Yu de sɔfa wit sɔm kayn sik wae de kam pan pɔrsin wae gɛt dis sik lɛk wae yu de shek shek ɛn yu de stif? If na so, yu dɔktɔ go dɔn gi yu wan mɛrɛsin we dɛn kɔl Selegiline wit Levodopa. Dis na mɛrɛsin we dɛn kin gi bɔku tɛm. So, insay dis atikul, wi go tɔk bɔt wetin na Selegiline, wetin i rili de du, ɛn wetin yu fɔ tek tɛm mɔ bɔt we yu de yuz dis mɛrɛsin.
Wetin na Sɛlɛjilin? Wetin i de du?
Fɔ tɔk am simpul wan, Selegiline na mɛrɛsin wae dɛn kin yuse fɔ kɔntrol di sayn dɛm wae de sho se pɔrsin gɛt dis sik. I de pan wan klas ɔf drɔgs we dɛn kɔl MAOI. Wi bren gɛt wan kemikal we dɛn kɔl dopamine . Dis na wetin de ɛp wi bɔdi fɔ muv ɛn kɔdinɛt fayn fayn wan. pan pipul dεm wae gεt dis sik wae de kam pan dis dopamin na dεn bren de dכn.
Selegiline de wok bay we i de inkrisayz di amount of dopamine na di bren. Dis kin ɛp fɔ ridyus di sayn dɛm lɛk fɔ stif ɛn fɔ shek, we kin mek yu ebul fɔ du tin dɛm we yu kin du ɛvride izi wan.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi biznɛs bifo i gi yu Selegiline. So, if yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn.
- If yu gɛt ay blɔd prɛshɔn.
- If yu gɛt ɛni sik na yu liva.
- If yu gɛt lɔw blɔd prɛshɔn.
- If yu gɛt narcolepsy, we na wan sik we kin mek yu slip wantɛm wantɛm insay di de.
- If yu gɛt slip apnea.
- If yu gɛt alɛji fɔ selegiline ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Yu fɔ tek dis mɛrɛsin wit yu mɔt wit wan glas wata. I rili impɔtant fɔ tek di mɛrɛsin di rayt tɛm, di rayt doz, lɛk aw yu dɔktɔ tɛl yu fɔ tek am. Nɔ inkrisayz, ridyus, ɔ stɔp di doz we yu want.
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 rili fil bad. If yu stɔp, yu fɔ du dat bay we yu de ridyus di doz smɔl smɔl lɛk aw yu dɔktɔ tɛl yu.
Wetin fɔ du if yu tek mɛrɛsin pasmak?
If yu tink se yu dɔn tek bɔku mɛrɛsin, nɔ panik. Wantɛm wantɛmKɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital. Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin a go du if a fɔgɛt fɔ tek mi mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz ɛn mɛmba jɔs afta dat, tek am jɔs lɛk aw 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 dabl doz.
Tin dɛn we yu nɔ fɔ yuz wit Selegiline (Interactions) .
Dis na sɔntin we wi fɔ rili tek tɛm wit. Selegiline na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin ɛn it dɛm.
Prɔblɛm dɛn we de wit mɛrɛsin dɛn
If yu de yuz dɛn mɛrɛsin ya, nɔ tek Selegiline atɔl .
- Atomoxetine, Cyclobenzaprine, Dextromethorphan (we de insay sɔm kɔf srɔp dɛn) .
- Ɔda MAOI mɛrɛsin dɛn lɛk Marplan, Nardil, Parnate
- Di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk Meperidine, Methadone, Tramadol
- Ɔda mɛrɛsin dɛn we gɛt Selegiline, lɛk Emsam
- Rasagiline, Safinamide (na mɛrɛsin bak fɔ di sik we dɛn kɔl Parkinson) .
- Stimulant mεdikeshכn fכ atεnshכn prכblεm
- St. John’s Wort (prɔdak we dɛn mek wit ɛbul) .
- Vilɔksazin we dɛn kɔl Viloxazin
Apat frɔm dat, mɛrɛsin fɔ mɛntɛl sik lɛk pwɛl hat ɛn wɔri, sɔm tin wae de mek pɔrsin nɔr de fil fayn (phenylephrine, pseudoephedrine), ɛn mɛrɛsin wae de gi pɔrsin fɔ lɛf fɔ gɛt wɛt kin intarakt wit dis bak.
So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul prɔdak dɛn, ɛn mɛrɛsin dɛn we de mek yu fil pen) .
Prɔblɛm wit it (Tyramine Interaction) .
Dis na di impɔtant tin fɔ pe atɛnshɔn to we yu de tek dis mɛrɛsin. I nɔ fayn fɔ it it dɛn we gɛt bɔku tin we dɛn kɔl tyramine we yu de tek Selegiline. If yu du dat, i kin mek yu blɔd prɛshɔn go ɔp bad bad wan wantɛm wantɛm, i kin mek yu ed at bad bad wan, ɛn i kin mek yu at bit ɔltɛm.
| Fɔd dɛn we yu fɔ avɔyd we yu de tek Selegiline bikɔs dɛn gɛt bɔku Tyramine | |
|---|---|
| Di kayn it we dɛn kin it | Ɛgzampul dɛn |
| Chiz dɛn we dɔn ol | Chiz dɛn lɛk Chɛda, Blu chiz, Gɔgɔnzɔla, ɛn Pamɛsan. |
| Mit/fish we dɛn dɔn prosɛs ɛn smok | Sosish, salami, pepperoni, dray fish, jalapenos. |
| Drink dɛn we gɛt rɔm | Bia (especially draft bia), rɛd wayn, sheri. |
| Soya prodakt dɛn | Soya sos, miso sup, tofu. |
| Ɔda | Avokado, banana, rɛsin, frut dɛn we dɔn rayp fayn fayn wan. |
Aks yu dɔktɔ fɔ wan kɔmplit list fɔ dɛn tin ya.
Tin dɛn we yu fɔ tek tɛm mɔ bɔt we yu de tek di mɛrɛsin
- Drɔw ɛn diziz: Dis mɛrɛsin kin mek yu fil fɔ slip ɔr yu ed de tɔn. So, nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Tek tɛm we yu grap frɔm we yu sidɔm ɔ tinap wantɛm wantɛm.
- Rɔm: Nɔ drink rɔm. I kin ambɔg di wok we di mɛrɛsin de du.
- Dray mɔt: If yu mɔt dray, yu kin gɛt fridɔm bay we yu de it gɔm we nɔ gɛt shuga ɛn drink bɔku wata.
- Ɔda sik dɛn: Aks yu dɔktɔ bifo yu tek mɛrɛsin fɔ yusɛf fɔ tin dɛn lɛk kɔf, kol, ɛn fiva.
- Dayabitis: If yu gɛt dayabitis, dis mɛrɛsin kin afɛkt di shuga na yu blɔd. So tɔk to yu dɔktɔ bifo yu chenj di mɛrɛsin we yu de tek fɔ gɛt dayabitis ɔ di it we yu de it.
- Skin chenj: Yu fɔ no bɔt ɛni chenj we de apin na yu skin ɔ di we aw nyu spat dɛn de we yu de tek dis mɛrɛsin. Chek yu skin ɔltɛm. If yu notis ɛni chenj we tan lɛk dis, tɛl yu dɔktɔ wantɛm wantɛm.
Sayd ɛfɛkt dɛm wae kin kam wit dis mɛrɛsin
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji dɛn we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| Blɔd prɛshɔn we de go ɔp bad bad wan | Wantɛm wantɛm, yu ed kin at bad bad wan, yu kin gɛt nɔys, yu kin vɔmit, yu nɛk kin stif, ɛn yu at kin bit kwik kwik wan. |
| Di chenj dɛn we de apin na di maynd ɛn di we aw pɔsin de biev | Wae yu de wɔri, de agyu, yu de si tin wae de mek yu fil bad, yu de tink bɔt fɔ kil yusɛf, yu de fil bad mɔr. |
| Muvmɛnt dɛn we pɔsin nɔ ebul fɔ kɔntrol | Nyu ɔ inkris muvmɛnt dɛn we dɛn nɔ ebul fɔ kɔntrol na di fes, mɔt, ɔ di ɔpa bɔdi. |
| Ɔda siriɔs sayn dɛn | Di kayn we aw pɔsin kin biev we nɔ kɔmɔn lɛk fɔ slip wantɛm wantɛm we i de du ɛvride wok, diziz ɛn nɔ de si fayn, fɔ lɛ yu blɔd prɛshɔn go dɔŋ, fɔ ple gɔl, ɛn fɔ it pasmak. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
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Mɛsej we dɛn kin kɛr go na os
- Selegiline na wan mɛrɛsin wae de ɛp fɔ kɔntrol di sik wae de kam wit Pakinson ɛn i de mek di dopamine lɛvɛl na di bren go ɔp.
- Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Nɔ it tin dɛn we gɛt bɔku tayramin (lɛk chiz we dɛn dɔn mɛn, mit we dɛn dɔn prosɛs, ɛn rɛd wayn) kpatakpata we yu de tek dis mɛrɛsin.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- If yu gɛt ɛni bad bad sayd ɛfɛkt lɛk we yu ed de at bad bad wan, yu blɔd prɛshɔn go ɔp wantɛm wantɛm, ɔ yu maynd chenj, go to dɔktɔ wantɛm wantɛm.
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