So ɛyɛ den ma wo nso sɛ wobɛda anadwo? Momma yensua Doxepin nnuru a wɔde di dwuma ho ade!

Fa w’adwene bu ɛyaw a wote bere a wokɔda anadwo na wobɔ wo ho ban na wodannan wo ho a wunda no ho hwɛ. Nna bi wɔ hɔ a, wonna kosi sɛ ade bɛsa. Ade kyee anɔpa no, wo nipadua te nka sɛ wabrɛ na wo ti mu yɛ duru. Doxepin yɛ aduru a ebetumi aboa wɔ nna a wontumi nna yi ho . Nanso, te sɛ aduru foforo biara no, ɛsɛ sɛ wɔde nimdeɛ a ɛfata di dwuma na oduruyɛfo de afotu ma. Ɛnnɛ, momma yɛnka Doxepin ho asɛm nkɔ akyiri.

Dɛn ne aduru yi a wɔfrɛ no Doxepin?

Sɛ yɛbɛka no tiawa a, Doxepin yɛ aduru a wɔde sa nna a wontumi nna . Ɛboa ma woda ntɛm na woda a wunnyane anadwo fã. Ɛka nnuru bi a wɔfrɛ no tricyclic antidepressants (TCAs) ho. Eyi kyerɛ sɛ wɔtaa de aduru yi di dwuma ma adwenemhaw nso, nanso sɛ wɔde di dwuma ma nna a wontumi nna a, wɔtaa de ma wɔ dodow a ɛba fam koraa mu . Wɔ Sri Lanka no, ebia wubehu saa aduru yi wɔ edin a wɔde frɛ no Silenor ase.

Afei nso, ɛho hia sɛ wuhu sɛ ɛtɔ mmere bi a nnuruyɛfo betumi akyerɛw saa aduru yi ama tebea afoforo nso. Enti sɛ wunnim nea enti a wɔakyerɛw aduru yi ama wo a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na manom saa aduru yi?

Ansa na wubefi ase anom Doxepin no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ampa . Nea enti a ɛte saa ne sɛ ebia saa aduru yi mfata mma nnipa a wɔwɔ ayaresa tebea horow bi, anaasɛ ebia ɛho behia sɛ wɔde ahwɛyiye soronko di dwuma.

Saa nneɛma no ni:

• Sɛ wowɔ adwenemhaw a ɛma obi yɛ ade tra so a , ɛyɛ adwenemyare a ɛma w’ani gye kɛse bere bi na afei mpofirim ara wote awerɛhow ne adwenemhaw kɛse nka.
• Sɛ worehu amane wɔ adwenemhaw ho a .
• Sɛ ɛyɛ den ma wo sɛ wobɛtow wo ho a .
• Sɛ wowɔ glaucoma (yare a ɛma nhyɛso kɔ soro wɔ aniwa so).
• Sɛ wowɔ komayare biara a .
• Sɛ woadi kan anom nnubɔne anaa nsa a .
• Sɛ wowɔ mmerɛbo mu yare a .
• Sɛ wowɔ ahurututu mu yare (sɛ nhwɛso no, ayamtu) anaasɛ nna mu ahomegye a .
• Sɛ woyɛ ɔbarima a, wowɔ ɔhaw ahorow wɔ prostate gland no ho .
• Sɛ wowɔ adwenemyare foforo te sɛ adwenemhaw a .
• Sɛ woanya adwene sɛ wobɛkum wo ho , woayɛ nhyehyɛe sɛ wobɛyɛ saa, anaa sɛ wo anaa w’abusua mu obi abɔ mmɔden sɛ obekum ne ho pɛn a.
• Sɛ wo ho yɛ wo hyew wɔ Doxepin, nnuru afoforo, nnuan, aduan mu kɔla, anaa nneɛma a wɔde sie ho a.
• Sɛ woanyinsɛn anaasɛ worehwɛ akokoaa kwan a .
• Sɛ woyɛ ɛna a ɔma nufu a .

Sɛ saa nneɛma yi mu bi fa wo ho a, ɛho hia paa sɛ woka ho asɛm kyerɛ wo duruyɛfo.

Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?

Ɛho hia yiye sɛ wubehu sɛnea wode Doxepin tablets bedi dwuma yiye.

• Ɛsɛ sɛ wɔnom saa aduru yi wɔ ano, na wɔde nsu kuruwa ka ho .
• Di akwankyerɛ a ɛwɔ nnuru a wo duruyɛfo de ama wo no so pɛpɛɛpɛ .
• Ɛsɛ sɛ wɔnom saa aduru yi bere a yafunu da mpan . Ɛne sɛ, anyɛ yiye koraa no, nnɔnhwerew 3 wɔ adidi akyi . Ebia ɛrenyɛ adwuma yiye sɛ wɔde ka aduan ho a.
• Ɛsɛ sɛ wonom eyi bɛyɛ simma 30 ansa na woada . Afei nso, nea ɛho hia sen biara no, sɛ wugye di sɛ wubetumi ada anadwo mũ nyinaa (anyɛ yiye koraa no nnɔnhwerew 7-8) a wuntwa mu nkutoo a, nom eyi . Efisɛ sɛ ɛsɛ sɛ wosɔre na woyɛ adwuma bere a woanom eyi akyi bere tiaa bi a, ebia wobɛda na wo ho nyɛ wo dɛ.
• Mma nnnom nsen dodow a oduruyɛfo no akyerɛ no.
• Mma nnnyae saa aduru yi nom mpofirim esiane biribiara nti a wunnya wo duruyɛfo afotu . Saa a wobɛyɛ no betumi ama wo nsunsuanso bɔne no ayɛ kɛse anaasɛ ɛbɛma wo nna a wuntumi nna no ayɛ kɛse.
• Sɛ wonya saa aduru yi firi nnurutɔnbea a, wɔbɛtumi ama wo akwankyerɛ krataa soronko bi a wɔfrɛ no ``MedGuide'' . Kenkan no yiye bere biara a wubenya w’aduru no. Ebia nsɛm a ɛho hia wɔ mu ma wo.
• Sɛ wode saa aduru yi rema mmofra a , akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho na wunya afotu titiriw.

Na sɛ wɔma aduru no dodow kɔ soro nso ɛ? (Nneɛma a wɔde ma boro so) .

Sɛ wususuw sɛ woanom Doxepin pii sen sɛnea wususuw sɛ ɛsɛ sɛ wonom a, kɔ ayaresabea dan a ɛhwɛ ntɛmpɛ a ɛbɛn wo no mu anaa frɛ Poison Control Center ntɛm ara . Mma nsɛe bere.

Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa saa aduru yi mma w’adamfo anaa w’abusua muni bi esiane biribiara nti , sɛ mpo wɔn nso wɔ tebea koro no ara te sɛ wo a.

Na sɛ mepa nnuru dodow bi nso ɛ?

Esiane sɛ wɔnom saa aduru yi ansa na wɔada nti, "missing a dose" mfa eyi ho ankasa. Nanso, sɛ wo werɛ fi sɛ wobɛnom w’aduru ansa na woada na afei wokae a, nnom nnuru mmɔho abien da anaasɛ nnom aduru foforo mfa nsiesie dodow a woahwere no. Saa a wɔyɛ no ma asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no yɛ kɛse.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?

Doxepin yɛ aduru a ɛtumi ne nnuru foforɔ bi ``di nkitaho``. Eyi kyerɛ sɛ sɛ wɔde ka saa nnuru no ho a, Doxepin no nkɛntɛnso betumi asesa anaasɛ nea efi mu ba no betumi akɔ soro.

Ɛsɛ sɛ wɔde nnuru a edidi so yi kwati doxepin:

• Arsenic trioxide `(Arsenic trioxide)`
• Nnuru bi a wɔde di dwuma de siw koma a ɛbɔ a ɛnteɛ ano
• Cisapride na ɔkyerɛwee
• Halofantrine a wɔde yɛ aduru
• Levomethadyl `(Levomethadyl)`
• Linezolid a wɔfrɛ no linezolid
• Nnuru a ɛka nnuru kuw a wɔfrɛ no `MAOIs` (Monoamine Oxidase Inhibitors) ho (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate). Eyinom yɛ nnuru kuw bi a tumi wom a wɔde sa adwenemyare.
• Methylene bruu `(Methylene bruu)`
• Nnuru afoforo bi a wɔde sa adwenemhaw
• Phenothiazine ( sɛ nhwɛso no, perphenazine, thioridazine, chlorpromazine) .
• Pimozide a wɔde yɛ nnuru
• Procarbazine a wɔde ma
• Sparfloxacin `(Sparfloxacin)`
• Nnuru a wɔde nhabannuru St. John’s Wort (eyi nso nom nnipa binom ma adwenemyare ho haw) .

Doxepin nso betumi ne nnuru a edidi so yi adi nkitaho:

• Cimetidine (aduru a wɔde sa yafunu mu yare) .
• Tolazamide (asikreyare aduru) .
• Ziprasidone (aduru a wɔde sa adwenemyare) .

Saa list yi nwie pɛyɛ. Ebia nnuru afoforo nso wɔ hɔ. Enti, ka nnuru a worenom nyinaa (a wɔakyerɛw ama wo, a wontɔn, nhabannuru, vitamin, ne aduannuru a wɔde ka aduan ho) ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo . Eyinom betumi ne Doxepin adi nkitaho.

Dɛn na ɛsɛ sɛ yɛhwɛ so bere a yɛde aduru yi redi dwuma no?

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye bere a worenom Doxepin no:

• Kɔ wo duruyɛfo nkyɛn bere ne bere mu na hwɛ sɛnea wo ho te.
• Fa yɛ wo su sɛ wobɛda bere koro mu da biara . Afei nso, kwati sɛ wobɛnom anonne a caffeine wom te sɛ kɔfe ne tii awia ne anwummere.
• Sɛ woda so ara ntumi nna wɔ nnafua 7-10 a woanom saa aduru yi akyi a , wo ne wo duruyɛfo nkasa. Ebia biribi foforo nso wɔ hɔ a enti wuntumi nna.
• Sɛ wugye di sɛ wubetumi ada anadwo mũ nyinaa ( nnɔnhwerew 7-8) nkutoo a, fa saa aduru yi .
• Sɛ wonom saa aduru yi wie a, nka kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so (sɛ nhwɛso no, gyinaesi ahorow a ɛho hia, adesua a wode bɛyɛ sɔhwɛ) .
• Ɛsɛ sɛ wonom saa aduru yi simma 30 pɛ ansa na woada. Ɛno akyi no, yɛ nneɛma a esiesie wo ma woda nkutoo (te sɛ ntade a wobɛsesa, wo sẽ a wobɛhohoro).
• Ebia wobɛte nka sɛ woada anaasɛ woayɛ ɔkwasea adekyee anɔpa bere a woanom aduru yi awie no. Sɛ eyi ba a, nka kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ehia sɛ woma w’ani da hɔ kosi sɛ wobɛda koraa na w’ani ada hɔ.
• Nnyina hɔ anaa ntena ase mpofirim , titiriw sɛ woabɔ akwakoraa a. Saa a wobɛyɛ no betumi ama w’ani ayɛ wo yaw, wo tirim ayɛ hare, na ɛnyɛ den sɛ wobɛhwe ase.

Eyi yɛ biribi a ɛsɛ sɛ wohwɛ yiye wɔ ho: Sɛ wonom saa aduru yi wie a, ebia wubefi mpa so a wunnim na woayɛ nneɛma te sɛ ``da-ka kar'', aduannoa, adidi, telefon so nkɔmmɔbɔ, nna, ne nna. Eyinom betumi ama obi apirapira kɛse . Sɛ wuhu sɛ biribi a ɛte sɛɛ ato wo (ebia worenkae da a edi hɔ no, nanso ɛsɛ sɛ w’abusua ka kyerɛ wo) a, ka kyerɛ wo duruyɛfo ntɛm ara .

• Sɛ woanom nsa saa anwummere no a , nnom saa aduru yi . Afei nso, sɛ woanom aduru foforo biara a ɛbɛboa wo ma woada a, nnom saa aduru yi. Sɛ woyɛ saa a, asiane a ɛwɔ hɔ sɛ wubenya nna ho sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no dɔɔso kɛse.

• Ɛsɛ sɛ ɔyarefo no ne abusua no hu nea edidi so yi: adwene foforo anaa nea ɛreyɛ kɛse sɛ obekum ne ho , adwenemhaw a ɛreyɛ kɛse , anaasɛ nsakrae a ɛba mpofirim wɔ adwene mu – sɛ nhwɛso no, ɔte nka sɛ ne ho yeraw no, ɔyɛ basaa, ne bo fuw, ɔyɛ agoru, ɔyɛ ade tra so, anaasɛ ɔhaw a ɛwɔ nna mu. Sɛ eyinom mu bi ba, titiriw wɔ nna a edi kan a wofi ase de aduru no di dwuma anaasɛ bere a woasesa dodow a wɔde ma no akyi a, ka kyerɛ wo duruyɛfo ntɛm ara .

• Saa aduru yi betumi ama ano ayɛ kusuu . Eyi betumi afi hɔ denam aduru a asikre nnim a wobɛwe, ginger asinasin bi a wode bɛhyɛ w’anom, ne nsu pii a wobɛnom da mũ no nyinaa so. Sɛ ɔhaw yi kɔ so, anaa sɛ emu yɛ den a, wo ne wo duruyɛfo nkasa.

• Ebia nnipa binom behu sɛ wɔn ani ayɛ kusuu na wontumi nhu ade yiye . Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade a, ebia wo ho bɛtɔ wo bere a wohyɛ no. Ebia nnuru a wɔde srade gu aniwa so no bɛboa. Sɛ eyi kɔ so a, ɛnyɛ hwee, nanso sɛ emu yɛ den a, ka kyerɛ wo duruyɛfo.

• Saa aduru yi betumi ama obi anya akisikuru . Enti, di nnuan a nhama wom (nnuaba, nhabannuru, nhabannuru) pii na nom nsu pii. Bɔ mmɔden sɛ anyɛ yiye koraa no wobɛkɔ wo dwensɔtwaa mu pɛnkoro nnafua 2-3 biara. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, ka kyerɛ wo duruyɛfo.

• Sɛ worenom saa aduru yi a, woWora no betumi ayɛ nea owia hann bɛka ho (photosensitivity). Enti, kwati owia hann tẽẽ sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wokɔ owia mu a, hyɛ ntade a ɛbɔ wo ho ban na fa aduru a ɛbɔ wo ho ban fi owia ho a SPF pa wom di dwuma. Mfa owia akanea anaa mpa/ntanning beds nni dwuma.

Dɛn ne Doxepin ho nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, Doxepin betumi de ɔhaw ahorow aba nnipa binom so. Ɛnyɛ obiara na onya bi, nanso ɛho hia sɛ wohu wɔn.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:

Sɛ wunya saa nsunsuanso bɔne yi bi a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ :

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, akisikuru, honam ani kɔkɔɔ, ɛho ahonhon, ɛyaw, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon (eyi betumi ama ayɛ den sɛ ɔbɛhome).
• Serotonin Syndrome: Tebea a asiane wom a ebetumi de sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa aba: adwene mu naayɛ, basaayɛ, koma bɔ ntɛmntɛm anaasɛ ɛnteɛ, ntini a ɛyɛ den anaasɛ ɛwosow, fifiri a ɛboro so, atiridiinini a ano yɛ den, akisikuru, atiridiinini, ɔfe, ne akisikuru. Eyi yɛ asɛm a egye ntɛmpɛ.
• Aniwa a ɛyɛ yaw mpofirim anaasɛ nsakrae a ɛba mpofirim wɔ anisoadehu mu: aniwa a ɛyɛ kusuu mpofirim, nkaa a ɛwɔ kɔla ahorow (halos) a wohu wɔ akanea ho, anaasɛ aniwa a ɛyera.
• Adwene foforo anaa nea ɛkɔ soro sɛ wubekum wo ho anaasɛ wobɛpira wo ho, adwene a ɛyɛ den, adwenemhaw ho nkate a ɛkɔ soro .
• Ɛyɛ den sɛ wobɛtow nsu anaasɛ worentow nsu.
• Suban a ɛyɛ soronko a ɛfa nna ho: Dwumadi ahorow a woyɛ wɔ wo nna mu a wonkae da a edi hɔ no (e.g., nna a wode ka kar, adidi, nna).

Nsunsuanso bɔne a mpɛn pii no ɛnyɛ asiane, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:

Mpɛn pii no, saa nsunsuanso bɔne yi nyɛ aniberesɛm. Wɔtaa kɔ nna kakraa bi mu. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw wo dodo a, ka kyerɛ wo duruyɛfo sɛ:

• Nsakrae a ɛba nna ho akɔnnɔ anaa nna mu dwumadi mu.
• Ayamtim.
• Adwene a ɛyɛ basaa.
• Da a wɔte nka sɛ wada da a edi aduru no akyi mpo.
• Ano a ɛyɛ nwunu.
• Wosow (wosow a ɛyɛ anifere) wɔ akwaa no mu.
• Mu duru a ɛkɔ soro.

Saa nsɛm a wɔahyehyɛ yi ka Doxepin ho nsunsuanso bɔne a ebetumi aba no bi nkutoo ho. Ebia wubenya nsunsuanso afoforo nso. Enti, sɛ wuhyia biribi a ɛyɛ soronko a, nsuro sɛ wo ne wo duruyɛfo bɛkasa afa ho.

Ɛhe na ɛsɛ sɛ mede saa aduru yi sie?

• Fa saa aduru yi sie baabi a mmofra ntumi nkɔ hɔ na fa wɔn nsa . Eyi ho hia paa.
• Wɔ dan mu hyew a ɛfata muFa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20 kosi 25 / digrii Fahrenheit 68 ne 77 ntam). Mfa wo ho nhyɛ ɔhyew anaa nwini a ɛboro so mu. Mfa nneɛma nsie wɔ mmeae te sɛ aguaree.
• Mfa nnuru a wɔmfa nni dwuma a wɔatintim da a ne bere atwam no nsie, tow gu dwoodwoo .

Nsɛntitiriw bi (Take-Home Message) .

Okay, enti seesei woate aseɛ sɛ ɛwom sɛ Doxepin yɛ aduru a ɛtumi boa ma nna a ɛntumi nna deɛ, nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yie wɔ ho berɛ a wode redi dwuma.

Kae sɛ, ɛsɛ sɛ wɔde saa aduru yi di dwuma wɔ oduruyɛfo afotu nkutoo so. Fa no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, ne dodow a ɛfata mu. Mma wo werɛ mmfi sɛ wobɛka nyarewa foforo biara a wowɔ anaa nnuru foforo a wonom ho asɛm akyerɛ wo duruyɛfo.

Hwɛ nneyɛe a ɛfa nna ho titiriw, adwene a ɛne sɛ obekum wo ho, ne nneɛma bɔne a ɛyɛ hu te sɛ serotonin syndrome. Sɛ wowɔ nsɛmmisa, nneɛma bi a ɛhaw wo, anaa biribi a ɛhaw wo a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

Ade foforo nso, saa aduru yi yɛ wo nkutoo dea. Sɛ obi foforo nso wɔ sɛnkyerɛnne ahorow a ɛte sɛ wo de mpo a, mma no w’aduru no. Ɛsono aduru ne dodow a ɛfata ma obiara. Nna pa ho hia na ama obi anya asetra a ahoɔden wom. Enti, sɛ wowɔ ɔhaw ahorow a ɛfa nna ho a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ aduruyɛfo afotu.

` Doxepin, Silenor, Dae a wontumi nna, Tricyclic Antidepressant, TCA, Nsunsuanso bɔne, Nnuru, Dae, Adwene mu Akwahosan