Doxepin (Kushungurudzika, Kushushikana)

Zvemukati

• Usati watora doxepin,
• Doxepin inogona kukonzera mhedzisiro. Fonera chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune ZVINOKOSHA YENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge doxepin panguva yekiriniki yekudzidza 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. 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 doxepin, asi mune dzimwe nguva, chiremba anogona kusarudza kuti doxepin ndiwo mushonga wakanakisa wekurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora doxepin kana mamwe mishonga yekudzvinyirira kunyangwe iwe uri mukuru pamusoro pemakore makumi maviri nemana. Unogona kuzviuraya, kunyanya pakutanga kwekurapa 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, kushamisika kusingaite. 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 doxepin, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese maahofisi ekushanyira kuhofisi nachiremba wako.

Chiremba kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa ne doxepin. 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.

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

Doxepin inowanikwawo sehwendefa yekurapa kushaya hope. Iyi monograph inopa chete ruzivo nezve doxepin yekushungurudzika kana kushushikana. Kana iwe urikushandisa mushonga uyu kushaya hope, verenga monograph yakanzi doxepin (kushaya hope).

Doxepin inouya sekapisi, kana kuisa pfungwa (mvura) kutora nemuromo. Inowanzoendeswa kamwe chete katatu pazuva uye inogona kutorwa pamwe kana pasina chikafu. Edza kutora doxepin panguva dzakatenderedza nguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora doxepin chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Doxepin concentrate (yemumvura mvura) inouya neyakanyanya kudonhedzwa yekuyera muyero. Kumbira wemishonga kuti akuratidze mashandisiro aungaita kudonhedza. Deredza iyo concentrate muma4 ounces (120 mL) emvura; mukaka wakazara kana wakasviba; kana orenji, grapefruit, tomato, prune, kana chinanazi muto usati watora. Usazvisanganisa nezvinwiwa zvine kabhoni (zvinwiwa).

Zvinogona kutora vhiki dzinoverengeka kana kupfuura kuti iwe unzwe kuzara kweiyo doxepin. Ramba uchitora doxepin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora doxepin usina kutaura nachiremba wako. Chiremba wako angangoda kudzikisa dosi yako zvishoma nezvishoma.

Doxepin zvakare dzimwe nguva inoshandiswa kurapa mikoko isingaperi pasina chikonzero chinozivikanwa. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati watora doxepin,

• udza chiremba wako uye wemishonga kana uri weergoria kune doxepin, amoxapine, loxapine, chero mimwe mishonga, kana chero chinhu chinosanganiswa mune doxapine capsules, kana kuisa pfungwa.
• udza chiremba wako kana uri kutora monoamine oxidase (MAO) inhibitor senge isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate), kana kana warega kutora MAO inhibitor mukati memazuva gumi nemana apfuura. Uyezve udza chiremba wako kana uri kutora kana kugamuchira methylene bhuruu (Provayblue) kana linezolid (Zyvox). Chiremba wako angangokuudza kuti usatora doxepin. Kana iwe ukarega kutora doxepin, 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: mamwe maantipsychotic akadai seklorpromazine, fluphenazine, perphenazine, prochlorperazine (Compro, Procomp), thioridazine, trifluoperazine; bupropion (Wellbutrin, Zyban, vamwe, muContrave); cimetidine (Tagamet); duloxetine (Cymbalta); flecainide (Tambocor); propafenone (Rythmol); quinidine (muNuedexta); inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, muSymbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), uye seroftraline ( ; uye tolazamide (Tolinase). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Chiremba wako anogona kukuudza kuti usatora doxepin kana wakatora fluoxetine mumavhiki mashanu apfuura.
• udza chiremba wako kana iwe uine glaucoma kana kunetseka kuita weti. Chiremba wako angangokuudza kuti usatora doxepin.
• udza chiremba wako kana wakambonwa kana kunwa doro rakawanda, kana kumbobatwa nechirwere chemafi, kana chiropa kana chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchinwa mushonga uyu, fonera chiremba wako.
• taura nachiremba wako nezve njodzi nenjodzi dzekutora doxepin kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakuru vakuru havafanirwe kutora doxepin nekuti haina kuchengetedzeka kana kushanda semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
• 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 kwezvinwiwa zvinodhaka paunenge uchitora doxepin. Doro rinogona kuita kuti mhedzisiro kubva doxepin iwedzere.
• iwe unofanirwa kuziva kuti doxepin inogona kukonzeresa-kuvhara glaucoma (mamiriro apo mvura inoyerera yakavharika kamwe kamwe 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 yako inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Doxepin inogona kukonzera mhedzisiro. Fonera chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurutsa
• kushaya simba kana kuneta
• dzungu
• kuwedzera muhukuru hwemudzidzi
• muromo wakaoma
• maronda emuromo
• ganda rinonzwa zvakanyanya kune chezuva kupfuura zvakajairwa
• kufashaira
• kuchinja mukuda kudya kana kuyerwa
• shanduko munzira iyo zvinhu zvinonaka
• kugaya
• kuvimbiswa
• manyoka
• kunetseka kuita weti
• nyota yakanyanyisa uye kuita weti
• kurira munzeve dzako
• shanduko pabonde drive
• kuzvimba machende
• kuwedzera kukura kwemazamu
• kubuda kwemukaka kubva kumazamu mukati mevakadzi
• vangadikitira zvakanyanya
• chills
• musoro
• kurasikirwa nevhudzi

Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune ZVINOKOSHA YENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukurumidza:

• yero yeganda kana maziso
• kukurumidza kurova kwemoyo
• kubuda ropa zvisina kujairika kana kupwanya
• kuputika kweganda, kuchenesa, kana kuzvimba

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).

Doxepin inogona kukonzera mamwe mhedzisiro. Fonera 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). Chengeta doxepin capsules kure nechiedza.

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:

• zvisina kujairika moyo kurova
• kunzwa kushungurudzika, kuvhiringidzika, kana kukotsira
• kunetseka kuisa pfungwa
• pfari
• kuomarara kwemhasuru
• kurutsa
• kuwedzera muhukuru hwemudzidzi
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kupindwa nechando
• kutonhora kwemuviri
• coma (kurasikirwa kwekuziva kwenguva yakati)

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.

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