Yu dɔktɔ dɔn gi yu ɔ sɔmbɔdi na yu famili wan mɛrɛsin we dɛn kɔl Klɔmipramin? If na so, yu go mɔs gɛt bɔku kwɛstyɔn bɔt dis mɛrɛsin. Yu kin de wɔnda tin dɛm lɛk, "Wetin ɛksaktɔli dis de du?", "Wetin na di sayd ɛfɛkt dɛm?", "Wetin na di tin dɛm fɔ tek tɛm wit we yu de yuz am?" Nɔ wɔri, wi go tɔk bɔt ɔl dis na simpul ɛn fayn we tide.
Us kayn mɛrɛsin na Klɔmipramin?
Fɔ tɔk am simpul wan, klomipramin na wan impɔtant mɛrɛsin we dɛn kin yuz fɔ mɛn Obsessive-Compulsive Disorder (OCD) , we na wan sik we pɔsin kin gɛt na in maynd we pɔsin kin tink bɔt ɔltɛm ɛn we kin mek i want fɔ du di sem tin. Sɔntɛnde, dɔktɔ dɛn kin gi am bak fɔ ɔda tin dɛn we gɛt fɔ du wit pɔsin in maynd.
Dis mɛrɛsin de pan wan klas ɔf drɔgs we dɛn kɔl tricyclic antidepressants (TCA) . Sɔm kemikal dɛn (nyurotransmita) we wi kin gɛt na wi bren kin ɛp fɔ kɔntrol di we aw wi de fil. Dis mɛrɛsin de wok bay we i de balans di lɛvɛl dɛn fɔ dɛn kemikal ya, we dɛn kɔl sɛrotonin ɛn norepinephrine, ɛn i de ɛp fɔ kɔntrol di OCD simptom dɛm. Na Sri Lanka, sɔmtɛm yu kin fɛn dis mɛrɛsin ɔnda di brand nem Anafranil.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin fɔ tek klomipramin, i rili impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn. Mek shɔ se yu tɛl dɛn if yu gɛt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya.
- If yu gɛt adikshɔn to rɔm .
- Asma ɔ ɔda tin dɛn we nɔ kin izi fɔ yu fɔ blo .
- Ɔda tin dɛn we kin mek pɔsin gɛt maynd prɔblɛm, lɛk bipolar disorder ɔr schizophrenia .
- I nɔ izi fɔ pis ɔ prɔblɛm wit prɔstat.
- Glaukoma na wan sik we de ambɔg di yay.
- If yu gɛt at sik ɔ yu bin dɔn gɛt at atak bifo.
- Sik dɛn we de na di liva .
- If yu gɛt tayroyd we de wok pasmak.
- If yu gɛt sik we de mek yu gɛt sik .
- If yu gɛt tin dɛn we yu de tink bɔt fɔ du bad to yusɛf, yu de tink bɔt fɔ kil yusɛf, ɔ yu famili dɔn tink bɔt dɛn kayn tin dɛn de.
- If yu gɛt alɛji fɔ klomipramin ɔ ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ .
If yu gi yu dɔktɔ dis infɔmeshɔn, dat go ɛp am fɔ trit yu di bɛst we.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
- Tek dis mɛrɛsin wit wan glas wata.
- I bɛtɛ fɔ tek am wit it ɔ jɔs afta yu it fɔ mek yu bɛlɛ nɔ pwɛl.
- Tek di doz we dɛn tɛl yu fɔ tek di tɛm we yu dɔktɔ tɛl yu. Nɔ ɛva tek pas di mɔni we dɛn tɛl yu fɔ tek.
- Di tin we impɔtant pas ɔl: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, i kin mek yu gɛt sayn dɛn fɔ lɛf fɔ drink ɔ mek yu sik wɔs.
Dɛn kin gi pikin dɛn dis mɛrɛsin?
Yɛs, insay sɔm spɛshal kes dɛm, dɛn kin gi dis mɛrɛsin fɔ OCD to pikin dɛm we dɔn pas 10. Bɔt dɛn fɔ jɔs tek am wit big kia ɛn ɔnda dɔktɔ in sɔpɔtishɔn.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ pas di doz we dɛn tɛl yu fɔ tek, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm . Ɔ, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital. Dis na sɔntin we nɔ fɔ delay.
Wetin a go du if a mis wan doz fɔ mɛrɛsin?
Tek di doz we yu mis as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek dabl doz fɔ ɛni rizin.
Ɔda drɔgs dɛn we kin intarakt wit klomipramin (Drug Interactions) .
Dis na pat we rili impɔtant. Klomipramin na wan mɛrɛsin wae kin intarakt wit bɔrku ɔda mɛrɛsin dɛm. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul mɛrɛsin dɛn.
| Nɔ tek klomipramin wit dɛn mɛrɛsin ya! | |
|---|---|
| Cisapride we dɛn kɔl Cisapride | Dronedarone we gɛt di sik |
| Linezolid we dɛn kɔl | Pimozayd we dɛn kɔl Pimozide |
| Tioridazin we dɛn kɔl Tioridazin | Methylene blu (we dɛn kin put insay di bɛlɛ) . |
| MAOI drɔgs: lɛk Kabɛks, Ɛldepril, Maplan, Nardil, Parnate. | |
| Dɛn mɛrɛsin ya kin intarakt bak wit klomipramin (tɛl yu dɔktɔ). | |
|---|---|
| Mɛrɛsin fɔ alɛji, kɔf, ɛn kol | Sɔm mɛrɛsin fɔ blɔd prɛshɔn ɛn at sik |
| Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn maygren | Mɛrɛsin fɔ slip ɛn wɔri |
| Di tin dɛn we dɛn kin yuz fɔ mɛn pen (especially nakotiks) . | Ɔda mɛrɛsin wae de mɛk pɔrsin fil bad ɔr mɛrɛsin fɔ pɔrsin wae gɛt maynd sik |
| Mεdikeshכn dεm we dεn gi fכ fit (e.g. Phenobarbital, Phenytoin) . | Blɔd tin dɛn lɛk Warfarin |
| Digoksin, Litiɔm, Simɛtidin, Halopɛridɔl | Sɔm drɔgs dɛn we dɛn kin yuz fɔ anestesia we dɛn de du ɔpreshɔn |
Tin dɛn we yu fɔ tink bɔt we yu de tek di mɛrɛsin
- Mud chenj: Sɔm pipul kin gɛt chenj na dɛn maynd we dɛn fɔs bigin fɔ tek dis mɛrɛsin ɔr we dɛn chenj di doz. If yu gɛt nyu ɔr de wɔs sayn lɛk wae yu de fil bad pasmak, yu de fil bad, yu nɔr de rɛst, yu nɔr de slip fayn, ɔr yu de tink bɔt fɔ kil yusɛf , tɛl yu dɔktɔ ɔr famili wantɛm wantɛm.
- Drowsiness ɛn diziz: Dis mɛrɛsin kin mek yu fil fɔ slip ɛn diziz. So , nɔ du tin dɛn we nid fɔ de wach, lɛk fɔ drayv ɔ fɔ yuz mashin, te yu no aw dis mɛrɛsin de afɛkt yu.Fɔ mek yu nɔ gɛt diziz ɛn fɔdɔm, mɔ if yu na ol pɔsin, du am sloslo we yu sidɔm frɔm tinap ɛn we yu grap frɔm sidɔm.
- Alkol: Nɔ drink rɔm ɔltogɛda we yu de tek klomipramin. Rɔm kin mek di mɛrɛsin gɛt mɔ bad bad tin dɛn.
- Dray mɔt: Dray mɔt na kɔmɔn sayd ɛfɛkt. Yu kin kɔntrol dis bay we yu de it gɔm we nɔ gɛt shuga, we yu de garg, ɛn drink bɔku wata.
- Ifekt pan di yay: Dray yay, blurred vishɔn, ɛn ɔda tin dɛn kin apin. Di wan dɛn we de wɛr kɔntakt lens kin gɛt prɔblɛm. Dɛn kin yuz drɔp dɛn we dɛn kin yuz fɔ rɔb. If di prɔblɛm kɔntinyu, go to dɔktɔ we de mɛn yu yay.
- Kɔnstipɛshɔn: Dis mɛrɛsin kin mek pɔsin gɛt kɔnstipɛshɔn. Tray fɔ gɛt bɔdi muvmɛnt at le wan tɛm ɛvri 2-3 dez. If yu nɔ gɛt bɔdi afta 3 dez, kɔl yu dɔktɔ.
- San sɛnsitiviti: Dis mɛrɛsin kin mek yu skin sɛnsitiv to san layt. So, if yu go de na di san, wɛr klos we de kɔba yu skin ɛn yuz tin fɔ protɛkt yusɛf frɔm di san.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, klomipramin kin mek pɔsin gɛt sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt am.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Sɛrotonin Sindrɔm we pɔsin kin gɛt | Kɔnfyushɔn, at bit kwik kwik wan, mɔsul dɛn stif ɔ twitch, swet pasmak, ay fiva, fit, vɔmit, dayarɛa. |
| Di chenj dɛn we de apin na di at ritm | Hat de bit fast ɔ nɔ de bit ɔltɛm, diziz, chɛst de pen, i nɔ izi fɔ blo. |
| Ɔda siriɔs sayn dɛn | Siz, yu yay de pen wantɛm wantɛm ɔ yu de si chenj, i nɔ izi fɔ pis, yu kin tink bɔt fɔ kil yusɛf. |
| Smɔl smɔl sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔ de mɔna am | |
| Prɔblɛm dɛn we kin apin | Mɔt dray, slip, diziz, kɔnstipɛshɔn, shek shek, we yu de gɛt bɔku bɔku wet, chenj pan di we aw yu want fɔ du mami ɛn dadi biznɛs ɔ di we aw yu de wok. |
Mɛsej we dɛn kin kɛr go na os
- Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, di rayt we ɛn di rayt tɛm.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin wantɛm wantɛm if yu nɔ gɛt dɔktɔ advays.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ivin di tradishɔnal mɛrɛsin dɛn we yu de tek.
- Wach fɔ siriɔs sayd ɛfɛkt (espɛshali chenj na yu maynd, alɛji, chenj na di at rit). If yu notis ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm.
- Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
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