Nthawi zina timamva kulemedwa kwakukulu, chisoni, kapena kusakhazikika m'mitima mwathu, sichoncho? Zili ngati kuti sitingathe kuchita chilichonse. Nthawi zina ngati izi, madokotala amalemba mankhwala otchedwa Doxepin kwa anthu ena. Tiyeni tiwone kuti mankhwalawa ndi otani, momwe amagwirira ntchito, komanso njira zodzitetezera zomwe tiyenera kutsatira tikamawagwiritsa ntchito.
Kodi Doxepin ndi chiyani?
Mwachidule, Doxepin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga kuvutika maganizo ndi nkhawa . Ndi m'gulu la mankhwala otchedwa Tricyclic Antidepressants (TCAs) . Ubongo wathu uli ndi mankhwala awiri otchedwa Serotonin ndi Norepinephrine . Awa ndi mankhwala omwe amathandiza kulamulira malingaliro athu, zomwe zikutanthauza kuti timamva chisangalalo komanso chisoni. Doxepin imagwira ntchito powonjezera kuchuluka kwa mankhwala awa muubongo. Izi zimathandiza kuchepetsa nkhawa ndi nkhawa.
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Dokotala wanu asanakupatseni Doxepin, adzakufunsani mafunso ena. Ndikofunikira kwambiri kuti muwayankhe molondola. Chifukwa anthu omwe ali ndi matenda enaake ayenera kusamala kwambiri akamapereka mankhwala awa. Onani ngati mafunso awa akukhudzani:
- Kodi muli ndi matenda amisala monga bipolar disorder ?
- Kodi n'kovuta kukodza? Kapena muli ndi vuto la prostate ?
- Kodi pali matenda a maso otchedwa glaucoma ?
- Kodi muli ndi matenda a mtima?
- Kodi mumamwa mowa nthawi zonse?
- Kodi pali matenda aliwonse a chiwindi?
- Kodi muli ndi matenda a m'mapapo, mwachitsanzo , mphumu kapena tulo apnea ? Kodi muli ndi vuto la maganizo monga schizophrenia ?
- Kodi munakhalapo ndi khunyu kale?
- Kodi muli ndi maganizo odzivulaza, kodi mukukonzekera kutero, kapena munayesapo kale kutero? Kodi pali aliyense m'banja mwanu amene anachitapo zimenezo?
- Kodi munayamba mwakhalapo ndi vuto la Doxepin, mankhwala ena, chakudya, kapena utoto?
- Kodi muli ndi pakati panopa? Kapena mukufuna kutenga pakati?
- Kodi mukuyamwitsa ?
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala za zinthu izi, eti?
Kodi Doxepin imagwiritsidwa ntchito bwanji?
Mankhwalawa ayenera kumwedwa ndi kapu ya madzi. Muyenera kumwa mlingo womwe mwapatsidwa, panthawi yomwe mwapatsidwa, monga momwe dokotala wanu wakuuzani. Musamwe mankhwala ochulukirapo kapena ochepera kuposa momwe dokotala wanu wakuuzani.
Chofunika kwambiri ndichakuti si bwino kusiya kumwa mankhwalawa mwadzidzidzi.Ngati musiya kumwa popanda upangiri wa dokotala, mungakhale ndi vuto, kapena vuto lanu lingaipireipire. Chifukwa chake, ngati musiya kumwa mankhwala, muyenera kuchepetsa pang'onopang'ono. Dokotala wanu adzakuuzani momwe mungachitire izi.
Mukalandira mankhwala awa ku pharmacy, adzakupatsani kabuku ka malangizo apadera (MedGuide) . Musaiwale kuwawerenga mosamala nthawi iliyonse mukalandira mankhwala owonjezera kapena owonjezera. Ali ndi mfundo zofunika.
Kodi mankhwalawa angaperekedwe kwa ana aang'ono?
Kawirikawiri, mankhwalawa angaperekedwe kwa ana aang'ono opitirira zaka 12 pazochitika zina zapadera. Komabe, ayenera kuchitidwa mosamala kwambiri komanso moyang'aniridwa ndi dokotala.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipatala chapafupi kapena imbani malo owongolera poizoni nthawi yomweyo. Izi ndizofunikira kwambiri, chifukwa kumwa mankhwala ochulukirapo kungakhale koopsa.
Chinthu china: Mankhwalawa ndi a inu nokha. Musapatse ena mankhwala anu, mwina sangakhale abwino kwa iwo.
Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Ndi zinthu ziti zomwe siziyenera kugwiritsidwa ntchito ndi mankhwalawa?
Mankhwala ena amaletsedwa kugwiritsa ntchito Doxepin. Palinso mankhwala ena omwe angayambitse mavuto akamwedwa ndi Doxepin. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, zitsamba, ndi mankhwala omwe amagulitsidwa mumsika wa mankhwala).
Musamwe Doxepin ndi:
- Arsenic trioxide
- Mankhwala ena ochizira kugunda kwa mtima kosakhazikika
- Cisapride
- Halofantrine
- Levomethadil
- Linezolid
- MAOIs ( monga Carbex, Eldepryl, Marplan, Nardil, Parnate) ndi mtundu wina wa mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo.
- Buluu wa Methylene
- Mankhwala ena ochizira matenda a maganizo
- Mankhwala a phenothiazine ( monga perphenazine, thioridazine, chlorpromazine)
- Pimozide
- Procarbazine
- Sparfloxacin
- Wort wa St. John (uyu ndi chomera)
Izi zingagwirizanenso ndi Doxepin:
- Cimetidine
- Tolazamide
- Ziprasidone
Mndandandawu sunathe. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingasokoneze mankhwala anu.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Dokotala wanu adzakufunsani kuti akuthandizeni kuona momwe zinthu zilili pamene mukumwa mankhwala awa. Onetsetsani kuti mwapita kukayezetsa. Zingatenge masiku angapo kuti mankhwala awa agwire bwino ntchito. Choncho musadandaule.
Monga ndanenera kale, ngati mwakhala mukumwa mankhwalawa kwa kanthawi, musasiye mwadzidzidzi. Muyenera kusiya pang'onopang'ono, motsatira malangizo a dokotala wanu. Apo ayi, mungakhale ndi zotsatirapo zoyipa kwambiri. Zotsatira za mankhwalawa zitha kukhalabe m'thupi lanu kwa masiku angapo mutasiya kumwa.
Khalani tcheru kwambiri!
Mukamamwa mankhwalawa, inu ndi banja lanu muyenera kudziwa za momwe mukumvera. Makamaka, samalani ndi maganizo ofuna kudzipha, kuvutika maganizo komwe kukukulirakulira, komanso kusintha kwa malingaliro (monga kusokonezeka maganizo, kusakhazikika, kukwiya, kukwiya, kusowa tulo). Ngati chilichonse mwa izi chikuchitika, makamaka mukayamba kumwa mankhwalawo kapena mutasintha mlingo, uzani dokotala wanu nthawi yomweyo.
Zinthu zina zofunika kuziganizira
- Mungamve ngati mukugona kapena mukuzunguzika mutu . Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Musadzuke mofulumira, musakhale pansi mwachangu, makamaka ngati ndinu okalamba. Kuchita zimenezi kungayambitse chizungulire ndipo mungagwe.
- Musamwe mowa . Mowa ungawonjezere kugona ndi chizungulire.
- Ngati mukufuna kumwa mankhwala a chifuwa, chimfine, kapena ziwengo, musamwe popanda kufunsa dokotala wanu kapena wamankhwala kaye. Zosakaniza zomwe zili mu mankhwala ena zimatha kuwonjezera zotsatirapo zake.
- Pakamwa pouma pakhoza kuchitika. Izi zitha kuchepetsedwa podya chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, ndikumwa madzi ambiri. Ngati vutoli likupitirira kapena ndi lalikulu, uzani dokotala wanu.
- Mankhwalawa angayambitse maso ouma komanso kusawona bwino . Ngati muvala ma contact lens, mungakhale ndi vuto linalake. Kugwiritsa ntchito madontho a m'maso opaka mafuta kungathandize. Ngati vutoli likupitirira, onani dokotala wanu.
- Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi dzuwa.Inde. Choncho, pewani dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zodzitetezera, magalasi a dzuwa, ndi mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, Doxepin ingayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena si oopsa kwambiri.
Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:
- Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, ndi pakhosi.
- Zizindikiro za serotonin syndrome zingaphatikizepo: kusakhazikika, kusokonezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu, kugwedezeka kwa minofu, thukuta, kutentha thupi kwambiri, kugwedezeka, kuzizira, kusanza, ndi kutsegula m'mimba.
- Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya (monga kuwona molakwika, kuona maso mozungulira magetsi, kutayika kwa masomphenya).
- Maganizo odzivulaza, kuipiraipira kwa maganizo anu , kapena kuvutika maganizo.
- Kuvuta kukodza.
Ngati chinthu chonga ichi chichitika , pitani kwa dokotala nthawi yomweyo.
Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):
- Kusintha kwa chilakolako kapena ntchito yogonana
- Kudzimbidwa
- Chizungulire
- Kugona tulo
- Pakamwa pouma
- Kugwedezeka
- Kulemera
Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, funsani dokotala wanu. Muthanso kunena za zotsatirapo zoyipa ku FDA pa 1-800-FDA-1088.
Kodi mumasunga bwanji mankhwala?
Sungani mankhwalawa pamalo omwe ana sangafikire . Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit). Musagwiritse ntchito mankhwala otha ntchito, muwataye.
Pomaliza, zinthu zoti muzikumbukira
Doxepin ndi mankhwala omwe angathandize pa matenda monga kuvutika maganizo ndi nkhawa. Komabe, pali zinthu zina zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.
Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola, kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo, kuwauza za mankhwala ena omwe mukumwa, kudziwa zotsatira zake, komanso osasiya kumwa mankhwala anu mwadzidzidzi.
Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Adzakuthandizani. Kumbukirani kuti thanzi lanu la maganizo ndi lofunika kwambiri!
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi makapisozi a Doxepin ndi mtundu wa mapiritsi ogonetsa?
Iyi si piritsi lenileni logonetsa, iyi ndi 'TCA - Tricyclic Antidepressant' yakale (mankhwala amphamvu amisala omwe amaperekedwa pochiza kuvutika maganizo)! Madokotala nthawi zambiri amagwiritsa ntchito izi kwa odwala omwe ali ndi kuvutika maganizo kwakukulu komanso nkhawa, kuti athetse mantha ndi chisoni chawo ndikuwapatsa chitonthozo.
💬 N’chifukwa chiyani mankhwala awa (Doxepin) amaperekedwa ndi chipatala chifukwa cha kusowa tulo?
Ngakhale kuti ndi mankhwala ochizira kuvutika maganizo, madokotala anazindikira kuti mankhwalawa akaperekedwa mu 'mlingo wochepa (dzina lodziwika bwino la Silenor),' amatseka Histamine (mankhwala omwe amachititsa kuti munthu akhale maso) muubongo ndipo amachititsa kuti munthu azigona tulo tosapiririka (sedation). Chifukwa chake, amagwiritsidwa ntchito kwambiri padziko lonse lapansi masiku ano kwa anthu omwe sangathe kugona usiku ndipo amadzuka pakati pa usiku (Sleep-maintenance insomnia), kuti agone bwino usiku popanda chizolowezi chilichonse.
💬 N’chifukwa chiyani ndimamva kuuma pakamwa/chizungulire nditamwa makapisozi awa (Doxepin)?
Izi ndi zotsatirapo zazikulu kwambiri za mankhwala akale a TCA (Anticholinergic effects)! Mankhwalawa akasintha mankhwala muubongo, mwangozi amaletsanso ma glands a malovu m'thupi. Zotsatira zake, mudzakhala ndi pakamwa/maso ouma, maso osawona bwino, kudzimbidwa, komanso kuthamanga kwa magazi m'thupi, makamaka mukadzuka m'mawa.
Doxepin , kuvutika maganizo, nkhawa, thanzi la maganizo, mankhwala oletsa kuvutika maganizo a tricyclic, TCA, mankhwala, zotsatirapo zake, serotonin
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