Ke kaumaha nei ʻoe i kekahi manawa, kaumaha, a i ʻole hoʻi me ka manaʻo ʻole? Malia paha ua kuhikuhi kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Nortriptyline. No laila, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku i kēia lā? ʻO ke ʻano kikoʻī, he aha kāna hana, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
He aha ke ʻano lāʻau lapaʻau ʻo Nortriptyline?
I ka ʻōlelo maʻalahi, ʻo Nortriptyline kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha. ʻO Serotonin a me norepinephrine ʻelua mau kemika i loko o ka lolo e kōkua iā ʻoe e hauʻoli a me ke ʻano maikaʻi. Hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i nā pae o kēia mau kemika i loko o ka lolo. Hiki i kēia ke kōkua i ka hoʻomaikaʻi ʻana i kou ʻano. No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo tricyclic antidepressants (TCAs) . Hoʻohana pinepine nā kauka i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha.
ʻO kekahi o nā inoa i loaʻa ma ka mākeke no kēia ʻo Aventyl lāua ʻo Pamelor, akā aia paha kekahi mau inoa ʻē aʻe.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe iā Nortriptyline, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. No ka mea, a laila hiki iā ia ke hoʻoholo pono inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole, a pehea e hāʻawi ai. E nānā inā pili kēia mau mea iā ʻoe:
- Inā loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka maʻi bipolar .
- Inā he maʻi puʻuwai kou i kapa ʻia ʻo Brugada syndrome .
- Inā pilikia ʻoe i ka mimi ʻana.
- Inā loaʻa iā ʻoe ka maʻi maka glaucoma .
- Inā he maʻi puʻuwai ʻē aʻe kāu.
- Inā he ʻona lama ʻoe .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka schizophrenia .
- Inā loaʻa iā ʻoe nā maʻi hopu a i ʻole nā maʻi e like me ka epilepsy.
- Inā ua loaʻa iā ʻoe nā manaʻo, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka , a inā ua hana kekahi o kou ʻohana pēlā.
- Inā he maʻi thyroid kou.
- Hiki paha iā ʻoe ke maʻi i ka nortriptyline, nā antidepressants tricyclic ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.Inā loaʻa iā ʻoe kahi hopena alerika.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Inā he mea e like me kēia, ʻaʻole anei e ʻoi aku ka maikaʻi o ka haʻi ʻana i ke kauka me ka hūnā ʻole ʻana?
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Nou kēia lāʻau lapaʻau. Pono ʻoe e lawe e like me ke kauoha a kāu kauka. Inā he wai ia, e hoʻohana i kahi puna ana kūikawā a i ʻole ke kīʻaha e ana ai. Mai hoʻohana i nā tīpune a i ʻole nā punetune ma ka home e ana ai, no ka mea, ʻaʻole pololei lākou. Inā ʻaʻohe āu mea ana, e noi i ka hale kūʻai lāʻau lapaʻau no hoʻokahi. E lawe i ka lāʻau lapaʻau i ka manawa, i ka nui, a ma nā manawa i kauoha ʻia e kāu kauka. Mai lawe ʻoi aku ma mua o ka nui a kāu kauka e ʻōlelo ai iā ʻoe e lawe, a i ʻole e lawe pinepine.
ʻO kekahi mea nui loa , ʻaʻole pono ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Inā hana ʻoe pēlā, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao koʻikoʻi a i ʻole e ʻoi aku ka ʻino o kou kūlana.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) . E loaʻa iā ʻoe kēia me kēlā me kēia kauoha, a me ka wā e loaʻa ai iā ʻoe kahi hoʻopihapiha. He mea nui e heluhelu mau me ke akahele.
Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki, pono e mālama pono ʻia ma ke kamaʻilio ʻana me ke kauka e pili ana i ia mea.
ʻO ka mea nui loa: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi no kekahi kumu.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a inā ua lawe hewa kekahi, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ka lumi pilikia kokoke loa. He pilikia kēia.
He aha kāu e hana ai inā e hala ʻoe i kāu 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 i kahi lāʻau lapaʻau pālua a i ʻole kahi lāʻau lapaʻau keu. ʻO ka hana ʻana pēlā e hiki ai ke hoʻopilikia.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea kēia e makaʻala nui ai. Hiki i ka Nortriptyline ke hoʻopilikia inā lawe ʻia me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ia hoʻi, hiki ke launa pū. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai.
Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Nortriptyline:
Inā ʻoe e lawe ana i kekahi o nā lāʻau lapaʻau ma lalo nei, ʻaʻole pono e lawe iā Nortriptyline. E kamaʻilio me kāu kauka e pili ana i kēia.
- ʻO Cisapride
- ʻO Dronedarone
- Linezolid
- Nā lāʻau MAOI (MAOIs) - ʻo nā laʻana e komo pū me Carbex, Eldepryl, Marplan, Nardil, a me Parnate
- Methylene blue - ke hāʻawi ʻia ma ke ʻano he inikini intravenous
- Pimozide
- ʻO Thioridazine
Hiki ke hana ʻia nā pilina me kēia mau lāʻau lapaʻau:
Aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me ka nortriptyline. No laila, inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau, e haʻi i kāu kauka.
- ʻAila
- Nā ʻano antihistamines no nā maʻi allergies, coughs, a me ke anu
- ʻAtropine
- ʻO kekahi mau lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi - nā laʻana: oxybutynin, tolterodine
- ʻO kekahi mau lāʻau lapaʻau ʻē aʻe no ke kaumaha - nā laʻana: amitriptyline, fluoxetine, sertraline
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi o Parkinson - nā laʻana: benztropine, trihexyphenidyl
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā maʻi ʻōpū - nā laʻana: dicyclomine, hyoscyamine
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi neʻe - laʻana: scopolamine
- Chlorpropamide
- ʻO Cimetidine
- ʻIpratropium
- ʻO nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i kahi ʻano puʻuwai maʻamau (e hoʻolōʻihi i ka wā QT) - laʻana: dofetilide
- ʻO nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻoulu i kahi maʻi i kapa ʻia ʻo serotonin syndrome - nā laʻana: St. John's Wort, fentanyl, lithium, tramadol, tryptophan, buspirone, a me kekahi mau lāʻau migraine (e like me sumatriptan a i ʻole rizatriptan)
- Kuinidina
- ʻO Reserpine
- Lāʻau lapaʻau thyroid
ʻAʻole i hoʻokomo ʻia nā pilina āpau ma kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, mea hoʻohui, a mea kanu paha āu e lawe nei.
He aha nā hana palekana kūikawā e pono e hana ʻia i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, pono ʻoe a me kou ʻohana e makaʻala i kekahi mau mea.
- E makaʻala i nā hōʻailona: Inā ʻaʻole e hoʻomaikaʻi a ʻike ʻia paha e ʻoi aku ka ʻino o kou mau hōʻailona kaumaha, e haʻi koke i kāu kauka. Hiki ke hala i kekahi mau pule no ka hopena piha o kēia lāʻau. No laila, he mea nui loa ka hoʻomau ʻana i ka lawe ʻana i ka lāʻau e like me ka ʻōlelo a kāu kauka iā ʻoe.
- Nā manaʻo pepehi kanaka:He mea koʻikoʻi loa kēia. Inā loaʻa iā ʻoe a i ʻole kou ʻohana nā manaʻo hou a i ʻole nā manaʻo ʻino e pili ana i ka pepehi kanaka, pono ʻoe e haʻi koke i kāu kauka. Eia kekahi, e makaʻala i nā loli koke i kou ʻano. No ka laʻana, ka hopohopo nui, ka hoʻonāukiuki, ka huhū, ka ʻenemi, ka impulsiveness, ka hoʻomaha ʻole, ka pīhoihoi nui a me ka hyperactivity, a i ʻole ka pilikia hiamoe. Inā hana ʻia kēia mau mea, ʻoiai ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau a ma hope o ka hoʻololi ʻana i ka mahele lāʻau, e kamaʻilio koke me kāu kauka.
- Hiamoe a me ka poniuniu: Hiki iā ʻoe ke hiamoe a poniuniu paha i ka wā e lawe ana i kēia lāʻau. No laila, mai hoʻokele, hoʻohana i nā mīkini, a hana paha i kekahi mea ʻē aʻe e pono ai ka makaʻala noʻonoʻo a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai kū koke a noho koke paha. ʻO ka hana ʻana pēlā e hōʻemi ai i ka manawa kūpono o ka poniuniu a me ka hāʻule ʻana.
- ʻAila: Hiki i ka ʻaila ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka ʻaila i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Lāʻau lapaʻau no ke kuni a me ke anu: Inā loaʻa iā ʻoe ke kuni, ke anu, a i ʻole nā maʻi ʻaleka, mai lawe i ka lāʻau lapaʻau ma luna o ke kūʻai aku me ka ʻole o ka nīnau mua ʻana i kāu kauka. ʻO kēia no ka mea hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i nā hopena ʻaoʻao ke hui pū ʻia me ka nortriptyline.
- Waha maloʻo: ʻO ka waha maloʻo kahi hopena ʻaoʻao paha o kēia lāʻau lapaʻau. Hiki iā ʻoe ke hoʻokele i kēia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono paʻakikī ʻaʻohe kō, a me ka inu ʻana i ka wai he nui. Eia nō naʻe, inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e haʻi i kāu kauka.
- Nā maka maloʻo a me ka ʻike maka pohihihi: Hiki i kēia lāʻau lapaʻau ke hana i nā maka maloʻo a me ka ʻike maka pohihihi. Inā ʻoe e komo i nā aniani hoʻopili, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole. Hiki i nā kulu maka lubrication ke kōkua. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka maka.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. E ho'āʻo e neʻe i ka ʻōpū ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia ʻelua a ʻekolu lā. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o ʻekolu lā, e kāhea i kāu kauka.
- ʻIke i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea ʻike iki i ka lā. No laila, e pale i ka lā i ka hiki. Inā pono ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi ana i kou ʻili, a e ʻaʻahu i nā aniani lā a me ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning/hale hoʻoluʻu.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Nortriptyline ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi a pono e hōʻike koke ʻia i kāu kauka. ʻAʻole koʻikoʻi kekahi, akā inā hoʻomau lākou a lilo paha i mea hoʻopilikia, pono ʻoe e haʻi i kāu kauka.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ke kauka a i ʻole ka haukapila.
- Nā hopena maʻi: ʻulaʻula o ka ʻili, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Nā loli o ke ʻano o ka puʻuwai: Puʻuwai wikiwiki a ʻano ʻole paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu.
- ʻO nā hōʻailona o ka maʻi serotonin e komo pū me: ka huhū, ka huikau, ka puʻuwai wikiwiki a i ʻole ka ʻano ʻole, ka ʻoʻoleʻa o nā ʻiʻo, ka ʻūlū ʻana o nā ʻiʻo, ka hou nui, ke kuni nui, ka hopu ʻana, ke anu, ka luaʻi ʻana, a me ka maʻi pā.
- Nā ʻōʻili.
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike: No ka laʻana, ka ʻike maka pōwehiwehi, nā halo a puni nā kukui, a i ʻole ka nalowale o ka ʻike.
- Nā manaʻo e pepehi iā ʻoe iho a i ʻole e hōʻeha iā ʻoe iho, e hoʻonui ana i ke ʻano, e hoʻonui ana i ke kaumaha.
- Paʻakikī i ka mimi ʻana.
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha):
Nalo pinepine kēia i loko o kekahi mau lā, akā inā hoʻomau a hoʻopilikia nui paha lākou iā ʻoe, e haʻi i kāu kauka.
- Ka loli ʻana i ka makemake o ka moekolohe a i ʻole ka hana.
- Ka paʻa ʻana o ka ʻōpū.
- Pōʻaiʻī.
- Hiamoe.
- Waha maloʻo.
- Nā haʻalulu a i ʻole ka haʻalulu ʻana.
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke hōʻike i kēia mau hopena ʻaoʻao i ka FDA ma 1-800-FDA-1088.
Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?
He mea nui loa nō hoʻi kēia. Inā ʻaʻole mālama pono ʻia ka lāʻau lapaʻau, e nalowale paha kona pono.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki. He mea nui loa kēia. Inā loaʻa i nā keiki kēia mau mea a inu iā lākou, hiki iā lākou ke hana i nā pilikia nui.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit).
- E pani pono i ka ʻōmole lāʻau a i ʻole ka ʻeke.
- E pale mai ka mālamalama. ʻO ia hoʻi, mai waiho i ka lā pololei a i ʻole ma nā wahi mālamalama.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. Inā loaʻa iā ʻoe nā lāʻau lapaʻau i pau ka lā, e hoʻolei pono iā lākou.
E hoʻomanaʻo, he hōʻuluʻulu manaʻo wale nō kēia pepa liʻiliʻi. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
He lāʻau lapaʻau koʻikoʻi ʻo Nortriptyline no nā kūlana e like me ke kaumaha. Eia nō naʻe, pono e hoʻohana ʻia me ke akahele.
- E hahai pono i nā kuhikuhi a kāu kauka. E lawe i ka lāʻau lapaʻau ma ka nui i kauoha ʻia, i ka manawa i kauoha ʻia, a e like me ke kauoha.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻopihapiha āu e lawe nei, no ka mea, hiki ke launa pū.
- E makaʻala i nā hopena ʻaoʻao. Inā ʻike ʻoe i kekahi mea ʻē, e haʻi koke i kāu kauka.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau. ʻO ka hana ʻana pēlā me ka ʻole o ke aʻo ʻana a kāu kauka hiki ke hoʻopilikia.
- Inā he mau nīnau kāu, makaʻu, a kānalua paha, e kamaʻilio me kāu kauka. Mai hūnā i kekahi mea iā ʻoe iho.
Ke makemake nei iā ʻoe e ho'ōla koke!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka hana o ka pila ʻo Nortriptyline (Nortriptyline / Pamelor)?
Ua hoʻomohala mua ʻia kēia pila no ka poʻe me ke kaumaha nui a me ka hopohopo (he lāʻau TCA). Eia nō naʻe, i kēia lā, hoʻohana ka hapa nui o nā kauka iā ia e mālama i ka 'ʻeha neuropathic' koʻikoʻi (e.g. diabetic neuropathy) i hoʻokumu ʻia e ka hōʻino/komo ʻana o ke aʻalolo, a e pale aku i nā poʻo migraine pinepine me ka ʻole o ka hoʻoluhi.
💬 Pehea e hōʻoluʻolu ai kēia lāʻau lapaʻau (Nortriptyline) i ka ʻeha o ke aʻalolo a me nā migraines?
He mea kilokilo kēia no nā aʻalolo! Hoʻonui ia i nā kemika hauʻoli/hoʻoikaika i loko o ka lolo i kapa ʻia ʻo 'Serotonin & Norepinephrine'. A laila, hele pololei kēlā mau kemika i lalo o ke kaula spinal (nā ala ʻeha e iho ana), e ālai ana/pani ana i nā hōʻailona ʻeha mai nā wāwae/ʻāʻī ma mua o ko lākou hiki ʻana i ka lolo.
💬 He aha nā hopena ʻaoʻao kikoʻī e hiki ke loaʻa i ka wā e lawe ai i kēia pila (Pamelor)?
ʻO ka pilikia nui me kēia pila (TCA) ʻo ia ka loaʻa ʻana o nā 'hopena anticholinergic'. ʻO ke ʻano kēia, ke lawe ʻoe iā ia, maloʻo loa kou waha, loaʻa iā ʻoe ka constipation, lilo kou ʻike i mea pōuliuli, a lilo ia i mea paʻakikī/ākea ke kahe ʻana o ka mimi (ʻoi aku hoʻi i nā kāne me ka prostate i hoʻonui ʻia). Eia kekahi, hiki iā ʻoe ke manaʻo i ka poniuniu a hāʻule i kou ala ʻana mai kahi moe me ka koke (orthostatic hypotension)!
ʻO Nortriptyline, kaumaha, olakino noʻonoʻo, lāʻau lapaʻau, nā antidepressants tricyclic, nā hopena ʻaoʻao, lāʻau lapaʻau
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