Na nɔmal tin fɔ lɛ wi fil bad ɛn wɔri sɔntɛnde. Bɔt if dis stet kɔntinyu, if wi fil so lod dat wi nɔ ebul fɔ ivin du wi ɛvride wok, wi kin kɔl am pwɛl hat. So, mɛrɛsin dɛn de we kin ɛp wi pan dɛn kayn tin ya. Tide wi go tɔk bɔt wan pan dɛn kayn mɛrɛsin ya, we na Imipramine.
Wetin na dis mɛrɛsin (Imipramine)?
Fɔ tɔk am simpul wan, Imipramine na mɛrɛsin wae dɛn kin yuse fɔ trit pwɛl hat. Yu no se kemikal dɛn de na wi bren we de ɛp fɔ kɔntrol wi maynd, lɛk mɛsenja? Wi kin kɔl dɛn Serotonin ɛn Norepinephrine. Wetin Imipramine de du na fɔ mek dɛn mɛsenja ya bɔku na di bren, we de ɛp fɔ ridyus wi filin fɔ sɔri ɛn wɔri, ɛn fɔ mek wi fil fayn. I de pan wan klas ɔf mɛrɛsin dɛn we dɛn kɔl Tricyclic Antidepressants (TCA) .
Sɔntɛnde, dɔktɔ dɛn kin gi dis mɛrɛsin fɔ ɔda sik dɛn bak. So, i bɛtɛ fɔ aks yu dɔktɔ ɔ fama fɔ di rizin we mek dɛn gi yu dis mɛrɛsin, ɔ if yu gɛt ɛni ɔda kwɛstyɔn bɔt am.
Wetin na de tin wae yu nid fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin?
Bifo yu bigin fɔ tek dis mɛrɛsin (Imipramine), sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ. Bikɔs dɛn tin ya go sho if dis mɛrɛsin fayn fɔ yu ɔ nɔ fayn fɔ yu, ɛn aw dɛn fɔ gi am. So lɛ wi tek tɛm luk dɛn tin ya:
- Yu dɔn ɛva gɛt alɛji fɔ dis mɛrɛsin (Imipramine), ɛni ɔda mɛrɛsin, it, it day, ɔ tin dɛn we de mek yu nɔ pwɛl?
- Yu de op fɔ gɛt pikin? Ɔ yu de op fɔ bɔn pikin?
- Yu na mama we de gi pikin in bɛlɛ?
- Yu dɔn adikshɔn to rɔm?
- Yu gɛt ɔr yu dɔn ɛva gɛt wan sik lɛk ‘bipolar disorder’ - wan sik wae yu kin gladi pasmak ɛn wan wan tɛm yu kin fil bad bad wan (mood swings) - ɔr ‘schizophrenia’ - wan sik wae yu nɔr kin tɔch wit rial tin, yu kin gɛt hallucinations, ɛn gɛt difrɛn kayn prɔblɛm wit yu maynd?
- I nɔ izi fɔ yu fɔ pis? If yu na man, yu gɛt prɔstat prɔblɛm ?
- Yu gɛt at bit fast ɔ i nɔ de bit ɔltɛm ?
- Yu gɛt glaukoma – na sik we di prɛshɔn insay di yay de go ɔp?
- Yu gɛt at sik ɔ yu jɔs gɛt at atak ?
- Yu gɛt sik na yu kidni ?
- Yu gɛt liva sik ?
- Yu gɛt ɛni sik we yu kin gɛt we yu de blo lɛk asma ?
- Yu dɔn gɛt sik dɛn we de mek yu sik bifo?
- Yu dɔn gɛt strok ?
- Di tin we impɔtant pas ɔl na dat, yu kin fil lɛk fɔ du bad to yusɛf? Yu dɔn ɛva tink bɔt dɛn kayn tin dɛn de? Ɛnibɔdi na yu famili dɔn ɛva gɛt dis? Yu fɔ rili tɛl yu dɔktɔ bɔt dis.
- Yu gɛt tayroyd prɔblɛm ?
If yu gɛt ɛni wan pan dɛn tin ya, i rili impɔtant fɔ yu yon sef fɔ tɛl yu dɔktɔ.
Aw a fɔ yuz dis mɛrɛsin?
Okay, so lɛ wi si aw fɔ yuz dis mɛrɛsin (Imipramine).
- Dis na mɛrɛsin we kin kam insay kapsul. Dɛn fɔ tek am bay mɔt wit wan glas wata.
- Yu fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu, di rayt tɛm, ɛn di rayt doz. Nɔ tek mɔ ɔ smɔl pas aw di dɔktɔ tɛl yu fɔ tek.
- Dis na di tin we impɔtant pas ɔl: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu stɔp wantɛm wantɛm, yu kin gɛt sayn dɛn fɔ lɛf fɔ drink, ɔ yu sik kin wɔs. So if yu stɔp, du am smɔl smɔl, fala yu dɔktɔ in advays.
- We di famasi gi yu dis mɛrɛsin, i kin kam wit spɛshal instrɔkshɔn liflet (MedGuide) . Mek shɔ se yu tek tɛm rid am ɛvri tɛm we yu de tek di mɛrɛsin. I gɛt impɔtant tin dɛn.
- Dɛn nid spɛshal kia if dɛn gi dis mɛrɛsin to pikin dɛn. Tɔk to yu dɔktɔ bɔt am ɛn gɛt advays.
- If yu aksidɛntli tek tumɔs mɛrɛsin, dat min se if yu tek am pasmak, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm, ɔ kɔl pɔyzin kɔntrol sɛnta, ɛn nɔ de te.
Dis mɛrɛsin na fɔ yu nɔmɔ fɔ yuz. Nɔ gi dis mɛrɛsin to yu padi ɔr fambul wae gɛt di sem sayn dɛm lɛk yu.
Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?
Imajin se yu dɔn fɔgɛt fɔ tek wan doz fɔ mɛrɛsin. If dis apin, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (fɔ ɛgzampul, insay sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek dɛbul ɔ ɛkstra doz. If yu du dat, i kin mek yu tek di mɛrɛsin mɔ ɛn mɔ ɛn i kin mek yu gɛt sayd ɛfɛkt.
Us ɔda tin dɛn kin miks wit dis mɛrɛsin?
Dis mɛrɛsin (Imipramine) kin intarakt wit ɔda mɛrɛsin, ɔr ɔda tin dɛm wae yu de tek. If i du dat, i kin mek wi gɛt prɔblɛm. So i rili impɔtant fɔ no bɔt dis.
Nɔ tek Imipramine wit dɛn mɛrɛsin ya:
- (Amoxapin) we dɛn kɔl .
- (Asɛnik trayɔksayd) .
- Sɔm mɛrɛsin fɔ kɔntrol di at bit we nɔ de bit ɔltɛm ɔ ɔda at sik
- (Cisapride) we dɛn kɔl
- (Kɔkɛyn) (Dis na drɔg) .
- (Grɛpaflɔksasin) .
- (Halofantrine) we dɛn kɔl .
- (Lɛvomɛtadil) .
- (Linezolid) we dɛn kɔl .
- Mεdisin dεm na di grup we dεn kכl ‘MAOI’ (Monoamine Oxidase Inhibitors) (εgzampl dεm: (Carbex), (Eldepryl), (Marplan), (Nardil), (Parnate)). I nɔ fayn fɔ bigin (Imipramine) te at le tu wiks afta yu dɔn stɔp dɛn MAOI mɛrɛsin ya.
- (Methylene blue) (Dis na mɛrɛsin we dɛn kin put insay vein)
- Sɔm ɔda mɛrɛsin fɔ pwɛl hat (aks yu dɔktɔ bɔt dis) .
- Mεdisin dεm na di grup we dεn kכl ‘Phenothiazines’ (εgzampl: (perphenazine), (thioridazine), (chlorpromazine)) .
- (Pimozayd) .
- (Prokarbazin) we dɛn kɔl .
- (Sparflɔksasin) .
- (Sɛnt Jɔn Wɔt) (Pan ɔl we dis na ɛbul mɛrɛsin, i kin miks wit (Imipramine))
Dɔn bak, dɛn tin ya kin intarakt wit Imipramine:
If yu de tek dɛn tin ya, yu fɔ tɛl di dɔktɔ.
- (Atropine) ɛn ɔda mɛrɛsin dɛn we gɛt fɔ du wit am (e.g. (hyoscyamine), (scopolamine), (tolterodine))
- Barbiturate-type mεdikeshכn dεm (e.g., phenobarbital) we de εp yu fכ slip כ trit yu sכk
- (Simetidin) we dɛn kɔl .
- (Klɔnidin) .
- Lokal anestetik (e.g., wan mεdisin we de mek yu nכm we dεn gi bifo dεn pul di tut) .
- Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn
- Di mɛrɛsin dɛn we dɔktɔ gi pɔsin fɔ mek i nɔ fil pen
- Mεdikeshכn dεm we de mek yu nɔr kכnvεl (e.g. carbamazepine כ phenytoin) .
- Stimulant dεm (e.g. dεksmεtilfεnidεt כ mεtilfεnidat) .
- Tayrɔyd ɔmon dɛn
- (Ziprasidon) we dɛn kɔl .
Sɔntɛm dis list nɔ go kɔmplit. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn, ɛbul prɔdak, mɛrɛsin dɛn we yu nɔ de gi yu, ɛn tin dɛn we yu de it), ɛn if yu de smok, drink rɔm, ɔ yu de yuz drɔgs we nɔ rayt. Sɔm tin kin miks wit dis mɛrɛsin, so na fɔ yu yone sef.
Wetin na de tin wae yu fɔ tek tɛm wit we yu de tek dis mɛrɛsin?
We yu de tek (imipramine), i fayn fɔ no smɔl mɔ bɔt di chenj dɛn we de apin na yu bɔdi ɛn yu maynd.
- If yu sik nɔr de bɛtɛ ɔr tan lɛk se yu de wɔs, tɛl yu dɔktɔ. I impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ chɛk aw yu de du.
- I kin tek sɔm wiks fɔ si di ful ɛfɛkt we dis mɛrɛsin gɛt. Dat mek,As di dɔktɔ bin se, i rili impɔtant fɔ kɔntinyu fɔ tek di mɛrɛsin fɔ di tɛm we dɛn tɛl yu fɔ tek am. Nɔ stɔp wantɛm wantɛm bikɔs yu tink se nɔ rizɔlt nɔ de.
- Dis na impɔtant tin: If yu ɔ yu famili notis se yu de tink nyu ɔr de tink bɔt fɔ kil yusɛf, ɔr if yu pwɛl hat de wɔs, ɔr if yu gɛt ɛni chenj na yu maynd wantɛm wantɛm (fɔ ɛgzampul, yu de fil wɔri, yu de fil bad, yu de fred, yu de vɛks, yu de et yu, yu nɔr de fil bad, yu nɔr de fil bad bad wan, yu de gladi pasmak ɛn yu de du tin pasmak, ɔr yu gɛt prɔblɛm fɔ slip wantɛm wantɛm, mɔr lɛk we yu fɔs bigin fɔ tek dis mɛrɛsin ɔ afta yu chenj yu doz.
- Yu kin fil lɛk se yu de slip ɔ yu kin gɛt diziz . So, te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu, nɔ drayv, yuz mashin, ɔ du ɛnitin we nid fɔ mek yu maynd wach. Nɔ tinap ɔ sidɔm wantɛm wantɛm, mɔ if yu dɔn ol. Dis go mek yu nɔ gɛt diziz ɛn fɔdɔm. Rɔm kin ambɔg di we aw dis mɛrɛsin de wok ɛn i kin mek yu fil bak fɔ slip. So, nɔ drink rɔm.
- If yu gɛt kɔf, kol, ɔ alɛji, nɔ bay mɛrɛsin we yu nɔ de bay we yu nɔ aks yu dɔktɔ fɔs. Sɔm pan di tin dɛm we de insay di mɛrɛsin dɛm we dɛn kin bay na kɔt kin mek di sayd ɛfɛkt dɛm fɔ dis (Imipramine) mɛrɛsin bɔku.
- Yu mɔt kin dɔn dray . If dis apin, yu kin ridyus dis bay we yu de it gɔm we nɔ gɛt shuga, sok had kandy we nɔ gɛt shuga, ɛn drink bɔku wata. If dis prɔblɛm de kɔntinyu ɔ i de kam tranga, tɛl yu dɔktɔ.
- Dis mɛrɛsin kin mek yu yay dray ɛn yu nɔ kin si fayn . If yu wɛr kɔntakt lens, yu kin gɛt sɔm prɔblɛm dɛn. If yu yuz ay drɔp dɛn we gɛt lɔbrik, dat kin ɛp. If dis prɔblɛm de kɔntinyu ɔ i rili bad, go to dɔktɔ fɔ di yay.
- Dis mɛrɛsin kin mek sɔm pipul dɛn gɛt kɔnstipɛshɔn . It bɔku fayv as yu ebul ɛn drink bɔku wata. Tray fɔ mek yu bɔdi muv wan tɛm ɛvri tu to tri dez. If yu nɔ gɛt bɔdi afta tri dez, kɔl yu dɔktɔ.
- Yu skin kin fil bad fɔ di san we yu de tek dis mɛrɛsin. So nɔ de na di san as yu ebul. If yu fɔ go na do na di san, wɛr klos we de kɔba yu skin, wɛr hat, ɛn yuz gud tin fɔ protɛkt yusɛf frɔm di san. Nɔ yuz san lamp ɔ tanning bed/booth.
Us sayd ɛfɛkt a kin gɛt frɔm dis mɛrɛsin?
Lɛk ɛni mɛrɛsin, Imipramine kin gɛt sayd ɛfɛkt. Bɔt nɔto ɔlman kin gɛt dɛn. Sɔm kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Sɔm nɔ so siriɔs, bɔt if dɛn de mɔna dɛn, yu fɔ tɛl dɛn.
If yu gɛt ɛni wan pan dɛn bad bad tin ya, yu fɔ tɛl yu dɔktɔ kwik kwik wan :
- Alɛji riakshɔn - skin de rɔsh, it, swɛlin (di fes, lip, tɔŋ, trot de swel, we kin mek i nɔ izi fɔ blo) .
- di at ritm de chenj - fil lεk yu hat de bit fast, fil lεk i de bit rεgulεr, diziz, fεint, chεst pen, difεlε fכ brith
- Di sayn dɛm fɔ infekshɔn - fiva, kol, kɔf, trot we de at
- Di sayn dɛm fɔ di sɛrotonin sindrom kin bi: fɔ vɛks, kɔnfyushɔn, at bit fast ɔr nɔr de bit ɔltɛm, di mɔsul dɛn kin stif, di mɔsul dɛn kin twitch, yu kin swet pasmak, yu kin gɛt ay fiva, yu kin kɔnvɔl, yu kin kol, yu kin vɔmit, yu kin gɛt dayarɛa.
- Lכw bכdi prεshכn - diziz, fεnt, blכr vishכn
- Di sik dɛn we kin mek pɔsin sik
- Fɔ fil fayn to layt
- di yay de pen wantɛm wantɛm ɔ di chenj we yu de si (e.g., yu nɔ de si fayn, halos we de rawnd layt, we yu nɔ de si fayn) .
- Fɔ tink bɔt fɔ kil yusɛf, fɔ tink bɔt fɔ du bad to yusɛf, fɔ mek yu maynd wɔs, fɔ mek yu gɛt mɔ pwɛl at
- i at fכ pis (e.g., di urine de kכmכt sכmtεm, fil lεk se i nכ de kכmכt we yu go pis)
Bɔku tɛm, dɛn sayd ɛfɛkt ya nɔto sɔntin fɔ wɔri bɔt. Bɔt if dɛn kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ se:
- Chenj pan sɛks drayv ɔ pefɔmɛns
- Banbɛlɛ
- Diziz we pɔsin kin gɛt
- Di we aw pɔsin kin slip
- Dray mɔt
- Hallucinations (we yu si tin dɛn we nɔ de) .
- I nɔ kin want fɔ it igen
- Trem ɔ shek shek
Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, tɔk to yu dɔktɔ bɔt am.
Usay a fɔ kip dis mɛrɛsin?
- Kip dis mɛrɛsin na say we sef usay pikin dɛn ɛn animal dɛn we dɛn kin mɛn na os nɔ go ebul fɔ rich.
- Stɔr am na rum tɛmpracha, bitwin 20 ɛn 25 digri sɛlshiɔs (68 ɛn 77 digri F. Nɔ put am na say we wam ɔ wet pasmak.
- Nɔ yuz mɛrɛsin dɛn we dɔn pas. Dɛn fɔ trowe dɛn fayn fayn wan.
Aw yu kin trowe mɛrɛsin dɛn we yu nɔ yuz ɛn we dɔn pas?
Nɔto ɔltɛm i fayn fɔ jɔs trowe mɛrɛsin dɛn we yu nɔ yuz, we dɔn dɔn na di dɔti ɔ flush dɛn dɔŋ di tɔylɛt. Dɛn kin ambɔg di envayrɔmɛnt ɔr kin kam wit prɔblɛm if dɛn kin dɔn na ɔda pɔsin in an. So du dis:
- Sɔm famasi ɛn ɔspitul dɛn gɛt program fɔ tek mɛrɛsin bak. Yu kin no bɔt dɛn kayn ples dɛn de bay we yu aks yu famasi ɔ lokal wɛlbɔdi ɔtoriti dɛn.
- If no we nɔ de fɔ gi am bak, chɛk di mɛrɛsin paket ɔ di instrɔkshɔn dɛn we de insay fɔ si if dɛn fɔ trowe dɛn tin ya na dɔti ɔ fɔ was dɛn dɔŋ di tɔylɛt. If yu nɔ shɔ, aks yu dɔktɔ ɔ fama.
- If i se i sef fɔ put am na di dɔti, du dis: If di mɛrɛsin de insay kapsul, pul am na di kɔntena ɛn miks am fayn wit sɔntin we nɔbɔdi nɔ go tink fɔ it, lɛk pusi dɔti, kɔfi grɔn we dɛn dɔn yuz, ɔ dɔti. Dɔn, put di miksɔp insay plastic bag ɔ kɔntena we yu kin sidɔm, sial am, ɛn trowe am na di dɔti. Dis go mek pikin ɔ animal nɔ go insay de.
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
Pan ɔl we Imipramine na mɛrɛsin wae kin ɛp fɔ gɛt sik lɛk pwɛl hat, sɔm tin dɛn de wae yu fɔ tek tɛm wit wae yu de yuse am.
- Ɔltɛm tek di doz we dɛn tɛl yu fɔ tek di tɛm we yu tɛl yu fɔ tek, lɛk aw di dɔktɔ tɛl yu fɔ tek am.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek ɛn ɛni ɔda sik we yu gɛt.
- Afta yu dɔn bigin fɔ tek di mɛrɛsin, mɔ di fɔs wik, tek tɛm bad bad wan bɔt ɛni chenj na yu maynd (espɛshali we yu de tink bɔt fɔ kil yusɛf) ɔ nyu sayd ɛfɛkt. If yu notis ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm.
- Yu fɔ no se yu de slip ɛn yu ed de tɔn, bikɔs dɛn tin ya kin apin.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis mɛrɛsin, duya tɔk bɔt am wit yu dɔktɔ ɔ fama.
Yu maynd wɛlbɔdi rili impɔtant. So we yu de go tru dis kayn tritmɛnt, mɛmba se nɔto yu wan de. Di tin we impɔtant pas ɔl na fɔ gɛt gud padi biznɛs wit yu dɔktɔ ɛn fala wetin dɛn tɛl yu fɔ du.
` Imipramine, Dipreshɔn, Trisayklik Antidipreshɔn, TCA, Mental Ɛlth, Sayd Ifɛkt
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