Yu dɔktɔ dɔn gi yu Vortioxetine (dɛn kin kɔl yu Trintellix) fɔ Major Depressive Disorder (MDD)? We yu bigin fɔ tek nyu mɛrɛsin, mɔ di mɛrɛsin fɔ yu maynd, i nɔmal fɔ mek yu fred smɔl ɛn want fɔ no bɔt di bad tin dɛn we i kin du. Bɔt nɔ wɔri. Lɛk ɛni mɛrɛsin, i kin gɛt smɔl smɔl sayd ɛfɛkt dɛn. Insay dis atikul, wi go tɔk bɔt wetin na dɛn sayd ɛfɛkt dɛn de, wetin fɔ du if dɛn apin, ɛn aw fɔ no bɔt di sik dɛn we kin rili siriɔs (bɔt we nɔ kin apin so ɔltɛm).
Aw fɔ kɔntrol di kɔmɔn sayd ɛfɛkt dɛn?
Bɔku kɔmɔn sayd ɛfɛkt dɛn de we kin apin we yu tek dis mɛrɛsin. Lɛ wi tek tɛm luk wetin dɛn bi ɛn wetin dɛn ebul fɔ du.
Di disfɔkshɔn pan mami ɛn dadi biznɛs ɔ prɔblɛm dɛn
Sɔm pipul kin gɛt smɔl chenj na dɛn mami ɛn dadi biznɛs we dɛn bigin dis mɛrɛsin. Fɔ ɛgzampul, i nɔ kin izi fɔ rich di ɔrgazm, i kin delay fɔ pul di uman we i de bɔn, i nɔ kin want fɔ du mami ɛn dadi biznɛs igen, ɔ fɔ man dɛn, i nɔ kin izi fɔ mek i gɛt erection.
Bɔt mɛmba se dis nɔ kin apin to ɔlman . Dɔn bak, bɔku tɛm dis sik kin go as yu bɔdi de ajɔst to di mɛrɛsin. Di bɛst tin fɔ du na fɔ tɔk to yu dɔktɔ bɔt am opin wan ɛn ɔnɛs wan . I kin ebul fɔ chenj yu to ɔda mɛrɛsin ɔ ad ɔda mɛrɛsin fɔ ɛp fɔ mɛn dis sik. Di gud nyus na dat di sɛkshɔnal sayd ɛfɛkt dɛm fɔ Vortioxetine nɔr kin bɔku we yu kɔmpia am wit ɔda mɛrɛsin dɛm wae de mek pɔrsin fil bad.
Nɔs ɛn Vɔmit
Dis na di fɔs sayd ɛfɛkt we bɔku pipul dɛn kin gɛt. Bɔt bɔku tɛm i nɔ kin rili bad, na jɔs smɔl nɔys. Bɔrku tɛm dis kin go fɔ insɛf afta lɛk tu wiks . Fɔ sɔm, i kin las fɔ lɔng tɛm smɔl. Yu kin tray dɛn tin ya we yu gɛt nɔs ɛn vɔmit.
| Ridyus di nɔys. | If pɔsin de vɔmit |
|---|---|
| Nɔ it tin dɛn we gɛt ɔyl, we dɛn dɔn frɛsh, ɛn we swit. It layt it dɛn we dɛn dɔn stim lɛk bred. | Nɔ it tin dɛn we strɔng te yu vɔmit stɔp. |
| Drink ays drink ɔ klia wata smɔl smɔl. | Drink mɔ fluid lɛk Jeevani. |
| It ɛn drink smɔl smɔl. Nɔ it hot ɛn kol it togɛda. | Rɛst fayn fayn wan. |
| Afta yu dɔn it, rɛst fɔ sɔm tɛm. | If dɛn tin ya nɔ ebul fɔ kɔntrol am, go to dɔktɔ. |
Banbɛlɛ
Sɔm pipul dɛn kin gɛt prɔblɛm fɔ pas dɛn stɔl ɔ dɛn kin gɛt kɔnstipɛshɔn we dɛn de tek dis mɛrɛsin. Yu kin tray dɛn tin ya fɔ ɛp fɔ manej dis:
- Put mɔ it dɛn we gɛt fayv insay yu it. Tin dɛn lɛk grɛn, vɛjitebul, frut, ɛn bred we dɛn mek wit ɔl di gren kin ɛp fɔ mek yu bɔdi wok fayn.
- Ɛksesaiz ɛvride. dis de mek di mכsul dεm na di intestin dεm wok.
- Nɔ rɔsh we yu de go na di bafa. Rilaks ɛn kɔntinyu fɔ de kwayɛt.
- If dɛn tin ya nɔ wok, aks yu dɔktɔ bɔt di mɛrɛsin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ trɛnk .
Wi no bak bɔt siriɔs (bɔt nɔ kɔmɔn) sayd ɛfɛkt dɛm?
Naw wi go tɔk bɔt sɔm pan di siriɔs sayd ɛfɛkt dɛm we kin apin wit Vortioxetine, bɔt dɛn kin rili shɔt, we min se bɔku pipul dɛn nɔ kin gɛt dɛn, bɔt wi fɔ no bɔt dɛn. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ go to dɔktɔ wantɛm wantɛm.
Impɔtant: Dɛn siriɔs sayd ɛfɛkt ya nɔ kin bɔku. I impɔtant fɔ no bɔt dɛn so dat yu go tek akshɔn kwik if ɛni wan pan dɛn sayn ya apin.
Sɛrotonin Sindrɔm we pɔsin kin gɛt
Fɔ tɔk am simpul wan, sɛrotonin na natura l kemikal we de na wi bren ɛn bɔdi. We dɛn tek am togɛda wit dis mɛrɛsin, ɛn sɔm ɔda mɛrɛsin dɛn, di lɛvɛl we di sɛrotonin de na di bɔdi kin go ɔp we nɔ nid fɔ de. Dɛn kɔl dis sik we dɛn kɔl sɛrotonin syndrome. I kin bigin wit smɔl smɔl sayn dɛm lɛk fɔ swet ɛn dayarɛa, ɛn if dɛn nɔ trit am, i kin go bifo to mɔr siriɔs tin dɛm lɛk fiva ɛn siz.
Yu fɔ tek tɛm mɔ if yu tek dɛn mɛrɛsin ya wit vortioxetine:
- Ɔda kayn mɛrɛsin wae de mek pɔrsin fil bad (e.g. SSRI, SNRI, MAOI) .
- Sɔm mɛrɛsin dɛn we de mek pɔsin gɛt maygren (triptans) .
- Sɔm antibayɔtiks, lɛk Linezolid
- Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen (e.g. tramadol, fentanyl) .
- Mεdikeshכn dεm we de mek yu mכd stεbyulεshכn lεk lithium
- Dextromethorphan de insay sɔm kɔf srɔp dɛn we dɛn kin bay na famasi.
- Herbal prodak dɛm lɛk Sɛnt Jɔn wɔt
If yu gɛt wan ɔ mɔ pan dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu:
- We yu de swet pasmak, yu de flush
- Rɛstlɛs, nɔ rɛst
- Fɔ si ɔ yɛri tin dɛn we nɔ de (Hallucinations) .
- Kɔnfyus
- Ay fiva
- At bit kwik kwik wan, chenj na di blɔd prɛshɔn
- Diziz, kɔnvulshɔn
- Nɔs, vɔmit, dayarɛa
- Nɔ balans, di mɔsul dɛn kin stif, ɔ i kin twitch
Diskɔntinyueshɔn Sindrom
Nɔ ɛva stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ nɔs, fɔ swet, fɔ gɛt diziz, fɔ vɛks, ɛn fɔ nɔr de slip. If yu stɔp fɔ tek di mɛrɛsin ɔ chenj di doz, du am smɔl smɔl, lɛk aw yu dɔktɔ tɛl yu.
Prɛshɔn we de go ɔp na di yay (Angle-Closure Glaucoma) .
Dis mεdisin kin mek di pupil big sכmtεm. Na pipul dɛm wae gɛt jɛnɛtiks pan risk fɔ mek dɛn ay prɛshɔn go ɔp, dis kin mek dɛn gɛt wan sik we dɛn kɔl Angle-Closure Glaucoma.
- Ay pen
- Vishɔn kin chenj
- Swel, rɛdnɛs insay ɔ rawnd di yay
If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ. If yu chɛk yu yay, yu go ebul fɔ no if yu de pan denja.
di sodium lεvεl dεm we de dכn (Hyponatremia) .
Dis min se di lɛvɛl fɔ sɔdiɔm (as wi no am) na di blɔd kin drɔp smɔl we denja. Di risk kin pasmak fɔ ol pipul dɛm ɛn fɔ di wan dɛm wae de tek dis mɛrɛsin wit diuretics fɔ ay blɔd prɛshɔn.
- Smɔl smɔl sayn dɛm: I nɔ kin izi fɔ pe atɛnshɔn, yu ed kin at, yu kin mɛmba chenj, yu kin fil lɛk yu taya, yu kin fɔdɔm.
- Di bad bad sayn dɛm: yu nɔ kin no natin, yu kin gɛt sik, yu kin kɔma, yu nɔ kin ebul fɔ blo fayn.
If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
Di risk fɔ mek blɔd kɔmɔt de bɔku
If yu tek Vortioxetine wit blɔd tin dɛn lɛk aspirin, NSAID (e.g., ibuprofen, diclofenac), ɔ warfarin, yu risk fɔ blɔd kin go ɔp smɔl. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek. Tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni kayn brus ɔ blɔd we nɔ kɔmɔn.
Manik Ɛpisod dɛn
If yu gɛt bipola muud disɔda wit pwɛl hat (ɛn yu nɔr kin ivin no am), na smɔl risk fɔ gɛt manik ɛpisod wit dis mɛrɛsin. Insay dis tɛm:
- Mi maynd de rɔn insay wan we we nɔ kɔmɔn, ɛn aydia dɛn de kɔntinyu fɔ kam.
- Di ɛnaji kin go ɔp bad bad wan.
- Fɔ tɔk kwik ɛn pas aw i kin tɔk.
- A nɔ de slip bɛtɛ, bɔt a nɔ de fil taya.
- Fɔ du wok we gɛt prɔblɛm.
Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf
Dis na wetin wi ɔl nid fɔ bisin bɔt pas ɔl. Ɛni mɛrɛsin we de mek pɔsin fil bad, lɛk vortioxetine, mɔ pan yɔŋ pipul dɛn we nɔ rich 24 ia yet, kin mek yu tink ɔ du sɔntin fɔ kil yusɛf smɔl smɔl insay di fɔs mɔnt dɛn we dɛn de tek di tritmɛnt ɔ we dɛn chenj di doz.
If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn tin ya we yu de tek dis mɛrɛsin, duya kɔl yu dɔktɔ wantɛm wantɛm ɔ go to dɔktɔ kwik kwik wan:
- If yu fil se yu want fɔ day.
- If yu fil fɔ du wok we gɛt prɔblɛm ɔ tin dɛn we de mek yu denja.
- If yu vɛks, yu at pwɛl, ɔ yu nɔ de rɛst.
- If yu notis se yu de biev ɔ yu maynd chenj we nɔ kɔmɔn, wantɛm wantɛm.
- If yu fil se yu pwɛl hat de wɔs.
- If yu gɛt prɔblɛm wit slip.
- If yu bigin fɔ vɛks ɔ yu de fɛt-fɛt.
- If yu gɛt wɔri ɔ panik atak.
Tɔk wit yu dɔktɔ opin wan bɔt wetin de na yu maynd ɛn aw yu de fil. Nɔto yu wan de. Fɔ aks fɔ ɛp kin mek pɔsin gɛt trɛnk.
Mɛsej we dɛn kin kɛr go na os
- Vortioxetine (Trintellix) na fayn mɛrɛsin fɔ pwɛl hat. Lɛk ɔl di mɛrɛsin dɛn, i kin mek pɔsin gɛt sayd ɛfɛkt.
- Bɔku tɛm, di kɔmɔn sayd ɛfɛkt dɛm, lɛk fɔ nɔs ɛn kɔnstipɛshɔn, na fɔ shɔt tɛm nɔmɔ ɛn dɛn kin ebul fɔ kɔntrol am.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Gi yu dɔktɔ kɔmplit diskripshɔn bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- No bɔt di sayn dɛm we de wɔn yu bɔt siriɔs sayd ɛfɛkt dɛm, lɛk serotonin syndrome ɔr fɔ tink bɔt fɔ kil yusɛf, ɛn go to dɔktɔ kwik kwik wan if dɛn apin.
- Fɔ tɔk opin wan ɛn ɔnɛs wit yu dɔktɔ na di bɛst we fɔ mek shɔ se di tritmɛnt go bifo.
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