Munyori: Joan Hall
Zuva Rekusika: 28 Kukadzi 2021
Gadziridza Zuva: 20 Mbudzi 2024
Anonim
NCLEX Prep (Pharmacology): Imipramine (Tofranil)
Vhidhiyo: NCLEX Prep (Pharmacology): Imipramine (Tofranil)

Zvemukati

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge imipramine panguva yezvidzidzo zvekuchipatara vakava 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. Nekudaro, nyanzvi hadzina chokwadi nezve hukuru hwenjodzi iyi uye kuti yakawanda sei iyo inofanirwa kutariswa mukusarudza kuti mwana kana wechidiki anofanira kutora chinodzvinyirira. Vana vane makore ari pasi pegumi nemasere ekuberekwa havafanirwe kutora imipramine kunze kwekudzivirira kunyuriswa pamubhedha, asi mune dzimwe nguva, chiremba anogona kusarudza kuti imipramine ndiwo mushonga wakanyanya kurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora imipramine kana zvimwe zvinodzvinyirira 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 imipramine, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese maahofisi ekushanyira kuhofisi nachiremba wako.

Chiremba kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro RezveMishonga) paunotanga kurapwa nemipramine. 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/InformationbyDrugClass/UCM096273.

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.


Mahwendefa eImipramine uye macapsule anoshandiswa kurapa kushushikana. Mahwendefa eImipramine anoshandiswa zvakare kudzivirira kunyura mumubhedha muvana. Imipramine iri mukirasi yemishonga inonzi tricyclic antidepressants. Inobata kushushikana nekuwedzera huwandu hwezvimwe zvinhu zvakasikwa muuropi izvo zvinodiwa kuti uchengetedze kuyerwa kwepfungwa. Iko hakuna ruzivo rwakakwana kuti utsanangure kuti imipramine inodzivirira sei kunyorova pamubhedha.

Imipramine inouya sehwendefa uye kapuleti yekutora nemuromo. Kana imipramine mapiritsi kana macapsule achishandiswa kurapa kushushikana, anowanzo kutorwa kamwe kana kupfuura pazuva uye anogona kutorwa pamwe kana pasina chikafu. Kana imipramine mapiritsi achishandiswa kudzivirira kunyura mumubhedha muvana, anowanzo kutorwa awa imwe nguva yekurara isati yasvika. Vana vanonyorovesa mubhedha mangwanani-ngwanani vanokwanisa kupihwa mubairo mumwe mukati mehusiku uye imwe dosi panguva yekurara. Edza kutora imipramine 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 imipramine chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.


Chiremba wako anogona kukutanga iwe pane yakaderera dosi ye imipramine uye zvishoma nezvishoma wedzera yako dose.

Zvinogona kutora masvondo matatu kana kupfuura kuti iwe unzwe kuzara kuzere kwemipramine. Ramba uchitora imipramine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora imipramine usina kutaura nachiremba wako. Chiremba wako angangoda kudzikisa dosi yako zvishoma nezvishoma.

Imipramine inoshandiswawo pano neapo kurapa kusagadzikana kwekudya uye kusagadzikana kwekutya. Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati watora imipramine,

  • udza chiremba wako uye wemishonga kana uri weergoria kune imipramine, chero mimwe mishonga, kana chero chinhu chinowanikwa mumipiritsi yemipramine kana macapsule. 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 usatore imipramine. Kana iwe ukarega kutora imipramine, iwe unofanirwa kumirira kwemazuva gumi nemana 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 (ropa rakatetepa) senge warfarin (Coumadin, Jantoven); antihistamines; cimetidine (Tagamet); flecainide (Tambocor); levodopa (Sinemet, Larodopa); lithiamu (Eskalith, Lithobid); mishonga yekukwira kweropa, kurwara nepfungwa, kusvotwa, kufenda, chirwere chePasinson, asima, dzihwa, kana kuti allergies; methylphenidate (Ritalin); tsandanyama relaxants; propafenone (Rhythmol); 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 imipramine kana iwe wakatora fluoxetine mumavhiki mashanu apfuura.
  • udza chiremba wako kana iwe uchangobva kuve nekurwadziwa kwemoyo. Chiremba wako anogona kukuudza kuti usatora imipramine.
  • udza chiremba wako kana iwe uri kurapwa ne electroshock therapy (maitiro mune mashoma magetsi emagetsi anoendeswa kuuropi kurapa zvimwe zvirwere zvepfungwa), uye kana iwe kana wakambove neakawedzera prostate (gland yekubereka yemurume), kunetseka kuita weti , pfari, chirwere chegland chakanyanyisa kushanda, kana chiropa, itsvo, kana chirwere chemwoyo.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora imipramine, danaidza chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora imipramine.
  • iwe unofanirwa kuziva kuti uyu mushonga unogona 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.
  • udza chiremba wako kana ukashandisa zvigadzirwa zvefodya. Kusvuta fodya kunogona kudzora kushanda kwemushonga uyu.
  • ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Imipramine inogona kuita kuti ganda rako ribate chiedza chezuva.
  • taura nachiremba wako nezvengozi uye zvakanakira kutora imipramine kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakwegura vakuru havafanirwe kutora imipramine nekuti haina kuchengetedzeka uye inoshanda semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
  • iwe unofanirwa kuziva kuti imipramine inogona kukonzeresa-kuvhara glaucoma (mamiriro apo iyo mvura inongoerekana yavharika 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 yako inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose.

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

  • kusvotwa
  • kutsimwaira
  • kushaya simba kana kuneta
  • mufaro kana kushushikana
  • 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 mune ZVINOKOSHA YENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • shaya, mutsipa, uye musana mhasuru spasms
  • kutaura kunonoka kana kuoma
  • kufamba-famba
  • kuzunza kusingadzoreki nhengo yemuviri
  • fivha, huro, kana zvimwe zviratidzo zvehutachiona
  • kunetseka kufema kana kumedza
  • mapundu akakomba
  • yero yeganda kana maziso
  • kurova kwemoyo zvisina kujairika

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).

Imipramine inogona kukonzera mamwe mhedzisiro. Udza chiremba wako kana uine chero matambudziko asina kujairika paunenge uchitora mushonga uyu.

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).

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

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.

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.

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.

  • Tofranil®
  • Tofranil® PM
Yekupedzisira Yakagadziridzwa - 09/15/2018

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