ʻO Escitalopram
Anter
- Ma mua o ka lawe ʻana i ka escitalopram,
- Hiki i ka Escitalopram ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o nā ʻōuli aʻe a i ʻole i helu ʻia i nā ʻARlelo AOAO IMPORTANT a i ʻole SPECIAL PRECAUTIONS ʻāpana, e kelepona koke i kāu kauka.
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
ʻO kahi liʻiliʻi o nā keiki, ʻōpio, a me nā ʻōpio ʻōpio (a hiki i 24 mau makahiki) i lawe i nā antidepressants ('mood lift') e like me escitalopram i ka manawa o nā noiʻi maʻi ʻana i lilo i suicidal (e noʻonoʻo e pili ana i ka hōʻeha a pepehi paha iā ʻoe iho a i ʻole ke hoʻolālā a hoʻāʻo ʻana paha e hana pēlā ). ʻO nā keiki, ʻōpio, a me nā ʻōpio ʻōpio e lawe i nā antidepressants e mālama i ke kaumaha a i ʻole nā maʻi noʻonoʻo ʻē aʻe e lilo i suicidal ma mua o nā keiki, ʻōpio, a me nā ʻōpio makua ʻole i lawe ʻole i nā antidepressants e mālama i kēia mau ʻano. Eia naʻe, ʻaʻole maopopo ka poʻe loea e pili ana i ka nui o kēia pilikia a pehea e noʻonoʻo ai i ka hoʻoholo ʻana inā paha e lawe kahi keiki a mea ʻōpio paha i kahi antidepressant. ʻAʻole pono nā keiki ma mua o 12 mau makahiki i ka escitalopram maʻamau, akā i kekahi mau kumu, hoʻoholo paha ke kauka ʻo ka escitalopram ka lāʻau lapaʻau maikaʻi loa e mālama ai i ke ʻano o ke keiki.
Pono ʻoe e ʻike e loli paha kou olakino i nā ala i manaʻo ʻole ʻia ke lawe ʻoe i ka escitalopram a i ʻole nā antidepressants ʻē aʻe inā ʻo ʻoe he makua ma luna o 24 mau makahiki. E lilo paha ʻoe i suicidal, keu hoʻi i ka hoʻomaka o kāu lapaʻau a i kēlā me kēia manawa e hoʻonui a hoʻemi ʻia paha kāu lāʻau.ʻO ʻoe, kou ʻohana, a i ʻole kāu mea mālama e kāhea koke aku i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli: ke kaumaha hou a i ʻole ke kaumaha paha; ke noʻonoʻo nei e pili ana i ka hōʻino a pepehi paha iā ʻoe iho, a i ʻole ke hoʻolālā ʻana a hoʻāʻo ʻana paha e hana pēlā; hopohopo nui loa; hoʻonāukiuki; hoʻouka weliweli; paʻakikī e hiamoe a hiamoe paha; hana kolohe; ukiuki; hana me ka noʻonoʻo ʻole; hoʻomaha ʻole loa; a me ka pīhoihoi pīhoihoi frenzied. E ʻike pono i kou ʻohana a mea mālama paha e ʻike i nā hōʻailona e koʻikoʻi paha i hiki iā lākou ke kāhea i ke kauka inā ʻaʻole hiki iā ʻoe ke ʻimi iā ʻoe lāʻau ponoʻī.
Makemake kāu mea mālama ola e ʻike pinepine iā ʻoe ke lawe ʻoe i ka escitalopram, keu hoʻi i ka hoʻomaka o kāu lapaʻau. E mālama pono i nā koho a pau no ke kipa keʻena me kāu kauka.
E hāʻawi ke kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me escitalopram. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke loaʻa i ke Alakaʻi Medication mai ka pūnaewele FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.
He mea ʻole i kou mau makahiki, ma mua o kou lawe ʻana i kahi antidepressant, pono ʻoe, kou makua, a i ʻole kāu mea mālama e kamaʻilio i kāu kauka e pili ana i nā pilikia a me nā pono o ka mālama ʻana i kāu kūlana me ka antidepressant a i ʻole me nā lāʻau ʻē aʻe. E kamaʻilio pū ʻoe e pili ana i nā makaʻi a me nā pōmaikaʻi o ka mālama ʻole ʻana i kou ʻano. Pono ʻoe e ʻike i ka loaʻa ʻana o ke kaumaha a i ʻole kekahi maʻi noʻonoʻo e hoʻonui nui ai i ka makaʻu e lilo ʻoe i suicidal. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana a loaʻa paha iā ʻoe kahi maʻi bipolar (ʻano e loli ai mai ke kaumaha i ka pīhoihoi ʻole) a i ʻole mania (huhū, ʻano ʻoliʻoli maʻamau) a i ʻole manaʻo e hoʻāʻo e pepehi kanaka. E kamaʻilio me kāu kauka e pili ana i kou ʻano, nā ʻōuli, a me ka mōʻaukala pilikino a me ka ʻohana. E hoʻoholo ʻoe a me kāu kauka i ke ʻano o ke kūpono kūpono iā ʻoe.
Hoʻohana ʻia ʻo Escitalopram e mālama i ke kaumaha i nā mākua a me nā keiki a me nā ʻōpio he 12 mau makahiki i hala a ʻoi paha. Hoʻohana pū ʻia ʻo Escitalopram e mālama i nā maʻi pīhoihoi maʻamau (GAD; hopohopo nui a me ke kūpikipiki e hoʻopilikia i ke ola o kēlā me kēia lā a mau no 6 mau mahina a ʻoi aku paha) i nā mākua. Aia ʻo Escitalopram i kahi papa o nā antidepressants i kapa ʻia he selotonin reuptake inhibitors (SSRI). Hana ia ma ka hoʻonui ʻana i ka nui o ka serotonin, kahi mea kūlohelohe i ka lolo e kōkua ai e mālama i ke kaulike noʻonoʻo.
Hele mai ʻo Escitalopram ma ke ʻano he papaha a me kahi hopena (wai) e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka escitalopram, e lawe ma kahi o ka manawa like i kēlā me kēia lā, i ke kakahiaka a i ʻole ke ahiahi. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe pololei i ka escitalopram. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka escitalopram a hoʻonui i kāu lāʻau ma hope o 1 pule.
He 1 a 4 mau pule paha ka lōʻihi a ʻoi paha ma mua o kou ʻike i ka pono piha o ka escitalopram. E hoʻomau i ka lawe ʻana i ka escitalopram ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka escitalopram me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka lawe ʻana i ka escitalopram, ʻike paha ʻoe i ka haʻalele ʻana i nā ʻōuli e like me ka loli o ka naʻau, ka huhū, ka hoʻonāukiuki, ka paupauaho, ka paupauaho, ka wela ʻana, ka numbness, a me ke kani ʻana o ka lima a me nā wāwae paha, ka pīhoihoi, huikau, ʻeha ke poʻo, sweating, māluhiluhi, a hāʻule ka paʻakikī. hiamoe a hiamoe paha. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka lawe ʻana i ka escitalopram,
- e haʻi i kāu kauka a kauka paha inā maʻi ʻoe i ka escitalopram, citalopram (Celexa), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o nā papa a i ʻole ka hopena. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā lawe ʻoe i ka pimozide (Orap) a i ʻole ka mea kāohi monoamine oxidase (MAO) e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Emsam, Zelapar), a me tranylcypromine (Parnate), a i ʻole inā ʻaʻole ʻoe i lawe. he mea kāohi MAO i loko o nā lā he 14 i hala. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka escitalopram. Inā kū ʻoe i ka lawe ʻana i ka escitalopram, pono ʻoe e kali ma ka liʻiliʻi he 14 mau lā ma mua o kou hoʻomaka ʻana e lawe i kahi mea hoʻopuka MAO.
- pono ʻoe e ʻike he like loa ka escitalopram me kekahi SSRI, citalopram (Celexa). ʻAʻole pono ʻoe e lawe pū i kēia mau lāʻau ʻelua.
- e haʻi i kāu kauka a kauka paha he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia a me nā huaora āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: anticoagulants ('nā mea lahilahi o ke koko') e like me warfarin (Coumadin); nā amphetamines e like me amphetamine (i Adderall, i Mydayis), dextroamphetamine (Dexedrine, i Adderall), a me methamphetamine (Desoxyn); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); buspirone; carbamazepine (Tegretol); cimetidine (Tagamet); diuretics ('pills wai'); fentanyl (Actiq, Duragesic, Fentora, Lazanda, Subsys); ketoconazole (Sporanox); lithium (Lithobid); linezolid (Zyvox); nā lāʻau no ka hopohopo, nā maʻi noʻonoʻo, a i ʻole ka hopu ʻana i ka maʻi; nā lāʻau no ka maʻi migraine e like me almotriptan, eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, Tosymra, i Treximet), a me zolmitriptan (Zomig); metoprolol (Lopressor, Toprol XL); nā lāʻau lapaʻau serotonin ʻē aʻe i koho ʻia (SSRI) a i ʻole nā lāʻau hoʻohiehie serotonin – norepinephrine reuptake (SNRI); nā mea hoʻonanea; paina moe; tramadol (Conzip, Qdolo, Ultram, ma Ultracet); mea hoʻomaluhia; a me nā antidepressants tricyclic e like me amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a me trimipramine. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka he aha nā mea hoʻopihaʻai a me nā huahana lāʻau āu e lawe nei, keu hoʻi nā huahana i loaʻa iā St. John's wort a tryptophan paha.
- e haʻi i kāu kauka inā loaʻa koke ʻoe i kahi maʻi puʻuwai a inā i loaʻa a i ʻole loaʻa i ke koko kiʻekiʻe kiʻekiʻe ma mua. he hahau ʻana; nā pilikia koko; ka hopu ʻana; a i ʻole ate, hakuʻala, a maʻi maʻi puʻuwai paha.
- e haʻi i kāu kauka inā hāpai ʻoe, keu hoʻi inā ʻoe i nā mahina hope o kou hāpai ʻana, a inā ʻoe e hoʻolālā e hāpai a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka escitalopram, e kāhea i kāu kauka. Hiki paha i ka Escitalopram ke hoʻopilikia i nā keiki hānau hou ma hope o ka lawe ʻana inā lawe ʻia i nā mahina hope o ka hāpai ʻana.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka escitalopram.
- pono ʻoe e ʻike i ka escitalopram ʻoe e hiamoe ai. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
- E hoʻomanaʻo hiki i ka waiʻona ke hoʻohui i ka hiamoe i hoʻokumu ʻia e kēia lāʻau.
- pono ʻoe e ʻike ʻo ka escitalopram ke kumu o ka glaucoma pani-pani (kahi ʻano kahi i ālai koke ʻia ka wai a ʻaʻole hiki ke kahe i waho o ka maka e hoʻonui wikiwiki ai i ka maka o ka maka a hiki i ka nalo ʻana o ka ʻike). E kamaʻilio me kāu kauka e pili ana i ka nānā ʻana i ka maka ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau. Inā loaʻa ʻoe i ka nūhou, ʻeha o ka maka, hoʻololi i ka hihiʻo, e like me ke ʻike ʻana i nā apo kala e pili ana i nā kukui, a me ka pehu ʻana a me ka ʻulaʻula a i ʻole a puni ka maka, e kāhea aku i kāu kauka a i ʻole e kiʻi koke i nā lāʻau lapaʻau pilikia.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hiki i ka Escitalopram ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- pāhoehoe
- kōpaʻa
- nā hoʻololi i ka hoʻokele moekolohe a i ʻole ka hiki
- hiamoe
- hoʻonui sweating
- ʻūpā
- puʻuwai puʻuwai
- ʻeha ka ʻōpū
- luhi nui loa
- waha maloo
- hoʻēmi ʻai
- Kaumaha emi
- nā ʻōuli like flu
- ihu ihope
- ʻūlū
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o nā ʻōuli aʻe a i ʻole i helu ʻia i nā ʻARlelo AOAO IMPORTANT a i ʻole SPECIAL PRECAUTIONS ʻāpana, e kelepona koke i kāu kauka.
- pīhoihoi ʻole
- ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole (hallucinating)
- hūwī
- hives a palapū paha
- ʻūlili
- fiva
- ʻeha pū
- pehu o ka maka, ʻāʻī, elelo, lehelehe, a i ʻole nā maka
- fiva, sweating, huikau, wikiwiki a i ʻole kaulike ʻole o ka puʻuwai, ʻoʻoleʻa a i ʻole twitching nui, hoʻonāukiuki, hallucination, nalo ʻana o ke kuʻikahi, nausea, luaʻi, a i ʻole diarrhea
- kahe koko ʻole a palapū paha
- ʻeha poʻo
- kūmau ʻole
- nā pilikia me ka noʻonoʻo, ka noʻonoʻo, a me ka hoʻomanaʻo paha
- ka hopu ʻana
Hiki i ka Escitalopram ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
Pākuʻi ʻia paha nā ʻōuli o ka overdose:
- ʻūpā
- nausea
- ka luaʻi
- hiamoe
- wikiwiki a kuʻi paha i ka puʻuwai puʻuwai
- ka hopu ʻana
- koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)
Mālama i nā manawa āpau me kāu kauka.
Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua (ʻo ia hoʻi nā mea e pili ana i ka methylene polū), e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka escitalopram.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- Lexapro®