Malia paha ua kuhikuhi ʻia ʻo Citalopram e kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana ma ke ʻano he lāʻau lapaʻau no ke kaumaha. He mea maʻamau ka manaʻo hopohopo iki i ka wā e hoʻomaka ai i kahi lāʻau lapaʻau hou. No laila i kēia lā, e kamaʻilio pōkole a me ka ʻoiaʻiʻo e pili ana i ke ʻano o Citalopram, pehea e pili ai i ko mākou kino, a me nā mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai i kēia lāʻau lapaʻau.
He aha kēia Citalopram?
I ka ʻōlelo maʻalahi, ʻo Citalopram kahi lāʻau i hoʻohana ʻia e mālama i nā kūlana noʻonoʻo e like me ke kaumaha . No kahi papa o nā lāʻau i kapa ʻia ʻo SSRI (Selective Serotonin Reuptake Inhibitor).
ʻAe, he aha ka SSRI i kēia manawa? Loaʻa i ko kākou lolo kahi ʻelele kemika i kapa ʻia ʻo serotonin. Kōkua nui kēia i ka kaohi ʻana i nā mea e like me ko kākou ʻano, ka hauʻoli, a me ka mālie. I nā kūlana e like me ke kaumaha, hiki ke emi kēia pae serotonin. Kōkua kahi lāʻau lapaʻau e like me Citalopram i ka mālama ʻana i kēia pae serotonin i loko o ka lolo no kahi manawa lōʻihi. Ma o kēia, kōkua kēia lāʻau lapaʻau i ka hoʻomaikaʻi ʻana i kou ʻano.
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe ma waho aʻe o ke kaumaha. ʻOi aku ka maikaʻi o ke nīnau ʻana i kāu kauka no ka ʻike hou aku.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana iā Citalopram, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kekahi o nā kūlana i helu ʻia ma lalo nei.
| ʻAno ʻike | Nā mea e pono ai ʻoe e hōʻike |
|---|---|
| Moʻolelo olakino noʻonoʻo | Loaʻa i ka maʻi bipolar a i ʻole kahi moʻolelo ʻohana o nā manaʻo pepehi kanaka, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka. |
| Nā pilikia e pili ana i ka puʻuwai a me ke koko | Maʻi puʻuwai, puʻuwai kū ʻole, nā maʻi kahe koko, ka lawe ʻana i nā lāʻau lapaʻau e pale ai i nā ʻūpā koko. |
| Nā kūlana olakino ʻē aʻe | Glaucoma, maʻi puʻupaʻa, maʻi akepaʻa, nā ʻōhūhū, ka maʻi thyroid. |
| Nā pae koko a me ka mālama ʻana | Nā pae haʻahaʻa o ka magnesium a i ʻole ka potassium i loko o ke koko, e hana ʻia ana i ka electroconvulsive therapy (ECT). |
| ʻIke pilikino a me nā maʻi allergies | Inā loaʻa iā ʻoe kahi hopena maʻi i ka Citalopram, Escitalopram a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- E hahai i nā ʻōlelo aʻoaʻo lapaʻau: E lawe mau i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka.
- E ana pololei: Inā ua loaʻa iā ʻoe kēia ma ke ʻano he hopena, e hoʻohana wale i ka puna kūikawā a i ʻole ke kīʻaha i hāʻawi ʻia e ana i ka lāʻau lapaʻau. Mai hoʻohana i nā puna a i ʻole nā punetēpē o ka hale , no ka mea, ʻaʻole pololei kēia mau ana.
- Ma mua a ma hope paha o ka ʻai?: Hiki ke lawe ʻia kēia lāʻau lapaʻau me ka ʻai a me ka ʻole. ʻAʻole ia he ʻokoʻa nui.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau: He mea nui loa kēia. Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao e like me ka poniuniu, ka nausea, a me ka nāwaliwali. A i ʻole e ʻoi aku ka ʻino o kou kūlana. Inā ho'ōki ʻoe, e hana pēlā ma lalo o ka nānā ʻana a kāu kauka, e hoʻēmi mālie ana i ka nui o ka lāʻau.
- Ka nui loa o ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. Mai hoʻokaʻulua.
- He aha inā e poina iaʻu kahi lāʻau lapaʻau?: Inā poina iā ʻoe ke lawe i kāu lāʻau lapaʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Citalopram e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā mea hoʻohui, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Nā lāʻau lapaʻau maikaʻi ʻole loa e lawe
Inā ʻoe e lawe nei i nā lāʻau lapaʻau ma lalo nei, ʻaʻole ia e ʻōlelo ʻia e hoʻohana iā Citalopram.
- Nā lāʻau antidepressant i kapa ʻia ʻo MAOIs (e.g. Carbex, Eldepryl)
- Linezolid, Methylene uliuli (intravenous)
- Pimozide, Thioridazine
- ʻO Escitalopram (he lāʻau lapaʻau like loa kēia me Citalopram)
- ʻO Cisapride, Dronedarone
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me fluconazole, ketoconazole)
Nā mea e makaʻala nui ai i ka wā e hoʻohana ai
E kamaʻilio me kāu kauka e pili ana i kēia mau mea, no ka mea, hiki iā lākou ke hana i nā pilikia ke lawe pū ʻia me Citalopram:
- ʻAila
- ʻO ka aspirin a me nā lāʻau ʻeha ʻano NSAID (e.g. Ibuprofen, Naproxen)
- Nā lāʻau lapaʻau ʻē aʻe e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin)
- Nā lāʻau antidepressants ʻē aʻe, nā lāʻau anti-anxiety
- ʻO kekahi mau lāʻau migraine (ʻano Triptan)
- Nā mea hoʻohui lāʻau lapaʻau - e.g. St. John's wort
- ʻO nā lāʻau lapaʻau ikaika e like me Tramadol lāua ʻo Fentanyl
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a i ʻole nā lāʻau lapaʻau kuʻuna āu e lawe ai.
He aha kaʻu e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
- E hoʻomanawanui: He mau pule paha e hōʻike ai kēia lāʻau i kona hopena piha. No laila, mai hoʻōki i ka lawe ʻana iā ia no ka mea ʻaʻole ʻoe e ʻike i ka ʻokoʻa nui i nā lā mua. E hoʻomau i ka hoʻohana ʻana e like me ke kuhikuhi a kāu kauka.
- E makaʻala i nā loli o ke ʻano: E makaʻala i nā hōʻailona o nā manaʻo pepehi kanaka a i ʻole ke kaumaha, ʻoi aku hoʻi i ka wā mua o ka mālama ʻana a i ʻole ma hope o ka hoʻololi ʻana i kāu lāʻau lapaʻau. Inā ʻike ʻoe i kekahi mau loli koke i kou ʻano, ʻano, a i ʻole nā manaʻo (e laʻa, ka hoʻonāukiuki, ka huhū, ka hoʻomaha ʻole), e kāhea koke i kāu kauka.
- Hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i kona hopena iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke a noho koke paha.
- Waha maloʻo: He mea maʻamau ka waha maloʻo. Hiki ke hoʻomalu ʻia kēia e nā mea e like me ka nau ʻana i ka gum me ke kō ʻole a me ka inu ʻana i ka wai he nui.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka Citalopram ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.
| Hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Ke kahe koko ʻano ʻē | Nā ʻōpala ʻeleʻele/maloʻo, mimi ʻulaʻula/ʻeleʻele ʻeleʻele, luaʻi e like me ke ʻano o ka lepo kofe, nā kiko ʻulaʻula/poni ma ka ʻili. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki, puʻuwai kūpono ʻole, poniuniu, ʻeha umauma, paʻakikī ke hanu. |
| ʻO ka maʻi Serotonin | Huikau, hoʻomaha ʻole, hou nui, kuni, ʻoʻoleʻa/ʻūlū ʻana o nā ʻiʻo, luaʻi, kahe koko. |
| Ua emi ka sodium i loko o ke koko | Nāwaliwali o nā ʻiʻo, luhi loa, ʻeha poʻo, huikau. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena ʻaoʻao liʻiliʻi | Waha maloʻo, nausea, maʻi pākī, ʻeha ka ʻōpū, hou nui, haʻalulu, loli i ka makemake a i ʻole ka hana moekolohe. |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Citalopram no ke kaumaha. E hahai mau i nā ʻōlelo a kāu kauka .
- He mau pule ka lōʻihi e hoʻomaka ai ka hopena o kēia lāʻau lapaʻau, no laila e hoʻomanawanui i ka lāʻau lapaʻau.
- E pale i ka hoʻōki koke ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau, nā mea hoʻopihapiha lāʻau, a me nā kūlana olakino āu e lawe nei.
- E makaʻala i nā loli i ke kūlana noʻonoʻo (ʻoiai nā manaʻo pepehi kanaka) i ka wā mua o ka mālama ʻana. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi koke i kāu kauka.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau a i ʻole he hopena koʻikoʻi kou, e hele koke i ka ʻoihana pilikia o ka haukapila (ETU).











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