Kodi inunso mukuvutika kugona usiku? Tiyeni tiphunzire za mapiritsi a Doxepin!

Tangoganizirani ululu womwe mumamva mukagona usiku ndikutembenuka osagona. Masiku ena simugona mpaka mbandakucha. M'mawa wotsatira, thupi lanu limatopa ndipo mutu wanu umalemera. Doxepin ndi mankhwala omwe angathandize ndi vuto la kusowa tulo . Komabe, monga mankhwala ena aliwonse, ayenera kugwiritsidwa ntchito modziwa bwino komanso motsatira upangiri wa dokotala. Lero, tiyeni tikambirane za Doxepin mwatsatanetsatane.

Kodi mankhwala awa otchedwa Doxepin ndi chiyani?

Mwachidule, Doxepin ndi mankhwala omwe amagwiritsidwa ntchito pochiza kusowa tulo . Amakuthandizani kugona mwachangu komanso kugona osadzuka pakati pausiku. Ndi m'gulu la mankhwala otchedwa tricyclic antidepressants (TCAs). Izi zikutanthauza kuti mtundu uwu wa mankhwala umagwiritsidwanso ntchito kwambiri pochiza kuvutika maganizo, koma akagwiritsidwa ntchito pochiza kusowa tulo, nthawi zambiri amaperekedwa mu mlingo wochepa kwambiri . Ku Sri Lanka, mutha kupeza mankhwalawa pansi pa dzina la Silenor.

Komanso, ndikofunikira kudziwa kuti madokotala nthawi zina angakupatseni mankhwala awa pa matenda ena. Choncho ngati simukudziwa chifukwa chake mwapatsidwa mankhwala awa, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kumwa Doxepin, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Izi zili choncho chifukwa mankhwalawa sangakhale oyenera anthu omwe ali ndi matenda enaake, kapena angafunike kugwiritsidwa ntchito mosamala kwambiri.

Nazi zinthu zimenezo:

• Ngati muli ndi vuto la bipolar , ndi vuto la maganizo lomwe nthawi zina mumakhala osangalala kwambiri kenako mwadzidzidzi mumakhala achisoni kwambiri komanso okhumudwa.
• Ngati mukuvutika ndi kuvutika maganizo .
• Ngati mukuvutika kukodza .
• Ngati muli ndi glaucoma (matenda omwe amayambitsa kupanikizika m'maso).
• Ngati muli ndi matenda aliwonse a mtima .
• Ngati munayamba mwagwiritsapo ntchito mankhwala osokoneza bongo kapena mowa .
• Ngati muli ndi matenda a chiwindi .
• Ngati muli ndi matenda a m'mapapo (monga mphumu) kapena kusowa tulo .
• Ngati ndinu mwamuna, muli ndi vuto ndi prostate gland .
• Ngati muli ndi matenda ena amisala, monga schizophrenia .
• Ngati munaganizapo zodzipha , munakonza kale zodzipha, kapena ngati inu kapena munthu wina m'banja mwanu anayesapo kudzipha kale.
• Ngati muli ndi vuto la Doxepin, mankhwala ena, zakudya, utoto wa chakudya, kapena zotetezera.
• Ngati muli ndi pakati kapena mukuyembekezera mwana .
• Ngati ndinu mayi woyamwitsa .

Ngati chilichonse mwa zinthuzi chikukukhudzani, ndikofunikira kwambiri kuuza dokotala wanu za izi.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Ndikofunikira kwambiri kudziwa momwe mungagwiritsire ntchito mapiritsi a Doxepin moyenera.

• Mankhwalawa ayenera kumwedwa pakamwa, ndi kapu ya madzi .
• Tsatirani malangizo omwe ali pa mankhwala omwe dokotala wanu wakupatsani molondola .
• Mankhwalawa ayenera kumwedwa pamimba yopanda kanthu . Ndiko kuti, osachepera maola atatu mutadya . Sangagwire ntchito bwino ngati atengedwa pamodzi ndi chakudya.
• Muyenera kumwa izi pafupifupi mphindi 30 musanagone . Komanso, chofunika kwambiri, imwani izi pokhapokha ngati muli ndi chitsimikizo kuti mutha kugona usiku wonse (osachepera maola 7-8) popanda kusokoneza . Chifukwa ngati muyenera kudzuka ndikugwira ntchito mwamsanga mutangomwa izi, mungamve tulo komanso kusasangalala.
• Musamwe mowa woposa kuchuluka kwa mankhwala omwe dokotala wakupatsani.
• Musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse popanda upangiri wa dokotala . Kuchita zimenezi kungakulitse zotsatirapo zake kapena kukulitsa vuto lanu la kusowa tulo.
• Mukalandira mankhwala awa ku pharmacy, mungapatsidwe kabuku ka malangizo apadera kotchedwa ``MedGuide'' . Muwerenge mosamala nthawi iliyonse mukalandira mankhwala anu. Kakhoza kukhala ndi mfundo zofunika kwa inu.
• Ngati mukupereka mankhwalawa kwa ana , muyenera kulankhula ndi dokotala wanu za izi ndikupeza upangiri wapadera.

Nanga bwanji ngati mlingo wa mankhwala wawonjezeka? (Kupitirira muyeso)

Ngati mukuganiza kuti mwamwa Doxepin yambiri kuposa momwe mukuganizira, pitani ku chipinda chadzidzidzi chapafupi kapena imbani Poison Control Center nthawi yomweyo . Musataye nthawi.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musapereke mankhwalawa kwa mnzanu kapena wachibale pazifukwa zilizonse , ngakhale atakhala ndi vuto lomwelo monga lanu.

Nanga bwanji ngati ndaphonya mlingo wa mankhwala?

Popeza mankhwalawa amatengedwa musanagone, "kuphonya mlingo" sikukugwira ntchito kwenikweni pa izi. Komabe, ngati mwaiwala kumwa mankhwala anu musanagone kenako kumbukirani, musamwe mlingo wowirikiza kawiri kapena kumwa piritsi lina kuti mubwezeretse mlingo womwe mwaphonya. Kuchita izi kumawonjezera chiopsezo cha zotsatirapo zoyipa.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Doxepin ndi mankhwala omwe "akhoza kuyanjana" ndi mankhwala ena. Izi zikutanthauza kuti akamwedwa ndi mankhwala amenewo, zotsatira za Doxepin zimatha kusintha kapena zotsatira zake zitha kukwera.

Mankhwala otsatirawa ayenera kupewedwa ndi Doxepin:

• Arsenic trioxide `(Arsenic trioxide)`
• Mankhwala ena omwe amagwiritsidwa ntchito poletsa kugunda kwa mtima kosakhazikika
• Cisapride
• Halofantrine
• Levomethadyl (Levomethadyl)`
• Linezolid
• Mankhwala omwe ali m'gulu la mankhwala otchedwa `MAOIs` (Monoamine Oxidase Inhibitors) (monga Carbex, Eldepryl, Marplan, Nardil, Parnate). Awa ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza matenda amisala.
• Buluu wa Methylene `(buluu wa Methylene)`
• Mankhwala ena ochizira matenda a maganizo
• Mankhwala a phenothiazine ( monga perphenazine, thioridazine, chlorpromazine)
• Pimozide
• Procarbazine
• Sparfloxacin
• Mankhwala opangidwa kuchokera ku chomera cha St. John's Wort (anthu ena amamwanso mankhwalawa pamavuto amisala)

Doxepin ingathenso kuyanjana ndi mankhwala otsatirawa:

• Cimetidine (mankhwala a gastritis)
• Tolazamide (mankhwala a matenda a shuga)
• Ziprasidone (mankhwala a matenda amisala)

Mndandandawu sunathe. Pakhoza kukhala mankhwala ena. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini, ndi zowonjezera zakudya). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo . Izi zitha kusokonezana ndi Doxepin.

Kodi tiyenera kusamala ndi chiyani tikamagwiritsa ntchito mankhwalawa?

Pali zinthu zingapo zomwe muyenera kudziwa mukamagwiritsa ntchito Doxepin:

• Pitani kwa dokotala nthawi ndi nthawi kuti muone momwe zinthu zilili.
• Khalani ndi chizolowezi chogona nthawi yomweyo tsiku lililonse . Komanso, pewani kumwa zakumwa zokhala ndi caffeine monga khofi ndi tiyi masana ndi madzulo.
• Ngati simungathe kugona patatha masiku 7-10 mutamwa mankhwalawa, lankhulani ndi dokotala wanu. Pakhoza kukhala chifukwa china chomwe chimakupangitsani kusowa tulo.
• Imwani mankhwalawa pokhapokha ngati muli otsimikiza kuti mutha kugona mokwanira usiku wonse (maola 7-8) .
• Mukatha kumwa mankhwalawa, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala (monga kupanga zisankho zofunika, kuphunzira mayeso) .
• Muyenera kumwa mankhwalawa mphindi 30 zokha musanagone. Mukatero, chitani zinthu zokhazo zomwe zingakukonzekeretseni kugona (monga kusintha zovala, kutsuka mano anu).
• Mungamve tulo kapena kutopa m'mawa wotsatira mutamwa mankhwalawa. Ngati izi zitachitika, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadzuka bwino komanso mutachira.
• Musaime kapena kukhala tsonga mwadzidzidzi , makamaka ngati ndinu okalamba. Kuchita zimenezi kungakupangitseni chizungulire, mutu waung'ono, komanso kungakupangitseni kuti mugwe pang'ono.

Izi ndi zinthu zofunika kusamala nazo kwambiri: Mukatha kumwa mankhwalawa, mungadzuke pabedi osadziwa ndikuchita zinthu monga "kuyendetsa galimoto mutulo", kuphika, kudya, kulankhula pafoni, kugonana, komanso kuyenda tulo. Izi zingayambitse kuvulala kwakukulu . Ngati mutapeza kuti chinthu chonga ichi chachitika kwa inu (mwina simungakumbukire tsiku lotsatira, koma banja lanu liyenera kukuuzani), uzani dokotala wanu nthawi yomweyo .

• Musamwe mankhwalawa ngati mwamwa mowa madzulo amenewo . Komanso, musamwe mankhwalawa ngati mwamwa mankhwala ena aliwonse okuthandizani kugona. Ngati mwamwa, chiopsezo chotenga zizindikiro zokhudzana ndi kugona zomwe zatchulidwa kale ndi chachikulu kwambiri.

• Wodwala ndi banja lake ayenera kudziwa izi: maganizo atsopano kapena oipiraipira ofuna kudzipha , kuvutika maganizo koipiraipira, kapena kusintha kwadzidzidzi kwa malingaliro - mwachitsanzo, kumva nkhawa, kusakhazikika, kukwiya, kuchita zinthu mopitirira muyeso, kapena kukhala ndi vuto logona. Ngati chilichonse mwa izi chichitika, makamaka masiku oyambirira oyamba kumwa mankhwala kapena mutasintha mlingo, uzani dokotala wanu nthawi yomweyo .

• Mankhwalawa angayambitse mkamwa wouma . Izi zitha kuthetsedwa mwa kutafuna chingamu chopanda shuga, kusunga ginger mkamwa mwanu, ndikumwa madzi ambiri tsiku lonse. Ngati vutoli likupitirira, kapena ngati ndi lalikulu, lankhulani ndi dokotala wanu.

• Anthu ena akhoza kukhala ndi maso ouma komanso osawona bwino . Ngati muvala ma contact lens, mungamve kusasangalala mukamavala. Madontho a m'maso opaka mafuta angathandize. Ngati izi zikupitirira, palibe vuto, koma ngati zili zovuta kwambiri, uzani dokotala wanu.

• Mankhwalawa angayambitse kudzimbidwa . Chifukwa chake, idyani zakudya zambiri zokhala ndi ulusi (zipatso, ndiwo zamasamba, masamba obiriwira) ndipo imwani madzi ambiri. Yesani kuchita chimbudzi kamodzi pa masiku awiri kapena atatu aliwonse. Ngati simunachite chimbudzi kwa masiku atatu, uzani dokotala wanu.

• Mukamamwa mankhwalawa,Khungu likhoza kukhala losamva kuwala kwa dzuwa (photosensitivity). Choncho, pewani kuwala kwa dzuwa mwachindunji momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zodzitetezera ndipo gwiritsani ntchito mafuta oteteza ku dzuwa okhala ndi SPF yabwino. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.

Kodi zotsatirapo zoyipa za Doxepin ndi ziti?

Monga mankhwala ena aliwonse, Doxepin ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amawapeza, koma ndikofunikira kuwadziwa bwino.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zotsatirapo zilizonsezi, pitani kwa dokotala nthawi yomweyo :

• Matenda a ziwengo: Ziphuphu pakhungu, ziphuphu, khungu lofiira, kutupa, kuyabwa, kutupa kwa nkhope, milomo, lilime, kapena pakhosi (izi zingayambitse kupuma movutikira).
• Matenda a Serotonin: Matenda oopsa omwe angayambitse chimodzi kapena zingapo mwa zizindikiro izi: chisokonezo, kusokonezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu kapena kunjenjemera, thukuta kwambiri, kutentha thupi kwambiri, khunyu, kuzizira, kusanza, ndi kutsegula m'mimba. Izi ndi zadzidzidzi.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwadzidzidzi kwa masomphenya: kusokonezeka mwadzidzidzi kwa masomphenya, kuona mphete zamitundu (halos) mozungulira magetsi, kapena kutayika kwa masomphenya.
• Maganizo atsopano kapena owonjezeka odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo kwambiri.
• Kuvuta kukodza kapena kusakodza konse.
• Makhalidwe osazolowereka okhudzana ndi kugona: Zochita zomwe mumachita mukamagona zomwe simukuzikumbukira tsiku lotsatira (monga kuyendetsa galimoto mukamagona, kudya, kugonana).

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:

Zotsatirapo zoyipa izi nthawi zambiri sizimakhala zoopsa. Nthawi zambiri zimatha pakatha masiku ochepa. Komabe, ngati zikupitirira kapena kukuvutitsani kwambiri, uzani dokotala wanu:

• Kusintha kwa chilakolako cha kugonana kapena ntchito yogonana.
• Kudzimbidwa.
• Chizungulire.
• Kumva tulo ngakhale tsiku limodzi mutamwa mankhwala.
• Pakamwa pouma.
• Kunjenjemera (kunjenjemera pang'ono) m'miyendo.
• Kulemera.

Mndandandawu ukuphatikizapo zina mwa zotsatirapo za Doxepin. Muthanso kukumana ndi zotsatirapo zina. Chifukwa chake, ngati mukukumana ndi chinthu chachilendo, musaope kulankhula ndi dokotala wanu za icho.

Kodi ndiyenera kusunga kuti mankhwalawa?

• Sungani mankhwalawa kutali ndi ana komanso kutali ndi ana . Izi ndizofunikira kwambiri.
• Pa kutentha kwabwinobwino kwa chipindaSungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius / madigiri 68 ndi 77 Fahrenheit). Musayike pamalo otentha kwambiri kapena chinyezi. Musasunge m'malo monga bafa.
• Musasunge mankhwala osagwiritsidwa ntchito omwe adutsa tsiku lotha ntchito lolembedwa pa chizindikiro cha mankhwala, atayeni mosamala .

Mfundo zina zofunika (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mukumvetsa kuti ngakhale Doxepin ndi mankhwala omwe angathandize ndi vuto la kusowa tulo, pali zinthu zina zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.

Kumbukirani, mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wakupatsani upangiri. Imwani monga momwe dokotala wanu wakuuzani, panthawi yoyenera, komanso muyeso woyenera. Musaiwale kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo kapena mankhwala ena omwe mukumwa.

Dziwani bwino kwambiri za makhalidwe okhudzana ndi kugona, malingaliro ofuna kudzipha, ndi zotsatirapo zoopsa monga serotonin syndrome. Ngati muli ndi mafunso, nkhawa, kapena nkhawa, pitani kwa dokotala nthawi yomweyo.

Chinanso, mankhwalawa ndi a inu nokha. Ngakhale wina atakhala ndi zizindikiro zofanana ndi zanu, musamupatse mankhwala anu. Mankhwala ndi mlingo woyenera wa aliyense ndi wosiyana. Kugona bwino ndikofunikira kuti mukhale ndi moyo wathanzi. Chifukwa chake, ngati muli ndi mavuto okhudzana ndi tulo, musazengereze kufunsa upangiri kwa dokotala.

Doxepin , Silenor, Kusowa tulo, Tricyclic Antidepressant, TCA, Zotsatirapo Zake, Mankhwala, Kugona, Thanzi la Maganizo