Na di wan dɛm wae dɔn gɛt pwɛl hat sik nɔmɔ no aw i nɔr kin izi fɔ liv wit am. Sɔntɛnde yu dɔktɔ kin dɔn gi yu wan mɛrɛsin we dɛn kɔl Levomilnacipran as tritmɛnt fɔ dis sik. Yu kin fɛn dis mɛrɛsin ɔnda di brand nem Fetzima na Sri Lanka. So, as pɔsin we de yuz dis mɛrɛsin, i rili impɔtant fɔ no ɔltin bɔt am klia wan. Tide, lɛ wi tɔk bɔt dis mɛrɛsin, aw i de wok, ɛn di tin dɛn we wi nid fɔ tek tɛm wit.
Wetin na dis mɛrɛsin? Aw i de wok pan di bɔdi?
Fɔ tɔk am simpul wan, Levomilnacipran na mɛrɛsin we dɛn kin yuz fɔ mɛn wan sik we dɛn kɔl pwɛl hat . Di bren in nɛv sɛl dɛn kin tɔk to dɛnsɛf fɔ kɔntrol di we aw wi de fil, di we aw wi de fil, ɛn balans. Tu spɛshal kemikal dɛn we de ɛp fɔ dis na sɛrotonin ɛn norepinephrine .
Pɔrsin wae gɛt pwɛl hat kin gɛt sɔm chenj na di we aw dɛn kemikal ya de woke na in bren. Levomilnacipran de wok bay we i de mek di kεmεkal dεm we de na di bren we dεn kכl sεrotonin εn norepinephrine de wok bכku εn di wok we i de du. Fɔ tɔk di tru, dis mɛrɛsin de pan wan klas we dɛn kɔl SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) . Dis min se dis mɛrɛsin de stɔp dɛn kemikal ya fɔ mek dɛn nɔ go bak insay di nɛv sɛl dɛn. Dɔn, bikɔs dɛn kin de na di nɛv sɛl dɛn fɔ lɔng tɛm ɛn we dɛn kin gɛt bɔku bɔku tin dɛn, di we aw pɔsin kin fil kin fayn.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bifo yu bigin fɔ tek dis mɛrɛsin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. Dis mεdisin kin intarakt wit sɔm mεdikal kכndyushכn dεm. Si di tebul we de dɔŋ ya. If yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ.
| Di sityueshɔn ɔ abit we de apin to yu | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| Fɔ drink bɔku tɛm | Di sayd ɛfɛkt (especially diziz) kin bɔku. |
| Ɔda sik dɛn we pɔsin kin gɛt na in maynd(e.g. Mania, Bipolar disɔda) | Dis mɛrɛsin kin chenj dɛn sik dɛn de. |
| At sik , ay blɔd prɛshɔn , ɔ at bit we nɔ de bit ɔltɛm | Dis mɛrɛsin kin mek yu blɔd prɛshɔn ɛn at rit go ɔp. |
| Kidni sik | Di doz fɔ di mɛrɛsin kin nid fɔ chenj. |
| Glaukoma na wan sik we de ambɔg di yay. | Di prɛshɔn na di yay kin go ɔp. |
| If yu dɔn gɛt sik dɛn we de mek yu sik | Di risk fɔ mek yu gɛt sik kin bɔku. |
| Blɔd disɔda ɔ fɔ tek mɛrɛsin wae de mek yu blɔd nɔ klɔt (e.g. Warfarin, Aspirin) . | I de mek di risk fɔ mek yu blɔd nɔ de kɔmɔt fayn. |
| If yu ɔ sɔmbɔdi na yu famili dɔn tink bɔt fɔ kil dɛnsɛf | Dis na tin we rili impɔtant. Di dɔktɔ go mɔs bisin bɔt dis. |
| If yu gɛt bɛlɛ , yu de tray fɔ gɛt bɛlɛ , ɔ yu de gi pikin in bɛlɛ | Dɛn nid fɔ pe atɛnshɔn mɔ bikɔs di mɛrɛsin kin afɛkt di pikin. |
| Fɔ tek MAOI mɛrɛsin (e.g. Marplan, Nardil) . | If yu tek dɛn tu mɛrɛsin ya togɛda, dat kin rili denja. |
Aw a fɔ yuz dis mɛrɛsin?
Di we aw dɛn kin yuz dis mɛrɛsin rili simpul, bɔt i rili impɔtant.
- Tek dis mɛrɛsin wit wan glas wata. I nɔ mata if yu tek am bifo yu it ɔ afta yu it.
- Di tin we impɔtant pas ɔl: Nɔ ɛva brok, krɔs, ɔ chew di kapsul. Swɛla am ɔl . If nɔto dat, di mɛrɛsin go kɔmɔt na di bɔdi wantɛm wantɛm ɛn i kin mek pɔsin gɛt bad bad sayd ɛfɛkt.
- Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm we dɛn tɛl yu. Nɔ chenj di doz fɔ yusɛf.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm fɔ ɛni rizin if yu dɔktɔ nɔ advays yu. If yu du dat, yu kin gɛt sayn fɔ lɛf fɔ drink, ɔ yu sik kin wɔs. If yu stɔp, du am lɛk aw yu dɔktɔ tɛl yu, ɛn smɔl smɔl yu fɔ ridyus di doz.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu. Dis na imejensi.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Wi ɔl fɔgɛt fɔ tek wi mɛrɛsin. If dat apin, tek di doz we yu mis jɔs lɛk aw 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 ɛva tek tu dos wan tɛm.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Levomilnacipran na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm, sɔm it dɛm, ɛn rɔm.
Nɔ tek wit dɛn tin ya atɔl:
We yu de tek dis mɛrɛsin, dɛn nɔ fɔ tek ɔda SNRI drɔgs lɛk Duloxetine, Venlafaxine, Milnacipran, ɛn MAOI drɔgs (lɛk Marplan, Nardil). Dɔn bak, di antibayɔtik Linezolid ɛn di vaysin Methylene blue kin intarakt wit dis mɛrɛsin.
Tek tɛm bikɔs dɛn tin ya kin agens bak wit:
- Alkol: I kin rili mek di sayd ɛfɛkt dɛn lɛk diziz ɛn slip.
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Na nɔ-stɛroyd anti-inflammatory drugs (NSAID) lɛk Aspirin, Ibuprofen, ɛn Naproxen.
- Di tin dɛn we de mek blɔd tan: Warfarin, Enoxaparin, ɛn ɔda tin dɛn.
- Maygren mɛrɛsin: Triptan-tayp mɛrɛsin lɛk Sumatriptan.
- Mɛrɛsin ɛn slip pils fɔ ɔda mental sik dɛm.
- Ɛbul sɔpɔtmɛnt dɛn: mɔ di Sɛnt Jɔn Wɔt .
- Sɔm antibayɔtik (Clarithromycin), antifungal (Ketoconazole), ɛn mɛrɛsin lɛk Isoniazid, we dɛn kin yuz fɔ mɛn TB.
So, we yu go to yu dɔktɔ, kam wit wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Nɔ fɔgɛt fɔ tɛl dɛn if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ tink bɔt we yu de tek mɛrɛsin
- Peshɛnt: Yu nɔ go si di rizɔlt wantɛm wantɛm afta yu tek dis mɛrɛsin. I kin tek sɔm wiks fɔ mek yu fil fayn atɔl. So, kɔntinyu fɔ tek di mɛrɛsin as lɔng as yu dɔktɔ tɛl yu fɔ tek am.
- Wach fɔ chenj di we aw yu de fil (i rili impɔtant): If yu ɔ sɔmbɔdi na yu famili de tink bɔt fɔ kil yusɛf, yu de fil bad, nɔ de rɛst, yu de vɛks, ɔ yu gɛt prɔblɛm fɔ pe atɛnshɔn , mɔ we yu bigin fɔ tek di mɛrɛsin ɔ we dɛn chenj di doz, kɔl yu dɔktɔ wantɛm wantɛm. Dis na wɔnin we rili impɔtant.
- Blɔd prɛshɔn: Dis mɛrɛsin kin mek blɔd prɛshɔn go ɔp smɔl. So, mɛzhɔ yu blɔd prɛshɔn na os lɛk aw yu dɔktɔ tɛl yu.
- Diziz ɛn slip: Dis mɛrɛsin kin afɛkt yu ebul fɔ pe atɛnshɔn ɛn du tin kwik kwik wan. So, nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Fɔ mek yu nɔ gɛt bɔku diziz, tinap smɔl smɔl we yu de grap we yu sidɔm ɔ we yu de grap na bed.
- Dray mɔt: Dis na kɔmɔn sayd ɛfɛkt. Yu kin kɔntrol dis bay we yu de it gɔm we nɔ gɛt shuga ɛn drink bɔku wata.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Blɔd we nɔ de kɔmɔt fayn | Blak ɔ tar stɔl, vɔmit we tan lɛk kɔfi grɔn, rɛd/dak brawn urine, rɛd/pɔpul spat na di skin. |
| Sɛrotonin Sindrɔm we pɔsin kin gɛt | Kɔnfyushɔn, nɔ rɛst, swet pasmak, ay fiva, mɔsul dɛn stif, kɔnvulshɔn. Dis na tin we de mek pɔsin denja. |
| At bit kwik kwik wan | Fɔ fil lɛk se yu at de bit fast, de bit, ɔ nɔ de bit ɔltɛm. |
| Blɔd prɛshɔn we de go ɔp | Tɛl di dɔktɔ. |
| Di sodium we de na di blɔd dɔn go dɔŋ | Mɔsul dɛn wik, taya, diziz, kɔnfyushɔn. |
| Ay pen ɔ di we aw yu de si kin chenj | Ay pen wantɛm wantɛm, yu nɔ de si fayn, yu de si ring dɛn rawnd layt dɛn. |
| I nɔ kin izi fɔ yu fɔ pis | Nɔ ɔ smɔl pis. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Nɔs ɛn vɔmit | I kin mɔs bi di fɔs tɛm we yu bigin fɔ tek di mɛrɛsin. |
| Banbɛlɛ | Bɔku tɛm we dɛn kin si am. |
| We pɔsin de swet pasmak | - . |
| Chenj pan di we aw pɔsin want fɔ du mami ɛn dadi biznɛs ɔ di we aw i de wok | Nɔ shem fɔ tɔk to yu dɔktɔ bɔt dis. |
Mɛsej we dɛn kin kɛr go na os
- Levomilnacipran (Fetzima) na wan mɛrɛsin wae de trit pwɛl hat ɛn afɛkt di kemikal dɛm na yu bren.
- Nɔ ɛva brok, krɔs, ɔ chew di kapsul. Swɛla am ɔl.
- Nɔ stɔp di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul sɔpɔtmɛnt dɛn we yu de tek.
- If yu fil chenj ɔ yu de tink bɔt fɔ kil yusɛf ali di tɛm we yu de du di tritmɛnt, go to dɔktɔ wantɛm wantɛm.
- Ovados na imejensi. Wantɛm wantɛm, go na di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta ɔ di ɔspitul we de nia yu ETU .
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