Kodi nthawi zina mumamva chisoni, kukhumudwa, kapena kuda nkhawa popanda chifukwa? Kapena mumaopa chilichonse? Tikudziwa momwe zimakhalira zovuta kukhala ndi zinthuzi. Chifukwa chake, ngati dokotala wanu wakupatsani mankhwala otchedwa `Venlafaxine Extended-Release Capsules`, ndikofunikira kwambiri kudziwa bwino lomwe kuti ndi otani. Nthawi zambiri mumapeza pansi pa dzina la `Effexor XR`. Tiyeni tiwone kuti mankhwalawa ndi otani, momwe amagwirira ntchito, komanso zina zomwe muyenera kudziwa mukamagwiritsa ntchito.
Mwachidule, mankhwala awa otchedwa `Venlafaxine` amagwiritsidwa ntchito pochiza matenda otchedwa kuvutika maganizo ndi nkhawa . Ubongo wathu uli ndi mankhwala awiri otchedwa `Serotonin` ndi `Norepinephrine`. Izi zimathandiza kulamulira malingaliro athu, kutanthauza chisangalalo ndi chisoni. Chomwe mankhwalawa amachita ndikuwonjezera kuchuluka kwa mankhwala awiriwa muubongo. Kenako malingaliro amayamba kumva kumasuka komanso kumasuka. Mankhwalawa ndi a gulu lotchedwa `SNRI`. Izi zikutanthauza `Serotonin-Norepinephrine Reuptake Inhibitors`. Ngakhale dzinali ndi lalitali pang'ono, mwachidule, chomwe limachita ndikuthandiza kuti amithenga awiriwa omwe atchulidwa pamwambapa akhale muubongo kwa nthawi yayitali.
Komabe, madokotala nthawi zina amagwiritsa ntchito mankhwalawa pazinthu zina, kotero ngati muli ndi mafunso aliwonse, ndi bwino kufunsa dokotala wanu kapena wamankhwala.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?
Musanayambe kugwiritsa ntchito `Venlafaxine` iyi, pali zinthu zina zomwe muyenera kuuza dokotala wanu. Chifukwa, kutengera izi, dokotalayo adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso kuchuluka kwa mankhwala omwe mungapereke. Kumbukirani, muyenera kusamala kwambiri mukamapatsa mankhwalawa kwa anthu omwe ali ndi matenda enaake.
Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwatchula izi:
- Matenda otuluka magazi: Uzani dokotala wanu ngati muli ndi vuto la magazi anu oundana kapena ngati mukumva kuphwanya mosavuta, chifukwa mankhwalawa angakuwonjezereni pang'ono chiopsezo chanu chotuluka magazi.
- Glaucoma: Ngati muli ndi vutoli, lomwe limayambitsa kupanikizika kwa maso.
- Matenda a mtima: Mtundu uliwonse wa matenda a mtima.
- Kuthamanga kwa magazi: Ngati kuthamanga kwa magazi kuli kokwera.
- Cholesterol yambiri.
- Matenda a impso: Ngati muli ndi vuto la impso.
- Matenda a chiwindi: Ngati muli ndi vuto la chiwindi.
- Kuchepa kwa sodium m'magazi: Ngati zatsimikizika kuti kuchuluka kwa sodium m'magazi ndi kochepa.
- Kusokonezeka maganizo kapena kusinthasintha maganizoMatenda a Bipolar: Uwu ndi matenda amisala omwe zimakhala zovuta kusunga malingaliro anu pamalo amodzi, ndipo mwadzidzidzi mumamva chisangalalo chachikulu, chisangalalo, kenako mwadzidzidzi mumamva chisoni chachikulu.
- Khunyu kapena Kugwidwa ndi Khunyu: Ngati pali kukomoka.
- Maganizo, mapulani, kapena zoyesayesa zodzipha: Izi ndizofunikira kwambiri ngati inu kapena munthu wina m'banja mwanu adakuchitikiranipo izi.
- Ngati mukumwa mankhwala omwe amaletsa kapena kuchiza magazi kuundana: Mwachitsanzo, Warfarin.
- Matenda a chithokomiro.
- Ngati muli ndi vuto la mankhwala a `Venlafaxine`, `Desvenlafaxine`, kapena mankhwala ena aliwonse, chakudya, utoto, kapena zotetezera.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Musabise zinthu izi. Chifukwa chitetezo chanu ndicho chinthu chofunika kwambiri.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Dokotala adzakuuzani momwe mungamwere mankhwalawa. Ndikofunikira kutsatira malangizo amenewo molondola.
- Mezani kapisozi yonseyi ndi galasi la madzi.
- Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala molondola. Imwani kuchuluka kokha komwe dokotala wanu wakuuzani kuti mumwe.
- Musaswe, kuphwanya, kapena kutafuna kapisozi iyi. Kuchita zimenezi kungapangitse kusintha momwe mankhwala amagwirira ntchito.
- Ndi bwino kutenga izi pamodzi ndi chakudya.
- Nthawi zina, ngati mukuvutika kumeza njere, mutha kutsegula mbewu mosamala, kuyika mapellets onse mkati mwa chakudya chozizira komanso chofewa monga applesauce, ndikumeza zonse nthawi imodzi ndi supuni. Koma musazitafuna. Kenako imwani kapu yamadzi kuti muwonetsetse kuti mwameza mapellets onse.
- Yesetsani kumwa mankhwala nthawi yomweyo tsiku lililonse momwe mungathere. Izi zithandiza kuti mankhwalawo apitirize kugwira ntchito bwino.
- Musamwe mankhwala ambiri kapena pafupipafupi kuposa momwe dokotala wanu wanenera.
- Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zotsatirapo zoyipa kapena kukulitsa vuto lanu.
Malo ogulitsira mankhwala komwe mumapeza mankhwala anu adzakupatsani `MedGuide`, kabuku kapadera kodziwitsa za mankhwalawo. Mutenge nanu nthawi iliyonse mukadzalandira mankhwala owonjezera, ndipo muwerenge mosamala. Kalinso ndi mfundo zofunika kwa inu.
Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wanu za mankhwalawa ndikupeza upangiri wapadera. Amafunika chisamaliro chapadera.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo (overdose)?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.
Mankhwalawa ndi a inu nokha. Musagawire ena mankhwala anu. Mwina sangawayenerere ndipo akhoza kukhala oopsa.
Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?
Mukatenga Venlafaxine, uzani dokotala wanu za mankhwala ena onse, mavitamini, mankhwala azitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya zomwe mumamwa. Komanso, uzani dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osaloledwa. Zinthu zina zingakhudze mankhwala awa ndikuyambitsa zotsatirapo zoopsa.
Musamwe Venlafaxine ndi mankhwala otsatirawa:
- Mankhwala ena a matenda a bowa: Mwachitsanzo, `Fluconazole`, `Itraconazole`, `Ketoconazole`, `Posaconazole`, `Voriconazole`.
- `Cisapride`
- `Desvenlafaxine`
- `Dronedarone`
- 'Duloxetine'
- `Levomilnacipran`
- `Linezolid`
- `MAOIs` (MAOI) - Izi ndi mankhwala omwe ali m'gulu la `Monoamine Oxidase Inhibitors` (Monoamine Oxidase Inhibitors). Zitsanzo: `Carbex` (Carbex), `Eldepryl` (Eldepryl), `Marplan` (Marplan), `Nardil` (Nadil), ndi `Parnate` (Parnate). Kumwa `Venlafaxine` (Venlafaxine) ndi mankhwala awa n'koopsa kwambiri.
- `Methylene blue` - mtundu womwe umalowetsedwa mumtsempha.
- `Milnacipran`
- `Pimozide`
- `Thioridazine`
Mankhwalawa angagwirizanenso ndi zotsatirazi:
- `Amphetamines`
- Aspirin ndi mankhwala ofanana ndi a aspirin
- Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda amisala
- Mankhwala ena a mutu waching'alang'ala: Zitsanzo ndi monga `Almotriptan`, `Eletriptan`, ndi `Sumatriptan`.
- Mankhwala ena ogona
- Mankhwala ena omwe amaletsa kapena kuchiza magazi kuundana: Zitsanzo ndi monga `Dalteparin`, `Enoxaparin`, `Warfarin`
- " Cimetidine"
- `Clozapine`
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (diuretics)
- `Fentanyl`
- 'Furazolidone'
- `Indinavir`
- `Isoniazid` (isoniazid)
- `Lithium`
- 'Metoprolol'
- `NSAIDS` - mankhwala ochepetsa ululu ndi kutupa, mwachitsanzo `Ibuprofen` kapena `Naproxen`
- Mankhwala ena omwe amayambitsa kugunda kwa mtima kosazolowereka (mankhwala omwe amatalikitsa nthawi ya QT) - zitsanzo ndi `Dofetilide`, `Ziprasidone`
- `Procarbazine`
- `Rasagiline`
- Zowonjezera za zitsamba: `St. John's wort`, `Kava kava`, `Valerian`
- `Tramadol`
- `Tryptophan`
Mndandandawu sunathe. Pakhoza kukhala zinthu zina zomwe zingayambitse mavuto. Chifukwa chake, chitetezo chabwino kwambiri ndi kuuza dokotala wanu chilichonse chomwe mumagwiritsa ntchito.
Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?
Muyenera kusamala kwambiri za thupi lanu ndi maganizo anu mukamamwa mankhwalawa.
- Ngati zizindikiro zanu sizikuchepa kapena zikuipiraipira, uzani dokotala wanu . Pitani kwa dokotala wanu kuti akakufufuzeni nthawi zonse. Zingatenge milungu ingapo kuti mankhwalawa agwire ntchito mokwanira, choncho ndikofunikira kupitiriza kumwa mankhwala monga momwe dokotala wanu wanenera.
- Samalani zizindikiro zatsopano kapena zoipiraipira za maganizo ofuna kudzipha kapena kuvutika maganizo. Izi zikuphatikizapo kusintha kwadzidzidzi kwa malingaliro, khalidwe, kapena maganizo. Kusintha kumeneku kungachitike nthawi iliyonse, koma kumachitika nthawi zambiri kumayambiriro kwa chithandizo kapena mutasintha mankhwala. Ngati muli ndi malingaliro awa kapena mukumva kuti kuvutika maganizo kwanu kukukulirakulira, lankhulani ndi dokotala nthawi yomweyo.
- Anthu omwe ali ndi vuto la bipolar disorder angakumane ndi "mania" akamamwa mankhwalawa. Izi zikutanthauza kuti mwadzidzidzi amamva nkhawa kwambiri, kusakhazikika, kukwiya, kukwiya, kuchita zachiwawa, kuchita zinthu mopupuluma, kuchita zinthu mopitirira muyeso, kapena kukhala ndi vuto logona. Kusintha kumeneku kungachitike nthawi iliyonse, koma kumachitika nthawi zambiri kumayambiriro kwa chithandizo kapena mutasintha mlingo wa mankhwala. Ngati mukumana ndi zizindikirozi, uzani dokotala wanu nthawi yomweyo.
- Mankhwalawa angawonjezere kuthamanga kwa magazi. Chifukwa chake, funsani dokotala wanu momwe mungayezere kuthamanga kwa magazi anu mukumwa mankhwalawa.
- Mungamve tulo kapena chizungulire . Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musaime kapena kukhala tsonga mwadzidzidzi,Makamaka ngati ndinu wamkulu. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa.
- Musamwe mowa mukamamwa mankhwalawa. Mowa ungasinthe momwe mankhwalawa amagwirira ntchito ndipo ungayambitse zotsatirapo zoyipa kwambiri.
- Pakamwa panu pakhoza kukhala pouma. Kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, ndi kumwa madzi ambiri kungathandize. Ngati vutoli likupitirira kapena litakula kwambiri, lankhulani ndi dokotala wanu .
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Koma si aliyense amene amawalandira. Ndi anthu ochepa okha amene amawalandira.
Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:
Ngati muwona zizindikiro zilizonsezi, muyenera kuuza dokotala wanu nthawi yomweyo.
- Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
- Kutuluka magazi: Chimbudzi chakuda kapena chochedwa, kutuluka magazi, mkodzo wofiira kapena wakuda, kusanza khofi, madontho ang'onoang'ono ofiira kapena ofiirira pakhungu, kutuluka magazi kosazolowereka kapena mabala.
- Kusintha kwa kayimbidwe ka mtima: kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma.
- Kuthamanga kwa magazi kokwera.
- Kuchepetsa thupi ndi kusowa chilakolako cha chakudya.
- Kuchepa kwa sodium m'thupi: Kufooka kwa minofu, kutopa, chizungulire, mutu, kusokonezeka.
- Matenda a Serotonin: kusokonezeka, kusokonezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kuuma kwa minofu, kugwedezeka kwa minofu, thukuta, kutentha thupi kwambiri, kukomoka, kunjenjemera, kusanza, kutsegula m'mimba. Ichi ndi vuto loopsa, choncho dziwani zizindikiro izi.
- Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: kusawona bwino, kuwona mphete mozungulira magetsi, kutayika kwa masomphenya.
- Maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo.
Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):
Izi nthawi zambiri zimatha pakatha masiku ochepa, koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu .
- Nkhawa, kusakhazikika
- Kusintha kwa chilakolako kapena zochita zogonana
- Chizungulire
- Pakamwa pouma
- Thukuta kwambiri
- Kumva ngati kusanza (kumva ngati kusanza)
- Kugwedezeka
- Kuvuta kugona
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu. Muthanso kunena za zotsatirapo zake ku FDA pa 1-800-FDA-1088.
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani pamalo omwe ana ndi ziweto sangafikire. Izi ndizofunikira kwambiri.
- Sungani pamalo ouma pa kutentha koyenera pakati pa madigiri 20 ndi 25 Celsius (madigiri 68 ndi 77 Fahrenheit). Pewani malo okhala ndi chinyezi chambiri monga mabafa.
- Tayani mankhwala otha ntchito popanda kuwagwiritsa ntchito.
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, takambirana zambiri za `Venlafaxine` iyi, sichoncho? Chofunika kwambiri ndi ichi:
- Gwiritsani ntchito mankhwalawa monga momwe dokotala wanenera, kuchuluka kwa mankhwala omwe wakuuzani, komanso nthawi yonse yomwe wakuuzani.
- Ngati mukupeza zizindikiro zatsopano, ngati zizindikiro zomwe muli nazo zikuipiraipira, kapena ngati mukukumana ndi zotsatirapo zina , uzani dokotala wanu nthawi yomweyo.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo.
- Mankhwalawa ndi a inu nokha. Musawapatse ena.
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. Adzakuthandizani. Thanzi lanu la maganizo ndilofunika kwambiri. Chifukwa chake, tikukufunirani chithandizo chopambana komanso kuchira mwachangu!
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi piritsi la Venlafaxine Extended-Release (Effexor XR) ndi lotani?
Uwu ndi mankhwala amphamvu komanso ogwira mtima (SNRI) omwe amaperekedwa kwa odwala omwe ali ndi 'Depression' yayikulu, Mantha, ndi Nkhawa! Kwa iwo omwe amalira nthawi zonse, alibe chidwi ndi chilichonse, ndipo akumva ngati akufuna kufa, kumwa kapisozi kamodzi patsiku m'mawa kudzatulutsa mankhwalawa m'magazi tsiku lonse (Extended-Release) ndikupatsa chimwemwe ndi mphamvu ku malingaliro.
💬 Kodi mankhwala awa (Venlafaxine) amapita bwanji ku ubongo ndikutipatsa chimwemwe/mphamvu?
Izi zimagwira ntchito pa mankhwala awiri muubongo (SNRI - Dual action)! Chimodzi ndi (Serotonin), chomwe chimachepetsa chisoni/kukhumudwa komwe wodwalayo amamva ndikupangitsa kuti maganizo akhale bata komanso osangalala poyamba. Kenako mlingo ukawonjezeka pang'ono, mankhwala awa (Norepinephrine / Noradrenaline) amawonjezekanso. Izi zimachotsa ulesi/kusowa mphamvu kwa wodwalayo zomwe zimapangitsa kuti zikhale zovuta kudzuka pabedi ndikugwira ntchito ndikupatsa wodwalayo mphamvu/kuganizira kwambiri kuti agwire ntchito tsiku lonse.
💬 Kodi zotsatirapo zazikulu za kumwa makapisozi awa (Effexor XR) ndi ziti?
Vuto lalikulu ndilakuti chifukwa limawonjezera noradrenaline, 'kuthamanga kwa magazi ndi kugunda kwa mtima kwa wodwalayo (High Blood Pressure)' kumatha kukwera mwadzidzidzi (kotero kuthamanga kwa magazi kuyenera kuyang'aniridwa nthawi zonse). Komanso, kusanza/kutsekula m'mimba kosapiririka, thukuta ndi kusowa tulo kumatha kuchitika m'masiku oyamba. Chinthu china chofunikira kwambiri ndichakuti izi sizingathetsedwe mwadzidzidzi, ngati mutatero, mudzakhala osapiririka (Withdrawal / Brain zaps) komanso mutu waukulu ngati kugwedezeka kwamagetsi!
Venlafaxine , kuvutika maganizo, nkhawa, SNRI, thanzi la maganizo, mankhwala, Effexor XR











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