ʻO Mirtazapine
Anter
- Ma mua o ka lawe ʻana i ka mirtazapine,
- Hoʻokumu paha ʻo Mirtazapine 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 ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻoaʻo PAIA a i ʻole KEKAHI MEA KĀKAHI, e kelepona koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
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 mirtazapine 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 kamaliʻi ma mua o 18 mau makahiki e lawe i ka mirtazapine, akā i kekahi mau hihia, hiki i ke kauka ke hoʻoholo ʻo ka mirtazapine ka lāʻau 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 mirtazapine 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 nei ʻoe i ka mirtazapine, 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 mirtazapine. 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 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 Mirtazapine e mālama i ke kaumaha. Aia ʻo Mirtazapine i ka papa o nā lāʻau i kapa ʻia antidepressants. Hana ia ma ka hoʻonui ʻana i kekahi ʻano o ka hana i ka lolo e mālama i ke kaulike noʻonoʻo.
Hele mai ʻo Mirtazapine ma ke ʻano he papa a ma ke ʻano he papa hoʻokaʻawale e lawe ʻia e ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā i ka wā moe. Lawe ʻia paha me ka ʻai ʻole. 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 mirtazapine. 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.
No ka lawe ʻana i kahi papapā mirtazapine disintegrating, e wehe i ka ʻūʻū blister me nā lima maloʻo a kau i ka papa ma kou alelo. E haki ka papa ma ke alelo a hiki ke ale ʻia me ka lawai. ʻAʻole pono ka wai e ale i nā papa hoʻokaʻawale. Ke wehe ʻia ka papa mai ka pahu blister, ʻaʻole hiki ke mālama ʻia. Mai hoʻokaʻawale i nā papa disintegrating mirtazapine.
He mau pule paha ka lōʻihi a lōʻihi paha iā ʻoe e ʻike i ka pono piha o ka mirtazapine. E hoʻomau i ka lawe mirtazapine ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka mirtazapine me ke kamaʻilio ʻole ʻana me kāu kauka. E hoʻoliʻiliʻi paha kāu kauka 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 mirtazapine,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka mirtazapine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa mirtazapine a i ʻole nā papa hoʻokaʻawale. 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 kāohi 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 14 mau lā i hala. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka mirtazapine. Inā haʻalele ʻoe i ka lawe ʻana i ka mirtazapine, 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, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe. E hōʻoia e haʻi i kekahi o kēia mau mea: anticoagulants ('nā mea hōʻemi koko') e like me warfarin (Coumadin, Jantoven); antidepressants e like me amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimipramine; kekahi mau antifungals e like me ketoconazole (Nizoral); buspirone; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, ʻē aʻe); cimetidine (Tagamet); diazepam (Valium); erythromycin (E.E.S., E-mycin, Erythrocin); fentanyl (Abstral, Actiq, Fentora, Onsolis, nā mea ʻē aʻe); lithium (Eskalith, Lithobid); nā lāʻau no ka maʻi migraine e like me almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), a me zolmitriptan (Zomig); kekahi mau lāʻau e mālama ai i ka maʻi HIV; nā lāʻau no ka hopohopo a me ka hopu ʻana i ka maʻi; nefazodone; phenytoin (Dilantin); rifampin (Rimactane, Rifadin, ma Rifater, ma Rifamate); nā mea hoʻonanea; nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), a me sertraline (Zoloft); selotonin selective a me nā norepinephrine reuptake inhibitors (SNRI) e like me desvenlafaxine (Pristiq), duloxetine (Cymbalta), a me venlafaxine (Effexor); paina moe; tramadol (Ultram); 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 i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort a me ka tryptophan o St.
- e haʻi i kāu kauka inā loaʻa paha iā ʻoe ka maʻi puʻuwai, ke koko haʻahaʻa, ka puʻuwai, nā puʻupaʻa, a me nā maʻi ate, a i ʻole ke kolesterol kiʻekiʻe.
- 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 mirtazapine, e kāhea i kāu kauka.
- inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe nei ʻoe i ka mirtazapine.
- 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 hoʻomanaʻo hiki i ka waiʻona ke hoʻohui i ka hiamoe i hoʻokumu ʻia e kēia lāʻau.
- inā loaʻa iā ʻoe ka phenylketonuria (PKU, kahi ʻano hoʻoilina e pono ai e ukali ʻia kahi papaʻai kūikawā e pale ai i ka noʻonoʻo ʻole o ka noʻonoʻo), pono ʻoe e ʻike he ʻāpana aspartame nā phenylalanine i loko o nā papa hoʻohaʻahaʻa waha.
- pono ʻoe e ʻike ʻo ka mirtazapine 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 Mirtazapine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- hiamoe
- ʻūpā
- hopohopo
- huikau
- hoʻonui i ke kaupaona a me ka makemake
- waha maloo
- kōpaʻa
- nausea
- ka luaʻi
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 Aʻoaʻo PAIA a i ʻole KEKAHI MEA KĀKAHI, e kelepona koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- flu-like nā ʻōuli, ke kuni, ke anu, ka ʻāʻī, nā ʻeha o ka waha, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi
- ʻeha ka umauma
- puʻuwai wikiwiki
- ka hopu ʻana
Hoʻokumu paha ʻo Mirtazapine i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe 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.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane iā mirtazapine.
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.
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