Mirtazapine

Zvemukati

• Usati watora mirtazapine,
• Mirtazapine 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 muchikamu CHINOKOSHA CHENYENZO kana CHAKANYANYA, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

Chiverengero chidiki chevana, vachiri kuyaruka, uye vechidiki vechidiki (vanosvika makore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge mirtazapine panguva yekiriniki yekudzidzira vakazozviuraya (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 mirtazapine, asi mune dzimwe nguva, chiremba anogona kusarudza kuti mirtazapine ndiwo mushonga wakanaka kurapa mamiriro emwana.

Iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi paunotora mirtazapine kana mamwe maanodzvinyirira kunyangwe uri mukuru ane makore 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 wezvehutano anoda kuzokuona kazhinji paunenge uchitora mirtazapine, 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 nemirazazine. 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.

Mirtazapine inoshandiswa kurapa kushushikana. Mirtazapine iri mukirasi yemishonga inonzi antidepressants. Izvo zvinoshanda nekuwedzera mamwe marudzi ebasa muuropi kuti uchengetedze kuyerwa kwepfungwa.

Mirtazapine inouya sehwendefa uye sehwendefa rinoputsika kutora nemuromo. Kazhinji inotorwa kamwe chete pazuva panguva yekurara. Inogona kutorwa pamwe kana pasina chikafu. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora mirtazapine chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kuti utore mirtazapine inopatsanura piritsi, vhura blister pack nemaoko akaoma woisa piritsi parurimi rwako. Hwendefa racho richaparara parurimi uye rinogona kumedzwa nemate. Hapana mvura inodiwa kumedza mapiritsi anoparadzanisa. Kana iyo piritsi yangobviswa kubva mublister pack, haigone kuchengetwa. Usaparadzanise mirtazapine inoparadzanisa mahwendefa.

Zvinogona kutora vhiki dzinoverengeka kana kupfuura kuti iwe unzwe kuzara kwakazara kwemirazazine. Ramba uchitora mirtazapine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora mirtazapine usina kutaura nachiremba wako. Chiremba wako anogona kunge achaderedza dosi rako zvishoma nezvishoma.

Mushonga uyu dzimwe nguva unonyorerwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora mirtazapine,

• udza chiremba wako uye wemishonga kana uri weergoria kune mirtazapine, chero mimwe mishonga, kana chero chinhu chinowanikwa mumatafura e mirtazapine kana mapiritsi anoparadzanisa. 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 wamira kutora MAO inhibitor mukati memazuva gumi nemana apfuura. Chiremba wako angangokuudza kuti usatore mirtazapine. Kana iwe ukarega kutora mirtazapine, iwe unofanirwa kumirira kwemazuva gumi nemana usati watanga kutora MAO inhibitor.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); mishonga yekudzvinyirira senge amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactiline), uye trimontiline. mamwe maantifungal akadai ketoconazole (Nizoral); buspirone; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, zvimwe); cimetidine (Tagamet); diazepam (Valium); erythromycin (EES, E-mycin, Erythrocin); fentanyl (Abstral, Actiq, Fentora, Onsolis, vamwe); lithiamu (Eskalith, Lithobid); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), uye zolmitriptan (Zomig); mimwe mishonga yekurapa HIV; mishonga yekushushikana nekubatwa; nefazodone; phenytoin (Dilantin); rifampin (Rimactane, Rifadin, muRifater, muRifamate); kunyaradza; inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), uye sertraline (Zoloft); serotonin inosarudza uye norepinephrine reuptake inhibitors (SNRIs) senge desvenlafaxine (Pristiq), duloxetine (Cymbalta), uye venlafaxine (Effexor); mapiritsi ekurara; tramadol (Ultram); uye zvinodzivirira. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort uye tryptophan.
• udza chiremba wako kana wakamborwara nemoyo, wakaderera BP, moyo, itsvo, kana chirwere cheropa, kana cholesterol yakawanda.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora mirtazapine, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti uri kutora mirtazapine.
• 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.
• kana iwe uine phenylketonuria (PKU, chinzvimbo chakagarwa nhaka umo chikafu chakasarudzika chinofanira kuteverwa kudzivirira kudzora kwepfungwa), iwe unofanirwa kuziva kuti mahwendefa anoparadzaniswa nemuromo ane aspartame inoumba phenylalanine.
• iwe unofanirwa kuziva kuti mirtazapine inogona kukonzeresa-kuvhara glaucoma (mamiriro apo mvura inoyerera yakavharika 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 inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• kutsimwaira
• dzungu
• kushushikana
• kuvhiringidzika
• kuwedzera uremu uye kudya
• muromo wakaoma
• kuvimbiswa
• kusvotwa
• kurutsa

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO kana CHAKANYANYA, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• furu-kunge zviratidzo, fivha, kutonhora, huro, maronda emuromo, kana zvimwe zviratidzo zvehutachiona
• kurwadziwa pachipfuva
• kukurumidza kurova kwemoyo
• pfari

Mirtazapine 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).

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.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mamwe marabhoritari ekuongorora kuti uone mhinduro yako ku mirtazapine.

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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