Kodi mukufuna kudziwa zambiri za mankhwala a Nortriptyline? Tiyeni tikambirane!

Kodi nthawi zina mumamva kulemedwa, chisoni, kapena ngakhale kusamvera? Mwina dokotala wanu wakupatsani mankhwala otchedwa Nortriptyline. Ndiye, tiyeni tikambirane za mankhwalawa mwatsatanetsatane lero? Makamaka, zomwe amachita, momwe angagwiritsire ntchito, ndi zomwe muyenera kusamala nazo.

Kodi Nortriptyline ndi mankhwala amtundu wanji?

Mwachidule, Nortriptyline ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Serotonin ndi norepinephrine ndi mankhwala awiri muubongo omwe amakuthandizani kukhala osangalala komanso osangalala. Mankhwalawa amagwira ntchito powonjezera kuchuluka kwa mankhwala awa muubongo. Izi zingathandize kukonza momwe mukumvera. Ndi a gulu la mankhwala otchedwa tricyclic antidepressants (TCAs) . Nthawi zina madokotala amagwiritsa ntchito mankhwalawa pa matenda ena. Chifukwa chake ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Mayina ena omwe alipo pamsika ndi Aventyl ndi Pamelor, koma pakhoza kukhala mayina ena.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Izi ndizofunikira kwambiri. Musanayambe kumwa Nortriptyline, pali zinthu zina zomwe muyenera kuuza dokotala wanu. Chifukwa ndi pamenepa pamene adzatha kusankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso momwe angawaperekere. Onani ngati zinthuzi zikukugwirani ntchito:

• Ngati muli ndi matenda amisala monga bipolar disorder .
• Ngati muli ndi vuto la mtima lotchedwa Brugada syndrome .
• Ngati mukuvutika kukodza.
• Ngati muli ndi matenda a maso monga glaucoma .
• Ngati muli ndi matenda ena a mtima .
• Ngati ndinu chidakwa .
• Ngati muli ndi matenda a chiwindi .
• Ngati muli ndi matenda amisala monga schizophrenia .
• Ngati mwakhalapo ndi khunyu kapena matenda monga khunyu.
• Ngati munaganizapo zodzipha, kukonza mapulani, kapena kuyesa kudzipha , kapena ngati wina m'banja mwanu wachita zimenezo.
• Ngati muli ndi matenda a chithokomiro .
• Mungakhale ndi vuto la nortriptyline, mankhwala ena oletsa kuvutika maganizo otchedwa tricyclic, mankhwala ena, zakudya, utoto, kapena zotetezera.Ngati muli ndi vuto la ziwengo.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati ndinu mayi woyamwitsa .

Ngati pali chilichonse chonga ichi, kodi sikungakhale bwino kuuza dokotalayo popanda kubisa chilichonse?

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwala awa ndi anu kuti mumwe. Muyenera kumwa monga momwe dokotala wanu wanenera. Ngati ndi madzi, gwiritsani ntchito supuni yapadera yoyezera kapena kapu kuti muyese. Musagwiritse ntchito supuni kapena supuni kunyumba kuti muyese, chifukwa sizolondola. Ngati mulibe chipangizo choyezera, funsani ku pharmacy kuti akupatseni chimodzi. Imwani mankhwalawo panthawi yake, mu kuchuluka kwake, komanso nthawi yomwe dokotala wanu wakupatsani. Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakuuzani kuti mumwe, kapena kumwa pafupipafupi.

Chinthu china chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Ngati mutatero, mutha kukhala ndi zotsatirapo zoyipa kapena matenda anu angakule kwambiri.

Mukalandira mankhwala awa ku pharmacy, mudzapatsidwa kabuku ka malangizo apadera (MedGuide) . Mudzalandira izi pamodzi ndi mankhwala aliwonse omwe mumalandira, komanso mukadzalandira mankhwala enaake. Ndikofunikira kuwerenga mosamala nthawi zonse.

Ngati mankhwalawa aperekedwa kwa ana, chisamaliro chapadera chiyenera kuperekedwa polankhula ndi dokotala za mankhwalawa.

Chofunika kwambiri: Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, kapena ngati wina wamwa mankhwala ochulukirapo mwangozi, imbani malo owongolera poizoni kapena chipinda chadzidzidzi chapafupi nthawi yomweyo. Ichi ndi chadzidzidzi.

Kodi mumatani ngati mwaphonya nthawi yanu yokumana ndi dokotala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri kapena wowonjezera. Kuchita izi kungayambitse mavuto.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Ichi ndi chinthu choyenera kusamala nacho kwambiri. Nortriptyline ingayambitse mavuto ngati itengedwa ndi mankhwala ena. Izi zikutanthauza kuti, kuyanjana kumatha kuchitika. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo zitsamba, mavitamini, ndi zowonjezera zakudya, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo.

Musamwe Nortriptyline ndi mankhwala awa:

Ngati mukumwa mankhwala aliwonse mwa awa, sikoyenera kumwa Nortriptyline. Lankhulani ndi dokotala wanu za izi.

• Cisapride
• Dronedarone
• Linezolid
• Mankhwala a MAOI (MAOIs) - zitsanzo zikuphatikizapo Carbex, Eldepryl, Marplan, Nardil, ndi Parnate
• Methylene blue - ikaperekedwa ngati jakisoni wa mtsempha
• Pimozide
• Thioridazine

Mankhwalawa angagwirizanenso ndi mankhwala awa:

Pali mankhwala ena omwe angayambitse mavuto akamwedwa ndi nortriptyline. Choncho ngati mukumwa mankhwala aliwonse mwa awa, uzani dokotala wanu.

• Mowa
• Mitundu ya mankhwala oletsa chifuwa, chifuwa, ndi chimfine
• Atropine
• Mankhwala ena a mavuto a chikhodzodzo - zitsanzo: oxybutynin, tolterodine
• Mankhwala ena ochizira kuvutika maganizo - zitsanzo: amitriptyline, fluoxetine, sertraline
• Mankhwala ena a matenda a Parkinson - zitsanzo: benztropine, trihexyphenidyl
• Mankhwala ena omwe amagwiritsidwa ntchito pa matenda am'mimba - zitsanzo: dicyclomine, hyoscyamine
• Mankhwala ena ochizira matenda oyenda - mwachitsanzo: scopolamine
• Chlorpropamide
• Cimetidine
• Ipratropium
• Mankhwala ena omwe amayambitsa kugunda kwa mtima kosazolowereka (amatalikitsa nthawi ya QT) - mwachitsanzo: dofetilide
• Mankhwala ena omwe angayambitse matenda otchedwa serotonin syndrome - zitsanzo: St. John's Wort, fentanyl, lithium, tramadol, tryptophan, buspirone, ndi mankhwala ena a mutu waching'alang'ala (monga sumatriptan kapena rizatriptan)
• Quinidine
• Reserpine
• Mankhwala a chithokomiro

Mndandandawu sukuphatikizapo zinthu zonse zomwe zimachitika, choncho ndi bwino kuuza dokotala wanu za mankhwala onse, zowonjezera, kapena zitsamba zomwe mukumwa.

Ndi njira ziti zapadera zodzitetezera zomwe ziyenera kutengedwa mukamagwiritsa ntchito mankhwalawa?

Mukamamwa mankhwalawa, inu ndi banja lanu muyenera kusamala ndi zinthu zina.

• Samalani ndi zizindikiro: Ngati zizindikiro zanu za kuvutika maganizo sizikuchepa kapena zikuoneka kuti zikuipiraipira, uzani dokotala nthawi yomweyo. Zingatenge milungu ingapo kuti mankhwalawa agwire ntchito mokwanira. Chifukwa chake, ndikofunikira kwambiri kupitiriza kumwa mankhwalawo monga momwe dokotala wanu akukulangizirani.
• Maganizo odzipha:Nkhaniyi ndi yofunika kwambiri. Ngati inu kapena achibale anu muli ndi maganizo atsopano kapena oipitsitsa ofuna kudzipha, muyenera kuuza dokotala wanu nthawi yomweyo. Komanso, dziwani kusintha kulikonse kwadzidzidzi m'maganizo mwanu. Mwachitsanzo, nkhawa kwambiri, kukwiya, kukwiya, udani, kuchita zinthu mopupuluma, kusakhazikika, kusangalala kwambiri komanso kuchita zinthu mopitirira muyeso, kapena kuvutika kugona. Ngati zinthuzi zitachitika, makamaka mukayamba kumwa mankhwala kapena mutasintha mlingo, lankhulani ndi dokotala wanu nthawi yomweyo.
• Kugona ndi chizungulire: Mungamve ngati mukugona kapena mukuzungulire pamene mukumwa mankhwalawa. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita china chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musamaime kapena kukhala pansi mwadzidzidzi. Kuchita zimenezi kudzachepetsa mwayi wokhala ndi chizungulire ndi kugwa.
• Mowa: Mowa ungasokoneze mphamvu ya mankhwalawa. Choncho, pewani kumwa mowa mukamamwa mankhwalawa.
• Mankhwala a chifuwa ndi chimfine: Ngati muli ndi chifuwa, chimfine, kapena ziwengo, musamwe mankhwala ogulitsidwa ndi dokotala popanda kufunsa dokotala wanu kaye. Izi zili choncho chifukwa mankhwala ena amatha kuwonjezera zotsatirapo zake akaphatikizidwa ndi nortriptyline.
• Pakamwa pouma: Pakamwa pouma ndi zotsatirapo zina zomwe zingachitike chifukwa cha mankhwalawa. Mutha kuthana ndi vutoli mwa kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, ndikumwa madzi ambiri. Komabe, ngati vutoli likupitirira kapena ndi lalikulu, uzani dokotala wanu.
• Maso ouma ndi kusawona bwino: Mankhwalawa angayambitse maso ouma ndi kusawona bwino. Ngati muvala ma contact lens, mungakhale ndi vuto linalake. Mafuta odzola m'maso angathandize. Ngati vutoli likupitirira kapena ndi lalikulu, onani dokotala wa maso anu.
• Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Yesani kuchita chimbudzi kamodzi pa masiku awiri kapena atatu aliwonse. Ngati simukuchita chimbudzi patatha masiku atatu, imbani dokotala wanu.
• Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi kuwala kwa dzuwa pang'ono. Choncho, pewani kuwala kwa dzuwa momwe mungathere. Ngati muyenera kutuluka panja, valani zovala zophimba khungu lanu, ndipo valani magalasi a dzuwa ndi mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Nortriptyline ingayambitse zotsatirapo zina. Zina zimakhala zoopsa ndipo ziyenera kunenedwa kwa dokotala nthawi yomweyo. Zina nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira kapena kukhala zovuta, muyenera kuuza dokotala wanu.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala kapena kuchipatala nthawi yomweyo.

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kusintha kwa kayimbidwe ka mtima: Kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma.
• Zizindikiro za serotonin syndrome zingaphatikizepo: kukwiya, kusokonezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu, kugwedezeka kwa minofu, thukuta kwambiri, kutentha thupi kwambiri, khunyu, kuzizira, kusanza, ndi kutsegula m'mimba.
• Kugwidwa ndi khunyu.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: Mwachitsanzo, kusawona bwino, mawonekedwe ozungulira magetsi, kapena kutayika kwa masomphenya.
• Maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kukulitsa kuvutika maganizo.
• Kuvuta kukodza.

Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

Izi nthawi zambiri zimatha pakatha masiku ochepa, koma ngati zikupitirira kapena zikukuvutitsani kwambiri, uzani dokotala wanu.

• Kusintha kwa chilakolako cha kugonana kapena magwiridwe antchito.
• Kudzimbidwa.
• Chizungulire.
• Kugona tulo.
• Pakamwa pouma.
• Kugwedezeka kapena kugwedezeka.

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu. Muthanso kunena za zotsatirapo izi ku FDA pa 1-800-FDA-1088.

Kodi mumasunga bwanji mankhwala awa moyenera?

Izi ndizofunikira kwambiri. Ngati mankhwalawo sanasungidwe bwino, mphamvu yake ingachepe.

• Sungani pamalo omwe ana sangafikire. Izi ndizofunikira kwambiri. Ngati ana atenga izi ndikumwa, zingayambitse mavuto akulu.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, pakati pa madigiri 59 ndi 86 Fahrenheit).
• Sungani botolo la mankhwala kapena paketi yotsekedwa bwino.
• Tetezani ku kuwala. Ndiko kuti, musaike pamalo owala kapena padzuwa lamphamvu.
• Musagwiritse ntchito mankhwala otha ntchito. Ngati muli ndi mankhwala otha ntchito, muwataye bwino.

Kumbukirani, kabuku aka ndi chidule chabe. Sikangakhale ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.

Pomaliza, zinthu zingapo zoti muzikumbukira

Nortriptyline ndi mankhwala ofunikira kwambiri pa matenda monga kuvutika maganizo. Komabe, ayenera kugwiritsidwa ntchito mosamala.

• Tsatirani malangizo a dokotala wanu molondola. Imwani mankhwalawo mu kuchuluka komwe mwapatsidwa, panthawi yomwe mwapatsidwa, komanso monga mwalembedwera.
• Uzani dokotala wanu za mankhwala ena onse ndi zowonjezera zomwe mukumwa, chifukwa zingachitike kuti mugwiritse ntchito mankhwala ena.
• Dziwani zotsatirapo zake. Ngati muwona china chake chachilendo, uzani dokotala wanu nthawi yomweyo.
• Musasiye kumwa mankhwala mwadzidzidzi. Kuchita zimenezi popanda uphungu wa dokotala kungayambitse mavuto.
• Ngati muli ndi mafunso, mantha, kapena kukayikira kulikonse, lankhulani ndi dokotala wanu. Musabise chilichonse kwa inu nokha.

Ndikukufunirani kuchira mwachangu!

Nortriptyline , kuvutika maganizo, thanzi la maganizo, mankhwala, mankhwala oletsa kuvutika maganizo a tricyclic, zotsatirapo zake, mankhwala