ʻO Doxepin (Insomnia)
Anter
- Ma mua o ka lawe ʻana i ka doxepin (Silenor),
- Hoʻokumu paha ʻo Doxepin (Silenor) i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
Hoʻohana ʻia ʻo Doxepin (Silenor) e mālama ai i ka hiamoe (paʻakikī e hiamoe a hiamoe paha) i ka poʻe i loaʻa ka pilikia e hiamoe. ʻO Doxepin (Silenor) kahi papa o nā lāʻau i kapa ʻia nā tridclic antidepressants. Hana ia ma ka hoʻolōʻihi i ka hana i ka lolo e ʻae i ka hiamoe.
Loaʻa ʻo Doxepin ma ke ʻano he capsule a me ka wai e mālama ai i ke kaumaha a me ka hopohopo. Hāʻawi wale kēia monograp i ka ʻike e pili ana i ka doxepin (Silenor) no ka hiamoe ʻole. Inā ʻoe e hoʻohana nei i kēia lāʻau no ke kaumaha a i ʻole ka hopohopo, e heluhelu i ka monograph i kapa ʻia ʻo doxepin (kaumaha, hopohopo).
Hele mai ʻo Doxepin (Silenor) ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā, ma loko o 30 mau minuke o ka hiamoe. Mai lawe i ka doxepin (Silenor) ma loko o 3 mau hola o ka pāʻina ʻai. 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. Lawe pono i ka doxepin (Silenor) 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 hiamoe nui paha ʻoe ma hope koke iho o kou lawe ʻana i ka doxepin (Silenor) a e hiamoe mau no kekahi manawa ma hope o kou lawe ʻana i ka lāʻau. Hoʻolālā e hiamoe pono ma hope o kou lawe ʻana i ka doxepin (Silenor) a noho i kahi moe no 7 a 8 mau hola. Mai lawe i ka doxepin (Silenor) inā ʻaʻole hiki iā ʻoe ke hiamoe koke a hiamoe no 7 a 8 mau hola ma hope o ka lawe ʻana i ka lāʻau.
E hoʻomaka ʻoe e hiamoe maikaʻi i nā lā mua o ka mālama ʻana me doxepin (Silenor). Inā hoʻomaikaʻi ʻole kou hiamoe i loko o 7-10 mau lā, a i ʻole e ʻoi aku ka maikaʻi e kāhea i kāu kauka.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me doxepin (Silenor) a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) e kiʻi i ke alakaʻi Medication.
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 doxepin (Silenor),
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka doxepin (Silenor), amoxapine, loxapine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka papa doxepin (Silenor). 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 kahi mea hoʻopaneʻe monoamine oxidase (MAO) e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate), a i ʻole inā ua oki ʻoe i ka lawe ʻana i kahi mea hōʻoki MAO i loko o 14 mau lā i hala. E haʻi pū aku i kāu kauka inā ʻoe e lawe a loaʻa ana paha i ka methylene blue (Provayblue) a i ʻole linezolid (Zyvox). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka doxepin. Inā kū ʻoe i ka lawe doxepin, pono ʻoe e kali ma ka liʻiliʻi he 14 mau lā ma mua o kou hoʻomaka ʻana e lawe i kahi mea hoʻopuka MAO.
- 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 haʻi pono i kekahi o kēia mau mea: cimetidine (Tagamet); nā lāʻau no ke kohā, anuanu, a i ʻole nā maʻi āpau; quinidine (i Nuedexta); nā mea hoʻonanea; nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertral ; nā pila moe ʻē aʻe; tolazamide; a me nā tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau ʻē aʻe ke launa pū me doxepin (Silenor), no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa glaucoma ʻaʻole e mālama ʻia, a i ʻole ka hoʻopaʻa ʻana i ka mimi (hiki ʻole ke hoʻonele i kāu ʻōpū a pau loa). E haʻi paha kāu kauka iā ʻoe mai lawe i ka doxepin (Silenor).
- e haʻi i kāu kauka inā ua inu a inu paha ʻoe i ka nui o ka wai ʻona, hoʻohana i nā lāʻau ma ke alanui, a i ʻole nā lāʻau lapaʻau i hoʻohana nui ʻia. E haʻi aku i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa paha iā ʻoe ke kaumaha, nā maʻi noʻonoʻo, nā manaʻo suicidal, ka hiamoe hiamoe (kahi maʻi hiamoe e hōʻoki ai i ka hanu no nā manawa pōkole i ka wā hiamoe), a i ʻole nā maʻi puʻupaʻa a i ʻole ate.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka doxepin (Silenor), e kāhea i kāu kauka.
- pono ʻoe e ʻike i ka doxepin (Silenor) e hiamoe ai ʻoe. Mai hoʻokele kaʻa, hana i nā mīkini, a hana i nā hana weliweli ʻē aʻe i ka pō ma hope o ka lawe ʻana i doxepin (Silenor). Mai hoʻokele kaʻa a hana i nā mīkini i ka lā aʻe a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
- pono ʻoe e ʻike hiki i ka waiʻona ke hoʻohui i ka hiamoe i hoʻokumu ʻia e kēia lāʻau. Mai inu i ka waiʻona i ka wā e lawe nei ʻoe i ka doxepin (Silenor).
- pono ʻoe e ʻike ʻo kekahi poʻe i lawe i ka doxepin (Silenor) i kū aʻe mai kahi moe a hoʻokele i kā lākou kaʻa, hoʻomākaukau a ʻai i ka meaʻai, moekolohe, kāhea kelepona, hele wāwae e hiamoe ana, a i ʻole pili i kekahi mau hana ʻē aʻe ʻaʻole ala pono Ma hope o ko lākou ala ʻana, ʻaʻole hiki i kēia poʻe ke hoʻomanaʻo i ka mea a lākou i hana ai. Kāhea koke i kāu kauka inā ʻike ʻoe e hoʻokele a hana paha ʻoe i kahi mea ʻē aʻe ke hiamoe ʻoe.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E lawe wale ʻia ʻo Doxepin (Silenor) i ka wā moe. Inā ʻaʻole ʻoe i lawe i ka doxepin (Silenor) ma mua o kou hiamoe ʻana a pilikia ʻoe i ka hiamoe ʻana, hiki iā ʻoe ke lawe i ka doxepin (Silenor) inā hiki iā ʻoe ke noho i kahi moe no 7 a 8 mau hola ma hope. Mai lawe i kahi lāʻau pālua o doxepin (Silenor) e pani ai i kahi mahele hala.
Hoʻokumu paha ʻo Doxepin (Silenor) i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- ʻūpā
Hoʻokumu paha ʻo Doxepin (Silenor) 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 mamao aku mai ka mālamalama, a me ka wela a me ka hou nui (ʻaʻole i loko o 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:
- kuʻi ka naʻau kaulele
- huhū, huikau paha, a hiamoe paha
- pilikia pilikia
- ka hopu ʻana
- ʻoʻoleʻa o ka mākala
- ka luaʻi
- hoʻonui i ka nui o nā haumāna
- hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
- fiva
- anu kino kino
- koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)
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.
- Silenor®