Chii chinonzi Protriptyline: Zvazvinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Protriptyline mushonga weantidepressant we tricyclic unovandudza kuora mwoyo nekugadzirisa makemikari ehuropi. Kirasi iyi yekare yeantidepressants yakashandiswa kwemakumi emakore uye inoramba iri sarudzo inoshanda kune vanhu vazhinji, kunyangwe ichiwanzo kunyorerwa kana mishonga mitsva isina kushanda zvakanaka. Kunzwisisa kuti protriptyline inoshanda sei uye zvekutarisira zvinogona kukubatsira kuti unzwe wakavimbika nezvekufamba kwako kwekurapa.

Chii chinonzi Protriptyline?

Protriptyline ndeyeboka remishonga inonzi tricyclic antidepressants, iyo inoshanda zvakasiyana neantidepressants itsva yaungave wanzwa nezvayo. Yakagadzirwa muma1960s uye ine nhoroondo refu yekubatsira vanhu kudzora kuora mwoyo zvinobudirira. Kusiyana nemamwe ma tricyclic antidepressants, protriptyline inowanzoita kuti ive inokurudzira pane kuita sedating, zvinoreva kuti hazviite kuti unzwe uine hope masikati.

Chiremba wako angasarudza protriptyline kana mamwe maantidepressants asina kupa zororo raunoda. Inoonekwa sechirapa chechipiri, zvinoreva kuti vanachiremba vanowanzoedza mishonga mitsva kutanga, asi protriptyline inogona kubatsira zvakanyanya kune mamwe marudzi ekuora mwoyo kana iwe wakawana migumisiro inonetsa kubva kune mamwe madhiragi.

Protriptyline Inoshandiswa Kunei?

Protriptyline inonyanya kunyorerwa kurapa major depressive disorder, ichibatsira kusimudza kusuruvara, kushaya tariro, uye kushaya simba kunoratidza mamiriro aya. Chiremba wako angakurudzira kana wanga uchitambura nekuora mwoyo kusina kupindura zvakanaka kune mamwe marapirwo kana iwe uchida mushonga usingakonzere hope.

Kunze kwekuora mwoyo, vanachiremba dzimwe nguva vanoraira protriptyline kune dzimwe mamiriro, kunyangwe izvi zvichionekwa se "off-label" kushandiswa. Izvi zvinogona kusanganisira mhando dzakasiyana dzekurwadziwa kusingaperi, kunyanya kurwadziwa kwetsinga, kana matambudziko ekurara uko zvivakwa zvinokurudzira zvemuti uyu zvinogona kubatsira. Zvisinei, chiremba wako achanyatso kuyera mabhenefiti nenjodzi yekushandiswa kupfuura kurapa kuora mwoyo.

Protriptyline Inoshanda Sei?

Protriptyline inoshanda nekuwedzera mazinga emakemikari ehuropi anonzi neurotransmitters, kunyanya norepinephrine uye serotonin. Funga nezvemakemikari aya sematumwa anobatsira maseru etsinga muuropi hwako kuti ataure pamusoro pemanzwiro, simba, uye kugara zvakanaka kwemanzwiro. Kana mazinga aya akaderera, unogona kusangana nezviratidzo zvekuora mwoyo.

Mishonga iyi inoonekwa seyakasimba zvine mwero pakati peantidepressants, asi inoshanda zvishoma nezvishoma kupfuura zvaungatarisira. Iwe hauzowanzo kunzwa mabhenefiti akazara kwemavhiki mana kusvika matanhatu, kunyangwe vamwe vanhu vachiona kuvandudzwa kudiki mukurara kana chido mukati mevhiki rekutanga kana maviri. Hunhu hunokurudzira hwe protriptyline zvinoreva kuti inogona kubatsira nesimba uye kukurudzira, ndosaka vanachiremba vachiwanzoiraira mangwanani pane panguva yekurara.

Ndingatora Sei Protriptyline?

Unofanira kutora protriptyline sezvinorairwa nachiremba wako, kazhinji kamwe kana kaviri pazuva uine kana pasina chikafu. Vanachiremba vazhinji vanokurudzira kuitora mangwanani nekuda kwezvinokurudzira, kunyangwe vamwe vanhu vachiita zviri nani nemadosi akakamurwa zuva rese. Kuitora nechikafu kunogona kubatsira kuderedza dumbu kana uine chero kusagadzikana kwekugaya.

Zvakakwana kutora protriptyline nemukaka, mvura, kana muto. Haufaniri kudzivisa chero chikafu chipi zvacho, kunyangwe kuderedza caffeine kungave kuchenjera sezvo protriptyline necaffeine zvose zvinogona kukurudzira. Kana uri kutora kaviri pazuva, edza kupatsanura zvikamu zvakaenzana uye tora chikamu chako chekupedzisira maawa anenge matanhatu usati waenda kunorara kuti udzivise matambudziko ekurara.

Madosi ekutanga anowanzoita akaderera, anenge 10-15 mg pazuva, uye chiremba wako achawedzera zvishoma nezvishoma izvi kwemavhiki akati wandei. Iyi nzira yekuchenjerera inobatsira muviri wako kuti ujairane nemushonga uye inoderedza mukana wezvimwe zvinokonzeresa. Usambochinja dose yako kana kumira kutora protriptyline usati wataura nachiremba wako kutanga, sezvo izvi zvinogona kutungamira kune zviratidzo zvekubvisa.

Ndingatora Protriptyline Kwenguva Yakareba Sei?

Vanhu vazhinji vanoda kutora protriptyline kwemwedzi mitanhatu kusvika gore mushure mekunge zviratidzo zvavo zvekuora mwoyo zvavandudza kudzivirira kudzoka. Chiremba wako achashanda newe kuti aone nguva yakakodzera zvichienderana nemamiriro ako ega, kusanganisira kuti kuora mwoyo kwako kwakakura sei uye kana wakambove nezvikamu zvakapfuura.

Nekuda kwechikamu chako chekutanga chekuora mwoyo, unogona kutora protriptyline kwemwedzi mitanhatu kusvika gumi nemaviri mushure mekunzwa zviri nani. Kana uine zvikamu zvakawanda zvekuora mwoyo, chiremba wako anogona kukurudzira kurapwa kwenguva refu, dzimwe nguva kwemakore akati wandei. Izvi hazvisi nekuti mushonga unodhaka, asi nekuti kuora mwoyo kunowanzo dzoka kana kurapwa kukamira nekukurumidza.

Sarudzo yekuti ungaita sei kurapwa kwenguva yakareba sei inoenderana nezvinhu zvakawanda, kusanganisira kuti wakapindura sei, chero zvimwe zvinokonzeresa zvawakawana, uye njodzi yako yekudzoka kwekuora mwoyo. Chiremba wako achatarisa newe nguva dzose kuti aongorore kana kuenderera mberi nemushonga kuchiri sarudzo yakanakisa yehutano hwako hwepfungwa.

Ndezvipi Zvinokonzeresa Protriptyline?

Sezvinongoita mishonga yese, protriptyline inogona kukonzera matambudziko, kunyangwe kwete munhu wese anoawana uye matambudziko mazhinji anovandudzika muviri wako paunojaira mushonga. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye kuziva nguva yekubata chiremba wako.

Matambudziko anowanzoitika aunogona kuona anosanganisira muromo wakaoma, kuvharika, kuona kwakajeka, uye dzungu kana uchimuka nekukurumidza. Izvi zvinoitika nekuti protriptyline inokanganisa mamwe ma receptors mumuviri wako wese, kwete muropi yako chete. Heano matambudziko akakamurwa nekuti anowanzoitika sei:

Matambudziko anowanzoitika ayo vanhu vazhinji vanowana:

• Muromo wakaoma nehuro
• Kuvharika
• Kuona kwakajeka kana kuoma kufunga
• Dzungu kana uchimuka
• Kuzara kana kuneta (kunyangwe kusiri kwakajairika neprotriptyline)
• Kuwedzera uremu nekufamba kwenguva
• Kuwedzera kutukwa
• Kuoma kuita weti

Mazhinji ematambudziko aya anogoneka uye anowanzoita nani mushure memavhiki mashoma ekurapa. Kunwa mvura yakawanda, kudya chikafu chine fiber yakawanda, uye kumuka zvishoma nezvishoma kunogona kubatsira nezvakawanda zvezvinetso izvi.

Matambudziko asingawanzoitiki asi akakomba ekutarisa:

• Kurova kwemoyo nekukurumidza kana kusina kujairika
• Dzungu rakanyanya kana kufenda
• Kuvhiringidzika kana matambudziko ekuyeuka
• Kuoma kufema
• Kuvharika kwakanyanya kana kusakwanisa kuita weti
• Kudedera kana kuoma kwemhasuru
• Kurwadziwa kwemusoro kwakanyanya

Kana iwe ukawana chero ematambudziko aya akakomba, bata chiremba wako nekukurumidza. Hazvisi zvakajairika, asi zvinoda kutarisirwa kwekurapa.

Matambudziko asingawanzoitiki asi akakomba anoda kutarisirwa kwekurapa nekukurumidza:

• Kufunga kuzvikuvadza kana kuzviuraya (kunyanya muvanhu vadiki vakuru)
• Maitiro akakomba ekurwara neallergy ane rash, kuzvimba, kana kuoma kufema
• Kutapukirwa
• Kuchinja kwakanyanya mumoyo rhythm
• Zviratidzo zve serotonin syndrome (fivha, kuvhiringidzika, kukurumidza kurova kwemoyo, kuoma kwemhasuru)
• Kudonha kwakanyanya kweropa

Izvi zvinokonzera zvakanyanya hazviwanzoitiki, asi kuziva nezvazvo kunokubatsira kuziva kuti ungatsvaga rubatsiro rwekurapa nekukurumidza rini. Chiremba wako akanyora protriptyline nekuti vanotenda kuti mabhenefiti anopfuura njodzi idzi kune mamiriro ako chaiwo.

Ndiani Asingafaniri Kutora Protriptyline?

Protriptyline haina kuchengeteka kune vese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akunyora. Mamwe mamiriro uye mamiriro anoita kuti mushonga uyu uve nenjodzi, saka zvakakosha kuve akatendeseka nezve nhoroondo yako yehutano.

Haufanire kutora protriptyline kana wanga uine chirwere chemoyo munguva pfupi yapfuura, sezvo ichikwanisa kukanganisa rhythm yemoyo uye ropa. Vanhu vane mamwe mamiriro emoyo, kusanganisira matambudziko akakomba e rhythm yemoyo kana moyo block, vanofanirawo kudzivisa mushonga uyu. Chiremba wako anogona kuraira electrocardiogram (EKG) usati watanga kurapwa kana uine chero zvinonetsa pamoyo.

Mamwe mamiriro anoita kuti protriptyline isachengeteke anosanganisira glaucoma yakakomba, prostate yakakura ichikonzera matambudziko ekuyera, uye kuvharika kwakanyanya kana kuvharika kwematumbo. Kana iwe uchitora mishonga inonzi MAO inhibitors, unozofanirwa kumirira angangoita mazuva gumi nemana mushure mekumisa kuatora usati watanga protriptyline, sezvo musanganiswa unogona kukonzera kusangana kwengozi.

Vanhu vane bipolar disorder vanoda kufunga kwakakosha, sezvo protriptyline dzimwe nguva inogona kukonzera manic episodes. Kana uine nhoroondo yekutapukirwa, matambudziko echiropa, kana chirwere cheitsvo, chiremba wako anogona kusarudza mushonga wakasiyana kana kukutarisa zvakanyanya kana protriptyline ichidikanwa.

Protriptyline Mazita eBrand

Protriptyline inowanikwa pasi pemazita akawanda emhando, Vivactil ndiyo inonyanya kuzivikanwa muUnited States. Zvisinei, shanduro yezita remhando inowanzo nyorerwa mazuva ano, sezvo vanhu vazhinji vachitora shanduro yegeneric, inongonzi protriptyline hydrochloride.

Generic protriptyline inoshanda nenzira imwecheteyo seyemhando yezita uye ine chinhu chimwe chete chinoshanda. Misiyano mikuru inowanzo kuva muzvinhu zvisingashandi, ruvara, kana chimiro chemapiritsi, asi kushanda kwacho kunoramba kwakafanana. Inishuwarenzi yako inogonawo kuvhara shanduro yegeneric, zvichiita kuti ive yakachipa.

Zvimwe Zvinhu Zvokutsiva Protriptyline

Kana protriptyline isiri iyo yakakunakira, kune dzimwe nzira dzakawanda zvichienderana nezvido zvako zvakananga uye mamiriro ehutano. Chiremba wako angatarisa mamwe ma tricyclic antidepressants akadai se amitriptyline, nortriptyline, kana imipramine, ayo anoshanda zvakafanana asi ane mhedzisiro yakasiyana.

Kazhinji, vanachiremba vanogona kukurudzira maantidepressants matsva akadai se SSRIs (selective serotonin reuptake inhibitors) akadai se sertraline, fluoxetine, kana escitalopram. Mishonga iyi inowanzoita mhedzisiro shoma uye inowanzoita nyore kutsungirira, kunyangwe isingashande kune vese.

SNRIs (serotonin-norepinephrine reuptake inhibitors) akadai se venlafaxine kana duloxetine imwe sarudzo, sezvo ichikanganisa makemikari ehuropi akafanana ne protriptyline asi iine nzira yakasiyana. Kune vanhu vasina kupindura kumishonga yakawanda, vanachiremba vanogona kufunga nezvezvinhu zvitsva zvakadai se bupropion kana kunyange kurapwa kwakakosha.

Protriptyline iri Nani Pane Amitriptyline?

Protriptyline uye amitriptyline zvose ma tricyclic antidepressants, asi zvine misiyano mikuru inoita kuti imwe ive nani pane imwe zvichienderana nezvido zvako zvakananga. Musiyano mukuru ndewekuti protriptyline inowedzera uye haina kunyanya kunetsa, nepo amitriptyline ichiita kuti munhu anzwe kurara.

Kana uine dambudziko rekusava nesimba, kusava nemotivation, kana kurara zvakanyanya sechikamu chekuora mwoyo kwako, protriptyline ingave sarudzo iri nani. Kune rimwe divi, kana uine dambudziko rekurara kana kunzwa uchinetseka uye uchikangaidzika, maitiro ekuita amitriptyline anogona kubatsira zvakanyanya. Protriptyline inewo mukana mudiki wekukonzera kuwedzera kukuru uremu kana ichienzaniswa ne amitriptyline.

Mishonga yese miviri inoshanda zvakaenzana pakurapa kuora mwoyo, saka sarudzo inowanzouya pasi pemhedzisiro yaunogona kutsungirira. Chiremba wako achafunga nezve zviratidzo zvako zvakajeka, mararamiro, uye mamwe mamiriro ehutano paachasarudza kuti ndeipi tricyclic antidepressant ingashanda zvakanyanya kwauri.

Mibvunzo Inowanzo bvunzwa Nezve Protriptyline

Protriptyline Yakachengeteka Here Kune Matambudziko Emoyo?

Protriptyline inogona kukanganisa rhythm yemoyo wako uye BP, saka inoda kufunga zvakanyanya kana uine matambudziko emoyo. Chiremba wako anowanzo kuraira EKG asati atanga kurapwa uye anogona kuongorora moyo wako zvakanyanya, kunyanya mumavhiki mashoma ekutanga ekurapwa.

Kana uine mamiriro emoyo akapfava anotongwa zvakanaka, chiremba wako angangodaro achanyora protriptyline nekutarisa kwepedyo. Zvisinei, kana wamboita chirwere chemoyo munguva pfupi yapfuura, uine matambudziko akakomba emoyo, kana BP yakakwira isingadzoreki, protriptyline haikurudzirwi zvakajairika. Nguva dzose ita chokwadi nachiremba wako nezve chero zviratidzo zvepfungwa kana nhoroondo yemhuri yematambudziko emoyo.

Ndoita Sei Kana Ndikatora Protriptyline Yakawanda Netsaona?

Kana ukatora protriptyline yakawanda netsaona kupfuura yakarairwa, taura nachiremba wako, pharmacist, kana nzvimbo yekudzora chepfu nekukurumidza, kunyangwe ukanzwa zvakanaka. Tricyclic antidepressant overdoses inogona kuva yakakomba uye inogona kuva inotyisa upenyu, kunyanya kana wakatora huwandu hukuru.

Zviratidzo zvekuwandisa protriptyline zvinosanganisira kurara zvakanyanya, kuvhiringidzika, kurova kwemoyo nekukurumidza, kuoma kufema, kubatwa, kana kurasikirwa nekuziva. Kana uri kusangana nezvimwe zvezviratidzo izvi, fonera 911 kana kuenda kuchipatara chekukurumidzira nekukurumidza. Usamirira kuti uone kana zviratidzo zvichikura, sezvo kuwandisa protriptyline kunogona kuva nenjodzi nekukurumidza.

Ndoita Sei Kana Ndakanganwa Dose yeProtriptyline?

Kana ukakanganwa dose ye protriptyline, itore paunorangarira, kunze kwekunge yava nguva ye dose yako inotevera. Muchiitiko ichocho, siya dose yakakanganwa uye uenderere mberi nehurongwa hwako hwenguva dzose. Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise dose yakakanganwa, sezvo izvi zvichikwidza njodzi yako yemigumisiro.

Kana uchikanganwa madosi kazhinji, funga kuisa alarm pafoni yako kana kushandisa chirongwa chemapiritsi kuti zvikubatsire kurangarira. Kutorwa kwemadosi ezuva nezuva kunokosha kuti protriptyline ishande nemazvo, saka edza kuitora panguva imwe chete zuva rega rega. Kana ukakanganwa madosi nguva dzose, taura nachiremba wako nezve nzira dzekukubatsira kuti urambe uri munzira.

Ndingamira Rini Kutora Protriptyline?

Haufaniri kumira kutora protriptyline kamwe kamwe usina kutanga wataura nachiremba wako. Kumira kamwe kamwe kunogona kukonzera zviratidzo zvekubviswa zvinosanganisira dzungu, kusvotwa, kurwadziwa nemusoro, uye zviratidzo zvakaita sefuruwenza. Chiremba wako achakubatsira kuderedza zvishoma nezvishoma dose yako kwemavhiki akati wandei kana mwedzi kana yasvika nguva yekumira.

Sarudzo yekumira protriptyline inoenderana nekuti kuora mwoyo kwako kwakadzorwa sei, kwenguva yakareba sei wanga uchitora, uye njodzi yako yekudzoka kwekuora mwoyo. Vazhinji vanachiremba vanokurudzira kuenderera mberi nekurapa kwemwedzi inenge mitanhatu mushure mekunge zviratidzo zvako zvavandudza kudzivirira kudzoka. Vamwe vanhu vanoda kurapwa kwenguva refu, kunyanya kana vakave nezviitiko zvakawanda zvekuora mwoyo.

Ndinganwa Doro Ndiri Kutora Protriptyline Here?

Zvakanaka kudzivisa doro paunenge uchitora protriptyline, nekuti musanganiswa uyu unogona kuwedzera kurara, dzungu, uye kukanganisa kufunga kwako nekubatana. Doro rinogonawo kuwedzera zviratidzo zvekuora mwoyo uye kukanganisa kushanda kwemushonga.

Kana ukasarudza kunwa dzimwe nguva, zvidzore kumari shoma uye ziva manzwiro ako. Usambofa wakanwa doro kana wakatove uine mhedzisiro kubva kuprotriptyline, uye dzivisa kutyaira kana kushandisa michina mushure mekunwa. Kana uri kunetseka nekushandisa doro, ita shuwa kuti unokurukura izvi nachiremba wako, nekuti chikamu chakakosha chechirongwa chako chekurapa.