Nortriptyline

Zvemukati

• Usati watora nortriptyline,
• Nortriptyline 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 ZVINOKOSHA YENYENZO kana ZVINOKOSHA ZVINONYANYA, daidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mood elevator') senge nortriptyline 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. 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 nortriptyline, asi mune dzimwe nguva, chiremba anogona kusarudza kuti nortriptyline ndiwo mushonga wakanyanya kurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora nortriptyline 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 achada kukuona iwe kazhinji paunenge uchitora nortriptyline, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese maahofisi ekushanyira kuhofisi nachiremba wako.

Chiremba kana mushambadzi achakupa gwaro reruzivo rwevarwere remugadziri (Gwaro RezveMishonga) paunotanga kurapwa nortriptyline. 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.

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.

Nortriptyline inoshandiswa kurapa kushushikana. Nortriptyline iri muboka remishonga inonzi tricyclic antidepressants. Inoshanda nekuwedzera huwandu hwezvimwe zvinhu zvakasikwa muuropi izvo zvinodiwa kuti uchengetedze kuyerwa kwepfungwa.

Nortriptyline inouya sekapisi uye mvura yemumuromo yekutora nemuromo. Inowanzoendeswa kamwe chete kana kana pazuva uye inogona kutorwa pamwe kana pasina chikafu. Tora nortriptyline kwakatenderedza nguva dzakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora nortriptyline chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

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

Ramba uchitora nortriptyline kunyangwe iwe uchinzwa zvakanaka. Usarega kutora nortriptyline usina kutaura nachiremba wako. Kana iwe ukangoerekana warega kutora nortriptyline, unogona kusangana nezviratidzo zvekudzora senge kutemwa nemusoro, kuda kurutsa, uye kushaya simba. Chiremba wako angangoda kudzikisa dosi yako zvishoma nezvishoma.

Nortriptyline zvakare dzimwe nguva inoshandiswa kurapa kuvhunduka kwekutya uye post-herpetic neuralgia (kupisa, kurwadziwa, kana kurwadziwa kunogona kupera kwemwedzi kana makore mushure mehutachiona hwehutachiona). Nortriptyline zvakare dzimwe nguva inoshandiswa kubatsira vanhu kurega kuputa. 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 nortriptyline,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune nortriptyline uye mamwe tricyclic antidepressants senge desipramine (Norpramin), clomipramine (Anafranil), imipramine (Tofranil), trimipramine (Surmontil), chero mimwe mishonga, kana chero chinhu chinowanikwa mu nortriptyline capsules kana mvura. 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 nortriptyline. Kana iwe ukarega kutora nortriptyline, iwe unofanirwa kumirira mazuva gumi nemana usati watanga kutora MAO inhibitor.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera zvinovaka muviri uye zvigadzirwa zvemakwenzi zvauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants (ropa rakatetepa) senge warfarin (Coumadin, Jantoven); antihistamines; chlorpropamide (Diabinese); cimetidine (Tagamet); flecainide (Tambocor); guanethidine (Ismelin); lithiamu (Eskalith, Lithobid); mishonga yekukwira kweropa, kufenda, chirwere chePasinson, chirwere cheshuga, asima, kusvotwa, kurwara nepfungwa, dzihwa, kana kurwara 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.
• udza chiremba wako kana iwe uchangobva kuve nekurwadziwa kwemoyo. Chiremba wako anogona kukuudza kuti usatore nortriptyline.
• udza chiremba wako kana iwe kana wakambove neakawedzera prostate (yechirume yekubereka gland), kunetseka kuita weti, chirwere cheshuga, kufenda, schizophrenia (chirwere chepfungwa chinokanganisa kufunga kana kujairika kufunga, kurasikirwa kwekufarira muhupenyu, uye yakasimba kana isina kukodzera manzwiro ), yakanyanyisa kushanda kwetachiona, kana chiropa, itsvo, kana chirwere chemwoyo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora nortriptyline, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora nortriptyline.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• taura nachiremba wako nezve kushandiswa kwakachengeteka kwedoro paunenge uchitora mushonga uyu.
• ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Nortriptyline inogona kuita kuti ganda rako ribate chiedza chezuva.
• iwe unofanirwa kuziva kuti nortriptyline inogona kukonzeresa-kuvhara glaucoma (mamiriro apo mvura inoyerera 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.

Nortriptyline 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
• 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
• kupindwa nechando
• kunetseka kufema kana kumedza
• mapundu
• yero yeganda kana maziso
• kurova kwemoyo zvisina kujairika

Nortriptyline inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge 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
• 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 uye murabhoritari. Chiremba wako anogona kuraira mamwe marabhoritari bvunzo kuti atarise mhinduro yako kune nortriptyline.

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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