Depression an tih, depression an tih natna nena nun hi a chang chuan a harsa hle thei a ni lawm ni? Nun bo tawh anga i inhriat a, engmah ngaihvenna nei lo ang maia i inhriat lai khan, "Hei hi chinfelna a awm lo em ni?" Chutiang hunah chuan Selegiline Patches hi enkawlna pakhat a ni. Hemi chungchang hi vawiinah hian chipchiar zawkin sawi ila, thianpa nena kan inbiakna ang maiin.
Hei hi eng damdawi nge ni? Selegiline hi a ni...
A awlsam zawngin sawi ila, Selegiline hi depression enkawlna atana hman thin damdawi a ni. Patch angin a lo thleng a, chu chu vunah i hnawih thin. Brand name `EMSAM` hnuaiah i hmu tawh mai thei.
He damdawi hi damdawi pawl hrang hrang `MAOI` (Monoamine Oxidase Inhibitors) an tih zingah a tel a ni. Ngaihtuah teh, kan thluaka chemical chi hrang hrang a awm a, chu chuan kan rilru put hmang leh kan rilru put hmang thunun thei a ni. Chutiang chemical pakhat chu dopamine a ni. Dopamine hi chemical a ni a, kan rilruah hlimna, damna leh ngaihsakna ang chi thilte hi a inrawlh a ni. He Selegiline damdawi hian a tih chu thluaka dopamine level a balance theih nan a pui a ni. Tichuan, lungngaihna avanga lungawi lohna thenkhat chu tihziaawm theih a ni.
Doctor-te chuan a chang chuan he damdawi hi natna dang atan an pe thei a, chuvangin he thil chungchanga zawhna dang i neih chuan i doctor emaw pharmacist emaw zawh a tha ber.
He damdawi hi ka hman hmain doctor hnenah eng nge ka hrilh ang?
Selegiline Patches i hman tan hmain doctor hnenah i hrilh ngei ngei tur thil tlemte a awm. A chhan chu damdawi zawng zawng hi mi zawng zawng tan a inang vek lo. A hnuaia natna te hi i neih chuan i doctor hnenah hriattir la:
- Bipolar disorder: Bipolar disorder i neih chuan.
- Thisen sang: Thisen sang i neih chuan, chu chu i thisen sang a nih chuan a ni.
- Zu in hman dan: Zu in fo thin i nih chuan.
- Liver natna: Thin natna eng emaw i neih chuan.
- Pheochromocytoma: Hei hi adrenal glands-a tumor lo awm a ni. Hetiang dinhmun hi i neih chuan.
- Skin conditions or sensitivity: Vun natna eng emaw i neih emaw, i vun a sensitive em em emaw a nih chuan.
- Mahni intihhlum tumna: Mahni intihhlum tumna emaw, ruahmanna emaw i neih tawh emaw, mahni intihhlum tum tawh emaw, i chhungte zinga mi tu emaw chuan lo ti tawh a nih chuan. Hei hi a pawimawh hle.
- Allergy: Selegiline, damdawi dang, ei tur, dye emaw, preservatives emaw allergy i neih chuan.
- Naupai: Naupai emaw, nau pai tum emaw i nih chuan.
- Nu hnute petu i nih chuan: Nu nau hnute pe mek i nih chuan.
Heng thilte hi i doctor hnenah hrilhin, he damdawi hi i tan a tha em tih leh him taka hman dan tur chungchangah thurawn chiang tak a pe thei che a ni.
Engtin chiah nge he patch hi ka hman ang?
He damdawi hi pawn lam hman tur chauh a nih avangin i doctor-in a pek che prescription label-a thupek chu zawm rawh.
Patch hman dan awlsam tak chu hetiang hi a ni:
1. Patch lakchhuah: Patch awmna pouch te tak te chu a sir lama notch awmte hmangin phelh la, patch chu la chhuak rawh. Scissor hmang suh.
2. Hmanna hmun: Patch hi vun hmun thianghlim, vawt leh hrual takah hnawih tur a ni . A tlangpuiin, hnungzang chunglam, rilru chunglam, kekawr chunglam emaw, kut chunglam hnunglam emaw hi chutiang tur chuan hmun remchang tak a ni.
3. Hmun inmil lo: Hliam, vun irritated, scars, calloused skin awmna hmunah patch hi hnawih suh.
4. Patch khat chauh hman tur: Vawi khatah patch pakhat aia tam hman loh tur.
5. Cut suh: Patch chu cut emaw, then emaw suh.
6. Good adhesion: Patch chu vunah nghet tak leh flat takin a inzawm em tih enfiah thin ang che. A bik takin a sir lam chu a inzawm tha tawk tur a ni.
7. A hlui lakchhuah: Patch thar i hnawih hmain patch hlui kha paih hmasa phawt ang che.
8. Hmun thlak danglam: Patch thar i hnawih apiangin a hmaa i hnawih tawhna hmunah khan stick lo la, hmun dang, hnungzang chunglam, rilru chunglam, kekawr chunglam emaw, kut chunglam hnunglam emaw-ah dah la. Hmun khatah thun nawn fo suh.
9. Doctor-in a sawi aia tam hman loh tur a ni a, a hun ruat hmaa ei tawh loh tur. If you do stop , i doctor-in a tih ang chauhin ti rawh.
He damdawi hi damdawi dawr atanga i dawn hunah chuan special instruction leaflet (`MedGuide`) i dawng bawk ang. Damdawi i dawn apiangin, leh refill i hmuh apiangin he lehkhabu hi uluk takin chhiar thin ang che. A pawimawh hle mai.
He damdawi hi naupang tan a tha em?
He damdawi hi naupang tan hman phal a ni lo. A bik takin naupang kum 12 hnuai lam hnenah pek loh tur. I fain hetiang enkawlna hi a mamawh a nih chuan naupang enkawltu hnenah sawipui rawh.
I ei tam lutuk chuan eng nge thleng ang? (`Overdosage`) tih a ni.
He damdawi hi i ei tam lutuk nia i inhriat chuan, a nih loh leh miin a ei palh a nih chuan poison control center emaw, emergency room hnai ber emaw call nghal rawh.
He damdawi hi i tan chauh a ni!
Hei hi i tan chauh damdawi pek a ni. Chuvang chuan midangte hnenah hlan suh.
Damdawi ei hun i neih loh chuan engtin nge i tih?
I scheduled patch i miss a nih chuan i hriatreng veleh apply nghal rawh. Mahse i patch lo awm tur a hun tawh dawn a nih chuan a thar hnawih suh. A hun ruatah patch lo awm tur chauh apply rawh. Patch pahnih chu a rualin hnawih ngai suh la, extra dose pawh ei ngai suh.
He damdawi nen hian eng inzawmna dang nge awm thei?
Hei hi thil pawimawh tak a ni. Selegiline hi damdawi dang leh ei tur thenkhat nena inzawm thei damdawi a ni. Chuvangin he thil hi i fimkhur hle a ngai a ni.
Selegiline hi a hnuaia damdawi te nen hian hman ngai lo tur a ni:
- Atomoxetine hman a ni
- Carbamazepine a ni
- Cyclobenzaprine a ni
- Dextromethorphan - khuh syrup thenkhatah a awm thei.
- MAOI damdawi dang: Entirnan Marplan, Nardil, leh Parnate te hi an ni.
- Natna tidamtu thenkhat chu: meperidine, tramadol, methadone, leh pentazocine te an ni.
- Depression damdawi dang tam tak a awm a.
- Selegiline awmna damdawi dang: Entirnan, damdawi `Eldepryl` leh `Zelapar` tih te.
- Rasagiline a ni
- Safinamide hmanga siam a ni
- Ngaihtuahna lama harsatna nei tan stimulant damdawi.
- St. John's Wort - Hei hi mi thenkhatin an hman thin herbal remedy a ni.
- Viloxazine a ni
He damdawi hian a hnuaia mite nen pawh a inzawm thei bawk:
- Zu
- Buspirone chuan a rawn ti a
- Ephedrine a ni
- Epinephrine emaw racepinephrine emaw a ni
- Congenestants: phenylephrine leh pseudoephedrine te ang chi.
- Norepinephrine a ni
- Stimulant damdawi hman thin, taksa rihna tihtlem emaw, harh reng emaw.
He list hi a huam vek lo. Chuvangin i damdawi ei zawng zawng (prescribed, over-the-counter, herbal, vitamin, dietary supplement) te chu doctor hnenah hrilh la. Tin, zu i in emaw, zu i in emaw, ruihhlo i hman emaw chuan i doctor hnenah hrilh bawk ang che . Chung thil thenkhat chu i damdawi nen a inzawm thei a ni.
He damdawi hman lai hian eng thilte nge fimkhur tur?
He damdawi i ei lai hian i doctor nen i hriselna chungchang sawipui a, check-up neih fo a pawimawh hle. I natna lan chhuah dan a ṭhat loh emaw, a zual deuha lang emaw a nih chuan doctor hnenah hrilh rawh.
He damdawi hian a nghawng kimchang hmuh theih nan kar engemaw zat a la ngai thei. Chuvang chuan doctor-in a sawi angin damdawi ei chhunzawm zel a pawimawh. Damdawi lam thurawn tel lo chuan damdawi ei kha bansan nghal suh. Chutianga tih chuan chhanna nasa tak a thlen thei a ni. I doctor chuan damdawi engzat nge i ei tur tih a hrilh ang che.
Mahni intihhlum duhna ngaihtuahna chu lo thlir reng rawh!
Damlo leh an chhungte chu mahni intihhlum tumna thar emaw, zual zel emaw, lungngaihna emaw an neih chuan an fimkhur tur a ni. Tin, rilru natna a inthlak nghal mai theih nan fimkhur rawh - entirnan, rilru hah lutuk, buai, thinrim, thinrim awlsam, chetsual, rilru hah lutuk, phur lutuk, emaw mut harsatna nei - chutiang a nih chuan i doctor nen inbia nghal rawh, a bik takin enkawlna tan tirh emaw, i dose thlak hnuah emaw.
Tyramine awmna ei tur lakah fimkhur rawh!
I doctor hian ni khatah he damdawi hi milligram 6 (6 mg) aia tam a tihsan chuan tyramine an tih chemical awmna ei tur te pawh i fimkhur tur a ni. He damdawi hian chutiang ei tur nen a inrem thei a, lu na nasa tak a thlen thei a, thisen sang a tisang nghal thei a, a nih loh leh thinlung thawk mumal lo a thlen thei bawk .
I doctor-in ni khatah i dose chu milligram 6 (`6 mg`)-ah a tihhniam leh hnuah emaw, ni khata milligram 9 emaw 12 emaw (`12 mg`) i ei tawh loh hnuah pawh, kar hnih chhung chu ei leh in tur tyramine tamna ei loh tur a ni Mahse, 6 mg dose i ei tan a, i ei chhunzawm zel a nih chuan i ei leh in ah hian inthlak danglamna lian tham i siam a ngai lo mai thei. (Hemi chungchang hi i doctor emaw nutritionist emaw hnenah i zawt thei ang.)
Ngaihtuah tur dangte:
- Drowsiness/Dizziness: I mutthilh emaw, luak emaw i nei thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh te, machinery hman te, ngaihtuahna seng ngai thil eng pawh tih loh tur a ni. Ding leh thut thut suh, a bik takin tar i nih chuan. Chutianga tih chuan luak chhuak leh tlu hlauhawmna a tiziaawm thei a ni.
- Zu: Zu hian he damdawi hman thatna a tibuai thei a, chuvangin zu in loh tur a ni.
- Kawng vawt: I hmui a vawt tih a hriat theih. Sugar tel lo gum chewing te, toffee thlum loh ei te, tui tam tak in te hian hei hi a tiziaawm thei a ni. He harsatna hi a awm reng emaw, a nasat emaw chuan doctor nen inbia ang che.
- Damdawi dang: 1.1.Doctor rawn hmasa lovin khuh, khawsik, allergy tan damdawi engmah ei loh tur. Tin, doctor thurawn tel lo chuan taksa rihna tihtlem na damdawi engmah ei loh tur a ni. Heng damdawi thenkhata thil telte hian side effect a tipung thei a ni.
- Diabetes: He damdawi hian thisen sugar level a tichhe thei. Diabetes (Diabetes Mellitus) i neih chuan i ei leh in emaw, i zunthlum damdawi dose emaw i thlak hmain doctor nen inbia ang che.
- Surgery: Damdawi emaw ha lam emaw i tih chuan medical team te hnenah he damdawi hi i ei tih hrilh la, surgery neih chhunga damdawi dang hman te nen a inzawm thei a ni.
- Patch leh taksa lumna: He patch hi taksa lumna inthlak danglamna thenkhatah a sensitive hle. Chumi awmzia chu i vun a lum lutuk chuan patch hian damdawi chu i vunah a hip lut tam zawk thei tihna a ni. Chuvangin, khawsik i neih chuan i Doctor nen inbia ang che. Tin. Tin, he hun chhung hian i taksa lumna tisang thei exercise tih tlem bawk ang che. Hei hi kan ram khaw lum nen chuan a pawimawh zual hle.
He damdawi hian eng side effect nge a neih theih?
Damdawi zawng zawng ang bawkin he damdawi hian side effect engemaw zat a nei thei a, mahse mi zawng zawngin an nei vek lo.
Side effects i doctor hnena i hrilh nghal tur:
- Allergic reaction: vun rawng, vun hring, hives, hmai, hmui, lei emaw, kawr emaw a hring.
- Thisen sang sang lutuk: lu na tak tak, luak chhuak, luak chhuak, kawng khauh, thinlung thawk chak emaw, mumal lo emaw.
- Mahni intihhlum emaw, mahni intihhlum emaw ngaihtuah te, rilru natna zual emaw, lungngaihna nasa zawka inhriatna te.
Side effects, a tlangpuiin doctor thurawn mamawh lo, mahse a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni:
- Luak chhuak thei
- Mutthilh theih lohna
- Kawng a vawt
- Lu na
- Patch dahna hmuna a sen leh a hring ang chi natna (Irritation at application site) .
- Luhai
- Mut harsatna
He list-ah hian side effect zawng zawng a tel lo mai thei. Side effect dang i neih chuan i doctor nen sawiho rawh. side effects te chu FDA (Food and Drug Administration) hnenah 1-800-FDA-1088 ah call in report theih a ni bawk.
He damdawi hi engtin nge i dahkhawm?
- He damdawi hiNaupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
- Room temperature (20 leh 25 degree Celsius / 68 leh 77 degree Fahrenheit inkar) ah dah tur a ni.
- He damdawi hi hman theih a nih hma loh chuan a venna pouch-ah dah la.
- Damdawi expired hmang suh, paih mai rawh.
Damdawi hman loh, expire tawhte chu engtin nge i paih thin?
- He damdawi hi ``damdawi lak let program'' awmna hmunah hruai rawh.Chutiang hmun chungchang chu i damdawi dawr emaw police emaw atangin i hre thei ang.
- A pek let dan tur a awm loh chuan i damdawi dawr neitu emaw doctor emaw hnenah he damdawi hi him taka paih dan tur zawt la.
Patch hman tawh i lakchhuah hnuah a sticky side te chu fold khawm la, packet hrui hring ah dah la, bawlhhlawh bawm khuhna neiah paih nghal rawh. Hei hian naupang leh rannungte chu kawng lakah a awm lo ang. Tichuan i kut chu uluk takin silfai ang che.
Take-Home Thuchah: 1.1.
Okay, chuti a nih chuan Selegiline Patches chungchang hi kan sawi nasa hle a ni lawm ni? Hei hi patch a ni a, vunah hnawih a ni a, depression enkawlna atan hman a ni.
- I doctor thupek dik takin zawm rawh: Dose-in a tih angin hun bituk chhung atan a dose pek chu hmang rawh. A ei nghal vat loh tur.
- I hriselna dinhmun chu doctor hnenah hrilh rawh: Natna dang, damdawi i ei leh allergy i neih apiang chu doctor hnenah hrilh ngei ang che.
- Side effects fimkhur rawh: A bik takin side effects na tak tak, mahni intihhlum tumna leh thisen sang te hi fimkhur rawh. Heng zinga pakhat tal i tawn chuan doctor hnenah hrilh nghal rawh.
- Chaw leh damdawi dang: Chaw thenkhat (`Tyramine` awmna) leh damdawi dangte hian he patch hi a inzawm thei a, chuvangin chu pawh chu hre reng ang che.
- Patch hi hnawih leh dah dik: Patch i hnawih dan te, a hlui i paih dan te, a thar i hnawih na hmun i thlak dan te fimkhur rawh. Tin, damdawi hi uluk taka dahkhawm theihnghilh suh.
He thuziak hi thu tlangpui chauh a ni tih hre reng ang che. He damdawi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor, pharmacist emaw, healthcare provider dang emaw nen sawiho rawh. Dam leh thuai turin duhsakna kan hlan e!
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Phenelzine (Nardil) hi depression damdawi a ni em?
Aih! Hei hi SSRI psychiatric drug pangngai (Fluoxetine ang chi) a ni lo! Hei hi ‘MAOI’ group atanga damdawi hlui tak, mahse thiltithei tak a ni a, ‘severe and stubborn depression’ (Treatment-resistant depression) tan chuan a hnuhnung ber atan pek a ni a, damdawi thar zawk zingah pawh a la tidam lo. He damdawi hian thluaka ‘hlimna’ chemical engemaw zat (Serotonin, Dopamine, Norepinephrine) vawi khatah a tipung a, damlo chu a tidam nghal vat a ni.
💬 Engvangin nge he damdawi (MAOI) ei thinte hian ‘diet’ bik an zawm a ngaih?
Hei hi a pawimawh hle mai! He damdawi hian kan taksaa ‘Tyramine’ an tih chemical tichhetu enzyme chu a block a. Chuvangin he damdawi hi i ei lai hian cheese, aged meat (Salami), sausage, pickles, zu leh soy sauce ang chi ei tur i ei chuan i taksaah tyramine a khat ang a, i thisen sang chu a puak (Hypertensive crisis) thlengin a sang nghal ang a, thluak thisen (brain aneurysm/heart attack) a awm ang a, i thi mai thei!
💬 He damdawi nen hian antidepressant dang ka ei thei ang em?
A theih loh! Hei hi thihna thlentu a ni. Phenelzine leh damdawi dang Fluoxetine / Sertraline / cough syrup i ei chuan thluaka serotonin awm zat chu tuar theih loh khawpin a pung ang (Serotonin syndrome) damlo chu a thi ang. Phenelzine i chawlhsan hnuah pawh doctor-te chuan ni 14 (kar hnih) chhung chu antidepressant damdawi dang ei tan an phal dawn lo!
` Selegaline, lungngaihna, MAOI, dopamine, patch, rilru hriselna, side effects te
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