Levomilnacipran

Zvemukati

• Usati watora levomilnacipran,
• Levomilnacipran inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge levomilnacipran panguva yekiriniki yekudzidzira vakave kuzviuraya (kufunga nezvekuzvikuvadza kana kuzviuraya kana kuronga kana kuyedza kuzviita. ). 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. Iyi njodzi inofanirwa kutariswa uye ichienzaniswa neinogona kubatsirwa pakurapa kushushikana, mukufunga kuti mwana kana achiri kuyaruka anofanira kutora antidepressant. Vana vari pasi pemakore gumi nemasere ekuberekwa havafanirwe kutora levomilnacipran, asi mune dzimwe nguva, chiremba anogona kusarudza kuti levomilnacipran ndiyo mishonga yakanakisa yekurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora levomilnacipran kana mamwe maanodzvinyirira kunyangwe iwe uri mukuru pamusoro pemakore makumi maviri nemana ekuberekwa. Unogona kuzviuraya, kunyanya pakutanga kwekurapwa kwako uye chero nguva iyo dhizaini yako ichiwedzera kana kuderera. Iwe, mhuri yako, kana muchengeti wako unofanira kufonera chiremba wako ipapo ipapo kana iwe ukawana chero yeapi anotevera 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; hutsinye hunhu; kutsamwa; kuita pasina kufunga; kusagadzikana kwakanyanya; uye kupenga kusingafadzi. Iva nechokwadi chekuti mhuri yako kana muchengeti anoziva kuti ndezvipi zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa iwe wega.

Mubatsiri wako wehutano anoda kukuona iwe kazhinji paunenge uchitora levomilnacipran, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese maahofisi ekushanyira kuhofisi nachiremba wako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa nelevomilnacipran uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Kunyangwe uine zera ripi, usati watora mushonga wekudzvinyirira, iwe, mubereki wako, kana muchengeti wako unofanira kutaura nachiremba wako nezve njodzi uye mabhenefiti ekurapa 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 nebipolar kusagadzikana (mafungire anoshanduka kubva mukuora mwoyo kuenda mukufara zvisina kujairika) kana mania (frenzied, abnormal mood mood) kana akafunga nezvazvo 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.

Levomilnacipran inoshandiswa kurapa kushushikana. Levomilnacipran iri mukirasi yemishonga inonzi inosarudza serotonin uye norepinephrine reuptake inhibitors (SNRIs). Inoshanda nekuwedzera huwandu hweserotonin uye norepinephrine, zvinhu zvakasikwa muuropi zvinobatsira kuchengetedza kuenzana kwepfungwa.

Levomilnacipran inouya seyakawedzera-kuburitsa (yakareba-inoshanda) kapuleti kutora nemuromo. Inowanzo kutorwa kamwe chete zuva nezuva kana kana pasina chikafu. Tora levomilnacipran panenge panguva imwe chete zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora levomilnacipran chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza macapsules akazara; usavhure, kutsenga, kana kuapwanya.

Chiremba wako anogona kukutanga iwe pane yakaderera dhivhosi ye levomilnacipran uye zvishoma nezvishoma wedzera yako dosi, kwete kanopfuura kamwe chete mazuva maviri.

Levomilnacipran inodzora kushushikana asi hairape. Zvinogona kutora mavhiki akati wandei kana kupfuura usati wanzwa kubatsirwa kwakazara kwelevomilnacipran. Ramba uchitora levomilnacipran kunyangwe iwe uchinzwa zvakanaka. Usarega kutora levomilnacipran usingatauri nachiremba wako. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma. Kana ukangoerekana warega kutora levomilnacipran, unogona kusangana nezviratidzo zvekuregera senge kushanduka kwemanzwiro, kushushikana, kugumbuka, dzungu, kurira munzeve, kushamisika-senge kunzwa, kushushikana, kuvhiringidzika, kuneta, kunetseka kurara kana kuramba wakarara, chiveve kana kugwinha mukati maoko, makumbo, maoko, kana tsoka, kutemwa nemusoro, kuwedzera kudikitira, kufenda, kana kusvotwa. Udza chiremba wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiko

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

Usati watora levomilnacipran,

• udza chiremba wako uye wemishonga kana uri weergoria kune levomilnacipran, milnacipran, chero mimwe mishonga, kana chero chinhu chinowanikwa mumacapsule. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora monoamine oxidase (MAO) inhibitors, inosanganisira isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate) kana kuti warega kutora MAO inhibitor mukati masvondo maviri apfuura kana iwe uri kutora linezolid (Zyvox) kana methylene bhuruu. Chiremba wako angangokuudza kuti usatore levomilnacipran. Kana iwe ukarega kutora levomilnacipran, iwe unofanirwa kumirira kweinenge vhiki imwe usati watanga kutora MAO inhibitor.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); antidepressants ('mood elevators') senge amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor) Vivactil), uye trimipramine (Surmontil); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin), uye naproxen (Aleve, Naprosyn); buspirone (Buspar); clarithromycin (Biaxin, muPrevac); diuretics ('mapiritsi emvura'); fentanyl (Actiq, Duragesic, Fentora); ketoconazole (Nizoral); lithiamu (Eskalith, Lithobid); mishonga yekurwara kwepfungwa senge clozapine (Clozaril) uye haloperidol (Haldol); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), uye zolmitriptan (Zomig); tramadol (Ultram); ritonavir (Norvir); uye sibutramine (Meridia; haichawanikwi muUnited States. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa zvakanakira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana nelevomilnacipran, saka ive shuwa kuudza chiremba wako nezvese iyo mishonga yauri kutora, kunyangwe iyo isingaonekwe pane ino runyorwa.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi uye zvinovaka muviri zvekuwedzera zvaunotora, kunyanya St. John's wort uye tryptophan.
• udza chiremba wako kana wakambove neBP yakakwira, kuchengetedza weti kana matambudziko kuita weti, pasi munyu (sodium) muropa rako, pfari, kana itsvo kana chirwere chemwoyo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora levomilnacipran, danaidza chiremba wako.
• dzivisa kushandisa zvinwiwa zvinodhaka paunenge uchitora levomilnacipran.
• iwe unofanirwa kuziva kuti levomilnacipran inogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• iwe unofanirwa kuziva kuti levomilnacipran inogona kukonzera kukwira kweropa. Ropa rako rinofanira kuongororwa nguva dzose paunenge uchigamuchira levomilnacipran.
• Iwe unofanirwa kuziva kuti levomilnacipran inogona kukonzeresa-kuvhara glaucoma (mamiriro apo mvura inoyerera yakavharika uye isingakwanise kuyerera ichibuda muziso zvichikonzera kukurumidza, kwakanyanya kuwedzera kwekumanikidza 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.

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

• kusvotwa
• kuvimbiswa
• vangadikitira zvakanyanya
• shanduko mukurova kwemoyo uye BP
• kusagadzikana kwe erectile
• kurutsa
• shanduko pabonde drive kana kugona
• kuderera kwechido

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona

• mapundu
• mikoko
• kuzvimba
• kunetseka kufema kana kumedza
• fivha, kudikitira, kuvhiringidzika, kukurumidza kana kusarongeka kwemoyo, uye kuomarara kwemhasuru kana kupunzika
• kubuda ropa zvisina kujairika kana kupwanya
• kunetseka kuita weti kana kutadza kuita weti
• kukurumidza, kurova, kana kurova kwemoyo zvisina kujairika

Levomilnacipran 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 nechiedza, kupisa 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. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-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 nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. 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.

Kana mumwe munhu akamedza levomilnacipran, fonera nzvimbo yako yekudzora chepfu pa1-800-222-1222. Kana munhu wacho akadonha kana kuti asiri kufema, fonera nhare dzenharaunda munzvimbo dzinosvika 911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kuona zvinhu kana kunzwa manzwi zvisipo (kufungidzira)
• coma (kurasikirwa kwekuziva kwenguva yakati)
• kuzunza kusingadzoreki nhengo yemuviri
• pfari
• dzungu
• kusagadzikana

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari.

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.

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