Izvo Zvaunofanira Kuziva Usati Watora Amitriptyline Yekurara

Zvemukati

• Chii chinonzi amitriptyline?
• Chii chinonzi off-label chinorayira?
• FDA yambiro nezve amitriptyline
• Amitriptyline inoshanda sei?
• Ndeupi muyero chaiwo kana uchinge warayirwa kurara?
• Pane here mhedzisiro kubva mukutora amitriptyline yekurara?
• Zvakajairika mhedzisiro
• Yakakomba mhedzisiro
• Iko kune kudyidzana nemimwe mishonga here?
• Pane here yambiro nezve kutora amitriptyline yekurara?
• Ndezvipi zvakanaka zvekutora amitriptyline yekurara?
• Chinokosha

Kushaikwa kwenguva refu kwekurara kunopfuura kungoodza moyo. Inogona kukanganisa nzvimbo dzese dzehupenyu hwako kusanganisira hutano hwepanyama uye hwepfungwa. Centers for Disease Control and Prevention (CDC) inoshuma kuti vanopfuura vanhu vakuru vekuAmerica havasi kuwana kurara zvakakwana.

Kana usiri kuwana kurara kwaunoda, kune akatiwandei marapirwo akasiyana, kusanganisira mishonga inogona kubatsira.

Mishonga yekurara inoshanda nenzira dzakasiyana dzekukubatsira iwe kukotsira kana kuramba wakarara. Chiremba wako anogona kukurukura achipa amitriptyline (Elavil, Vanatrip) kuti ikubatsire kurara.

Kana iwe uri kuyedza kusarudza kana amitriptyline yakakunakira iwe, hezvino zvimwe zvinhu zvekufunga nezvazvo.

Chii chinonzi amitriptyline?

Amitriptyline imushonga wepiritsi unowanikwa sehwendefa mune simba rakati wandei. Inotenderwa kushandiswa kurapa kushushikana asi inowanzo gadzirirwa kune akati wandei mamwe mamiriro senge kurwadziwa, migraines, uye kushaya hope.

Kunyangwe zvave zviripo kwemakore mazhinji, ichiri yakakurumbira, yakachipa-mutengo generic mishonga.

Chii chinonzi off-label chinorayira?

Amitriptyline inogamuchirwa neKudya neDrug Administration (FDA) kurapa kushushikana, asi vanachiremba vanopa zvakare mushonga kuti ubatsire nekurara. Kana chiremba vakaraira mushonga wekushandisa kunze kweuyo wakabvumidzwa neDFA, inozivikanwa sekushandisa zvisiri pamazita.

Vanachiremba vanoraira kure-chitaridzi nekuda kwezvikonzero zvakati wandei zvinosanganisira:

• Zera. Chiremba anogona kupihwa mushonga kune mumwe munhu mudiki kana mukuru pane anotenderwa neiyo FDA drug label.
• Chiratidzo kana kushandiswa. Mushonga unogona kupihwa kune imwe mamiriro asiri izvo zvakabvumirwa neDFA.
• Dosi. Chiremba anogona kupa yakaderera kana yakakwira dosi pane yakanyorwa pane yakanyorwa kana FDA yakurudzirwa.

FDA haipe kurudziro kuvanachiremba nezvekurapa varwere. Zviri kuna chiremba wako kuti asarudze kurapa kwakanakisa kwako zvichibva pahunyanzvi hwavo uye nezvaunoda.

FDA yambiro nezve amitriptyline

Amitriptyline ine "nhema bhokisi yambiro" kubva kuDFA. Izvi zvinoreva kuti mushonga une zvimwe zvakakosha mhedzisiro iwe iwe nachiremba wako zvaunofanira kufunga usati watora mushonga uyu.

• Amitriptyline yakawedzera njodzi yekuzviuraya kufunga uye maitiro mune vamwe vanhu, kunyanya vana nevakuru vechidiki. Izvo zvakakosha kuti utarise kuwedzera kwekuwedzera kwezviratidzo zvemanzwiro, pfungwa, kana maitiro uye kufona 911 nekukasira kana iwe ukaona shanduko.
• Iwe unogona zvakare kudaidza iyo National Suicide Prevention Lifeline pa800-273-8255 kana iwe kana mumwe munhu waunoziva ari kuzviuraya pfungwa.
• Amitriptyline haina kubvumidzwa neDFA kuti ishandiswe muvana vadiki pane gumi nevaviri.

Amitriptyline inoshanda sei?

Amitriptyline rudzi rwemushonga unonzi tricyclic antidepressant (TCA). Iyi mishonga inoshanda nekuwedzera mamwe makemikari ehuropi anonzi maurotransmitter senge serotonin uye norepinephrine kubatsira kugadzirisa manzwiro, kurara, kurwadziwa, uye kusagadzikana.

Hazvina kujeka chaizvo kuti amitriptyline inoshanda sei pakurara, asi imwe yemhedzisiro yayo ndeyekuvhara histamine, inogona kukonzeresa kukotsira. Ichi ndicho chimwe chikonzero vanachiremba vanopa amitriptyline semubatsiri wekurara.

Ndeupi muyero chaiwo kana uchinge warayirwa kurara?

Amitriptyline yekurara inorayirwa pamatanho akasiyana. Iyo dosi inoenderana nezvinhu zvakawanda senge yako zera, mimwe mishonga yaungave uri kutora, yako yekurapa mamiriro, uye zvinodhaka mutengo.

Kune vanhu vakuru, muyero wacho unowanzo pakati pemakumi mashanu nemazana emamirigiramu panguva yekurara. Vachiri kuyaruka uye vakuru vakuru vanogona kutora yakaderera madosi.

Kana iwe uine zvimwe zvinozivikanwa majini misiyano senge shanduko kumageneti, ungangoda madosi ekugadzirisa kuti udzikise mukana wemhedzisiro neamitriptyline.

Funga kubvunza chiremba wako kana wemishonga nezve geneti kuyedza inonzi pharmacogenomics. Izvi zvave kufarirwa zvakanyanya kubatsira kugadzirisa mishonga yako kuti ikushandire zvakanyanya.

Kutanga padosi yakaderera kunobatsira chiremba kuti uone maitiro auri kuita kumushonga usati waita shanduko.

Pane here mhedzisiro kubva mukutora amitriptyline yekurara?

Amitriptyline inogona kuve nezvimwe zvakakomba mhedzisiro. Usati watora mushonga, ita shuwa kuti chiremba wako azive kana iwe wakambove neanogadzirisa maitiro kune amitriptyline kana zvimwe zvinodhaka, kana kana iwe wakambove nepfungwa dzekuzviuraya kana maitiro.

Rega chiremba wako azive kana iwe uine:

• chirwere chemwoyo, chiropa, kana itsvo matambudziko
• glaucoma, sezvo amitriptyline inogona kuwedzera kumanikidza muziso rako
• chirwere cheshuga, sezvo amitriptyline inogona kukanganisa shuga yako, saka ungangoda kutarisa shuga yako kazhinji paunotanga kutora amitriptyline
• pfari, sezvo amitriptyline inogona kuwedzera njodzi yekubatwa
• bipolar disorder, mania, kana schizophrenia

Taura nachiremba wako kana iwe uri nepamuviri kana kuyamwisa. Kutsvagurudza hakuna kujekesa chokwadi kana amitriptyline yakachengeteka kushandisa panguva yekuzvitakura kana kana iwe uchiyamwisa.

Zvakajairika mhedzisiro

Paunotanga kutora amitriptyline, unogona kusangana nemimwe migumisiro. Vanowanzoenda mushure memazuva mashoma. Taura nachiremba wako kana chiremba kana vachinetsa uye ramba uchienderera mberi.

• muromo wakaoma
• musoro
• kurema kuwedzera
• kuvimbiswa
• kunetseka kuita weti
• kudonha kamwe kamwe muropa zvakanyanya kunyanya kana wakamira kubva wakagara
• Kukotsira kana dzungu
• kuona kwakadzikama
• maoko anodedera (kudedera)

Yakakomba mhedzisiro

Kunyangwe isingawanzoitika, amitriptyline inogona kukonzera mamwe akanyanya mhedzisiro. Fonera 911 ipapo ipapo kana iwe ukasangana nehupenyu hunotyisidzira hutano hwekukurumidzira.

Fonera 911 ipapo ipapo kana iwe ukasangana nechimwe chezviratidzo izvi uchitora amitriptyline, sezvo ivo vangangoratidzira hupenyu hunotyisidzira hwezvehutano:

• kukurumidza kana kusajairika kurova kwemoyo
• kurwadziwa pachipfuva uye kufema kwekufema, izvo zvinogona kuratidza chirwere chemwoyo
• kushaya simba kune rumwe rutivi rwemuviri kana kutaura kwakashata, uko kunogona kuratidza sitiroko

Unogona kusangana nezvimwe zviratidzo zvisina kunyorwa pano. Gara uchitaura nachiremba wako nezve izvo iwe zvaungave uchisangana nazvo kuti udzidze kana mushonga wako wakanangana.

Iko kune kudyidzana nemimwe mishonga here?

Amitriptyline inogona kusangana nemimwe mishonga. Izvo zvakakosha kuti rega chiremba wako uye wemishonga azive ese ekurapwa ekurapa, e-the-counter mishonga, uye zvekudya zvinowedzera iwe zvauri kutora kuti udzivise zvingave zvakakomba kuita.

Mishonga yakajairika inosangana neamitriptyline inosanganisira:

• monoamine oxidase inhibitors (MAOIs) senge selegiline (Eldepryl): inogona kukonzeresa kana kufa
• quinidine: inogona kukonzera matambudziko emwoyo
• opioid mishonga senge codeine: inogona kuwedzera kukotsira uye kukwidza njodzi yeserotonin syndrome, iyo inogona kukonzera kuwedzerwa kweropa uye kukwidziridzwa kwemoyo
• epinephrine uye norepinephrine: inogona kuwedzera kuwedzera kweropa, kutemwa nemusoro, uye kurwadziwa pachipfuva
• topiramate: inogona kukonzera yakakwira mwero yeamitriptyline mumuviri wako, ichiwedzera njodzi yako yemhedzisiro

Iri harisi runyorwa rwakakwana. Kune mimwe mimwe mishonga inogona kuwirirana neamitriptyline. Tarisa nachiremba wako kana uine zvimwe zvinonetsa.

Pane here yambiro nezve kutora amitriptyline yekurara?

Kusvikira muviri wako wajaira mushonga, chenjera nechero zviitiko zvinoda kuti uve wakangwarira sekutyaira kana muchina wekushandisa.

Haufanire kunwa doro kana kutora mimwe mishonga inogona kukukotsira neamitriptyline nekuti inogona kuwedzera mhedzisiro yemushonga.

Iwe haufanire kungoerekana warega kutora amitriptyline. Taura nachiremba wako nezvenzira yakanaka yekumisa mushonga uyu zvishoma nezvishoma.

Ndezvipi zvakanaka zvekutora amitriptyline yekurara?

Zvakanakira zvishoma zveamitriptyline zvinosanganisira:

• Zvishoma kudhura. Amitriptyline mushonga wekare unowanikwa seyakajairwa, saka haidhuri uchienzaniswa nemamwe matsva ekurara.
• Kwete tsika yekuumba. Amitriptyline haisi yekupinda muropa kana tsika yekuumba semimwe mishonga inoshandiswa kuhope senge diazepam (Valium)

Amitriptyline inogona kubatsira kana kushaya hope kukonzeresa kubva kune imwe mamiriro aungave uine, sekurwadziwa, kushushikana kana kushushikana. Iwe unofanirwa kukurukura zviratidzo zvako zvese nachiremba wako kuti awane yakanyanya kunaka nzira yekurapa iwe.

Chinokosha

Amitriptyline yanga iriko kwemakore mazhinji uye iri sarudzo isingadhuri senge yekurara rubatsiro. Amitriptyline uye antidepressants senge inowanzo shandiswa off-label yekurapa kushaya hope, kunyanya kune vanhu vane zvakare zviratidzo zvekuora mwoyo.

Amitriptyline inogona kukonzeresa mhedzisiro uye inogona kuwirirana nemimwe mishonga. Kana iwe uri kufunga nezve amitriptyline kuti ikubatsire iwe kuwana kuzorora kwakanyanya kuzorora, ita shuwa yekutaura nachiremba wako nezve chero mimwe mishonga uye zvinowedzera iwe zvauri kutora kare.