Ake sifunde ngemiphumela emibi ye-Vortioxetine (Trintellix) yokwelapha ukucindezeleka kanye nendlela yokuyiphatha ngaphandle kokwesaba.

Ingabe udokotela wakho uke wakunikeza i-Vortioxetine (evame ukubizwa ngokuthi i-Trintellix) ngenxa ye-Major Depression Disorder (MDD)? Uma uqala umuthi omusha, ikakhulukazi umuthi wezempilo yengqondo, kuvamile ukuba novalo nokufuna ukwazi ngemiphumela yawo emibi. Kodwa ungakhathazeki. Njenganoma yimuphi umuthi, ungaba nemiphumela emibi emincane. Kulesi sihloko, sizoxoxa ngokuthi iyini leyo miphumela emibi, ukuthi yini okufanele uyenze uma ivela, nokuthi ungaqaphela kanjani izimpawu ezingaba yingozi (kodwa ezingavamile kakhulu).

Ungayiphatha kanjani imiphumela emibi evamile?

Kunemiphumela emibi eminingana evamile engenzeka uma uthatha lo muthi. Ake sibheke ukuthi iyini nokuthi ingenzani.

Ukungasebenzi kahle kocansi noma izinkinga

Abanye abantu bangase babe nezinguquko ezincane empilweni yabo yocansi lapho beqala lo muthi. Isibonelo, ubunzima bokufinyelela ekufikeni kokuvuthwa, ukuphuphuma kwesisu okuphuzile, ukuncipha kwentshisekelo yocansi, noma, kwabesilisa, ubunzima bokuthola ukuminyana.

Kodwa khumbula, lokhu akwenzeki kuwo wonke umuntu . Futhi, lesi simo sivame ukuphela njengoba umzimba wakho ujwayela imithi. Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho ngakho ngokukhululekile nangokwethembeka . Angase akwazi ukukushintshela komunye umuthi noma engeze omunye umuthi ukusiza ukuphatha lesi simo. Izindaba ezinhle ukuthi imiphumela emibi yocansi ye-Vortioxetine ayivamile uma iqhathaniswa neminye imithi yokucindezeleka.

Isicanucanu Nokuhlanza

Lona umphumela wokuqala ongemuhle abantu abaningi abawuzwayo. Kodwa ngokuvamile awubi mubi kakhulu, uyisicanucanu esincane nje. Ezimweni eziningi , lokhu kuyaphela ngokwako ngemva kwamasonto amabili . Kwabanye, kungase kuhlale isikhathi eside. Ungazama lezi zinto uma unesicanucanu nokuhlanza.

Ukuqunjelwa

Abanye abantu bangase babe nobunzima bokukhipha indle noma ukuqunjelwa ngenkathi bethatha lo muthi. Ungazama lezi zinto ukusiza ekulawuleni lokhu:

• Faka ukudla okucebile nge-fiber ekudleni kwakho. Izinto ezifana nemifino eluhlaza, imifino, izithelo, kanye nezinkwa ezigcwele okusanhlamvu kusiza ekuthuthukiseni ukusebenza kwamathumbu.
• Vivinya umzimba nsuku zonke. Lokhu kuvuselela ukusebenza kwemisipha yamathumbu.
• Ungasheshi uma uya endlini yokugezela. Phumula futhi uhlale uzolile.
• Uma lokhu kungasebenzi, buza udokotela wakho ngemithi yokuhlanza isisu .

Ingabe siyazi nemiphumela emibi engathi sína (kodwa engavamile)?

Manje sizokhuluma ngeminye yemiphumela emibi engaba khona nge-Vortioxetine, kodwa ayivamile, okusho ukuthi abantu abaningi abayitholi, kodwa kufanele siyiqaphele. Uma uhlangabezana nanoma yikuphi kwalokhu, kufanele ufune iseluleko sezokwelapha ngokushesha.

I-Serotonin Syndrome

Kalula nje, i-serotonin iyikhemikhali yemvelo ebuchosheni nasemzimbeni wethu. Uma ithathwa kanye nalomuthi, kanye neminye imithi, izinga le-serotonin emzimbeni lingakhuphuka ngokungadingekile. Lesi simo sibizwa ngokuthi i-serotonin syndrome. Singaqala ngezimpawu ezincane njengokujuluka kanye nesifo sohudo, futhi uma singelashwa, singadlulela ezimweni ezimbi kakhulu njengomkhuhlane kanye nokuquleka.

Kufanele uqaphele kakhulu uma uthatha le mithi ne-vortioxetine:

• Ezinye izinhlobo zemithi yokucindezeleka (isib. ama-SSRI, ama-SNRI, ama-MAOI)
• Eminye imithi ye-migraine (ama-triptan)
• Amanye ama-antibiotic, njenge-Linezolid
• Ezinye izidakamizwa zokunciphisa ubuhlungu (isib. i-tramadol, i-fentanyl)
• Imithi yokuqinisa imizwa efana ne-lithium
• I-Dextromethorphan itholakala kwamanye amasiraphu okukhwehlela athengwa emakhemisi.
• Imikhiqizo yamakhambi njenge-St. John's wort

Uma uhlangabezana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze:

• Ukujuluka ngokweqile, ukuhlanza
• Ukungahlaliseki, ukungahlaliseki
• Ukubona noma ukuzwa izinto ezingekho (i-Hallucinations)
• Ukudideka
• Umkhuhlane ophezulu
• Ukushaya kwenhliziyo okusheshayo, izinguquko ekucindezelweni kwegazi
• Isiyezi, ukuxhuzula
• Isicanucanu, ukuhlanza, isifo sohudo
• Ukulahlekelwa ibhalansi, ukuqina kwemisipha, noma ukudikiza

Isifo Sokuyeka Ukubhema

Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Lokhu kungabangela izimpawu ezifana nokucasuka, ukujuluka, isiyezi, ukucasuka, kanye nokungalali. Uma uyeka ukuthatha umuthi noma ushintsha umthamo, yenza kanjalo kancane kancane, njengoba udokotela wakho ekutshela.

Ukwanda kwengcindezi emehlweni (i-Angle-Closure Glaucoma)

Lo muthi ungabangela ukuthi ijwabu leso libe likhulu kancane. Kubantu abasengozini yokwanda komfutho wamehlo ngofuzo, lokhu kungaholela esimweni esibizwa ngokuthi i-Angle-Closure Glaucoma.

• Ubuhlungu bamehlo
• Izinguquko zombono
• Ukuvuvukala, ukubomvu ngaphakathi noma eduze kweso

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho. Ukuhlolwa kwamehlo kunganquma ukuthi usengozini yini.

Amazinga e-sodium anciphile (i-Hyponatremia)

Lokhu kusho ukuthi izinga le-sodium (njengoba silazi) egazini lingehla kakhulu ngendlela eyingozi. Ingozi iphezulu kubantu asebekhulile nakulabo abathatha lo muthi kanye nemithi yokukhipha isisu yomfutho wegazi ophakeme.

• Izimpawu ezincane: Ubunzima bokugxilisa ingqondo, ikhanda elibuhlungu, izinguquko zenkumbulo, ukuzizwa ukhathele, ukuwa.
• Izimpawu ezibucayi: ukulahlekelwa ukwazi, ukuquleka, i-coma, ukumiswa kokuphefumula.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa iseluleko sezokwelapha ngokushesha.

Ingozi eyengeziwe yokopha

Uma uthatha i-Vortioxetine kanye nemithi yokunciphisa igazi efana ne-aspirin, ama-NSAID (isb., i-ibuprofen, i-diclofenac), noma i-warfarin, ingozi yakho yokopha inganda kancane. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo. Tshela udokotela wakho ngokushesha uma ubona noma yikuphi ukuklwebheka noma ukopha okungajwayelekile.

Iziqephu Ze-Manic

Uma unesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder kanye nokucindezeleka (futhi ungase ungazi ngisho nokuthi), kunobungozi obuncane kakhulu bokuba ne-manic episode ngalo muthi. Phakathi nalesi sikhathi:

• Ingqondo yami iyagijima ngendlela engavamile, futhi imibono iyaqhubeka nokuza.
• Amandla anda kakhulu.
• Ukukhuluma ngokushesha futhi ngaphezu kokujwayelekile.
• Angilali kahle, kodwa angizizwa ngikhathele.
• Ukwenza umsebenzi oyingozi.

Imicabango yokuzibulala

Yilokhu sonke okudingeka sikhathazeke ngakho kakhulu. Noma yimuphi umuthi wokucindezeleka, okuhlanganisa ne-vortioxetine, ikakhulukazi entsheni engaphansi kweminyaka engama-24 ubudala, kungandisa kancane ingozi yemicabango noma izenzo zokuzibulala phakathi nezinyanga ezimbalwa zokuqala zokwelashwa noma lapho umthamo ushintshwa.

Uma wena noma othile omaziyo ehlangabezana nanoma yikuphi kwalokhu okulandelayo ngesikhathi ethatha lo muthi, sicela ushayele udokotela wakho ngokushesha noma ufune usizo lwezokwelapha oluphuthumayo:

• Uma uzizwa sengathi uzofa.
• Uma uzizwa sengathi ufuna ukwenza umsebenzi oyingozi noma izinto eziyingozi.
• Uma uthukuthela, ucasukile, noma ungenakuthula.
• Uma ubona izinguquko ezingavamile, ezisheshayo ekuziphatheni noma emizweni.
• Uma uzizwa sengathi ukucindezeleka kwakho kuya ngokuya kuba kubi.
• Uma unezinkinga zokulala.
• Uma uba nolaka noma ubudlova.
• Uma ubhekene nokukhathazeka noma ukuhlaselwa uvalo.

Khuluma nodokotela wakho ngokukhululekile ngalokho okusengqondweni yakho nokuthi uzizwa kanjani. Awuwedwa. Ukucela usizo kuyakunika amandla.