Doxepin ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Doxepin ni umuti wo mu itsinda ry'imiti yitwa tricyclic antidepressants, nubwo ikoreshwa no mu bindi bibazo bitari depression. Muganga wawe ashobora kukwandikira kugira ngo agufashe mu bibazo byo gusinzira, guhangayika, cyangwa ubwoko bumwe na bumwe bw'uburibwe buhoraho. Uyu muti w'ingirakamaro umaze imyaka myinshi kandi ushobora kugira akamaro kanini iyo ukoreshejwe neza kandi ukurikiranwa na muganga.

Doxepin ni iki?

Doxepin ni umuti wandikirwa na muganga ukora muguhindura imisemburo imwe n'imwe mu bwonko bwawe yitwa neurotransmitters. Iza mu buryo bwa capsule kandi ifatwa mu kanwa, akenshi rimwe cyangwa kabiri ku munsi bitewe n'icyo urimo uvura. Uyu muti uboneka mu mbaraga zitandukanye, kuva kuri 10mg kugeza kuri 150mg capsules.

Uyu muti wabanje gukorwa nk'umuti uvura depression ariko byagaragaye ko ufasha mu bindi bibazo byinshi mu myaka yashize. Muganga wawe azagena urugero rukwiye rishingiye ku byo ukeneye byihariye n'amateka yawe y'ubuzima. Ni ngombwa kumenya ko doxepin isaba urwandiko rwa muganga kandi ikoreshwa gusa hakurikijwe ubuyobozi bwa muganga.

Doxepin ikoreshwa mu kuvura iki?

Doxepin ivura ibibazo bitandukanye, depression no guhangayika bikaba ari byo mpamvu zisanzwe abaganga bayandikira. Abantu benshi kandi basanga bifasha mu bibazo byo gusinzira, cyane cyane iyo bagira ikibazo cyo kutaguma basinziriye ijoro ryose. Uyu muti ushobora kugira akamaro kanini cyane cyane niba ufite ibibazo byombi byo mu mutwe n'ibibazo byo gusinzira icyarimwe.

Usibye ibibazo byo mu mutwe, doxepin rimwe na rimwe ifasha mu bibazo by'uburibwe buhoraho ndetse n'ibibazo by'uruhu bitera ibishishi. Dore ibibazo nyamukuru ishobora kuvura:

• Depression, cyane cyane iyo iherekejwe no guhangayika
• Indwara zo guhangayika no gutera ubwoba
• Kutabasha gusinzira n'izindi ngorane zo gusinzira
• Indwara z'uburibwe buhoraho nk'uko fibromyalgia
• Ubwo bwoko bw'indwara z'uruhu zitera ibishishi

Muganga wawe azasuzuma ibimenyetso byawe byihariye n'amateka yawe y'ubuvuzi kugira ngo amenye niba doxepin ariyo nzira ikwiriye kuri wewe. Rimwe na rimwe ikoreshwa hamwe n'indi miti nk'igice cy'uburyo bwo kuvura bwuzuye.

Doxepin ikora ite?

Doxepin ikora yongera urwego rw'imiti imwe yo mu bwonko yitwa serotonin na norepinephrine. Iyi miti ifasha kugenzura imyumvire yawe, uburyo bwo gusinzira, n'uburyo ubona ububabare. Bitekereze nk'ifasha gusubiza imiterere myiza mu buryo bwo kuvuganaho bw'ubwonko bwawe.

Uyu muti ufatwa nk'ukomeye ku rugero rwo hagati mu miti igabanya umubabaro kandi akenshi bifata ibyumweru byinshi kugira ngo bigaragaze ingaruka zayo zose. Bitandukanye n'indi miti mishya igabanya umubabaro, doxepin ifite kandi imitungo ya antihistamine, ibisobanura impamvu ishobora gufasha cyane mu bibazo byo gusinzira no kuribwa. Iyi ngaruka ebyiri ituma idasanzwe mu miti ya psychiatrie.

Iyo ikoreshwa mu gusinzira, doxepin ikora mu buryo butandukanye n'ibinini bisanzwe byo gusinzira. Aho kuguhumuriza gusa, ifasha kugenzura uruziga rwawe rwo gusinzira kare kandi rushobora kunoza ubuziranenge bwo gusinzira kwawe uko igihe kigenda.

Nkwiriye gufata doxepin nte?

Fata doxepin nk'uko muganga wawe abitegeka, akenshi rimwe ku munsi mbere yo kuryama cyangwa igabanyijemo doze ebyiri cyangwa eshatu umunsi wose. Urashobora kuyifata hamwe cyangwa utayifatanije n'ibiryo, ariko kuyifata hamwe n'ibiryo bishobora gufasha kugabanya umujinya wo mu gifu niba hari icyo ubona. Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi.

Niba ufata doxepin kugira ngo uryame, muganga wawe ashobora gutanga inama yo kuyifata iminota 30 kugeza ku isaha mbere yo kuryama. Kubera umubabaro cyangwa guhangayika, urashobora kuyifata mu doze zigabanyijemo umunsi wose cyangwa nk'urugero rumwe mbere yo kuryama. Ntukigere uvunagura cyangwa ufungura ibinini, kuko ibi bishobora kugira ingaruka ku buryo umuti winjizwa.

Birafasha gufata doxepin ku gihe kimwe buri munsi kugira ngo urugero rwayo rukomeze kuba ruringaniye mu mubiri wawe. Niba uyifata kugira ngo uryame, gerageza gushyiraho gahunda yo kuryama ihoraho. Irinde inzoga mugihe ufata uyu muti, kuko bishobora kongera ibitotsi n'izindi ngaruka.

Nzamara Mfata Doxepin Igihe Kingana Gite?

Igihe cyo kuvurwa na doxepin gitandukana cyane bitewe n'uburwayi bwawe n'uburyo wemera umuti. Kubijyanye no kwiheba cyangwa guhangayika, ushobora gukenera kuwufata amezi menshi kugeza ku mwaka cyangwa kurenza. Indwara zo gusinzira zishobora gusaba kuvurwa igihe gito, nubwo abantu bamwe bungukirwa no kuwukoresha igihe kirekire.

Muganga wawe azatangira akenshi akoresha urugero ruto buhoro buhoro arwongera mu byumweru byinshi kugeza ugeze ku rugero ruzana umusaruro mwiza. Ni ngombwa guha umuti igihe cyo gukora, kuko ushobora kutumva akamaro kacyo kose mu byumweru 4-6. Ntuzahagarike gufata doxepin ako kanya, kuko ibi bishobora gutera ibimenyetso byo kuva mu muti.

Ibyemezo bisanzwe byo gusuzumwa na muganga wawe ni ngombwa kugira ngo ukurikirane iterambere ryawe kandi uhindure gahunda yawe yo kuvura uko bikwiye. Abantu bamwe bashobora gukenera gufata doxepin igihe kirekire, mugihe abandi bashobora kugabanya buhoro buhoro urugero rwabo hanyuma bakazareka gufata umuti.

Ni Iyihe Ngaruka Ziterwa na Doxepin?

Kimwe n'imiti yose, doxepin ishobora gutera ingaruka, nubwo atari buri wese uzibona. Ingaruka zisanzwe ni zoroshye kandi akenshi zirakosoka uko umubiri wawe wimenyereza umuti. Abantu benshi basanga gutangira ku rugero ruto no kongera buhoro buhoro bifasha kugabanya izi ngaruka.

Hano hari ingaruka zisanzwe ushobora guhura nazo:

• Gusinzira cyangwa kumva unaniwe ku manywa
• Umunwa wumye no kumva inyota yiyongera
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Kugorana kwituma cyangwa guhinduka kw'imyitwarire y'amara
• Kureba nabi cyangwa kugorana kwibanda
• Kongera ibiro cyangwa guhinduka kw'irari ryo kurya
• Kugorana kwihagarika

Inyinshi muri izi ngaruka zishobora kugenzurwa kandi zikagabanuka uko igihe kigenda. Kunywa amazi menshi birashobora gufasha mu kanwa gakama, kandi guhaguruka buhoro bishobora kugabanya isereri.

Zimwe mu ngaruka zidakunze kubaho ariko zikomeye zisaba ubufasha bwihutirwa bw'abaganga. Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya:

• Umutima utagenda neza cyangwa kubabara mu gituza
• Urujijo rukabije cyangwa ibibazo byo kwibuka
• Kugorana guhumeka cyangwa kumira
• Uruhu rwakaye cyangwa ibiheri
• Ibitekerezo byo kwangiza, cyane cyane mu rubyiruko
• Umuturagaro cyangwa guhinda umushyitsi

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa bw'ubuvuzi. Umutekano wawe ni wo uza imbere.

Ninde utagomba gufata Doxepin?

Doxepin ntabwo ikwiriye kuri buri wese, kandi indwara zimwe na zimwe cyangwa imiti irashobora gutuma bidatekanye kuyikoresha. Umuganga wawe azasuzuma neza amateka yawe y'ubuvuzi n'imiti ukoresha ubu mbere yo kugutera doxepin kugirango yemeze ko itekanye kuri wowe.

Ntabwo ugomba gufata doxepin niba ufite indwara zimwe na zimwe z'umutima, cyane cyane gutera umutima vuba cyangwa ibibazo bikomeye by'umutima. Uyu muti urashobora kandi kuba mubi niba ufite glaucoma itavurwa ya narrow-angle cyangwa indwara ikomeye y'umwijima. Niba ufata imiti imwe yitwa MAO inhibitors, uzakenera gutegereza byibuze iminsi 14 nyuma yo kuyihagarika mbere yo gutangira gufata doxepin.

Dore izindi mimerere aho doxepin itashobora gukwiriye:

• Indwara ikomeye y'impyiko cyangwa umwijima
• Amateka y'umuturagaro cyangwa epilepsi
• Prostate yagutse cyangwa ibibazo byo guhagarika inkari
• Ibibazo bikomeye byo guhumeka cyangwa sleep apnea
• Amateka yo kugerageza kwiyahura cyangwa agahinda gakabije
• Gusama cyangwa konsa (ganira n'umuganga wawe)

Imyaka nayo ni ikintu cy'ingenzi, kuko abantu bakuze bashobora kwitwara nabi ku ngaruka za doxepin kandi bashobora gukenera imiti mike cyangwa gukurikiranwa cyane. Muganga wawe azagereranya inyungu n'ibishobora guteza akaga mu miterere yawe yihariye.

Amazina y'ubwoko bwa Doxepin

Doxepin iboneka mu mazina menshi y'ubwoko, nubwo ikoreshwa cyane nk'umuti rusange. Amazina y'ubwoko azwi cyane arimo Sinequan, Adapin, na Silenor. Silenor yemerejwe by'umwihariko kubura ibitotsi kandi iza mu bipimo bito kurusha ubwoko bukoreshwa mu kwiheba.

Ubwo bwoko rusange bwa doxepin bufite akamaro kimwe n'ubwoko bw'amazina y'ubwoko kandi akenshi birahendutse. Farumasi yawe ishobora gusimbuza ubwoko rusange keretse muganga wawe asabye by'umwihariko izina ry'ubwoko. Ubwoko bwose burimo ibintu bikora kimwe kandi bikora kimwe.

Uburyo bwa Doxepin bindi

Niba doxepin atagukwiriye cyangwa niba itaguha ubufasha ukeneye, hari imiti myinshi muganga wawe ashobora gutekereza. Kubera kwiheba no guhangayika, imiti mishya yo kurwanya kwiheba nka SSRIs (nka sertraline cyangwa escitalopram) cyangwa SNRIs (nka venlafaxine) bishobora kuba amahitamo afite ingaruka nke.

Kubera ibibazo byo gusinzira, ibindi bishobora kuba birimo indi miti igabanya umuvuduko wo kwiheba nka trazodone, cyangwa imiti yihariye yo gusinzira nka zolpidem cyangwa eszopiclone. Uburyo butari ubw'imiti nka cognitive behavioral therapy for insomnia (CBT-I) nayo ishobora kugira akamaro kanini kubibazo byo gusinzira.

Muganga wawe azagufasha gushakisha izi nzira zindi zishingiye ku bimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'intego zo kuvura. Rimwe na rimwe guhuza uburyo butandukanye bikora neza.

Ese Doxepin iruta Amitriptyline?

Dosepin na amitriptyline byombi ni imiti ivura umubabaro ikoreshwa mu kuvura umubabaro, guhangayika, n'ubwoko bumwe bw'ububabare burambye. Guhitamo hagati yazo akenshi biterwa n'uko zikora ku mubiri no gusubiza kw'umuntu ku giti cye aho kuba imwe iruta indi.

Dosepin ikunda gutuma umuntu asinzira kurusha amitriptyline, ibyo bishobora gufasha niba ufite ibibazo byo gusinzira hamwe n'ibindi bimenyetso byawe. Ariko, amitriptyline ishobora gukundwa mu bwoko bumwe bw'ububabare burambye, cyane cyane migraine n'ububabare bwo mu ntsinga. Iyi miti yombi ifite ingaruka zisa, nubwo abantu bamwe bayihanganira kurusha abandi.

Muganga wawe azatekereza ku bimenyetso byawe byihariye, amateka yawe y'ubuzima, n'indi miti ukoresha mugihe uhitamo hagati y'izi ngingo. Rimwe na rimwe ni ugutangira gukoresha imwe ukareba uko wabyitwaramo mbere yo gufata icyemezo cya nyuma.

Ibikunze Kubazwa Kuri Doxepin

Ese Doxepin irakwiriye abarwayi b'umutima?

Doxepin isaba kwitonderwa cyane kubantu bafite indwara z'umutima, kuko ishobora kugira ingaruka kumuvuduko w'umutima n'umuvuduko w'amaraso. Niba ufite amateka y'ibibazo by'umutima, muganga wawe azakenera gusuzuma neza ibyago n'inyungu. Mu bihe bimwe na bimwe, umuti ushobora gukoreshwa hamwe no gukurikiranwa hafi, mugihe mu bindi, imiti isimbura ishobora kuba itekanye.

Muganga wawe ashobora kugusaba gukora electrocardiogram (EKG) mbere yo gutangira gukoresha dosepin kugirango arebe umuvuduko w'umutima wawe. Gukurikiranwa buri gihe mugihe uvurwa akenshi birakenewe niba ufite impungenge z'umutima. Ntukigere utangira cyangwa uhagarike gukoresha dosepin utabiherewe uburenganzira na muganga niba ufite ibibazo by'umutima.

Nigute nzakora niba nanyweye dosepin nyinshi bitunguranye?

Niba utunguranye ukanywa dosepin nyinshi kuruta uko byategetswe, vugana na muganga wawe ako kanya cyangwa uhamagare abaganga b'uburozi. Kunywa dosepin nyinshi bishobora guteza akaga kandi bishobora gutera gusinzira cyane, urujijo, umuvuduko w'umutima utajegajega, cyangwa guhumeka nabi. Ntukagerageze kwivura wenyine.

Ibimenyetso byo kurenza urugero rwa doxepin birimo gusinzira cyane, urujijo, gufatwa n'indwara, kugorana guhumeka, cyangwa kutagira ubwenge. Niba umuntu atagira ubwenge cyangwa afite ibibazo byo guhumeka, hamagara serivisi zihutirwa ako kanya. Bika urupapuro rw'umuti hamwe nawe mugihe ushaka ubufasha bwa muganga kugirango abaganga bamenye neza icyo bafashe.

Nkwiriye gukora iki niba nciwe urugero rwa doxepin?

Niba wibagiwe urugero rwa doxepin, urufate ako kanya wibuka, keretse igihe cyo gufata urugero rwawe rukurikira. Muriyo mbonerahamwe, reka urugero wibagiwe hanyuma ufate urugero rwawe rukurikira mugihe gisanzwe. Ntukigere ufata urugero ebyiri icyarimwe kugirango usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti.

Niba ufata doxepin kugirango uryame kandi wibagiwe urugero rwawe rwo kuryama, ushobora guhitamo kurureka aho kurufata nijoro, kuko ibi bishobora kugira ingaruka kumugambi wawe wo kuryama kumunsi ukurikira. Ganira na muganga wawe kubyerekeye uburyo bwiza bwimibereho yawe yihariye.

Nshobora guhagarika ryari gufata doxepin?

Ntuzigere uhagarika gufata doxepin ako kanya, kuko ibi bishobora gutera ibimenyetso byo gukurwaho nk'isuka, kuribwa numutwe, isereri, no guhinduka kwimitekerereze. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro urugero rwawe muminsi mike cyangwa mumezi mugihe kigeze cyo guhagarika umuti. Ubu buryo bwitwa tapering.

Umwanzuro wo guhagarika doxepin ugomba gufatwa buri gihe hamwe nubuyobozi bwa muganga wawe, kabone niyo wumva umeze neza. Kubijyanye numubabaro no guhangayika, guhagarika kare cyane bishobora gutuma ibimenyetso bisubira. Muganga wawe azagufasha kumenya igihe cyiza cyo kugabanya cyangwa guhagarika umuti wawe hashingiwe kumajyambere yawe nubuzima bwawe muri rusange.

Nshobora kunywa inzoga mugihe mfata doxepin?

Nibyiza kwirinda inzoga mugihe ufata doxepin, kuko uruvange rushobora kongera gusinzira no guhungabanya imikorere yawe n'imanza zawe. Inzoga kandi irashobora kubangamira imikorere yumuti kandi irashobora gukomeza ibimenyetso byumubabaro cyangwa guhangayika. Niba uhisemo kunywa rimwe na rimwe, banza ubiganireho na muganga wawe.

N'ubwo inzoga zaba nkeya, zishobora kugira ingaruka zikomeye iyo zivanzwe na doxepin. Ibi ni ingenzi cyane cyane niba urimo gufata umuti wo gusinzira, kuko inzoga zishobora kubuza umuntu gusinzira neza kandi zigahungabanya cyane ingaruka zo gutuza z'umuti wa doxepin.