He aha kāu e pono ai e ʻike ma mua o ka lawe ʻana i Amitriptyline no ka hiamoe

Anter

• He aha ka amitriptyline?
• He aha ka lāʻau e kuhikuhi nei i ka lepili?
• Nā hoʻolaha a FDA e pili ana i ka amitriptyline
• Pehea e hana ai ka amitriptyline?
• He aha kahi hana maʻamau ke kau ʻia no ka hiamoe?
• Aia kekahi hopena i ka lawe ʻana i amitriptyline no ka hiamoe?
• Nā hopena ʻaoʻao maʻamau
• Nā hopena hopena koʻikoʻi
• Loaʻa nā launa pū me nā lāʻau ʻē aʻe?
• Aia kekahi mau ʻōlelo aʻoaʻo e pili ana i ka lawe ʻana i amitriptyline no ka hiamoe?
• He aha nā keu o ka lawe ʻana i amitriptyline no ka hiamoe?
• Ke laina lalo

ʻO ka hiamoe ʻole o ka hiamoe ma mua o ka hoʻonāukiuki wale. Hiki iā ia ke hoʻopili i nā wahi āpau o kou ola me ke olakino a me ka noʻonoʻo. Hōʻike nā Centres for Disease Control and Prevention (CDC) ʻoi aku ka nui o ka hiamoe o nā mākua ʻAmelika.

Inā ʻaʻole ʻoe e loaʻa ka hiamoe āu e pono ai, aia kekahi mau ʻano lapaʻau ʻokoʻa, me nā lāʻau i hiki ke kōkua.

Hana nā lāʻau no ka hiamoe i nā ʻano like ʻole e kōkua iā ʻoe e hiamoe a hiamoe paha. E kūkākūkā paha kāu kauka i ke kau ʻana i ka amitriptyline (Elavil, Vanatrip) e kōkua iā ʻoe e hiamoe.

Ke hoʻāʻo nei ʻoe e hoʻoholo inā pono ka amitriptyline iā ʻoe, eia kekahi mau mea e noʻonoʻo ai.

He aha ka amitriptyline?

ʻO Amitriptyline kahi lāʻau i kuhikuhi ʻia i loaʻa ma kahi papa i kekahi mau ikaika. Ua ʻae ʻia no ka hoʻohana ʻana e mālama i ke kaumaha akā ua kuhikuhi pinepine ʻia no kekahi mau kūlana ʻē aʻe e like me ka ʻeha, migraines, a me ka hiamoe ʻole.

ʻOiai ua puni ia no nā makahiki he nui, eia nō naʻe he lāʻau lapaʻau laulaha kaulana, haʻahaʻa haʻahaʻa.

He aha ka lāʻau e kuhikuhi nei i ka lepili?

Ua ʻae ʻia ʻo Amitriptyline e ka Food and Drug Administration (FDA) e mālama i ke kaumaha, akā ua kau kauka i ka lāʻau e kōkua i ka hiamoe. Ke kuhikuhi nei ke kauka i lāʻau lapaʻau no kahi hoʻohana ʻē aʻe ma mua o ka mea i ʻae ʻia e ka FDA, ʻike ʻia ia ma ke ʻano he inoa off-label.

Kau inoa nā kauka i ka lepili no nā kumu he nui e like me:

• Makahiki. Hiki i ke kauka ke kuhikuhi i kahi lāʻau i kekahi mea ʻōpio a ʻoi paha ma mua o ka mea i ʻae ʻia e ka lepili lāʻau lāʻau FDA.
• Hōʻike a hoʻohana paha. Kākau ʻia kahi lāʻau no kahi kūlana ʻē aʻe ma mua o ka mea i ʻae ʻia e ka FDA.
• Hana. E kauoha paha ke kauka i kahi lāʻau ma lalo a ʻoi aku paha ma mua o ka papa inoa ma ka lepili a i ʻole ka FDA i ʻōlelo ʻia.

ʻAʻole hōʻike ʻo FDA i nā kauka i ka mālama ʻana i nā mea maʻi. Aia i kāu kauka ke hoʻoholo i ka lāʻau maikaʻi loa nāu e pili ana i kā lākou mākaukau a me kāu makemake.

Nā hoʻolaha a FDA e pili ana i ka amitriptyline

He "hoʻolaha ʻeleʻele pahu" ʻo Amitriptyline mai ka FDA. ʻO kēia ka hopena o ka lāʻau i kekahi ʻaoʻao ʻaoʻao nui āu e noʻonoʻo ai me kāu kauka ma mua o kou lawe ʻana i kēia lāʻau.

• Ua hoʻonui ʻo Amitriptyline i ka makaʻu o nā manaʻo suicidal a me ka lawena i kekahi mau kānaka, ʻo ia hoʻi nā keiki a me nā ʻōpio ʻōpio. He mea nui ka nānā ʻana no nā ʻōuli o ke ʻano o ka naʻau, nā manaʻo, a me nā hana a kāhea koke iā 911 inā ʻike ʻoe i nā loli.
• Hiki iā ʻoe ke kāhea i ka National Suicide Prevent Lifeline ma 800-273-8255 inā ʻo ʻoe a i ʻole kekahi mea āu e ʻike nei e loaʻa nei nā manaʻo suicidal.
• ʻAʻole ʻae ʻia ʻo Amitriptyline e ka FDA no ka hoʻohana ʻana i nā keiki ma mua o 12.

Pehea e hana ai ka amitriptyline?

ʻO Amitriptyline kahi ʻano lāʻau i kapa ʻia he tricyclic antidepressant (TCA). Hana kēia mau lāʻau i ka hoʻonui ʻana i kekahi mau kemika lolo i kapa ʻia he neurotransmitters e like me serotonin a me norepinephrine e kōkua ai i ka hoʻomaikaʻi ʻana i ke ʻano, ka hiamoe, ʻeha, a me ka hopohopo.

ʻAʻole maopopo maopopo pehea ka amitriptyline e hana ai no ka hiamoe, akā ʻo kekahi o nā hopena e pale i ka histamine, a ʻo ka hopena paha e hiamoe. ʻO kēia kahi kumu e kuhikuhi ai nā kauka iā amitriptyline ma ke ʻano he kōkua kōkua i ka hiamoe.

He aha kahi hana maʻamau ke kau ʻia no ka hiamoe?

Kau ʻia ʻo Amitriptyline no ka hiamoe ma nā ʻano like ʻole. E hilinaʻi ka lāʻau ma muli o nā kumu like ʻole me kou mau makahiki, nā lāʻau ʻē aʻe āu e lawe ai, kāu ʻano olakino, a me nā kumukūʻai lāʻau.

No nā mākua, ma waena o 50 a me 100 milligrams ka hopena ma ka hiamoe. Hiki i nā ʻōpio a me nā mākua makua ke lawe i nā kaona haʻahaʻa.

Inā loaʻa iā ʻoe kekahi mau ʻano ʻokoʻa ʻike e like me ka hoʻololi ʻana i nā genes, pono paha ʻoe i nā hoʻoponopono ʻana e hoʻoliʻiliʻi i nā hopena ʻaoʻao me amitriptyline.

E noʻonoʻo e nīnau i kāu kauka a kauka paha e pili ana i ka hoʻāʻo ʻana o ka ʻāpana i kapa ʻia ʻo pharmacogenomics. Ua lilo kēia i mea makemake nui ʻia e kōkua i ke hoʻopilikino i kāu mau lāʻau i hana maikaʻi ʻia nāu.

Ke hoʻomaka nei i kahi lāʻau haʻahaʻa e kōkua i ke kauka e ʻike pehea ʻoe e pane ai i ka lāʻau ma mua o ka hoʻololi ʻana.

Aia kekahi hopena i ka lawe ʻana i amitriptyline no ka hiamoe?

Hiki i ka Amitriptyline ke loaʻa i kahi hopena hopena koʻikoʻi. Ma mua o ka lawe ʻana i ka lāʻau, e ʻike pono i kāu kauka inā ua loaʻa ʻoe i kahi hopena maʻi ʻaʻai i amitriptyline a i ʻole nā ​​lāʻau ʻē aʻe, a i ʻole inā he manaʻo suicidal paha kāu.

E hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe:

• nā maʻi puʻuwai, ke ake, a me nā pilikia o ke kīkole
• glaucoma, hiki i ka amitriptyline ke hoʻonui i ke kaomi i kou maka
• diabetes, ʻoiai hiki i ka amitriptyline ke hoʻopili i kāu mau kō, no laila pono ʻoe e nānā pinepine i kāu kō ke hoʻomaka ʻoe e lawe i ka amitriptyline
• epilepsy, hiki i ka amitriptyline ke hoʻonui i ka hopena o ka hopu ʻana
• maʻi bipolar, mania, a schizophrenia paha

E kamaʻilio me kāu kauka inā hāpai ʻoe a hānai waiu paha. ʻAʻole i akāka kahi noiʻi no ka mea he palekana ʻo amitriptyline e hoʻohana i ka wā o ka hāpai ʻana a i ʻole inā ʻoe e hānai ʻana.

Nā hopena ʻaoʻao maʻamau

Ke hoʻomaka mua ʻoe i ka amitriptyline, ʻike paha ʻoe i nā hopena ʻaoʻao. Hele pinepine lākou ma hope o kekahi mau lā. E kamaʻilio me kāu kauka lāʻau a i ʻole kauka inā pilikia lākou a hoʻomau.

• waha maloo
• ʻeha poʻo
• loaʻa kaupaona
• kōpaʻa
• pilikia urino
• kahi kulu koke o ke kahe koko ke kū aʻe mai ka noho ʻana
• hiamoe a luʻuluʻu paha
• ʻike hihi
• nā lima haʻalulu (haʻalulu)

Nā hopena hopena koʻikoʻi

ʻOiai he kakaikahi ia, hiki i ka amitriptyline ke kumu i kekahi hopena ʻino. Kāhea koke iā 911 inā ʻike ʻoe i kahi pilikia olakino hoʻoweliweli ola.

Kāhea koke iā 911 inā ʻike ʻoe i kekahi o kēia mau ʻōuli ke lawe nei ʻoe i ka amitriptyline, no ka mea ke hōʻike nei lākou i kahi pilikia olakino hoʻoweliweli ola.

• wikiwiki a i ʻole kōmi o ka puʻuwai
• ʻeha o ka umauma a me ka hanu ʻana o ka manawa, kahi e hōʻailona ai i ka hōʻeha puʻuwai
• nāwaliwali ma kekahi ʻaoʻao o ke kino a i ʻole ʻōlelo slurred, kahi e hōʻailona ai i ka hōʻeha

E ʻike paha ʻoe i nā ʻōuli ʻē aʻe ʻaʻole i helu ʻia ma aneʻi. E kamaʻilio mau i kāu kauka e pili ana i ka mea āu e ʻike nei inā aʻo kāu lāʻau.

Loaʻa nā launa pū me nā lāʻau ʻē aʻe?

Hiki i ka Amitriptyline ke launa pū me nā lāʻau. He mea nui ia e hoʻomaopopo i kāu kauka a me ka kauka lāʻau i nā lāʻau lapaʻau a pau, nā lāʻau i loaʻa ʻole, a me nā mea hoʻopihapihaʻai āu e lawe nei e hōʻalo i kahi hopena koʻikoʻi.

ʻO nā lāʻau lapaʻau maʻamau e launa pū me amitriptyline e komo pū me:

• monoamine oxidase inhibitors (MAOI) e like me selegiline (Eldepryl): hiki ke hana i ka hopu ʻana a make paha
• quinidine: hiki i nā pilikia puʻuwai
• ʻo nā lāʻau opioid e like me ka codeine: hiki ke hoʻonui i ka hiamoe a hoʻāla i ka makaʻu no ka maʻi serotonin, kahi e hoʻonui ai i ke kahe o ke koko a me ka kiʻekiʻe o ka puʻuwai.
• epinephrine a me norepinephrine: hiki ke hoʻonui i ke kahe o ke koko, ʻeha ke poʻo, a me ka ʻeha o ka umauma
• topiramate: hiki iā ia ke kumu i nā kiʻekiʻe o amitriptyline i kou kino, e hoʻonui ana i kou maka o nā hopena ʻaoʻao

ʻAʻole kēia kahi papa inoa piha. Nui a hewahewa nā lāʻau e hiki ke launa pū me amitriptyline. E nīnau me kāu kauka inā he hopohopo kāu.

Aia kekahi mau ʻōlelo aʻoaʻo e pili ana i ka lawe ʻana i amitriptyline no ka hiamoe?

Aia a maʻa kou kino i ka lāʻau, e akahele me nā hana e koi ai iā ʻoe e makaʻala e like me ka hoʻokele a hana hana paha.

ʻAʻole pono ʻoe e inu i ka waiʻona a lawe i nā lāʻau ʻē aʻe i hiki ke hiamoe me ka amitriptyline no ka mea hiki ke hoʻonui i ka hopena o ka lāʻau.

ʻAʻole ʻoe e kū koke i ka lawe ʻana i amitriptyline. E kamaʻilio me kāu kauka e pili ana i ke ala ʻoi loa e hōʻoki mālie ai i kēia lāʻau.

He aha nā keu o ka lawe ʻana i amitriptyline no ka hiamoe?

ʻO kekahi mau mea maikaʻi o amitriptyline me:

• Emi pipiʻi. ʻO Amitriptyline kahi lāʻau lapaʻau kahiko i loaʻa ma ke ʻano he generic, no laila he mea kumukūʻai ke hoʻohālikelike ʻia me kekahi mau mea kōkua hiamoe hou.
• ʻAʻole hana maʻa. ʻAʻole addict a ʻaʻohe maʻamau ka Amitriptyline e like me nā lāʻau i hoʻohana ʻia no ka hiamoe e like me diazepam (Valium)

Hiki ke kōkua ʻo Amitriptyline inā he hopena ka hiamoe mai kahi kūlana ʻē aʻe āu e loaʻa ai, e like me ka ʻeha, kaumaha a hopohopo paha. Pono ʻoe e kūkākūkā i kāu mau hōʻailona āpau me kāu kauka e ʻike i ke koho lapaʻau maikaʻi loa nāu.

Ke laina lalo

Ua puni ʻo Amitriptyline no nā makahiki he nui a he koho makepono ʻole ia e like me ke kōkua o ka hiamoe. Amitriptyline a me nā antidepressants e like me ka mea maʻa mau i ka lepili e mālama ai i ka hiamoe, ʻoi aku i nā poʻe i loaʻa nā ʻōuli o ke kaumaha.

Hiki i ka Amitriptyline ke kumu i nā hopena koʻikoʻi a hiki ke launa pū me nā lāʻau ʻē aʻe. Inā ʻoe e noʻonoʻo ana i ka amitriptyline e kōkua iā ʻoe e loaʻa i ka hiamoe maha, e kamaʻilio pono me kāu kauka e pili ana i nā lāʻau ʻē aʻe a me nā mea hoʻopihapiha āu e lawe nei.