Doxepin (Kaumaha, Pīhoihoi)

Anter

• Ma mua o ka lawe ʻana i ka doxepin,
• Hoʻokumu paha ʻo Doxepin i nā hopena ʻaoʻao. Kāhea i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• 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.
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

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 doxepin 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. ʻO nā keiki ma mua o 18 mau makahiki ʻaʻole pono e lawe maʻamau i ka doxepin, akā i kekahi mau hihia, hoʻoholo paha ke kauka he doxepin 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 doxepin a i ʻole nā ​​lāʻau antidepressants ʻē aʻe inā he mākua ʻoe ma luna o nā makahiki he 24. ua hoʻēmi. 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 pīhoihoi, pīhoihoi ʻole. 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 doxepin, 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 doxepin. 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 Doxepin e mālama i ke kaumaha a me ka hopohopo. Aia ʻo Doxepin i loko o ka papa o nā lāʻau i kapa ʻia ʻo tricyclic antidepressants. Hana ia ma ka hoʻonui ʻana i ka nui o kekahi mau mea kūlohelohe i ka lolo e pono ai no ke kaulike noʻonoʻo.

Loaʻa ʻo Doxepin ma ke ʻano he papa e mālama ai i ka hiamoe ʻole. Hāʻawi wale kēia monograp i ka ʻike e pili ana i ka doxepin no ke kaumaha a hopohopo paha. Inā ʻoe e hoʻohana ana i kēia lāʻau no ka hiamoe, heluhelu i ka monograph i kapa ʻia ʻo doxepin (insomnia).

Hele mai ʻo Doxepin ma ke ʻano he capsule, a noʻonoʻo paha (wai) e lawe ma ka waha. Lawe ʻia ia hoʻokahi i ʻekolu mau manawa o ka lā a lawe ʻia me ka ʻole o ka meaʻai. E hoʻāʻo e lawe i ka doxepin 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 pololei i doxepin 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.

Hoʻokomo ʻia ʻo Doxepin concentrate (oral wai) me kahi dropper i kaha kūikawā ʻia no ke ana ʻana i ka lāʻau. E noi i kāu kauka lāʻau e hōʻike iā ʻoe pehea e hoʻohana ai i ka dropper. Hoʻopili i ka concentrate i 4 auneke (120 mL) o ka wai; waiū holoʻokoʻa a i ʻole skim; a i ʻole ka ʻalani, kaukaʻakai, kōmato, prune, a i ʻole ka wai ʻulu ma mua pono o ka lawe ʻana. Mai kāwili iā ia me nā mea inu carbonated (nā mea inu momona).

He mau pule paha ka lōʻihi a lōʻihi paha iā ʻoe e ʻike i ka hopena piha o doxepin. E hoʻomau i ka lawe doxepin ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka doxepin me ke kamaʻilio ʻole ʻana me kāu kauka. E makemake paha kāu kauka e hōʻemi i kāu lāʻau.

Hoʻohana ʻia ʻo Doxepin i kekahi manawa e mālama i nā hives mau me ka ʻole o kahi kumu i ʻike ʻia. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

Hoʻomaʻa 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,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka doxepin, amoxapine, loxapine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā capsule doxapine, a i ʻole noʻonoʻo.
• 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻōlelo pono i kekahi o kēia mau mea: kekahi antipsychotics e like me chlorpromazine, fluphenazine, perphenazine, prochlorperazine (Compro, Procomp), thioridazine, trifluoperazine; bupropion (Wellbutrin, Zyban, haʻi ʻē aʻe, ma Contrave); cimetidine (Tagamet); duloxetine (Cymbalta); flecainide (Tambocor); propafenone (Rythmol); quinidine (i Nuedexta); 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 ; a me tolazamide (Tolinase). 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 doxepin inā ua lawe ʻoe i ka fluoxetine i nā pule he 5 i hala.
• E haʻi i kāu kauka inā loaʻa iā ʻoe ka glaucoma a i ʻole paʻakikī i ka mimī. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka doxepin.
• e haʻi i kāu kauka inā ua inu a inu paha ʻoe i ka nui o ka wai ʻona,, a i ʻole loaʻa paha ʻoe i ka hānō, a i ʻole ke akepaʻa a me ka maʻi ʻaʻai.
• 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 kēia lāʻau, kāhea i kāu kauka.
• e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i doxepin inā he 65 ou mau makahiki a ʻoi paha. ʻAʻole pono nā mākua ʻelemakule e hana i ka doxepin no ka mea ʻaʻole palekana a maikaʻi paha e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana e mālama ai i ke ʻano like.
• 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 o nā inu waiʻona ʻoiai ke lawe nei ʻoe i ka doxepin. Hiki i ka waiʻona ke hana i nā hopena ʻino mai doxepin i ʻoi aku ka maikaʻi.
• pono ʻoe e ʻike ʻo ka doxepin 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 kāu kaukona 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 Doxepin i nā hopena ʻaoʻao. Kāhea i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• nausea
• ka luaʻi
• nāwaliwali a luhi paha
• ʻūpā
• hoʻonui i ka nui o nā haumāna
• waha maloo
• ʻeha nā waha
• ʻoi aku ka maʻalahi o ka ʻili i ka lā o ka lā ma mua o ka maʻamau
• ʻōhinu
• loli i ka makemake a i ʻole ke kaupaona
• nā hoʻololi i ke ʻano o ka ʻono o nā mea
• hoʻomālō
• kōpaʻa
• pāhoehoe
• pilikia urino
• make wai nui loa
• ke kani nei i kou mau pepeiao
• nā hoʻololi i ka hoʻokele moekolohe
• nā huaʻai pehu
• hoʻonui i ka nui o ka umauma
• hoʻokuʻu waiū mai nā nipples i nā wahine
• sweating nui loa
• haʻalulu
• ʻeha poʻo
• poho lauoho

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.

• melemele o ka ʻili a me nā maka
• puʻuwai wikiwiki
• kahe koko ʻole ʻana a palapū paha
• ʻehu, ʻili, a ʻōhuʻu paha o ka ʻili

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).

Hoʻokumu paha ʻo Doxepin i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe i kēia lāʻau.

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. E mālama i nā capsule doxepin mai ka mālamalama.

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.

• Sinequan^® Kāpena^¶
• Sinequan^® Pālolo paʻa^¶

^¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.