Venlafaxine (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Effexor, Effexor-XR
Mayelana naleli khambi
I-Venlafaxine isetyenziselwa ukwelapha ukucindezeleka. Isetshenziswa futhi ekwelapheni isifo sokukhathazeka okukhulu, isifo sokukhathazeka komphakathi, nesifo sokuhlazeka. I-Venlafaxine iyingxenye yeqembu lemithi ebizwa ngokuthi yi-serotonin ne-norepinephrine reuptake inhibitors (SNRIs). Kucatshangelwa ukuthi le mithi isebenza ngokwandisa umsebenzi wekhemikhali ebizwa nge-serotonin ebuchosheni. Lolu lwelapha luyatholakala kuphela ngomyalelo wodokotela. Lo mkhiqizo uyatholakala ngezindlela zokulinganisela ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukhetha ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokuthatha imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unanoma yiluphi olunye uhlobo lwe-alerji, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi noma iyiphi inzuzo yokusebenzisa i-venlafaxine kubantwana. Izifundo zibonise ukuthi abanye abantwana, intsha, nabantu abadala abasebancane bacabanga ngokuziphanga noma bazama ukuziphanga uma bethatha imithi. Ngenxa yale nto, ukusetshenziswa kwabantwana akunconywa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-venlafaxine kubantu abadala. Noma kunjalo, iziguli ezikhulile zingase zibe nokuzwela okukhulu emiphumeleni yale mithi okungabangela i-hyponatremia (amanqanaba aphansi e-sodium egazini), noma izinkinga ze-liver noma izinkinga zezinso ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa komthamo kwabaguli abasebenzisa i-venlafaxine. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izimithi akufanele zisetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingase isetshenziswe ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izindlela zokuphepha zingase zidingeke. Uma uthatha le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo akunconywa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izimithi ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akunconywa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlobene nemiphumela emibi, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nezinye izimithi kungase futhi kubangele ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile akunconywa, kodwa kungase kungakhuphuki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa 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 unanoma iyiphi enye inkinga yezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli leyeza kuphela njengoba kunconywe udokotela wakho ukuze uzuze kakhulu esimweni sakho. Ungathathi okuningi, ungathathi kaningi, futhi ungathathi isikhathi eside kunalokho udokotela wakho akuyalile. Leli leyeza kufanele libe ne-Medication Guide. Landela imiyalo ngokucophelela. Buza udokotela wakho uma unemibuzo. Thatha ikhaphsuli noma ithebulethi yokukhululwa okwandisiwe ngokudla ekuseni noma ngokuhlwa cishe ngesikhathi esifanayo nsuku zonke. Uma udokotela wakho ekutshela ukuthi uthathe leli leyeza ngendlela ethile, lithathe ngokuqondile njengoba kunconywe. Gwinya ikhaphsuli yokukhululwa okwandisiwe yonke nge-fluid. Ungayicwili, ungayikunye, ungayinqamula, noma ufake ikhaphsuli e-liquid. Uma ungakwazi ukugwinya ikhaphsuli yokukhululwa okwandisiwe, ivule bese uthulula leli leyeza esipuni se-applesauce. Gwinya ingxube ye-applesauce neleyeza ngokushesha ngaphandle kokukuma. Phuza iglasi lamanzi ukuze lonke leli leyeza ligwinywe. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela amanani ajwayelekile aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani leli leyeza olithathayo lixhomekeke emandleni eleyeza. Futhi, inani lezinye olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinye, nobude besikhathi olithatha leli leyeza kuya ngenkinga yezokwelapha oyisebenzisela leli leyeza. Uma uphuthelwa yisilinganiso saleli leyeza, lithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesilinganiso sakho esilandelayo, susa isilinganiso esiphuthelwe bese ubuyela esimweni sakho esivamile sokuthola isilinganiso. Ungawandisi ama-doses. Gcina leli leyeza esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungaganduki. Gcina ungafinyeleleki kubantwana. Ungagcini leyeza eliphelile noma leyeza elingasadingeki. Buza ochwepheshe bezempilo ukuthi kufanele ulahle kanjani noma yiliphi leyeza ongeke ulisetshenzise.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.