Citalopram

Zvemukati

• Usati watora citalopram,
• Citalopram 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, vechidiki, uye vechidiki vakuru (kusvika pamakore makumi maviri nemana ekuberekwa) vakatora mishonga yekudzvinyirira ('mamhepo anosimudza') senge citalopram 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 citalopram, asi mune dzimwe nguva, chiremba anogona kusarudza kuti citalopram ndiyo yekurapa yakanakisa yekurapa mamiriro emwana.

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

Chiremba kana wemishonga achakupa gadziriro yemurwere yemuchina (Medication Guide) paunotanga kurapwa nekitalopram. 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 pakuora mwoyo kuenda mukufara zvisina kujairika) kana mania (kupenga, kushushikana zvisina kujairika), kana kufunga nezve 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.

Citalopram inoshandiswa kurapa kushushikana. Citalopram iri mukirasi yeanodzvinyirira anonzi anosarudza serotonin reuptake inhibitors (SSRIs). Iyo inofungidzirwa kushanda nekuwedzera huwandu hweserotonin, chinhu chechisikigo muuropi iyo inobatsira kuchengetedza kuenzana kwepfungwa.

Citalopram inouya sehwendefa uye mhinduro (mvura) kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva, mangwanani kana manheru, pamwe kana pasina chikafu. Tora citalopram panguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora citalopram chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anogona kukutangisa pane yakaderera dosi yecitalopram uye zvishoma nezvishoma wedzera yako dosi, kwete kazhinji kazhinji kamwe chete pasvondo.

Zvinogona kutora 1 kusvika kumavhiki mana usati waona kubatsirwa kuzere kwecitalopram. Ramba uchitora citalopram kunyangwe iwe uchinzwa zvakanaka. Kana iwe ukangoerekana warega kutora citalopram, unogona kusangana nezviratidzo zvekuregera senge kushanduka kwemanzwiro, kushatirwa, kushushikana, dzungu, chiveve, kugwinha kana kurohwa nemagetsi-senge maoko kana tsoka, kushushikana, kuvhiringidzika, kutemwa nemusoro, kuneta, kusvotwa, kudikitira, kubvunda, uye kunetseka kurara kana kuramba wakarara. Usarega kutora citalopram usina kutaura nachiremba wako. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.

Citalopram zvakare dzimwe nguva inoshandiswa kurapa kusagadzikana pakudya, kudhakwa, kuvhunduka kusagadzikana (mamiriro anokonzeresa kurwisa kwekutya kwakanyanya pasina chikonzero chiri pachena), premenstrual dysphoric disorder (boka rezviratidzo zvemuviri uye zvemweya zvinoitika pamberi pemwedzi mwedzi wega wega), uye phobia yemagariro (kunyanya kuzvidya mwoyo nezvekudyidzana nevamwe). 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 citalopram,

• udza chiremba wako uye wemishonga kana uri weergoria kune citalopram, escitalopram (Lexapro), chero mimwe mishonga, kana chero chinhu chinogadzirwa mune citalopram chigadzirwa chauri kutora. Taura nachiremba wako kana tarisa iyo Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora pimozide (Orap) kana monoamine oxidase (MAO) inhibitor senge isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kana tranylcypromine (Parnate) , kana kana iwe wakamira kutora MAO inhibitor mukati memazuva gumi nemana apfuura. Chiremba wako angangokuudza kuti usatora citalopram. Kana iwe ukarega kutora citalopram, iwe unofanirwa kumirira mazuva gumi nemana usati watanga kutora MAO inhibitor.
• iwe unofanirwa kuziva kuti citalopram yakafanana chaizvo neimwe SSRI, escitalopram (Lexapro). Iwe haufanire kutora iyi mishonga miviri pamwechete.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isinganyore uye mavitamini auri kutora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: amiodarone (Cordarone); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); carbamazepine (Tegretol); cimetidine (Tagamet); cisapride (Propulsid); diuretics (’mapiritsi emvura); disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (EES E-Mycin, Erythrocin); heparin; lithiamu (Eskalith, Lithobid); mishonga yekushushikana, kurwadziwa kusingaperi, chirwere chepfungwa, chirwere chePasinson, nekubatwa; mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), uye zolmitriptan (Zomig); methylene bhuruu; metoprolol (Lopressor, Toprol XL); moxifloxacin (Avelox); omeprazole (Prilosec, Zegerid); imwe inosarudza serotonin re-uptake inhibitors (SSRI) kana serotonin-norepinephrine reuptake inhibitors (SNRI) mishonga; procainamide (Procanbid, Pronestyl); quinidine (Quinidex); kunyaradza; sibutramine (Meridia); mapiritsi ekurara; sotalol (Betapace); sparfloxacin (Zagam); thioridazine (Mellaril); tramadol (Ultram); tranquilizers; uye tricyclic antidepressants senge amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), trimipramine (Surmontil). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana nekitalopram, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isingaonekwe pane ino runyorwa.
• udza chiremba wako izvo zvinovaka muviri zvinowedzera uye mishonga yemiti yauri kutora, kunyanya zvigadzirwa zvine St. John's wort kana tryptophan.
• udza chiremba wako kana iwe kana chero munhu mumhuri yako ane kana akambove nerefu QT syndrome (chinetso chisingawanzo mwoyo chinogona kukonzeresa kurova kwemoyo zvisina kufanira, kufenda, kana kufa kamwe kamwe) uye kana ukashandisa kana wakamboshandisa zvinodhaka zvemumugwagwa kana kushandisa zvakanyanyisa mishonga . Uyezve udza chiremba wako kana iwe wakura kupfuura makore makumi matanhatu ekuberekwa uye kana iwe kana wakambove nekurova kunononoka kana kusiri kwemoyo, kukwirira kweropa; matambudziko ekubuda ropa; sitiroko; huwandu hwakaderera hwemagesium kana potasium muropa rako, chirwere chemwoyo, kutadza kwemoyo (mamiriro umo moyo usingakwanise kupomba ropa rakakwana kune mamwe mativi emuviri) kana mamwe mamiriro emwoyo; pfari; kana hosha yeitsvo kana yechiropa. Uyezve udza chiremba wako kana iwe uchirwara zvakanyanya, manyoka, kana kudikitira, kana kana iwe ukava nezviratidzo izvi chero nguva panguva yekurapwa kwako.
• udza chiremba wako kana iwe uri nepamuviri, kunyanya kana iwe uri mumwedzi mishoma yapfuura yekubata kwako, kana kana iwe uronga kuita nhumbu kana kuyamwisa. Kana iwe ukava nepamuviri uchitora citalopram, danaidza chiremba wako. Citalopram inogona kukonzeresa matambudziko muvacheche zvichitevera kubereka kana ikatorwa mukati memwedzi yekupedzisira yenhumbu.
• iwe unofanirwa kuziva kuti citalopram inogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• taura nachiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa panguva yekurapa kwako nekitalopram. Doro rinogona kuita kuti mhedzisiro yecitalopram iwedzere.
• iwe unofanirwa kuziva kuti citalopram 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.

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

• kusvotwa
• manyoka
• kuvimbiswa
• kurutsa
• kurwadziwa nemudumbu
• chirungurira
• kuderera kwechido
• kuonda
• kugara uchiita weti
• kuneta zvakanyanya
• yawning
• kushaya simba
• kuzunza kusingadzoreki nhengo yemuviri
• mhasuru kana kurwadziwa kwemajoini
• muromo wakaoma
• shanduko pabonde drive kana kugona
• kuenda kumwedzi kunorema

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:

• kurwadziwa pachipfuva
• mweya wekufema
• dzungu
• kufenda
• inokurumidza, inononoka, kana isina kujairika kurova kwemoyo
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kupindwa nechando
• vangadikitira zvakanyanya
• kuvhiringidzika
• coma (kurasikirwa kwekuziva)
• kurasikirwa kwekubatana
• mitsipa yakaoma kana inokakama
• mikoko kana mhoni
• mapundu
• kuvava
• kunetseka kufema kana kumedza
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• hoarseness
• kubuda ropa zvisina kujairika kana kupwanya
• musoro
• kusagadzikana
• matambudziko nekufunga, kuisa pfungwa, kana ndangariro
• pfari

Citalopram inogona kudzikisira chishuwo uye inokonzeresa kuonda muvana. Chiremba wemwana wako anozotarisa kukura kwake zvakanaka. Taura nachiremba wemwana wako kana iwe uine zvinetsekana nezve kukura kwemwana wako kana huremu paanenge achitora mushonga uyu. Taura nachiremba wemwana wako nezve njodzi dzekupa citalopram kumwana wako.

Citalopram 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 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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• dzungu
• vangadikitira
• kusvotwa
• kurutsa
• kuzunza kusingadzoreki nhengo yemuviri
• kutsimwaira
• nekukurumidza, zvisina kujairika, kana kurova kurova kwemoyo
• ndangariro kurasikirwa
• kuvhiringidzika
• pfari
• coma (kurasikirwa kwekuziva)
• kufema nekukurumidza
• bhuruu rakatenderedza muromo, zvigunwe, kana nzara
• kurwadziwa kwemhasuru
• weti yakasviba

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira kumwe kuyedzwa kwerabhoritari uye electrocardiograms (EKG; bvunzo yekutarisa kurova kwemoyo wako uye mutinhimira) usati watanga kutora citalopram uye panguva yekurapa kwako nemushonga uyu.

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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