Yu de yuz Mirtazapine fɔ ridyus yu pwɛl hat? Lɛ wi no bɔt dis!

Sɔntɛnde, yu kin fil bad bad wan, yu kin fil se yu wangren de, ɛn yu nɔ kin want fɔ du ɛnitin? Sɔntɛnde, dɛn filin ya kin dɔn afta sɔm dez, bɔt if dɛn kɔntinyu fɔ de, dat kin bi sayn fɔ wan sik wae dɛn kɔl pwɛl hat . If na so i bi, i go fayn fɔ mek yu go to dɔktɔ. Na dɛn kayn tɛm ya, yu dɔktɔ kin gi yu mɛrɛsin we dɛn kɔl `Mirtazapine`. So, tide wi go tɔk bɔt wetin na `Mirtazapine`, aw fɔ yuz am, ɛn us tin dɛn fɔ tek tɛm wit.

Wetin na dis mɛrɛsin we dɛn kɔl Mirtazapine?

Fɔ tɔk am simpul wan, Mirtazapine na mɛrɛsin wae dɛn kin yuse fɔ trit pwɛl hat. Wi bren gɛt tu kemikal dɛn we dɛn kɔl sɛrotonin ɛn norepinephrine . Dɛn tin ya kin ɛp fɔ mek wi fil fayn ɛn fil bad. Dɛn de wok lɛk mɛsenja dɛn we de kɔntrol di we aw wi de fil. So, we wi gɛt pwɛl hat, di balans pan dɛn kemikal ya kin ambɔg. Wetin Mirtazapine de du na fɔ mek yu gɛt mɔ sɛrotonin ɛn norepinephrine na di bren, we de ɛp fɔ mek yu fil fayn.

Yu kin bay dis mɛrɛsin na famasi ɔnda di brand nem ``Remeron`` ɔ ɔnda ɔda nem. Sɔntɛnde, dɔktɔ dɛn kin yuz dis mɛrɛsin bak fɔ ɔda sik dɛn. So if yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, aks yu dɔktɔ ɔ fama.

Wetin a fɔ tɛl mi dɔktɔ bifo a yuz dis mɛrɛsin?

Dis rili impɔtant. Bifo yu bigin fɔ yuz Mirtazapine, yu fɔ tɛl yu dɔktɔ bɔt yu wɛlbɔdi prɔblɛm. Dis na bikɔs sɔm mɛrɛsin nɔr kin gri wit dis mɛrɛsin, ɔr yu kin nid fɔ tek spɛshal kia. Na sɔm tin dɛn we yu fɔ rili tɛl yu dɔktɔ:

• If yu gɛt maynd sik lɛk `bipolar disorder`: Dis na wae yu kin gɛt prɔblɛm fɔ kip yu maynd na wan ples. Wantɛm wantɛm yu kin fil bad bad wan (mania), dɔn wantɛm wantɛm yu kin fil bad bad wan ( pwɛl hat ).
• If yu gɛt glaukoma: Dis na sik we di prɛshɔn na di yay de go ɔp.
• If yu gɛt sik na yu kidni .
• If yu gɛt liva sik .
• If yu bin dɔn gɛt ɔ yu de tink bɔt fɔ kil yusɛf naw.
• If yu gɛt alɛji fɔ Mirtazapine, ɔda mɛrɛsin, it, it day, ɔ prɛzɛvɛtiv.
• If yu gɛt bɛlɛ naw, ɔ yu de tray fɔ gɛt bɛlɛ insay di nɛks tɛm.
• If yu na mama we de gi pikin in bɛlɛ.

If yu tɛl dɛn tin ya kɔrɛkt wan, yu dɔktɔ kin plan di tritmɛnt we go fayn fɔ yu.

Aw ɛksaktɔli yu kin yuz dis mɛrɛsin?

Okay, naw mek wi si aw fɔ tek dis mɛrɛsin.

• Dis mɛrɛsin kin kam lɛk tablɛt. Dɛn fɔ tek am bay mɔt wit wan glas wata.
• Yu fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, di rayt tɛm, ɛn di rayt we we yu dɔktɔ tɛl yu fɔ tek. Nɔ ɛva tek pas di mɔni we yu dɔktɔ tɛl yu fɔ tek.
• I bɛtɛ fɔ tek di mɛrɛsin di sem tɛm ɛvride. Da we de, yu nɔ go fɔgɛt ɛn di mɛrɛsin go wok fayn.
• Dis na di tin we impɔtant pas ɔl: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm fɔ ɛni rizin if yu dɔktɔ nɔ advays yu. If yu du dat, yu kin gɛt siriɔs sayd ɛfɛkt ɔr yu pwɛl hat kin wɔs. Yu dɔktɔ go tɛl yu bak aw fɔ stɔp fɔ tek di mɛrɛsin if nid de.
• We yu gɛt dis mɛrɛsin frɔm di famasi, dɛn go gi yu wan spɛshal infɔmeshɔn liflet (`MedGuide`) wit am. Rid dis liflet gud gud wan ɛvri tɛm we yu gɛt rifil. I gɛt rili impɔtant tin dɛn bɔt dis mɛrɛsin.
• If yu de gi pikin dɛn dis mɛrɛsin: Dɛn fɔ tek tɛm kia fɔ dɛn spɛshal wan. Gi dis mɛrɛsin to pikin dɛn nɔmɔ afta yu dɔn tɔk to di dɔktɔ ɛn akɔdin to wetin i tɛl yu fɔ du.
• Ɔvados: If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl pɔyzin kɔntrol sɛnta ɔ di imejensi rum we de nia yu wantɛm wantɛm.

Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb yu mɛrɛsin wit ɔda pipul dɛn, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.

Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?

Sɔntɛnde, yu kin fɔgɛt fɔ tek yu mɛrɛsin. If dat apin, nɔ wɔri.

• Tek di doz we yu mis as yu mɛmba.
• Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba, skip di doz we yu mis ɛn jɔs tek di nɛks doz na di tɛm we yu dɔn sɛtul.
• Nɔ ɛva tek dabl doz mɛrɛsin wan tɛm.We yu du dat, dat kin mek yu gɛt mɔ sayd ɛfɛkt.

Us ɔda intarakshɔn kin apin wit dis mɛrɛsin?

"Intarakshɔn" min se di akshɔn fɔ Mirtazapine kin afɛkt ɔda mɛrɛsin, it, ɔ ɔda tin dɛn we yu de tek. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we yu kin bay, di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn animal dɛn, vaytamɛn dɛn), ɛn bak if yu de smok, drink rɔm, ɔ yuz ɔda mɛrɛsin dɛn.

Bɔku mɛrɛsin dɛn de we yu nɔ fɔ ɛva tek wit `Mirtazapine` :

• Linezolid (dis na antibayɔtik) .
• MAOI antidipreshan (ɛgzampul: Carbex, Eldepryl, Marplan, Nardil, ɛn Parnate) - Dɛn tin ya na bak wan kayn mɛrɛsin wae dɛn kin yuse fɔ trit pwɛl hat . If yu tek dɛn tin ya wit Mirtazapine, i kin mek yu gɛt denja riakshɔn.
• `Methylene blue` (Dis na mɛrɛsin we dɛn kin injɛkt insay wan vein)

Mirtazapine kin intarakt wit dɛn tin ya:

• Alkol: If yu tek dis mɛrɛsin wit rɔm, i kin mek yu slip ɛn diziz. So, i bɛtɛ fɔ lɛ yu nɔ drink rɔm we yu de tek dis mɛrɛsin.
• Antivayrɔs drɔgs we de trit `HIV` ɔ `AIDS`.
• Blɔd tin dɛn we de mek yu bɔdi tan (e.g., antikoagulant dɛn lɛk Warfarin).
• Ɔda mɛrɛsin wae dɛn kin yuse fɔ trit pwɛl hat, wɔri, ɔr ɔda kayn maynd sik.
• Mεdisin dεm fכ fכn infεkshכn (e.g. Ketoconazole, Itraconazole).
• Sɔm mɛrɛsin fɔ maygren (e.g., Almotriptan, Eletriptan, Sumatriptan).
• Mɛrɛsin fɔ sik ɔ kɔnvulshɔn (e.g., Carbamazepine, Phenytoin).
• Mɛrɛsin fɔ slip.
• ` Cimetidine` (na mεdisin fכ bεlε inflameshn).
• Erythromycin (wan antibayɔtik).
• Fɛntanyl (wan strɔng mɛrɛsin we de mek pɔsin fil pen).
• Lithium (na mɛrɛsin we dɛn kin gi bɔku tɛm fɔ di sik we dɛn kɔl bipolar disorder).
• Mɛrɛsin fɔ kɔntrol blɔd prɛshɔn.
• `Nefazodone` (wan mɛrɛsin we de mek pɔsin nɔ fil bad).
• Rasagiline (na mɛrɛsin fɔ di sik we dɛn kɔl Parkinson).
• `Rifampin` (na mɛrɛsin we dɛn kin yuz fɔ mɛn TB).
• Sɔm ɛbul supamakit dɛn inklud `St. Jɔn in wɔt`, `kava kava`, `valerian`.
• Tramadol (wan mɛrɛsin we de mek pɔsin fil pen).
• Tryptophan (wan amino asid, sɔm tɛm dɛn kin tek am as sɔpɔtmɛnt).

Dis list nɔ kɔmplit. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek ɛn ɛni ɔyl prɔdak we yu de yuz. I kin ɛp yu fɔ yuz Mirtazapine sef wan.

Wetin na di tin dɛm we yu fɔ tek tɛm wit mɔ we yu de tek dis mɛrɛsin?

Yu nid fɔ tek tɛm smɔl bak we yu de yuz `Mirtazapine`.

• If yu sik nɔr de bɛtɛ, ɔr if i tan lɛk se dɛn de wɔs, tɛl yu dɔktɔ wantɛm wantɛm.
• Kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm ɛn go fɔ chɛk-ap lɛk aw i tɛl yu.
• I kin tek sɔm wiks fɔ mek dis mɛrɛsin bigin fɔ wok. So, nɔr wɔri ɛn kɔntinyu fɔ tek di mɛrɛsin lɛk aw yu dɔktɔ tɛl yu.
• Dis na tin we rili impɔtant: Yu ɛn yu famili fɔ no if ɛnitin chenj na yu abit ɔ di we aw yu de tink. Mɔtalman, if yu gɛt nyu tin dɛn ɔ yu de tink bɔt fɔ kil yusɛf, ɔ if yu fil bad mɔ ɛn mɔ, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
• Dɔn bak, if yu fil wɔri wantɛm wantɛm, yu de fred, yu de fred, yu de vɛks, yu de et yu, yu de fɛt, yu de du tin kwik kwik wan, yu nɔ de rɛst bad bad wan, yu gladi pasmak ɛn yu de du tin pasmak, ɔ yu nɔ ebul fɔ slip, mɔ we yu bigin fɔ tek di mɛrɛsin ɔ afta yu dɔn chenj di mɛrɛsin, tɔk to yu dɔktɔ wantɛm wantɛm.
• Dis mɛrɛsin kin mek yu fil lɛk se yu de slip ɔ yu gɛt diziz . So, nɔ drayv, yuz mashin, ɔ du ɛnitin we nid fɔ de wach te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu.
• Nɔ grap wantɛm wantɛm we yu tinap ɔ sidɔm, mɔ if yu dɔn ol. If yu du dat, i kin mek yu ed de tɔn ɛn yu kin fɔdɔm.
• Nɔ drink rɔm. Alkol kin ambɔg di wok we dis mɛrɛsin de du ɛn i kin mek di sayd ɛfɛkt dɛn bɔku.
• Dis mɛrɛsin kin mek yu yay dray ɛn yu nɔ kin si fayn . If yu wɛr kɔntakt lens, yu kin gɛt sɔm prɔblɛm dɛn. Di drɔp dɛn we dɛn kin yuz fɔ rɔb kin ɛp. Bɔt if dis prɔblɛm kɔntinyu ɔ i bad, go to yu yay dɔktɔ.
• Dray mɔt kin apin bak. If yu it gɔm we nɔ gɛt shuga, we yu sok kandy we nɔ gɛt shuga, ɛn drink bɔku wata, dat kin ɛp yu. Bɔt if dis kɔntinyu ɔ i kam tranga, tɔk to yu dɔktɔ.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɛni mɛrɛsin, Mirtazapine kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn, bɔt sɔm pipul dɛn kin gɛt dɛn.

Siriɔs sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm na:

• Alɛji riakshɔn: skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot. Dɛn tin ya kin mek i nɔ izi fɔ blo ɛn dɛn fɔ trit am wantɛm wantɛm.
• At ritm de chenj: If yu fil lɛk se yu at de bit fast ɔr nɔr de bit ɔltɛm, if yu fil lɛk yu ed de tɔn, if yu fil lɛk yu nɔr de fil fayn ɔr yu ed nɔr de shayn, if yu gɛt pen na yu chɛst, ɔr if yu gɛt prɔblɛm fɔ blo.
• Sayn dɛm fɔ sho se yu gɛt di sik: fiva, kol, kɔf, ɔ trot we de at.
• Serotonin Syndrome Symptoms: Dis na wan sik wae de mek yu denja smɔl. i kin apin we di lεvεl fכ di sεrotonin na di bren de inkrεs tumɔs. Di sayn dɛm na: yu kin vɛks, yu kin kɔnfyus, yu at kin bit fast ɔr nɔr kin bit ɔltɛm, yu mɔsul kin stif ɔr kin twit, yu kin swet pasmak, yu kin gɛt ay fiva, yu kin gɛt sik, yu kin kol, yu kin vɔmit, ɛn yu kin gɛt dayarɛa.
• di simptom dεm fכ lכw bכdi sodium lεvεl (`Hyponatremia`): mכsul dεm wik, taya, diziz, ed pen, kכnfyushכn.
• Wan skin rash wit fiva ɛn limf no dɛm we swel.
• di skin kin rεd, blista, kכl כ lכs, εn ivin insay di mכt kin apin.
• Siz/kɔnvulshɔn.
• di pen we yu de fil wantɛm wantɛm ɔ di we aw yu de si tin kin chenj: yu nɔ kin si fayn, yu kin si halos rawnd layt, yu nɔ kin si fayn.
• Tin fɔ tink bɔt fɔ kil insɛf ɔ fɔ du bad to insɛf, fɔ de wɔs, ɛn fɔ fil bad mɔ ɛn mɔ.

Di sayd ɛfɛkt dɛm wae nɔr kin nid mɛrɛsin, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu:

• Banbɛlɛ.
• Diziz we pɔsin kin gɛt.
• Di we aw pɔsin kin slip.
• Dray mɔt.
• I go mek yu want fɔ it mɔ ɛn mɔ.
• We yu de gɛt mɔ wet.

Mɛmba se dis list nɔ gɛt ɔl di bad tin dɛn we kin apin. If yu gɛt ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, tɔk to yu dɔktɔ bɔt dat bak. Nɔ fred di sayd ɛfɛkt, bɔt i impɔtant fɔ no.

Aw yu kin kip dis mɛrɛsin?

I rili impɔtant bak fɔ kip yu mɛrɛsin fayn fayn wan.

• Kip am usay pikin dɛn nɔ go ebul fɔ rich ɛn usay dɛn nɔ go ebul fɔ du am.
• I fɔ de na rum tɛmpracha, we min bitwin 15 ɛn 30 digri sɛlshiɔs (15 ɛn 30 digri C ɔ 59 ɛn 86 digri F).
• Protɛkt frɔm dairekt san layt ɛn mɔstɔ. So nɔ kip am na say dɛn we gɛt bɔku bɔku wata lɛk di bafa.
• Nɔ yuz mɛrɛsin dɛn we dɔn pas. Trowe dɛn go.

Di tin we impɔtant pas ɔl we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti abaut `Mirtazapine.' Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:

• Mirtazapine na mɛrɛsin fɔ pwɛl hat. I kin ɛp fɔ mek yu fil fayn bay we i de balans di kemikal dɛn we de na yu bren.
• Bifo yu yuz dis mɛrɛsin, tɛl yu dɔktɔ ɔltin bɔt yu wɛlbɔdi prɔblɛm.
• Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu, di rayt tɛm, insay di rayt amɔnt. Nɔ ɛva stɔp fɔ tek di mɛrɛsin if di dɔktɔ nɔ advays yu.
• Yu fɔ no bɔt di bad bad tin dɛn we kin apin we yu de tek mɛrɛsin, ɛn if ɛni wan apin, tɛl yu dɔktɔ wantɛm wantɛm.
• Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin ɔ ɛbul prɔdak we yu de tek, bikɔs dɛn kin miks wit dis mɛrɛsin.
• Tek tɛm bikɔs i kin mek yu slip ɛn diziz. Nɔ drink rɔm.

Pwɛl hat sik na wan sik wae kin afɛkt ɛnibɔdi. Dɛn kin mɛn am if dɛn trit am di rayt we. `Mirtazapine` na jɔs wan mɛrɛsin we kin ɛp wit am. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, nɔ shek fɔ aks yu dɔktɔ. Na in na di pɔsin we go ebul fɔ ɛp yu di bɛst we. A de wish yu fɔ wɛl kwik kwik wan!

` Diprɛshɔn, mirtazapine, Remeron, antidipreshan, mɛntɛl hεlth, sayd ɛfɛkt, mɛrɛsin