We yu dɔktɔ gi yu wan mɛrɛsin we dɛn kɔl Nortriptyline, yu kin fil fɔ fred smɔl ɛn kɔnfyus. Na nɔmal tin fɔ mek bɔku pan wi tink da we de we wi yɛri "mɛrɛsin fɔ di bren," "mɛrɛsin fɔ mental sik." Bɔt nɔ wɔri. Dis na jɔs lɛk ɛni ɔda mɛrɛsin fɔ wi bɔdi. Okay, lɛ wi ɛksplen ɔltin bɔt dis mɛrɛsin rili simpul, lɛk se wi de tɔk to wi padi.
Wetin na dis mɛrɛsin we dɛn kɔl Nortriptyline?
Fɔ tɔk am simpul wan, Nortriptyline na mɛrɛsin wae dɛn kin yuse fɔ mɛn pwɛl hat . I de pan wan klas ɔf mɛrɛsin dɛn we dɛn kɔl tricyclic antidepressants (TCA) .
Tink bɔt am dis we: wi bren gɛt kemikal dɛn we de wok lɛk smɔl mɛsenja dɛn. Wi kin kɔl dɛn nyurotransmitta ya . Dɛn mɛsenja ya kin ple big pat fɔ kɔntrol wi maynd, filin lɛk gladi at ɛn sɔri-at. Serotonin ɛn norepinephrine na tu pan di men mɛsenja dɛn. Pipul wae gɛt pwɛl hat kin gɛt dis kayn kemikal wae nɔr de balans na dɛn bren. Nortriptyline de wok bay we i de mek yu gɛt da balans de bak ɛn ɛp fɔ mek yu fil fayn.
Sɔntɛnde, dɔktɔ dɛn kin yuz dis mɛrɛsin fɔ ɔda mɛrɛsin, so if yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ bɔt am.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Dis rili impɔtant. Fɔ trit yu sef wan, yu dɔktɔ nid fɔ no yu kɔmplit wɛlbɔdi istri. If yu gɛt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bifo yu bigin fɔ yuz Nortriptyline.
| Sik ɔ kɔndishɔn | Wetin mek i impɔtant fɔ tɛl di dɔktɔ? |
|---|---|
| Kɔndishɔn lɛk at sik ɔ Brugada sindrom | Dis mɛrɛsin kin afɛkt di at rit sɔmtɛm. |
| Mental sik lɛk bipolar disorder ɔr schizophrenia | Di tin dɛn we di mɛrɛsin kin du kin difrɛn, ɛn di sayn dɛn kin wɔs. |
| Liva sik | di liva wok impɔtant bikɔs di liva de ɛp fɔ pul di mɛrɛsin dɛn na di bɔdi. |
| Glaukoma ɔ i nɔ izi fɔ pis | Dis mɛrɛsin kin mek dɛn sik dɛn de wɔs. |
| Di sik dɛn we kin mek pɔsin sik | Di mɛrɛsin kin mek di risk fɔ mek pɔsin gɛt sik smɔl smɔl. |
| Tayrɔyd sik | I kin bi se intarakshɔn de bitwin di tayroyd ɔmon ɛn dis mɛrɛsin. |
| Di abit fɔ drink rɔm | If yu tek rɔm ɛn dis mɛrɛsin togɛda, dat kin mek yu slip ɛn ɔda bad bad tin dɛn we kin apin to yu. |
| Tin fɔ tink bɔt fɔ kil insɛf ɔ fɔ tray fɔ kil insɛf bifo tɛm | Dis rili impɔtant. Di dɔktɔ fɔ no bɔt dis. |
| Fɔ gɛt bɛlɛ, fɔ tray fɔ gɛt bɛlɛ, ɔ fɔ gi pikin in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin to di pikin. |
| Alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Yu fɔ tɛl yu dɔktɔ if yu gɛt alɛji to nortriptyline ɔ ɔda TCA mɛrɛsin dɛn. |
Aw a fɔ yuz dis mɛrɛsin?
- Tek dis mɛrɛsin wit wan glas wata. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, di rayt tɛm.
- I bin mɛmba yu.Nɔ tek dabl doz.
- Di tin we impɔtant pas ɔl: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, i kin mek yu sik wɔs ɛn mek yu gɛt sayd ɛfɛkt lɛk ed we de at ɛn nɔs. If yu stɔp fɔ tek di mɛrɛsin, du am smɔl smɔl ɛn jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du am.
Wonin: Fɔ tek di mɛrɛsin pasmak
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Nashɔnal Ospital wantɛm wantɛm. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu mis wan doz, tek am jɔs afta 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 di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos di sem tɛm.
Ɔda tin dɛm wae kin mek yu gɛt prɔblɛm wit dis mɛrɛsin (Interactions) .
Nortriptyline na wan mɛrɛsin wae kin mek yu gɛt prɔblɛm (intarakshɔn) wit ɔda mɛrɛsin dɛm. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk Sinhala mɛrɛsin, Ayurveda mɛrɛsin, vaytamɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek frɔm yu famili dɔktɔ.
Nɔ tek dis mɛrɛsin wit ɛnitin!
If yu de tek dɛn mɛrɛsin ya, dɛn nɔ fɔ tek Nortriptyline .
- Cisapride we dɛn kɔl Cisapride
- Dronedarone we gɛt di sik
- Linezolid we dɛn kɔl
- Pimozayd we dɛn kɔl Pimozide
- Tioridazin we dɛn kɔl Tioridazin
- Mεdikeshכn dεm na di klas כf drog dεm we dεn kכl MAOIs (e.g. Carbex, Marplan) .
- Methylene blu (we dɛn kin put insay di bɛlɛ) .
Prɔblɛm kin de wit dɛn mɛrɛsin ya bak.
Dɛn mɛrɛsin ya kin intarakt bak wit Nortriptyline. So if yu de tek ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ.
- Rum
- Sɔm mɛrɛsin fɔ alɛji, kɔf, ɛn kol (Antihistamines) .
- Ɔda mɛrɛsin dɛn we de mek pɔsin fil bad (e.g. fluoxetine, sertraline) .
- Mεdikeshכn dεm we de afekt at rεt (QT intaval prolonging drugs) .
- Di mɛrɛsin dɛn we de mek pɔsin fil pen (e.g. tramadol) .
- Mεdisin dεm lεk Cimetidine, Quinidine, Reserpine
- Tayrɔyd ɔmon dɛn
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
Yu fɔ no se di we aw yu de fil kin chenj.
Dis rili impɔtant. Ɛspɛshali insay di fɔs wik dɛm we yu bigin fɔ tek di mɛrɛsin ɔ afta yu dɔn chenj di doz, i impɔtant fɔ mek yu ɛn yu famili no bɔt ɛni nyu ɔr we de wɔs fɔ wɔri, nɔr de rɛst, vɛks, nɔr de slip, ɔr de tink bɔt fɔ kil yusɛf.Yu nid fɔ rili tek tɛm. If yu notis ɛni chenj we tan lɛk dis, kɔl yu dɔktɔ wantɛm wantɛm.
Fɔ slip ɛn diziz
Dis mɛrɛsin kin mek yu fil lɛk se yu de slip ɔ yu ed de tɔn. So, nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Ɛspɛshali if yu dɔn ol, nɔ grap wantɛm wantɛm we yu sidɔm. Stand op sloslo afta sɔm tɛm. Dis go mek yu nɔ gɛt diziz ɛn fɔdɔm.
Ɔda prɔblɛm dɛn we kin apin ɛn aw fɔ sɔlv dɛn
- Dray mɔt: If yu it gɔm we nɔ gɛt shuga ɛn drink bɔku wata, dat kin ɛp.
- Dray yay ɛn blurred vishɔn: Kɔntakt lens kin mek yu nɔ fil fayn. Dɛn kin yuz drɔp dɛn we dɛn kin yuz fɔ rɔb. If dis prɔblɛm nɔ de igen, go to ay dɔktɔ.
- Kɔnstipɛshɔn: Tray fɔ mek yu bɔdi muv wan tɛm ɛvri tu to tri dez. It mɔ it dɛn we gɛt fayv, vɛjitebul, ɛn frut dɛn. If yu nɔ gɛt bɔdi afta 3 dez, tɛl yu dɔktɔ.
- San sɛnsitiviti: Yu skin kin bɔn mɔ we yu de tek dis mɛrɛsin. So, if yu go de na di san, wɛr klos we de kɔba yu bɔdi ɛn yuz tin dɛn we de protɛkt yu frɔm di san.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, Nortriptyline kin mek yu gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya kin denja, ɛn ɔda wan dɛn kin kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ nɔ de bit ɔltɛm, diziz, chɛst de pen, i nɔ izi fɔ blo. |
| Sɛrotonin sindrom we gɛt di sik | Nɔ rɛst, kɔnfyushɔn, swet pasmak, fiva, mɔsul dɛn stif ɔ shek, vɔmit, dayarɛa. |
| Di sik dɛn we kin mek pɔsin sik | Di sik kin bigin wantɛm wantɛm. |
| Wantɛm pen ɔ chenj na di we aw di yay de luk | Blɔr vishɔn, si ring rawnd layt, yay pen. |
| I nɔ kin izi fɔ yu fɔ pis | I nɔ izi fɔ pis ɔ nɔ urine kɔmɔt. |
| Sayd ɛfɛkt dɛm wae nɔr kin denja, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Fɔ slip ɔ fɔ gɛt diziz | Dɛn tin ya go stɔp as di bɔdi de yus to di mɛrɛsin. |
| Dray mɔt | Yu kin kɔntrol am bay we yu drink mɔ wata. |
| Banbɛlɛ | Yu kin kɔntrol am bay we yu it mɔ it dɛn we gɛt fayv ɛn drink mɔ wata. |
| Chenj pan di we aw pɔsin want fɔ du mami ɛn dadi biznɛs ɔ di we aw i de wok | Tɔk opin wan wit yu dɔktɔ bɔt dis. |
Aw yu kin kip yu mɛrɛsin sef?
Kip dis mɛrɛsin usay pikin dɛn nɔ go ebul fɔ rich . Stɔr am na rum tɛmpracha, fa frɔm di san layt, insay kɔntena we dɛn lɔk tayt. Trowe di mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Nortriptyline na wan mɛrɛsin wae dɛn kin yuse fɔ mɛn pwɛl hat. I de ɛp fɔ balans di kemikal dɛn we de na di bren ɛn fɔ mek yu fil fayn.
- Nɔ stɔp di mɛrɛsin wantɛm wantɛm we yu nɔ gɛt dɔktɔ advays.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud di mɛrɛsin dɛn we yu nɔ de bay) ɛn ɛni mɛrɛsin we yu gɛt.
- Insay di fɔs tɛm we dɛn de trit yu, yu ɛn yu famili fɔ no bɔt yu maynd (especially wae yu de tink bɔt fɔ kil yusɛf). If yu notis ɛni chenj, tɛl yu dɔktɔ wantɛm wantɛm.
- Kɔmɔn sayd ɛfɛkt lɛk fɔ slip ɛn fɔ dray mɔt kin apin, ɛn if yu gɛt siriɔs sayd ɛfɛkt (chenj pan yu at rit, alɛji), go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛnitin fɔ wɔri bɔt dis mɛrɛsin, nɔ ɛva fred fɔ tɔk bɔt am wit yu dɔktɔ.
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