Duloxetine

Zvemukati

• Usati watora duloxetine,
• Duloxetine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana chero yeanotevera madambudziko, kana ayo ataurwa muchikamu CHINOKOSHA CHENYENZO kana CHAKANYANYA ZVINONYANYA, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidza.
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Chiverengero chidiki chevana, vechidiki, uye vechidiki (kusvika pamakore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('' mamhepo anosimudza '') senge duloxetine panguva yezvidzidzo zvekuchipatara vakava kuzviuraya (kufunga nezvekuzvikuvadza kana kuzviuraya kana kuronga kana kuyedza ita saizvozvo). Vana, vachiri kuyaruka, uye vechidiki vakuru vanotora mishonga yekudzvinyirira kurapa kushushikana kana zvimwe zvirwere zvepfungwa vangangoita mukana wekuzviuraya pane vana, vechidiki, uye vechidiki vasingatore mishonga yekudzvinyirira kurapa aya mamiriro. Nekudaro, nyanzvi hadzina chokwadi nezve hukuru hwenjodzi iyi uye kuti yakawanda sei iyo inofanirwa kutariswa mukusarudza kuti mwana kana wechidiki anofanira kutora chinodzvinyirira. Vana vari pasi pemakore gumi nemasere ekuberekwa havafanirwe kutora duloxetine, asi mune dzimwe nguva, chiremba anogona kusarudza kuti duloxetine ndiwo mushonga wakanakisa wekurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora duloxetine kana mamwe maan antidipressants kunyangwe uri mukuru ane makore makumi maviri nemana ekuberekwa. Shanduko idzi dzinogona kuitika kunyangwe iwe usina chirwere chepfungwa uye uri kutora duloxetine kurapa imwe mhando yemamiriro. Unogona kuzviuraya, kunyanya pakutanga kwekurapwa kwako uye chero nguva iyo dhizaini yako ichiwedzera kana kuderera. Iwe, mhuri yako, kana muchengeti unofanira kufonera chiremba wako ipapo ipapo kana iwe ukawana chero yeanotevera eanotevera zviratidzo: kutsva kana kuwedzera kuora mwoyo; kufunga nezvekukuvadza kana kuzviuraya iwe, kana kuronga kana kuyedza kuzviita; kunetseka zvakanyanya; kusagadzikana; kutya kwekutya; kunetseka kurara kana kuramba wakarara; hunhu kana hutsinye; kutsamwa; kuita pasina kufunga; kusagadzikana kwakanyanya; frenzied kusagadzikana kusingafadzi; kana chero imwe shanduko isina kujairika mumaitiro. Iva nechokwadi chekuti mhuri yako kana muchengeti anokutarisa zuva nezuva uye anoziva kuti ndezvipi zviratidzo zvingave zvakakomba kuitira kuti vagone kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa wega.

Mubatsiri wako wezvehutano anoda kuzokuona kazhinji paunenge uchitora duloxetine, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese maahofisi ekushanyira kuhofisi nachiremba wako.

Chiremba kana wemishonga anokupa iro gadziriro yeruzivo yemurwere pepa (Medication Guide) paunotanga kurapwa neduloxetine. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe zvakare unogona kuwana iyo Medication Gwaro kubva kune iyo FDA webhusaiti: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Hazvina mhosva zera rako, usati watora mushonga wekudzvinyirira, iwe, mubereki wako, kana muchengeti wako unofanira kutaura nachiremba wako nezvengozi nezvakanaka zvekurapa mamiriro ako neanodzvinyirira kana nemamwe marapirwo. Iwe unofanirwa zvakare kutaura nezve njodzi uye zvakanakira kusarapa mamiriro ako. Iwe unofanirwa kuziva kuti kuve nekuora mwoyo kana chimwe chirwere chepfungwa kunowedzera zvakanyanya njodzi yekuti uchazviuraya. Iyi njodzi yakakwira kana iwe kana chero munhu mumhuri mako uine kana wakambove ne bipolar kusagadzikana (mafungire anochinja kubva mukuora mwoyo kuenda mukufara zvisina kujairika) kana mania (kupenga, kushushikana zvisingaite), kushushikana, kana kufunga nezve kana kuyedza kuzviuraya. Taura nachiremba wako nezve ako mamiriro, zviratidzo, uye wega uye zvemhuri nhoroondo yekurapa. Iwe nachiremba wako muchasarudza kuti ndeupi rudzi rwekurapa rwakakukodzera.

Duloxetine inoshandiswa kurapa kushushikana muvanhu vakuru uye zvakajairika kusagadzikana kusagadzikana (GAD; kunyanya kunetseka uye kunetsekana kunokanganisa hupenyu hwezuva nezuva uye kunogara kwemwedzi mitanhatu kana kupfuura) muvakuru nevana vane makore manomwe ekuberekwa nekure. Duloxetine inoshandiswa zvakare kurapa kurwadziwa uye kurira kunokonzerwa nechirwere cheshuga neuropathy (kukuvara kwemitsipa inogona kukura mune vanhu vane chirwere cheshuga) muvanhu vakuru uye fibromyalgia (iyo inogara kwenguva refu inogona kukonzera kurwadziwa, kuomarara kwemhasuru uye unyoro, kuneta, uye kuoma kurara kana kuramba wakarara) muvakuru nevana vane makore gumi nematatu zvichikwira. Iyo zvakare inoshandiswa kurapa kuenderera kwepashure kana kurwadziwa kwemhasuru kwakadai sekurwadziwa kwepashure musana kana osteoarthritis (kurwadziwa pamwe chete kana kuomarara kunogona kukuvadza nekufamba kwenguva) muvanhu vakuru. Duloxetine iri mukirasi yemishonga inonzi inosarudza serotonin uye norepinephrine reuptake inhibitors (SNRIs). Inoshanda nekuwedzera huwandu hweserotonin uye norepinephrine, zvinhu zvakasikwa muuropi zvinobatsira kuchengetedza kuenzana kwepfungwa uye kumisa kufamba kwemasaini ekurwadziwa muuropi.

Duloxetine inouya sekunonoka-kuburitswa (inoburitsa mushonga ura kudzivirira kuputsa-pasi kwemushonga nedumbu acids) kapuleti kutora nemuromo. Kana duloxetine ichishandiswa kurapa kushushikana, inowanzo kutorwa kamwe kana kaviri pazuva kana kana pasina chikafu. Kana duloxetine ichishandiswa kurapa zvakajairika kusagadzikana kusagadzikana, kurwadziwa kweshuga neuropathy, fibromyalgia, kana kuenderera kwefupa kana mhasuru marwadzo, inowanzo kutorwa kamwe chete pazuva kana pasina chikafu. Tora duloxetine kwakatenderedza nguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora duloxetine chaizvo sezvakarairwa. Usatore zvakati wandei kana zvishoma, tora kakawanda, kana kuzvitora kwenguva yakareba kupfuura zvakatemwa nachiremba wako.

Kumedza kunonoka-kuburitsa makapuleti akazara; usatsemure, kutsenga, kana kuvapwanya. Usavhure anononoka-kuburitsa makaputa uye sanganisa zvirimo nezvinwiwa kana kumwaya zvirimo pane chikafu.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi yemushonga uye wedzera yako dose mushure mevhiki rimwe.

Duloxetine inogona kubatsira kudzora zviratidzo zvako asi isingarape mamiriro ako. Zvinogona kutora 1 kusvika kumavhiki mana kana kupfuura usati wanzwa kubatsirwa kwakazara kweduloxetine. Ramba uchitora duloxetine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora duloxetine usina kutaura nachiremba wako. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma. Kana iwe ukangoerekana warega kutora duloxetine, unogona kusangana nezviratidzo zvekuregera senge kusvotwa; kurutsa; manyoka; kushushikana; dzungu; kuneta; kurwadziwa nemusoro; kurwadziwa, kupisa, chiveve, kana kugwinha mumaoko kana tsoka; kutsamwa; kunetseka kurara kana kuramba wakarara; vangadikitira; uye hope dzinotyisa. Udza chiremba wako kana iwe ukasangana nechimwe chezviratidzo izvi apo dosixetine yako yadzikira.

Duloxetine zvakare dzimwe nguva inoshandiswa kurapa kushushikana kweiyo weti kusagadzikana (kubuda kwerini panguva yekuita muviri sekukosora, kuhotsira, kuseka, uye kurovedza muviri) mune vakadzi. Taura nachiremba wako nezve kushandisa mushonga uyu kurapa mamiriro ako.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora duloxetine,

• udza chiremba wako uye wemishonga kana uri weergoria kune duloxetine, chero mimwe mishonga, kana chero chinongedzo mune duloxetine inononoka-kuburitsa makapisi. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
• udza chiremba wako kana uri kutora thioridazine kana monoamine oxidase (MAO) inhibitor, senge isocarboxazid (Marplan), linezolid (Zyvox); methylene bhuruu; phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate), kana kana iwe wakamira kutora MAO inhibitor mukati memazuva gumi nemana apfuura. Chiremba wako angangokuudza kuti usatore duloxetine. Kana iwe ukarega kutora duloxetine, iwe unofanirwa kumirira kwemazuva mashanu usati watanga kutora MAO inhibitor.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isinganyore uye mavitamini auri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); mishonga yekudzvinyirira senge amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protripiline Surmontil); antihistamines; asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); buspirone; cimetidine (Tagamet); diuretics ('mapiritsi emvura'); fentanyl (Abstral, Actiq, Fentora, Onsolis, vamwe); mishonga yekurova kwemoyo zvisina kujairika senge amiodarone (Cordarone), flecainide (Tambocor), moricizine (Ethmozine), propafenone (Rythmol), uye quinidine (Quinidex); mishonga yekushushikana, kuwedzerwa kweropa, chirwere chepfungwa, kurwadziwa, uye kusvotwa; propranolol (Inderal); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), uye zolmitriptan (Zomig); lithiamu (Eskalith, Lithobid); proton pump inhibitors senge lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), uye rabeprazole (Aciphex); quinolone antibiotics yakadai se ciprofloxacin (Cipro) uye enoxacin (Penetrex); kunyaradza; mamwe anosarudza serotonin reuptake inhibitors (SSRIs) senge fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox) uye paroxetine (Paxil); sibutramine (Meridia); mapiritsi ekurara; theophylline (Theochron, Theolair); tramadol (Ultram); uye zvinodzivirira. Mimwe mishonga yakawanda inogona kusangana ne duloxetine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako izvo zvinovaka muviri zvinowedzera uye mishonga yemiti yauri kutora, kunyanya zvigadzirwa zvine St. John's wort kana tryptophan.
• udza chiremba wako kana iwe uchinwa kana kuti wakambonwa doro rakawanda kana kuti kana ukashandisa kana kuti wakamboshandisa zvinodhaka zvemumugwagwa kana kuti wakamboshandisa zvinodhaka mishonga yakanyorwa. Uyezve udza chiremba wako kana iwe wakamborwara nemoyo kana kuti wakambove; kukwirira kweropa; pfari; coronary arteri chirwere (kuvhara kana kudzikira kwemitsipa yeropa inotungamira kumoyo); kana moyo, chiropa, kana hosha yeitsvo. Kana iwe uine chirwere cheshuga, ita shuwa yekutaura nachiremba wako nezvekuti mamiriro ako akakomba sei kuti chiremba wako agone kusarudza kana duloxetine yakakunakira iwe.
• udza chiremba wako kana iwe uri nepamuviri, kunyanya kana iwe uri mumwedzi mishoma yapfuura yekubata kwako, kana kana iwe uronga kuita nhumbu kana kuyamwisa. Kana iwe ukava nepamuviri uchitora duloxetine, fonera chiremba wako. Duloxetine inogona kukonzera matambudziko muvacheche zvichangozvarwa kana ikatorwa mukati memwedzi yekupedzisira yenhumbu.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora duloxetine.
• iwe unofanirwa kuziva kuti duloxetine inogona kukuita kuti ubate hope, dzungu, kana inogona kukanganisa kutonga kwako, kufunga kana kubatana. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa uchiri kutora duloxetine. Doro rinogona kuwedzera njodzi yemhedzisiro kubva kune duloxetine.
• iwe unofanirwa kuziva kuti duloxetine inogona kukonzera dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Izvi zvinowanzoitika kana iwe ukatanga kutora duloxetine kana nekuwedzera kwedosi. Kuti udzivise dambudziko iri, simuka pamubhedha zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka.
• iwe unofanirwa kuziva kuti duloxetine inogona kukonzera kukwira kweropa. Iwe unofanirwa kuve nekuongororwa kweropa rako usati watanga kurapwa uye nguva zhinji paunenge uchitora mushonga uyu.
• iwe unofanirwa kuziva kuti duloxetine inogona kukonzeresa-kuvhara glaucoma (mamiriro apo mvura inoyerera yakavharika uye isingakwanise kuyerera ichibuda muziso zvichikonzera kukurumidza, kwakanyanya kuwedzera mukumanikidza kwemaziso uko kunogona kukonzera kurasikirwa kwemaonero). Taura nachiremba wako nezvekutariswa maziso usati watanga kutora mushonga uyu. Kana iwe uine svoto, kurwadziwa kweziso, shanduko pane zvakaratidzwa, sekuona mhete dzemavara dzakakomberedza mwenje, uye kuzvimba kana kutsvuka mukati kana kwakatenderedza ziso, fonera chiremba wako kana kuwana kurapwa kwekukurumidzira ipapo ipapo.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Duloxetine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurutsa
• kuvimbiswa
• manyoka
• chirungurira
• kurwadziwa nemudumbu
• kuderera kwechido
• muromo wakaoma
• kuwedzera weti
• kunetseka kuita weti
• kudikitira kana kudikitira usiku
• dzungu
• musoro
• kuneta
• kushaya simba
• kutsimwaira
• kurwadza kwemhasuru kana kurwadza
• shanduko muchido chebonde kana kugona
• kuzunza kusingadzoreki nhengo yemuviri

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana chero yeanotevera madambudziko, kana ayo ataurwa muchikamu CHINOKOSHA CHENYENZO kana CHAKANYANYA ZVINONYANYA, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidza.

• kupwanya kusingawanzo kana kubuda ropa
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu
• kuzvimba kwedumbu
• kuvava
• yero yeganda kana maziso
• weti yakasviba
• kurasikirwa nenzara
• kuneta zvakanyanya kana kushaya simba
• kuvhiringidzika
• furu-kunge zviratidzo
• fivha, kudikitira, kuvhiringidzika, kukurumidza kana kusarongeka kwemoyo, uye kuomarara kwemhasuru
• kupindwa nechando
• mhoni kana kubvisa ganda
• mapundu
• mikoko
• kunetseka kufema kana kumedza
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• hoarseness

Duloxetine inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kusagadzikana
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kukurumidza kurova kwemoyo
• kupindwa nechando
• kurasikirwa kwekubatana
• kusvotwa
• kurutsa
• manyoka
• kutsimwaira
• pfari
• dzungu
• musoro wakareruka
• kufenda
• kusapindura

Chengetedza zvese zvakagadzwa nachiremba wako.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Cymbalta^®