Mea Kākau: Janice Evans
Lā O Ka Hana: 2 Iulai 2021
HōʻAno Hou I Ka Lā: 21 Iune 2024
Anonim
CPIC guideline for desipramine and CYP2D6
Wikiō: CPIC guideline for desipramine and CYP2D6

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 ('mood lift') e like me desipramine i ka wā o ka 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 18 mau makahiki e lawe i ka desipramine, akā i kekahi mau hihia, hoʻoholo paha ke kauka he desipramine ka lāʻau 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 ka desipramine a i ʻole nā ​​antidepressants ʻē aʻe inā he makua ʻoe ma luna o nā makahiki he 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 inā ʻaʻole hiki iā ʻoe ke ʻimi iā ʻoe lāʻau ponoʻī.


Makemake kāu mea mālama ola e ʻike pinepine iā ʻoe ke lawe nei ʻoe i ka desipramine, 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 desipramine. 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. 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 Desipramine e mālama i ke kaumaha. Aia ʻo Desipramine 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 pono ai no ke kaulike noʻonoʻo.

Hele mai ʻo Desipramine ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi a ʻoi mau manawa i ka lā a lawe ʻia me ka ʻole o ka meaʻai. Lawe i ka desipramine ma kahi o ka manawa like (s) 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. Lawe i ka desipramine 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 desipramine a hoʻonui iki i kāu lāʻau.

Lawe ʻia i 2 a 3 mau pule no ʻoe e ʻike i ka pono piha o desipramine. E hoʻomau i ka lawe ʻana i ka desipramine inā ʻoe e ʻoluʻolu. Mai hōʻoki i ka lawe ʻana i ka desipramine me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka lawe ʻana i ka desipramine, ʻike paha ʻoe i ka haʻalele ʻana i nā ʻōuli e like me ka nausea, headache, a nāwaliwali. E makemake paha kāu kauka e hōʻemi i kāu lāʻau.


Kuhi ʻia kēia lāʻau i kekahi manawa 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 desipramine,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā pili ʻoe i ka desipramine, clomipramine (Anafranil), imipramine (Tofranil), trimipramine (Surmontil), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa desipramine. E noi i kāu kauka a kauka paha no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka inā ʻoe e lawe ana i kahi mea hoʻopuka monoamine oxidase (MAO) e like me isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate), a i ʻole inā ua kū ʻoe i ka lawe ʻana i kahi mea hoʻopuka MAO i loko o nā lā he 14 i hala. E haʻi paha kāu kauka iā ʻoe mai lawe i ka desipramine. Inā kū ʻoe i ka lawe ʻana i ka desipramine, pono ʻoe ke 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā huahana mea kanu a me nā mea hoʻopihaʻaiʻai 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); antihistamines; cimetidine (Tagamet); estrogens; flecainide (Tambocor); fluoxetine (Prozac); guanethidine (Ismelin); levodopa (Sinemet, Larodopa); lithium (Eskalith, Lithobid); ka lāʻau no ke koko kiʻekiʻe, ka hopu ʻana, ka maʻi ʻo Parkinson, ka maʻi kō, ka maʻi noʻonoʻo, nausea, hānō, nā anu, a i ʻole nā ​​maʻi pāʻina; methylphenidate (Ritalin); nā mea hoʻomaha nāʻiʻo; pale pale waha; phenobarbital; propafenone (Rythmol); quinidine; nā mea hoʻonanea; nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), a me sertraline (Zoloft); paina moe; lāʻau lapaʻau thyroid; 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. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka desipramine inā ua oki ʻoe i ka lawe ʻana i ka fluoxetine i loko o 5 mau pule i hala.
  • e haʻi i kāu kauka inā loaʻa koke ʻoe i kahi maʻi puʻuwai. E haʻi paha kāu kauka iā ʻoe ʻaʻole ʻoe e lawe i ka desipramine.
  • e haʻi i kāu kauka inā i loaʻa i kekahi o kou ʻohana a i ʻole loaʻa paha i kahi puʻuwai kūlohelohe ʻole a i make koke paha. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka maʻi naʻau a i ʻole ke kīʻaha koko e like me ke kiʻekiʻe o ke koko, atherosclerosis (paʻakikī o nā aʻa), angina (ʻeha o ka umauma), kuʻi puʻuwai ʻole, a i ʻole ka puʻuwai puʻuwai. he prostate hoʻonui ʻia (kahi kāne hānau kope) pilikia i ka mimiki; mimikō; ka hopu ʻana; he gland thyroid overactive; schizophrenia (kahi maʻi noʻonoʻo e hoʻohaunaele ai ʻole noʻonoʻo ʻole, nalowale o ka hoihoi i ke ola, a me nā manaʻo ikaika a kūpono ʻole paha); aiʻole ka ate a me nā maʻi pākī.
  • 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 ka desipramine, 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 ka desipramine inā he 65 ou a ʻoi paha makahiki. ʻAʻole pono nā mākua kahiko e lawe i ka desipramine no ka mea ʻaʻole ia e palekana 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 ka niho, e haʻi i ke kauka a i ʻole kauka niho paha ʻoe e lawe ana i ka desipramine.
  • pono ʻoe e ʻike i kēia lāʻau ʻana 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 nīnau i kāu kauka e pili ana i ka hoʻohana palekana ʻana o ka wai ʻona ʻoiai ʻoe e lawe nei i kēia lāʻau.
  • e haʻi i kāu kauka inā hoʻohana ʻoe i nā huahana paka. Hiki i ka uahi paka ʻana ke hōʻemi i ka pono o kēia lāʻau.
  • pono ʻoe e ʻike he desipramine paha 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 Desipramine i nā hopena ʻaoʻao. Kāhea i kāu kauka inā ua nui a koʻikoʻi ʻole kekahi o kēia mau ʻōuli.

  • nausea
  • hiamoe
  • nāwaliwali a luhi paha
  • moeʻuhane moeʻuhane
  • waha maloo
  • ʻoi aku ka maʻalahi o ka ʻili i ka lā o ka lā ma mua o ka maʻamau
  • loli i ka makemake a i ʻole ke kaupaona
  • kōpaʻa
  • pilikia urino
  • urination pinepine
  • nā hoʻololi i ka hoʻokele moekolohe a i ʻole ka hiki
  • sweating nui loa

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo AOAO IMĀKAHI a i ʻole KEKAHI MEA KĀKAHI, e kelepona koke i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.

  • ʻāʻī, ʻāʻī, a me nā spasms mākala hoʻi
  • ʻolelo lohi a paʻakikī paha
  • hele wāwae
  • luliluli ʻole a neʻe paha o kahi ʻāpana o ke kino
  • fiva
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • ʻāwīwī koʻikoʻi
  • melemele o ka ʻili a me nā maka
  • kuʻi puʻuwai ʻole
  • ka hopu ʻana
  • ʻeha ka puʻu, kuni, a me nā ʻōuli ʻē aʻe o ka maʻi

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 mai kahi hiki ʻole o nā keiki. 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
  • ka hopu ʻana
  • koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)
  • huikau
  • hallucination (ke ʻike nei i nā mea ʻaʻole ola)
  • nā haumāna ākea (nā pōʻaiʻeleʻele i ka waena o nā maka)
  • hiamoe
  • hoohaunaele
  • fiva
  • mahana wela o ke kino
  • nā ʻāʻī ʻoʻoleʻa
  • ka luaʻi

Mālama i nā manawa āpau me kāu kauka.

Mai ʻae i kekahi 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.

  • Norpramin®
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