Yini i-Duloxetine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Duloxetine iyimithi kadokotela esiza ukulinganisela amakhemikhali athile ebuchosheni bakho nasohlelweni lwakho lwezinzwa. Ingesigaba semithi ebizwa ngokuthi ama-serotonin-norepinephrine reuptake inhibitors (SNRIs), asebenza ngokukhuphula amazinga e-serotonin kanye ne-norepinephrine - ama-neurotransmitters amabili abalulekile athinta imizwa, ubuhlungu, kanye nokusebenza kwezinzwa.

Le mithi ivame ukunqunyelwa ukucindezeleka, ukukhathazeka, nezinhlobo ezithile zezimo zobuhlungu ezingapheli. Udokotela wakho angase ancome i-duloxetine uma ubhekene nezimpawu eziningi ngesikhathi esisodwa, njengoba ingabhekana nezinkinga ezingokomzwelo nezingokomzimba ngasikhathi sinye.

Yini i-Duloxetine Esetshenziselwa Yona?

I-Duloxetine iphatha izimo eziningi ezahlukene ngokusebenza ngamakhemikhali obuchopho afanayo athonya kokubili imizwa kanye nokuqonda ubuhlungu. Udokotela wakho uyinquma ngokuya ngezimpawu zakho ezithile kanye nomlando wakho wezokwelapha.

Le mithi ivunywe yi-FDA yokucindezeleka okukhulu, isiza ukuqeda imizwa eqhubekayo yokudabuka, ukungabi nathemba, nokulahlekelwa intshisekelo emisebenzini yansuku zonke. Abantu abaningi bathola amazinga abo wamandla kanye nokukhuthala kancane kancane ngamasonto ambalwa okuqala okwelashwa.

Ezinkingeni zokukhathazeka, i-duloxetine ingasiza ukunciphisa ukukhathazeka ngokweqile, ukukhathazeka, nokungezwani komzimba. Isebenza ikakhulukazi ekuphathweni kokukhathazeka okujwayelekile, lapho ungase uzizwe ukhathazekile ngezinto eziningi ezahlukene usuku lonke.

Le mithi iphinda iphathe ubuhlungu bezinzwa zesifo sikashukela, isimo esibizwa ngokuthi i-diabetic peripheral neuropathy. Uma unesifo sikashukela futhi uhlangabezana nokusha, ukuluma, noma ubuhlungu obukhulu ezandleni zakho noma ezinyaweni zakho, i-duloxetine ingasiza ukunciphisa le mizwa engakhululeki.

Ngaphezu kwalokho, i-duloxetine isetshenziselwa i-fibromyalgia, isimo esingapheli esibangela ubuhlungu bemisipha obubanzi, ukukhathala, namaphuzu athambile emzimbeni wonke. Ingasiza ukunciphisa ukuqina kobuhlungu futhi ithuthukise ikhwalithi yokulala kubantu abaningi abanalesi simo.

Abanye odokotela baphinda banikeze i-duloxetine ngenxa yobuhlungu obungapheli be-musculoskeletal, okuhlanganisa ubuhlungu obuseqolo kanye nobuhlungu be-osteoarthritis. Umuthi ungaba usizo ikakhulukazi uma izimo zobuhlungu zenzeka kanye nokucindezeleka noma ukukhathazeka.

Isebenza Kanjani I-Duloxetine?

I-Duloxetine isebenza ngokuvimba ukuthathwa kabusha kwamakhemikhali amabili abalulekile ebuchosheni abizwa ngokuthi i-serotonin ne-norepinephrine. Cabanga ngayo njengokusiza ubuchopho bakho ukuthi bubambe amakhemikhali amaningi awusizo esikhundleni sokuwasebenzisa kabusha ngokushesha.

I-Serotonin idlala indima ebalulekile ekulawuleni imizwa, ukulala, kanye nesifiso sokudla. Uma une-serotonin eningi etholakalayo ebuchosheni bakho, maningi amathuba okuthi uzizwe ulungele ngokomzwelo futhi uthole amaphethini angcono okulala.

I-Norepinephrine ithinta kokubili imizwa nezimpawu zobuhlungu emzimbeni wakho wonke. Ngokwandisa amazinga e-norepinephrine, i-duloxetine ingasiza ekunciphiseni ukuzwa ubuhlungu ngenkathi futhi ithuthukisa ukugxila kanye namazinga wamandla.

Lesi senzo esiphindwe kabili senza i-duloxetine isebenze kahle ikakhulukazi kubantu abathola kokubili izimpawu ezingokomzwelo nobuhlungu obungokomzimba. Umuthi uthathwa njengomuthi oqinile ngokulinganisela, ngokuvamile kuthatha amasonto angu-2-4 ukukhombisa imiphumela ephelele yezimpawu zemizwa futhi ngezinye izikhathi kuthatha isikhathi eside ukuze kukhululeke ubuhlungu.

Ngokungafani neminye imithi yokucindezeleka, i-duloxetine ayithinti ngokuphawulekayo ama-histamine noma ama-acetylcholine receptors, okusho ukuthi mancane amathuba okuthi ibangele ukozela noma umlomo owomile njengemiphumela emibi eyinhloko.

Kufanele Ngiyithathe Kanjani I-Duloxetine?

Thatha i-duloxetine ngendlela eqondile udokotela wakho ayikuyale ngayo, ngokuvamile kanye noma kabili ngosuku ngokudla noma ngaphandle kokudla. Amaphilisi kufanele agwinywe wonke ngamanzi - ungawachobozi, uwahlafune, noma uwaqhumise, ngoba lokhu kungathinta indlela umuthi okhululwa ngayo emzimbeni wakho.

Ungathatha i-duloxetine ngokudla uma ikucasula isisu, nakuba ukudla kungadingeki ukuze kumuncwe kahle. Abantu abaningi bathola ukuthi ukuyithatha nangesidlo sasekuseni kubasiza ukuthi bakhumbule umthamo wabo wansuku zonke futhi kunciphisa noma yikuphi ukuphatheka kabi kwesisu kokuqala.

Zama ukuthatha imithi yakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho. Uma unikezwe umthamo kabili ngosuku, hlukanisa imithamo ngamahora angaba ngu-12, njengasekuseni nakusihlwa.

Gwema ukuphuza utshwala ngenkathi uthatha i-duloxetine, njengoba kungakhuphula ingozi yezinkinga zesibindi futhi kungase kwenze imiphumela emibi ibe mibi njengokuphathwa yisiyezi noma ukozela. Uma uphuza ngezikhathi ezithile, xoxa ngemikhawulo ephephile nodokotela wakho.

Ungayeki ukuthatha i-duloxetine ngokuzumayo, ngisho noma uzizwa ungcono. Udokotela wakho uzokusiza ukuthi unciphise kancane umthamo lapho sekuyisikhathi sokuyeka umuthi, okusiza ekuvikeleni izimpawu zokuhoxiswa.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Duloxetine?

Ubude bokwelashwa nge-duloxetine buhluka kakhulu kuye ngesimo sakho nokuphendula komuntu ngamunye. Ngokucindezeleka noma ukukhathazeka, abantu abaningi bayayithatha okungenani izinyanga eziyi-6-12 ngemuva kokuthi izimpawu zithuthuke ukuvimbela ukuphindeka.

Uma uthatha i-duloxetine ngezimo zobuhlungu obungapheli njenge-fibromyalgia noma ubuhlungu bemizwa yesifo sikashukela, ungase udinge ukwelashwa isikhathi eside njengoba lezi kuyizimo eziqhubekayo. Udokotela wakho uzohlola njalo ukuthi umuthi uyaqhubeka yini ukukusiza.

Abanye abantu bathatha i-duloxetine iminyaka eminingi, kanti abanye bangase bayidinge kuphela izikhathi ezimfushane. Okubalulekile ukusebenza nodokotela wakho ukuze uthole ubude obufanele besimo sakho esithile kanye nemigomo yezempilo.

Ukuqokwa okulandelayo njalo kusiza udokotela wakho ukuthi aqaphele inqubekela phambili yakho futhi alungise ukwelashwa njengoba kudingeka. Bazobheka ukuthi izimpawu zakho zilawulwa kahle kangakanani nokuthi ngabe uhlangabezana nemiphumela emibi enezinkinga.

Lapho sekuyisikhathi sokuyeka i-duloxetine, udokotela wakho uzokwenza isimiso sokunciphisa ukuze anciphise kancane umthamo wakho emasontweni amaningana. Lokhu kusiza umzimba wakho ukuthi ulungise futhi kunciphisa ingozi yezimpawu zokuyeka.

Yiziphi Imiphumela Emiqoka Ye-Duloxetine?

Njengayo yonke imithi, i-duloxetine ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi ithambile kuya kokulingene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi emasontweni ambalwa okuqala.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa isicanucanu, umlomo owomile, ukozela, ukukhathala, nokuqunjelwa. Lokhu kuvamile ukwenzeka ekuqaleni kokwelashwa futhi kuvame ukuba ngaphansi kokukhathaza njengoba uqhubeka nokuthatha imithi.

Nansi imiphumela emibi evame kakhulu ethinta abantu abaningi abathatha i-duloxetine:

• Isicanucanu nokuphazamiseka kwesisu, ikakhulukazi ngesonto lokuqala
• Umlomo owomile, ongasizwa ngokuhlala unamanzi
• Ukozela noma ukukhathala, ikakhulukazi lapho uqala ukwelashwa
• Isiyezi, ikakhulukazi lapho usukuma ngokushesha
• Ukuqunjelwa, okungathuthuka ngokuqhubeka nokudla imicu namanzi
• Ukuncipha kwesifiso sokudla nokulahlekelwa isisindo okungenzeka
• Ukuhluleka ukulala noma amaphupho acacile
• Ukujuluka okwengeziwe

Le miphumela emibi ejwayelekile ivamise ukulawuleka futhi abantu abaningi bathola ukuthi iyancipha kakhulu ngemva kwenyanga yokuqala yokwelashwa.

Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha. Imiphumela emibi yocansi ingenzeka, okuhlanganisa ukwehla kwesifiso socansi noma ubunzima bokufinyelela i-orgasm, okuthinta kokubili amadoda nabesifazane.

Kufanele uthinte udokotela wakho uma uthola noma iyiphi yale miphumela emibi ebucayi:

• Isicanucanu esibi noma ukuhlanza okukuvimbela ukuthi ungagcini ukudla
• Ukuphuma kwegazi okungavamile noma ukulimala
• Isiyezi esibi noma ukuquleka
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ikhanda elibuhlungu elibuhlungu
• Ukudideka noma izinkinga zenkumbulo
• Ubuthakathaka bemisipha noma ukuthuthumela

Lezi zimpawu azivamile kodwa zidinga ukuhlolwa kwezokwelapha okusheshayo ukuze kuqinisekiswe ukuphepha kwakho futhi kulungiswe ukwelashwa uma kudingekile.

Imiphumela engavamile kodwa ebucayi ingenzeka, nakuba ithinta abantu abambalwa kakhulu abathatha i-duloxetine. Izinkinga zesibindi kungenzeka, ngakho udokotela wakho angase ahlolisise ukusebenza kwesibindi sakho ngezivivinyo zegazi, ikakhulukazi uma unezici eziyingozi.

I-Serotonin syndrome yisimo esingavamile kodwa esingaba yingozi esingenzeka uma uthatha i-duloxetine, ikakhulukazi neminye imithi ethinta i-serotonin. Izimpawu zihlanganisa umkhuhlane ophezulu, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha, nokudideka.

Abanye abantu, ikakhulukazi labo abangaphansi kweminyaka engama-25, bangase babe nemicabango yokuzibulala eyanda lapho beqala ukuthatha i-duloxetine. Leli ngozi liphezulu kakhulu emasontweni ambalwa okuqala kokwelashwa futhi lidinga ukuqashwa eduze ngudokotela wakho namalungu omndeni.

I-Angle-closure glaucoma yisimo samehlo esingavamile kodwa esibucayi esingabangelwa yi-duloxetine kubantu abathambekele kuso. Izimpawu zihlanganisa ubuhlungu obukhulu emehlweni, izinguquko embonweni, nokubona ama-halos ezungeze izibani.

Ubani Ongafanele Athatha I-Duloxetine?

I-Duloxetine ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyibhala. Izimo ezithile zezempilo nemithi kungenza i-duloxetine ingafaneleki noma ibe yingozi kuwe.

Akufanele uthathe i-duloxetine uma njengamanje uthatha noma usanda kuyeka ukuthatha ama-monoamine oxidase inhibitors (MAOIs), uhlobo lwe-antidepressant. Kufanele kube nebanga okungenani lezinsuku eziyi-14 phakathi kokuyeka i-MAOI nokuqala i-duloxetine ukuvimbela ukusebenzisana okuyingozi.

Abantu abanezifo zesibindi ezinzima noma izinkinga zezinso kungenzeka bangabi ngabantu abafanelekayo be-duloxetine, njengoba lezi zitho zisiza ukucubungula nokususa imithi emzimbeni wakho. Udokotela wakho cishe uzohlola ukusebenza kwesibindi nezinso zakho ngaphambi kokuyibhala.

Uma une-uncontrolled narrow-angle glaucoma, i-duloxetine ingase iqhubekisele phambili isimo sakho ngokwandisa ingcindezi emehlweni akho. Udokotela wakho wamehlo nodokotela obhalayo kufanele bahlele ukunakekelwa uma unanoma yiluphi uhlobo lwe-glaucoma.

Abantu abanomlando wokuba nezithuthwane kufanele basebenzise i-duloxetine ngokuqapha, njengoba ingase yehlise umkhawulo wezithuthwane kwabanye abantu. Udokotela wakho uzohlola izinzuzo ngokumelene nezingozi ngokusekelwe emlandweni wakho wezithuthwane kanye nemithi oyithathayo njengamanje.

Uma unesifo se-bipolar, i-duloxetine ingase iqale izigaba ze-manic, ikakhulukazi uma ungathathi i-mood stabilizer. Udokotela wakho uzohlola ngokucophelela umlando wakho wezengqondo ngaphambi kokukuyalela lo muthi.

Ukukhulelwa nokuncelisa ngamabele kudinga ukucatshangelwa okukhethekile. Ngenkathi i-duloxetine ingaqinisekisiwe ukuthi iyingozi ngesikhathi sokukhulelwa, ingawela i-placenta futhi ithinte ingane yakho. Udokotela wakho uzoxoxa ngezingozi nezinzuzo uma ukhulelwe noma uhlela ukukhulelwa.

Amagama e-Brand e-Duloxetine

I-Duloxetine itholakala ngaphansi kwamagama amaningi e-brand, i-Cymbalta iyona eyaziwa kakhulu futhi eyanconywa kakhulu. Lo muthi wegama le-brand wawuyisithako sokuqala esathuthukiswa yi-Eli Lilly and Company.

I-Duloxetine ejwayelekile iyatholakala nakubakhiqizi abaningi futhi ngokuvamile ibiza kancane kunezinhlobo zegama le-brand. Izinhlobo ezijwayelekile ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngempumelelo njenge-Cymbalta.

Amanye amagama e-brand afaka i-Drizalma Sprinkle, eza ngama-capsule angavulwa futhi afafazwe ekudleni kwabantu abanobunzima bokugwinya amaphilisi. Le fomula ilusizo ikakhulukazi kubantu abadala noma labo abanobunzima bokugwinya.

Umshwalense wakho ungase ukhethe i-duloxetine ejwayelekile ngaphezu kwamagama e-brand, noma okuphambene nalokho. Uma uzinzile ngohlobo olulodwa oluthile, udokotela wakho angase ancome ukunamathela kulo kunokushintsha phakathi kwama-brand noma ama-generics.

Ezinye izindlela ze-Duloxetine

Imithi eminingi ehlukile ingelapha izimo ezifanayo ne-duloxetine, nakuba ukukhetha okungcono kuncike ezimpawini zakho ezithile kanye nomlando wezokwelapha. Udokotela wakho uzokusiza ukuthi uhlole izinketho uma i-duloxetine ingakulungele.

Eminye imithi ye-SNRI ihlanganisa i-venlafaxine (Effexor) kanye ne-desvenlafaxine (Pristiq), esebenza ngendlela efana ne-duloxetine kodwa ingase ibe nemiphumela ehlukile. Abanye abantu bayayibekezelela i-SNRI eyodwa kangcono kunenye.

Izithiyo ezikhethekile ze-serotonin reuptake (SSRIs) njenge-sertraline (Zoloft), i-escitalopram (Lexapro), kanye ne-fluoxetine (Prozac) ezinye izindlela zokucindezeleka nokukhathazeka. Kodwa-ke, ngokuvamile abasizi ngezimo zobuhlungu ngempumelelo njenge-duloxetine.

Ukuze uthole izimo zobuhlungu ngokuqondile, i-gabapentin kanye ne-pregabalin ezinye izindlela ezisebenza ngendlela ehlukile ku-duloxetine. Le mithi iqondise ngokuqondile ubuhlungu bemizwa futhi ingase ibe yizinketho ezingcono uma uhlangabezana nemiphumela emibi ebalulekile evela ku-duloxetine.

Ama-antidepressants e-Tricyclic afana ne-amitriptyline angasiza kokubili ukucindezeleka nobuhlungu obungapheli, kodwa ngokuvamile banemiphumela eminingi emibi kunemithi emisha. Angase acabangwe uma ezinye izinketho zingasebenzi kahle.

Izindlela ezingezona zemithi zihlanganisa ukwelashwa kokuziphatha okungokwengqondo, ukwelashwa ngokomzimba, kanye nezinguquko zokuphila ezingagcwalisa noma ngezinye izikhathi zithathe indawo yokwelashwa ngemithi, kuye ngesimo sakho nezintandokazi zakho.

Ingabe i-Duloxetine ingcono kune-Sertraline?

I-Duloxetine ne-sertraline zombili ziyizidambisi zokucindezeleka eziphumelelayo, kodwa zisebenza ngendlela ehlukile futhi zinezinzuzo ezihlukile kuye ngezidingo zakho ezithile. Akukho noyedwa ovamile

Ngenxa yokucindezeleka okumsulwa noma ukukhathazeka ngaphandle kobuhlungu, i-sertraline ingase ithandwe ngodokotela abathile ngoba inerekhodi elide futhi nocwaningo oluningi olusekela ukusetshenziswa kwayo. Itholakala futhi ngesimo esiwuketshezi, okungasiza ekulungiseni umthamo.

Amaphrofayili emiphumela emibi ahlukile phakathi kwemithi emibili. I-Sertraline kungenzeka ukuthi idale imiphumela emibi yezocansi nokukhathazeka kokuqala, kuyilapho i-duloxetine ivame ukubangela isicanucanu futhi ingase ithinte umfutho wegazi.

Izindleko zingase zithande i-sertraline, njengoba sekunesikhathi eside iyijenerik futhi ingase ibize kancane. Kodwa-ke, ukumbozwa komshwalense kuyahlukahluka, futhi uhlelo lwakho oluthile lungase lumboze olunye kangcono kunolunye.

Udokotela wakho uzocabangela isithombe sakho esiphelele sezokwelapha, okuhlanganisa neminye imithi oyithathayo, izimo zezempilo ezikhona, kanye nezintandokazi zakho siqu lapho ukhetha phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Duloxetine

Ingabe i-Duloxetine iphephile ku-Diabetes?

Yebo, i-duloxetine ngokuvamile iphephile kubantu abanesifo sikashukela futhi empeleni ivunyelwe ukwelapha ubuhlungu bemizwa yesifo sikashukela. Abantu abaningi abanesifo sikashukela bathatha i-duloxetine ngokuqondile ngenxa yokulimala kwemizwa okubuhlungu okungenzeka ngoshukela wegazi ongaphathwanga kahle.

Umuthi awuthinti ngokuqondile amazinga kashukela egazini, ngakho ngeke uphazamise ukuphathwa kwesifo sakho sikashukela. Kodwa-ke, uma i-duloxetine inciphisa isifiso sakho sokudla kakhulu, ungase udinge ukulungisa imithi yakho yesifo sikashukela ukuze uvimbele izigameko zikashukela ophansi.

Udokotela wakho uzokuqapha eduze uma une-diabetes futhi uthatha i-duloxetine, ikakhulukazi uma futhi unezinkinga zezinso, ezingaba yinkinga yesifo sikashukela. Ukuhlolwa kwegazi okuvamile kusiza ukuqinisekisa ukuthi zombili izimo ziphathwa kahle.

Ngingenzani Uma Ngithatha i-Duloxetine eningi ngengozi?

Uma ngempela uthatha i-duloxetine eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kungabangela imiphumela emibi engase ingaveli ngokushesha.

Izimpawu zokweqisa kwe-duloxetine zingabandakanya isicanucanu esibi, ukuhlanza, ukozela, isiyezi, ukushaya kwenhliziyo okusheshayo, nokuhlaselwa. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ochwepheshe bezokwelapha.

Gcina ibhodlela lemithi nawe uma ufuna usizo lwezokwelapha, njengoba abahlinzeki bezempilo bazodinga ukwazi ngqo ukuthi uthathe malini nokuthi nini. Isikhathi sibalulekile ezimweni zokweqisa, ngakho-ke ungalindi ukubona ukuthi izimpawu ziyavela yini.

Ukuvimbela izingozi zesikhathi esizayo, cabanga ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo ukukusiza ukuthi ulandelele imithamo yakho yansuku zonke. Ungalokothi uphinde imithamo uma ucabanga ukuthi uphuthelwe eyodwa.

Ngingenzani Uma Ngiphuthelwa Umthamo We-Duloxetine?

Uma uphuthelwa umthamo we-duloxetine, yithathe ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi.

Uma sekudlule amahora angaphezu kwayi-12 kusukela kumthamo wakho ophuthelwe futhi uthatha i-duloxetine kanye ngosuku, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho olujwayelekile. Ukuyithatha iseduze kakhulu nomthamo wakho olandelayo kungadala izinkinga.

Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kubangele ingozi enkulu, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu. Setha ama-alamu ocingo noma usebenzise uhlelo lokusebenza lokukhumbuza imithi ukukusiza ukuthi ukhumbule imithamo yakho yansuku zonke.

Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho ngamasu okuthuthukisa ukunamathela emithini. Bangase baphakamise ukuyithatha ngesinye isikhathi sosuku noma ukuyixhuma emsebenzini wansuku zonke njengokuxubha amazinyo akho.

Ngingayeka Nini Ukuthatha I-Duloxetine?

Kufanele uyeke kuphela ukuthatha i-duloxetine ngaphansi kokuqondiswa kwezokwelapha, ngisho noma uzizwa ungcono ngokuphelele. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa ezingakhululeki futhi kungavumela isimo sakho sokuqala ukuthi sibuye.

Udokotela wakho uzokusiza ukuthi udale isimiso sokunciphisa esinciphisa kancane kancane umthamo wakho emasontweni amaningana noma izinyanga. Lokhu kuncishiswa kancane kancane kusiza umzimba wakho ukuthi ulungise futhi kunciphisa izimpawu zokuhoxiswa njengokugajwa, isicanucanu, kanye nezinguquko zemizwa.

Isinqumo sokuyeka i-duloxetine sincike ekutheni usuyithathe isikhathi esingakanani, ukuthi izimpawu zakho zilawulwa kahle kangakanani, nokuthi ngabe wenze ezinye izinguquko ezisekela impilo yakho yengqondo, njengokwelashwa noma izinguquko zendlela yokuphila.

Abanye abantu badinga ukuthatha i-duloxetine isikhathi eside ukuze bavimbele ukuphindeka kwezimpawu, kanti abanye bangayeka ngempumelelo ngemuva kokuthi isimo sabo sizinzile. Udokotela wakho uzokusiza ukuthi unqume isikhathi esifanele esisekelwe esimweni sakho somuntu ngamunye.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Duloxetine?

Kungcono ukugwema utshwala ngenkathi uthatha i-duloxetine, njengoba le nhlanganisela ingakhuphula ingozi yakho yezinkinga zesibindi futhi yenze imiphumela emibi ibe mibi njengokugajwa nokulala. Utshwala bungaphazamisa nokusebenza kahle komuthi.

Uma ukhetha ukuphuza ngezikhathi ezithile, zilinganisele ezingxenyeni ezincane futhi uxoxe ngemikhawulo ephephile nodokotela wakho. Bazocabangela impilo yakho yonke, eminye imithi oyithathayo, kanye nezici zakho eziyingozi.

Kokubili utshwala ne-duloxetine kungathinta isibindi sakho, ngakho ukuhlanganisa kokubili njalo akukhuthazwa. Udokotela wakho angase afune ukuqapha ukusebenza kwesibindi sakho eduze uma unomlando wokusebenzisa utshwala.

Khumbula ukuthi utshwala buyisidambisi esingenza izimpawu zokucindezeleka nokukhathazeka zibe zimbi, okungenzeka ukuthi kuphikisana nezinzuzo zomuthi wakho. Gxila kwezinye izindlela zokuxhumana nabantu nokuphumula ngenkathi usungula ukuzinza nge-duloxetine.