Ngezinye izikhathi sizizwa sinomthwalo omkhulu, ukudabuka, noma ukungakhululeki ezinhliziyweni zethu, akunjalo? Kufana nokuthi asikwazi ukwenza lutho. Ngezinye izikhathi ezinjengalezi, odokotela banikeza abanye abantu umuthi obizwa ngokuthi i-Doxepin. Ake sibheke ukuthi lo muthi uyini, usebenza kanjani, nokuthi yiziphi izinyathelo zokuphepha okudingeka sizithathe ngenkathi siwusebenzisa.
Iyini i-Doxepin?
Kalula nje, i-Doxepin umuthi osetshenziselwa ukwelapha izimo zempilo yengqondo njengokucindezeleka nokukhathazeka . Iyingxenye yeqembu lemithi ebizwa ngokuthi ama-Tricyclic Antidepressants (TCAs) . Ubuchopho bethu bunamakhemikhali amabili abizwa ngokuthi i-Serotonin ne -Norepinephrine . Lawa ngamakhemikhali asiza ukulawula imizwa yethu, okusho ukuthi sizizwa sijabule futhi sidabukile. I-Doxepin isebenza ngokwandisa amazinga ala makhemikhali ebuchosheni. Lokhu kusiza ukunciphisa ukucindezeleka nokukhathazeka.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokukunikeza i-Doxepin, udokotela wakho uzokubuza imibuzo ethile. Kubaluleke kakhulu ukuthi uyiphendule ngendlela efanele. Ngoba abantu abanezimo ezithile zezokwelapha kudingeka baqaphele kakhulu lapho benikeza lo muthi. Bheka ukuthi le mibuzo iyasebenza yini kuwe:
- Ingabe unesifo sengqondo esifana nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder ?
- Ingabe kunzima ukuchama? Noma unenkinga ye-prostate ?
- Ingabe kukhona isifo samehlo esibizwa ngokuthi i-glaucoma ?
- Unesifo senhliziyo?
- Ingabe uphuza njalo?
- Ingabe kukhona isifo sesibindi?
- Ingabe unezifo zamaphaphu, isibonelo , i-asthma noma i-sleep apnea ? Ingabe unesifo sengqondo esifana ne -schizophrenia ?
- Wake waba nesifo sokuwa ngaphambili?
- Ingabe unemicabango yokuzilimaza, ingabe uhlela ukwenza kanjalo, noma wake wazama ukwenza kanjalo esikhathini esidlule? Ingabe ukhona emndenini wakho oke wakwenza lokho?
- Wake waba nokusabela kokungezwani komzimba ne-Doxepin, omunye umuthi, ukudla, noma idayi?
- Ingabe ukhulelwe njengamanje? Noma unethemba lokukhulelwa?
- Ingabe uyancelisa ?
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngalezi zinto, kulungile?
Indlela yokusebenzisa i-Doxepin?
Lo muthi kufanele uphuzwe nengilazi yamanzi. Kufanele uphuze umthamo owunikeziwe, ngesikhathi owunikeziwe, njengoba nje udokotela wakho ekutshelile. Ungalokothi uthathe okungaphezu noma okungaphansi kwalokho udokotela wakho akutshelile.
Into ebaluleke kakhulu ukuthi akuwona umqondo omuhle ukuyeka ukuthatha lo muthi ngokuzumayo.Uma uyeka ukuwuthatha ngaphandle kweseluleko sikadokotela wakho, ungase ube nobunzima, noma isimo sakho singase sibe sibi kakhulu. Ngakho-ke, uma uyeka ukuthatha umuthi, kufanele uwunciphise kancane kancane. Udokotela wakho uzokutshela ukuthi ungakwenza kanjani lokhu.
Uma uthola lo muthi ekhemisi, bazokunikeza incwajana yemiyalelo ekhethekile (i-MedGuide) . Ungakhohlwa ukuyifunda ngokucophelela njalo uma uthola ukugcwalisa noma ukugcwalisa. Iqukethe ulwazi olubalulekile.
Ingabe lo muthi unganikezwa izingane ezincane?
Ngokuvamile, lo muthi unganikezwa izingane ezincane ezingaphezu kweminyaka eyi-12 ubudala ezimweni ezithile ezikhethekile. Kodwa-ke, kufanele wenziwe ngokucophelela okukhulu nangaphansi kokuqashwa okuseduze kukadokotela.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha. Lokhu kubaluleke kakhulu, njengoba ukuthatha umuthi omningi kakhulu kungaba yingozi.
Okunye futhi: Lo muthi ungowakho wedwa. Ungalokothi unike abanye umuthi wakho, ungase ungabi muhle kubo.
Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Yiziphi izinto okungafanele zisetshenziswe nalo muthi?
Eminye imithi ayivunyelwe ukusetshenziswa kwe-Doxepin. Kukhona neminye imithi engabangela izinkinga uma ithathwa nge-Doxepin. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nemithi ethengwa ngaphandle kwemithi kadokotela).
Ungayithathi i-Doxepin uma:
- I-Arsenic trioxide
- Eminye imithi yokwelapha ukushaya kwenhliziyo okungajwayelekile
- I-Cisapride
- I-Halofantrine
- I-Levomethadyl
- I-Linezolid
- Ama-MAOI ( isib. i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate) olunye uhlobo lwemithi esetshenziselwa ukwelapha ukucindezeleka.
- I-Methylene eluhlaza okwesibhakabhaka
- Eminye imithi yokwelapha ukucindezeleka
- Ama-Phenothiazine ( isib. i-perphenazine, i-thioridazine, i-chlorpromazine)
- I-Pimozide
- I-Procarbazine
- I-Sparfloxacin
- I-St. John's Wort (lena isitshalo)
Lokhu kungasebenzisana ne-Doxepin:
- I-Cimetidine
- I-Tolazamide
- I-Ziprasidone
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, nokuthi uyabhema, uyaphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nemithi yakho.
Izinto okufanele uziqaphele lapho uthatha umuthi
Udokotela wakho uzokucela ukuthi ubone ukuthi unjani ngesikhathi uthatha lo muthi. Qiniseka ukuthi uyaya kulezo zivivinyo. Kungathatha izinsuku ezimbalwa ukuthi umphumela ophelele walo muthi uzwakale. Ngakho ungakhathazeki.
Njengoba ngishilo ngaphambili, uma usuthathe lo muthi isikhathi eside, ungawuyeki ngokuzumayo. Kufanele uwuyeke kancane kancane, njengoba kusho udokotela wakho. Ngaphandle kwalokho, ungase ube nemiphumela emibi kakhulu. Imiphumela yomuthi ingase ihlale emzimbeni wakho izinsuku eziningana ngemva kokuyeka ukuwuthatha.
Qaphela kakhulu!
Ngesikhathi uthatha lo muthi, wena nomndeni wakho kufanele niqaphele isimo senu sengqondo. Ikakhulukazi, qaphelani imicabango yokuzibulala, ukucindezeleka okubi kakhulu, kanye nezinguquko zemizwa (isib., ukucasuka, ukungahlaliseki, ukucasuka, ukuqwasha). Uma kwenzeka noma yikuphi kwalokhu, ikakhulukazi lapho uqala ukuthatha umuthi noma ngemva kokushintsha umthamo, tshela udokotela wakho ngokushesha.
Ezinye izinto okufanele uzicabangele
- Ungase uzizwe ulele noma udidekile . Ngakho-ke, gwema ukushayela, ukusebenzisa imishini, noma ukwenza noma yini edinga ukugxilisa ingqondo uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
- Ungavuki ngokushesha, ungahlali phansi ngokushesha, ikakhulukazi uma usukhulile. Ukwenza kanjalo kungabangela isiyezi futhi ungase uwe.
- Ungasebenzisi utshwala . Utshwala bungandisa ukozela kanye nesiyezi.
- Uma udinga ukuthatha umuthi wokukhwehlela, umkhuhlane, noma ukungezwani komzimba, ungawuthathi ngaphandle kokubonisana nodokotela wakho noma usokhemisi kuqala. Izithako kweminye imithi zingandisa imiphumela emibi.
- Umlomo owomile ungaba khona. Lokhu kungancishiswa ngokuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi. Uma inkinga iqhubeka noma inkulu, tshela udokotela wakho.
- Lo muthi ungabangela amehlo omile kanye nokungaboni kahle . Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Ukusebenzisa amaconsi amehlo agcobayo kungasiza. Uma inkinga iqhubeka, bona udokotela wakho.
- Lo muthi ungenza isikhumba sakho sizwele elangeni.Yebo. Ngakho-ke, gwema ilanga ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo zokuzivikela, izibuko zelanga, kanye ne-sunscreen. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
Imiphumela emibi engaba khona yalo muthi
Njenganoma yimuphi umuthi, i-Doxepin ingabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ayibi yingozi kangako.
Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:
- Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi kanye nomphimbo.
- Izimpawu ze-serotonin syndrome zingase zihlanganise: ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha, ukudikiza kwemisipha, ukujuluka, umkhuhlane omkhulu, ukuxhuzula, ukubanda, ukuhlanza kanye nesifo sohudo.
- Ubuhlungu bamehlo noma ukushintsha kombono ngokuzumayo (isib., umbono ofiphele, ukubona ama-halo azungeze ukukhanya, ukulahlekelwa umbono).
- Imicabango yokuzilimaza, isimo sakho sengqondo esibi kakhulu , noma imizwa yokucindezeleka.
- Ubunzima bokuchama.
Uma kwenzeka into efana nale , bonana nodokotela ngokushesha.
Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):
- Ushintsho esifisweni noma emsebenzini wobulili
- Ukuqunjelwa
- Isiyezi
- Ukozela
- Umlomo owomile
- Ukuthuthumela
- Ukwanda kwesisindo
Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma ubona noma yini engavamile, xhumana nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA ku-1-800-FDA-1088.
Ugcina kanjani imithi?
Gcina lo muthi kude nezingane . Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit). Ungasebenzisi umuthi ophelelwe yisikhathi, uwulahle.
Okokugcina, izinto okufanele uzikhumbule
I-Doxepin umuthi ongasiza ezimweni ezinjengokucindezeleka nokukhathazeka. Kodwa-ke, kunezinto okufanele uziqaphele uma uyisebenzisa.
Izinto ezibaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo, utshele udokotela wakho nganoma yiziphi ezinye izifo onazo, umtshele ngeminye imithi oyithathayo, uqaphele imiphumela emibi, futhi ungayeki ukuthatha imithi yakho ngokuzumayo.
Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Bazokwazi ukukusiza. Khumbula, impilo yakho yengqondo ibaluleke kakhulu!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe ama-capsule e-Doxepin aluhlobo lwephilisi lokulala?
Leli akulona iphilisi lokulala langempela, leli yiphilisi elidala elithi 'TCA - Tricyclic Antidepressant' (umuthi wengqondo onamandla onikezwa ukucindezeleka)! Odokotela bavame ukulisebenzisa ezigulini ezicindezelekile kakhulu nokukhathazeka, ukuze baqede ukwesaba nokudabuka kwazo futhi babanike umuzwa wenduduzo.
💬 Kungani lo muthi (i-Doxepin) unikezwa yisibhedlela ngenxa yokungalali?
Nakuba kuyisidakamizwa sokucindezeleka, odokotela baqaphela ukuthi uma lesi sidakamizwa sinikezwa 'ngomthamo ophansi (igama lomkhiqizo elithi Silenor),' sivimba i-Histamine (ikhemikhali ebangela ukuphaphama) ebuchosheni futhi sibangele ukulala okungabekezeleleki (i-sedation). Ngakho-ke, sisetshenziswa kabanzi emhlabeni namuhla kubantu abangakwazi ukulala ebusuku futhi bavuke phakathi nobusuku (i-Sleep-maintenance insomnia), ukuze bathole ubuthongo obuhle ngaphandle kokulutheka.
💬 Kungani ngiba nomlomo owomile/isiyezi ngemva kokuthatha la ma-capsule (i-Doxepin)?
Lena imiphumela emibi kakhulu yemithi yakudala ye-TCA (imiphumela ye-Anticholinergic)! Uma le mithi ishintsha amakhemikhali ebuchosheni, icindezela nezindlala zamathe emzimbeni ngengozi. Ngenxa yalokho, uzoba nomlomo/amehlo omile, umbono ofiphele, ukuqunjelwa, kanye nokwehla kwengcindezi yomzimba, ikakhulukazi uma uvuka embhedeni ekuseni.
I- Doxepin, ukucindezeleka, ukukhathazeka, impilo yengqondo, ama-antidepressants e-tricyclic, i-TCA, imithi, imiphumela emibi, i-serotonin
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