Ungathanda ukwazi ngomuthi i-Nortriptyline? Ake sixoxe!

Ingabe ngezinye izikhathi uzizwa usinda, udabuke, noma unganaki? Mhlawumbe udokotela wakho ukunike umuthi obizwa ngokuthi i-Nortriptyline. Ngakho-ke, ake sixoxe ngalo muthi kabanzi namuhla? Ngokuqondile, ukuthi wenzani, ukuthi uwusebenzisa kanjani, nokuthi yini okufanele uyiqaphele.

Uhlobo luni lomuthi i-Nortriptyline?

Kalula nje, i-Nortriptyline umuthi osetshenziselwa ukwelapha ukucindezeleka. I-Serotonin ne-norepinephrine ngamakhemikhali amabili ebuchosheni akusiza uzizwe ujabule futhi usesimweni esihle. Lo muthi usebenza ngokwandisa amazinga ala makhemikhali ebuchosheni. Lokhu kungasiza ekuthuthukiseni isimo sakho sengqondo. Ungowesigaba semithi ebizwa ngokuthi ama-tricyclic antidepressants (TCAs) . Odokotela ngezinye izikhathi basebenzisa lo muthi nakwezinye izimo. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Amanye amagama atholakala emakethe ngalokhu yi-Aventyl ne-Pamelor, kodwa kungase kube namanye amagama.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?

Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale ukuthatha i-Nortriptyline, kunezinto okufanele uzitshele udokotela wakho. Ngoba yilapho kuphela lapho ezokwazi ukunquma khona ukuthi lo muthi ukufanele yini noma cha, nokuthi angawunikeza kanjani. Bona ukuthi lezi zinto ziyasebenza yini kuwe:

• Uma unesifo sengqondo esifana nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder .
• Uma unesifo senhliziyo esibizwa ngokuthi i-Brugada syndrome .
• Uma unenkinga yokuchama.
• Uma unesifo samehlo i-glaucoma .
• Uma unesinye isifo senhliziyo .
• Uma ungumlutha wotshwala .
• Uma unesifo sesibindi .
• Uma unesifo sengqondo esifana ne -schizophrenia .
• Uma uke waba nokuquleka noma izimo ezifana nesifo sokuwa.
• Uma uke waba nemicabango yokuzibulala, amacebo, noma imizamo yokuzibulala , noma uma othile emndenini wakho eke wakwenza lokho.
• Uma unesifo se-thyroid .
• Ungase ube nomzimba ongezwani ne-nortriptyline, eminye imithi yokucindezeleka ye-tricyclic, eminye imithi, ukudla, udayi, noma izithasiselo.Uma une-allergy.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Uma kukhona into efana nale, bekungeke yini kube ngcono ukutshela udokotela ngaphandle kokukufihla nhlobo?

Ngiyisebenzisa kanjani ngempela le mithi?

Lo muthi ungowakho. Kufanele uwuthathe njengoba nje udokotela wakho ekuyalele. Uma uketshezi, sebenzisa isipuni noma indebe ekhethekile yokukala. Ungasebenzisi izipuni noma izipuni ekhaya ukuze ukale, ngoba azinembile. Uma ungenayo idivayisi yokulinganisa, cela ikhemisi ukuthi ikunike yona. Thatha umuthi ngesikhathi, ngenani, nangezikhathi ezinqunyiwe udokotela wakho. Ungalokothi uthathe okungaphezu kwenani udokotela wakho akutshele ukuthi ulithathe, noma ulithathe kaningi.

Enye into ebaluleke kakhulu ukuthi akufanele uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Uma wenza kanjalo, ungase ube nemiphumela emibi kakhulu noma isimo sakho singase sibe sibi kakhulu.

Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile (i-MedGuide) . Uzoyithola kanye nayo yonke imithi kadokotela, kanye nalapho uthola ukugcwalisa kabusha. Kubalulekile ukuyifunda ngokucophelela njalo.

Uma lo muthi unikezwa izingane, kufanele kuqashelwe ngokukhethekile ngokukhuluma nodokotela ngawo.

Okubaluleke kakhulu: Lo muthi ungowakho kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi uphuze kakhulu lo muthi, noma uma omunye umuntu ephuze kakhulu ngephutha, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo eliseduze ngokushesha. Lesi yisimo esiphuthumayo.

Wenzani uma uphuthelwa isikhathi sakho sokuya emtholampilo?

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 noma umthamo owengeziwe. Ukwenza kanjalo kungabangela izinkinga.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. I-Nortriptyline ingabangela izinkinga uma ithathwa neminye imithi ethile. Okusho ukuthi, kungenzeka ukusebenzisana. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amakhambi, amavithamini, kanye nezithasiselo zokudla, kanye nokuthi ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni.

Ungayithathi i-Nortriptyline nale mithi:

Uma uthatha noma yimuphi wemithi elandelayo, akukhuthazwa ukuthatha i-Nortriptyline. Khuluma nodokotela wakho ngalokhu.

• I-Cisapride
• I-Dronedarone
• I-Linezolid
• Imithi ye-MAOI (MAOIs) - izibonelo zifaka phakathi i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, kanye ne-Parnate
• I-Methylene blue - uma inikezwa njengomjovo we-intravenous
• I-Pimozide
• I-Thioridazine

Kungase kwenzeke nokusebenzisana nale mithi:

Kuneminye imithi engabangela izinkinga uma ithathwa nge-nortriptyline. Ngakho-ke uma uthatha noma yimuphi wale mithi, tshela udokotela wakho.

• Utshwala
• Izinhlobo zama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane
• I-Atropine
• Eminye imithi yezinkinga zesinyi - izibonelo: i-oxybutynin, i-tolterodine
• Eminye imithi yokucindezeleka - izibonelo: i-amitriptyline, i-fluoxetine, i-sertraline
• Eminye imithi yesifo sikaParkinson - izibonelo: i-benztropine, i-trihexyphenidyl
• Eminye imithi esetshenziselwa izifo zesisu - izibonelo: i-dicyclomine, i-hyoscyamine
• Eminye imithi yokwelapha ukugula okubangelwa ukuhamba - isibonelo: i-scopolamine
• I-Chlorpropamide
• I-Cimetidine
• I-Ipratropium
• Eminye imithi ebangela isigqi senhliziyo esingajwayelekile (elula isikhathi se-QT) - isibonelo: i-dofetilide
• Eminye imithi engabangela isimo esibizwa ngokuthi i-serotonin syndrome - izibonelo: i-St. John's Wort, i-fentanyl, i-lithium, i-tramadol, i-tryptophan, i-buspirone, kanye neminye imithi ye-migraine (isb. i-sumatriptan noma i-rizatriptan)
• I-Quinidine
• I-Reserpine
• Imithi ye-thyroid

Lolu hlu aluhlanganisi konke ukusebenzisana, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi, izithasiselo, noma amakhambi owathathayo.

Yiziphi izinyathelo ezikhethekile okufanele zithathwe uma usebenzisa lo muthi?

Ngesikhathi uthatha lo muthi, wena nomndeni wakho kudingeka niqaphele ezinye izinto.

• Qaphela izimpawu: Uma izimpawu zakho zokucindezeleka zingathuthuki noma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha. Kungathatha amasonto ambalwa ukuthi lo muthi usebenze ngokugcwele. Ngakho-ke, kubaluleke kakhulu ukuqhubeka nokuthatha umuthi njengoba udokotela wakho ekutshela.
• Imicabango yokuzibulala:Lena indaba engathi sína kakhulu. Uma wena noma amalungu omndeni wakho ninemicabango emisha noma emibi yokuzibulala, kufanele nitshele udokotela wakho ngokushesha. Futhi, qaphela noma yiziphi izinguquko ezisheshayo esimweni sakho sengqondo. Isibonelo, ukukhathazeka ngokweqile, ukucasuka, ukucasuka, ubutha, ukushesha, ukungaphumuli, ukujabula ngokweqile kanye nokusebenza ngokweqile, noma ubunzima bokulala. Uma lezi zinto zenzeka, ikakhulukazi lapho uqala ukuthatha umuthi noma ngemva kokushintsha umthamo, khuluma nodokotela wakho ngokushesha.
• Ukozela kanye nesiyezi: Ungase uzizwe ulele noma unesizungu ngenkathi uthatha lo muthi. Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqaphelisisa kwengqondo uze wazi kahle ukuthi lo muthi ukuthinta kanjani. Ikakhulukazi uma usukhulile, ungami noma uhlale ngokuzumayo. Ukwenza kanjalo kuzonciphisa amathuba okuba nesiyezi nokuwa.
• Utshwala: Utshwala bungaphazamisa ukusebenza kahle kwalomuthi. Ngakho-ke, gwema ukuphuza utshwala ngenkathi uthatha lo muthi.
• Umuthi wokukhwehlela kanye nomkhuhlane: Uma unesifo sokukhwehlela, umkhuhlane, noma ukungezwani komzimba, ungathathi umuthi othengwa ngaphandle kwemithi kadokotela ngaphandle kokubonisana nodokotela wakho kuqala. Lokhu kungenxa yokuthi eminye imithi ingandisa imiphumela emibi uma ihlanganiswa ne-nortriptyline.
• Umlomo owomile: Umlomo owomile ungaba nomphumela ongemuhle walo muthi. Ungakulawula lokhu ngokuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi. Kodwa-ke, uma le nkinga iqhubeka noma inzima, tshela udokotela wakho.
• Amehlo omile kanye nokubona okufiphele: Lo muthi ungabangela amehlo omile kanye nokubona okufiphele. Uma ugqoka amalensi okuxhumana, ungase uzizwe ungakhululekile. Amaconsi amehlo agcobayo angasiza. Uma le nkinga iqhubeka noma inzima, bona udokotela wakho wamehlo.
• Ukuqunjelwa: Lo muthi ungabangela ukuqunjelwa. Zama ukuthutha indle okungenani kanye njalo ezinsukwini ezimbili kuya kwezintathu. Uma ungenawo ukuthutha indle ngemva kwezinsuku ezintathu, shayela udokotela wakho.
• Ukuzwela kwelanga: Lo muthi ungenza isikhumba sakho sizwele kancane ekukhanyeni kwelanga. Ngakho-ke, gwema ukukhanya kwelanga ngangokunokwenzeka. Uma kufanele uphume ngaphandle, gqoka izingubo ezimboza isikhumba sakho, futhi ugqoke izibuko zelanga kanye ne-sunscreen. Ungalokothi usebenzise izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Nortriptyline ingabangela imiphumela emibi. Eminye iyingozi futhi kufanele ibikwe kudokotela wakho ngokushesha. Eminye ivame ukungabi yimbi kakhulu, kodwa uma iqhubeka noma iba yinkinga, kufanele utshele udokotela wakho.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, hamba uye kudokotela noma esibhedlela ngokushesha.

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukushintsha kwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula.
• Izimpawu ze-serotonin syndrome zingase zihlanganise: ukucasuka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha, ukudikiza kwemisipha, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuxhuzula, ukubanda, ukuhlanza, kanye nesifo sohudo.
• Ukuquleka.
• Ubuhlungu noma ukushintsha kwamehlo ngokuzumayo: Isibonelo, umbono ofiphele, ukukhanya okuzungezile ukukhanya, noma ukulahlekelwa umbono.
• Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, ukwanda kokucindezeleka.
• Ubunzima bokuchama.

Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza):

Lezi zivame ukuphela ezinsukwini ezimbalwa, kodwa uma ziqhubeka noma zikukhathaza kakhulu, tshela udokotela wakho.

• Ushintsho ekuthandweni noma ekusebenzeni kocansi.
• Ukuqunjelwa.
• Isiyezi.
• Ukozela.
• Umlomo owomile.
• Ukuthuthumela noma ukuthuthumela.

Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma ubona noma yini engavamile, khuluma nodokotela wakho. Ungabika futhi le miphumela emibi ku-FDA ku-1-800-FDA-1088.

Uwugcina kanjani lo muthi ngendlela efanele?

Lokhu nakho kubaluleke kakhulu. Uma umuthi ungagcinwanga kahle, ukusebenza kwawo kungase kuphele.

• Yigcine kude nezingane. Lokhu kubaluleke kakhulu. Uma izingane ziyithola bese ziyiphuza, zingadala izinkinga ezinkulu.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86).
• Gcina ibhodlela noma iphakethe lemithi livaliwe kahle.
• Vikela ekukhanyeni. Okusho ukuthi, ungayibeki elangeni eliqondile noma ezindaweni ezikhanyayo.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Uma unemithi ephelelwe yisikhathi, yilahle ngendlela efanele.

Khumbula, leli pheshana liyisifinyezo nje. Lingase lingabi nalo lonke ulwazi. Uma uneminye imibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

I-Nortriptyline iwumuthi obalulekile wezimo ezinjengokucindezeleka. Kodwa-ke, kufanele isetshenziswe ngokuqapha.

• Landela imiyalelo kadokotela wakho ngqo. Thatha umuthi ngenani elibekiwe, ngesikhathi esibekiwe, nanjengoba ushilo.
• Tshela udokotela wakho ngayo yonke eminye imithi kanye nezithasiselo ozithathayo, njengoba kungase kube nokuxhumana.
• Qaphela imiphumela emibi. Uma ubona noma yini engavamile, tshela udokotela wakho ngokushesha.
• Ungayeki ukuthatha imithi ngokuzumayo. Ukwenza kanjalo ngaphandle kweseluleko sikadokotela wakho kungabangela izinkinga.
• Uma unemibuzo, ukwesaba, noma ukungabaza, khuluma nodokotela wakho. Ungafihli lutho kuwe.

Ngikufisela ukululama okusheshayo!

I- Nortriptyline, ukucindezeleka, impilo yengqondo, imithi, ama-antidepressant e-tricyclic, imiphumela emibi, imithi