Icyo Duloxetine Aricyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Duloxetine ni umuti wandikirwa na muganga ufasha kuringaniza imisemburo imwe n'imwe mu bwonko bwawe no mu mikorere y'imitsi. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa serotonin-norepinephrine reuptake inhibitors (SNRIs), ikora yongera urwego rwa serotonin na norepinephrine - imisemburo ibiri y'ingenzi igira uruhare mu myumvire, ububabare, n'imikorere y'imitsi.

Uyu muti ukoreshwa cyane mu kuvura umubabaro, guhangayika, n'indwara zimwe na zimwe z'ububabare buhoraho. Muganga wawe ashobora kugusaba duloxetine niba ufite ibimenyetso byinshi icyarimwe, kuko ishobora kuvura ibibazo byo mu mutwe n'ibibazo by'umubiri icyarimwe.

Duloxetine ikoreshwa mu kuvura iki?

Duloxetine ivura indwara zitandukanye ikoresha imisemburo imwe n'imwe yo mu bwonko igira uruhare mu myumvire n'ububabare. Muganga wawe ayikwandikira bitewe n'ibimenyetso byawe byihariye n'amateka yawe y'ubuzima.

Uyu muti wemewe na FDA mu kuvura indwara yo kwiheba, ifasha gukuraho kumva ubabaye, kumva nta cyizere, no gutakaza inyungu mu bikorwa bya buri munsi. Abantu benshi basanga imbaraga zabo n'imbaraga zabo zigenda zizamuka buhoro buhoro mu byumweru bike bya mbere by'imiti.

Ku ndwara zo guhangayika, duloxetine irashobora kugabanya impungenge zikabije, ubwoba, no guhagarika umubiri. Ifasha cyane ku ndwara yo guhangayika rusange, aho ushobora kumva uhangayitse kubera ibintu byinshi bitandukanye umunsi wose.

Uyu muti kandi uvura ububabare bw'imitsi ya diyabete, indwara yitwa diabetic peripheral neuropathy. Niba urwaye diyabete kandi ukumva uribwa, uruma, cyangwa ububabare mu ntoki cyangwa mu birenge, duloxetine irashobora gufasha kugabanya ibi byiyumvo bitari byiza.

Byongeye kandi, duloxetine ikoreshwa kuri fibromyalgia, indwara ihoraho itera ububabare bw'imitsi hose, umunaniro, n'ahantu hatari hasanzwe mu mubiri. Irashobora gufasha kugabanya ubukana bw'ububabare no kunoza umwanya wo gusinzira ku bantu benshi bafite iyi ndwara.

Abaganga bamwe na bamwe na bo bandikira duloxetine ku barwayi bafite ububabare buhoraho bwo mu ngingo, harimo kubabara umugongo no kubabara mu ngingo. Uyu muti ushobora gufasha cyane iyo uburwayi bujyana no kwiheba cyangwa guhangayika.

Duloxetine ikora ite?

Duloxetine ikora ibuza umubiri gufata imisemburo ibiri y'ingenzi yo mu bwonko yitwa serotonin na norepinephrine. Bitekereze nk'ifasha ubwonko bwawe gufata iyi misemburo ifasha aho kuyisubiza vuba.

Serotonin igira uruhare runini mu kugenzura imitekerereze, gusinzira, no kurya. Iyo ufite serotonin nyinshi mu bwonko bwawe, birashoboka ko wumva wumva utuje mu byiyumvo kandi ugasinzira neza.

Norepinephrine igira ingaruka ku mitekerereze n'ibimenyetso by'ububabare mu mubiri wawe. Mu kongera urwego rwa norepinephrine, duloxetine ishobora gufasha kugabanya uko ububabare bwumvwa kandi ikanongera imbaraga no gushyira mu bikorwa.

Iyi mikorere ibiri ituma duloxetine ifasha cyane abantu bafite ibimenyetso by'amarangamutima n'ububabare bwo mu mubiri. Uyu muti ufashwe nk'ufite imbaraga zikomeye, akenshi bifata ibyumweru 2-4 kugira ngo bigaragare neza ku bimenyetso by'imitekerereze rimwe na rimwe bikaba byatinda kugira ngo ububabare bugabanuke.

Bitandukanye n'izindi nshuti z'agahinda, duloxetine ntigira ingaruka zikomeye ku bareceptor ba histamine cyangwa acetylcholine, bivuze ko bidashoboka ko byatera gusinzira cyangwa umunwa wumye nk'ingaruka z'ibanze.

Nkwiriye gufata duloxetine nte?

Fata duloxetine uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi hamwe n'ibiryo cyangwa utabifite. Ibinini bigomba kumirwa byose hamwe n'amazi - ntukabikore, ntukabihahane, cyangwa ngo ubifungure, kuko ibi bishobora kugira ingaruka ku buryo umuti usohoka mu mubiri wawe.

Ushobora gufata duloxetine hamwe n'ibiryo niba bigutera isesemi, nubwo ibiryo bitakenewe kugira ngo umuti winjire neza mu mubiri. Abantu benshi basanga kubifata mu gitondo bibafasha kwibuka urugero rwabo rwa buri munsi kandi bigabanya ibibazo byose byo mu gifu.

Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugira ngo urugero rwayo rukomeze kuba ruringaniye mu mubiri wawe. Niba wandikiwe kuyifata kabiri ku munsi, shyira intera hagati y’imiti ingana n’amasaha 12, nk'uko ubikora mu gitondo na nimugoroba.

Irinde kunywa inzoga mugihe ufata duloxetine, kuko bishobora kongera ibyago byo kurwara umwijima kandi bishobora gutuma ingaruka zirushaho kuba mbi nk'uko kuribwa umutwe cyangwa gusinzira. Niba unywa rimwe na rimwe, ganira n'umuganga wawe ku bijyanye n'urugero rwo kunywa ruzewe.

Ntukareke gufata duloxetine ako kanya, n'ubwo wumva umeze neza. Umuganga wawe azagufasha kugabanya buhoro buhoro urugero rwawo igihe kigeze cyo guhagarika umuti, ibyo bifasha kwirinda ibimenyetso byo kuva mu miti.

Nzamara Igihe Kingana Gite Ndafataga Duloxetine?

Igihe cyo kuvurwa na duloxetine gitandukana cyane bitewe n'uburwayi bwawe n'uburyo umubiri wawe ubyakira. Kubijyanye no kwiheba cyangwa guhangayika, abantu benshi bayifata byibuze amezi 6-12 nyuma yuko ibimenyetso bigabanuka kugira ngo birinde gusubira mu burwayi.

Niba ufata duloxetine kubera uburwayi burambye bw’ububabare nka fibromyalgia cyangwa ububabare bw’imitsi ya diyabete, ushobora gukenera kuvurwa igihe kirekire kuko ubu burwayi buhoraho. Umuganga wawe azajya agenzura buri gihe niba umuti ugikomeza kugufasha.

Abantu bamwe bafata duloxetine imyaka myinshi, mu gihe abandi bashobora kuyikenera mu gihe gito gusa. Ikintu cy'ingenzi ni ugukorana n'umuganga wawe kugira ngo umenye igihe gikwiye cyo kuyifata bitewe n'uburwayi bwawe n'intego z'ubuzima bwawe.

Ibyo guhura n'abaganga buri gihe bifasha umuganga wawe gukurikirana uko urimo urivurwa no guhindura uburyo bwo kuvura uko bikwiye. Bazareba niba ibimenyetso byawe bigenzurwa neza kandi niba hari ingaruka mbi zikubaho.

Igihe kigeze cyo guhagarika duloxetine, umuganga wawe azategura gahunda yo kugabanya buhoro buhoro urugero rwawo mu byumweru byinshi. Ibi bifasha umubiri wawe guhinduka kandi bigabanya ibyago byo kugira ibimenyetso byo kuva mu miti.

Ni Izihe Ngaruka Ziterwa na Duloxetine?

Kimwe n'imiti yose, duloxetine ishobora gutera ingaruka zidakunda, nubwo abantu benshi bayihanganira neza. Ingaruka nyinshi zidakunda ziba zoroshye cyangwa ziciriritse kandi akenshi zirushaho uko umubiri wawe umenyera umuti mu byumweru bya mbere.

Ingaruka zidakunda zisanzwe ushobora guhura nazo zirimo isesemi, umunwa wumye, gusinzira, umunaniro, no kubura umwanya. Ibi bikunda kubaho mu ntangiriro zo kuvurwa kandi akenshi biragabanuka uko ukomeza gufata umuti.

Dore ingaruka zidakunda zikunda kugaragara zikora ku bantu benshi bafata duloxetine:

• Isesemi no kurwara mu nda, cyane cyane mu cyumweru cya mbere
• Umunwa wumye, ushobora gufashwa no kuguma mu mazi
• Gusinzira cyangwa umunaniro, cyane cyane mugihe utangiye kuvurwa
• Urugero, cyane cyane iyo uhagurutse vuba
• Kubura umwanya, bishobora gukemurwa no kongera fibre n'amazi
• Kugabanya ubushake bwo kurya no gushobora gutakaza ibiro
• Kugorana gusinzira cyangwa inzozi zidasanzwe
• Kwikanga cyane

Izi ngaruka zidakunda zisanzwe muri rusange ziragendeka kandi abantu benshi basanga zigabanuka cyane nyuma y'ukwezi kwa mbere ko kuvurwa.

Abantu bamwe bahura n'ingaruka zidakunda ariko zikaba ziteye impungenge zikeneye ubufasha bwa muganga. Ingaruka zidakunda zerekeye imibonano mpuzabitsina zirashobora kubaho, harimo kugabanuka kwa libido cyangwa kugorana kugera ku byishimo, bikora ku bagabo n'abagore.

Ugomba kuvugana na muganga wawe niba uhuye n'imwe muri izi ngaruka zikomeye:

• Isesemi ikabije cyangwa kuruka bikubuza kurya
• Gusohoka amaraso cyangwa gukomereka bidasanzwe
• Urugero rukabije cyangwa guta ubwenge
• Umutima utera vuba cyangwa utagira umurongo
• Umutwe ukabije
• Kuvurungana cyangwa ibibazo byo kwibuka
• Ubugwari bw'imitsi cyangwa guteguka

Ibi bimenyetso ntibisanzwe ariko bikwiye isuzuma ryihuse rya muganga kugirango umutekano wawe wemezwe kandi uhindure imiti niba bibaye ngombwa.

Ingaruka zidakunze ariko zikomeye zirashobora kubaho, nubwo zifata abantu bake cyane bafata duloxetine. Ibibazo by'umwijima birashoboka, bityo muganga wawe ashobora kugenzura imikorere y'umwijima wawe akoresheje ibizamini by'amaraso, cyane cyane niba ufite ibintu byongera ibyago.

Syndrome ya Serotonin ni uburwayi budakunze ariko bushobora kuba bukomeye bushobora kubaho mugihe ufata duloxetine, cyane cyane hamwe n'indi miti igira ingaruka kuri serotonin. Ibimenyetso birimo umuriro mwinshi, umutima utera cyane, umubiri uguma, no kuvurungana.

Abantu bamwe, cyane cyane abari munsi y'imyaka 25, bashobora guhura n'ibitekerezo byo kwiyahura byiyongera mugihe batangira gufata duloxetine. Ibi byago ni byinshi muminsi mike ya mbere yo kuvurwa kandi bisaba gukurikiranwa neza na muganga wawe n'abagize umuryango.

Angle-closure glaucoma ni uburwayi bw'amaso budakunze ariko bukomeye bushobora guterwa na duloxetine kubantu bashobora kubyitwaramo. Ibimenyetso birimo kubabara cyane mumaso, impinduka mumaso, no kubona halos zizenguruka amatara.

Ninde Utagomba Gufata Duloxetine?

Duloxetine ntirinzwe kuri buri wese, kandi muganga wawe azagenzura neza amateka yawe yubuvuzi mbere yo kuyandika. Uburwayi bumwe na bumwe n'imiti birashobora gutuma duloxetine idakwiriye cyangwa ikaba yateza akaga kuri wewe.

Ntabwo ugomba gufata duloxetine niba urimo gufata cyangwa umaze guhagarika gufata monoamine oxidase inhibitors (MAOIs), ubwoko bwa antidepressant. Hagomba kubaho nibura intera y'iminsi 14 hagati yo guhagarika MAOI no gutangira duloxetine kugirango wirinde guhura n'ibibazo biteje akaga.

Abantu bafite indwara ikomeye y'umwijima cyangwa ibibazo by'impyiko ntibashobora kuba abakandida beza ba duloxetine, kuko izi ngingo zifasha gutunganya no gukuraho imiti mumubiri wawe. Muganga wawe ashobora gukurikiranira hafi imikorere y'umwijima n'impyiko mbere yo kuyandika.

Niba ufite glaucoma idafite ubugenzuzi, duloxetine irashobora gukomeza uburwayi bwawe mugutuma umuvuduko wiyongera mumaso yawe. Muganga wawe w'amaso n'umuganga wandika imiti bagomba guhuza ubuvuzi niba ufite ubwoko ubwo aribwo bwose bwa glaucoma.

Abantu bafite amateka yo kurwara ibihungabana bagomba gukoresha duloxetine bafite ubushishozi, kuko bishobora kugabanya urugero rwo guhungabana kuri bamwe. Muganga wawe azagereranya inyungu n'ibibazo bishingiye ku mateka yawe yo guhungabana n'imiti ukoresha ubu.

Niba urwaye indwara ya bipolar, duloxetine irashobora gutera ibihe by'uburwayi bwo mu mutwe, cyane cyane niba utafata umuti ugabanya amarangamutima. Muganga wawe azasuzuma neza amateka yawe yo mu mutwe mbere yo kugusuzuma uyu muti.

Gusama no konsa bisaba kwitonderwa byihariye. Nubwo duloxetine itagaragazwa neza ko yangiza mugihe cyo gutwita, irashobora kwambuka placenta ikagira ingaruka ku mwana wawe. Muganga wawe azaganira ku bibazo n'inyungu niba utwite cyangwa ufite gahunda yo gutwita.

Amazina y'ubwoko bwa Duloxetine

Duloxetine iboneka munsi y'amazina menshi y'ubwoko, Cymbalta ikaba ariyo izwi cyane kandi ikoreshwa cyane. Uyu muti w'izina ry'ubwoko niwo wari uwa mbere watejwe imbere na Eli Lilly and Company.

Duloxetine rusange nayo iraboneka kuva kubakora benshi kandi akenshi ihendutse kuruta ubwoko bw'amazina. Ubwoko rusange burimo ibintu bimwe bikora kandi bikora neza nka Cymbalta.

Andi mazina y'ubwoko arimo Drizalma Sprinkle, iza mumashini ashobora gufungurwa agasasukwa ku biryo kubantu bagorwa no kumira ibinini. Ubu bwoko bufasha cyane abantu bakuze cyangwa abafite ingorane zo kumira.

Ubwishingizi bwawe bushobora gukunda duloxetine rusange kuruta amazina y'ubwoko, cyangwa ibinyuranye. Niba umaze igihe gito ukoresha ubwoko bumwe, muganga wawe ashobora kugusaba gukomeza kubukoresha aho guhinduranya ubwoko cyangwa rusange.

Uburyo bwo gusimbuza Duloxetine

Imiti myinshi isimbura irashobora kuvura ibibazo bimwe nka duloxetine, nubwo guhitamo neza biterwa n'ibimenyetso byawe byihariye n'amateka yawe yo kwa muganga. Muganga wawe azagufasha gushakisha amahitamo niba duloxetine itagukwiriye.

Izindi miti ya SNRI zirimo venlafaxine (Effexor) na desvenlafaxine (Pristiq), zikora kimwe na duloxetine ariko zishobora kugira ingaruka zitandukanye. Abantu bamwe bakira neza SNRI imwe kurusha iyindi.

Ibiyobyabwenge byatoranijwe byongera serotonin (SSRIs) nka sertraline (Zoloft), escitalopram (Lexapro), na fluoxetine (Prozac) ni izindi nzira zo kuvura agahinda no guhangayika. Ariko, ntibakunze gufasha mu bibazo by'ububabare nk'uko duloxetine ibikora.

Mu bibazo by'ububabare by'umwihariko, gabapentin na pregabalin ni izindi nzira zikora mu buryo butandukanye na duloxetine. Iyi miti igamije ububabare bw'imitsi kandi ishobora kuba uburyo bwiza niba ufite ingaruka zikomeye za duloxetine.

Imiti ivura agahinda ya Tricyclic nka amitriptyline ishobora gufasha mu kuvura agahinda n'ububabare buhoraho, ariko akenshi igira ingaruka nyinshi kurusha imiti mishya. Ishobora gutekerezwa niba izindi nzira zitagize icyo zikora.

Uburyo butari ubw'imiti burimo imikorere y'imyitwarire, imiti y'umubiri, n'imibereho ishobora gufasha cyangwa rimwe na rimwe gusimbura imiti, bitewe n'uburwayi bwawe n'ibyo ukunda.

Ese Duloxetine iruta Sertraline?

Duloxetine na sertraline zombi ni imiti ivura agahinda ifite akamaro, ariko zikora mu buryo butandukanye kandi zifite inyungu zitandukanye bitewe n'ibyo ukeneye. Nta na imwe iruta iyindi - guhitamo neza biterwa n'ibimenyetso byawe n'uburyo umubiri wawe ubyakira.

Duloxetine ifite inyungu niba ufite agahinda n'ububabare buhoraho, kuko yemerejwe by'umwihariko kuvura ibibazo by'ububabare nka fibromyalgia n'ububabare bw'imitsi ya diyabete. Sertraline ikunda kuvura ibibazo by'amarangamutima no guhangayika itagize ingaruka zikomeye zo kugabanya ububabare.

Ku bw'agahinda gakomeye cyangwa guhangayika gusa nta bwoba, sertraline ishobora gukundwa n'abaganga bamwe kuko imaze igihe kinini ikoreshwa kandi hari ubushakashatsi bwinshi buyishyigikiye. Iraboneka kandi mu buryo bw'amazi, bishobora gufasha mu guhindura urugero rwa dose.

Uburyo bwo kugaragaza ingaruka ziterwa n'imiti iratandukanye hagati y'imiti yombi. Sertraline ishobora gutera ingaruka zifitanye isano n'imibonano mpuzabitsina no guhangayika mu ntangiriro, mugihe duloxetine ikunda gutera isesemi kandi ishobora kugira ingaruka ku mitsi y'amaraso.

Ibitekerezo by'ibiciro bishobora gushyigikira sertraline, kuko imaze igihe kinini ikoreshwa mu buryo rusange kandi ishobora kuba ihendutse. Ariko, ubwishingizi buratandukanye, kandi gahunda yawe yihariye ishobora kwishyura kimwe kurusha ikindi.

Umuganga wawe azatekereza ishusho yawe yuzuye y'ubuzima, harimo n'indi miti ufata, indwara zihari, n'ibyo ukunda ku giti cyawe mugihe uhitamo hagati y'izi mpuzamiti.

Ibikunze Kubazwa Kuri Duloxetine

Ese Duloxetine iratekanye kuri diyabete?

Yego, duloxetine muri rusange iratekanye ku bantu barwaye diyabete kandi yemerewe kuvura uburibwe bw'imitsi buterwa na diyabete. Abantu benshi barwaye diyabete bafata duloxetine by'umwihariko kubera kwangirika kw'imitsi gushobora guterwa n'isukari idagenzurwa neza.

Uyu muti ntugira ingaruka zigororotse ku rugero rw'isukari mu maraso, bityo ntuzabangamira imicungire ya diyabete yawe. Ariko, niba duloxetine igabanya cyane ubushake bwawe bwo kurya, birashoboka ko ukeneye guhindura imiti ya diyabete yawe kugirango wirinde ibihe byo kugabanuka k'isukari mu maraso.

Umuganga wawe azagukurikiranira hafi niba ufite diyabete kandi ufata duloxetine, cyane cyane niba ufite n'ibibazo by'impyiko, bishobora kuba ingaruka za diyabete. Ibizamini by'amaraso bisanzwe bifasha kumenya neza ko ibibazo byombi bicungwa neza.

Nigute nzakora niba mfata duloxetine nyinshi mu buryo butunganye?

Niba wanyoye duloxetine nyinshi kuruta uko wagombaga, vugana n'umuganga wawe cyangwa ikigo gishinzwe ubumara ako kanya, kabone n'iyo wumva umeze neza. Kunywa nyinshi bishobora gutera ingaruka zikomeye zitagaragara ako kanya.

Ibimenyetso byo kunywa duloxetine nyinshi bishobora kwerekanwa no kuruka cyane, kuribwa, gusinzira cyane, kuribwa umutwe, umutima wihuta, no gufatwa n'ibihungabanyo. Ntukagerageze kwivugisha niba utabitegetswe n'abaganga.

Guma n'agacupa k'umuti igihe ushaka ubufasha bw'ubuvuzi, kuko abaganga bazakenera kumenya neza urugero wanyoye n'igihe. Igihe ni ingenzi mu gihe cyo kunywa umuti mwinshi, bityo ntukegere gutegereza kureba niba ibimenyetso bigaragara.

Kugirango wirinde impanuka zizaza, tekereza gukoresha agasanduku k'imiti cyangwa gushyiraho ibyibutso kuri terefone yawe kugirango bigufashe gukurikirana imiti yawe ya buri munsi. Ntukigere wongera imiti niba utekereza ko wibagiwe imwe.

Nigira nte niba nibagiwe kunywa duloxetine?

Niba wibagiwe kunywa duloxetine, yinywe ako kanya wibuka, keretse igihe cyo kunywa urugero rukurikira rwegereje. Ntukanywe imiti ibiri icyarimwe kugirango usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka.

Niba hashize amasaha arenga 12 uhereye igihe wibagiwe kunywa umuti kandi unywa duloxetine rimwe ku munsi, reka urugero wibagiwe hanyuma usubire ku gahunda yawe isanzwe. Kuyinywa hafi cyane n'urugero rukurikira bishobora gutera ibibazo.

Kutanywa imiti rimwe na rimwe ntizatera ingaruka zikomeye, ariko gerageza kugumana uburyo bumwe kugirango ubone ibisubizo byiza. Shyiraho alarme kuri terefone cyangwa ukoreshe porogaramu yibutsa imiti kugirango igufashe kwibuka imiti yawe ya buri munsi.

Niba ukunda kwibagirwa imiti, vugana n'umuganga wawe kubijyanye n'uburyo bwo kunoza imikoreshereze y'imiti. Bashobora gutanga igitekerezo cyo kuyinywa mu gihe gitandukanye cyangwa kuyihuza n'ibikorwa bya buri munsi nko kumesa amenyo.

Nshobora guhagarika kunywa duloxetine ryari?

Ugomba guhagarika kunywa duloxetine ari uko ubisabwe na muganga, kabone n'iyo wumva umeze neza rwose. Guhagarika ako kanya bishobora gutera ibimenyetso bitari byiza byo kuva mu miti kandi bishobora gutuma indwara yawe yari yakuziye igaruka.

Muganga wawe azagufasha gukora gahunda yo kugabanya urugero rwa duloxetine buhoro buhoro mu gihe cy'ibyumweru byinshi cyangwa amezi. Kugabanya buhoro bifasha umubiri wawe kumenyera kandi bigabanya ibimenyetso byo kuva mu miti nk'isazi, isesemi, n'imihindagurikire y'amarangamutima.

Umwanzuro wo guhagarika duloxetine uterwa n'igihe umaze uyinywa, uburyo ibimenyetso byawe bigenzurwa, niba warakoze izindi mpinduka zifasha ubuzima bwawe bwo mu mutwe, nk'imivurungire cyangwa impinduka mu mibereho.

Abantu bamwe bakeneye kunywa duloxetine igihe kirekire kugira ngo birinde ko ibimenyetso byongera kugaruka, mu gihe abandi bashobora kuyihagarika neza nyuma y'uko indwara yabo imeze neza. Muganga wawe azagufasha kumenya igihe gikwiye gishingiye ku miterere yawe bwite.

Nshobora kunywa inzoga nkanwa duloxetine?

Ni byiza kwirinda inzoga mu gihe unywa duloxetine, kuko guhuza ibi bishobora kongera ibyago byo kurwara umwijima no gukomeza ingaruka ziterwa n'umuti nk'isazi n'ibitotsi. Inzoga kandi ishobora kubangamira imikorere y'umuti.

Niba uhisemo kunywa rimwe na rimwe, wikongerera urugero ruto kandi uvugane na muganga wawe ku bijyanye n'urugero rw'inzoga ruzewe. Bazatekereza ku buzima bwawe muri rusange, indi miti ufata, n'ibintu by'ibyago byawe bwite.

Inzoga na duloxetine byombi bishobora kugira ingaruka ku mwijima wawe, bityo kubihuza buri gihe ntibigirwa inama. Muganga wawe ashobora gushaka gukurikirana imikorere y'umwijima wawe cyane niba ufite amateka yo kunywa inzoga.

Wibuke ko inzoga ari ikintu kigabanya imbaraga gishobora gukomeza ibimenyetso by'agahinda n'umunabi, bishobora guhangana n'inyungu z'umuti wawe. Jya wibanda ku zindi nzira zo gusabana no kuruhuka mu gihe uri gushyiraho imbaraga hamwe na duloxetine.