Ke pilikia nei hoʻi ʻoe i ka hiamoe ʻana i ka pō? E aʻo kākou e pili ana i nā lāʻau Doxepin!

E noʻonoʻo i ka ʻeha āu e ʻike ai ke hele ʻoe e hiamoe i ka pō a hoʻolei a huli me ka hiamoe ʻole. I kekahi mau lā, ʻaʻole ʻoe e hiamoe a hiki i ka wanaʻao. I ke kakahiaka aʻe, luhi kou kino a kaumaha kou poʻo. He lāʻau lapaʻau ʻo Doxepin e hiki ke kōkua i kēia ʻano insomnia . Eia naʻe, e like me nā lāʻau lapaʻau ʻē aʻe, pono e hoʻohana ʻia me ka ʻike kūpono a ma lalo o ke aʻo a ke kauka. I kēia lā, e kamaʻilio kākou e pili ana iā Doxepin me nā kikoʻī.

He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Doxepin?

I ka ʻōlelo maʻalahi, ʻo Doxepin kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka insomnia . Kōkua ia iā ʻoe e hiamoe koke a noho hiamoe me ka ʻole o ke ala ʻana i waenakonu o ka pō. No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo tricyclic antidepressants (TCAs). ʻO ke ʻano kēia, hoʻohana pinepine ʻia kēia ʻano lāʻau lapaʻau no ke kaumaha, akā i ka wā e hoʻohana ʻia ai no ka insomnia, hāʻawi pinepine ʻia ia i nā dosis haʻahaʻa loa . Ma Sri Lanka, hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Silenor.

Eia kekahi, he mea nui e ʻike e hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā ʻaʻole ʻoe maopopo i ke kumu i kuhikuhi ʻia ai kēia lāʻau lapaʻau iā ʻoe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha.

He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?

Ma mua o kou hoʻomaka ʻana e lawe iā Doxepin, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. ʻO kēia no ka mea ʻaʻole kūpono kēia lāʻau lapaʻau no ka poʻe me kekahi mau kūlana olakino, a pono paha e hoʻohana ʻia me ka mālama kūikawā.

Eia kēlā mau mea:

• Inā loaʻa iā ʻoe ka maʻi bipolar , he kūlana noʻonoʻo ia kahi āu e hauʻoli nui ai i ka manawa hoʻokahi a laila koke ʻoe e kaumaha nui a kaumaha hoʻi.
• Inā ʻoe e ʻeha nei i ke kaumaha .
• Inā pilikia ʻoe i ka mimi ʻana .
• Inā loaʻa iā ʻoe ka glaucoma (kahi maʻi e hoʻonui ai i ke kaomi i loko o nā maka).
• Inā he maʻi puʻuwai kou .
• Inā ua hoʻohana mua ʻoe i nā lāʻau lapaʻau a i ʻole ka waiʻona .
• Inā he maʻi kou i ke akepaʻa .
• Inā loaʻa iā ʻoe kahi maʻi māmā (e like me ka hānō) a i ʻole ka apnea hiamoe .
• Inā he kāne ʻoe, he pilikia kou me ka prostate gland .
• Inā loaʻa iā ʻoe kekahi maʻi noʻonoʻo ʻē aʻe, e like me ka schizophrenia .
• Inā ua loaʻa iā ʻoe nā manaʻo e pepehi iā ʻoe iho , ua hana i nā hoʻolālā e hana pēlā, a inā paha ua hoʻāʻo mua ʻoe a i ʻole kekahi o kou ʻohana e pepehi iā ʻoe iho.
• Inā loaʻa iā ʻoe kahi hopena alerika i ka Doxepin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala meaʻai, a i ʻole nā ​​​​mea mālama.
• Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē .
• Inā he makuahine hānai waiū ʻoe .

Inā pili kekahi o kēia mau mea iā ʻoe, he mea nui loa e haʻi i kāu kauka e pili ana i ia mea.

Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

He mea nui loa ia e ʻike pehea e hoʻohana pono ai i nā papa Doxepin.

• Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha, me ke aniani wai .
• E hahai pono i nā kuhikuhi ma ke kauoha i hāʻawi ʻia iā ʻoe e kāu kauka .
• Pono e lawe ʻia kēia lāʻau lapaʻau ma ka ʻōpū ʻole . ʻO ia hoʻi, ma ka liʻiliʻi he 3 mau hola ma hope o ka ʻai ʻana . ʻAʻole paha e hana maikaʻi inā lawe ʻia me ka meaʻai.
• Pono ʻoe e inu i kēia ma kahi o 30 mau minuke ma mua o ka hiamoe ʻana . Eia kekahi, ʻo ka mea nui loa, e inu i kēia inā maopopo iā ʻoe hiki iā ʻoe ke hiamoe i ka pō holoʻokoʻa (ma ka liʻiliʻi he 7-8 mau hola) me ke keakea ʻole . No ka mea, inā pono ʻoe e ala a hana koke ma hope o ka inu ʻana i kēia, hiki iā ʻoe ke hiamoe a ʻoluʻolu ʻole.
• Mai inu ʻoe ma mua o ka nui i kauoha ʻia e ke kauka.
• Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka . ʻO ka hana ʻana pēlā e hoʻonui ai i kāu mau hopena ʻaoʻao a i ʻole e hoʻonui i kou hiamoe ʻole.
• Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia paha iā ʻoe kahi pepa kuhikuhi kūikawā i kapa ʻia ʻo "MedGuide" . E heluhelu pono i kēlā me kēia manawa āu e loaʻa ai kāu lāʻau lapaʻau. Aia paha he ʻike koʻikoʻi nāu.
• Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki , pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea a loaʻa i nā ʻōlelo aʻoaʻo kūikawā.

He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau? (Overdosage)

Inā manaʻo ʻoe ua lawe ʻoe i ka Doxepin ma mua o kou manaʻo e pono ai, e hele i ka lumi pilikia o ka haukapila kokoke loa a kāhea koke aku i kahi Poison Control Center . Mai hoʻonele i ka manawa.

Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kahi hoaaloha a ʻohana paha no kekahi kumu , ʻoiai inā he like ko lākou maʻi me ʻoe.

He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?

ʻOiai ua lawe ʻia kēia lāʻau lapaʻau ma mua o ka hiamoe ʻana, ʻaʻole pili maoli ka "nalowale ʻana o kahi lāʻau" i kēia. Eia nō naʻe, inā poina iā ʻoe e lawe i kāu lāʻau lapaʻau ma mua o ka hiamoe ʻana a laila hoʻomanaʻo, mai lawe i kahi lāʻau pālua a lawe paha i kahi pila keu e hoʻopiha ai no ka lāʻau i hala ʻole. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.

He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?

He lāʻau lapaʻau ʻo Doxepin e hiki ke "launa pū" me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano kēia, i ka wā e lawe ʻia ai me kēlā mau lāʻau lapaʻau, hiki ke loli nā hopena o Doxepin a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.

Pono e hōʻole ʻia ʻo Doxepin me nā lāʻau lapaʻau penei:

• ʻArsenic trioxide `(ʻArsenic trioxide)`
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e kāohi i nā puʻuwai puʻuwai kūpono ʻole
• ʻO Cisapride
• Halofantrine
• ʻO Levomethadyl `(Levomethadyl)`
• Linezolid
• Nā lāʻau lapaʻau e pili ana i ka papa o nā lāʻau i kapa ʻia ʻo `MAOIs` (Monoamine Oxidase Inhibitors) (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate). He papa lāʻau ikaika kēia i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo.
• Polū Methylene `(Polū Methylene)`
• ʻO kekahi mau lāʻau lapaʻau ʻē aʻe no ke kaumaha
• Nā Phenothiazines ( e.g. perphenazine, thioridazine, chlorpromazine)
• Pimozide
• ʻO Procarbazine
• ʻO Sparfloxacin `(Sparfloxacin)`
• Nā lāʻau lapaʻau i hana ʻia mai ka lau nahele ʻo St. John's Wort (lawe ʻia kēia e kekahi poʻe no nā pilikia olakino noʻonoʻo)

Hiki paha iā Doxepin ke launa pū me nā lāʻau lapaʻau e hiki mai ana:

• ʻO Cimetidine (kahi lāʻau lapaʻau no ka gastritis)
• ʻO Tolazamide (he lāʻau lapaʻau no ka maʻi diabetes)
• Ziprasidone (he lāʻau lapaʻau no ka maʻi noʻonoʻo)

ʻAʻole i piha kēia papa inoa. Aia paha kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai . Hiki i kēia mau mea ke launa pū me Doxepin.

He aha kā mākou e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?

Aia kekahi mau mea e pono ai ʻoe e hoʻomaopopo i ka wā e lawe ai iā Doxepin:

• E ʻike i kāu kauka i nā manawa maʻamau e nānā i kou ʻano.
• E hoʻomaʻamaʻa i ka hiamoe ʻana i ka manawa like i kēlā me kēia lā . Eia kekahi, e pale i ka inu ʻana i nā mea inu i loaʻa ka caffeine e like me ke kofe a me ke kī i ke awakea a me ke ahiahi.
• Inā ʻaʻole hiki iā ʻoe ke hiamoe ma hope o 7-10 mau lā o ka lawe ʻana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka. Aia paha kekahi kumu ʻē aʻe no kou hiamoe ʻole.
• E lawe wale i kēia lāʻau lapaʻau inā maopopo iā ʻoe hiki iā ʻoe ke hiamoe piha i ka pō (7-8 mau hola) .
• Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo pono (e laʻa, ka hana ʻana i nā hoʻoholo koʻikoʻi, ke aʻo ʻana no kahi hoʻokolohua) .
• Pono ʻoe e lawe i kēia lāʻau lapaʻau he 30 mau minuke ma mua o ka hiamoe ʻana. Ma hope o kēlā, e hana wale i nā mea e hoʻomākaukau ai iā ʻoe no ka hiamoe (e like me ka hoʻololi ʻana i nā lole, ka palaki ʻana i kou mau niho).
• Hiki paha iā ʻoe ke hiamoe a palaualelo paha i ke kakahiaka aʻe ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. Inā hana ʻia kēia, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka makaʻala a hiki i kou ala ʻana a maopopo kou poʻo.
• Mai kū koke a noho paha i luna , ʻoiai inā he ʻelemakule ʻoe. ʻO ka hana ʻana pēlā e hiki ai iā ʻoe ke puni ka maka, ke poʻo māmā, a emi iki ka hāʻule ʻana.

He mea kēia e makaʻala loa ai: Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, hiki paha iā ʻoe ke ala aʻe mai kahi moe me ka ʻike ʻole a hana i nā mea e like me ka "hoʻokele hiamoe", ka kuke ʻana, ka ʻai ʻana, ke kamaʻilio ʻana ma ke kelepona, ka moekolohe, a me ka hele wāwae ʻana i ka hiamoe. Hiki i kēia mau mea ke hana i nā ʻeha koʻikoʻi . Inā ʻike ʻoe ua hana ʻia kekahi mea e like me kēia iā ʻoe (ʻaʻole paha ʻoe e hoʻomanaʻo iā ia i ka lā aʻe, akā pono e haʻi aku kou ʻohana iā ʻoe), e haʻi koke aku i kāu kauka .

• Mai lawe i kēia lāʻau lapaʻau inā ua inu ʻoe i ka waiʻona i kēlā ahiahi . Eia kekahi, mai lawe i kēia lāʻau lapaʻau inā ua lawe ʻoe i kekahi lāʻau lapaʻau ʻē aʻe e kōkua iā ʻoe e hiamoe. Inā hana ʻoe, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā hōʻailona pili i ka hiamoe i ʻōlelo ʻia ma mua.

• Pono ka mea maʻi a me ka ʻohana e makaʻala i kēia mau mea: nā manaʻo pepehi kanaka hou a i ʻole ka ʻino ʻana, ka ʻino ʻana o ke kaumaha , a i ʻole nā ​​loli koke o ke ʻano - no ka laʻana, ka hopohopo, ka hoʻomaha ʻole, ka huhū, ka hana ʻino, ka hyperactive, a i ʻole ka pilikia hiamoe. Inā loaʻa kekahi o kēia mau mea, ʻoiai i nā lā mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau a ma hope paha o ka hoʻololi ʻana i ka dosage, e haʻi koke i kāu kauka .

• Hiki i kēia lāʻau lapaʻau ke hoʻomaloʻo i ka waha . Hiki ke hoʻomaha ʻia kēia ma ka nau ʻana i ka gum kō ʻole, ka mālama ʻana i kahi ʻāpana kinika i loko o kou waha, a me ka inu ʻana i ka wai he nui i ka lā a pau. Inā hoʻomau kēia pilikia, a inā he koʻikoʻi, e kamaʻilio me kāu kauka.

• Hiki i kekahi poʻe ke loaʻa nā maka maloʻo a me ka ʻike maka pōwehiwehi . Inā ʻoe e kau i nā aniani hoʻopili, hiki iā ʻoe ke ʻike i ka ʻoluʻolu ʻole i kou wā e kau ana iā lākou. Hiki i nā kulu maka lubrication ke kōkua. Inā hoʻomau kēia, ua maikaʻi, akā inā he koʻikoʻi, e haʻi i kāu kauka.

• Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻana o ka ʻōpū . No laila, e ʻai i nā meaʻai fibrous hou aʻe (nā huaʻai, nā mea kanu, nā greens) a inu i ka nui o ka wai. E ho'āʻo e neʻe i ka ʻōpū ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia 2-3 lā. Inā ʻaʻohe ou neʻe ʻana o ka ʻōpū no 3 lā, e haʻi i kāu kauka.

• I ka wā e lawe ai i kēia lāʻau lapaʻau, kāuHiki i ka ʻili ke lilo i mea ʻike ʻole i ka lā (photosensitivity). No laila, e pale i ka lā pololei i ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole pale a hoʻohana i ka sunscreen me ka SPF maikaʻi. Mai hoʻohana i nā kukui lā a i ʻole nā ​​​​moena tanning/booths.

He aha nā hopena ʻaoʻao e hiki ke loaʻa iā Doxepin?

E like me nā lāʻau lapaʻau āpau, hiki iā Doxepin ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā he mea nui e makaʻala iā lākou.

Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:

Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao, e ʻike koke i ke kauka :

• Nā hopena maʻi: ʻŌhūhū ʻili, hives, ʻulaʻula, ʻili pehu, maneʻo, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu (hiki ke pilikia ka hanu ʻana).
• ʻO ka Serotonin Syndrome: He kūlana weliweli e hiki ai ke hana i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona: huikau, hoʻoluliluli, puʻuwai wikiwiki a ʻano ʻole paha, ʻoʻoleʻa a haʻalulu paha nā ʻiʻo, ka hou nui ʻana, ke kuni nui, nā hopu ʻana, nā anuanu, ka luaʻi ʻana, a me ka maʻi pākī. He pilikia kēia.
• ʻEha koke ka maka a i ʻole nā ​​loli koke i ka ʻike: pohihihi koke ka ʻike, ʻike ʻana i nā apo kala (halos) a puni nā kukui, a i ʻole ka nalowale o ka ʻike.
• Nā manaʻo hou a hoʻonui paha no ka pepehi kanaka a i ʻole ka hōʻeha ʻana iā ʻoe iho, ka ʻino ʻana o ke ʻano, ka hoʻonui ʻia o nā manaʻo kaumaha .
• Paʻakikī i ka mimi ʻana a i ʻole ka mimi ʻole ʻana.
• Nā ʻano hana maʻamau ʻole e pili ana i ka hiamoe: Nā hana āu e hana ai i kou hiamoe ʻana āu e hoʻomanaʻo ʻole ai i ke lā aʻe (e like me ke kalaiwa hiamoe, ka ʻai ʻana, ka moekolohe).

ʻO nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:

ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao. Nalo pinepine lākou i loko o kekahi mau lā. Eia nō naʻe, inā hoʻomau lākou a hoʻopilikia nui paha iā ʻoe, e haʻi i kāu kauka:

• Nā loli i ka makemake moekolohe a i ʻole ka hana moekolohe.
• Ka paʻa ʻana o ka ʻōpū.
• Pōʻaiʻī.
• Ke hiamoe nei i kekahi lā ma hope o ka lawe ʻana i ka lāʻau.
• Waha maloʻo.
• Nā haʻalulu (nā haʻalulu liʻiliʻi) ma nā lālā.
• Piʻi ke kaumaha.

Aia i loko o kēia papa inoa kekahi o nā hopena ʻaoʻao hiki ke loaʻa iā Doxepin. Hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao ʻē aʻe. No laila, inā loaʻa iā ʻoe kekahi mea ʻē, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.

Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?

• E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a mai ko lākou hiki ʻana aku . He mea nui loa kēia.
• Ma ka mahana lumi maʻamauE mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit). Mai hoʻokuʻu i ka wela nui a i ʻole ka makū. Mai mālama ma nā wahi e like me ka lua.
• Mai mālama i nā lāʻau lapaʻau i hoʻohana ʻole ʻia i hala ka lā palena pau i paʻi ʻia ma ka lepili lāʻau, e hoʻolei aku iā lākou me ka palekana .

Kekahi mau manaʻo koʻikoʻi (Leka Lawe-Home)

ʻAe, i kēia manawa ua maopopo iā ʻoe ʻoiai ʻo Doxepin kahi lāʻau lapaʻau e hiki ke kōkua i ka insomnia, aia kekahi mau mea e makaʻala ai i ka wā e hoʻohana ai.

E hoʻomanaʻo, pono e hoʻohana ʻia kēia lāʻau lapaʻau ma ke ʻōlelo aʻo a ke kauka. E lawe e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, i ka manawa kūpono, a me ka nui kūpono. Mai poina e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe āu e lawe nei.

E makaʻala pono i nā ʻano hana e pili ana i ka hiamoe, nā manaʻo pepehi kanaka, a me nā hopena ʻino e like me ka serotonin syndrome. Inā he mau nīnau, hopohopo, a hopohopo paha kāu, e ʻike koke i kāu kauka.

ʻO kekahi mea ʻē aʻe, nou wale nō kēia lāʻau lapaʻau. Inā paha he mau hōʻailona like ko kekahi me kāu, mai hāʻawi iā lākou i kāu lāʻau lapaʻau. He ʻokoʻa ka lāʻau lapaʻau kūpono a me ka nui no kēlā me kēia kanaka. He mea nui ka hiamoe olakino no ke ola olakino. No laila, inā he mau pilikia pili i ka hiamoe kāu, mai kānalua e ʻimi i ke kōkua lapaʻau.

ʻO Doxepin, Silenor, Insomnia, Tricyclic Antidepressant, TCA, Nā hopena ʻaoʻao, Lāʻau lapaʻau, Hiamoe, Ola kino noʻonoʻo