• chizungulire
• kubvutika
• chiwawa
• kugwidwa
• kutaya chidziwitso

Sungani maimidwe onse ndi dokotala wanu.

Musanapite kukayezetsa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa sertraline.

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.

• Zoloft^®