Munyori: Janice Evans
Zuva Rekusika: 2 Chikunguru 2021
Gadziridza Zuva: 19 Mbudzi 2024
Anonim
CPIC guideline for desipramine and CYP2D6
Vhidhiyo: CPIC guideline for desipramine and CYP2D6

Zvemukati

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge desipramine panguva yekiriniki yekudzidzira vakazozviuraya (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. 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 desipramine, asi mune dzimwe nguva, chiremba anogona kusarudza kuti desipramine ndiyo yakanyanya mishonga yekurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora desipramine kana zvimwe zvinodzvinyirira kunyangwe uri munhu mukuru pamusoro pemakore makumi maviri nemana. Unogona kuzviuraya, kunyanya pakutanga kwekurapwa kwako uye chero nguva iyo dosi rako rakawedzerwa kana zvakaderera. 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 desipramine, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese maahofisi ekushanyira kuhofisi nachiremba wako.

Chiremba kana wemishonga anokupa iwe gadziriro yeruzivo yemurwere pepa (Medication Gwara) paunotanga kurapwa ne desipramine. 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 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.


Desipramine inoshandiswa kurapa kushushikana. Desipramine iri mukirasi yemishonga inonzi tricyclic antidepressants. Inoshanda nekuwedzera huwandu hwezvimwe zvinhu zvakasikwa muuropi izvo zvinodiwa pakuyera kwepfungwa.

Desipramine inouya sehwendefa kutora nemuromo. Inowanzoendeswa kamwe chete kana kupfuura pazuva uye inogona kutorwa pamwe kana pasina chikafu. Tora desipramine panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora desipramine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi yedipramine uye zvishoma nezvishoma uwedzere muyero wako.

Zvinogona kutora mavhiki maviri kusvika matatu kuti iwe unzwe kuzara kuzere kwedipramine. Ramba uchitora desipramine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora desipramine usina kutaura nachiremba wako. Kana iwe ukangoerekana warega kutora desipramine, unogona kusangana nezviratidzo zvekudzora senge kushungurudza, kutemwa nemusoro, uye kushaya simba. Chiremba wako angangoda kudzikisa dosi yako zvishoma nezvishoma.


Mushonga uyu dzimwe nguva unonyorerwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora desipramine,

  • udza chiremba wako uye wemishonga kana uri weergisi kune desipramine, clomipramine (Anafranil), imipramine (Tofranil), trimipramine (Surmontil), chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi e desipramine. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
  • udza chiremba wako kana uri kutora 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 usatora desipramine. Kana iwe ukarega kutora desipramine, iwe unofanirwa kumirira mazuva gumi nemana usati watanga kutora MAO inhibitor.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvigadzirwa zvemakwenzi uye zvekuwedzera zvehutano zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants (ropa rakatetepa) senge warfarin (Coumadin); antihistamines; cimetidine (Tagamet); estrogens; flecainide (Tambocor); fluoxetine (Prozac); guanethidine (Ismelin); levodopa (Sinemet, Larodopa); lithiamu (Eskalith, Lithobid); mishonga yekukwira kweropa, kufenda, chirwere cheParkinson, chirwere cheshuga, chirwere chepfungwa, kusvotwa, asthma, dzihwa, kana kurwara; methylphenidate (Ritalin); tsandanyama relaxants; mishonga yekudzivirira pamuromo; phenobarbital; propafenone (Rythmol); quinidine; kunyaradza; inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), uye sertraline (Zoloft); mapiritsi ekurara; mishonga yehutachiona; uye zvinodzivirira. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Chiremba wako anogona kukuudza kuti usatore desipramine kana warega kutora fluoxetine mukati memasvondo mashanu apfuura.
  • udza chiremba wako kana iwe uchangobva kuve nekurwadziwa kwemoyo. Chiremba wako anogona kukuudza kuti haufanire kutora desipramine.
  • udza chiremba wako kana paine chero munhu mumhuri yako ane kana akambove nekushaya kurova kwemoyo zvisina kujairika kana akafa kamwe kamwe. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chemwoyo kana cheropa senge yakakwira BP, atherosclerosis (kuomarara kwetsinga), angina (kurwadziwa pachipfuva), kurova kwemoyo zvisina kujairika, kana chirwere chemwoyo; yakawedzera prostate (yechikadzi yekubereka gland) kunetseka kuita weti; chirwere cheshuga; pfari; yakanyanyisa hutachiona gland; schizophrenia (chirwere chepfungwa chinokanganisa kufunga kana kujairika kufunga, kurasikirwa kwekufarira muhupenyu, uye kusimba kana kusanzwisisika manzwiro); kana chiropa kana chirwere cheitsvo.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora desipramine, danaidza chiremba wako.
  • taura nachiremba wako nezve njodzi uye bhenefiti yekutora desipramine kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakwegura vakuru havafanirwe kutora desipramine nekuti haina kuchengetedzeka kana kushanda semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora desipramine.
  • iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
  • bvunza chiremba wako nezve kushandiswa kwakachengeteka kwedoro paunenge uchitora mushonga uyu.
  • udza chiremba wako kana ukashandisa zvigadzirwa zvefodya. Kusvuta fodya kunogona kudzora kushanda kwemushonga uyu.
  • iwe unofanirwa kuziva kuti desipramine inogona kukonzeresa-kuvhara glaucoma (mamiriro apo iyo mvura inoerekana 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.

Desipramine inogona kukonzera mhedzisiro. Fonera chiremba wako kana chimwe chezviratidzo izvi chikave chakakomba kana kuti chisingaendi:

  • kusvotwa
  • kutsimwaira
  • kushaya simba kana kuneta
  • hope dzinotyisa
  • muromo wakaoma
  • ganda rinonzwa zvakanyanya kune chezuva kupfuura zvakajairwa
  • kuchinja mukuda kudya kana kuyerwa
  • kuvimbiswa
  • kunetseka kuita weti
  • kugara uchiita weti
  • shanduko pabonde drive kana kugona
  • vangadikitira zvakanyanya

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO kana CHAKANYANYA, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • shaya, mutsipa, uye musana mhasuru spasms
  • kutaura kunonoka kana kuoma
  • kufamba-famba
  • kuzunza kusingadzoreki kana kufamba kwechikamu chemuviri
  • kupindwa nechando
  • kunetseka kufema kana kumedza
  • mapundu akakomba
  • yero yeganda kana maziso
  • kurova kwemoyo zvisina kujairika
  • pfari
  • kurwadziwa pahuro, fivha, uye zvimwe zviratidzo zvehutachiona

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 kunze kwekusvika kwevana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

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

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.

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:

  • kurova kwemoyo zvisina kujairika
  • pfari
  • coma (kurasikirwa kwekuziva kwenguva yakati)
  • kuvhiringidzika
  • kufungidzira (kuona zvinhu zvisipo)
  • vadzidzi vakawedzera (denderedzwa dema pakati peziso)
  • kutsimwaira
  • kusagadzikana
  • kupindwa nechando
  • tembiricha yemuviri yakaderera
  • mitsipa yakaoma
  • kurutsa

Chengetedza zvese zvakagadzwa nachiremba wako.

Usatendere mumwe munhu kutora 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.

  • Norpramin®
Yekupedzisira Yakagadziridzwa - 09/15/2018

Yakakurudzirwa Nesu

Chii chinonzi grits, uye vane hutano here?

Chii chinonzi grits, uye vane hutano here?

I u tino angani ira zvigadzirwa zvatinofunga zvinobat ira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, i u tinogona kuwana diki komi heni. Heano maitiro edu.Grit idyo inoziv...
Ndiyo Tomato Keto-Yakanaka?

Ndiyo Tomato Keto-Yakanaka?

Chikafu che ketogenic chikafu chakakora chine mafuta chinodzivirira zvakanyanya kudya kwako kwecarb ku vika kuma50 gramu pazuva. Kuti uite izvi, chikafu chinoda kuti iwe uteme kana kudziki ira zvakany...