Zomwe Muyenera Kudziwa Musanatenge Amitriptyline Yogona

Zamkati

• Kodi amitriptyline ndi chiyani?
• Kodi chilolezo chololeza chimapereka chiyani?
• Machenjezo a FDA okhudza amitriptyline
• Kodi amitriptyline imagwira ntchito bwanji?
• Kodi mulingo woyenera ndi uti mukauzidwa kuti mugone?
• Kodi pali zovuta zina chifukwa chotenga amitriptyline tulo?
• Zotsatira zoyipa
• Zotsatira zoyipa
• Kodi pali kulumikizana ndi mankhwala ena?
• Kodi pali machenjezo aliwonse okhudza kutenga amitriptyline kugona?
• Ubwino wake ndikutenga amitriptyline yogona?
• Mfundo yofunika

Kulephera kugona nthawi zambiri sikungokhumudwitsa. Zitha kukhudza magawo onse amoyo wanu kuphatikiza thanzi lam'mutu ndi m'maganizo. Centers for Disease Control and Prevention (CDC) lipoti kuti kuposa achikulire aku America sakugona mokwanira.

Ngati simukugona komwe mukufunikira, pali mankhwala osiyanasiyana, kuphatikiza mankhwala omwe angakuthandizeni.

Mankhwala ogona amagwira ntchito m'njira zosiyanasiyana zokuthandizani kuti mugone kapena kuti mugone. Dokotala wanu akhoza kukambirana zopereka amitriptyline (Elavil, Vanatrip) kuti akuthandizeni kugona.

Ngati mukuyesera kusankha ngati amitriptyline ndi yoyenera kwa inu, Nazi zinthu zina zofunika kuziganizira.

Kodi amitriptyline ndi chiyani?

Amitriptyline ndi mankhwala omwe mumalandira ngati piritsi mwamphamvu zingapo. Zimavomerezedwa kuti zigwiritsidwe ntchito kuthana ndi kukhumudwa komanso zimalembedweratu pazinthu zina zingapo monga kupweteka, migraines, ndi kugona tulo.

Ngakhale idakhalapo kwazaka zambiri, ikadali mankhwala odziwika bwino, otsika mtengo.

Kodi chilolezo chololeza chimapereka chiyani?

Amitriptyline imavomerezedwa ndi Food and Drug Administration (FDA) kuti ithetse kukhumudwa, koma madokotala amaperekanso mankhwalawa kuti athandize kugona. Dokotala akapereka mankhwala kuti agwiritse ntchito kupatula omwe avomerezedwa ndi FDA, amadziwika kuti ndi ntchito yopanda zilembo.

Madokotala amalembetsa zolemba zawo pazifukwa zingapo kuphatikiza:

• Zaka. Dokotala amatha kupereka mankhwala kwa wachichepere kapena wamkulu kuposa omwe amavomerezedwa ndi mankhwala osokoneza bongo a FDA.
• Chizindikiro kapena kugwiritsa ntchito. Mankhwala atha kuperekedwa kuchipatala china kupatula zomwe FDA idavomereza.
• Mlingo. Dokotala atha kupereka mankhwala ochepera kapena apamwamba kuposa omwe adalembedwa pa FDA kapena FDA.

FDA siyipereka upangiri kwa madotolo momwe angachitire odwala. Zili kwa dokotala wanu kuti akusankhireni chithandizo chabwino kwambiri malinga ndi ukatswiri wawo komanso zomwe mungakonde.

Machenjezo a FDA okhudza amitriptyline

Amitriptyline ili ndi "chenjezo lakuda lakuda" kuchokera ku FDA. Izi zikutanthauza kuti mankhwalawa ali ndi zovuta zina zomwe inu ndi dokotala muyenera kuziganizira musanamwe mankhwalawa.

• Amitriptyline yaonjezera chiopsezo chamalingaliro odzipha mwa anthu ena, makamaka ana ndi achikulire. Ndikofunika kuwunika pakukula kwa zizindikilo za malingaliro, malingaliro, kapena machitidwe ndikuyimbira 911 nthawi yomweyo mukawona zosintha.
• Muthanso kuyitanitsa National Suicide Prevention Lifeline pa 800-273-8255 ngati inu kapena wina amene mumamudziwa ali ndi malingaliro ofuna kudzipha.
• Amitriptyline sivomerezedwa ndi FDA kuti igwiritsidwe ntchito kwa ana ochepera zaka 12.

Kodi amitriptyline imagwira ntchito bwanji?

Amitriptyline ndi mtundu wa mankhwala wotchedwa tricyclic antidepressant (TCA). Mankhwalawa amagwira ntchito powonjezera mankhwala ena am'mitsempha otchedwa ma neurotransmitters ngati serotonin ndi norepinephrine kuti athandizire kusintha malingaliro, kugona, kupweteka, komanso nkhawa.

Sizikudziwika bwinobwino momwe amitriptyline imagwirira ntchito tulo, koma chimodzi mwazotsatira zake ndikuletsa histamine, yomwe imatha kubweretsa kugona. Ichi ndi chifukwa chake madokotala amapereka amitriptyline ngati chithandizo chogona.

Kodi mulingo woyenera ndi uti mukauzidwa kuti mugone?

Amitriptyline ya tulo amalembedwa pamlingo wosiyanasiyana. Mlingowo umadalira pazinthu zambiri monga msinkhu wanu, mankhwala ena omwe mwina mukumwa, matenda anu, komanso mtengo wamankhwala.

Kwa akulu, mlingowu umakhala pakati pa mamiligalamu 50 mpaka 100 nthawi yogona. Achinyamata komanso achikulire amatha kumwa mankhwala ochepa.

Ngati muli ndi mitundu ina yodziwika ya majini monga kusintha kwa majini, mungafunike kusintha kwa mlingo kuti muchepetse mwayi wazotsatira ndi amitriptyline.

Ganizirani kufunsa dokotala kapena wamankhwala za kuyesa kwa majini kotchedwa pharmacogenomics. Izi zakhala zotchuka kwambiri kuti zikuthandizireni pakusintha mankhwala anu kuti akugwireni bwino ntchito.

Kuyambira pamlingo wochepa kumathandiza adotolo kuti awone momwe mukumvera mankhwalawo asanasinthe.

Kodi pali zovuta zina chifukwa chotenga amitriptyline tulo?

Amitriptyline itha kukhala ndi zovuta zina. Musanamwe mankhwalawa, onetsetsani kuti dokotala wanu adziwe ngati munayambapo chifukwa cha amitriptyline kapena mankhwala ena, kapena ngati munaganizapo kapena kudzipha.

Dokotala wanu adziwe ngati muli:

• matenda amtima, chiwindi, kapena impso
• glaucoma, monga amitriptyline imatha kukulitsa kupanikizika m'diso lako
• matenda ashuga, chifukwa amitriptyline imatha kukhudza shuga yanu, chifukwa chake mungafunike kuyang'ana shuga mukamayamba kumwa amitriptyline
• khunyu, monga amitriptyline angapangitse ngozi ya khunyu
• matenda ochititsa munthu kusinthasintha zochitika, mania, kapena schizophrenia

Lankhulani ndi dokotala ngati muli ndi pakati kapena mukuyamwitsa. Kafukufuku sanatsimikizire ngati amitriptyline ndiyabwino kugwiritsa ntchito nthawi yapakati kapena ngati mukuyamwitsa.

Zotsatira zoyipa

Mukayamba kumwa amitriptyline, mutha kukhala ndi zovuta zina. Nthawi zambiri amatha patapita masiku angapo. Lankhulani ndi wamankhwala kapena dokotala ngati akukuvutitsani ndikupitiliza.

• pakamwa pouma
• mutu
• kunenepa
• kudzimbidwa
• kuvuta kukodza
• kugwa mwadzidzidzi kwa kuthamanga kwa magazi makamaka mukaimirira kukhala
• Kugona kapena chizungulire
• kusawona bwino
• kugwedezeka kwa manja (kunjenjemera)

Zotsatira zoyipa

Ngakhale ndizosowa, amitriptyline imatha kuyambitsa zovuta zina. Itanani 911 nthawi yomweyo ngati mungakumane ndi zoopsa zoopsa zamankhwala.

Itanani 911 nthawi yomweyo ngati mungakhale ndi zina mwazizindikirozi mukamamwa amitriptyline, chifukwa zitha kuwonetsa zoopsa pachipatala:

• kuthamanga kwa mtima mwachangu kapena mosasinthasintha
• kupweteka pachifuwa ndi kupuma pang'ono, komwe kumatha kuwonetsa matenda amtima
• kufooka mbali imodzi ya thupi kapena mawu osalankhula, omwe amatha kuwonetsa kupwetekedwa

Mutha kukhala ndi zina zomwe sizinatchulidwe pano. Nthawi zonse lankhulani ndi dokotala wanu zomwe mungakumane nazo kuti muphunzire ngati mankhwala anu ali ndi vuto.

Kodi pali kulumikizana ndi mankhwala ena?

Amitriptyline imatha kuyanjana ndi mankhwala angapo. Ndikofunikira kuti dokotala wanu komanso wamankhwala azidziwa mankhwala onse omwe mumalandira, mankhwala owonjezera, komanso zakudya zomwe mumamwa kuti mupewe kuchitapo kanthu.

Mankhwala omwe amagwirizana kwambiri ndi amitriptyline ndi awa:

• monoamine oxidase inhibitors (MAOIs) monga selegiline (Eldepryl): atha kuyambitsa kapena kufa
• quinidine: imatha kuyambitsa mavuto amtima
• mankhwala opioid monga codeine: amatha kuonjezera kugona ndi kuonjezera chiopsezo cha matenda a serotonin, omwe angayambitse kuthamanga kwa magazi komanso kuthamanga kwa mtima
• epinephrine ndi norepinephrine: amatha kuwonjezera kuthamanga kwa magazi, mutu, komanso kupweteka pachifuwa
• topiramate: imatha kuyambitsa kuchuluka kwa amitriptyline mthupi lanu, ndikuwonjezera chiopsezo chanu chazovuta

Ili si mndandanda wathunthu. Pali mankhwala ena angapo omwe amatha kulumikizana ndi amitriptyline. Funsani dokotala wanu ngati muli ndi nkhawa zina.

Kodi pali machenjezo aliwonse okhudza kutenga amitriptyline kugona?

Mpaka thupi lanu lizolowere mankhwala, samalani ndi chilichonse chomwe chingafune kuti mukhale tcheru ngati kuyendetsa kapena makina ogwiritsa ntchito.

Simuyenera kumwa mowa kapena kumwa mankhwala ena omwe angakupangitseni kugona ndi amitriptyline chifukwa imatha kuwonjezera zotsatira za mankhwalawa.

Simuyenera kusiya mwadzidzidzi kumwa amitriptyline. Lankhulani ndi dokotala wanu za njira yabwino kwambiri yochepetsera mankhwalawa.

Ubwino wake ndikutenga amitriptyline yogona?

Ubwino ochepa amitriptyline ndi awa:

• Zotsika mtengo. Amitriptyline ndi mankhwala achikulire omwe amapezeka ngati generic, chifukwa chake ndiotsika mtengo poyerekeza ndi zina zatsopano zothandizira kugona.
• Osati chizolowezi kupanga. Amitriptyline siyowonjezera kapena chizolowezi chopanga ngati mankhwala ena omwe amagwiritsidwa ntchito pogona monga diazepam (Valium)

Amitriptyline itha kukhala yothandiza ngati kusowa tulo kumachitika chifukwa cha vuto lina lomwe mungakhale nalo, monga kupweteka, kukhumudwa kapena kuda nkhawa. Muyenera kukambirana ndi dokotala za matenda anu onse kuti akupatseni chithandizo chabwino kwambiri.

Mfundo yofunika

Amitriptyline yakhalapo kwazaka zambiri ndipo ndi njira yotsika mtengo ngati chithandizo chogona. Amitriptyline ndi mankhwala opatsirana pogonana monga omwe amagwiritsidwa ntchito nthawi zambiri pochiza tulo, makamaka kwa anthu omwe amakhalanso ndi vuto lakukhumudwa.

Amitriptyline imatha kuyambitsa zovuta zina ndipo imatha kulumikizana ndi mankhwala ena. Ngati mukuganiza za amitriptyline kuti ikuthandizeni kugona mokwanira, onetsetsani kuti mukulankhula ndi dokotala za mankhwala ena aliwonse omwe mumamwa kale.