Sɔntɛnde, i kin rili at fɔ liv wit di sɔri-at, fred, ɛn nɔ ebul fɔ kip wi maynd na wan ples, nɔto so? Yu tink se dat dɔn apin to yusɛf? Na dɛn kayn tɛm dɛn de, sɔntɛnde dɔktɔ dɛn kin tɛl wi fɔ tek mɛrɛsin fɔ wi maynd. Wan pan dɛn spɛshal mɛrɛsin dɛn de na Paroxetine Suspension. Tide, lɛ wi lan smɔl mɔ bɔt dis, lɛk se wi de tɔk to wi padi.
Wetin na dis mɛrɛsin, Paroxetine Suspension?
Fɔ tɔk am simpul wan, paroxetine na mɛrɛsin wae dɛn kin yuse fɔ trit sɔm kayn maynd wɛl bɔdi prɔblɛm, lɛk pwɛl hat, wɔri, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), ɛn premenstrual dysphoric disorder (PMDD). I de kam insay likwid fכm, na dat mek dεn kכl am sכspεns.
Dis mɛrɛsin de wok bay we i de mek wan kemikal we dɛn kɔl sɛrotonin de na wi bren. Tink bɔt am dis we, sɛrotonin tan lɛk smɔl mɛsenja we de kɔntrol tin dɛn lɛk gladi at ɛn kol at na wi maynd. Dis mɛrɛsin de pan wan klas mɛrɛsin we dɛn kɔl SSRI (Selective Serotonin Reuptake Inhibitors) . Dis min se dɛn mɛrɛsin ya kin ɛp di sɛrotonin mɛsenja dɛn fɔ wok fɔ lɔng tɛm smɔl, dɔn yu maynd kin bɛtɛ smɔl.
Yu go dɔn yɛri bɔt dis mɛrɛsin ɔnda di brand nem Paxil . Bɔt sɔntɛnde, yu dɔktɔ kin gi yu am fɔ ɔda sik dɛn. So if yu gɛt ɛni kwɛstyɔn, i go fayn fɔ aks yu dɔktɔ ɔ fama.
Wetin na de tin wae yu nid fɔ tɛl yu dɔktɔ bifo yu yuse dis mɛrɛsin?
Dis rili impɔtant. Bifo yu bigin fɔ tek Paroxetine, yu fɔ ɛksplen dɛn tin ya klia wan to yu dɔktɔ. Na da tɛm de nɔmɔ i go disayd if dis mɛrɛsin fayn fɔ yu ɔ if ɛni spɛshal tin de we yu fɔ tek tɛm wit.
- If yu gɛt bipolar disorder , ɔr if pɔrsin na yu famili dɔn gɛt dis sik.
- If yu gɛt prɔblɛm wit blɔd (e.g., wan kɔndishɔn we di blɔd nɔ kin klɔt izi wan).
- If yu gɛt di sik we dɛn kɔl glaukoma .
- If yu gɛt at sik .
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik .
- If dɛn dɔn tɛl yu se yu sodium lɛvɛl smɔl.
- If yu dɔn gɛt sik dɛn we de mek yu sik bifo.
- Tin fɔ tink bɔt fɔ du bad to yusɛf, tink bɔt fɔ kil yusɛf (Suicidal thoughts) .If i dɔn apin bifo, if dɛn dɔn tray fɔ du am, ɔ if pɔsin na di famili dɔn du am.
- If yu de tek MAOI mɛrɛsin naw (MAOI - fɔ ɛgzampul `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`). Wi go tɔk mɔ bɔt dɛn tin ya leta.
- If yu de tek mɛrɛsin we de mek yu blɔd tan ɔ we de mek yu nɔ kolat (e.g. Warfarin).
- If yu gɛt ɛni sik we dɛn kɔl tayroyd .
- If yu dɔn gɛt alɛji fɔ Paroxetine, ɛni ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl.
- If yu gɛt bɛlɛ naw ɔ yu de tray fɔ gɛt bɛlɛ. Dis rili impɔtant!
- If yu na mama we de gi pikin in bɛlɛ , dis na sɔntin we yu fɔ tɔk bɔt fɔ tru!
I bɛtɛ fɔ yu sef ɛn di sakrifays fɔ yu tritmɛnt if yu tɛl dɛn tin ya we yu nɔ ayd.
Aw ɛksaktɔli yu kin yuz dis mɛrɛsin?
Dis mɛrɛsin na wata we yu kin tek wit yu mɔt. Yu fɔ yuz am jɔs lɛk aw dɛn rayt am na di prɛskrishɔn lɛbl we yu dɔktɔ gi yu. Mɛmba se dis na sɔspɛns, we min se pan ɔl we na wata, di mɛrɛsin go flɔt insay di wata lɛk paoda. So yu fɔ shek di bɔtul fayn fayn wan bifo yu yuz am. Da we de, di mɛrɛsin go miks fayn wit di wata ɛn yu go gɛt di kɔrɛkt doz.
We yu de mɛzhɔ yu mɛrɛsin, yuz spɛshal mak spun ɔ kɔntena we di famasi gi yu. If yu nɔ gɛt wan, aks yu fama fɔ wan. Nɔ yuz ti spɔnj ɔ tebul spɔnj ɔltɛm, bikɔs dɛn nɔ go mɛzhɔ di rayt doz.
Yu kin tek dis mɛrɛsin wit it ɔ yu nɔ it am. Yu dɔktɔ go tɛl yu bɔt am. Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin ɔltɛm, we yu dɔktɔ tɛl yu fɔ tek am. Nɔ tek pas di mɔni we dɛn tɛl yu fɔ tek, ɔ tek am tumɔs.
I rili impɔtant: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin mek yu gɛt siriɔs sayd ɛfɛkt ɔ mek yu sik wɔs. So, if yu stɔp fɔ tek am, du am smɔl smɔl, lɛk aw yu dɔktɔ tɛl yu.
We yu gɛt dis mɛrɛsin frɔm di famasi, dɛn go gi yu wan spɛshal instrɔkshɔn liflet (MedGuide) wit ɛvri prɛskrishɔn ɛn rifil. Mɛmba fɔ tek tɛm rid am ɔltɛm.
If yu de gi pikin dɛn dis mɛrɛsin, tɔk to yu dɔktɔ bɔt am. Sɔntɛm dɛn nid fɔ tek tɛm wit spɛshal tin dɛn.
Ovados: If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl pɔyzin kɔntrol sɛnta ɔ imejensi rum wantɛm wantɛm.
Wan ɔda tin: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi am to ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Oh, dat na posibul, no bi so? If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i rili nia yu nɛks doz (fɔ ɛgzampul, i jɔs de fɔ sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dɛbul ɔ ɛkstra doz fɔ mek di doz we yu mis. If yu du dat, dat kin mek yu gɛt bad bad tin dɛn.
Us ɔda intarakshɔn kin apin wit dis mɛrɛsin?
Dis na pɔynt bak we rili impɔtant. Dis mɛrɛsin wae dɛn kɔl Paroxetine kin miks wit sɔm ɔda mɛrɛsin, it, ɔr ɔda tin wae yu de tek. If dis apin, ɔl tu Paroxetine nɔ go wok fayn ɔ i go mek siriɔs sayd ɛfɛkt. So i rili impɔtant fɔ no bɔt dis.
Nɔ ɛva yuz Paroxetine wit dɛn mɛrɛsin ya:
- `Linezolid`
- MAOI mɛrɛsin dɛn, lɛk Carbex, Eldepryl, Marplan, Nardil, ɛn Parnate. Yu nɔ fɔ stat paroxetine fɔ at le tu wiks afta yu dɔn stɔp dɛn MAOI ya, ɛn yu nɔ fɔ stat wan MAOI fɔ at le tu wiks afta yu dɔn stɔp paroxetine.
- Methylene blue (na injɛkshɔn na blɔd vesel ) .
- `Pimozayd`
- `Tioridazin`
Paroxetine kin intarakt bak wit dɛn tin ya:
- Alkol – Yu fɔ avɔyd fɔ drink rɔm we yu de tek dis mɛrɛsin.
- Amfetamin-tayp stimulant dɛn
- Aspirin ɛn ɔda mɛrɛsin dɛn we gɛt aspirin
- `Atomoxetin`
- Sɔm mɛrɛsin fɔ pwɛl hat, wɔri, ɔr ɔda kayn maynd sik
- Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ trit at bit we nɔ de bit ɔltɛm (e.g., prɔpafenɔn, flecainide, encainide, quinidine) .
- Sɔm mɛrɛsin fɔ maygren (e.g. almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan)
- ` Simɛtidin `
- `Digoxin` we de na di wɔl
- Diuretics – mɛrɛsin dɛn we de ɛp fɔ pul wata na di bɔdi
- `Fentanyl`
- `Fosamprenavir`
- `Furazolidɔn`
- `Isoniazid`
- `Litiɔm`
- Mεdisin dεm we de mek bכdi nכ kכlכt כ tכn di bכdi (e.g. warfarin, enoxaparin, dalteparin) .
- Sɔm mɛrɛsin dɛn fɔ slip
- NSAID (drɔm dɛn we de mek pɔsin nɔ fil pen ɛn we de mek pɔsin nɔ fil bad, lɛk ibuprofen ɔ naproxen) .
- `Fɛnobarbital`
- `Fɛnitoin`
- `Prokarbazin`
- `Rasagilin`
- `Ritonavir`
- εrbal supliment dεm – fכ egzampl. `St. Jɔn in wɔt`, `kava kava`, `valerian`
- `Tamoksifen`
- `Tramadol`
- `Triptofan`
Dis list nɔ de inklud ɔl di intarakshɔn dɛn. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu ɔ we yu nɔ de it), ɛbul prɔdak, vaytamɛn, ɛn tin dɛn we yu kin yuz fɔ it, ɛn bak if yu de smok, drink rɔm, ɔ yuz drɔgs we nɔ rayt. Sɔm tin kin miks wit yu mɛrɛsin.
Wetin a fɔ tek tɛm mɔ we a de yuz dis mɛrɛsin?
I fayn fɔ pe atɛnshɔn smɔl mɔ to yu bɔdi ɛn maynd we yu de yuz dis mɛrɛsin.
- Kip yu yay pan yu sayn dɛm: If yu sik nɔr de bɛtɛ ɔr de wɔs, tɛl yu dɔktɔ. Kɔntinyu fɔ tɔk to yu dɔktɔ fɔ mek dɛn de chɛk yu ɔltɛm fɔ si aw yu tritmɛnt de go bifo.
- I kin tek tɛm fɔ mek i wɛl: 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 ɛn nɔ skip wan bit.
- Wach fɔ nyu ɔr de wɔs tin wae de mɛk pɔrsin de tink bɔt fɔ kil insɛf ɔr pwɛl hat: Dis na impɔtant tin. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt nyu ɔr de wɔs tin fɔ kil yusɛf ɔr pwɛl hat, mɔr lɛk wae yu de trit yu kwik kwik wan ɔr afta yu dɔn chenj yu doz. Wach bak fɔ chenj di we aw yu de fil, di we aw yu de biev, ɔ di tin dɛn we yu de tink bɔt wantɛm wantɛm. Dɛn chenj ya kin apin ɛni tɛm, bɔt dɛn kin apin mɔ we yu bigin fɔ trit yu ɔ afta yu dɔn chenj yu doz.
- Manik episod na pipul dɛm wae gɛt bipola muud disɔda: Sɔm pipul dɛm wae gɛt bipola muud wae de tek dis mɛrɛsin kin gɛt manik episod. Dɛn tin ya na fɔ fil bad bad wan, fɔ vɛks, fɔ vɛks kwik, fɔ vɛks kwik, fɔ et, fɔ fɛt, fɔ traŋa, fɔ nɔ rɛst, fɔ gladi pasmak ɛn fɔ du tin pasmak, ɔ fɔ nɔ ebul fɔ slip. Dɛn tin ya kin apin bak we dɛn bigin fɔ trit am ɔ we dɛn chenj di doz. If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ wantɛm wantɛm.
- Drɔw ɔ diziz: Dis mɛrɛsin kin mek yu fil fɔ slip ɔr yu ed de tɔn. So, nɔ drayv, yuz mashin, ɔ du ɛnitin we nid fɔ pe atɛnshɔn te yu no aw dis mɛrɛsin de afɛkt yu. Nɔ tinap ɔ sidɔm wantɛm wantɛm, mɔ if yu dɔn ol. If yu du dat, dat kin mek yu nɔ gɛt bɔku chans fɔ mek yu ed tɔn ɔ fɔ lɛ yu fɔdɔm.
- Rɔm: Rɔk kin ambɔg dis mɛrɛsin fɔ wok, so nɔ drink rɔm.
- Dray mɔt: Yu mɔt kin fil lɛk se i dɔn dray. If yu chef gɔm we nɔ gɛt shuga, we yu sok had kandy we nɔ gɛt shuga, ɛn drink bɔku wata, dat kin ɛp fɔ mek dis nɔ apin. If dis prɔblɛm de kɔntinyu ɔ i de kam tranga, tɔk to yu dɔktɔ.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, paroxetine kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm sayd ɛfɛkt dɛn kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ jɔs afta yu notis dɛn. Sɔm nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de ɔ de mɔna yu, yu fɔ tɛl yu dɔktɔ.
If yu gɛt ɛni wan pan dɛn bad bad tin ya, tɛl yu dɔktɔ ɔ yu dɔktɔ kwik kwik wan:
- Alɛji riakshɔn: skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot.
- Blɔd: blɔd ɔ blak, stɔl we tan lɛk tar, urine we gɛt rɛd ɔ dak brawn, blɔd we de vɔmit ɔ brawn tin we tan lɛk kɔfi grɔn, smɔl, rɛd ɔ pepul spat na di skin, blɔd ɔ brus we nɔ kɔmɔn.
- di hat ritm de chenj: di at de bit fast כ i nכ de bit, diziz, fil fכ fεn כ layt ed, chεst pen, tכbul fכ brith.
- Lɔw sodium lɛvɛl na di blɔd: di mɔsul dɛn wik, taya, diziz, ed we de at, kɔnfyushɔn.
- Serotonin syndrome: Dis na wan sik wae kin pasmak. Di sayn dɛm na fɔ vɛks, kɔnfyushɔn, at de bit fast ɔr nɔr de bit ɔltɛm, yu mɔsul dɛn de stif, yu mɔsul dɛn de twitch, yu de swet pasmak, yu gɛt ay fiva, yu de siz, kol, vɔmit, ɛn dayarɛa.
- Wantɛm we yu yay de pen ɔ yu de si chenj: lɛk we yu nɔ de si fayn, we yu de si halos rawnd layt, ɔ we yu nɔ de si fayn.
- Tin fɔ tink bɔt fɔ kil yusɛf ɔr fɔ du bad to yusɛf, fɔ de wɔs, filin fɔ pwɛl hat.
Bɔku tɛm, dɛn sayd ɛfɛkt ya nɔ kin nid fɔ gɛt mɛrɛsin, bɔt if dɛn kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ:
- Chenj pan sɛks drayv ɔ pefɔmɛns.
- Rɔnbɛlɛ.
- We pɔsin de swet pasmak.
- Vɔmit.
- Trem ɔ shek shek.
- Bɛlɛ we nɔ fayn.
Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn. Tɔk to yu dɔktɔ fɔ advays yu bɔt di bad tin dɛn we kin apin to yu. Yu kin ripɔt bak di sayd ɛfɛkt to di FDA na 1-800-FDA-1088.
Aw yu kin kip mɛrɛsin fayn fayn wan?
Kip dis mɛrɛsin usay smɔl pikin dɛn ɛn animal dɛn we dɛn kin mɛn na os nɔ go ebul fɔ rich. I rili impɔtant.
Dɛn fɔ kip am na 25 digri sɛlshiɔs (77 digri Fahrenheit) ɔ dɔŋ am. Dis na di sem tin lɛk di nɔmal rum tɛmpracha. Kip di bɔtul kap tayt tayt wan. Nɔ yuz ɔ trowe ɛni mɛrɛsin we dɔn pas di de we i fɔ dɔn.
Fɔ dɔn, sɔm impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .
Okay, wi don tok plenti abaut Paroxetine Suspension, no bi so? Mɛmba se pan ɔl we dis mɛrɛsin kin ɛp yu fɔ gɛt wɛlbɔdi, na jɔs lɛk aw yu dɔktɔ tɛl yu fɔ yuz am.
Dis atikul na fɔ gi yu di men tin dɛn nɔmɔ. Nɔto ɔl di tin dɛn we de insay dis atikul go apin to yu. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis mɛrɛsin, mek shɔ se yu aks yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.
Fɔ tɔk smɔl:
- Tɛl yu dɔktɔ : Tɛl yu dɔktɔ bɔt ɔda mɛrɛsin dɛn we yu de tek, ɛni ɔda sik we yu gɛt, ɛni alɛji we yu gɛt, ɛn if yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ bifo yu bigin di mɛrɛsin.
- Yuz am kɔrɛkt wan: Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm ɛn di mɔnt we dɛn tɛl yu. Nɔ stɔp wantɛm wantɛm.
- Yu fɔ wach: No bɔt nyu sayn dɛm ɛn di sayd ɛfɛkt dɛm. Tɛl yu dɔktɔ wantɛm wantɛm, mɔ if yu gɛt ɛni chenj na yu maynd.
- Nɔ sheb: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ gi am to ɔda pipul dɛn.
Yu maynd wɛlbɔdi rili impɔtant. I de gi pawa fɔ fɛn ɛp fɔ am. Wi de wish yu fɔ wɛl kwik kwik wan!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us kayn sik na Ethosuximide (Ethosuximide / Zarontin)?
Dis na spɛshal mɛrɛsin we dɛn kin gi to di wan dɛn we gɛt ‘seizure’! bכt nכto fכ dεn siriכs fit dεm we di bכdi de shek εn mכkus de kכmכt na di mכt, dεn de gi dis fכ spεshal fit we dεn kכl ‘Absence Seizures (Petit mal)’. Dat min se di pikin kin stɔp wetin i de du wantɛm wantɛm ɛn de luk di skay/ɛmti ples fɔ 10-20 sɛkɔn we i nɔ blink (tɛmporari lɔs fɔ kɔnshɛns) fɔ stɔp di fit!
💬 Wetin mek dɛn nɔ de gi di mɛrɛsin fɔ nɔmal fit (Phenytoin) fɔ dis sik (Absence Seizures)?
Bikɔs di we aw di bren kɔrɛnt de lik (insay di nɛv dɛn) difrɛn! dis gap-staring fit de kכz fכ spεshal ples dεm na di bren we dεn kכl ‘T-type Calcium Channels’. Insay nɔmal fit, di mɛrɛsin de wok pan di Sɔdiɔm Chanɛl dɛn. Dis Ethosuximide mεdisin de kכloz dεn Calcium Channel dεm dεn dairekt wan εn stכp dat fit 100% insay wan matter fכ sεkכnd.
💬 Wetin na di men sayd effekt wae yu gi dis mɛrɛsin (Ethosuximide) to pikin dɛm?
Di sayd ɛfɛkt we dis kin gɛt pas ɔl na we yu bɛlɛ kin at! Dat min se i de vɔmit/nɔs we i nɔ go ebul fɔ bia, i de fil pen na in bɛlɛ, ɛn i nɔ de want fɔ it igen (di pikin de lɔs in wet). So, i rili impɔtant fɔ gi dis mɛrɛsin as ‘syrup’ wit it. Dɔn bak, di pikin kin fil slip/taya ɔltɛm. Na smɔl tɛm nɔmɔ, i pɔsibul fɔ mek blɔd lɔs/anemia na di bɔdi, so di dɔktɔ go du blɔd tɛst.
` Paroxetine, Dipreshɔn, Wɔri, OCD, PTSD, SSRI, Mental Ɛlth, Paxil
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