Pwɛl hat, ɔr as wi ɔl no, nɔto wikɛd tin na wi maynd, na mɛrɛsin wae nid fɔ gɛt tritmɛnt. Insay dɛn kayn tin ya, wit di saykotɛrapi, sɔntɛnde dɛn kin nid mɛrɛsin bak. Wan kayn mɛrɛsin wae dɛn kin gi fɔ trit dis kayn pwɛl hat sik na Trimipramine. If yu dɔktɔ dɔn gi yu dis mɛrɛsin, i rili impɔtant fɔ mek yu no bɔt am gud gud wan. Lɛ wi tɔk bɔt dis simpul wan.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, Trimipramine de pan wan klas ɔf drɔgs we dɛn kɔl tricyclic antidepressants (TCAs). Sɔm kemikal dɛn we de na di bren kin ɛp fɔ mek wi nɔ fil fayn. Spɛshal wan, dɛn kɔl dɛn sɛrotonin ɛn norepinephrine. Di balans fɔ dɛn kemikal ya kin chenj if pɔrsin gɛt pwɛl hat.
Wetin dis drɔg de du na fɔ mek yu gɛt dɛn tu kemikal dɛn de na di bren, ɛn dis kin mek yu fil fayn. I tan lɛk we yu de on tu switch dɛn we de kɔntrol gladi at ɛn kol at.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i nid fɔ gɛt kɔmplit pikchɔ bɔt yu wɛlbɔdi. So, if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ ɛn nɔ ayd ɛnitin. Dis rili impɔtant fɔ yu yon sef.
| Sik ɔ ɔda tin dɛn | Wetin mek yu nid fɔ tɛl di dɔktɔ ? |
|---|---|
| If yu gɛt adikshɔn to rɔm | If yu miks rɔm ɛn dis mɛrɛsin, dat kin mek yu gɛt mɔ sayd ɛfɛkt. |
| Mental sik dɛm lɛk bipolar ɔr skizofrenia | Dis mɛrɛsin kin chenj dɛn sayn dɛn de. |
| I nɔ izi fɔ pis, prɔblɛm wit prɔstat | Dis mɛrɛsin kin mek yu nɔ ebul fɔ pis. |
| At sik, at ritm we nɔ de rit ɔltɛm, at atak we dɛn jɔs dɔn gɛt | Dis mɛrɛsin kin afɛkt aw di at de wok. |
| Glaukoma sik we dɛn kɔl Glaukoma | I pɔsibul fɔ mek di yay prɛshɔn go ɔp. |
| Liva ɔ kidni sik | Di prɔses fɔ pul mɛrɛsin na di bɔdi kin afɛkt. |
| Lung ɔr respiratory sik dɛm lɛk asma | Di risk fɔ sɔm sayd ɛfɛkt dɛn kin bɔku. |
| Siz ɔ Strɔk | De risk dɛm wae kin kam wit dɛn kayn tin ya kin difrɛn. |
| Tayrɔyd sik dɛn | I kin bi se rilayshɔn de bitwin di ɔmon lɛvɛl ɛn di we aw di mɛrɛsin de wok fayn. |
| Tin fɔ tink bɔt fɔ kil insɛf, fɔ tray fɔ kil insɛf, ɔ fɔ gɛt famili istri bɔt dɛn kayn tin ya | Dɛn tin ya kin bɔku we yu bigin fɔ tek di mɛrɛsin, so yu fɔ pe atɛnshɔn gud wan. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt di tin dɛn we kin apin to di pikin. |
| If dɛn de gi di pikin in mama in bɛlɛ | Dɛn fɔ tink if di mɛrɛsin kin pas to di pikin tru in mama in milk. |
| Alɛji to ɔda mɛrɛsin, it, ɛn day | Fɔ no if alɛji de pan di mɛrɛsin ɔ di tin dɛn we de insay. |
Aw a fɔ yuz di mɛrɛsin?
Tek dis mɛrɛsin wit wan glas wata. Tek di doz we yu dɔktɔ tɛl yu fɔ tek, di tɛm we yu dɔn tɛl yu. Nɔ ɛva tek pas di mɔni we yu dɔktɔ tɛl yu fɔ tek.
I rili impɔtant: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, i kin mek yu sik wɔs ɔ i kin mek yu gɛt ɔda siriɔs sayd ɛfɛkt dɛn. If yu stɔp fɔ tek dis mɛrɛsin, du am lɛk aw yu dɔktɔ tɛl yu, ɛn smɔl smɔl yu fɔ ridyus di doz.
Wetin a go du if a tek bɔku mɛrɛsin? (Ovados) .
If yu tink se yu dɔn tek bɔku mɛrɛsin, na imejensi. Wantɛm wantɛm, kɔl 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. Dis nɔto gem.
Mɛmba se na fɔ yu nɔmɔ dɛn dɔn gi dis mɛrɛsin. Nɔ gi dis mɛrɛsin to ɔda pɔsin jɔs bikɔs dɛn gɛt di sem sayn lɛk yu.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Dis rili impɔtant. We yu tek dis mɛrɛsin, i kin miks wit sɔm ɔda mɛrɛsin dɛn. Dis kin mek yu gɛt bad bad sayd ɛfɛkt. So tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, ɔyl, ɛn vaytamɛn we yu de tek.
| Nɔ ɛva tek Trimipramine wit dɛn tin ya | |
|---|---|
| MAOI dɛn (e.g. Marplan, Nardil, Parnate) . | Linezolid we dɛn kɔl |
| Methylene blu (we dɛn kin put insay di bɛlɛ) . | Pimozayd we dɛn kɔl Pimozide |
| Fɛnotiazin dɛn lɛk Thioridazine | Sɔm mɛrɛsin dɛn we de kɔntrol di at rit |
| Cisapride we dɛn kɔl Cisapride | St. John’s Wort (ekstrakt we dɛn mek wit ɛbul) . |
| Prɔblɛm kin apin bak wit dis mɛrɛsin (tɛl yu dɔktɔ). | |
| Mεdikeshכn dεm we de fכ hεy blכd prεshכn (e.g. Clonidine) . | Mɛrɛsin fɔ ɛpilepshi (e.g. Carbamazepine) . |
| Barbiturates (e.g. Fɛnobarbital) . | Simɛtidin we dɛn kɔl |
| Tayrɔyd ɔmon dɛn | Di mɛrɛsin dɛn we dɛn kin gi pɔsin we de mek pɔsin fil pen |
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Di we aw pɔsin de fil kin chenj ɛn di we aw i kin tink bɔt fɔ kil insɛf
Dis na di tin we impɔtant pas ɔl. Sɔmtɛm, mɔr lɛk insay di fɔs wik dɛm wae dɛn de trit am ɔr wae dɛn chenj di doz, de pwɛl hat sik kin bɔku ɔr kin kam wit nyu tin wae pɔrsin kin tink bɔt fɔ kil insɛf. If yu ɔ yu famili notis dɛn tin ya , tɔk to yu dɔktɔ wantɛm wantɛm.
- If yu fil se yu de wɔri ɔ yu de wɔri
- If yu fil se yu nɔ de rɛst ɛn yu vɛks bad bad wan, .
- If yu bigin fɔ du tin pasmak wantɛm wantɛm
- If yu nɔ ebul fɔ slip
- If yu fil se yu pwɛl hat de wɔs
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. Nɔ grap wantɛm wantɛm we yu sidɔm, mɔ if yu dɔn ol. Dis kin mek yu diziz ɛn fɔdɔm. Nɔ drink rɔm. Dis kin mek yu fil lɛk se yu de slip mɔ ɛn mɔ.
Dray mɔt, kɔnstipɛshɔn ɛn ɔda tin dɛn
- Dray mɔt: .Dis kin bi bay tin dɛm lɛk fɔ it gɔm we nɔ gɛt shuga ɛn fɔ drink mɔ wata.
- Kɔnstipɛshɔn: If yu nɔ gɛt bɔdi fɔ 2-3 dez, tɔk to yu dɔktɔ. If yu it tin dɛn we gɛt bɔku fayv ɛn drink bɔku wata, dat kin ɛp yu.
- San sɛnsitiviti: Yu skin kin fil fɔ di san we yu de tek dis mɛrɛsin. So, wɛr klos we go protɛkt yusɛf ɛn yuz tin fɔ protɛkt yusɛf frɔm di san we yu de go na do na di san.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji riakshɔn (skin rash, it, swel na yu fes, lip, tɔng) . | Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf , di we aw pɔsin de fil |
| di chenj dεm we de apin na di at rεt (di at bit fast כ i nכ de bit, di chεst de pen, i at fכ brith) . | Ay pen wantɛm wantɛm , yu nɔ de si fayn, yu de si ring dɛn rawnd layt dɛn |
| Serotonin Syndrome: Di sayn dɛm we yu kin gɛt na: yu nɔ kin rɛst, yu kin kɔnfyus, yu at kin bit kwik kwik wan, yu mɔsul kin stif ɔ yu kin swɛt, yu kin swet pasmak, yu kin gɛt fiva, yu kin vɔmit, ɛn yu kin gɛt dayarɛa. | |
| Tɛl yu dɔktɔ if i kɔntinyu fɔ de ɔ i de mɔna yu. | |
| Dray mɔt | Di we aw pɔsin kin slip |
| Diziz we pɔsin kin gɛt | Obstrukshɔn |
| Chenj pan di we aw pɔsin want fɔ du mami ɛn dadi biznɛs ɔ di we aw i de wok | Mild tremor (Tremors) . |
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek. Sɔm pan dɛn kin miks wit dis mɛrɛsin.
- Tɛl yu dɔktɔ wantɛm wantɛm if yu si ɛni chenj wantɛm wantɛm na yu maynd ɔ bihayvya, ɔ yu tink bɔt fɔ kil yusɛf, mɔ we yu bigin fɔ tek di tritmɛnt.
- Nɔ drink rɔm we yu de tek dis mɛrɛsin.
- Nɔ drayv ɔ du tin dɛn we nid fɔ de wach te yu no aw di mɛrɛsin de afɛkt yu.
- Ovados na imejensi. If dis apin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin dɛn kin yuz Trimipramine / Surmontil kapsul fɔ?
Dis na wan pan di ol ɛn pawaful saykayatrik drɔgs na mɛrɛsin (TCA - Tricyclic Antidepressant class) we dɛn kin yuz fɔ kɔntrol siriɔs ‘Dipreshɔn’! Dɛn kin yuse am fɔ di wan dɛm wae nɔr kin si ɛni impɔtant/chɛnj pan ɔl di ɔda nyu saykayatrik drɔgs dɛm (SSRI/SNRI) ɛn mɔ fɔ di wan dɛm wae gɛt ‘sivɛri inshɔmnia wit mɛja dipreshɔn’.
💬 Aw dis drɔg (Trimipramine) kin pul pwɛl hat we i kam insay di bren?
diprεshכn kin kכz fכ di dכn pan di bren in gladi/εnεji kεmikכl dεm (Serotonin, Norepinephrine). wetin dis mεdisin de du na 100% blכk di riuptek inhibishכn fכ di gladi kεmikכl dεm we di bren de rilis. Dɔn di bren kin ful-ɔp wit dɛn kemikal dɛn de, ɛn di pɔsin in pwɛl at kin wɛl kpatakpata. כlso, biכs i de blכk histamin, i de gi ‘sεdativ ifekt’.
💬 Wetin na di sayd effekt wae kin anɔynt yu pasmak if yu kɔntinyu fɔ tek dɛn pils ya (TCA)?
Dis na ol drɔg (TCA) so i gɛt bɔku sayd ɛfɛkt! I gɛt ‘anticholinergic’ ifɛkt, we kin mek yu mɔt dray, kɔnstipɛshɔn, yu nɔ kin si fayn, ɛn i nɔ kin izi fɔ pis. Dɔn bak, i gɛt bɔku risk fɔ mek di pɔsin in at ritm chenj ɛn bit abnɔmal wan (Arrhythmia/QT Prolongation), we na tin we kin kil pɔsin, so di dɔktɔ fɔ chɛk di ECG ɔltɛm.
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