Ke manaʻo pinepine nei ʻoe i kahi kaumaha nui ma kou noʻonoʻo, ke kaumaha nui, a i ʻole ka nele loa o ka hoihoi i nā mea āu i hauʻoli ai ma mua? Ua kuhikuhi paha kāu kauka iā Nortriptyline e kōkua iā ʻoe. E hoʻokaʻawale kākou i kahi manawa e kūkākūkā ai i kēia lāʻau lapaʻau—he aha kāna hana, pehea e hoʻohana pono ai, a me nā hana palekana koʻikoʻi āu e pono ai e hoʻomanaʻo.
He aha ke ʻano o ka lāʻau lapaʻau ʻo Nortriptyline?
I nā huaʻōlelo maʻalahi, ʻo Nortriptyline kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha. Hilinaʻi kou lolo i ʻelua mau kemika koʻikoʻi, ʻo serotonin a me norepinephrine, e kōkua i ka hoʻoponopono ʻana i kou ʻano a me kou ʻano maikaʻi. Hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i nā pae o kēia mau kemika i loko o kou lolo, kahi e kōkua ai i ka hoʻopaʻa ʻana i kou ʻano. No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo Tricyclic Antidepressants (TCAs). I kekahi manawa, hiki i nā kauka ke kuhikuhi i kēia no nā kūlana olakino ʻē aʻe. Inā he mau hopohopo kāu, ʻo ke ala maikaʻi loa ke kamaʻilio pololei me kāu kauka a kauka lāʻau paha ma Nirogi Lanka.
ʻO nā inoa lama maʻamau no kēia lāʻau lapaʻau ʻo Aventyl lāua ʻo Pamelor, ʻoiai aia kekahi mau inoa lama ʻē aʻe.
He aha kāu e kūkākūkā ai me kāu 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 e pono ai kāu kauka e ʻike e hoʻoholo ai inā palekana a kūpono kēia lāʻau lapaʻau iā ʻoe. E ʻoluʻolu e nānā inā pili kekahi o kēia mau mea iā ʻoe:
- Loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka maʻi Bipolar .
- Loaʻa iā ʻoe kahi maʻi puʻuwai i ʻike ʻia ʻo Brugada syndrome .
- He paʻakikī kou mimi ʻana.
- Ua loaʻa iā ʻoe ka Glaucoma (kahi maʻi maka).
- Loaʻa iā ʻoe kekahi maʻi puʻuwai ʻē aʻe.
- Ke inu nei ʻoe i ka waiʻona .
- He maʻi akepaʻa kou.
- Loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me Schizophrenia .
- Loaʻa iā ʻoe kahi moʻolelo o ka hopu ʻana a i ʻole ka maʻi epilepsy.
- Loaʻa iā ʻoe kahi moʻolelo o nā manaʻo pepehi kanaka, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka , a inā paha he moʻolelo like kēlā o kekahi o kou ʻohana.
- Loaʻa iā ʻoe ka maʻi thyroid .
- Ua loaʻa iā ʻoe kahi hopena maʻi i ka Nortriptyline, nā lāʻau lapaʻau Tricyclic ʻē aʻe, a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Ua hāpai ʻoe a ke hoʻolālā nei paha e hāpai.
- Ke hānai waiū nei ʻoe.
Inā pili kekahi o kēia mau mea, e ʻoluʻolu e haʻi pololei a e kaʻana like i kēia ʻike me kāu kauka.
Pehea e lawe pono ai i kēia lāʻau?
E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka. Inā ʻoe e hoʻohana ana i kahi ʻano wai, e hoʻohana i kahi puna ana a i ʻole ke kīʻaha ana i hāʻawi kūikawā ʻia. Mai hoʻohana i nā puna kīhini maʻamau o ka hale, no ka mea, ʻaʻole lākou e hāʻawi i ka dosage pololei. Inā nele ʻoe i kahi mea ana, e noi i kāu kauka lāʻau no hoʻokahi. E hoʻopaʻa i ka nui a hoʻonohonoho i ka manawa a kāu kauka i hāʻawi ai. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia a lawe pinepine paha ma mua o ke kuhikuhi ʻana.
He mea nui hoʻi ʻaʻole ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO ka hana ʻana pēlā e alakaʻi ai i nā hōʻailona haʻalele koʻikoʻi a i ʻole e hoʻonui i kou kūlana.
E hāʻawi kāu kauka lāʻau i kahi Alakaʻi Lāʻau Lapaʻau (MedGuide) me kāu palapala kauoha. E hōʻoia e heluhelu pono i kēia i kēlā me kēia manawa āu e kiʻi ai i kāu lāʻau lapaʻau, me nā hoʻopihapiha.
Inā hāʻawi ʻia kēia lāʻau lapaʻau i kahi keiki, e kūkākūkā pono me kāu kauka e hōʻoia i ka mālama kūikawā.
ʻO ka mea nui loa: Ua kuhikuhi kūikawā ʻia kēia lāʻau lapaʻau nou. Mai kaʻana like me kekahi poʻe ʻē aʻe ma kekahi ʻano.
He aha e hana ai inā he overdose?
Inā kānalua ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a inā ua lawe hewa kekahi iā ia, e kāhea koke i nā lawelawe ulia pōpilikia (911) a i ʻole e kelepona i ka ʻoihana ulia pōpilikia kokoke loa. He ulia pōpilikia lapaʻau kēia.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
Inā ʻoe e poina i kahi mahele lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe i hoʻonohonoho ʻia, e kāpae i ka mahele lāʻau i poina a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi mahele lāʻau pālua e hoʻopiha ai i kahi i poina , no ka mea hiki i kēia ke hana i nā pilikia ʻino.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau?
Pono kēia i ka mālama pono ʻana. ʻO ka lawe ʻana iā Nortriptyline me kekahi mau lāʻau lapaʻau ʻē aʻe hiki ke hana i nā pilina maikaʻi ʻole. Pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai, me nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai, a me kekahi paka, ka waiʻona, a i ʻole ka hoʻohana ʻana i nā mea ʻino.
Mai lawe pū me Nortriptyline i kēia mau lāʻau lapaʻau:
Inā ʻoe e hoʻohana nei i kēia mau mea, he mea palekana ʻole ka lawe ʻana iā Nortriptyline; e ʻoluʻolu e kūkākūkā i kēia me kāu kauka:
- ʻO Cisapride
- ʻO Dronedarone
- Linezolid
- ʻO nā MAOI (e laʻa me Carbex, Eldepryl, Marplan, Nardil, a me Parnate)
- Methylene blue (i ka wā e lawelawe ʻia ai ma ke ʻano intravenous)
- Pimozide
- ʻO Thioridazine
Nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hana i nā pilina:
Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Nortriptyline. E ʻoluʻolu e hoʻomaopopo i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau mea:
- ʻAila
- ʻO nā antihistamines (hoʻohana pinepine ʻia no nā maʻi allergies, coughs, a i ʻole anu)
- ʻAtropine
- Nā lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi, e like me ka oxybutynin a i ʻole tolterodine
- ʻO nā antidepressants ʻē aʻe, e like me amitriptyline, fluoxetine, a i ʻole sertraline
- Nā lāʻau lapaʻau no ka maʻi Parkinson, e like me benztropine a i ʻole trihexyphenidyl
- Nā lāʻau lapaʻau gastrointestinal, e like me dicyclomine a i ʻole hyoscyamine
- Nā lāʻau lapaʻau no ka maʻi neʻe, e like me scopolamine
- Chlorpropamide
- ʻO Cimetidine
- ʻIpratropium
- ʻO nā lāʻau lapaʻau e hiki ke hoʻopilikia i ka puʻuwai puʻuwai (nā mea e hoʻolōʻihi i ka wā QT), e like me ka dofetilide
- ʻO nā lāʻau lapaʻau e hoʻoulu ai i ka maʻi Serotonin, e like me St. John's Wort, fentanyl, lithium, tramadol, tryptophan, buspirone, a me nā lāʻau migraine e like me sumatriptan a i ʻole rizatriptan
- Kuinidina
- ʻO Reserpine
- Nā lāʻau lapaʻau thyroid
ʻAʻole kēia papa inoa piha. E hāʻawi mau i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau, nā mea hoʻohui lāʻau lapaʻau, a me nā huahana ma luna o ke kauka āu e lawe nei.
He aha kāu e pono ai e noʻonoʻo i ka wā e lawe ana i kēia lāʻau?
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, pono ʻoe a me kou ʻohana e nānā i kēia mau mea:
- E nānā i kāu mau hōʻailona: Inā ʻaʻole hoʻomaikaʻi a ʻike ʻia paha e ʻoi aku ka ʻino o kāu mau hōʻailona kaumaha, e kelepona koke aku i kāu kauka. Hiki ke hala kekahi mau pule e ʻike i ka hopena piha o kēia lāʻau lapaʻau, no laila e ʻoluʻolu e hoʻomau i ka lawe ʻana e like me ke kauoha.
- Nā manaʻo pepehi kanaka: He hopohopo koʻikoʻi kēia. Inā ʻike ʻoe a i ʻole kou ʻohana i nā manaʻo pepehi kanaka hou a i ʻole ka ʻino ʻana, a i ʻole nā loli koke o ke ʻano—e like me ka hopohopo nui, ka hoʻonāukiuki, nā hoʻouka kaua panic, ka huhū, ka ʻenemi, ka impulsivity, ka hoʻomaha ʻole, ka hyperactivity, a i ʻole ka paʻakikī o ka hiamoe—e kelepona koke aku i kāu kauka. He mea nui loa kēia i nā pule mua o ka lāʻau lapaʻau a i ʻole ma hope o ka hoʻololi ʻana i ka lāʻau.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe a i ʻole ka poniuniu. A hiki i kou ʻike ʻana i kona hopena iā ʻoe, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini kaumaha, a i ʻole ka hana ʻana i nā hana e pono ai ka noʻonoʻo piha. Inā he kanaka makua ʻoe, e pale i ke kū ʻana a i ʻole ka noho ʻana i luna me ka wikiwiki e hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- ʻAila: Hiki i ka ʻaila ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. E pale i ka inu ʻana i ka ʻaila i ka wā e lawe ana i kēia lāʻau.
- Nā lāʻau lapaʻau no ke kuni a me ke anu: Mai kūʻai i nā lāʻau lapaʻau no ke kuni, ke anu, a i ʻole nā lāʻau allergy mai kahi hale kūʻai lāʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka, no ka mea, hiki i kekahi mau mea hoʻohui ke hana i nā pilina weliweli me Nortriptyline.
- Waha maloʻo: He hopena maʻamau kēia. Hiki iā ʻoe ke hoʻokele iā ia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā kinikini paʻakikī ʻaʻohe kō, a i ʻole ka inu pinepine ʻana i ka wai. Inā hoʻomau kēia a lilo paha i mea koʻikoʻi, e kamaʻilio me kāu kauka.
- Nā maka maloʻo a me ka ʻike pōwehiwehi: Hiki iā ʻoe ke ʻike i ka maloʻo o ka maka a i ʻole ka pōwehiwehi iki. Inā ʻoe e komo i nā aniani hoʻopili, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole. Hiki i nā kulu maka lubrication ke hāʻawi i ka hōʻoluʻolu. Inā hoʻomau kēia mau pilikia a i ʻole he koʻikoʻi, e nīnau i kāu kauka maka.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. E hoʻāʻo e mālama i kahi hana maʻamau o ka ʻōpū. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū i ʻekolu lā, e kelepona i kāu kauka.
- ʻIke i ka lā: Hiki i kou ʻili ke lilo i mea ʻike nui i ka lā. E pale i ka hoʻopili pololei ʻana, e ʻaʻahu i nā lole pale, e hoʻohana i nā aniani maka, a e kau i ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning.
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 nā hopena ʻaoʻao. He koʻikoʻi kekahi a pono e mālama koke ʻia e ke kauka, aʻo kekahi ʻaʻole ʻoi aku ka koʻikoʻi akā pono e hōʻike ʻia inā hoʻomau a hoʻopilikia paha.
E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe:
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hele i ka ʻoihana pilikia kokoke loa a kāhea koke aku i nā lawelawe pilikia.
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, a i ʻole 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, a paʻakikī paha ka hanu ʻana.
- Nā Hōʻailona o ka maʻi Serotonin: Ka huhū, ka huikau, ka puʻuwai wikiwiki a ʻano ʻole paha, ka ʻoʻoleʻa a i ʻole ka ʻūlū ʻana o nā ʻiʻo, ka hou nui, ke kuni nui, ka hopu ʻana, ka haʻalulu, ka luaʻi ʻana, a i ʻole ka maʻi pākī.
- Nā ʻōʻili.
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike: E like me ka ʻike pōwehiwehi, ka ʻike ʻana i nā halo a puni nā kukui, a i ʻole ka nalowale o ka ʻike.
- Nā manaʻo pepehi kanaka, nā manaʻo no ka hōʻeha ʻana iā ia iho, nā loli nui o ka naʻau, a i ʻole ke kaumaha e hoʻonui ana.
- Paʻakikī i ka mimi ʻana.
Nā hopena ʻaoʻao maʻamau (ʻaʻole pono ka mālama koke ʻana, akā e hoʻomaopopo i kāu kauka inā hoʻomau lākou):
Hoʻomaikaʻi pinepine kēia mau hopena ʻaoʻao i ka hala ʻana o ka manawa. Eia nō naʻe, inā hoʻomau lākou e hoʻopilikia iā ʻoe, e ʻoluʻolu e kelepona i kāu kauka no ke alakaʻi.
- Nā loli i ka makemake a i ʻole ka hana moekolohe.
- Ka ʻōpū paʻa.
- Pōʻai.
- Hiamoe.
- Waha maloʻo.
- Nā haʻalulu a i ʻole ka haʻalulu ʻana.
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e ʻoluʻolu e nīnau i kāu kauka no ke alakaʻi. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA ma ke kelepona ʻana i ka 1-800-FDA-1088.
Pehea e mālama ai i kēia lāʻau lapaʻau?
He mea nui ka mālama pono ʻana i mea e mau ai ka maikaʻi o ka lāʻau.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki. He mea koʻikoʻi kēia, no ka mea, hiki i ka ʻai ʻia ʻana ke alakaʻi i nā pilikia olakino koʻikoʻi.
- E mālama i ka mahana o ka lumi (ma waena o 15°C a 30°C a i ʻole 59°F a 86°F).
- E pani pono i ka ipu.
- E pale mai ka mālamalama. E pale i nā wahi i hōʻike ʻia i ka lā pololei a i ʻole ka mālamalama ikaika loa.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku i nā lāʻau lapaʻau i pau ka lā me ka palekana.
E ʻoluʻolu e hoʻomanaʻo he hōʻuluʻulu manaʻo wale nō kēia pepa a ʻaʻole paha e loaʻa nā kikoʻī āpau. Inā he mau nīnau hou aku kāu e pili ana i kāu lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola ma Nirogi Lanka.
Nā hoʻomanaʻo koʻikoʻi hope loa
He lāʻau lapaʻau waiwai nui ʻo Nortriptyline no nā kūlana e like me ke kaumaha, akā pono e hoʻohana pono ʻia.
- E hahai pono i nā kuhikuhi a kāu kauka. E lawe iā ia i ka nui a me ka manawa i kuhikuhi ʻia.
- E haʻi i kāu kauka i nā lāʻau lapaʻau a me nā mea hoʻopihapiha ʻē aʻe āu e lawe nei e pale aku i nā pilina pili lāʻau.
- E nānā i nā hopena ʻaoʻao. E kelepona koke aku i kāu kauka inā ʻike ʻoe i kekahi mea ʻē.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau. ʻO ka hana ʻana pēlā me ke alakaʻi ʻole ʻia e ke kauka hiki ke alakaʻi i nā pilikia.
- Inā he mau hopohopo a hopohopo paha kou, e kamaʻilio me kāu kauka. Mai hūnā i kou hopohopo iā ʻoe iho.
Makemake mākou iā ʻoe e ho'ōla koke!
👩🏽⚕️ Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Nortriptyline (Pamelor)?
Ua hoʻomohala mua ʻia e mālama i ke kaumaha nui (kahi antidepressant tricyclic a i ʻole TCA), hoʻohana pinepine nā kauka i kēia lāʻau lapaʻau e mālama i ka ʻeha neuropathic mau loa (e like me ka ʻeha aʻalolo maʻi diabetes) a ma ke ʻano he lāʻau pale no ka migraines hou.
💬 Pehea e kōkua ai ʻo Nortriptyline i ka ʻeha o ke aʻalolo a me nā migraines?
Hana ia ma kāu ʻōnaehana nerve ma ka hoʻonui ʻana i nā pae o ka serotonin a me ka norepinephrine i loko o ka lolo. Kōkua kēia mau kemika i ka hoʻololi ʻana i nā ala ʻeha e iho ana i loko o ke kaula spinal, e pale pono ana i nā hōʻailona ʻeha ma mua o ko lākou hiki ʻana i kou lolo.
💬 He aha nā hopena ʻaoʻao maʻamau o Pamelor?
Ma ke ʻano he TCA, ʻo nā hopena anticholinergic maʻamau e komo pū me ka waha maloʻo, ka paʻa ʻana o ka ʻōpū, ka ʻike maka pohihihi, a me ka paʻakikī o ka mimi (ʻoi aku hoʻi i nā kāne me ka prostate i hoʻonui ʻia). Hiki iā ia ke hana i ka hypotension orthostatic, hiki ke alakaʻi i ka poniuniu a hāʻule paha i ke kū koke ʻana.
Nā huaʻōlelo: Nortriptyline, kaumaha, olakino noʻonoʻo, lāʻau lapaʻau, nā antidepressants tricyclic, nā hopena ʻaoʻao, nā lāʻau lapaʻau
