Ukwelashwa kokucindezeleka: Uyazi yini amaphilisi e-'Isocarboxazid'?

Ingabe ngezinye izikhathi uzizwa udabuke kakhulu, ukhathazekile, noma umane unesithukuthezi nje ngokuphila? Kwezokwelapha, lesi simo sibizwa ngokuthi "Ukucindezeleka". Ngakho-ke, odokotela banikeza imithi ethile ukuze isize ezikhathini ezinjengalezi. Isibonelo, umuthi okhethekile osetshenziselwa ukwelapha isimo esibizwa ngokuthi ukucindezeleka yi-"Isocarboxazid". I-"Marplan" ingenye igama lomkhiqizo walo muthi.

Uhlobo luni lomuthi 'i-Isocarboxazid'?

Kalula nje, i-'Isocarboxazid' umuthi osiza ekunciphiseni ukudabuka kwakho, ukukhathazeka kanye nokuthuthukisa isimo sakho sengqondo. Ubuchopho bethu buqukethe izithunywa zamakhemikhali ezibizwa ngokuthi 'i-Dopamine', 'i-Norepinephrine' kanye ne-'Serotonin'. Lawa ngamakhemikhali asiza ukulawula imizwa yethu yenjabulo nokudabuka. I-'Isocarboxazid' isebenza ngokwandisa amazinga ala makhemikhali ebuchosheni.

Lo muthi ungoweqembu lemithi ebizwa ngokuthi i-`MAOI`. I-`MAOI` imele i-`Monoamine Oxidase Inhibitors`. Le enzyme (`Monoamine Oxidase`) iphula amakhemikhali okukhulunywe ngawo ngaphambili njenge-`Dopamine`, `Norepinephrine`, `Serotonin` emizimbeni yethu. Ngakho-ke, ngenxa yokuthi umuthi we-`MAOI` umisa ukusebenza kwaleyo enzyme, lawo makhemikhali amahle ahlala ebuchosheni isikhathi eside. Yilokho okusiza ekunciphiseni ukucindezeleka. Kodwa odokotela bangakunikeza lo muthi kwezinye izifo. Ngakho-ke uma unemibuzo, buza udokotela wakho noma usokhemisi.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi

Ngaphambi kokuthi uqale ukuthatha i-'Isocarboxazid', kunezinto ezimbalwa okufanele uzitshele udokotela wakho. Ngoba lo muthi awufanele wonke umuntu. Ngakho-ke, kufanele utshele udokotela wakho ngalezi zinto ngokwethembeka okukhulu.

• Ingabe unesifo samehlo i-'Glaucoma'?
• Ingabe uthola ikhanda elibuhlungu njalo noma i-migraines?
• Unesifo senhliziyo?
• Ingabe unaso isifo somfutho wegazi ophakeme?
• Wake waba nokushaya kwenhliziyo okungajwayelekile ngaphambili?
• Uke waba nesifo sohlangothi ngaphambilini?
• Ingabe uphuza njalo?
• Unesifo sezinso?
• Unesifo sesibindi?
• Zikhona yini ezinye izifo zengqondo?
• Ingabe kukhona isifo somdlavuza sendlala ye-adrenal esibizwa ngokuthi 'i-Pheochromocytoma'?
• Uke waba nokulimala ekhanda muva nje (ukuhlukumezeka ekhanda)?
• Ingabe kukhona ukuxhuzula?
• Uke waba nemicabango yokuzibulala, wahlela ukuzibulala, noma wazama ukuzibulala ngaphambili? Ingabe ukhona emndenini wakho oke wakwenza lokho?
• Ingabe unesifo sokungezwani komzimba nomuthi othi 'Isocarboxazid', eminye imithi, ukudla, amadayi, noma izithasiselo?
• Ukhulelwe noma uzama ukukhulelwa?
• Ingabe ungumama oncelisayo?

Uma kukhona kwalokhu okukusebenzelayo, kubaluleke kakhulu ukwazisa udokotela wakho ngakho.

Ngingawusebenzisa kanjani lo muthi?

Lomuthi uza ngesimo samaphilisi. Kufanele uphuzwe ngomlomo kanye nengilazi yamanzi. Kungcono ukuwuthatha njengoba uyalelwe udokotela wakho, ngesikhathi esifanayo nsuku zonke. Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Uma ikhemisi likunikeza lo muthi, likunikeza nencwajana yemiyalelo ekhethekile (i-`MedGuide`). Kufanele uwufunde ngokucophelela lo `MedGuide` njalo uma uthatha umuthi nalapho ushintsha ibhodlela lomuthi. Uqukethe ulwazi olubaluleke kakhulu ngalo muthi.

Khumbula: Lo muthi ungowakho kuphela. Ungabelani ngomuthi wakho nabanye, noma ngabe banezimpawu ezifanayo nezakho.

Uma unikeza izingane ezincane lo muthi, kufanele uqaphele kakhulu. Ngakho-ke, khuluma nodokotela wakho ngakho bese uthola iseluleko.

Uma ucabanga ukuthi ngephutha uthathe lo muthi omningi kakhulu, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi, ngaphandle kokulibala.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Ukwenza kanjalo kungandisa umthamo.

Ezinye izinto ezingase zihlangane nalo muthi (ukusebenzisana)

Lokhu kuyinto okufanele uyiqaphele kakhulu . Umuthi i-'Isocarboxazid' ungasebenzisana kabi nokudla kanye neminye imithi. Lokhu kungadala imiphumela emibi eyingozi.

Gwema ukudla okuqukethe i-'Tyramine'!

Akuyona into enhle ukudla ukudla okune-tyramine eningi ngenkathi uthatha i-'Isocarboxazid'. Uma lokhu kokubili kuhlanganiswa, izimo ezisongela ukuphila njengekhanda elibuhlungu elibi ngokuzumayo, umfutho wegazi ophakeme ('inkinga ye-Hypertensive'), noma ukushaya kwenhliziyo okungajwayelekile kungavela.

Yikuphi ukudla okune-'Tyramine' eningi?

• Ushizi osukhulile
• Inyama ecutshunguliwe - izinto ezifana namasoseji, i-salami, i-pepperoni
• Ubhiya kanye ne-ale (ngisho nobhiya obungenalo utshwala)
• Iwayini (ikakhulukazi iwayini elibomvu), i-sherry
• Utshwala obunzima, Ama-Liqueurs
• Ama-avokhado
• Ubhanana (ikakhulukazi ovuthiwe kahle)
• Amakhiwane, Omisiwe
• Isosi yesoya, isobho le-Miso
• Imvubelo/iziqephu zamaprotheni
• I-Tofu (i-Bean curd)
• Ama-pod e-Fava noma ama-broad bean
• Noma yisiphi isithelo esivuthiwe ngokweqile

Lolu hlu aluphelele, ngakho cela udokotela wakho, usokhemisi, noma isazi sokudla okunempilo ukuze akunike uhlu oluphelele lokudla okuqukethe i-tyramine.

Futhi, kuwumqondo omuhle ukunciphisa iziphuzo eziqukethe i-caffeine (njengetiye, ikhofi, ushokoledi, kanye ne-cola) ngenkathi uthatha lo muthi.

Buza udokotela wakho ukuthi kufanele ugweme isikhathi esingakanani lokhu kudla neziphuzo ngemva kokuyeka lo muthi.

Imithi okungafanele ithathwe nalo muthi

Imithi elandelayo ingabangela ukusabela okubi kakhulu uma ithathwa kanye ne-'Isocarboxazid'. Ngakho-ke, uma uthatha le mithi njengamanje, kufanele utshele udokotela wakho.

• I-Atomoxetine
• `I-Buspirone`
• `I-Carbamazepine`
• Eminye imithi yomfutho wegazi ophakeme: `Guanabenz`, `Guanadrel`, `Guanethidine`, `Reserpine`
• 'I-Cocaine'
• `I-Cyclobenzaprine`
• I-Dextromethorphan (iqukethe ama-syrups okukhwehlela)
• Imithi yokwehlisa isisindo noma izikhuthazi: Ama-Amphetamine, i-Ephedra
• 'I-Diphenoxylate'
• `I-Ephedrine`
• Izinzwa ezivamile noma zendawo (uma uthatha le mithi ngaphambi kokuhlinzwa, kufanele utshele udokotela wakho )
• `I-Ginseng`
• Itiye eliluhlaza (ukusetshenziswa ngokweqile)
• `I-Guarana`
• I-Linezolid (i-antibiotic)
• Ezinye izinhlobo ze-'MAOI`: `Phenelzine` (phenelzine), `Rasagiline` (rasagiline), `Safinamide` (safinamide), `Selegiline` (selegiline), `Tranylcypromine` (tranylcypromine)
• Imithi yokwelapha ikhanda elibuhlungu bekhanda elibuhlungu
• Imithi yokuphazamiseka kokunyakaza njengesifo sikaParkinson: `Entacapone`, `Levodopa`, `Selegiline`, `Tolcapone`
• I-Meperidine (umuthi wokuqeda izinhlungu)
• `I-Methylene eluhlaza okwesibhakabhaka`
• Imithi yokwelapha ezinye izinkinga zokucindezeleka, ukukhathazeka, noma zemizwa
• Imithi yobuhlungu enikezwa ngodokotela
• `I-Procarbazine`
• `SAM-e`
• I-`St. John's Wort` (umuthi wamakhambi abanye abantu abawusebenzisayo ukuze bathuthukise inhlalakahle yengqondo)
• `Tramadol` (umuthi wokuqeda izinhlungu)
• `I-Tryptophan`
• I-Tyramine (etholakala ekudleni futhi ingatholakala nakwezinye izithasiselo)
• `I-Viloxazine`
• `Yohimbine`

Eminye imithi engase ihlangane nalo muthi

Imithi elandelayo ingasebenzisana ne-'Isocarboxazid'. Ngakho-ke, uma uyisebenzisa, tshela udokotela wakho ngayo futhi.

• Ama-Barbiturates (isib. i-Phenobarbital)
• Imithi yokuhlanza
• I-Isoniazid (umuthi wesifo sofuba)
• Imithi yezimpawu ezifana nomkhuhlane, ukungezwani komzimba, kanye nomkhuhlane
• Imithi yesifo sikashukela
• Imithi eqenjini le-'Phenothiazines' (isib. `Chlorpromazine`, `Prochlorperazine`, `Thioridazine`)

Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, izithasiselo zokudla okunempilo). Tshela nodokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nalo muthi.

Ezinye izinto okufanele uziqaphele lapho uthatha lo muthi

• Uma izimpawu zakho zingathuthuki noma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha. Hlala uxhumane nodokotela wakho ukuze ubone ukuthi umuthi usebenza kanjani. Kungathatha amasonto ambalwa ukuthi lo muthi usebenze ngokugcwele. Ngakho-ke, kubalulekile ukuqhubeka nokuphuza ukwelashwa njengoba udokotela wakho ekutshela.
• Imicabango yokuzibulala noma ukucindezeleka okubi kakhulu: Lokhu kubaluleke kakhulu . Ngesikhathi uthatha lo muthi, ikakhulukazi ekuqaleni kokwelashwa noma ngemva kokushintsha umthamo, qaphela ingqondo yakho ngokucophelela ukuze uthole imicabango emisha yokuzibulala noma ukucindezeleka okubi kakhulu. Futhi, uma unezinguquko ezisheshayo esimweni sakho sengqondo, njengokuzizwa ukhathazekile, ungahlaliseki, ucasukile, unolaka, ulaka, unenkani, ungahlaliseki kakhulu, uthukuthele kakhulu futhi usebenza ngokweqile, noma unenkinga yokulala, shayela udokotela wakho ngokushesha. Tshela umndeni wakho futhi ubacele ukuthi baqaphele lezi zinguquko.
• Ungase uzizwe ulele noma unesizungu. Ngakho-ke, uze wazi ukuthi lo muthi uthinta kanjani wena, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo. Ungavuki noma uhlale phansi ngokushesha, ikakhulukazi uma usukhulile. Ukwenza kanjalo kuzonciphisa amathuba okuba nesiyezi nokuwa.
• Utshwala bungaphazamisa ukusebenza kahle kwalomuthi, ngakho gwema ukuphuza utshwala.
• Lomuthi ungabangela amehlo omile kanye nokungaboni kahle. Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Amaconsi amehlo agcotshwe ngokugcoba angasiza. Uma le nkinga iqhubeka noma inzima, bona udokotela wamehlo.
• Umlomo owomile ungaba yinkinga. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi kungasiza. Uma le nkinga iqhubeka noma iba nzima, khuluma nodokotela wakho.
• Xhumana nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi yokuzilapha ngokwakho yezinkinga ezifana nokukhwehlela, umkhuhlane, kanye nokungezwani komzimba. Futhi, ungathathi noma yimiphi imithi yokwehlisa isisindo ngaphandle kwemvume kadokotela wakho. Izithako kweminye yale mikhiqizo zingase zandise imiphumela emibi.
• Lo muthi ungathinta amazinga kashukela egazini. Uma unesifo sikashukela, khuluma nodokotela wakho ngaphambi kokushintsha ukudla kwakho noma umthamo womuthi wakho wesifo sikashukela.
• Uma uzohlinzwa, uhlolwe ngokwezokwelapha, noma inqubo, tshela udokotela wakho ukuthi uthatha lo muthi. Lo muthi ngokuvamile udinga ukuyekwa cishe ezinsukwini eziyi-10 ngaphambi kokuhlinzwa kokuzikhethela.
• Lo muthi ungabangela amazinga aphansi e-vitamin B6. Ngakho-ke qiniseka ukuthi uthola i-vitamin B6 eyanele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla namavithamini owathathayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, i-Isocarboxazid ingabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ayibi yingozi kangako.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho ngokushesha :

• Ukusabela kokungezwani komzimba : Ukuqubuka kwesikhumba, ukulunywa, amabala abomvu esikhumbeni, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo.
• Izimpawu ze-Serotonin Syndrome : Ukucasuka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza, isifo sohudo. Lokhu kungaba izimpawu zesimo esiyingozi esibizwa ngokuthi i-Serotonin Syndrome, ngoba lo muthi ukhulisa izinga le-serotonin ebuchosheni.
• Izimpawu zokulimala kwesibindi : Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ubuthakathaka noma ukukhathala okungavamile.
• Umfutho wegazi ophansi : Isiyezi, ukuquleka, ukubona okufiphele.
• Ukuquleka .
• Ukwanda okukhulu komfutho wegazi : Ukuqala ngokuzumayo kwekhanda elibuhlungu, isicanucanu, ukuhlanza, ukuqina kwentamo, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (lokhu kungaba uphawu lokusabela kwe-'Tyramine').
• Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, kanye nokucindezeleka okukhulu .

Imiphumela emibi evame ukungabi yingozi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka:

Le miphumela emibi ngokuvamile ayibi mibi kakhulu, kodwa uma iqhubeka noma ikukhathaza, tshela udokotela wakho:

• Ukuqunjelwa
• Isiyezi
• Umlomo owomile
• Ikhanda elibuhlungu
• Isicanucanu
• Ukuthuthumela

Uma ubona noma yiziphi izimpawu ezingavamile noma ezintsha ngenkathi uthatha lo muthi ezingabhaliwe, tshela udokotela wakho. Ungabika nemiphumela emibi ku-FDA ku-1-800-FDA-1088.

Uwugcina kanjani lo muthi?

• Gcina lo muthi kude nezingane nezilwane ezifuywayo .
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 Fahrenheit). Gcina ibhodlela/iphakethe lemithi livaliwe kahle .
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.

Indlela yokulahla umuthi ongasetshenziswanga noma ophelelwe yisikhathi:

• Kunezinhlelo zokuthatha imithi. Ungathola ngazo ekhemisi lakho noma emaphoyiseni.
• Uma lokho kungenzeki, hlola ilebula lomuthi noma incwajana engaphakathi ukuze ubone ukuthi kufanele yini ulahlwe emgqonyeni kadoti noma ulahlwe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho.
• Uma kuphephile ukulahla udoti, khipha umuthi esitsheni. Uhlanganise nokunye, njengodoti wekati, inhlabathi, noma ikhofi. Faka ingxube esikhwameni noma esitsheni, uyivale kahle, bese uyiphonsa kudoti.

Okokugcina, izinto okufanele uzikhumbule

I-'Isocarboxazid' iyisidakamizwa esibaluleke kakhulu ekwelapheni ukucindezeleka. Kodwa-ke, ngenxa yokuthi ingeyesigaba se-'MAOI', ingabangela ukuhlangana okukhulu nokudla (ikakhulukazi ukudla okuqukethe i-'Tyramine') kanye neminye imithi.

Ngesikhathi uthatha lo muthi, qaphela kakhulu ngezinguquko esimweni sakho sengqondo, ikakhulukazi imicabango yokuzibulala. Uma unezinkinga, tshela udokotela wakho ngokushesha. Thatha umthamo ofanele, ngesikhathi esifanele, njengoba nje udokotela wakho ekutshela. Kulapho-ke kuphela lapho ungathola khona okuningi kulo muthi futhi uthuthukise impilo yakho yengqondo.

Lesi sihloko siyisifinyezo nje. Uma uneminye imibuzo mayelana nalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

I- Isocarboxazid, i-MAOI, ukucindezeleka, impilo yengqondo, i-dopamine, i-serotonin, i-tyramine, imiphumela emibi, ukusebenzisana kwezidakamizwa