Doxepin (hurdo la'aan)
Qanacsan
- Kahor qaadashada dawada loo yaqaan 'doxepin' (Silenor),
- Doxepin (Silenor) waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:
Doxepin (Silenor) waxaa loo isticmaalaa in lagu daaweeyo hurdo la'aan (dhib ku qabashada hurdada ama hurdada) dadka dhib ku qaba seexashada. Doxepin (Silenor) wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'tricyclic antidepressants'. Waxay ku shaqeysaa iyadoo hoos u dhigeysa howlaha maskaxda si ay ugu oggolaato hurdo.
Doxepin sidoo kale waxaa loo heli karaa kaabsol iyo dareere lagu daaweeyo niyadjabka iyo walwalka. Halbeeggan wuxuu kaliya bixinayaa macluumaad ku saabsan dawada loo yaqaan 'doxepin' (Silenor) ee hurdo la'aanta. Haddii aad dawadan u isticmaaleyso niyad jab ama walaac, akhri hal-ku-dheggan cinwaankiisu yahay doxepin (niyad jab, walaac).
Doxepin (Silenor) wuxuu u yimaadaa kiniin ahaan afka laga qaato. Waxaa badanaa la qaataa hal mar maalintii, 30 daqiiqo gudahood waqtiga jiifka. Ha ku qaadan doxepin (Silenor) 3 saacadood oo cuntada ah. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado doxepin (Silenor) sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.
Waxaad u badan tahay inaad hurdo badan noqotid isla marka aad qaadatid dawada loo yaqaan 'doxepin' (Silenor) waxaadna ahaan doontaa mid hurdo ku jira in muddo ah ka dib markaad daawada qaadato. Qorsheyso inaad sariirta aado isla marka aad qaadatid dawada 'doxepin' (Silenor) iyo inaad sariirta ku ekaato 7 ilaa 8 saacadood. Ha qaadan dawada loo yaqaan 'doxepin' (Silenor) haddii aadan awoodi karin inaad sariirta aado isla markiiba oo aad seexato 7 ilaa 8 saacadood ka dib markaad daawada qaadatay.
Waa inaad bilowdaa inaad sifiican u seexato maalmaha ugu horeeya ee lagugu daweynayo dawada loo yaqaan 'doxepin' (Silenor). Haddii hurdadaadu aysan ku fiicnayn 7-10 maalmood gudahood, ama ka sii darto wac dhakhtarkaaga.
Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Tilmaamaha Daawada) markaad bilawdo daaweynta doxepin (Silenor) iyo markasta oo aad dib u buuxiso dawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) si aad u hesho Hagaha Daawada.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada dawada loo yaqaan 'doxepin' (Silenor),
- u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay dawada loo yaqaan 'doxepin' (Silenor), amoxapine, loxapine, daawooyin kale, ama wax ka mid ah maaddooyinka ku jira kiniiniyada 'doxepin' (Silenor). Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga haddii aad qaadanaysid monoamine oxidase (MAO) inhibitor sida isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate), ama haddii aad joojisay qaadashada MAO inhibitor 14 maalmood ee la soo dhaafay. Sidoo kale u sheeg dhakhtarkaaga haddii aad qaadanayso ama aad qaadanayso buluug methylene (Provayblue) ama linezolid (Zyvox). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan dawada loo yaqaan 'doxepin'. Haddii aad joojiso qaadashada dawada loo yaqaan 'doxepin', waa inaad sugtaa ugu yaraan 14 maalmood ka hor intaadan bilaabin inaad qaadato MAO inhibitor.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: cimetidine (Tagamet); daawooyinka qufaca, qabowga, ama xasaasiyadda; quinidine (oo ku taal Nuedexta); dajiya; Xakamaynta serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), and sert) ; kaniiniyada kale ee hurdada; tolazamide; iyo kuwa xasiliya. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara doxepin (Silenor), markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
- u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qabtid glaucoma aan la daaweynaynin, ama kaadi heysashada (awood la'aanta in kaadiheysta kaadiheysta gebi ahaanba ama gebi ahaanba). Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan qaadan dawada loo yaqaan 'doxepin' (Silenor).
- u sheeg dhakhtarkaaga haddii aad cabto ama aad waligaa cabto qamri aad u tiro badan, daroogooyinka waddooyinka lagu isticmaalo, ama daawooyinka laguu qoro ee aad u isticmaashay. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa isku buuqday, jirro maskaxeed, fikrado is-dilid, hurdo la'aan (cillad hurdo oo keenta neefsashadu inay joogsato muddo gaaban inta lagu jiro hurdada), ama kelyaha ama cudurka beerka.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid dawada loo yaqaan 'doxepin' (Silenor), wac dhakhtarkaaga.
- waa inaad ogaataa in doxepin (Silenor) ay kaa dhigi karto qof hurdo badan. Baabuur ha wadin, ha ku shaqeynin mashiinno, ama ha sameynin waxqabadyo kale oo khatar ah habeenkii ka dib qaadashada dawada loo yaqaan 'doxepin' (Silenor). Baabuur ha wadin ama ha ku shaqeynin mishiin maalinta xigta illaa aad ka ogaato sida ay daawadani kuu saameyneyso.
- waa inaad ogaataa in khamrigu uu wax ku kordhin karo dawada ay keento dawadan. Ha cabin aalkolo inta aad qaadanayso dawada loo yaqaan 'doxepin' (Silenor).
- waa inaad ogaataa in dadka qaatey doxepin (Silenor) ay sariirta ka soo degeen oo ay wateen gawaaridooda, diyaariyeen oo cuneen cunno, galmo sameeyeen, wicitaano wicitaano ah, hurdo-socod ku jiraan, ama ku lug lahaayeen howlo kale iyagoo aan si buuxda u soo jeedin Markay tooseen ka dib, dadkaani badanaa ma awoodo inay xasuustaan wixii ay sameeyeen. Isla markiiba wac dhakhtarkaaga haddii aad ogaato inaad baabuur waday ama aad sameysey wax kale oo aan caadi ahayn intaad huruday.
Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.
Doxepin (Silenor) waa in la qaataa oo keliya waqtiga hurdada. Haddii aadan qaadan doxepin (Silenor) ka hor intaadan seexan oo aad dhibaato ku qabtid hurdada, waxaad qaadan kartaa doxepin (Silenor) haddii aad awoodi karto inaad sariirta ku jiifato ugu yaraan 7 illaa 8 saacadood ka dib. Ha qaadan laba jeer oo ah dawada loo yaqaan 'doxepin' (Silenor) si aad ugu kabtid qiyaasta la seegay.
Doxepin (Silenor) waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- lallabbo
- dawakhaad
Doxepin (Silenor) waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.
Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).
Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog iftiinka, iyo kuleylka iyo qoyaanka badan (ha ku jirin musqusha).
Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.
Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org
Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.
Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:
- wadne garaac aan joogto ahayn
- dareemid kacsan, wareersan, ama lulmo
- dhib uruurinta
- qalal
- murqaha oo adkaada
- matagid
- kordhinta cabirka ardayda
- dhalanteed (wax arag ama maqal codad aan jirin)
- qandho
- heerkulka jirka ee qabow
- miyir beelid (miyir beelid muddo ah)
Dhammaan ballamaha la dhig dhakhtarkaaga.
Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.
Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.
- Silenor®