Ese nawe ufite ikibazo cyo gusinzira nijoro? Reka twige ku binini bya Doxepin!

Tekereza ububabare wumva iyo ugiye kuryama nijoro, ugahindukira udasinzira. Hari iminsi udasinzira kugeza mu gitondo. Mu gitondo gikurikiyeho, umubiri wawe ukumva unaniwe kandi umutwe wawe ukumva uremereye. Doxepin ni umuti ushobora gufasha muri ubu bwoko bw'ibitotsi . Ariko, kimwe n'indi miti yose, igomba gukoreshwa ufite ubumenyi bukwiye kandi ubanje kugirwa inama na muganga. Uyu munsi, reka tuvuge kuri Doxepin mu buryo burambuye.

Uyu muti witwa Doxepin ni uwuhe?

Muri make, Doxepin ni umuti ukoreshwa mu kuvura indwara yo kudasinzira . Ugufasha gusinzira vuba no gusinzira udakangutse mu gicuku. Uri mu bwoko bw'imiti yitwa tricyclic antidepressants (TCAs). Ibi bivuze ko ubu bwoko bw'imiti bukoreshwa no mu ndwara yo kwiheba, ariko iyo ikoreshejwe mu ndwara yo kudasinzira, ikunze gutangwa ku rugero ruto cyane . Muri Sri Lanka, ushobora kubona uyu muti ku izina rya Silenor.

Nanone, ni ngombwa kumenya ko abaganga bashobora rimwe na rimwe kuguha uyu muti no ku zindi ndwara. Niba rero utazi impamvu wahawe uyu muti, ni byiza kubaza muganga wawe cyangwa umufarumasiye wawe.

Ni ibihe bintu ngomba kubwira muganga mbere yo gufata uyu muti?

Mbere yo gutangira gufata Doxepin, hari ibintu bike ugomba kubwira muganga wawe. Ibi biterwa nuko uyu muti ushobora kuba udakwiriye abantu bafite indwara zimwe na zimwe, cyangwa ushobora gukenera gukoreshwa mu buryo bwihariye.

Dore ibyo bintu:

• Niba ufite indwara ya bipolar , ni indwara yo mu mutwe aho wumva wishimye cyane rimwe na rimwe hanyuma ukumva ubabaye cyane kandi wihebye.
• Niba urwaye indwara yo kwiheba .
• Niba ufite ikibazo cyo kunyara .
• Niba urwaye glaucoma (indwara itera umuvuduko mwinshi mu maso).
• Niba ufite indwara y'umutima .
• Niba warigeze kuba imbata y'ibiyobyabwenge cyangwa inzoga .
• Niba ufite indwara y'umwijima .
• Niba ufite indwara y'ibihaha (urugero: asima) cyangwa indwara yo guhumeka mu gihe cyo gusinzira .
• Niba uri umugabo, ufite ibibazo bya prostate gland .
• Niba ufite indi ndwara yo mu mutwe, nka schizophrenia .
• Niba warigeze kugira ibitekerezo byo kwiyahura , warabikoze, cyangwa niba wowe cyangwa umuntu wo mu muryango wawe wigeze agerageza kwiyahura mbere.
• Niba ufite ikibazo cy'ubwivumbure kuri Doxepin, indi miti, ibiryo, irangi ry'ibiryo, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa utegereje umwana .
• Niba uri umubyeyi wonsa .

Niba hari kimwe muri ibi kikureba, ni ngombwa cyane kubibwira muganga wawe.

Ni gute neza neza ukoresha uyu muti?

Ni ingenzi cyane kumenya gukoresha ibinini bya Doxepin neza.

• Uyu muti ugomba gufatwa mu kanwa, hamwe n'ikirahure cy'amazi .
• Kurikiza amabwiriza ari ku rupapuro rwa muganga wahawe neza .
• Uyu muti ugomba gufatwa mu nda irimo ubusa . Ni ukuvuga nibura amasaha 3 nyuma yo kurya . Ushobora kudakora neza iyo ufashwe n'ibiryo.
• Ugomba kubinywa iminota 30 mbere yo kuryama . Ikindi kandi, icy'ingenzi kurushaho, ubinywe gusa niba wizeye ko ushobora gusinzira ijoro ryose (nibura amasaha 7-8) nta nkomyi . Kuko niba ugomba kubyuka ugakora vuba nyuma yo kubinywa, ushobora kumva usinziriye kandi umerewe nabi.
• Ntukanywe ibirenze urugero rwatanzwe na muganga.
• Ntugahagarike gufata uyu muti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga aguhaye . Kubikora bishobora kongera ingaruka mbi cyangwa bigatuma indwara yo kudasinzira irushaho kwiyongera.
• Iyo ubonye uyu muti muri farumasi, ushobora guhabwa agapapuro k'amabwiriza yihariye kitwa "MedGuide" . Soma witonze igihe cyose ubonye umuti wawe. Ushobora kuba urimo amakuru y'ingenzi kuri wewe.
• Niba uha abana uyu muti, ugomba kubivuganaho na muganga wawe kandi ukabona inama zihariye.

Bite ho niba urugero rw'umuti rwiyongereye? (Ingano irenze urugero)

Niba ubona ko wafashe Doxepin nyinshi kuruta uko ubyifuza, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi ako kanya . Ntugapfushe umwanya.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntugahe uyu muti inshuti cyangwa umuntu wo mu muryango wawe ku mpamvu iyo ari yo yose , kabone n'iyo baba bafite ikibazo nk'icyawe.

Bite ho nintakaza urugero rw'umuti?

Kubera ko uyu muti ufatwa mbere yo kuryama, "kubura dose" ntabwo bireba ibi. Ariko, niba wibagiwe gufata umuti mbere yo kuryama hanyuma ukibuka ko utagomba gufata dose ebyiri cyangwa ngo ufate indi dose kugira ngo wishyure dose yatakaje. Kubikora byongera ibyago byo kugira ingaruka mbi.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Doxepin ni umuti ushobora "guhuza" n'indi miti imwe n'imwe. Ibi bivuze ko iyo ufashwe n'iyo miti, ingaruka za Doxepin zishobora guhinduka cyangwa ingaruka mbi zikiyongera.

Doxepin igomba kwirindwa hamwe n'imiti ikurikira:

• Arsenic trioxide `(Arsenic trioxide)`
• Imiti imwe ikoreshwa mu kugenzura imivuduko idasanzwe y'umutima
• Cisapride
• Halofantrine
• Levomethadyl `(Levomethadyl)`
• Linezolide
• Imiti iri mu cyiciro cy'imiti yitwa `MAOIs` (Monoamine Oxidase Inhibitors) (urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate). Iyi ni ubwoko bukomeye bw'imiti ikoreshwa mu kuvura indwara zo mu mutwe.
• Ubururu bwa Methylene `(Ubururu bwa Methylene)`
• Indi miti ivura indwara yo kwiheba
• Phenothiazine ( urugero: perphenazine, thioridazine, chlorpromazine)
• Pimozide
• Procarbazine
• Sparfloxacin
• Imiti ikozwe mu cyatsi cya St. John's Wort (iyi miti ifatwa na bamwe mu bantu ku bibazo by'ubuzima bwo mu mutwe)

Doxepin ishobora kandi kugira ingaruka ku miti ikurikira:

• Cimetidine (umuti uvura indwara ya gastritis)
• Tolazamide (umuti uvura diyabete)
• Ziprasidone (umuti uvura indwara zo mu mutwe)

Uru rutonde ntirwuzuye. Hashobora kuba hari indi miti. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, vitamine, n'inyongeramusaruro). Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko . Ibi bishobora kugira ingaruka kuri Doxepin.

Ni iki twagombye kwitondera mu gihe dukoresha uyu muti?

Hari ibintu bike ugomba kumenya mugihe ufata Doxepin:

• Jyana na muganga wawe buri gihe kugira ngo arebe uko umeze.
• Irinde kunywa ibinyobwa birimo kafeyine nka ikawa n'icyayi nyuma ya saa sita na nimugoroba.
• Niba udashobora gusinzira nyuma y'iminsi 7-10 ufata uyu muti, vugana na muganga wawe. Hari indi mpamvu ishobora gutuma udasinzira neza.
• Fata uyu muti gusa niba wizeye ko ushobora gusinzira neza (amasaha 7-8) .
• Nyuma yo gufata uyu muti, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwibandaho (urugero: gufata ibyemezo by'ingenzi, kwiga ikizamini) .
• Ugomba gufata uyu muti iminota 30 mbere yo kuryama. Nyuma y'ibyo, kora gusa ibintu bigutegurira kuryama (nko guhindura imyenda, koza amenyo).
• Ushobora kumva usinziriye cyangwa unaniwe mu gitondo gikurikiyeho nyuma yo gufata uyu muti. Ibi nibibaho, ntugatware imodoka, ntukoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kuba maso kugeza igihe uzaba ukangutse neza kandi utekereje neza.
• Ntugahagarare cyangwa ngo wicare giturumbuka , cyane cyane niba ugeze mu za bukuru. Kubikora bishobora gutuma uzungera umutwe, ukagira isereri, kandi ntibigutere kugwa cyane.

Iki ni ikintu ugomba kwitondera cyane: Nyuma yo gufata uyu muti, ushobora kuva mu buriri utabizi ugakora ibintu nko "gutwara imodoka usinziriye", guteka, kurya, kuvugana kuri telefoni, gukora imibonano mpuzabitsina no kugenda usinziriye. Ibi bishobora gutera imvune zikomeye . Numenya ko ikintu nk'iki cyakubayeho (ushobora kuba utacyibuka umunsi ukurikiyeho, ariko umuryango wawe ugomba kubikubwira), bwira muganga wawe ako kanya .

• Ntugafate uyu muti niba wanyoye inzoga muri uwo mugoroba . Nanone, ntugafate uyu muti niba wafashe undi muti ugufasha gusinzira. Iyo ubikoze, ibyago byo kugira ibimenyetso by’ibitotsi byavuzwe haruguru ni byinshi cyane.

• Umurwayi n'umuryango we bagomba kumenya ibi bikurikira: ibitekerezo bishya cyangwa birushaho kwiyongera byo kwiyahura , kwiheba gukabije, cyangwa impinduka zitunguranye mu byiyumvo - urugero, kumva uhangayitse, udatuje, kurakara, kwitwara nabi, kugira imikorere ikabije, cyangwa kugira ikibazo cyo gusinzira. Niba kimwe muri ibi kibayeho, cyane cyane mu minsi ya mbere yo gutangira imiti cyangwa nyuma yo guhindura ingano, bwira muganga wawe ako kanya .

• Uyu muti ushobora gutera umunwa wumye . Ibi bishobora koroherwa no guhekenya ifuro ridafite isukari, kubika agace ka tangawizi mu kanwa, no kunywa amazi menshi umunsi wose. Niba iki kibazo kigikomeje, cyangwa niba gikomeye, vugana na muganga wawe.

• Hari abantu bashobora kugira amaso yumye kandi batabona neza . Iyo wambaye indorerwamo z'amaso (contact lenses), ushobora kumva utameze neza iyo uyambaye. Gusiga amavuta mu maso bishobora gufasha. Niba ibi bikomeje, nta kibazo, ariko niba bikomeye, bwira muganga wawe.

• Uyu muti ushobora gutera impatwe . Kubwibyo, jya urya ibiryo byinshi bifite fibre (imbuto, imboga, imboga) kandi unywe amazi menshi. Gerageza kwiyuhagira nibura rimwe mu minsi 2-3. Niba udafite kwiyuhagira mu minsi 3, bwira muganga wawe.

• Mu gihe ufata uyu muti,Uruhu rushobora kwanga imirasire y'izuba (photosensitivity). Kubwibyo, irinde imirasire y'izuba uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara imyenda irinda kandi ukoreshe amavuta yo kwisiga afite SPF nziza. Ntugakoreshe amatara y'izuba cyangwa utubati/utubati two kwisiga.

Ni izihe ngaruka mbi zishobora guterwa na Doxepin?

Kimwe n'indi miti iyo ari yo yose, Doxepin ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Si buri wese uzibona, ariko ni ngombwa kuzimenya.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ugize imwe muri izi ngaruka mbi, gana muganga vuba :

• Ubwivumbure bw'uruhu: Kurwara uduheri, ibibyimba, umutuku, uruhu rubyimbye, uburyaryate, kubyimba mu maso, iminwa, ururimi, cyangwa mu muhogo (ibi bishobora gutera kugorwa no guhumeka).
• Serotonin Syndrome: Indwara iteje akaga ishobora gutera kimwe cyangwa byinshi muri ibi bikurikira: urujijo, guhindagurika, umutima utera vuba cyangwa utari umeze neza, imitsi ikomera cyangwa ihinda umushyitsi, ibyuya byinshi, umuriro mwinshi, gucika intege, gukonja, kuruka, no gucibwamo. Ibi ni ibintu byihutirwa.
• Ububabare bw'amaso butunguranye cyangwa impinduka zitunguranye mu kureba: kubona nabi, kubona impeta z'amabara (halos) zikikije amatara, cyangwa guta ubwenge.
• Ibitekerezo bishya cyangwa byiyongera byo kwiyahura cyangwa kwiyahura, kumererwa nabi mu byiyumvo, kwiyongera k'ibyiyumvo byo kwiheba .
• Kugorwa no kunyara cyangwa kutagira inkari.
• Imyitwarire idasanzwe ijyanye no gusinzira: Ibikorwa ukora mu bitotsi byawe utibuka umunsi ukurikiyeho (urugero: gutwara imodoka mu bitotsi, kurya, gukora imibonano mpuzabitsina).

Ingaruka mbi ubusanzwe zitari mbi, ariko zigomba kumenyeshwa muganga wawe mu gihe zikomeje:

Izi ngaruka mbi akenshi ntabwo ziba zikomeye. Akenshi zirashira mu minsi mike. Ariko, niba zikomeje cyangwa zikakubangamira cyane, bwira muganga wawe:

• Impinduka mu byifuzo by'imibonano mpuzabitsina cyangwa imikorere y'imibonano mpuzabitsina.
• Kwihagarika impatwe.
• Kuzungera.
• Kumva mfite ibitotsi ndetse n'umunsi umwe nyuma yo gufata umuti.
• Umunwa wumye.
• Guhinda umushyitsi (guhinda umushyitsi mu buryo butunguranye) mu maguru.
• Kongera ibiro.

Uru rutonde rurimo gusa zimwe mu ngaruka mbi zishobora guterwa na Doxepin. Ushobora no guhura n'izindi ngaruka mbi. Rero, niba uhuye n'ikintu kidasanzwe, ntutinye kubibwira muganga wawe.

Uyu muti nawubika he?

• Bika uyu muti ahantu abana batagera kandi aho abana batagera . Ibi ni ingenzi cyane.
• Ku bushyuhe busanzwe bw'icyumbaBika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25 / dogere selisiyusi 68 na 77). Ntukashyire ahantu hari ubushyuhe bwinshi cyangwa ubushuhe bwinshi. Ntukabibike ahantu nk'ubwiherero.
• Ntugashyire imiti itarakoreshejwe yarengeje igihe yanditswe ku kirango cy'imiti, uyijugunye neza .

Ingingo zimwe na zimwe z'ingenzi (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ubu urasobanukiwe ko nubwo Doxepin ari umuti ushobora gufasha abantu badasinzira, hari ibintu bimwe na bimwe ugomba kwitondera mu gihe uyikoresha.

Wibuke ko uyu muti ugomba gukoreshwa gusa iyo muganga aguhaye inama. Uwufate neza nk'uko muganga wawe akubwira, mu gihe gikwiye, kandi mu rugero rukwiye. Ntukibagirwe kubwira muganga wawe izindi ndwara ufite cyangwa indi miti ufata.

Menya cyane cyane imyitwarire iterwa no gusinzira, ibitekerezo byo kwiyahura, n'ingaruka mbi nka serotonin syndrome. Niba ufite ikibazo, impungenge, cyangwa impungenge, jya kwa muganga wawe vuba.

Ikindi kandi, uyu muti ni uwawe gusa. Nubwo hari undi muntu ufite ibimenyetso bisa n'ibyawe, ntukamuhe umuti wawe. Umuti ukwiye n'ingano yawo biratandukanye. Gusinzira neza ni ingenzi kugira ngo umuntu agire ubuzima bwiza. Kubwibyo, niba ufite ibibazo bijyanye no gusinzira, ntutindiganye gushaka inama kwa muganga.

Doxepin , Silenor, Kubura ibitotsi, Umuti ugabanya kwiheba wa Tricyclic, TCA, Ingaruka mbi, Imiti, Gusinzira, Ubuzima bwo mu mutwe