Citalopram

Zamkati

• Musanatenge citalopram,
• Citalopram ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikiro izi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA kapena ZOCHITIKA ZOCHITIKA, 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 citalopram 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 citalopram, koma nthawi zina, dokotala amatha kusankha kuti citalopram ndiye mankhwala abwino kwambiri ochizira matenda amwana.

Muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka mukamamwa citalopram 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; 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 citalopram, 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 chithandizo ndi citalopram. 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 (kusinthika komwe kumasintha kuchokera kukhumudwa kupita kusangalala modabwitsa) 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.

Citalopram imagwiritsidwa ntchito pochiza kukhumudwa. Citalopram ili m'kalasi la mankhwala opatsirana pogonana omwe amatchedwa serotonin reuptake inhibitors (SSRIs). Amaganiziridwa kuti amagwira ntchito powonjezera kuchuluka kwa serotonin, chinthu chachilengedwe muubongo chomwe chimathandizira kukhalabe olimba m'maganizo.

Citalopram imabwera ngati piritsi komanso yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku, m'mawa kapena madzulo, kapena popanda chakudya. Tengani citalopram mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani citalopram ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

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

Zitha kutenga 1 mpaka 4 milungu kuti muone phindu lonse la citalopram. Pitirizani kumwa citalopram ngakhale mukumva bwino. Ngati mwasiya kumwa citalopram mwadzidzidzi, mutha kukhala ndi zizindikilo zakutha monga kusintha kwa malingaliro, kukwiya, chizungulire, chizungulire, dzanzi, kumva kulira kapena kugunda kwamagetsi mmanja kapena m'mapazi, nkhawa, chisokonezo, mutu, kutopa, nseru, thukuta, kunjenjemera, komanso kuvutika kugona kapena kugona. Osasiya kumwa citalopram osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Citalopram nthawi zina imagwiritsidwanso ntchito kuthana ndi mavuto akudya, uchidakwa, mantha (vuto lomwe limayambitsa mwadzidzidzi mantha akulu popanda chifukwa), premenstrual dysphoric disorder (gulu la zizindikiritso zakuthupi ndi zamaganizidwe zomwe zimachitika musanachitike msambo mwezi uliwonse), ndi phobia pagulu (kuda nkhawa kwambiri polumikizana ndi ena). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge citalopram,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi citalopram, escitalopram (Lexapro), mankhwala ena aliwonse, kapena chilichonse mwazinthu zomwe mumamwa ndi citalopram. Lankhulani ndi wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala ngati mukumwa pimozide (Orap) kapena monoamine oxidase (MAO) inhibitor monga isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate) , kapena ngati mwasiya kumwa MAO inhibitor m'masiku 14 apitawa. Dokotala wanu angakuuzeni kuti musatenge citalopram. Mukasiya kumwa citalopram, muyenera kudikirira masiku osachepera 14 musanayambe kumwa MAO inhibitor.
• muyenera kudziwa kuti citalopram ndiyofanana kwambiri ndi SSRI ina, escitalopram (Lexapro). Simuyenera kumwa mankhwala awiriwa limodzi.
• auzeni dokotala ndi wazamankhwala mankhwala ena omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone); maanticoagulants ('oonda magazi') monga warfarin (Coumadin, Jantoven); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); carbamazepine (Tegretol); cimetidine (Tagamet); cisapride (Propulsid); okodzetsa (’mapiritsi amadzi); disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (EES E-Mycin, Erythrocin); heparin; lifiyamu (Eskalith, Lithobid); mankhwala a nkhawa, kupweteka kosalekeza, matenda amisala, matenda a Parkinson, ndi khunyu; mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig); methylene buluu; metoprolol (Lopressor, Toprol XL); moxifloxacin (Avelox); omeprazole (Prilosec, Zegerid); mankhwala ena osankhidwa a serotonin re-uptake inhibitors (SSRI) kapena mankhwala a serotonin-norepinephrine reuptake inhibitors (SNRI); procainamide (Procanbid, Pronestyl); quinidine (Quinidex); mankhwala ogonetsa; sibutramine (Meridia); mapiritsi ogona; sotalol (Betapace); sparfloxacin (Zagam); thioridazine (Mellaril); tramadol (Ultram); zotetezera; ndi tricyclic antidepressants monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), trimipramine (Surmontil). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi citalopram, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu zakumwa zowonjezera zakudya ndi mankhwala azitsamba omwe mukumwa, makamaka mankhwala omwe ali ndi wort ya St. John kapena tryptophan.
• auzeni adotolo ngati inu kapena aliyense m'banja mwanu muli ndi matenda a QT (matenda osowa mtima omwe angayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi) komanso ngati mwagwiritsa ntchito mankhwala osokoneza bongo kapena kumwa mankhwala osokoneza bongo . Komanso auzeni adotolo ngati mukukalamba kuposa zaka 60 ndipo ngati mwakhala mukumenyedwa pang'onopang'ono kapena mosasinthasintha, kuthamanga kwa magazi; kutaya magazi; sitiroko; kuchepa kwa magnesium kapena potaziyamu m'magazi anu, matenda a mtima, kulephera kwa mtima (momwe mtima sungapope magazi okwanira mbali zina za thupi) kapena mikhalidwe ina yamtima; kugwidwa; kapena matenda a impso kapena chiwindi. Uzani dokotala wanu ngati mukusanza kwambiri, kutsegula m'mimba, kapena kutuluka thukuta, kapena ngati mukukumana ndi zizindikiritsozi nthawi iliyonse mukamalandira chithandizo.
• 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 citalopram, itanani dokotala wanu. Citalopram imatha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atatengedwa m'miyezi yapitayi yamimba.
• muyenera kudziwa kuti citalopram imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• lankhulani ndi dokotala wanu zakumwa koyenera kwa zakumwa zoledzeretsa mukamamwa ndi citalopram. Mowa umatha kukulitsa mavuto obwera chifukwa cha citalopram.
• muyenera kudziwa kuti citalopram 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.

Citalopram ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutsegula m'mimba
• kudzimbidwa
• kusanza
• kupweteka m'mimba
• kutentha pa chifuwa
• kuchepa kudya
• kuonda
• kukodza pafupipafupi
• kutopa kwambiri
• kuyasamula
• kufooka
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kupweteka kwa minofu kapena molumikizana
• pakamwa pouma
• Zosintha pakugonana kapena kuthekera
• msambo waukulu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikiro izi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA kapena ZOCHITIKA ZOCHITIKA, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• kupweteka pachifuwa
• kupuma movutikira
• chizungulire
• kukomoka
• mofulumira, wosakwiya, kapena kugunda kwa mtima osasinthasintha
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• malungo
• thukuta kwambiri
• chisokonezo
• chikomokere (kutaya chidziwitso)
• kutayika kwa mgwirizano
• zolimba kapena zopindika minofu
• ming'oma kapena matuza
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kutuluka mwachilendo kapena kuphwanya
• mutu
• kusakhazikika
• mavuto ndi kulingalira, kusinkhasinkha, kapena kukumbukira
• kugwidwa

Citalopram 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 citalopram kwa mwana wanu.

Citalopram ikhoza 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:

• chizungulire
• thukuta
• nseru
• kusanza
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• Kusinza
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• kuiwalika
• chisokonezo
• kugwidwa
• chikomokere (kutaya chidziwitso)
• kupuma mofulumira
• Mtundu wabuluu mozungulira pakamwa, zala, kapena zikhadabo
• kupweteka kwa minofu
• mkodzo wamtundu wakuda

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labotale ndi ma electrocardiograms (EKG; mayeso owunika kugunda kwa mtima wanu ndi kamvekedwe) musanayambe kumwa citalopram komanso mukamamwa mankhwalawa.

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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