Sɔntɛnde, i nɔrmal fɔ fil bad, wɔri, ɔr nɔr want fɔ du ɛnitin. Dis kin bi wan sik wae de mɛk pɔrsin fil bad wae dɛn kɔl pwɛl hat. So if yu dɔktɔ dɔn gi yu wan mɛrɛsin we dɛn kɔl Citalopram fɔ dis sik, yu kin fred smɔl ɛn want fɔ no bɔt am. Yu kin gɛt bɔku kwɛstyɔn lɛk "Wetin go apin wit dis?", "Ɛni sayd ɛfɛkt de?". Na dat mek a kam wit dis diskripshɔn tide fɔ ansa ɔl dɛn kwɛstyɔn dɛn de. Lɛ wi tɔk bɔt dis mɛrɛsin simpul ɛn klia wan.
Wetin na Citalopram?
Fɔ tɔk am simpul wan, Citalopram na mɛrɛsin wae dɛn kin yuse fɔ trit pɔrsin in maynd lɛk pwɛl hat. Lɛ wi ɔndastand wetin dis de du.
Imajin se smɔl mɛsenja de insay wi bren we de ɛp wi fɔ fil gladi, kol at, ɛn fɔ fil fayn. I nem na sɛrotonin. Insay tin dɛm lɛk pwɛl hat, di wok we dis mɛsenja we dɛn kɔl sɛrotonin de du kin ambɔg. Wetin Citalopram de du na fɔ mek di lɛvɛl we di sɛrotonin de na di bren go ɔp ɛn mek yu fil fayn.
Dis mɛrɛsin de pan wan klas we dɛn kɔl SSRI (Selective Serotonin Reuptake Inhibitor) . Pan ɔl we di nem kɔmplikt smɔl, i de tɔk bɔt di sem tin we a bin dɔn tɔk bɔt, we na fɔ mek di sɛrotonin lɛvɛl go ɔp. Sɔntɛnde, dɔktɔ dɛn kin gi dis mɛrɛsin fɔ ɔda sik dɛn bak.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Pan ɔl we Citalopram na mɛrɛsin we rili sef, i kin miks wit ɔda mɛrɛsin dɛn we yu kin gɛt. So, bifo yu bigin dis mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn sik ya:
| Ɛni mɛrɛsin we yu ɔ pɔsin na yu famili gɛt | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| Bipola muud disɔda ɔr famili histri | Sɔntɛnde dis mɛrɛsin kin mek di sik we dɛn kɔl bipolar disorder wɔs, so fɔ no di sik fayn fayn wan rili impɔtant. |
| Blɔd prɔblɛm ɔ fɔ tek mɛrɛsin we de mek blɔd nɔ klɔt | Citalopram kin mek yu gɛt blɔd smɔl, so i impɔtant fɔ tɛl yu dɔktɔ bɔt dis sik. |
| Wan histri bɔt at sik ɔr at bit nɔr de bit ɔltɛm | Sɔmtɛm, dis mɛrɛsin kin afɛkt di at ritm, so i impɔtant fɔ no bɔt at sik. |
| Glaukoma kɔndishɔn we pɔsin kin gɛt | Dis kin afɛkt glaukoma, we na wan sik we kin mek di yay prɛshɔn go ɔp. |
| Liva ɔ kidni sik | Dɛn sik ya kin afɛkt di we aw dɛn kin pul di mɛrɛsin na di bɔdi, so i kin nid fɔ chenj di doz. |
| Di smɔl smɔl magnɛsiɔm ɔ potashɔm na di blɔd | Dis impɔtant fɔ no, bikɔs i kin afɛkt di at rit. |
| Bikɔs i bin dɔn gɛt sik dɛn we de mek pɔsin sik bifo | Pan ɔl we dis mɛrɛsin nɔ kin bɔku, i kin afɛkt di risk fɔ mek pɔsin gɛt sik. |
| If yu ɔ sɔmbɔdi na yu famili dɔn tink bɔt fɔ kil dɛnsɛf | Dis rili impɔtant. Di dɔktɔ fɔ tek tɛm mɔ bɔt dis. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | I impɔtant fɔ go to dɔktɔ bifo yu tek ɛni mɛrɛsin we yu gɛt bɛlɛ. |
| If yu na mama we de gi pikin in bɛlɛ | di tin dεm we de insay di mεdikal kin pas to di pikin tru in mama in milk, so i impɔtant fכ tכk to yu dכkta. |
| If yu gɛt alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Dis impɔtant fɔ kɔnfɔm if yu gɛt alɛji to Citalopram ɔ ɛni wan pan di tin dɛn we de insay. |
Aw a fɔ tek di mɛrɛsin?
Di we aw fɔ yuz dis mɛrɛsin rili simpul, bɔt i rili impɔtant fɔ fala di instrɔkshɔn dɛn kɔrɛkt wan.
- Swɛla di kapsul ɔl wit wan glas wata.
- Nɔ brok, krɔs, ɔ chew di kapsul.
- Yu kin tek dis wit it ɔ yu nɔ it am.
- Gɛt di abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Da we de, yu nɔ go fɔgɛt ɛn yu kin kip di mɛrɛsin lɛvɛl na yu bɔdi kɔnsistɛns.
Di tin we impɔtant pas ɔl na dat, nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm pas yu dɔktɔ tɛl yu fɔ tek am. If yu du dat, i kin mek yu nɔ fil fayn ɛn i kin mek yu sik wɔs.
Speshal okasiɔn dɛn
- Pikin dɛn: If dɛn gi dis mɛrɛsin to yɔŋ pikin dɛn, dɛn nid fɔ gɛt spɛshal sɔpɔt frɔm dɔktɔ.
- Pipul dɛn we dɔn pas 60 ia: Di dɔktɔ kin gi dɛn di mɛrɛsin we smɔl bikɔs di bɔdi kin du difrɛn tin pan pipul dɛn we dɔn ol.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, dat na, pas di doz we dɛn tɛl yu fɔ tek, nɔ tek am layt. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i rili nia yu nɛks doz (e.g., na fɔ sɔm awa nɔmɔ), skip di doz we yu mis ɛn tek di nɛks doz lɛk aw dɛn dɔn sɛtul am. Nɔ ɛva tek tu dos wan tɛm.
Ɔda mɛrɛsin dɛm wae kin intarakt wit Citalopram (Interactions) .
Ɔda mɛrɛsin dɛm wae yu de tek kin intarakt wit Citalopram. Dis kin mek yu gɛt sayd ɛfɛkt ɔ chenj di we aw di mɛrɛsin de wok. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
| Mɛrɛsin dɛm wae nɔr fɔ ɛva tek togɛda wit Citalopram | |
|---|---|
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| Tin dɛm fɔ yuz wit kɔt ɛn tin dɛm wae kin mek yu gɛt intarakshɔn | |
| Rum | I kin mek yu slip ɛn diziz mɔ ɛn mɔ. I bɛtɛ fɔ lɛ yu nɔ drink rɔm we yu de tek dis mɛrɛsin. |
| NSAID (dɛn mɛrɛsin dɛn we de mek pɔsin fil pen) . | Mɛrɛsin dɛn lɛk Ibuprofen, Naproxen, ɛn Aspirin. Dɛn tin ya kin mek yu gɛt mɔ blɔd we yu tek am wit Citalopram. |
| Antikoagulant we de mek pɔsin rɔtin | Mɛrɛsin dɛn lɛk Warfarin, Dalteparin, Enoxaparin. Di risk fɔ blɔd kin rili bɔku. |
| Mɛrɛsin fɔ ɔda mental sik dɛn | Ɔda mɛrɛsin wae de mek pɔrsin fil bad lɛk lithium kin mek pɔrsin gɛt sɛrotonin syndrome wae dɛn tek am togɛda. |
| Sɔm anti-infɛkshɔn ɛn anti-fɔngal | Mɛrɛsin dɛn lɛk Klarithromycin ɛn Ketoconazole. |
| Sɔm sɔpɔtmɛnt dɛn | Ɛrbal supamakit dɛn lɛk Sɛnt Jɔn wɔt. |
Dis list nɔ kɔmplit. So, tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, ɔyl, ɛn vaytamɛn we yu de tek.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- I impɔtant fɔ peshɛnt: I kin tek sɔm wik (maybe 4-6) fɔ si di ful ifɛkt dɛm fɔ dis mɛrɛsin. So nɔr stɔp fɔ tek am jɔs bikɔs yu nɔr de fil bɔrku difrɛns insay di fɔs dez. Nɔ panik, ɛn kɔntinyu fɔ yuz am lɛk aw yu dɔktɔ dɔn tɛl yu.
- Mɛdikal tɛst: Go na di klinik dɛn ɔltɛm lɛk aw yu dɔktɔ tɛl yu ɛn chɛk yu kɔndishɔn.
- Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf: Dis rili impɔtant. Pe atɛnshɔn gud wan if yu de tink bɔt fɔ kil yusɛf ɔr pwɛl hat kin wɔs , mɔr lɛk wae yu fɔs bigin fɔ tek dis mɛrɛsin ɔr afta yu dɔn chenj yu doz. If yu gɛt chenj kwik kwik wan na yu maynd ɔr bihayvya (e.g., yu de agyu, yu de vɛks, yu nɔr de rɛst), tɛl yu dɔktɔ ɔr pɔrsin wae yu kin trɔst wantɛm wantɛm.
- Drayv ɛn yuz mashin: Dis mɛrɛsin kin mek yu nɔ de wach ɛn nɔ spɛn bɔku tɛm fɔ du sɔntin. I kin mek pɔsin slip ɛn in ed kin tɔn. So , nɔ drayv ɔ yuz mashin dɛn we denja te yu no aw dis kin afɛkt yu.
- Dray mɔt: Dray mɔt na kɔmɔn sayd ɛfɛkt. If yu chef gɔm we nɔ gɛt shuga, sok kandy, ɛn drink smɔl wata ɔl di de, dat kin ɛp yu.
Lɛ wi lan bɔt di bad tin dɛn we kin apin to wi.
Lɛk ɔl di mɛrɛsin dɛn, Citalopram kin mek yu gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm na smɔl smɔl tin dɛn, ɛn ɔda wan dɛn nid fɔ pe atɛnshɔn to dɛn wantɛm wantɛm.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Blɔd we nɔ de kɔmɔt fayn | Blak stɔl, vɔmit we tan lɛk kɔfi grɔn, rɛd/dak brawn urine, rɛd/pɔpul spat na di skin, ɛn brus we yu nɔ ɛksplen. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔr nɔr de bit ɔltɛm, yu ed de tɔn, yu de fil lɛk yu nɔr de fil fayn, yu de fil pen na yu chɛst. |
| Sɛrotonin Sindrɔm we pɔsin kin gɛt | Kɔnfyushɔn, agyumɛnt, swet pasmak, fiva, mɔsul dɛn we stif ɔ shek, vɔmit, dayarɛa. |
| Di sodium lɛvɛl we de na di blɔd we de go dɔŋ | Mɔsul dɛn wik, taya pasmak, ed we de at, kɔnfyushɔn. |
| Vishɔn kin chenj | Ay pen wantɛm wantɛm, yu nɔ de si fayn, yu de si ring dɛn rawnd layt dɛn. |
| Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf | Tin fɔ tink bɔt fɔ du bad to yusɛf, fɔ mek yu maynd wɔs. |
| Kɔmɔn sayd ɛfɛkt dɛm wae yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu: | |
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If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, tɔk to yu dɔktɔ bɔt dɛn bak.
Aw yu fɔ kip yu mɛrɛsin?
- Kip am na say we sef usay pikin dɛn ɛn animal dɛn we dɛn kin mɛn nɔ go ebul fɔ rich .
- Stɔr am na rum tɛmpracha (20-25°C) , fa frɔm dairekt san layt ɛn wet pasmak.
- Nɔ yuz mɛrɛsin we dɔn pas di de we i fɔ dɔn .
- Aks yu dɔktɔ bɔt aw fɔ trowe di mɛrɛsin dɛn we yu nɔ want ɔ we dɔn pas fayn fayn wan. Fɔ flash dɛn dɔŋ di tɔylɛt ɔ put dɛn na di dɔti nɔ kin fayn ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Citalopram na SSRI mɛrɛsin wae dɛn kin yuse fɔ pwɛl hat. I de mek di sɛrotonin lɛvɛl na di bren go ɔp, ɛn dis de mek yu fil fayn.
- Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm fɔ ɛni rizin we yu dɔktɔ nɔ gi yu advays.
- Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek.
- Yu fɔ no bɔt ɛni chenj na yu maynd ɔr yu de tink bɔt fɔ kil yusɛf, mɔr lɛk di fɔs wik dɛm wae yu de tek di mɛrɛsin. If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
- I kin tek sɔm wiks fɔ fil di ful ifɛkt we di mɛrɛsin gɛt, so peshɛnt ɛn kɔntinyu fɔ yuz am.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis mɛrɛsin, nɔ kip am to yusɛf, bɔt tɔk to yu dɔktɔ opin wan.
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