Symbyax
Ukuhlanganiswa kwe-olanzapine ne-fluoxetine kusetshenziswa ekwelapheni ukucindezeleka okungumzimba wokuphazamiseka okubili, nokucindezeleka kubantu abaphathwe amanye ama-antidepressants angazange asebenze kahle. Lolu dokotela akufanele lusetshenziswe ekwelapheni izinkinga zokuziphatha kubantu abadala abakhulu abane-dementia noma isifo se-Alzheimer. I-Olanzapine ne-fluoxetine isebenza ngokwandisa umsebenzi wezinto ezithile ezingamakemikhali ebizwa ngokuthi i-serotonin, i-norepinephrine, ne-dopamine ebuchosheni. Lezi zinto zikusiza ukunciphisa izimpawu zokucindezeleka. I-Olanzapine iyilungu le-antipsychotic. I-Fluoxetine iyi-antidepressant futhi iyingxenye yeqembu lemithi ebizwa ngokuthi yi-selective serotonin reuptake inhibitors (SSRIs). Lolu dokotela lutholakala kuphela ngomyalelo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Uma ukhetha ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlwempuzekile noma oluhambisana nokwaleka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokwaleka, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela yokuxuba olanzapine nefluoxetine ukuze kuphathwe ukucindezeleka kwe-bipolar I kubantwana abaneminyaka engaphansi kwengu-10 ubudala, nakubantwana abane-depression engaphatheki. Ukuphepha nokusebenza kahle akukaqiniswa kulawo maqembu. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kokuxuba olanzapine nefluoxetine kubantu abadala. Kodwa-ke, abantu abadala banamathuba amaningi okuba nedementia noma izinkinga ze-liver, izinkili, noma inhliziyo ezihlobene nobudala, okungadinga ukuqapha noma ukulungiswa komthamo kubantu abamukela ukuxuba olanzapine nefluoxetine. Izifundo kwabesifazane abancelisa zibonise imiphumela eyingozi kubantwana. Kufanele kuqokwe enye imithi noma ukhuluke ukuncelisa ngenkathi usebenzisa le mithi. Nakuba imithi ethile ingafanele isetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izindlela zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye zezinto ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihambisana nemiphumela, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani enye noma kokubili imithi. Imithi ethile akufanele isetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngemithi ethile kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungase kungakhuphuki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Thatha leli leyeza kuphela njengoba kunqunyiwe ngudokotela wakho ukuze uzuze isimo sakho kangcono. Ungathathi okuningi kwalokhu, ungathathi kaningi, futhi ungathathi isikhathi eside kunalokho okunqunyiwe ngudokotela wakho. Leli leyeza kufanele libe ne-Medication Guide. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho noma umthengisi wezidakamizwa uma unemibuzo. Ungathatha leli leyeza ngokudla noma ngaphandle kokudla. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani ajwayelekile aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani leyeza olithathayo lixhomekeke emandleni eleyeza. Futhi, inani lezinani olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinani, nobude besikhathi olithatha khona leli leyeza kuya ngesimo sezokwelapha olisebenzisela lona. Uma uphuthelwa yisilinganiso saleli leyeza, silithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesilinganiso sakho esilandelayo, susa isilinganiso esiphuthelwe bese ubuyela esimisweni sakho sokuthola isilinganiso. Ungawandisi ama-doses. Gcina leli leyeza esitsheni esivaliwe ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungawagqabi. Gcina ungafinyeleleki kubantwana. Ungagcini leyeza eliphelile noma leyeza elingasasetshenziswa. Buza ochwepheshe bezempilo ukuthi kufanele ulahle njani noma yiliphi leyeza ongeke ulisetshenzise.