I kekahi manawa, manaʻo mākou i kahi kaumaha nui, ke kaumaha, a i ʻole ka hoʻomaha ʻole i loko o ko mākou mau naʻau, ʻeā? Me he mea lā ʻaʻole hiki iā mākou ke hana i kekahi mea. I nā manawa e like me kēia, kuhikuhi nā kauka i kahi lāʻau i kapa ʻia ʻo Doxepin no kekahi poʻe. E nānā kākou i ke ʻano o kēia lāʻau, pehea e hana ai, a me nā hana palekana e pono ai mākou e lawe i ka wā e hoʻohana ai.
He aha ka Doxepin?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Doxepin i hoʻohana ʻia e mālama i nā kūlana olakino noʻonoʻo e like me ke kaumaha a me ka hopohopo . No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo Tricyclic Antidepressants (TCAs) . Loaʻa i ko kākou lolo ʻelua mau kemika i kapa ʻia ʻo Serotonin lāua ʻo Norepinephrine . ʻO kēia nā kemika e kōkua i ka hoʻomalu ʻana i ko kākou ʻano, ʻo ia hoʻi ke hauʻoli nei kākou a me ke kaumaha. Hana ʻo Doxepin ma ka hoʻonui ʻana i nā pae o kēia mau kemika i loko o ka lolo. Kōkua kēia i ka hoʻēmi ʻana i ke kaumaha a me ka hopohopo.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe iā Doxepin, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. He mea nui loa ia e pane pololei ʻoe iā lākou. No ka mea, pono e akahele loa ka poʻe me kekahi mau kūlana olakino i ka hāʻawi ʻana i kēia lāʻau. E nānā inā pili kēia mau nīnau iā ʻoe:
- Loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka maʻi bipolar ?
- He paʻakikī anei ke mimi? A i ʻole he pilikia prostate kou?
- Aia kekahi maʻi maka i kapa ʻia ʻo glaucoma ?
- He maʻi puʻuwai kou?
- He kanaka inu mau ʻoe?
- Aia kekahi maʻi akepaʻa?
- Loaʻa iā ʻoe nā maʻi māmā, e like me ka hānō a i ʻole ka apnea hiamoe ? Loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka schizophrenia ?
- Ua loaʻa anei iā ʻoe nā ʻōʻō ma mua?
- Loaʻa iā ʻoe nā manaʻo e hōʻeha iā ʻoe iho, ke hoʻolālā nei ʻoe e hana pēlā, a i ʻole ua hoʻāʻo paha ʻoe e hana pēlā ma mua? Ua hana anei kekahi o kou ʻohana pēlā?
- Ua loaʻa paha iā ʻoe kahi hopena maʻi i ka Doxepin, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala?
- Ke hāpai nei ʻoe i kēia manawa? A i ʻole ke manaʻolana nei ʻoe e hāpai?
- Ke hānai waiū nei ʻoe ?
He mea nui loa ia no kou palekana ponoʻī e haʻi aku i ke kauka e pili ana i kēia mau mea, ʻeā?
Pehea e hoʻohana ai iā Doxepin?
Pono e lawe ʻia kēia lāʻau lapaʻau me ke aniani wai. Pono ʻoe e lawe i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe. Mai lawe ʻoi aku a emi mai paha ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
ʻO ka mea nui loa, ʻaʻole ia he manaʻo maikaʻi ke hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau.Inā ʻoe e hoʻōki i ka lawe ʻana me ke aʻo ʻole a kāu kauka, hiki iā ʻoe ke pilikia, a i ʻole e ʻoi aku ka ʻino o kou kūlana. No laila, inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hoʻēmi mālie. E haʻi aku kāu kauka iā ʻoe pehea e hana ai i kēia.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi lākou iā ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) . Mai poina e heluhelu pono i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻopihapiha a i ʻole ka hoʻopiha hou ʻana. Loaʻa iā ia ka ʻike koʻikoʻi.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
Ma keʻano laulā, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio ma luna o 12 mau makahiki i kekahi mau hihia kūikawā. Eia nō naʻe, pono e hana ʻia me ke akahele nui a ma lalo o ka nānā pono ʻana a ke kauka.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo koke ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka lumi pilikia o ka haukapila kokoke loa a kāhea aku paha i kahi kikowaena kaohi lāʻau make. He mea nui loa kēia, no ka mea, hiki i ka lawe nui ʻana ke lilo i mea weliweli.
Hoʻokahi mea hou aʻe: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kāu lāʻau lapaʻau i kekahi poʻe ʻē aʻe, ʻaʻole paha ia he mea maikaʻi no lākou.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 pālua i ka lāʻau lapaʻau.
He aha nā mea pono ʻole e hoʻohana pū ʻia me kēia lāʻau lapaʻau?
Ua pāpā ʻia kekahi mau lāʻau lapaʻau me Doxepin. Aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me Doxepin. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā mea kanu, a me nā lāʻau lapaʻau kūʻai ʻole ʻia).
Mai lawe iā Doxepin me:
- ʻArsenic trioxide
- ʻO kekahi mau lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole
- ʻO Cisapride
- Halofantrine
- ʻO Levomethadyl
- Linezolid
- ʻO nā MAOI ( e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate) kekahi ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ke kaumaha.
- Polū Methylene
- ʻO kekahi mau lāʻau lapaʻau ʻē aʻe no ke kaumaha
- Nā Phenothiazines ( e.g. perphenazine, thioridazine, chlorpromazine)
- Pimozide
- ʻO Procarbazine
- ʻO Sparfloxacin
- ʻO St. John's Wort (he lau nahele kēia)
Hiki i kēia mau mea ke launa pū me Doxepin:
- ʻO Cimetidine
- Tolazamide
- Ziprasidone
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, a inā paha ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E nīnau aku kāu kauka iā ʻoe e ʻike i kou ʻano i kou wā e lawe ana i kēia lāʻau. E hōʻoia e hele i kēlā mau hoʻokolohua. He mau lā paha e ʻike ʻia ai ka hopena piha o kēia lāʻau. No laila, mai hopohopo.
E like me kaʻu i ʻōlelo ai ma mua, inā ua lawe ʻoe i kēia lāʻau lapaʻau no kekahi manawa, mai hoʻōki koke. Pono ʻoe e hoʻōki mālie, e like me nā kuhikuhi a kāu kauka. A i ʻole, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao koʻikoʻi. Hiki i nā hopena o ka lāʻau lapaʻau ke hoʻomau i loko o kou kino no kekahi mau lā ma hope o kou hoʻōki ʻana i ka lawe ʻana.
E makaʻala loa!
ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe a me kou ʻohana e makaʻala i kou kūlana noʻonoʻo. ʻOi aku hoʻi, e makaʻala i nā manaʻo pepehi kanaka, ka hoʻonui ʻia ʻana o ke kaumaha, a me nā loli o ke ʻano (e laʻa me ka hoʻonāukiuki, ka hoʻomaha ʻole, ka huhū, ka huhū, ka hiamoe ʻole). Inā loaʻa kekahi o kēia mau mea, ʻoiai ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau a ma hope paha o ka hoʻololi ʻana i ka nui, e haʻi koke i kāu kauka.
Nā mea ʻē aʻe e noʻonoʻo ai
- Hiki paha iā ʻoe ke hiamoe a poniuniu paha . No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Mai ala koke, mai noho koke i lalo, ʻoiai inā he ʻelemakule ʻoe. ʻO ka hana ʻana pēlā e hiki ai ke poniuniu a hāʻule paha ʻoe.
- Mai hoʻohana i ka waiʻona . Hiki i ka waiʻona ke hoʻonui i ka hiamoe a me ka poniuniu.
- Inā pono ʻoe e lawe i ka lāʻau lapaʻau no ke kuni, ke anu, a i ʻole ka maʻi ʻaleka, mai lawe me ka ʻole o ka nīnau mua ʻana i kāu kauka a kauka lāʻau paha. Hiki i nā mea hoʻohui i loko o kekahi mau lāʻau lapaʻau ke hoʻonui i nā hopena ʻaoʻao.
- Hiki ke maloʻo ka waha. Hiki ke hōʻemi ʻia kēia ma ka nau ʻana i ka gum ʻole-kō, ka omo ʻana i nā mea ʻono paʻakikī ʻole-kō, a me ka inu ʻana i ka wai he nui. Inā hoʻomau ka pilikia a i ʻole he koʻikoʻi, e haʻi i kāu kauka.
- Hiki i kēia lāʻau lapaʻau ke hoʻomaloʻo i nā maka a me ka ʻike maka ʻole . Inā ʻoe e kau i nā aniani hoʻopili, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole. Hiki ke kōkua ka hoʻohana ʻana i nā kulu maka lubricating. Inā hoʻomau ka pilikia, e ʻike i kāu kauka.
- Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou ʻili i ka lā.ʻAe. No laila, e pale i ka lā i ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole pale, nā aniani maka, a me ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning/booths.
Nā hopena ʻaoʻao hiki ke loaʻa o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Doxepin ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a me ka ʻāʻī.
- ʻO nā hōʻailona o ka maʻi serotonin e komo pū me: ka hoʻomaha ʻole, ka huikau, ka puʻuwai wikiwiki a i ʻole ka ʻano ʻole, ka ʻoʻoleʻa o nā ʻiʻo, ka ʻūlū ʻana o nā ʻiʻo, ka hou ʻana, ke kuni nui, ka ʻūlū ʻana, ke anu, ka luaʻi ʻana, a me ka maʻi pākī.
- ʻEha koke ka maka a i ʻole ka loli o ka ʻike (e like me ka ʻike pōwehiwehi, ʻike ʻana i nā halo a puni nā kukui, nalowale o ka ʻike).
- Nā manaʻo e hōʻeha iā ʻoe iho, ka hoʻonui ʻia ʻana o kou kūlana noʻonoʻo , a i ʻole nā manaʻo kaumaha.
- Paʻakikī i ka mimi ʻana.
Inā loaʻa kekahi mea e like me kēia , e ʻike koke i ke kauka.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- Ka loli ʻana i ka makemake a i ʻole ka hana moekolohe
- Ka paʻa ʻana o ka ʻōpū
- Pōʻino
- Hiamoe
- Waha maloʻo
- Nā haʻalulu
- Piʻi ke kaumaha
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e nīnau i kāu kauka. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA ma 1-800-FDA-1088.
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki . E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius / 59 a me 86 kekelē Fahrenheit). Mai hoʻohana i ka lāʻau lapaʻau i pau ka lāʻau, e hoʻolei aku.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
He lāʻau lapaʻau ʻo Doxepin e hiki ke kōkua i nā kūlana e like me ke kaumaha a me ka hopohopo. Eia nō naʻe, aia kekahi mau mea e makaʻala ai i ka wā e hoʻohana ai.
ʻO nā mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka, e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, e haʻi iā lākou e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, e makaʻala i nā hopena ʻaoʻao, a mai hoʻōki koke i ka lawe ʻana i kāu lāʻau.
Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau, a i ʻole mea mālama ola kino. E hiki iā lākou ke kōkua iā ʻoe. E hoʻomanaʻo, he mea nui loa kou olakino noʻonoʻo!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He ʻano lāʻau hiamoe anei nā capsules Doxepin?
ʻAʻole kēia he lāʻau hiamoe maoli, he 'TCA - Tricyclic Antidepressant' hanauna kahiko kēia (he lāʻau noʻonoʻo ikaika i hāʻawi ʻia no ke kaumaha)! Hoʻohana pinepine nā kauka i kēia no nā poʻe maʻi me ke kaumaha nui a me ka hopohopo, e hoʻopau i ko lākou makaʻu a me ke kaumaha a hāʻawi iā lākou i kahi manaʻo hōʻoluʻolu.
💬 No ke aha i kuhikuhi ʻia ai kēia lāʻau lapaʻau (Doxepin) e ka haukapila no ka insomnia?
ʻOiai he lāʻau lapaʻau ia no ke kaumaha, ua ʻike nā kauka i ka wā e hāʻawi ʻia ai kēia lāʻau lapaʻau ma kahi 'haʻahaʻa haʻahaʻa (inoa inoa ʻo Silenor),' ke ālai nei ia i ka Histamine (kahi kemika e hoʻoulu ai i ka ala ʻana) i loko o ka lolo a hoʻoulu i ka hiamoe hiki ʻole ke hoʻomanawanui (sedation). No laila, hoʻohana nui ʻia ia ma ka honua i kēia lā no ka poʻe hiki ʻole ke hiamoe i ka pō a ala aʻe i waenakonu o ka pō (Sleep-maintenance insomnia), e loaʻa ai ka hiamoe maikaʻi i ka pō me ka ʻole o ka hoʻohui ʻana.
💬 No ke aha e maloʻo ai koʻu waha/ʻūlū ma hope o ka lawe ʻana i kēia mau capsules (Doxepin)?
ʻO kēia nā hopena ʻaoʻao nui loa o nā lāʻau TCA kahiko (nā hopena Anticholinergic)! Ke hoʻololi kēia mau lāʻau i nā kemika i loko o ka lolo, hoʻopau hewa lākou i nā kelepa salivary i loko o ke kino. ʻO ka hopena, e loaʻa iā ʻoe ka waha/maka maloʻo, ka ʻike maka pōʻeleʻele, ka paʻa ʻana o ka ʻōpū, a me ka hypotension postural, ʻoiai ke ala ʻoe mai kahi moe i ke kakahiaka.
ʻO Doxepin, kaumaha, hopohopo, olakino noʻonoʻo, nā antidepressants tricyclic, TCA, lāʻau lapaʻau, nā hopena ʻaoʻao, serotonin
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