Zana mut pawh i harsat em? Doxepin pills chungchang hi i zir dawn teh ang!

Zan lama mut a, muthilh loha i toss leh turn hian i natna chu han mitthla teh. Ni engemaw zat chu zing khawvar thlengin i muhil lo. A tuk zingah chuan i taksa chu a chau hle a, i lu chu a rit hle bawk. Doxepin hi damdawi a ni a , hetiang mut theih lohna hi a pui thei a ni . Amaherawhchu, damdawi dang ang bawkin hriatna dik tak nen leh Doctor thurawn hnuaiah hman tur a ni. Vawiin hian Doxepin chungchang hi chipchiar takin sawi ila.

He damdawi hi Doxepin an tih hi eng nge ni?

A awlsam zawngin, Doxepin hi damdawi a ni a, mut theih lohna enkawlna atan hman a ni . Zanlai pelh tawh lova mutthilh thuai tur leh muthilh theih nan a pui thin. Damdawi chi khat, tricyclic antidepressants (TCAs) an tih zingah a tel a ni. Chumi awmzia chu he damdawi chi hi lungngaihna atan pawh hman a ni tlangpui a, mahse mut theih lohna atana hman a nih chuan a tlem hle a ni . Sri Lanka ramah chuan he damdawi hi brand name Silenor hmangin i hmu mai thei.

Tin, doctor-te chuan a chang chuan he damdawi hi natna dang tan pawh an pe thei tih hriat a pawimawh bawk. Chuvangin he damdawi hi engvangin nge i pek tih i hriat chian loh chuan i doctor emaw pharmacist emaw zawt la a tha ber.

He damdawi hi ka ei hmaa doctor hnena ka hrilh tur te chu engte nge ni?

Doxepin i ei tan hmain doctor hnenah i hrilh ngei tur thil tlemte a awm. Hei hi a chhan chu he damdawi hi damdawi lam harsatna nei tan chuan a tha lo thei a, a nih loh leh uluk taka hman a ngai mai thei bawk.

Chung thilte chu hetiang hi a ni:

• If you have bipolar disorder , chu chu rilru lam natna a ni a, vawi khatah hlimna nasa tak i nei a, chutah chuan rang takin lungngaihna leh lungngaihna nasa tak i nei ta a ni.
• Depression i vei a nih chuan .
• Zun harsa i neih chuan .
• Glaucoma (mit a pressure tisangtu natna) i neih chuan.
• Lung natna i neih chuan .
• Tun hmaa ruihhlo emaw zu emaw i hman tawh chuan .
• Liver natna i neih chuan .
• Lung natna (e.g. asthma) emaw, sleep apnea emaw i neih chuan .
• Mipa i nih chuan prostate gland-ah harsatna i nei a ni .
• Rilru natna dang i neih chuan, chu chu schizophrenia .
• Mahni intihhlum duhna i nei tawh a nih chuan , chutianga tih tumna i siam tawh a nih chuan, emaw, nangmah emaw, i chhungte zinga mi tu emaw pawhin mahni intihhlum an tum tawh a nih chuan.
• Doxepin, damdawi dang, ei tur, ei tur rawng, emaw, preservatives emaw allergy i neih chuan.
• Naupai emaw nau neih tur emaw i nih chuan .
• Nu hnute pe lai i nih chuan .

Heng zinga pakhat tal i tan a hman theih chuan i doctor hnena hrilh a pawimawh hle .

Engtin chiah nge he damdawi hi i hman?

Doxepin tablet hman dan dik hriat a pawimawh hle.

• He damdawi hi ei tur a ni a, tui glass khat nen .
• I doctor-in a pek che prescription-a thupek chu zawm chiang rawh .
• He damdawi hi pum ruak ah ei tur a ni . Chu chu, chaw ei hnu darkar 3 tal . Chaw ei ruala ei chuan a thawk tha lo mai thei.
• Hei hi mut hma minute 30 vel ah i in tur a ni . Tin, a pawimawh ber chu, hei hi in tur chu zan khat chhung (darkar 7-8 tal) tihtawp lohvin i mu thei tih i chiang a nih chuan . A chhan chu hei hi i in hnua tho vat a, hna i thawh a ngai a nih chuan i mut a, i rilru a hah hle mai thei.
• Doctor-in a pek zat aia tam in loh tur .
• I doctor thurawn tel lo chuan eng thil vang pawhin he damdawi hi ei nghal vat suh . Chutianga i tih chuan i side effects a tipung thei a, i mut theih lohna a tizual thei bawk.
• He damdawi hi damdawi dawr atanga i hmuh hian ``MedGuide'' tih hming pu instruction leaflet bik pek i ni thei bawk. Damdawi i lak apiangin ngun takin chhiar thin ang che. I tâna thu pawimawh tak tak a keng tel thei a ni.
• If you are giving this medicine to children , i doctor nen inbiakna neih ngei ngei tur a ni a, thurawn bik i la tur a ni.

Damdawi hman zat tihpun a nih chuan engtin nge ni ang? (A tam lutuk) .

Doxepin i ei tur aia tam i ei nia i hriat chuan damdawi in emergency room hnai ber pan la emaw Poison Control Center call nghal rawh . Hun khawhral suh.

Pawimawh: He damdawi hi i tan chauh pek a ni. He damdawi hi i thian emaw chhungte emaw hnenah eng vangin pe suh , nangmah ang bawka natna nei pawh nise.

Damdawi dose khat ka ei loh chuan engtin nge ni ang?

He damdawi hi mut hmaa ei a nih avangin "missing a dose" hian hei hi a huam tak tak lo. Mahse, mut hmaa i damdawi ei kha i theihnghilh a, chutah i hre reng a nih chuan, i ei loh zawng chu tihpun nan double dose emaw, extra pill emaw ei ngai suh. Chutianga tih chuan side effects a thlen theihna a tipung a ni.

Eng damdawi dang nge he damdawi nen hian inzawm thei?

Doxepin hi damdawi dang thenkhat nen ``interact`` thei damdawi a ni. Chumi awmzia chu chutiang damdawi nena ei chuan Doxepin hian a nghawng a danglam thei a, a side effect pawh a pung thei tihna a ni.

Doxepin hi a hnuaia damdawi te nen hian ei loh tur a ni:

• Arsenic trioxide `(Arsenic trioxide)` tih a ni
• Damdawi thenkhat chu thinlung thawk mumal lo control nan an hmang thin
• Cisapride chuan a rawn ti a
• Halofantrine hmanga siam a ni
• Levomethadyl `(Levomethadyl)` tih a ni
• Linezolid a ni
• Damdawi chi hrang hrang `MAOIs` (Monoamine Oxidase Inhibitors) (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate) an tih chi hrang hranga tel. Hengte hi rilru lam natna enkawlna atana hman thin damdawi class chak tak a ni.
• Methylene blue `(Methylene blue)` tih a ni
• Depression damdawi dang thenkhat
• Phenothiazine ( e.g. perphenazine, thioridazine, chlorpromazine) te hi a tha ber pawl a ni.
• Pimozide a ni
• Procarbazine hmanga siam a ni
• Sparfloxacin `(Sparfloxacin)` tih a ni
• St. John’s Wort thinghnah atanga siam damdawi (hei hi mi thenkhatin rilru lam harsatna nei tan pawh an ei thin) .

Doxepin hian a hnuaia damdawi te nen hian a inzawm thei bawk:

• Cimetidine (gastritis damdawi) 1.1.
• Tolazamide (zunthlum damdawi) .
• Ziprasidone (rilru lam natna damdawi) .

He list hi a kim lo. Damdawi dang pawh a awm thei. Chuvangin, i damdawi ei zawng zawng (prescribed, over-the-counter, herbal remedies, vitamins, leh dietary supplements) te chu doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw, ruihhlo i hman emaw chuan i doctor hnenah hrilh bawk ang che . Chungte chu Doxepin nen an inzawm thei a ni.

He damdawi hi kan hman dawnin eng nge kan ngaihven tur?

Doxepin i ei dawna i hriat tur tlemte a awm a:

• I dinhmun enfiah turin hunbi neiin i doctor hmu thin ang che.
• Nitin hun khata mut thin hi tih dan phungah siam rawh . Tin, chawhnu leh tlaiah coffee leh tea ang chi caffeine awmna in tur in loh tur a ni .
• He damdawi hi i ei hnu ni 7-10 hnuah pawh i la muhil thei lo a nih chuan i doctor nen inbia ang che. I mut theih lohna chhan dang a awm thei bawk.
• He damdawi hi zan khat mut kim (darkar 7-8) i mut theih tih i chian chuan chauh ei thin ang che .
• He damdawi hi i ei zawh hian lirthei khalh suh, machinery hmang suh, ngaihtuahna seng ngai thil engmah ti suh (e.g., thutlukna pawimawh siam, exam atana zir) .
• He damdawi hi i mut hma minute 30 vel chauh i ei tur a ni. Chumi hnuah chuan mutna atana inbuatsaihna (thawmhnaw thlak, ha sil ang chi) chauh ti rawh.
• He damdawi hi i ei hnuah a tuk zingah i muhil emaw, i rilru a hah emaw a ni thei . Chutiang a nih chuan, i harh kim a, i lu fiah hma loh chuan lirthei khalh suh, machine hmang suh, fimkhur ngai thil engmah ti suh.
• Ding emaw thut thut emaw suh , a bik takin tar i nih chuan. Chutianga tih chuan i lu a ti na thei a, i lu a ti hlim thei a, i tlu thei lo bawk.

Hei hi fimkhur hle tur a ni: He damdawi hi i ei zawh hian i hriat lohvin khum atangin i tho chhuak thei a, ``sleep-driving'', chaw siam, ei leh in, phone-a inbiakna, sex hman, leh mutthilh te ang chi thil i ti mai thei . Hengte hian hliam na tak a thlen thei a ni . Hetiang thil hi i chungah a thleng tih i hriat chuan (a tuk zingah i hre reng lo mai thei, mahse i chhungte chuan an hrilh tur che a ni), i doctor hnenah hrilh nghal rawh .

• Chumi tlai chuan zu i in tawh a nih chuan he damdawi hi ei suh . Tin, mutpui tur damdawi dang i ei tawh a nih chuan he damdawi hi ei suh. Chutianga i tih chuan a hmaa kan sawi tawh angin mutna nena inzawm natna lan chhuah theihna chu a sang zawk hle.

• Damlo leh chhungte chuan a hnuaia mite hi an hriat tur a ni: mahni intihhlum tumna thar emaw, zual zel emaw , lungngaihna zual zel , emaw, rilru put hmang inthlak danglam nghal – entirnan, lungkhamna, rilru hahdam lo, thinrim, acting out, hyperactive, emaw mut harsatna nei. Chûng zînga pakhat tal a lo awm a nih chuan, a bîk takin damdawi ei ṭan tirh lamah emaw, a hman dân i thlak hnuah emaw, i doctor hnênah hrilh nghâl rawh .

• He damdawi hian hmui a ti vawt thei . Hei hi sugarless gum chewing te, ginger chi khat i ka chhunga dah te, nitin tui tam tak in te hian a ti reh thei a ni. He harsatna hi a awm reng a nih chuan, emaw, a nasat chuan doctor nen inbia ang che.

• Mi thenkhat chuan mit a vawt a , mit a fiah lo thei bawk . Contact lens i bun chuan i bun laiin hrehawmna i nei thei. Lubricating eye drops hian a pui thei ang. Hei hi a awm reng chuan a pawi lo, mahse a nasat chuan doctor hnenah hrilh rawh.

• He damdawi hian constipation a thlen thei . Chuvangin fibrous foods (thei, thlai, greens) ei tam la, tui in tam rawh. Ni 2-3 danah vawi khat tal bowel movement neih tum ang che. Ni 3 chhung chawl i neih loh chuan doctor hnenah hrilh rawh.

• He damdawi hi i ei hian i...Vun hi ni êng lakah a sensitive thei (photosensitivity). Chuvangin a theih ang anga ni êng direct hi pumpelh tur a ni. Ni chhuahnaah i chhuah a ngai a nih chuan invenna puan ha la, SPF tha tak nei sunscreen hmang bawk ang che. Sun lamp emaw tanning bed/booth emaw hmang suh.

Doxepin hian eng side effect nge a neih theih?

Damdawi dang ang bawkin Doxepin hian mi thenkhatah side effect a nei thei a ni. Mi zawng zawngin kan hmu vek lo a, mahse fimkhur a pawimawh.

Side effects i doctor hnena i hrilh nghal tur:

Heng side effects te hi i neih chuan doctor pan hmasa phawt ang che :

• Allergic reaction: Vun vun rawng, hives, vun sen, vun hring, hnim hring, hmai, hmui, lei emaw, kawr emaw (hei hian thawk harsatna a thlen thei).
• Serotonin Syndrome: Thil hlauhawm tak a ni a, a hnuaia chhinchhiahna pakhat emaw a aia tam emaw a thlen thei a ni: rilru buai, rilru hah, thinlung thawk chak emaw, mumal lo emaw, taksa ruh khauh emaw, khur emaw, thawk hah lutuk, khawsik sang, seizure, chills, luak chhuak, leh luak chhuak. Hei hi emergency a ni.
• Mit na tak tak emaw, mit hmuhna inthlak danglam nghal emaw: mit hmuh lohna nghal, light chhehvela ring (halos) rawng hrang hrang hmuh, emaw, mit hmuhna hloh.
• Mahni intihhlum emaw, mahni intihhlum emaw ngaihtuahna thar emaw, pung emaw, rilru natna zual emaw, lungngaihna rilru pung emaw .
• Zun harsa emaw zun loh emaw.
• Mut kaihhnawih thil danglam tak: I mut chhunga i thil tih, a tuk lama i hriatreng loh thil (e.g., mut-a lirthei khalh, ei leh in, sex hman).

Side effects hlauhawm lo, mahse a awm reng chuan doctor hnenah hriattir tur:

Heng side effects te hi a nasat loh tlangpui. Ni rei lo te chhungin an kal bo tlangpui. Mahse, an awm reng emaw, an tibuai lutuk emaw chuan i doctor hnenah hetiang hian hrilh rawh:

• Mipat hmeichhiatna lama duhna emaw, mipat hmeichhiatna hman danah emaw inthlak danglamna.
• Ek khal.
• Luak chhuak thei.
• Damdawi ei hnu ni khatah pawh mutthilh theih loh.
• Kawng a vawt.
• Tremors (subtle tremors) a awm thin.
• Rihna a sang chho zel.

He list-ah hian Doxepin hian a side effect awm thei thenkhat chauh a tarlang a ni. Side effect dang pawh i nei thei bawk. Chuvangin, thil mak tak tak i tawng a nih chuan, chu chu i doctor hnenah sawipui hlau suh.

He damdawi hi khawiah nge ka dah ang?

• He damdawi hi naupangte hmuh theih lohna hmunah leh an hmuh theih lohna hmunah dah la . Hei hi a pawimawh hle.
• Room temperature pangngaiah chuanRoom temperature (20 leh 25 degree Celsius / 68 leh 77 degree Fahrenheit inkar) ah dah tur a ni. Khua lum lutuk leh vawt lutuk ah dah suh. Bathroom ang chi hmunah dah loh tur.
• Damdawi hman loh , expiry date pel tawh chu damdawi label-ah ziak suh la, him takin paih rawh .

Thu pawimawh thenkhat (Take-Home Message) .

Okay, chuvangin tunah chuan Doxepin hi mut theih lohna damdawi a nih laiin, a hman hunah fimkhur tur thil engemaw zat a awm tih i hrethiam ta.

He damdawi hi doctor thurawn chauha hman tur a ni tih hre reng ang che. I doctor-in a hrilh ang chiah chiah, a hun takah leh a zat dik takah ei rawh. Natna dang i neih leh damdawi dang i ei lai te doctor hnenah hrilh theihnghilh suh.

A bik takin mut kaihhnawih thiltih te, mahni intihhlum duhna te, leh serotonin syndrome ang chi side effect hlauhawm tak tak te hi hre reng ang che. Zawhna, ngaihtuahna leh ngaihtuahna i neih chuan doctor pan nghal rawh.

Thil dang pakhat chu, he damdawi hi nangmah tan chauh a ni. Mi dangin i symptom ang chiah an nei a nih pawhin i damdawi chu pe suh. Mi zawng zawng tana damdawi leh dose dik tak chu a inang lo. Nun hrisel nei tur chuan mut hrisel a pawimawh. Chuvangin mut kaihhnawih harsatna i neih chuan damdawi lam thurawn la hreh suh.

` Doxepin, Silenor, Mut theih lohna, Tricyclic Antidepressant, TCA, Side Effects, Damdawi, Mut, Rilru hriselna