Bupropion

Zvemukati

• Usati watora bupropion,
• Bupropion 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:
• Kana iwe ukasangana nechimwe cheanotevera zviratidzo, rega kutora bupropion uye udane chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Kune vanhu vanotora bupropion (Wellbutrin) yekushungurudzika:

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge bupropion 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. Iyi njodzi inofanirwa kutariswa uye ichienzaniswa neinogona kubatsirwa pakurapa kushushikana, mukufunga kuti mwana kana achiri kuyaruka anofanira kutora antidepressant. Vana vari pasi pemakore gumi nemasere ekuberekwa havafanirwe kutora bupropion, asi mune dzimwe nguva, chiremba anogona kusarudza kuti bupropion ndiwo mushonga wakanyanya kurapa mamiriro emwana.

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 iwe unozozviuraya, kunyanya pakutanga kwekurapwa kwako kana chero nguva iyo dosi rako rakawedzera kana kuderera. Iyi njodzi yakakwira kana iwe kana chero munhu mumhuri yako aine kana akambove nebipolar kusagadzikana kana mania 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.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora bupropion kana mamwe maanodzvinyirira kunyangwe iwe uri munhu mukuru pamusoro pemakore makumi maviri nemana kana kana usina chirwere chepfungwa uye uri kutora bupropion kurapa imwe mhando yemamiriro. 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.

Kune vese varwere vanotora bupropion:

Anopa hutano hwako anoda kukuona kazhinji paunenge uchitora bupropion, kunyanya pakutanga kwekurapa kwako. Ive neshuwa yekuchengeta ese kugadzwa kana kuhofisi kushanya nachiremba wako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Mishonga Inotungamira) paunotanga kurapwa ne bupropion uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe zvakare unogona kushanyira Chikafu neDrug Administration (FDA) webhusaiti: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi uye zvakanakira kutora bupropion.

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) inoshandiswa kurapa kushushikana. Bupropion (Aplenzin, Wellbutrin XL) inoshandiswawo kurapa mwaka unokanganisa kusagadzikana (SAD; zvikamu zvekuora mwoyo kunoitika panguva imwe chete gore rega rega [kazhinji mukudonha uye muchando asi zvisingawanzo kuitika mumwedzi yechirimo kana yezhizha]). Bupropion (Zyban) inoshandiswa kubatsira vanhu kurega kuputa. Bupropion iri mukirasi yemishonga inonzi antidepressants. Inoshanda nekuwedzera mamwe marudzi echiitiko muuropi.

Bupropion inouya sehwendefa uye yakasimba-kuburitswa kana kuwedzerwa-kuburitsa (refu-inoshanda) piritsi yekutora nemuromo. Iyo yakajairwa piritsi (Wellbutrin) inowanzo kutorwa katatu pazuva, ine madhayeti anokwana maawa matanhatu akapatsanurwa, kana kana pazuva, aine madhayeti angangoita maawa mana akasiyana Piritsi rakaburitswa-rakatsiga (Wellbutrin SR, Zyban) inowanzo kutorwa kaviri pazuva, ine madhayeti maawa masere akaparadzaniswa. Hwendefa rakawedzerwa-kuburitswa (Aplenzin, Wellbutrin XL) inowanzo kutorwa kamwe zuva nezuva mangwanani; doses yeiyo yakawedzerwa-kuburitsa piritsi inofanirwa kutorwa anokwana maawa makumi maviri nemaviri akaparadzana. Kana bupropion ichishandiswa kurapa mwaka kusagadzikana kusagadzikana, inowanzo kutorwa kamwe pazuva pazuva mangwanani kutanga mukutanga kwekudonha, kuenderera kuburikidza nechando, uye kumira mukutanga kwematsutso. Dzimwe nguva muyero wezasi webupropion unotorwa kwemasvondo maviri mushonga usati wamiswa. Tora bupropion nechikafu kana mushonga ukatsamwisa dumbu rako. Kana iwe uchinetseka kurara kana kuramba wakarara, usatore bupropion zvakare padhuze nenguva yekurara. Tora bupropion 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 bupropion chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza akasimbisa-kuburitsa uye akawedzera-kusunungura mahwendefa akazara; usatsemure, kutsenga, kana kuvapwanya.

Chiremba wako angangotanga iwe padosi yakaderera yebupropion uye zvishoma nezvishoma wedzera yako dosi.

Zvinotora masvondo mana kana kupfuura usati wanzwa kuzara kwebupropion. Ramba uchitora bupropion kunyangwe iwe uchinzwa zvakanaka. Usarega kutora bupropion usina kutaura nachiremba wako. Chiremba wako anogona kudzora dosi rako zvishoma nezvishoma.

Bupropion zvakare dzimwe nguva inoshandiswa kurapa episuru dzekushungurudzika mune varwere vane bipolar kusagadzikana (manic depression disorder; chirwere chinokonzeresa zvikamu zvekushungurudzika, episodes of mania, uye mamwe mafungire asina kujairika) uye kubata kukanganisika kushomeka kwehutano husina kukwana (ADHD; kunetseka kwakanyanya kutarisa , kudzora zviito, uye kuramba wakanyarara kana kunyarara pane vamwe vanhu vanezera rakaenzana). 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 bupropion,

• udza chiremba wako uye wemishonga kana uri weergoria kune bupropion, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi ebupropion. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• 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 bupropion.
• usatore chinopfuura chimwe chigadzirwa chine bupropion panguva. Iwe unogona kugamuchira mishonga yakawandisa uye unowana zvakakomba mhedzisiro.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: amantadine (Symmetrel); beta blockers senge atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), uye propranolol (Inderal); cimetidine (Tagamet); clopidogrel (Plavix); cyclophosphamide (Cytoxan, Neosar); efavirenz (Sustiva, muAtripla); insulin kana mishonga yemumuromo yechirwere cheshuga; mishonga yekurova kwemoyo zvisina kujairika senge flecainide (Tambocor) uye propafenone (Rythmol); mishonga yekurwara kwepfungwa senge haloperidol (Haldol), risperidone (Risperdal), uye thioridazine (Mellaril); mishonga yekubatwa kwakadai sa carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), uye phenytoin (Dilantin); levodopa (Sinemet, Larodopa); lopinavir uye ritonavir (Kaletra); nelfinavir (Viracept); chikakananda chigamba; muromo steroid senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone); orphenadrine (Norflex); mamwe mishonga yekudzvinyirira senge citalopram (Celexa), desipramine (Norpramin), fluoxetine (Prozac, Sarafem, muSymbyax), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), paroxetine (Paxil) uye seroftraline ( ; ritonavir (Norvir); kunyaradza; mapiritsi ekurara; tamoxifen (Nolvadex, Soltamox); theophylline (Theobid, Theo-Dur, nevamwe); thiotepa; uye ticlopidine (Ticlid). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe wakambove nekugumburwa, anorexia nervosa (chirwere chekudya) kana bulimia (chirwere chekudya). Uyezve udza chiremba wako kana iwe ukanwa doro rakawanda asi uchitarisira kurega kamwe kamwe kunwa kana iwe unonwa zvinwiwa asi tarisira kumira pakarepo kuinwa. Chiremba wako angangokuudza kuti usatore bupropion.
• udza chiremba wako kana iwe uchinwa yakawanda doro, kushandisa zvinodhaka mumugwagwa, kana kunyanyisa kushandisa mishonga yakanyorwa uye kana wakamborwara nemoyo; kukuvara mumusoro; bundu muuropi kana musana; kukwirira kweropa; chirwere cheshuga; kana chiropa, itsvo, kana chirwere chemwoyo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora bupropion, fonera chiremba wako.
• iwe unofanirwa kuziva kuti bupropion inogona kukuwisira iwe. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• taura nachiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa uchiri kutora bupropion. Doro rinogona kuita kuti mhedzisiro kubva kubupropion iwedzere.
• iwe unofanirwa kuziva kuti bupropion inogona kukonzera kuwedzera kweropa rako. Chiremba wako anogona kutarisa kuwedzerwa kweropa rako usati watanga kurapwa uye nguva dzose paunenge uchitora mushonga uyu, kunyanya kana iwe uri kushandisawo nicotine kutsiva kurapa.
• iwe unofanirwa kuziva kuti bupropion 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.
• iwe unofanirwa kuziva kuti vamwe vanhu vakataura zviratidzo zvakaita sekuchinja muhunhu, kuvengana, kushungurudzika, kushushikana kwepfungwa, uye pfungwa dzekuzviuraya (kufunga nezvekuzvikuvadza kana kuzviuraya kana kuronga kana kuyedza kuzviita) uku uchitora bupropion kurega kuputa. Basa re bupropion mukukonzera kushanduka kwemanzwiro aya harina kujeka nekuti vanhu vanorega kuputa pamwe kana vasina mishonga vanogona kuchinjika muhutano hwavo hwepfungwa nekuda kwekubvisa nicotine. Zvisinei, zvimwe zvezviratidzo izvi zvakaitika kune vanhu vaitora bupropion uye vakaramba vachiputa. Vamwe vanhu vaive nezviratidzo izvi pavakatanga kutora bupropion, uye vamwe vakazvikurisa mushure memavhiki mashoma ekurapwa kana mushure mekumisa bupropion. Zviratidzo izvi zvaitika muvanhu vasina nhoroondo yekurwara nepfungwa uye zvakatowedzera muvanhu vakatove nehurwere hwepfungwa. Udza chiremba wako kana iwe kana wakambove nekuora mwoyo, bipolar disorder (manzwiro anoshanduka kubva pakuora mwoyo kusvika pakufara zvisina kujairika), schizophrenia (chirwere chepfungwa chinokanganisa kufunga kana kujairika kufunga, kurasikirwa kwekufarira muhupenyu, uye kusimba kana kukodzera manzwiro), kana zvimwe zvirwere zvepfungwa. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, rega kutora bupropion (Zyban) uye kufonera chiremba wako nekukurumidza: kuzviuraya pfungwa kana zviito; nyowani kana kuwedzera kushushikana, kushushikana, kana kutya kwekutyisa; kusagadzikana; kusagadzikana; hasha kana hutsinye hunhu; kuita zvine ngozi; mania (kupenga, kufara zvisingaite kana kutsamwa); kujairika kufunga kana kunzwa; kuona zvisipo (kuona zvinhu kana kunzwa manzwi zvisipo); kunzwa kuti vanhu vari kupokana newe; kunzwa kunetseka; kana chero imwe shanduko kamwe kamwe kana isina kujairika mumaitiro. Iva nechokwadi chekuti mhuri yako kana muchengeti anoziva kuti ndezvipi zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa iwe wega. Chiremba wako anokucherechedza zvakanyanya kusvikira zviratidzo zvako zvave nani.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Darika iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Nguva dzose tendera iyo yakazara yakatarwa huwandu hwenguva yekupfuura pakati peyero yebupropion. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• kutsimwaira
• kushushikana
• mufaro
• kunetseka kurara kana kuramba wakarara
• muromo wakaoma
• dzungu
• musoro
• kusvotwa
• kurutsa
• kurwadziwa nemudumbu
• kuzunza kusingadzoreki nhengo yemuviri
• kurasikirwa nenzara
• kuonda
• kuvimbiswa
• vangadikitira zvakanyanya
• kurira munzeve
• shanduko mupfungwa yako yekuravira
• kugara uchiita weti
• huro inorwadza

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:

• pfari
• kuvhiringidzika
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kutya kusina musoro
• mhasuru kana kurwadziwa kwemajoini
• kukurumidza, kurova, kana kurova kwemoyo zvisina kujairika

Kana iwe ukasangana nechimwe cheanotevera zviratidzo, rega kutora bupropion uye udane chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• kupindwa nechando
• mapundu kana mhoni
• kuvava
• mikoko
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• hoarseness
• kunetseka kufema kana kumedza
• kurwadziwa pachipfuva

Bupropion 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 nechiedza, kupisa 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:

• pfari
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kurasikirwa kwekuziva
• kukurumidza kana kurova kurova kwemoyo

Chengetedza zvese zvakagadzwa nachiremba wako.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti uri kutora bupropion.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Kana iwe uri kutora iyo yakawedzerwa-kuburitsa piritsi, iwe unogona kuona chimwe chinhu chinotaridzika kunge piritsi mune chako chigaro. Ichi chinongova chehwendefa chisina chinhu chehwendefa uye hazvireve kuti hauna kuwana rako rakazara remushonga.

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.

• Aplenzin^®
• Budeprion^® SR^¶
• Budeprion^® XL^¶
• Buproban^®¶
• Forfivo^® XL
• Wellbutrin^®
• Wellbutrin^® SR
• Wellbutrin^® XL
• Zyban^®

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