Hari igihe twumva umutwaro ukomeye, agahinda, cyangwa kubura amahoro mu mitima yacu, si byo se? Ni nk'aho ntacyo twakora. Mu bihe nk'ibi, abaganga bandikira abantu bamwe umuti witwa Doxepin. Reka turebe uwo muti ari wo, uko ukora, n'ingamba tugomba gufata mu gihe tuwukoresha.
Doxepin ni iki?
Muri make, Doxepin ni umuti ukoreshwa mu kuvura indwara zo mu mutwe nko kwiheba no guhangayika . Ni umuti wo mu bwoko bw'imiti yitwa Tricyclic Antidepressants (TCAs) . Ubwonko bwacu bufite imiti ibiri yitwa Serotonin na Norepinephrine . Iyi ni imiti ifasha mu kugenzura amarangamutima yacu, bivuze ko twumva twishimye kandi tubabaye. Doxepin ikora mu kongera urugero rw'iyi miti mu bwonko. Ibi bifasha kugabanya imihangayiko n'ihungabana.
Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti
Mbere yo kuguha Doxepin, muganga wawe azabaza ibibazo bimwe na bimwe. Ni ngombwa cyane ko ubisubiza neza. Kuko abantu bafite indwara zimwe na zimwe bagomba kwitonda cyane mu gihe batanga uyu muti. Reba niba ibi bibazo bikureba:
- Ese ufite indwara yo mu mutwe nk'indwara ya bipolar ?
- Ese biragoye kunyara? Cyangwa ufite ibibazo bya prostate ?
- Ese hari indwara y'amaso yitwa glaucoma ?
- Urwaye indwara y'umutima?
- Ese ukunda kunywa inzoga buri gihe?
- Ese hari indwara y'umwijima?
- Ese ufite indwara z'ibihaha, urugero , asima cyangwa indwara yo kubura umwuka mu gihe cyo gusinzira ? Ese ufite indwara yo mu mutwe nk'indwara ya schizophrenia ?
- Ese wigeze ugira ibisebe mbere?
- Ese ufite ibitekerezo byo kwiyangiza, uteganya kubikora, cyangwa wigeze ugerageza kubikora mu bihe byashize? Hari umuntu wo mu muryango wawe wigeze abikora?
- Ese wigeze ugira allergie kuri Doxepin, undi muti, ibiryo, cyangwa irangi?
- Ese ubu utwite ? Cyangwa wifuza gutwita?
- Urimo konsa ?
Ni ingenzi cyane ku mutekano wawe kubwira muganga ibi bintu, sibyo?
Ni gute wakoresha Doxepin?
Uyu muti ugomba gufatwa n'ikirahure cy'amazi. Ugomba gufata dose yatanzwe, ku gihe cyatanzwe, neza neza nk'uko muganga wawe yabikubwiye. Ntukigere ufata ibirenze cyangwa bike kuruta ibyo muganga wawe akubwiye.
Igikuru ni uko atari byiza guhagarika gufata uyu muti mu buryo butunguranye.Iyo uhagaritse kuyifata nta nama ya muganga wawe, ushobora kugira ingorane, cyangwa indwara yawe ikarushaho kuba mbi. Kubwibyo, iyo uhagaritse gufata umuti, ugomba kuwugabanya buhoro buhoro. Muganga wawe azakubwira uko wabikora.
Iyo ubonye uyu muti muri farumasi, bazaguha agapapuro k'amabwiriza yihariye (MedGuide) . Ntukibagirwe kuwusoma witonze igihe cyose uhawe kuzuza cyangwa kongeramo. Urimo amakuru y'ingenzi.
Ese uyu muti ushobora guhabwa abana bato?
Muri rusange, uyu muti ushobora guhabwa abana bato barengeje imyaka 12 mu bihe bimwe na bimwe byihariye. Ariko, ugomba gukorwa witonze cyane kandi ukurikiranwe na muganga hafi.
Bite ho iyo mfashe imiti myinshi?
Niba utekereje ko wafashe uyu muti urenze urugero, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi ako kanya. Ibi ni ingenzi cyane, kuko gufata uyu muti urenze urugero bishobora guteza akaga.
Ikindi kintu kimwe: Uyu muti ni uwawe gusa. Ntukigere uha abandi umuti wawe, ushobora kuba utaba mwiza kuri bo.
Wakora iki iyo usibye gahunda yo gufata imiti?
Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Ni ibihe bintu bitagomba gukoreshwa n'uyu muti?
Hari imiti imwe n'imwe ibujijwe gukoresha Doxepin. Hariho n'indi miti ishobora guteza ibibazo iyo ikoreshejwe na Doxepin. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata (harimo na vitamine, ibyatsi, n'imiti igurishwa mu kigo).
Ntugafate Doxepin hamwe na:
- Arsenic trioxide
- Imiti imwe n'imwe ivura indwara y'umutima idakora neza
- Cisapride
- Halofantrine
- Levomethadil
- Linezolide
- MAOIs ( urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate) ni ubundi bwoko bw'imiti ikoreshwa mu kuvura indwara yo kwiheba.
- Ubururu bwa Methylene
- Indi miti ivura indwara yo kwiheba
- Phenothiazine ( urugero: perphenazine, thioridazine, chlorpromazine)
- Pimozide
- Procarbazine
- Sparfloxacin
- Umuti wa Mutagatifu Yohani (iki ni icyatsi)
Ibi bishobora kandi gukorana na Doxepin:
- Cimetidine
- Tolazamide
- Ziprasidone
Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata, niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge. Hari ibintu bishobora kugira ingaruka ku miti yawe.
Ibintu ugomba kwitondera mu gihe ufata imiti
Muganga wawe azagusaba kureba uko umeze mu gihe ufata uyu muti. Menya neza ko ugiye gupimwa. Bishobora gufata iminsi mike kugira ngo ingaruka zose z'uyu muti zumve. Rero ntugahangayike.
Nkuko nabivuze mbere, niba umaze igihe ufata uyu muti, ntuwuhagarike mu buryo butunguranye. Ugomba kuwuhagarika buhoro buhoro, nk'uko muganga yabigutegetse. Bitabaye ibyo, ushobora kugira ingaruka mbi zikomeye. Ingaruka z'uyu muti zishobora kuguma mu mubiri wawe iminsi myinshi nyuma yo kuwuhagarika.
Witondere cyane!
Mu gihe ufata uyu muti, wowe n'umuryango wawe mugomba kumenya uko imitekerereze yanyu ihagaze. By'umwihariko, wirinde ibitekerezo byo kwiyahura, kwiheba gukabije, n'impinduka mu byiyumvo (urugero: gushyuha, kubura amahoro, kurakara, kurakara, kudasinzira). Niba hari kimwe muri ibi kibayeho, cyane cyane iyo utangiye gufata umuti bwa mbere cyangwa nyuma yo guhindura urugero, bwira muganga wawe ako kanya.
Ibindi bintu byo kuzirikana
- Ushobora kumva usinziriye cyangwa uzuzumwe . Kubwibyo, irinde gutwara imodoka, gukoresha imashini, cyangwa gukora ikintu icyo ari cyo cyose gisaba kwitonda kugeza igihe umenye neza uko uyu muti umeze.
- Ntukabyuke vuba cyane, ntukicare vuba cyane, cyane cyane niba ugeze mu za bukuru. Kubikora bishobora gutera isereri ndetse no kugwa.
- Ntugakoreshe inzoga . Inzoga zishobora kongera gusinzira no kuzerera.
- Niba ukeneye gufata umuti w'inkorora, ibicurane, cyangwa aleriji, ntuwufate utabanje kugisha inama muganga wawe cyangwa umufarumasiye. Ibintu bigize imiti imwe n'imwe bishobora kongera ingaruka mbi.
- Kuma mu kanwa bishobora kugabanuka iyo uhekenya ishinya ridafite isukari, unyoye bombo ikomeye idafite isukari, kandi ukanywa amazi menshi. Niba ikibazo kigikomeje cyangwa gikomeye, bwira muganga wawe.
- Uyu muti ushobora gutera amaso yumye no kutabona neza . Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Gukoresha ibitonyanga by'amaso bisiga amavuta bishobora gufasha. Niba ikibazo kigikomeje, reba muganga wawe.
- Uyu muti ushobora gutuma uruhu rwawe rugira ikibazo cy'izuba.Yego. Rero, irinde izuba uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara imyenda yo kwirinda, indorerwamo z'izuba, n'imyambaro yo kwisiga izuba. Ntugakoreshe amatara y'izuba cyangwa ibitanda/amakambi yo kwisiga.
Ingaruka mbi zishobora guterwa n'uyu muti
Kimwe n'indi miti iyo ari yo yose, Doxepin ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe ni mbi cyane, izindi si mbi cyane.
Ingaruka mbi ugomba guhita ubibwira muganga wawe:
- Indwara zo kugira ubwivumbure: Kuryarya uruhu, kuribwa, ibibyimba mu maso, iminwa, ururimi no mu muhogo.
- Ibimenyetso bya serotonin syndrome bishobora kuba: kubura umutuzo, urujijo, umutima utera vuba cyangwa utari mwiza, imitsi ikomera, imitsi ihindagura, ibyuya, umuriro mwinshi, kuribwa mu nda, gukonja, kuruka no gucibwamo.
- Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba (urugero: kutabona neza, kubona indorerwamo zikikije amatara, gutakaza ubushobozi bwo kureba).
- Ibitekerezo byo kwigirira nabi, kumera nabi mu mutwe wawe , cyangwa kumva ufite ihungabana.
- Kugorwa no kunyara.
Niba ikintu nk'iki kibaye , hita ubonana na muganga.
Ingaruka mbi ubusanzwe zidasaba inama kwa muganga (ariko zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye):
- Impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina
- Impatwe
- Kuzungera
- Gusinzira
- Umunwa wumye
- Guhinda umushyitsi
- Kongera ibiro
Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, gana muganga wawe. Ushobora kandi gutanga raporo kuri FDA kuri 1-800-FDA-1088.
Ubika imiti ute?
Bika uyu muti ahantu abana batagera . Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30 / dogere selisiyusi 59 na 86). Ntugakoreshe umuti warengeje igihe, jugunya.
Amaherezo, ibintu byo kwibuka
Doxepin ni umuti ushobora gufasha mu bihe nk'iby'ihungabana no guhangayika. Ariko hari ibintu bimwe na bimwe ugomba kwitondera mu gihe uwukoresha.
Icy'ingenzi ni ugukurikiza amabwiriza ya muganga wawe neza, kubwira muganga wawe izindi ndwara zose ufite, kumubwira indi miti ufata, kumenya ingaruka mbi, no kudahagarika gufata imiti yawe mu buryo butunguranye.
Niba ufite ibindi bibazo kuri uyu muti, ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa umuvuzi. Bazagufasha. Wibuke ko ubuzima bwawe bwo mu mutwe ari ingenzi cyane!
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ese capsule za Doxepin ni ubwoko bw'ibinini bisinziriza?
Iki si ikinini gisinziriza koko, ni umuti wa kera witwa 'TCA - Tricyclic Antidepressant' (umuti ukomeye wo mu mutwe utangwa ku ndwara yo kwiheba)! Abaganga bakunze gukoresha iki kinini ku barwayi bafite ikibazo cyo kwiheba gukomeye n'imihangayiko, kugira ngo babashe gukuraho ubwoba n'agahinda kandi babahe ihumure.
💬 Kuki uyu muti (Doxepin) utangwa n'ibitaro ku ndwara yo kudasinzira?
Nubwo ari umuti uvura indwara yo kwiheba, abaganga babonye ko iyo uyu muti utanzwe mu 'dose ntoya (izina rya Silenor),' uhagarika Histamine (ikinyabutabire gitera gukanguka) mu bwonko kandi bigatera gusinzira gukomeye (sedation). Kubwibyo, ikoreshwa cyane ku isi muri iki gihe ku bantu badashobora gusinzira nijoro bakabyuka hagati mu ijoro (Sleep-maintenance insomnities), kugira ngo basinzire neza nijoro nta businzirizi na buke.
💬 Kuki numva umunwa wumye/nserere nyuma yo gufata izi capsule (Doxepin)?
Izi ni zo ngaruka mbi zikomeye z'imiti ya kera ya TCA (Anticholinergic effects)! Iyo iyi miti ihinduye imiti mu bwonko, inagabanya imiterere y'amacandwe mu mubiri ku buryo butunguranye. Kubera iyo mpamvu, uzagira umunwa wumye/amaso, kutabona neza, impatwe, no kubura umwuka uhagije mu mwanya, cyane cyane iyo uvuye mu buriri mu gitondo.
Doxepin , kwiheba, guhangayika, ubuzima bwo mu mutwe, imiti igabanya ubudahangarwa ya tricyclic, TCA, imiti, ingaruka mbi, serotonin
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