So wotaa te adesoa a emu yɛ duru wɔ w’adwene mu, awerɛhow a ɛboro so, anaa nneɛma a bere bi na w’ani gye ho no ho anigye koraa? Ebia wo duruyɛfo akyerɛw Nortriptyline ama wo sɛnea ɛbɛyɛ a ɛbɛboa wo. Momma yennye bere kakra nsusuw aduru yi ho—nea ɛyɛ, sɛnea wɔde di dwuma yiye, ne ahobammɔ ho nhyehyɛe a ɛho hia a ɛsɛ sɛ wode sie w’adwenem.
Aduru bɛn na Nortriptyline yɛ?
Sɛ yɛbɛka no tiawa a, Nortriptyline yɛ aduru a wɔde sa adwenemhaw. W’amemene no de ne ho to nnuru atitiriw abien so, serotonin ne norepinephrine, na aboa ma wo nkate ne wo ho a wobɛte nka no ayɛ yiye. Saa aduru yi yɛ adwuma denam nnuru yi dodow a ɛkɔ soro wɔ w’amemene mu no so, na ɛboa ma w’adwene mu yɛ den. Ɛka nnuru bi a wɔfrɛ no Tricyclic Antidepressants (TCAs) ho. Ɛtɔ da bi a, nnuruyɛfo nso betumi akyerɛw eyi ama ayaresa tebea afoforo. Sɛ wowɔ biribi a ɛhaw wo a, ɔkwan a eye sen biara ne sɛ wo ne wo duruyɛfo anaa nnuruyɛfo a ɔwɔ Nirogi Lanka bɛkasa tẽẽ.
Edin ahorow a wɔtaa de frɛ saa aduru yi bi ne Aventyl ne Pamelor, ɛwom sɛ ebia edin afoforo wɔ hɔ de.
Dɛn na ɛsɛ sɛ wo ne wo duruyɛfo susuw ho ansa na woafi aduru yi ase?
Eyi ho hia yiye. Ansa na wubefi ase anom Nortriptyline no, nneɛma pii wɔ hɔ a ɛsɛ sɛ wo duruyɛfo hu na ama wahu sɛ saa aduru yi yɛ nea asiane biara nni ho na ɛfata wo anaa. Yɛsrɛ sɛ hwɛ sɛ nea edidi so yi mu biara fa wo ho anaa:
- Wowɔ adwenemyare bi te sɛ Bipolar disorder .
- Wowɔ komayare bi a wɔfrɛ no Brugada syndrome .
- Ɛyɛ den ma wo sɛ wobɛtow wo ho.
- Wowɔ Glaucoma (aniwa mu yare bi).
- Wowɔ Koma yare foforo biara .
- Wonom nsa .
- Wowɔ mmerɛbo mu yare .
- Wowɔ adwenemyare bi te sɛ Schizophrenia .
- Wowɔ abakɔsɛm a ɛfa Seizures anaa epilepsy ho.
- Wowɔ abakɔsɛm a ɛkyerɛ sɛ wubekum wo ho, woayɛ nhyehyɛe, anaa woabɔ mmɔden , anaasɛ sɛ obi wɔ w’abusua mu wɔ abakɔsɛm a ɛte saa a.
- Wowɔ Thyroid yare .
- Woanya Nortriptyline, Tricyclic Antidepressants afoforo, anaa nnuru foforo biara, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siw ano .
- Woanyinsɛn anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn.
- Worema nufu .
Sɛ eyinom mu biara fa ho a, yɛsrɛ sɛ di nokware koraa na fa saa nsɛm yi kyerɛ wo duruyɛfo.
Ɔkwan bɛn so na ɛsɛ sɛ wofa saa aduru yi yiye?
Fa saa aduru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Sɛ wode nsuo redi dwuma a, fa susuw nsenia anaa kuruwa a wɔde ama titiriw di dwuma. Mfa ofie aduannoa nkankyee a wɔde di dwuma daa nni dwuma, efisɛ ɛmma wɔmfa dodow a ɛfata mma. Sɛ wunni afiri a wɔde susuw nneɛma a, bisa wo nnuruyɛfo ma ɔmma wo bi. Bata dodow a wɔde ma no ho na yɛ nhyehyɛe a wo duruyɛfo de ama wo no. Mfa dodow a wɔahyɛ da akyerɛ no nnnom da anaasɛ nnom mpɛn pii nsen nea wɔakyerɛ da.
Ɛho hia nso sɛ worennyae saa aduru yi nom mpofirim a worenkɔ wo duruyɛfo nkyɛn. Saa a wobɛyɛ no betumi ama woanya sɛnkyerɛnne a emu yɛ den sɛ wobɛtwe wo ho afi ho anaasɛ ama wo tebea no mu ayɛ den.
Wo nnuruyɛfo de Nnuru Ho Akwankyerɛ (MedGuide) bɛma wo ne wo nnuru a wɔakyerɛw ama wo. Hwɛ hu sɛ wobɛkenkan eyi yiye bere biara a wobɛfa w’aduru no, a nea wɔde ahyɛ mu bio ka ho.
Sɛ wɔde saa aduru yi rema abofra a, wo ne wo duruyɛfo nsusuw ho yiye na ama woahwɛ ahu sɛ wɔahwɛ no yiye.
Nea ɛho hia sen biara: Wɔakyerɛw saa aduru yi ama wo titiriw. Mfa nnkyɛ obi foforo biara wɔ tebea biara mu.
Sɛ ɛba sɛ wɔnom nnuru boro so a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom saa aduru yi dodo, anaasɛ obi foforo anom no wɔ akwanhyia mu a, frɛ adwumayɛbea a ɛhwɛ ntɛmpɛ so (911) ntɛm ara anaa kɔ dwumadibea a ɛhwɛ ntɛmpɛ so a ɛbɛn wo no nkyɛn. Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ.
Sɛ wopa dose bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere adu sɛ wobɛma wo dodow a edi hɔ a woahyɛ da ayɛ ho nhyehyɛe a, twa dodow a woayera no so na san fi wo nhyehyɛe a woyɛ daa no ase. Mfa nnuru mmɔho abien da mfa nsiesie nea woapa no , efisɛ eyi betumi de nsɛnnennen a epira aba.
Nnuru afoforo bɛn na ebia ɛne aduru yi bedi nkitaho?
Eyi hwehwɛ sɛ wɔde ahwɛyiye hwɛ. Nortriptyline a wɔde ka nnuru afoforo bi ho no betumi ama nkitahodi bɔne aba. Ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru biara a wobɛnom, a nhabannuru, vitamin, ne aduannuru a wɔde ma, ne tawa, nsa, anaa nnuru a mmara mma ho kwan biara a wode di dwuma ka ho.
Mfa nnuru yi nnom Nortriptyline:
Sɛ wode nea edidi so yi redi dwuma a, mpɛn pii no ɛnyɛ nea asiane biara nni ho sɛ wobɛnom Nortriptyline; yɛsrɛ sɛ wo ne wo duruyɛfo nsusuw eyi ho:
- Cisapride na ɔkyerɛwee
- Dronedarone a wɔfrɛ no Dronedarone
- Linezolid a wɔfrɛ no linezolid
- MAOI ahorow (sɛ nhwɛso no, Carbex, Eldepryl, Marplan, Nardil, ne Parnate) .
- Methylene blue (bere a wɔde fa ntini mu) .
- Pimozide a wɔde yɛ nnuru
- Thioridazine a wɔde ma
Nnuru afoforo a ebetumi ama nkitahodi aba:
Nnuru bi betumi ne Nortriptyline adi nkitaho wɔ ɔkwan a enye so. Yɛsrɛ sɛ worenom nea edidi so yi mu biara a, ka kyerɛ wo duruyɛfo:
- Nsaden
- Nnuru a ekum histamine (wɔtaa de di dwuma ma akisikuru, ɔfe, anaa atiridiinini) .
- Atropine a wɔde di dwuma
- Nnuru a wɔde sa akisikuru ho nsɛm, te sɛ oxybutynin anaa tolterodine
- Nnuru afoforo a ekum adwenemhaw, te sɛ amitriptyline, fluoxetine, anaa sertraline
- Nnuru a wɔde sa Parkinson yare, te sɛ benztropine anaa trihexyphenidyl
- Nnuru a wɔde sa yafunu mu, te sɛ dicyclomine anaa hyoscyamine
- Nnuru a wɔde sa kankyee, te sɛ scopolamine
- Chlorpropamide a wɔde yɛ aduru
- Cimetidine a wɔde di dwuma
- Ipratropium a ɛyɛ aduru a wɔfrɛ no Ipratropium
- Nnuru a ebetumi aka koma no nnyigyei (nea ɛma QT ntam kwan kyɛ), te sɛ dofetilide
- Nnuru a ebetumi akanyan Serotonin yare no, te sɛ St. John’s Wort, fentanyl, lithium, tramadol, tryptophan, buspirone, ne nnuru a wɔde sa atiridiinini te sɛ sumatriptan anaa rizatriptan
- Quinidine a wɔde ma
- Reserpine a wɔde yɛ nnuru
- Nnuru a wɔde yɛ thyroid
Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Bere nyinaa fa nnuru, nhabannuru a wɔde ma, ne nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu a worenom mprempren nyinaa ho kyerɛwtohɔ a edi mũ ma wo duruyɛfo.
Dɛn na ɛsɛ sɛ wode w’adwene si so bere a worenom aduru yi?
Bere a worenom saa aduru yi no, ɛsɛ sɛ wo ne w’abusua hwɛ nea edidi so yi so:
- Hwɛ wo sɛnkyerɛnne ahorow no so: Sɛ w’adwenemhaw ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Ebia ebegye adapɛn pii ansa na woahu sɛnea aduru yi tumi yɛ adwuma no nyinaa, enti yɛsrɛ sɛ kɔ so nom sɛnea wɔakyerɛw ama wo no.
- Adwene a ɛne sɛ obekum ne ho: Eyi yɛ ade a ɛhaw adwene kɛse. Sɛ wo anaa w’abusua hu sɛ wubekum wo ho ho adwene foforo anaasɛ ɛreyɛ kɛse, anaasɛ adwene mu nsakrae mpofirim—te sɛ dadwen a ɛtra so, basabasayɛ, ehu, abufuw, nitan, ahopere, ahomegye, dwumadi a ɛtra so, anaasɛ ɛyɛ den sɛ wobɛda—kɔ wo duruyɛfo nkyɛn ntɛm ara. Eyi ho hia titiriw wɔ adapɛn kakraa a edi kan a wɔde sa yare no mu anaasɛ bere a wɔasesa dodow a wɔde ma no akyi.
- Dae ne adwenemhaw: Saa aduru yi betumi ama obi ada anaa ne ho atɔ no. Enkosi sɛ wubehu sɛnea ɛka wo no, kwati sɛ wobɛka kar, wode mfiri a emu yɛ duru bedi dwuma, anaasɛ wobɛyɛ nnwuma a ɛhwehwɛ sɛ wode w’adwene si biribi so koraa. Sɛ woyɛ ɔpanyin a ne mfe akɔ anim a, kwati sɛ wubegyina hɔ anaasɛ wobɛtra ase ntɛm dodo na ama asiane a ɛwɔ hɔ sɛ wobɛma wo tirim ayɛ wo yaw na woahwe ase no so atew.
- Nsã: Nsã betumi asiw aduru yi a etu mpɔn no kwan. Kwati nsanom bere a worenom saa aduru yi.
- Ɔfe ne atiridiinini ano aduru: Ntɔ ɔfe, atiridiinini, anaa aduru a ɛma obi ho yɛ no hyew mfi nnurutɔnbea a wunni kan nkɔ wo duruyɛfo nkyɛn, efisɛ nneɛma bi betumi ama wo ne Nortriptyline adi nkitaho wɔ ɔkwan a asiane wom so.
- Ano a ɛyɛ mmerɛw: Eyi yɛ ɔhaw a ɛtaa ba. Wubetumi adi ho dwuma denam aduru a asikre nnim a wobɛwe, ahwiesa a ɛyɛ den a asikre nnim a wobɛnom, anaa nsu a wobɛtaa anom so. Sɛ eyi kɔ so anaasɛ emu yɛ den a, wo ne wo duruyɛfo nkasa.
- Aniwa a ɛyɛ kusuu ne aniwa a ɛyɛ kusuu: Ebia w’ani bɛyow anaasɛ wo ho ayɛ kusuu kakra. Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra. Nnuru a wɔde srade gu aniwa so no betumi ama wo ho atɔ wo. Sɛ nsɛm yi kɔ so anaasɛ emu yɛ den a, kɔ w’ani duruyɛfo nkyɛn.
- Akisikuru: Saa aduru yi betumi ama obi anya akisikuru. Bɔ mmɔden sɛ wobɛkɔ so akura dwensɔtwaa mu daa. Sɛ woankɔ wo dwensɔtwaa mu nnansa a, kɔ wo duruyɛfo nkyɛn.
- Owia a wobɛte nka: Ebia wo honam ani bɛte nka kɛse wɔ owia hann ho. Kwati sɛ wode wo ho bɛto wo ho tẽẽ, hyɛ ntade a ɛbɔ wo ho ban, fa ahwehwɛ a wɔde hwɛ owia di dwuma, na fa aduru a ɛbɔ wo ho ban fi owia ho gu so. Mfa owia akanea anaa mpa a wɔde hyɛ wo honam ani hwɛbea nni dwuma da.
Dɛn ne nnuru yi a ebetumi afi mu aba?
Te sɛ nnuru nyinaa no, Nortriptyline betumi de ɔhaw ahorow aba. Ebinom yɛ aniberesɛm na ehia sɛ wɔde wɔn kɔ ayaresabea ntɛm ara, bere a afoforo nso nyɛ den pii nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wɔbɔ amanneɛ.
Hwehwɛ ayaresa ntɛm ara sɛ wuhu sɛ:
Sɛ wuhyia nea edidi so yi mu biara a, kɔ dwumadibea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so anaa frɛ adwumayɛbea a wɔhwɛ ntɛmpɛ so ntɛm ara.
- Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, akisikuru, anaa anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
- Koma mu nnyigyei a ɛsakra: Koma bɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, adwenemhaw, koko mu yaw, anaasɛ ɛyɛ den sɛ ɔbɛhome.
- Serotonin syndrome ho Nsɛnkyerɛnne: Abufuw, adwene a ɛyɛ basaa, koma bɔ ntɛmntɛm anaasɛ ɛnyɛ daa, ntini a ɛyɛ den anaasɛ ɛtwetwe, fifiri a ɛboro so, atiridiinini a ano yɛ den, akisikuru, ahopopo, ɔfe, anaa akisikuru.
- Akisikuru a ɛma obi ho kyere no.
- Aniwa a ɛyɛ yaw mpofirim anaasɛ aniwa a ɛsakra: Te sɛ aniwa a enhu ade yiye, halos a wohu a atwa akanea ho ahyia, anaasɛ aniwa a ɛyera.
- Adwene a ɛne sɛ obekum ne ho, adwene a ɛne sɛ obepira ne ho, adwene a ɛsakra kɛse, anaa adwenemhaw a ɛreyɛ kɛse.
- Ɛyɛ den sɛ wobɛtow nsu.
Nneɛma bɔne a ɛtaa ba (mpɛn pii no enhia sɛ wɔhwɛ no ntɛm ara, nanso sɛ ɛkɔ so a, bɔ wo duruyɛfo amanneɛ):
Mpɛn pii no, saa nsunsuanso bɔne yi tu mpɔn bere a bere kɔ so no. Nanso, sɛ wɔkɔ so haw wo a, yɛsrɛ wo, kɔ wo duruyɛfo nkyɛn kɔhwehwɛ akwankyerɛ.
- Nsakrae a ɛba nna ho akɔnnɔ anaa adwumayɛ mu.
- Ayamtim.
- Adwene a ɛyɛ basaa.
- Dae a ɛma obi da.
- Ano a ɛyɛ nwunu.
- Wosow anaasɛ wosow.
Saa nsɛm a wɔahyehyɛ yi nka ɔhaw biara a ebetumi aba ho. Sɛ wuhyia biribi a ɛyɛ soronko a, yɛsrɛ wo, kɔ wo duruyɛfo nkyɛn kɔhwehwɛ akwankyerɛ. Wubetumi nso abɔ amanneɛ akyerɛ FDA denam 1-800-FDA-1088 a wobɛfrɛ so.
Ɔkwan bɛn so na ɛsɛ sɛ wode aduru yi sie?
Ɛho hia sɛ wɔkora nnuru no yiye na ama wɔahwɛ ahu sɛ nnuru no bɛkɔ so ayɛ adwuma.
- Fa sie baabi a mmofra ntumi nkɔ. Eyi ho hia kɛse, efisɛ sɛ obi we wɔ akwanhyia mu a, ebetumi de akwahosan ho nsɛnnennen a emu yɛ den aba.
- Fa sie wɔ dan mu hyew mu (ɛyɛ 15°C kosi 30°C anaa 59°F kosi 86°F).
- Fa ade no to mu denneennen.
- Bɔ ho ban fi hann ho. Kwati mmeae a owia hann tẽẽ anaa hann a ano yɛ den ba.
- Mfa nnuru a ne bere atwam nni dwuma. Tow nnuru biara a ne bere atwam gu dwoodwoo.
Yɛsrɛ sɛ monkae sɛ krataa yi yɛ nsɛm a wɔaboaboa ano kɛkɛ na ebia enni nsɛm biara. Sɛ wowɔ nsɛmmisa foforo fa w’aduru ho a, yɛsrɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo a ɔwɔ Nirogi Lanka nkasa.
Nkaebɔ ahorow a ɛho hia a etwa to
Nortriptyline yɛ aduru a ɛsom bo ma tebea horow te sɛ adwenemhaw, nanso ɛhwehwɛ sɛ wɔde di dwuma yiye.
- Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Fa no dodow ne bere a wɔakyerɛw ama no.
- Ka nnuru afoforo ne nnuru a wɔde ka ho a worenom nyinaa kyerɛ wo duruyɛfo na ama woakwati nnuru a ebetumi adi nkitaho.
- Hwɛ sɛ ebia nsunsuanso bɔne bi afi mu anaa. Sɛ wuhu biribi a ɛyɛ soronko a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Nnyae nnuru no nom mpofirim. Sɛ yɛyɛ saa a aduruyɛfo akwankyerɛ nka ho a, ebetumi de nsɛnnennen aba.
- Sɛ wowɔ dadwen anaa dadwen bi a, wo ne wo duruyɛfo nkasa. Mfa dadwen nsie wo ho.
Yɛpɛ sɛ wo ho tɔ wo ntɛm!
👩🏽 ⚕️ Nsɛmmisa a Wɔtaa Bisa (FAQs) .
💬 Dɛn na wɔde Nortriptyline (Pamelor) di dwuma?
Mfiase no wɔyɛɛ no sɛ wɔde bɛsa adwenemhaw kɛse (aduru a wɔde kum adwenemhaw a ɛwɔ akwan abiɛsa anaa TCA), na nnuruyɛfo a wɔwɔ hɔ nnɛ taa de saa aduru yi di dwuma de di ntini mu ɛyaw a enni sabea ho dwuma (sɛ nhwɛso no, asikreyare ntini mu ɛyaw) ne sɛ aduru a wɔde siw atiridiinini a ɛsan ba no ano.
💬 Ɔkwan bɛn so na Nortriptyline boa wɔ ntini mu yaw ne atiridiinini ho?
Ɛyɛ adwuma wɔ wo ntini ahorow so denam serotonin ne norepinephrine dodow a ɛkɔ soro wɔ amemene no mu no so. Saa nnuru yi boa ma ɛsakra ɛyaw akwan a ɛsiane wɔ akyi berɛmo no mu no, na esiw ɛyaw ho nsɛnkyerɛnne kwan yiye ansa na adu w’amemene no mu.
💬 Nneɛma bɛn na ɛtaa de Pamelor ba?
Sɛ́ TCA no, nea ɛtaa ba wɔ anticholinergic ho ne ano a ɛyɛ mmerɛw, akisikuru, aniwa a ɛyɛ kusuu, ne ɛyɛ den sɛ wɔbɛtow nsu (titiriw wɔ mmarima a wɔn prostate ayɛ kɛse mu). Ebetumi nso ama mogya mmoroso a ɛwɔ nipadua no mu no akɔ fam, na ebetumi ama obi adwenem ayɛ no naa anaasɛ wahwe ase bere a ogyina hɔ mpofirim no.
Nsɛmfua titiriw: Nortriptyline, adwenemhaw, adwenemyare, nnuru, nnuru a ekum adwenemhaw a ɛyɛ tricyclic, nea efi mu ba, nnuru
