I taksa pum puiah natna, rilru hahna leh hahna reng reng nen i nun a ngai bawk em? I doctor chuan he natna hi fibromyalgia a ti mai thei . Condition tibuaitu tak a ni. Chuvangin, hetiang hun laia doctor-te’n tanpui tura an rawt damdawi bik pakhat chu Milnacipran hi a ni. Vawiin hian he damdawi hi kan sawi dawn a, a hnathawh dan te, a tih theih dan te leh i hriat tur te, awlsam takin, i thianpa nen in inbia ang maiin kan sawi dawn a ni.
Milnacipran hi eng damdawi nge ni?
A awlsam zawngin sawi ila, Milnacipran hi Fibromyalgia natna enkawlna atana hman tur damdawi a ni. Damdawi chi khat SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) an tih zingah a tel a ni. "Aw, he thu lian tak hi eng nge ni?" A awlsam zawngin ka sawifiah ang.
Kan thluak chhungah hian thuchah keng chhuak leh kir leh kengtu palai te te an awm ang tih han ngaihtuah teh. Neurotransmitter kan ti a. Serotonin leh Norepinephrine te hi heng palai pawimawh tak tak pahnih an ni. Kan mood hlim taka awm tir tur leh natna control turin an pui thin. Fibromyalgia vei te hian heng messenger te hnathawh danah hian inthlak danglamna engemaw zat an nei thei.
Chuvangin, Milnacipran hian a tih chu thluaka heng serotonin leh norepinephrine te hi a tisang a, chu chuan i natna leh i rilru put hmang control turin a pui a ni. Chuvangin i natna leh hrehawmna dangte chu zawi zawiin a tlahniam tan dawn a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. Milnacipran i hman hmain i doctor hnenah i hriselna dinhmun kimchang takin i pe tur a ni. Thil tenawm tak a nih avangin engmah thup suh. A chhan chu chu thil tenawm tak takte pawhin i enkawlna a nghawng thei a ni.
A hnuaia table-a tarlan ang hi i neih chuan i doctor hnenah hrilh ngei ang che.
| Condition emaw habit emaw | Engvângin nge chu chu a pawimawh? |
|---|---|
| Thisen chhuahna lama harsatna nei | He damdawi hian thisen chhuah theihna a tipung deuh thei a ni. |
| Zu i in fo chuan | Liver chhiatna leh side effect dang a tam thei hle. |
| Glaucoma natna a awm | Mit pressure a tisang thei a ni. |
| Lung natna, thisen sang, thinlung rhythm disorder te | He damdawi hian thisen sang leh heart rate a tichhe thei a ni. |
| Kidney emaw liver emaw natna | Taksa atanga damdawi paih chhuahna a nghawng avangin a dose hi thlak a ngai mai thei. |
| Mania emaw bipolar state emaw a awm thei | Heng dinhmunte hi a zual zel a rinawm. |
| Prostate natna te | Zun harsatna a awm thei. |
| Seizure disorder i neih chuan | Risk a sang thei hle. |
| Nangmah emaw, i chhungte zinga tu emaw chuan mahni intihhlum duhna i neih chuan | Hei hi a pawimawh hle. Damdawi ei tan tirh lamah hian heng ngaihtuahnate hi i fimkhur hle tur a ni. |
| Ni 14 kalta chhunga MAOI damdawi i ei tawh chuan | Hei hian thil hlauhawm tak a thlen thei a ni. |
| Naupai tum emaw, naupai emaw, nau hnute petu i nih chuan | Hemi chungchang hi doctor hnenah hriattir ngei ang che. |
Engtin nge damdawi hi ka hman ang?
He damdawi hi tui glass khat nen ei tur a ni. Chaw ei hma emaw ei zawhah emaw i ei thei. Amaherawhchu, lungngaihna i neih chuan chaw ei ruala ei a tha zawk. Doctor-in a tih angin a hun ruatah ei ngei ngei tur a ni . I hriat angin dose hi tipung emaw tihhniam emaw suh, a nih loh leh a pek aia tam ei loh tur a ni.
A pawimawh ber chu he damdawi hi chawlhsan nghal mai hian side effect na tak a thlen thei a ni. A nih loh leh i fibromyalgia condition chu a zual thei bawk. Chuvangin, doctor thurawn tel lo chuan he damdawi hi ei nghal vat tawh ngai suh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Lungngai suh. Missed dose chu skip la, a hun hunah damdawi chu a hma ang bawkin ei rawh. Dose pahnih chu a rualin ei ngai suh. Chutiang a nih chuan doctor rawn rawh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Damdawi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Tin, he damdawi hi i tan chauh pek a ni tih hre reng ang che. He damdawi hi midang hnenah pe suh, an natna lan chhuah dan chu nangmah nen a inang vek a nih pawhin. A hlauhawm thei hle.
He damdawi nena inzawm thei damdawi dang (Interactions) .
Milnacipran hi damdawi dang nena inzawm thei damdawi a nih avangin i damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) i doctor hnenah hrilh a pawimawh hle.
He damdawi nen hian Milnacipran hi ei loh tur a ni.
A hnuaia damdawi te hi i ei a nih chuan Milnacipran hi i hmang lo ngei ang : A natna khirh tak, nunna atana hlauhawm pawh a thlen thei.
- MAOI damdawi (e.g. Marplan, Nardil) te hi a tha hle.
- Linezolid a ni
- Methylene blue (thil thisenah) 1.1.
- SNRI dang Duloxetine, Desvenlafaxine, Venlafaxine, Levomilnacipran te pawh a awm bawk
He damdawi hmang hian harsatna a awm thei bawk.
A hnuaia damdawi te hian Milnacipran nen pawh a inzawm thei bawk. Chuvangin hengte pawh hi i doctor hnenah hriattir ngei ang che.
- Aspirin leh a ang chi natna tidamtu te
- NSAIDS chi hrang hranga natna tidamtu (e.g. Ibuprofen, Naproxen) .
- Thisen zam venna damdawi (e.g. Warfarin, Enoxaparin) .
- Migraine damdawi thenkhat (Triptans) .
- Rilru natna damdawi dang
- Tramadol, Lithium, Tryptophan te a awm bawk
- A herbal supplement chu St. John’s Wort a ni
He list hi a kim lo a, chuvangin i ei zawng zawng chu doctor hnenah hrilh rawh.
Damdawi ei huna fimkhur tur thil
A bik takin ngaihven rawh: He damdawi hi i hman tan tirh emaw, a dose i thlak emaw hian, nangmah emaw, i chhungte emawa rilru natna thar emaw, zual zel emaw, mahni intihhlum duhna te, buaina emaw, lungkhamna emaw a awm leh awm loh fimkhur rawh. If this happens , i doctor ko nghal rawh. Hei hi a pawimawh hle.
- Thisen sang: He damdawi hian thisen sang a tisang thei. I doctor chuan i thisen sang enfiah fo turin a ti thei che a ni.
- Luak chhuak: He damdawi hian i ngaihtuahna a nghawng thei a, i react rang thei bawk. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hman loh tur a ni. Luak chhuak leh luak chhuak tihziaawm nan ṭhutna aṭangin emaw, khum aṭangin emaw zawi zawiin tho tur a ni. Hetiang dinhmun hi zu in hian a tizual thei a ni.
- Kawng vawt: Kawng vawt hi side effect awm fo a ni. Hei hi sugar-free gum chewing leh tui tam tak in atanga enkawl theih a ni.
Damdawi hian eng side effect nge a neih theih?
Damdawi dang ang bawkin Milnacipran hian side effect a nei thei a ni. Mi zawng zawngin an hmu vek lo. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu mild an ni thung.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| Thisen chhuah dan pangngai lo | Coffee ground emaw thisen ang maia lang bawlhhlawh dum, thisen chhuak, zun sen/brown dum, vunah sen/purple te te. |
| Heart rate a inthlak danglam thin | I thinlung a thawk chak ang maia inhriatna, rilru a tight. |
| Serotonin Syndrome natna a ni | Restlessness, confusion, thawk hah lutuk, khawsik, muscle stiffness or twitching, luak chhuak, luak chhuak. |
| Liver chhiatna chhinchhiahna | Pum dinglam chunglam na, chaw ei chak lohna, mit emaw vun emaw a sen, zun dum/brown. |
| Taksaah sodium a tlakchhamna chhinchhiahna | Muscle chak lohna, hah lutuk, lu na, buai. |
| Symptom na tak dang a awm bawk | Seizures, mit na nghal, mit a fiah lo, mahni intihhlum tumna, zun harsat. |
Side effects nasat loh tlangpui
Hengte hi ni rei lo te chhungin a bo tlangpui. Mahse an nghet tlat a nih chuan, emaw, an tibuai nasa che a nih chuan doctor hnenah hrilh rawh.
- Nausea, luak chhuak
- Ek khal
- Kawng a vawt
- Luak chhuak thei
- Thaw hah lutuk
- Mipat hmeichhiatna lama duhna emaw, hnathawh dan emaw a inthlak danglam
Take-Home Thuchah a ni
- Milnacipran hi fibromyalgia enkawlna atana hman tur damdawi bik a ni .
- He damdawi hi i ei tan hmain i doctor hnenah damdawi dang i ei zawng zawng leh i damdawi lam dinhmun eng pawh hrilh hmasa phawt ang che .
- Damdawi lam thurawn tel lo chuan damdawi ei kha bansan ngai suh.
- Damdawi ei tirh lamah hian mood change, agitation, emaw, mahni intihhlum duhna te hi fimkhur hle ang che. Heng zinga pakhat tal i tawn chuan doctor hnenah hrilh nghal rawh.
- He damdawi hi i tan chauh a ni. Midang hnenah share suh.
- Damdawi hi room temperature ah dah la , naupangte hmuh theih lohna hmunah dah rawh .
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