Yu kin fil bak se yu de bost wit di wan ol wɔl fɔ wan ɔ tu wik bifo yu prɛgnɛshɔn bigin? Yu kin vɛks pan ivin di smɔl smɔl tin dɛn, yu kin kray fɔ natin, yu kin fil bad ɛn pwɛl at we yu nɔ go biliv? Sɔntɛnde, dɛn filin ya kin so bad dat yu nɔ kin ebul fɔ kɔntrol yusɛf? dis na di kכndyushכn we bכku bכku wan pas di כspitul ‘Premenstrual Syndrome - PMS’. Insay mɛrɛsin, wi kin kɔl dis ‘Premenstrual Dysphoric Disorder’ ɔ `(PMDD)’. So if dis `(PMDD)` kɔndishɔn de ambɔg yu ɛvride wok, wok, ɛn famili layf, dɔktɔ kin gi yu wan mɛrɛsin we dɛn kɔl `Fluoxetine` as sɔlv. Lɛ wi tɔk bɔt dis drɔg ditayli tide.
Fɔ tɔk am simpul wan, wetin na Fluoxetine?
`Fluoxetine` na wan drɔg we dɛn kin yuz fɔ trit `PMDD`. I de pan wan klas ɔf drɔgs we dɛn kɔl `SSRI` (Selective Serotonin Reuptake Inhibitors). Okay, naw yu go mɔs de wɔnda wetin dɛn wɔd ya min.
Jɔs tink bɔt am dis we. Kεmεkal dεm de na wi bren we de εp wi fכ kכmכnik bitwin di nεv sεl dεm. Wi kin kɔl dɛn tin ya ``Nyurotransmitta''. ``Serotonin'' na wan pan dɛn kayn kemikal ya. Dis ``Serotonin'' de ɛp bɔku fɔ kɔntrol wi mud, dat na, wi filin fɔ gladi, sɔri, ɛn kol at. Na dat mek sɔm pipul dɛn kin kɔl am bak di "happy hormone."
Dɛn biliv se uman dɛn we gɛt PMDD kin gɛt smɔl smɔl sɛrotonin bifo dɛn prɛgnɛshɔn. Na dat mek dɛn kin fil bad bad wan insay dɛn tɛm dɛn de. So, di mɛrɛsin Fluoxetine de wok bay we i de inkrisayz di amount of serotonin na di bren ɛn ɛp fɔ balans da lɛvɛl de. Dɔn, dɛn kin kɔntrol dɛn bad bad sayn dɛm lɛk pwɛl hat, vɛks, ɛn pwɛl hat.
Dɔktɔ dɛn kin advays dis mɛrɛsin nɔto fɔ PMDD nɔmɔ, bɔt fɔ ɔda mental wɛlbɔdi prɔblɛm dɛn lɛk pwɛl hat ɛn wɔri.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Fluoxetine nɔto drɔg we yu kin jɔs bay na famasi. Bifo yu yuz am, yu dɔktɔ fɔ no bɔt yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu ɔ ɛnibɔdi na yu famili gɛt ɛni wan pan dɛn tin ya:
Fɔ ayd dis infɔmeshɔn de put yu layf pan denja. So tɔk to yu dɔktɔ bɔt ɔltin klia wan.
- Mental hεlth prɔblɛm: If yu ɔr pɔrsin na yu famili gɛt bipola muud disɔda, ɔr if yu bin dɔn de tink, plan, ɔr tray fɔ kil yusɛf bifo, yu fɔ tɔk bɔt dis bak.
- Ɔda kayn drɔgs dɛn:Tɛl yu dɔktɔ if yu de tek mɛrɛsin naw we dɛn kɔl MAOI (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate). If yu tek dɛn tu mɛrɛsin ya togɛda, dat kin rili denja.
- Blɔd prɔblɛm: If yu de tek mɛrɛsin we de mek yu blɔd tan (e.g. Warfarin) ɔ if yu gɛt prɔblɛm wit blɔd.
- Ɔda tin dɛn we kin apin to pɔsin: At sik, liva sik, sik we de mek pɔsin sik, glaukoma, tayroyd sik, ɔ we sodium nɔ bɔku na di bɔdi.
- Alɛji: If yu gɛt alɛji fɔ Fluoxetine ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- Bεlε εn bεlε: If yu bεlε, yu de tray fכ bεlε, כ yu de gi bεlε, yu fכ rili tכk to yu dכkta bifo yu bigin dis mεdikeshכn.
Aw a fɔ yuz di mɛrɛsin?
Di we aw fɔ yuz dis mɛrɛsin rili simpul, bɔt i rili impɔtant fɔ fala di instrɔkshɔn dɛn kɔrɛkt wan.
1. Aw fɔ tek am: Dis mɛrɛsin kin kam lɛk kapsul ɔ tablɛt. Swɛla am wit wan glas wata. Yu kin tek am wit it ɔ yu nɔ it am. Bɔt if yu bɛlɛ at, i go fayn fɔ tek am wit it.
2. Di rayt tɛm: Tek di doz we dɛn gi yu ɛvride, di tɛm we yu dɔktɔ tɛl yu. Nɔ skip di tɛm.
3. Nɔ stɔp wantɛm wantɛm: Dis na di tin we impɔtant pas ɔl. Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, yu kin gɛt diskɔmfɔt lɛk fɔ gɛt diziz, ed we de at, ɛn nɔys. I kin mek yu PMDD simptom dɛn wɔs bak. If yu stɔp, yu fɔ du dat bay we yu de ridyus di doz smɔl smɔl lɛk aw yu dɔktɔ tɛl yu.
Wetin yu kin 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 dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz lɛk aw yu kin tek. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu mis.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Nɔ tek dis tin we nɔ impɔtant.
Ɔda drɔgs dɛn we kin intarakt wit Fluoxetine (Drug Interactions) .
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin, vaytamɛn, ɛn ɛbul prɔdak dɛm we yu de tek, bikɔs fluoxetine kin miks wit ɔda mɛrɛsin dɛm ɛn mek yu gɛt denja sayd ɛfɛkt.
| Riakshɔn tayp | Ɛgzampul dɛn ɛn diskripshɔn dɛn |
|---|---|
| Mɛrɛsin dɛn we dɛn nɔ fɔ ɛva tek togɛda | If yu tek dɛn mɛrɛsin ya togɛda wit Fluoxetine, dat kin mek yu layf de pan denja.
|
| Tin dɛm wae yu fɔ tek tɛm wit we yu de tek ɛn wetin fɔ tɛl yu dɔktɔ bɔt | Dɔktɔ in advays impɔtant bikɔs dɛn tin ya kin intarakt wit Fluoxetine.
Dis list nɔ kɔmplit, so tɛl yu dɔktɔ bɔt ɔltin we yu de tek. |
Tin dɛn we yu fɔ tek tɛm wit we yu de tek di mɛrɛsin
Yu fɔ no se di we aw yu de fil kin chenj.
Dis rili impɔtant. Smɔl risk de fɔ mek yu tink ɔ biev fɔ kil yusɛf mɔ ɛn mɔ we yu fɔs bigin fɔ tek mɛrɛsin lɛk Fluoxetine, mɔ pan yɔŋ pipul dɛn. So if yu ɔ pɔsin we yu sabi notis dɛn tin ya, tɔk to yu dɔktɔ wantɛm wantɛm.
- If yu fil lɛk yu sɔri-at ɛn pwɛl hat de bɔku mɔ ɛn mɔ.
- If yu fil se yu de wɔri, yu nɔ de rɛst, ɔ yu vɛks.
- If yu notis se yu de biev ɔ yu maynd chenj wantɛm wantɛm, bad bad wan.
I kin tek sɔm wiks fɔ mek dis mɛrɛsin bigin fɔ wok. So, nɔr wɔri if yu sik nɔr dɔn bɛtɛ smɔl. Kɔntinyu fɔ tek di mɛrɛsin lɛk aw yu dɔktɔ tɛl yu.
Ɔda tin dɛn we kin apin to pɔsin
- Fɔ slip ɛn diziz: Dis mɛrɛsin kin mek yu fil slip, gɛt prɔblɛm fɔ pe atɛnshɔn, ɔr kin mek yu ed de tɔn. So, nɔ drayv ɔ yuz mashin we denja te yu no aw dis mɛrɛsin de afɛkt yu.
- Dray mɔt: Yu kin fil lɛk se yu mɔt dɔn dray. If yu it gɔm we nɔ gɛt shuga ɛn drink mɔ wata, dat kin ɛp.
- Dayabitis: If yu gɛt dayabitis, dis mɛrɛsin kin afɛkt yu blɔd shuga, so tɔk to yu dɔktɔ bɔt am.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, Fluoxetine kin mek yu gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm pipul dɛn kin jɔs gɛt smɔl prɔblɛm. De impɔtant tin na fɔ no wetin na di siriɔs sayd ɛfɛkt dɛm ɛn wetin na di kɔmɔn sayd ɛfɛkt dɛm.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Riakshɔn dɛn we pɔsin kin gɛt we i gɛt alɛji | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Sɛrotonin Sindrɔm we pɔsin kin gɛt | Nɔ rɛst, kɔnfyushɔn, at bit kwik kwik wan, mɔsul dɛn stif ɔ twitch, swet pasmak, fiva, kɔnvulshɔn, vɔmit, dayarɛa. Dis na tin we rili denja. |
| Blɔd we nɔ de kɔmɔt fayn | Blak stɔl ɔ blɔd, rɛd/dak brawn urine, blɔd we de vɔmit, 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. |
| Prɔblɛm dɛn we gɛt fɔ du wit di yay | Ay pen wantɛm wantɛm, yu nɔ de si fayn, ɛn yu de si halo dɛn rawnd layt dɛn. |
| di sodium lεvεl dεm na di bכdi de dכn | Mɔsul dɛn wik, taya pasmak, ed we de at, kɔnfyushɔn. |
| Bɔku tɛm i nɔ kin siriɔs (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Nɔs, dayarɛa, bɛlɛ at. |
| Ɔda prɔblɛm dɛn we kin apin | Mɔt we de dray, ed we de at, we yu de swet pasmak, we yu nɔ de slip ɔ we yu de slip, we yu de shek shek, we yu de wɔri, we yu want fɔ du mami ɛn dadi biznɛs ɔ we yu de du tin chenj. |
Mɛsej we dɛn kin kɛr go na os
- Fluoxetine na fayn mɛrɛsin fɔ di siriɔs pwɛl hat sik wae dɛn kɔl PMDD. Na we dɔktɔ tɛl yu fɔ yuz am nɔmɔ.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛni mɛrɛsin we yu de tek bifo yu bigin fɔ tek di mɛrɛsin.
- Nɔ stɔp dis mɛrɛsin wantɛm wantɛm. If yu du dat, dat kin mek yu nɔ fil fayn. If yu stɔp, du am lɛk aw yu dɔktɔ tɛl yu.
- Di fɔs tɛm we yu de tek di mɛrɛsin, tek tɛm bad bad wan bɔt di chenj dɛn we de apin na yu maynd, mɔ we yu de tink bɔt fɔ kil yusɛf. If yu notis ɛni chenj, tɛl yu dɔktɔ wantɛm wantɛm.
- If siriɔs sayd ɛfɛkt (lɛk alɛji, sɛrotonin sindrom, blɔd we nɔ kɔmɔn) apin, go to dɔktɔ wantɛm wantɛm.
- PMDD nɔto yu fɔlt. Na wan sik we pɔsin kin mɛn. So nɔ ɛva fred fɔ aks fɔ ɛp.
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