Sɔntɛnde, yu kin fil ebi, yu kin fil bad, ɔ ivin nɔ bisin bɔt ɔda pipul dɛn? Sɔntɛm yu dɔktɔ dɔn gi yu wan mɛrɛsin we dɛn kɔl Nortriptyline. So, lɛ wi tɔk mɔ bɔt dis mɛrɛsin tide? Speshali, wetin i de du, aw fɔ yuz am, ɛn wetin fɔ wach fɔ.
Us kayn mɛrɛsin na Nortriptyline?
Fɔ tɔk am simpul wan, Nortriptyline na mɛrɛsin wae dɛn kin yuse fɔ mɛn pwɛl hat. Serotonin ɛn norepinephrine na tu kemikal dɛn we de na di bren we de ɛp yu fɔ fil gladi ɛn fɔ fil fayn. Dis mεdikeshכn de wok bay we i de inkrεs di lεvεl dεm fכ dεn kεmεkal dεm na di bren. Dis kin ɛp fɔ mek yu fil fayn. I de pan wan klas ɔf mɛrɛsin dɛn we dɛn kɔl tricyclic antidepressants (TCA) . Sɔntɛnde, dɔktɔ dɛn kin yuz dis mɛrɛsin fɔ ɔda sik dɛn bak. So if yu gɛt ɛni kwɛstyɔn, i go fayn fɔ aks yu dɔktɔ ɔ fama.
Sɔm pan di nem dɛn we de na di makit fɔ dis na Aventyl ɛn Pamelor, bɔt ɔda nem dɛn kin de.
Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a bigin dis mɛrɛsin?
Dis rili impɔtant. Bifo yu bigin fɔ tek Nortriptyline, sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ. Bikɔs na da tɛm de nɔmɔ i go ebul fɔ disayd if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn aw fɔ gi am. Si if dɛn tin ya apin to yu:
- If yu gɛt maynd sik lɛk bipolar disorder .
- If yu gɛt wan sik we dɛn kɔl Brugada syndrome .
- If yu gɛt prɔblɛm fɔ pis.
- If yu gɛt di sik we dɛn kɔl glaukoma .
- If yu gɛt ɛni ɔda at sik .
- If yu na pɔsin we de drink rɔm .
- If yu gɛt liva sik .
- If yu gɛt mental sik lɛk skizofrenia .
- If yu dɔn gɛt sik ɔr kɔndishɔn lɛk ɛpilepsi.
- If yu dɔn de tink bɔt fɔ kil yusɛf, plan fɔ kil yusɛf, ɔ tray fɔ kil yusɛf , ɔ if sɔmbɔdi na yu famili dɔn du dat.
- If yu gɛt tayroyd sik .
- Yu kin gɛt alɛji fɔ nortriptyline, ɔda trisayklik antidipreshɔn, ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ gɛt pwɛl hat.If yu gɛt alɛji.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu na mama we de gi pikin in bɛlɛ .
If ɛnitin de we tan lɛk dis, yu nɔ tink se i go bɛtɛ fɔ mek yu tɛl di dɔktɔ we yu nɔ ayd am atɔl?
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Dis mɛrɛsin na fɔ yu fɔ tek. Yu fɔ tek am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am. If na wata, yuz spɛshal mɛzhɔmɛnt spun ɔ kɔp fɔ mɛzhɔ am. Nɔ yuz ti spɔnj ɔ tebul spɔnj na os fɔ mɛzhɔ, bikɔs dɛn nɔ kɔrɛkt. If yu nɔ gɛt tin fɔ mɛzhɔ, aks di famasi fɔ wan. Tek di mɛrɛsin di tɛm, di mɔnt, ɛn di tɛm we yu dɔktɔ tɛl yu fɔ tek. Nɔ ɛva tek pas di mɔni we yu dɔktɔ tɛl yu fɔ tek, ɔ tek am bɔku tɛm.
Wan ɔda tin we rili impɔtant na dat yu nɔ fɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, yu kin gɛt siriɔs sayd ɛfɛkt ɔ yu sik kin wɔs.
We yu gɛt dis mɛrɛsin frɔm di famasi, dɛn go gi yu wan spɛshal instrɔkshɔn liflet (MedGuide) . Yu go gɛt dis wit ɛvri prɛskrishɔn, ɛn bak we yu gɛt rifil. I impɔtant fɔ tek tɛm rid am ɔltɛm.
If dɛn gi dis mɛrɛsin to pikin dɛn, dɛn fɔ tek spɛshal kia bay we dɛn de tɔk to di dɔktɔ bɔt am.
Di tin we impɔtant pas ɔl: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, ɔ if ɔda pɔsin tek am tumɔs bay mistek, kɔl pɔyzin kɔntrol sɛnta ɔ di imejensi rum we de nia yu wantɛm wantɛm. Dis na imejensi.
Wetin yu kin du if yu mis yu mɛrɛsin apɔntinmɛnt?
If yu mis wan doz, tek am jɔs afta 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 dabl doz ɔ ɛkstra doz. We wi du dat, dat kin mek wi gɛt prɔblɛm.
Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?
Dis na sɔntin bak we wi fɔ rili tek tɛm wit. Nortriptyline kin mek yu gɛt prɔblɛm if yu tek am wit sɔm ɔda mɛrɛsin dɛn. Dat min se, intarakshɔn kin apin. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk ɔyl, vaytamɛn, ɛn tin dɛn we yu kin yuz fɔ it, ɛn if yu de smok, drink rɔm, ɔ yuz drɔgs we nɔ rayt.
Nɔ tek Nortriptyline wit dɛn mɛrɛsin ya:
If yu de tek ɛni wan pan dɛn mɛrɛsin ya, i nɔ fayn fɔ tek Nortriptyline. Tɔk to yu dɔktɔ bɔt dis.
- Cisapride we dɛn kɔl Cisapride
- Dronedarone we gɛt di sik
- Linezolid we dɛn kɔl
- MAOI drɔgs (MAOI) - ɛgzampul dɛn na Carbex, Eldepryl, Marplan, Nardil, ɛn Parnate
- Methylene blu - we dεn gi am as injεkshכn we dεn de put insay di bכdi
- Pimozayd we dɛn kɔl Pimozide
- Tioridazin we dɛn kɔl Tioridazin
Intarakshɔn kin apin bak wit dɛn mɛrɛsin ya:
Sɔm ɔda mɛrɛsin dɛn de we kin mek yu gɛt prɔblɛm we yu tek am wit nortriptyline. So if yu de tek ɛni wan pan dɛn mɛrɛsin ya, tɛl yu dɔktɔ.
- Rum
- Di kayn antihistamin fɔ alɛji, kɔf, ɛn kol
- Atropin we gɛt di sik
- Sɔm mɛrɛsin fɔ blad prɔblɛm - ɛgzampul: ɔksibutynin, tolterodine
- Sɔm ɔda mɛrɛsin fɔ pwɛl hat - ɛgzampul: amitriptyline, fluoxetine, sertraline
- Sɔm mɛrɛsin fɔ Pakinsin sik - ɛgzampul: benztropine, trihexyphenidyl
- Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ bɛlɛ sik - ɛgzampul dɛn: disayklɔmin, hayosyamin
- Sɔm mɛrɛsin fɔ muv sik - ɛgzampul: skɔpolamin
- Klɔrpropamide we dɛn kɔl
- Simɛtidin we dɛn kɔl
- Ipratropium we dɛn kɔl Ipratropium
- כda mεdikeshכn dεm we de mek di at ritm we nכ nכmal (lכng di QT intaval) - egzampl: dofetilide
- Ɔda mɛrɛsin dɛm wae kin mek yu gɛt wan sik wae dɛn kɔl sɛrotonin syndrome - ɛgzampul dɛm: Sɛnt Jɔn Wɔt, fentanyl, lithium, tramadol, triptofan, buspirone, ɛn sɔm mɛrɛsin dɛm fɔ maygren (e.g. sumatriptan ɔ rizatriptan)
- Kwinidin we dɛn kɔl
- Reserpine we dɛn kɔl
- Tayrɔyd mɛrɛsin
Dis list nɔr de inklud ɔl di intarakshɔn dɛm, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin, sɔpɔtmɛnt, ɔr ɛvbɔdi we yu de tek.
Us spɛshal tin dɛn fɔ tek tɛm wit we yu de yuz dis mɛrɛsin?
We yu de tek dis mɛrɛsin, yu ɛn yu famili nid fɔ tek tɛm wit sɔm tin dɛn.
- Wach fɔ di sayn dɛm: If yu pwɛl hat sik nɔr de bɛtɛ ɔr i tan lɛk se i de wɔs, tɛl yu dɔktɔ wantɛm wantɛm. I kin tek sɔm wiks fɔ mek dis mɛrɛsin bigin fɔ wok. So, i rili impɔtant fɔ kɔntinyu fɔ tek di mɛrɛsin lɛk aw yu dɔktɔ tɛl yu.
- Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf:Dis na tin we rili siriɔs. If yu ɔ yu fambul dɛn gɛt nyu tin fɔ tink bɔt fɔ kil dɛnsɛf, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Dɔn bak, no bɔt ɛni chenj we go apin wantɛm wantɛm na yu maynd. Fɔ ɛgzampul, fɔ wɔri pasmak, fɔ vɛks, fɔ vɛks, fɔ et ɔda pipul dɛn, fɔ de du tin kwik kwik wan, fɔ nɔ de rɛst, fɔ gladi pasmak ɛn fɔ du tin pasmak, ɔ fɔ gɛt prɔblɛm fɔ slip. If dɛn tin ya kin apin, mɔ we yu fɔs bigin fɔ tek di mɛrɛsin ɔ afta yu dɔn chenj di doz, tɔk to yu dɔktɔ wantɛm wantɛm.
- Drɔw ɛn diziz: Yu kin fil fɔ slip ɔ diziz we yu de tek dis mɛrɛsin. So, nɔ drayv, yuz mashin, ɔ du ɛni ɔda tin we nid fɔ mek yu maynd wach te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu. Ɛspɛshali if yu dɔn ol, nɔ tinap ɔ sidɔm wantɛm wantɛm. If yu du dat, i go mek yu nɔ gɛt bɔku chans fɔ mek yu ed de tɔn ɛn fɔdɔm.
- Rɔm: Rɔm kin ambɔg di wok we dis mɛrɛsin de du. So, nɔ drink rɔm we yu de tek dis mɛrɛsin.
- Kɔf ɛn kol mɛrɛsin: If yu gɛt kɔf, kol, ɔ alɛji, nɔ tek mɛrɛsin we yu kin bay we yu nɔ go to yu dɔktɔ fɔs. Dis na bikɔs sɔm mɛrɛsin dɛn kin mek di sayd ɛfɛkt dɛn bɔku we dɛn put dɛn togɛda wit nortriptyline.
- Dray mɔt: Dray mɔt na pɔsibul sayd ɛfɛkt fɔ dis mɛrɛsin. Yu kin ebul fɔ kɔntrol dis bay we yu de it gɔm we nɔ gɛt shuga, sok had kandy we nɔ gɛt shuga, ɛn drink bɔku wata. Bɔt if dis prɔblɛm kɔntinyu ɔ i bad, tɛl yu dɔktɔ.
- Dray yay ɛn blurred vishɔn: Dis mɛrɛsin kin mek yu yay dray ɛn blurred vishɔn. If yu wɛr kɔntakt lens, yu kin gɛt sɔm prɔblɛm dɛn. Fɔ rɔb di ay drɔp dɛn kin ɛp. If dis prɔblɛm de kɔntinyu ɔ i siriɔs, go to yu yay dɔktɔ.
- Kɔnstipɛshɔn: Dis mɛrɛsin kin mek pɔsin gɛt kɔnstipɛshɔn. Tray fɔ mek yu bɔdi muv wan tɛm ɛvri tu to tri dez. If yu nɔ gɛt bɔdi afta tri dez, kɔl yu dɔktɔ.
- San sɛnsitiviti: Dis mɛrɛsin kin mek yu skin sɛnsitiv smɔl to san. So, nɔ mek di san shayn as yu ebul. If yu fɔ go na do, wɛr klos we de kɔba yu skin, ɛn wɛr sanglas ɛn tin fɔ protɛkt yusɛf frɔm di san. Nɔ ɛva yuz san lamp ɔ tan bed/bɔt.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, Nortriptyline kin mek sɔm sayd ɛfɛkt. Sɔm kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Bɔku tɛm, sɔm nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de ɔ dɛn kin mɔna yu, yu fɔ tɛl yu dɔktɔ.
Di sayd ɛfɛkt dɛm we yu fɔ tɛl yu dɔktɔ wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ ɔ ɔspitul wantɛm wantɛm.
- Alɛji riakshɔn: skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot.
- At ritm de chenj: Hat de bit fast ɔr nɔr de bit ɔltɛm, diziz, fɔdɔm, chɛst pen, i nɔ izi fɔ blo.
- Di sayn dɛm fɔ serotonin syndrome kin bi: wae yu kin vɛks, yu kin kɔnfyus, yu at kin bit fast ɔr nɔr kin bit ɔltɛm, yu mɔsul kin stif, yu mɔsul kin twitch, 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 sik dɛn we kin mek pɔsin sik.
- Wantɛm we yu yay kin pen ɔ yu kin si tin chenj: Fɔ ɛgzampul, yu nɔ kin si fayn, yu kin gɛt halo rawnd layt, ɔ yu nɔ kin si fayn igen.
- Tink bɔt fɔ kil yusɛf ɔr fɔ du bad to yusɛf, fɔ wɔs yu maynd, fɔ gɛt pwɛl hat mɔr.
- I nɔ kin izi fɔ yu fɔ pis.
Sayd ɛfɛkt dɛn we nɔ kin nid fɔ go to dɔktɔ (bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de ɔ we de mɔna yu):
Dɛn tin ya kin go insay sɔm dez, bɔt if dɛn kɔntinyu ɔ de mɔna yu bɔku, tɛl yu dɔktɔ.
- Chenj pan sɛks drayv ɔ pefɔmɛns.
- Banbɛlɛ.
- Diziz we pɔsin kin gɛt.
- Di we aw pɔsin kin slip.
- Dray mɔt.
- Trem ɔ shek shek.
Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn. If yu notis ɛnitin we nɔ kɔmɔn, tɔk to yu dɔktɔ. Yu kin ripɔt dɛn sayd ɛfɛkt ya bak to di FDA na 1-800-FDA-1088.
Aw yu kin kip dis mɛrɛsin fayn fayn wan?
Dis na tin bak we rili impɔtant. If dɛn nɔ kip di mɛrɛsin fayn, i go lɔs di we aw i de wok.
- Kip am usay pikin dɛn nɔ go ebul fɔ rich. Dis rili impɔtant. If pikin dɛn ol dɛn tin ya ɛn drink dɛn, dɛn kin mek big prɔblɛm.
- Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs, bitwin 59 ɛn 86 digri Fahrenheit).
- Kip di mɛrɛsin bɔtul ɔ paket tayt tayt wan.
- Protɛkt frɔm layt. Dat min se, nɔ put am usay di san de shayn dairekt wan ɔ na say dɛn we brayt brayt wan.
- Nɔ yuz mɛrɛsin dɛn we dɔn pas. If yu gɛt mɛrɛsin dɛn we dɔn pas, trowe dɛn fayn fayn wan.
Mɛmba se dis liflet na jɔs sɔm tin dɛn. Sɔntɛm i nɔ go gɛt ɔl di infɔmeshɔn. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, tɔk to yu dɔktɔ, fama, ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.
Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba
Nortriptyline na impɔtant mɛrɛsin fɔ kɔndishɔn lɛk pwɛl hat. Bɔt, wi fɔ tek tɛm yuz am.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Tek di mɛrɛsin di kayn we aw dɛn tɛl yu fɔ tek am, di tɛm we dɛn tɛl yu fɔ tek am, ɛn lɛk aw dɛn tɛl yu fɔ tek am.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek, as intarakshɔn kin apin.
- Yu fɔ no bɔt di bad tin dɛn we kin apin to yu. If yu notis ɛnitin we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm. If yu du dat we yu nɔ gɛt yu dɔktɔ in advays, dat kin mek yu gɛt prɔblɛm.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt, tɔk to yu dɔktɔ. Nɔ kip ɛnitin fɔ yusɛf.
Wi de wish yu fɔ wɛl kwik kwik wan!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Nortriptyline (Nortriptyline / Pamelor) na pil fɔ?
Dɛn bin fɔs mek dis pil fɔ pipul dɛm wae gɛt siriɔs pwɛl hat ɛn wɔri (wan TCA drɔg). Bɔt tide, bɔku dɔktɔ dɛn kin yuz am fɔ trit siriɔs ‘nyuropatik pen’ (e.g. dayabitik nyuropathy) we kin kam bikɔs ɔf di nerve damej/kɔmpreshɔn, ɛn fɔ mek i nɔ gɛt maygren ed pen ɔltɛm we nɔ gɛt di prɔblɛm.
💬 Aw dis mɛrɛsin (Nortriptyline) de pul di pen na di nerve ɛn maygren?
Dis na majik fɔ di nerv dɛn! i de inkrεs כl tu di kεmikכl dεm we de mek yu gladi/εnεji na di bren we dεn kכl 'Serotonin & Norepinephrine'. afta dat, dεn kεmikכl dεm de go strεt dכn di spεnal kכd (Descending pain pathways), de blכk/klos di pen signal dεm frכm di lεg/nεk bifo dεn rich di bren.
💬 Wetin na di patikyula sayd ifekt wae kin apin wae yu tek dis pill (Pamelor)?
di men prכblεm wit dis pil (TCA) na dat i gεt ‘anticholinergic effects’. Dis min se we yu tek am, yu mɔt kin dray bad bad wan, yu kin gɛt kɔnstipɛshɔn, yu yay kin blɔk, ɛn i kin at/blɔk fɔ pas urine (espɛshali pan man dɛn we gɛt prɔstat we dɔn big). Dɔn bak, yu kin fil diziz ɛn fɔdɔm we yu kɔmɔt na bed wantɛm wantɛm (orthostatic hypotension)!
` Nortriptyline, pwɛl hat, mental hεlth, mεdikeshכn, trisayklik antidipreshכn, sayd ifekt, mεdikeshכn
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