Amitriptyline

Zvemukati

• Usati watora amitriptyline,
• Amitriptyline inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (kusvika pamakore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mood elevator') senge amitriptyline 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 amitriptyline, asi mune dzimwe nguva, chiremba anogona kusarudza kuti amitriptyline ndiwo mushonga wakanakisa wekurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora amitriptyline kana mamwe mishonga yekudzvinyirira kunyangwe iwe uri 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 kuitira kuti vagone kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa wega.

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

Chiremba kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa neamitriptyline. 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.

Amitriptyline inoshandiswa kurapa zviratidzo zvekuora mwoyo. Amitriptyline iri mukirasi yemishonga inonzi tricyclic antidepressants. Inoshanda nekuwedzera huwandu hwezvimwe zvinhu zvakasikwa muuropi izvo zvinodiwa kuti uchengetedze kuyerwa kwepfungwa.

Amitriptyline inouya sehwendefa yekutora nemuromo. Inowanzoendeswa kamwe chete kana kana pazuva. Tora amitriptyline 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 amitriptyline chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako angangotanga iwe pane yakaderera dosi yeamitriptyline uye zvishoma nezvishoma wedzera yako dosi.

Zvinogona kutora mavhiki mashoma kana kupfuura usati wanzwa kuzara kwakazara kweamitriptyline. Ramba uchitora amitriptyline kunyangwe iwe uchinzwa zvakanaka. Usarega kutora amitriptyline usina kutaura nachiremba wako. Kana iwe ukangoerekana warega kutora amitriptyline, unogona kusangana nezviratidzo zvekuregera senge kuda kurutsa, kutemwa nemusoro, uye kushaya simba Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.

Amitriptyline inoshandiswawo kugadzirisa kusagadzikana kwekudya, post-herpetic neuralgia (kupisa, kurwadziwa, kana kurwadziwa kunogona kupera kwemwedzi kana makore mushure mehutachiona hwehutachiona), uye kudzivirira migraine kutemwa nemusoro. Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati watora amitriptyline,

• udza chiremba wako uye wemishonga kana uri weergoria kune amitriptyline kana chero mimwe mishonga.
• udza chiremba wako kana uri kutora cisapride (Propulsid) (isingawanikwe muUS) kana monoamine oxidase (MAO) inhibitors senge isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate ), kana kana iwe wakatora MAO inhibitor mukati memazuva gumi nemana apfuura. Chiremba wako angangokuudza kuti haufanire kutora amitriptyline.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzerwa nezvehutano, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura chero eanotevera: antihistamines; cimetidine (Tagamet); kudya mapiritsi; disulfiram (Antabuse); guanethidine (Ismelin); ipratropium (Atrovent); quinidine (Quinidex); mishonga yekurova kwemoyo zvisina kujairika senge flecainide (Tambocor) uye propafenone (Rythmol); mishonga yekushushikana, asthma, dzihwa, chirwere chinorwadza ura, chirwere chepfungwa, kusvotwa, chirwere chePasinson, pfari, maronda, kana matambudziko eweti; mamwe mishonga yekudzvinyirira; phenobarbital (Bellatal, Solfoton); kunyaradza; inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), uye sertraline (Zoloft); mapiritsi ekurara; mishonga yehutachiona; uye zvinodzivirira. Udza chiremba wako kana wemishonga kana warega kutora fluoxetine (Prozac, Sarafem) mumavhiki mashanu apfuura Chiremba wako angangoda kushandura kuyerwa kwemishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe uchangobva kuve nekurwadziwa kwemoyo. Chiremba wako angangokuudza kuti usatora amitriptyline.
• udza chiremba wako kana iwe uchinwa yakawanda doro uye kana iwe kana wakambove uine glaucoma (mamiriro eziso); yakakura prostate (munhurume yekubereka gland); kunetseka kuita weti; pfari; yakanyanyisa hutachiona gland (hyperthyroidism); chirwere cheshuga; schizophrenia (chirwere chepfungwa chinokanganisa kufunga kana kujairika kufunga, kurasikirwa kwekufarira muhupenyu, uye kusimba kana kusanzwisisika manzwiro); kana chiropa, itsvo, kana chirwere chemwoyo.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukava nepamuviri uchitora amitriptyline, fonera chiremba wako. Usamwisa mwana zamu paunenge uchitora amitriptyline.
• taura nachiremba wako nezve njodzi uye bhenefiti yekutora mushonga uyu kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakwegura vakuru havafanirwe kutora amitriptyline nekuti haina kuchengetedzeka kana kushanda semimwe mishonga (s) inogona kushandiswa kurapa mamiriro akafanana.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora amitriptyline.
• iwe unofanirwa kuziva kuti amitriptyline inogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• rangarira kuti doro rinogona kuwedzera kuhope dzinokonzerwa nemushonga uyu.

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.

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

• kusvotwa
• kurutsa
• kutsimwaira
• kushaya simba kana kuneta
• hope dzinotyisa
• kutemwa nemusoro
• muromo wakaoma
• kuvimbiswa
• kunetseka kuita weti
• kusaona zvakanaka
• kurwadziwa, kupisa, kana kurira mumaoko kana tsoka
• shanduko pabonde drive kana kugona
• vangadikitira zvakanyanya
• kuchinja mukuda kudya kana kuyerwa
• kuvhiringidzika
• kusagadzikana

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:

• kutaura kunonoka kana kuoma
• dzungu kana kupera simba
• kushaya simba kana kushama ruoko kana gumbo
• kupwanya kurwadziwa kwepfupa
• kukurumidza, kurova, kana kurova kwemoyo zvisina kujairika
• kuputika kwakanyanya kweganda kana mikoko
• kuzvimba kwechiso nerurimi
• yero yeganda kana maziso
• shaya, mutsipa, uye musana mhasuru spasms
• kuzunza kusingadzoreki nhengo yemuviri
• kufenda
• kubuda ropa zvisina kujairika kana kupwanya
• pfari
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)

Amitriptyline 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. 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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

• kurova kwemoyo zvisina kujairika
• pfari
• coma (kurasikirwa kwekuziva kwenguva yakati)
• kuvhiringidzika
• matambudziko ekuisa pfungwa
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kusagadzikana
• kutsimwaira
• mhasuru dzakaomarara
• kurutsa
• kupindwa nechando
• kutonhora kwemuviri

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira kumwe kuongorora kwebazi kuti atarise mhinduro yemuviri wako kuamitriptyline

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.

• Amitid^®¶
• Amitril^®¶
• Elavil^®¶
• Endep^®¶

• Duo-Vil^® (iine Amitriptyline, Perphenazine)^¶
• Etrafon^® (iine Amitriptyline, Perphenazine)^¶
• Limbitrol^® (iine Amitriptyline, Chlordiazepoxide)^¶
• Triavil^® (iine Amitriptyline, Perphenazine)^¶

^¶ Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.