Mea Kākau: Janice Evans
Lā O Ka Hana: 28 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
PROTRIPTYLINE (VIVACTIL) - PHARMACIST REVIEW - #210
Wikiō: PROTRIPTYLINE (VIVACTIL) - PHARMACIST REVIEW - #210

Anter

ʻO kahi liʻiliʻi o nā keiki, ʻōpio, a me nā ʻōpio ʻōpio (a hiki i ka 24 mau makahiki) i lawe i nā antidepressants ('naʻau e hāpai i ka naʻau ") e like me protriptyline i ka wā o ka noiʻi maʻi ʻana i lilo i suicidal ). 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 18 mau makahiki e lawe i ka protriptyline, akā i kekahi mau kumu, hoʻoholo paha ke kauka ʻo protriptyline ka lāʻau lapaʻau maikaʻi loa e mālama ai i ke ʻano o ke keiki.

Pono ʻoe e ʻike e loli paha kou olakino noʻonoʻo i nā ala i manaʻo ʻole ʻia ke lawe ʻoe i protriptyline a i ʻole nā ​​lāʻau antidepressants ʻē aʻe inā he mākua ʻoe ma luna o nā makahiki 24. ua hōʻemi. 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 ke hiki ʻole iā ʻoe ke ʻimi i ka lāʻau iā ʻoe iho.


Makemake kāu mea mālama ola e ʻike pinepine iā ʻoe ke lawe nei ʻoe i ka protriptyline, 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 (Medication Guide) ke hoʻomaka ʻoe i ka lāʻau me protriptyline. 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 lāʻau lapaʻau mai ka pūnaewele FDA: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273.

He mea ʻole kāu 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. ʻOi aku ka kiʻekiʻe o kēia makaʻāinana inā ʻo ʻoe a i ʻole kekahi o kou ʻohana i loaʻa a i ʻole loaʻa paha i kahi maʻi bipolar (ʻano e loli ai mai ke kaumaha i ka pīhoihoi ʻole) a i ʻole mania (huhū, ʻano ʻoliʻoli ʻole) a i noʻonoʻo a hoʻāʻo paha e pepehi iā ʻoe iho. 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 Protriptyline e mālama i ke kaumaha. Aia ʻo Protriptyline i kahi papa o nā lāʻau i kapa ʻia he antidepressants tricyclic. Hana ia ma ka hoʻonui ʻana i ka nui o kekahi mau mea kūlohelohe i ka lolo e kōkua i ka mālama ʻana i ke kaulike noʻonoʻo.

Hele mai ʻo Protriptyline ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i ʻekolu a ʻehā mau manawa i ka lā. E lawe i ka protriptyline ma nā manawa like i kēlā me kēia lā. 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 i protriptyline e like me ke kuhikuhi. 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 protriptyline a hoʻonui iki i kāu lāʻau. Hiki i kāu kauka ke hōʻemi i kāu lāʻau ma hope o ka kaohi ʻia o kāu maʻi.

Mālama ʻo Protriptyline i ke kaumaha akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i protriptyline ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i protriptyline me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka lawe ʻana i protriptyline, ʻike paha ʻoe i ka haʻalele ʻana i nā ʻōuli e like me ka nausea, headache, a me ka nele o ka ikaika.


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 protriptyline,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka protriptyline a i ʻole nā ​​lāʻau ʻē aʻe.
  • e haʻi i kāu kauka inā lawe ʻoe i ka cisapride (Propulsid) (ʻaʻole i loaʻa i ka US) a i ʻole nā ​​mea hoʻopāpā monoamine oxidase (MAO) e like me isocarboxazid (Marplan); phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate), a i ʻole inā ua lawe ʻoe i kahi mea hoʻopuka MAO i nā lā he 14 i hala. E haʻi paha kāu kauka iā ʻoe ʻaʻole pono ʻoe e lawe i kahi protriptyline.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻike pono i kekahi o kēia mau mea: amiodarone (Cordarone, Pacerone); antihistamines; bupropion (Wellbutrin); celecoxib (Celebrex); cimetidine (Tagamet); doxorubicin (Adriamycin); guanethidine (Ismelin); ipratropium (Atrovent); nā lāʻau no ka hopohopo, hānō, anuanu, diabetes, maʻi ʻōpū huhū, maʻi noʻonoʻo, maʻi neʻe, maʻi ʻo Parkinson, ka hopu ʻana i ka maʻi maʻi, ulcer, a i ʻole nā ​​pilikia urinary; nā lāʻau no ke kuʻi puʻuwai kūlike ʻole e like me flecainide (Tambocor), moricizine (Ethmozine), a me propafenone (Rythmol); methadone (Dolophine); metoclopramide (Reglan); nā lāʻau antidepressants ʻē aʻe; quinidine; ranitidine (Zantac); reserpine (Serpasil); ritonavir (Norvir); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), a me sertraline (Zoloft); nā mea hoʻonanea; paina moe; terbinafine (Lamisil); lāʻau lapaʻau thyroid; tramadol (Ultram); a me nā tranquilizers. E haʻi i kāu kauka a kauka paha inā ua kū ʻoe i ka lawe ʻana i ka fluoxetine (Prozac, Sarafem) i nā pule he 5 i hala iho nei. 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 inā loaʻa koke ʻoe i kahi maʻi puʻuwai. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka protriptyline.
  • e haʻi i kāu kauka inā inu ʻoe i ka nui o ka waiʻona; inā ʻoe e lawelawe ana i ka electroshock therapy (ke kaʻina e hāʻawi ʻia ai nā haʻalulu uila liʻiliʻi i ka lolo e mālama i kekahi mau maʻi noʻonoʻo); aiʻole inā i loaʻa iā ʻoe a i ʻole loaʻa paha i kahi prostate hoʻonui ʻia (kahi kāne hānau hānau), paʻakikī i ka mimi, nā maʻi noʻonoʻo, ka hopu ʻana, hyperthyroidism (kahi thyroid gland overactive), a i ʻole ka maʻi diabetes.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i protriptyline, e kāhea i kāu kauka.
  • e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i protriptyline inā ʻoe he 65 mau makahiki a ʻoi paha. ʻAʻole pono nā mākua kahiko e lawe i ka protriptyline no ka mea ʻaʻole palekana ia a maikaʻi paha e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana e mālama ai i ke ʻano like.
  • 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 nei ʻoe i protriptyline.
  • pono ʻoe e ʻike i ka protriptyline e hiamoe ai ʻoe. 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.
  • e hoʻolālā e hōʻalo i ka hōʻike kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a komo i nā lole pale, nā aniani aniani, a me ka sunscreen. Hoʻomaopopo paha ʻo Protriptyline i kou ʻili i ka lā o ka lā.
  • pono ʻoe e ʻike i ka protriptyline hiki ke hoʻolilo i ka puʻupuʻu, ka uila, a me ka nāwaliwali ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe e lawe i ka protriptyline. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.
  • pono ʻoe e ʻike i ka protriptyline 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.

Hoʻokumu paha ʻo Protriptyline i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • ka luaʻi
  • pāhoehoe
  • nalo ʻai ʻole
  • loli ke kaupaona
  • ʻono ʻokoʻa i ka waha
  • ʻeha ka ʻōpū a i ʻole ke ʻūlū
  • puʻuwai puʻuwai
  • waha maloo
  • kōpaʻa
  • hiamoe
  • ʻūpā
  • moeʻuhane moeʻuhane
  • ʻeha poʻo
  • urination pinepine, keu hoʻi i ka pō
  • pilikia urino
  • haumana ākea
  • nā hoʻololi i ka hoʻokele moekolohe a i ʻole ka hiki
  • hoʻonui ka umauma i nā kāne a me nā wahine
  • kūmau ʻole
  • kani i nā pepeiao
  • poho lauoho
  • ʻōhinu
  • ka houʻu ʻana
  • alelo ʻeleʻele

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i nā ʻARlelo AOAO IMPORTANT a i ʻole SPECIAL PRECAUTIONS ʻāpana, e kelepona koke i kāu kauka.

  • ʻolelo lohi a paʻakikī paha
  • ka nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae
  • ʻehaʻeha umauma
  • wikiwiki, kuʻi, a i ʻole kuʻi puʻuwai puʻuwai
  • ʻehu a hives paha
  • ʻūlili
  • pehu o ka maka a i ʻole ke alelo
  • melemele o ka ʻili a me nā maka
  • ʻāʻī, ʻāʻī, a me nā spasms mākala hoʻi
  • luliluli ʻole ʻana i kahi ʻāpana o ke kino
  • maule ana
  • paʻakikī i ka hele wāwae
  • kahe koko ʻole ʻana a palapū paha
  • ka hopu ʻana
  • huikau
  • hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
  • ka manaʻoʻiʻo ʻana i nā mea ʻoiaʻiʻo ʻole
  • fiva
  • ʻeha, puhi ʻana, a i ʻole ka ʻūlū ʻana i nā lima a me nā wāwae paha

Hoʻokumu paha ʻo Protriptyline 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.

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

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.

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.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • kuʻi puʻuwai ʻole
  • nalowale o ka ʻike
  • maule ana
  • ka hopu ʻana
  • huikau
  • pilikia e noonoo ana
  • hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
  • hoohaunaele
  • hiamoe
  • nā ʻāʻī ʻoʻoleʻa
  • ka luaʻi
  • fiva
  • anu kino kino

Mālama i nā manawa āpau me kāu kauka.

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.

  • ʻO Vivactil®
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