Ese hari igihe wumva uremerewe, ubabaye, cyangwa se ukumva utameze neza? Ahari muganga wawe yakwandikiye umuti witwa Nortriptyline. None se, reka tuvuge kuri uyu muti mu buryo burambuye uyu munsi? By'umwihariko, icyo ukora, uko uwukoresha, n'icyo ugomba kwitondera.

Ni ubuhe bwoko bw'umuti Nortriptyline?

Muri make, Nortriptyline ni umuti ukoreshwa mu kuvura indwara yo kwiheba. Serotonin na norepinephrine ni imiti ibiri mu bwonko igufasha kumva wishimye kandi umerewe neza. Uyu muti ukora mu kongera urugero rw'iyi miti mu bwonko. Ibi bishobora kugufasha kunoza ibyiyumvo byawe. Ni uwo mu bwoko bw'imiti yitwa tricyclic antidepressants (TCAs) . Hari igihe abaganga bakoresha uyu muti no mu zindi ndwara. Niba ufite ikibazo, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Amwe mu mazina aboneka ku isoko kuri ibi ni Aventyl na Pamelor, ariko hashobora kuba hari andi mazina.

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

Ibi ni ingenzi cyane. Mbere yo gutangira gufata Nortriptyline, hari ibintu bimwe na bimwe ugomba kubwira muganga wawe. Kuko ari bwo azashobora guhitamo neza niba uyu muti ukubereye cyangwa utakubereye, n'uko uwutanga. Reba niba ibi bikureba:

• Niba ufite indwara yo mu mutwe nk'indwara ya bipolar .
• Niba ufite indwara y'umutima yitwa Brugada syndrome .
• Niba ufite ikibazo cyo kunyara.
• Niba ufite indwara y'amaso yitwa glaucoma .
• Niba ufite indi ndwara y'umutima .
• Niba uri umusinzi .
• Niba ufite indwara y'umwijima .
• Niba ufite indwara yo mu mutwe nka schizophrenia .
• Niba warigeze kugira igicuri cyangwa indwara nk'igicuri.
• Niba warigeze kugira ibitekerezo byo kwiyahura, imigambi, cyangwa kugerageza kwiyahura , cyangwa niba hari umuntu wo mu muryango wawe wabikoze.
• Niba urwaye indwara ya tiroyide .
• Ushobora kuba ufite ubwivumbure kuri nortriptyline, indi miti igabanya ubukana bwa tricyclic, indi miti, ibiryo, amarangi, cyangwa imiti irinda ububabare.Niba ufite ikibazo cy'ubwivumbure.
• Niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Niba hari ikintu nk'iki, ntibyaba byiza kukibwira muganga nta guhisha na gato?

Ni gute neza neza nkoresha uyu muti?

Uyu muti ni uwo gufata. Ugomba kuwufata nk'uko muganga wawe yabigutegetse. Niba ari amazi, koresha ikiyiko cyabugenewe cyo gupima cyangwa igikombe kugira ngo uwupime. Ntugakoreshe ibiyiko cyangwa ibiyiko byo gupima mu rugo, kuko atari byo. Niba udafite igikoresho cyo gupima, saba farumasi kuguha. Fata umuti ku gihe, mu rugero, no mu gihe cyagenwe na muganga wawe. Ntukagire icyo ufata kirenze urugero muganga wawe akubwira gufata, cyangwa ngo uwufate kenshi.

Ikindi kintu cy'ingenzi cyane ni uko utagomba guhagarika gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Iyo ubikoze, ushobora kugira ingaruka mbi cyangwa se ubuzima bwawe bukarushaho kuba bubi.

Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amabwiriza yihariye (MedGuide) . Uzawuhabwa hamwe na buri muganga, ndetse n'igihe uzawuhabwa. Ni ngombwa kuwusoma witonze.

Niba uyu muti uhawe abana, ugomba kwitabwaho cyane uganira na muganga kuri wo.

Icy'ingenzi kurushaho: Uyu muti ni uwawe gusa. Ntuwusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.

Wakora iki niba ufashe imiti myinshi?

Niba utekereza ko wafashe uyu muti urenze urugero, cyangwa niba hari undi muntu wafashe uyu muti urenze urugero ku bw'ikosa, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy'ubutabazi kiri hafi yawe ako kanya. Iki ni ikibazo cyihutirwa.

Wakora iki niba usibye gahunda yawe yo kwivuza?

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 cyangwa dose y'inyongera. Kubikora bishobora guteza ibibazo.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iki kandi ni ikintu cyo kwitondera cyane. Nortriptyline ishobora guteza ibibazo iyo ifashwe n'indi miti imwe n'imwe. Ni ukuvuga ko bishobora kubaho. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata, harimo ibyatsi, vitamine, n'inyongeramusaruro, ndetse no niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko.

Ntugafate Nortriptyline hamwe n'iyi miti:

Niba ufata imiti ikurikira, si byiza gufata Nortriptyline. Vugana na muganga wawe kuri ibi.

• Cisapride
• Dronedarone
• Linezolide
• Imiti ya MAOI (MAOIs) - ingero zirimo Carbex, Eldepryl, Marplan, Nardil, na Parnate
• Methylene y'ubururu - iyo itanzwe nk'urushinge rw'imitsi
• Pimozide
• Thioridazine

Hari kandi n'imiti ishobora kugira ingaruka ku iyi miti:

Hariho indi miti ishobora guteza ibibazo iyo ifashwe na nortriptyline. Niba rero ufata imwe muri iyi miti, bwira muganga wawe.

• Inzoga
• Ubwoko bw'imiti igabanya ububabare mu mubiri (antihistamines) ivura indwara z'ubwivumbure, inkorora n'ibicurane
• Atropine
• Imiti imwe n'imwe ivura ibibazo by'inkari - ingero: oxybutynin, tolterodine
• Indi miti ivura indwara yo kwiheba - urugero: amitriptyline, fluoxetine, sertraline
• Imiti imwe n'imwe ivura indwara ya Parkinson - ingero: benztropine, trihexyphenidyl
• Imiti imwe ikoreshwa mu kuvura indwara zo mu gifu - ingero: dicyclomine, hyoscyamine
• Imiti imwe n'imwe ivura indwara yo kurakara mu buryo bw'imikorere - urugero: scopolamine
• Chlorpropamide
• Cimetidine
• Ipratropium
• Indi miti itera umutima kudakora neza (kongera igihe cya QT) - urugero: dofetilide
• Indi miti ishobora gutera indwara yitwa serotonin syndrome - ingero: St. John's Wort, fentanyl, lithium, tramadol, tryptophan, buspirone, n'indi miti imwe na imwe ya migraine (urugero: sumatriptan cyangwa rizatriptan)
• Quinidine
• Reserpine
• Umuti wa tiroyide

Uru rutonde ntirukubiyemo uburyo bwose bwo gufata imiti, bityo ni byiza kubwira muganga wawe buri muti, inyongeramusaruro, cyangwa ibimera ufata.

Ni izihe ngamba zihariye zigomba gufatwa mu gihe ukoresha uyu muti?

Mu gihe ufata uyu muti, wowe n'umuryango wawe mugomba kwitonda ku bintu bimwe na bimwe.

• Itondere ibimenyetso: Niba ibimenyetso byawe byo kwiheba bitarakemuka cyangwa bisa n'aho birushaho kwiyongera, bwira muganga wawe ako kanya. Bishobora gufata ibyumweru byinshi kugira ngo uyu muti ugire ingaruka nziza. Kubwibyo, ni ngombwa cyane gukomeza gufata umuti nk'uko muganga wawe abikubwira.
• Ibitekerezo byo kwiyahura:Iki ni ikibazo gikomeye cyane. Niba wowe cyangwa abagize umuryango wawe mufite ibitekerezo bishya cyangwa bikomeje kwiyongera byo kwiyahura, mugomba kubimenyesha muganga wanyu vuba. Nanone, menya impinduka zitunguranye mu byiyumvo byanyu. Urugero, guhangayika cyane, guhangayika, kurakara, urwango, guhubuka, kudatuza, gushyuha cyane no gukora cyane, cyangwa kugorwa no gusinzira. Niba ibi bibaye, cyane cyane iyo utangiye gufata umuti bwa mbere cyangwa nyuma yo guhindura urugero, vugana na muganga wawe ako kanya.
• Gusinzira no kuzungera: Ushobora kumva usinziriye cyangwa uzungera mu gihe ufata uyu muti. Kubwibyo, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikindi kintu cyose gisaba kuba maso mu mutwe kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka. Cyane cyane niba ugeze mu zabukuru, ntugahaguruke cyangwa ngo wicare gitunguranye. Kubikora bizagabanya ibyago byo kuzungera no kugwa.
• Inzoga: Inzoga zishobora kubangamira imikorere y'uyu muti. Kubwibyo, irinde kunywa inzoga mu gihe ufata uyu muti.
• Umuti w'inkorora n'ibicurane: Niba ufite inkorora, ibicurane, cyangwa aleriji, ntugafate imiti igurishwa ku giciro cya muganga utabanje kugisha inama muganga. Ibi biterwa nuko imiti imwe n'imwe ishobora kongera ingaruka mbi iyo ivanze na nortriptyline.
• Umunwa wumye: Umunwa wumye ni ingaruka mbi zishobora guterwa n'uyu muti. Ushobora kubikemura ukoresheje gum idafite isukari, ukanywa bombo ikomeye idafite isukari, kandi ukanywa amazi menshi. Ariko, niba iki kibazo gikomeje cyangwa gikomeye, bwira muganga wawe.
• Amaso yumye n'amaso atabona neza: Uyu muti ushobora gutera amaso yumye n'amaso atabona neza. Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Amavuta yo kwisiga mu maso ashobora gufasha. Niba iki kibazo gikomeje cyangwa gikomeye, reba muganga w'amaso.
• Kwihagarika: Uyu muti ushobora gutera impatwe. Gerageza kwihagarika nibura rimwe mu minsi ibiri cyangwa itatu. Niba udafite impatwe nyuma y'iminsi itatu, hamagara muganga wawe.
• Kumva izuba riva: Uyu muti ushobora gutuma uruhu rwawe rugira ikibazo gito ku zuba. Kubwibyo, irinde izuba ryinshi uko bishoboka kose. Niba ugomba kujya hanze, ambara imyenda ipfutse uruhu rwawe, kandi wambare indorerwamo z'izuba n'izuba. Ntukigere ukoresha amatara y'izuba cyangwa ibitanda/amakanzu yo gusiga ibara ry'izuba.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Nk’uko bimeze ku muti uwo ari wo wose, Nortriptyline ishobora gutera ingaruka zimwe na zimwe. Zimwe ni zikomeye kandi zigomba kumenyeshwa muganga wawe vuba. Zimwe akenshi si zikomeye, ariko niba zikomeje cyangwa zigatera ikibazo, ugomba kubimenyesha muganga wawe.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye kimwe muri ibi bimenyetso, jya kwa muganga cyangwa ku bitaro vuba.

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Imihindagurikire y'umutima: Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gituza, guhumeka bigoranye.
• Ibimenyetso bya serotonin syndrome bishobora kuba: kurakara, urujijo, umutima utera vuba cyangwa utari umeze neza, imitsi ikomera, imitsi ihindagura, ibyuya byinshi, umuriro mwinshi, gucika intege, gukonja, kuruka no gucibwamo.
• Indwara zo mu mutwe.
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba: Urugero, kutabona neza, isura ikikije amatara, cyangwa guta ubwenge.
• Gutekereza kwiyahura cyangwa kwigirira nabi, kumera nabi mu buryo bw'ibyiyumvo, kongera kwiheba.
• Kugorwa no kunyara.

Ingaruka mbi ubusanzwe zidasaba ubuvuzi (ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye):

Ibi bikunze kugenda mu minsi mike, ariko niba bikomeje cyangwa bikakubangamira cyane, bwira muganga wawe.

• Impinduka mu byifuzo by'imibonano mpuzabitsina cyangwa imikorere yayo.
• Kwihagarika impatwe.
• Kuzungera.
• Gusinzira.
• Umunwa wumye.
• Guhinda umushyitsi cyangwa kunyeganyega.

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, vugana na muganga wawe. Ushobora kandi gutangaza izi ngaruka mbi kuri FDA kuri 1-800-FDA-1088.

Ni gute wabika uyu muti neza?

Ibi nabyo ni ingenzi cyane. Iyo umuti utabitswe neza, ubushobozi bwawo bushobora kubura.

• Bishyire kure y'abana. Ibi ni ingenzi cyane. Iyo abana babifashe bakabinywa, bishobora guteza ibibazo bikomeye.
• Bika ahantu hashyushye mu cyumba (hagati ya dogere selisiyusi 15 na 30, hagati ya dogere selisiyusi 59 na 86).
• Bika icupa ry'imiti cyangwa agapaki gafunga neza.
• Rinda urumuri. Ni ukuvuga ko utarushyira ahantu hagera izuba cyangwa ahantu hakakaye.
• Ntugakoreshe imiti yarengeje igihe. Niba ufite imiti yarengeje igihe, jugunya neza.

Wibuke ko aka gatabo ari incamake gusa. Gashobora kuba kadafite amakuru yose. Niba ufite ibindi bibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa umuvuzi wawe.

Hanyuma, hari ibintu bike byo kwibuka

Nortriptyline ni umuti w'ingenzi ku ndwara nk'ihungabana. Ariko, ugomba gukoreshwa witonze.

• Kurikiza amabwiriza ya muganga wawe neza. Fata umuti mu rugero rwanditswe, mu gihe cyanditswe, kandi nkuko byavuzwe.
• Bwira muganga wawe indi miti yose n'inyongeramusaruro ufata, kuko bishobora kubaho.
• Menya ingaruka mbi. Nubona ikintu kidasanzwe, bwira muganga wawe ako kanya.
• Ntugahagarike gufata imiti mu buryo butunguranye. Kubikora utabanje kugisha inama muganga bishobora guteza ibibazo.
• Niba ufite ikibazo, ubwoba, cyangwa gushidikanya, vugana na muganga wawe. Ntugire icyo uhisha.

Ndakwifurije gukira vuba!

Nortriptyline , kwiheba, ubuzima bwo mu mutwe, imiti, imiti igabanya ubukana bwa tricyclic, ingaruka mbi, imiti