Clomipramine

Zvemukati

• Usati watora clomipramine,
• Clomipramine 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 zvinotevera:

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vakuru (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamodho anosimudza') senge clomipramine 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 vari pasi pemakore gumi nemasere ekuberekwa havafanirwe kutora clomipramine, asi mune dzimwe nguva, chiremba anogona kusarudza kuti clomipramine ndiwo mushonga wakanaka kurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora clomipramine kana zvimwe zvinodzvinyirira kunyangwe uri munhu 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 saka vanogona kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa iwe wega.

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

Chiremba kana wemishonga achakupa gadziriro yemurwere yemuchina (Medication Guide) paunotanga kurapwa neclomipramine. 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.

Clomipramine inoshandiswa kurapa vanhu vane obsessive-kusagadzikana kusagadzikana (mamiriro anokonzeresa pfungwa dzisingadiwe uye kudiwa kwekuita mamwe maitiro kakawanda). Clomipramine iri muboka remishonga inonzi tricyclic antidepressants. Inoshanda nekuwedzera huwandu hweserotonin, chinhu chechisikigo muuropi icho chinodiwa kuchengetedza kuenzana kwepfungwa.

Clomipramine inouya sekapuleti kutora nemuromo. Pakutanga kwekurapa, clomipramine inowanzo kutorwa katatu pazuva nekudya sezvo muviri uchichinjira kumushonga. Mushure memavhiki akati wandei ekurapwa, clomipramine inowanzo kutorwa kamwe chete pazuva panguva yekurara. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora clomipramine chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

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

Zvinogona kutora vhiki dzinoverengeka kana kupfuura kuti iwe unzwe kuzara kwakazara kwecommipramine. Ramba uchitora clomipramine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora clomipramine usina kutaura nachiremba wako. Kana iwe ukangoerekana warega kutora clomipramine, unogona kusangana nezviratidzo zvekudzora senge dzungu, kuda kurutsa, kurutsa, kutemwa nemusoro, kushaya simba, matambudziko ekurara, fivhiri, uye kusagadzikana. Chiremba wako anogona kunge achaderedza dosi rako zvishoma nezvishoma.

Usati watora clomipramine,

• udza chiremba uye wemishonga kana uri weergoria kune clomipramine, mamwe tricyclic antidepressants senge amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyel (Aventyl, , protriptyline (Vivactil), uye trimipramine (Surmontil); chero mimwe mishonga, kana chero chinhu chisingashandisi zvinoshandiswa muclomipramine capsules. Kumbira chiremba wako kana wemishonga kuti uwane runyorwa rwezvinhu zvisina basa.
• 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 usatora clomipramine. Kana iwe ukarega kutora clomipramine, 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 zvinovaka muviri uye zvigadzirwa zvemakwenzi zvauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); benztropine (Cogentin); cimetidine (Tagamet); clonidine (Catapres); dicyclomine (Bentyl); digoxin (Lanoxin); disulfiram; flecainide (Tambocor); guanethidine (Ismelin); haloperidol (Haldol); levodopa (Sinemet, Dopar); mishonga yekusvotwa, dzungu, kana chirwere chepfungwa; methylphenidate (Concerta, Metadate, Ritalin); mishonga yekudzivirira pamuromo; phenobarbital; phenytoin; propafenone (Rythmol); quinidine; secobarbital (Seconal); kunyaradza; inosarudza serotonin reuptake inhibitors (SSRIs) senge fluoxetine (Prozac, Sarafem), sertraline (Zoloft), uye paroxetine (Paxil); tranquilizers; uye trihexyphenidyl (Artane); uye mavitamini. Chiremba wako angangoda kushandura dosi yemushonga wako kana kukutarisisa zvakanyanya nemhedzisiro. Chiremba wako anogona kukuudza kuti usatore clomipramine kana warega kutora fluoxetine mukati memasvondo mashanu apfuura.
• udza chiremba wako kana iwe uchangobva kuve nekurwadziwa kwemoyo. Chiremba wako anogona kukuudza kuti haufanire kutora clomipramine.
• udza chiremba wako kana iwe uri kurapwa ne electroshock therapy (maitiro mune mashoma magetsi emagetsi anoendeswa kuuropi kuti arape zvimwe zvirwere zvepfungwa), kana iwe uchinwa kana wakambonwa doro rakawanda uye kana iwe kana wakambobatwa , kukuvara kwehuropi, matambudziko neako weti system kana prostate (nhengo yekubereka yemurume), kurova kwemoyo zvisina kujairika, matambudziko ane BP, zvinetso zvetachiona, kana moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora clomipramine, danaidza chiremba wako.
• taura nachiremba wako nezve njodzi uye zvakanakira kutora clomipramine kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakuru vakuru havafanirwe kutora clomipramine nekuti haina kuchengetedzeka kana kushanda semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora clomipramine.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe uchikotsira uye unogona kuwedzera njodzi yekuti iwe uchave nekubatwa. Usafambisa mota, shandisa michina, kushambira, kana kukwira kusvikira iwe waziva kuti mushonga uyu 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.
• iwe unofanirwa kuziva kuti clomipramine inogona kukonzeresa-kuvhara glaucoma (mamiriro apo iyo mvura inoerekana 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 zvaunowanzoita.

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.

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

• kutsimwaira
• muromo wakaoma
• kusvotwa
• kurutsa
• manyoka
• kuvimbiswa
• huta
• kudzikira kugona pabonde
• kuderera ndangariro kana kuisa pfungwa
• musoro
• mhino yakakora
• chinja mukuda kana uremu

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:

• kuzunza kusingadzoreki nhengo yemuviri
• pfari
• nekukurumidza, zvisina kujairika, kana kurova kurova kwemoyo
• kunetseka kuita weti kana kurasikirwa kwedundira kudzora
• kutenda zvinhu zvisiri zvechokwadi
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kuzununguka
• kunetseka kufema kana kukurumidza kufema
• kuomarara kwetsandanyama
• kuneta zvisina kujairika kana kushaya simba
• kurwadziwa pahuro, fivha, uye zvimwe zviratidzo zvehutachiona

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).

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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• pfari
• coma (kurasikirwa kwekuziva kwenguva yakati)
• kutsimwaira
• kusagadzikana
• kurasikirwa kwekubatana
• vangadikitira
• mitsipa yakaoma
• kufamba zvisina kujairika
• kukurumidza kurova kwemoyo
• kunonoka kufema
• bhuruu kushanduka kweganda
• kupindwa nechando
• vadzidzi vakawedzera (denderedzwa dema pakati peziso)
• kuderera kwekuita weti

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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