Fluoxetine

Qanacsan

• Kahor qaadashada fluoxetine,
• Fluoxetine waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ama kuwa ku taxan DIGNIIN MUHIIM AH ama taxaddarro gaar ah, wac dhakhtarkaaga isla markiiba:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Tiro yar oo caruur ah, dhalinyaro, iyo dhalinyaro waaweyn (ilaa 24 sano jir ah) oo qaatay dawada lidka diiqadda ('wiishka wiiftada)' sida fluoxetine inta lagu gudajiray daraasada bukaan socodka waxay noqdeen ismiidaamin (ka fekeraya waxyeello ama isdilid ama qorsheynta ama isku dayaya in sidaas la sameeyo) ). Caruurta, dhalinyarada, iyo dhalinyarada qaangaarka ah ee u qaata dawada murugada si ay u daweeyaan murugada ama cudurada kale ee maskaxda ayaa laga yaabaa inay u badan tahay inay is dilaan marka loo eego carruurta, dhalinyarada, iyo dhalinyarada qaangaarka ah ee aan u qaadan daawada niyadjabka daaweynta xaaladahaas. Si kastaba ha noqotee, khubarada ayaan hubin inta ay le'eg tahay halistani iyo inta ay tahay in laga fiirsado go'aaminta haddii cunug ama dhallinyar ay tahay inay qaataan dawada lidka diiqadda.

Waa inaad ogaataa in caafimaadkaaga maskaxda laga yaabo inuu isku badalo qaabab lama filaan ah markaad qaadaneyso fluoxetine ama daawooyinka kale ee niyadjabka xitaa haddii aad tahay qof weyn oo ka weyn 24 sano. Waxaad isdili kartaa, khaasatan bilowga daaweyntaada iyo waqti kasta oo qiyaastaada ay kororto ama yaraato. Adiga, qoyskaaga, ama daryeelahaaga waa inaad isla markiiba wacdaa dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamaha soo socda: niyad jab cusub ama ka sii daraya; inaad ka fikirto inaad wax yeelo ama aad is disho, ama aad qorsheyso ama aad isku daydo inaad sidaas sameyso; welwel xad dhaaf ah; kacsan; weerarada argagaxa; dhibaato hurdo la'aan ama hurdo la'aan; dabeecad dagaal; xanaaq; ku dhaqaaqida fakar la'aan; degganaansho la'aan daran; iyo farxad aan caadi ahayn. Hubso in qoyskaaga ama xannaaneeyahaagu ogyahay astaamaha halista ah si ay ugu yeeraan dhakhtarka haddii aadan awoodin inaad keligaa daaweyn raadsato.

Bixiyahaaga daryeelka caafimaad ayaa raba inuu ku arko inta badan intaad qaadaneyso fluoxetine, gaar ahaan bilowga daaweyntaada. Hubso inaad dhakhtarkaaga ku hayso dhammaan ballamaha booqashooyinka xafiiska.

Dhaqtarka ama farmashiistaha ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Tilmaamaha Daawada) markaad bilowdo daaweynta fluoxetine. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxaad sidoo kale kaheli kartaa Hagaha Daawada websaydhka FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Da 'kasta oo ay tahay da'daada, ka hor intaadan qaadan dawada lidka diiqadda, adiga, waalidkaa, ama daryeelahaaga waa inaad kala hadashaa dhakhtarkaaga khataraha iyo faa'iidooyinka ku daweynta xaaladdaada daawada diiqadda ama daaweynta kale. Sidoo kale waa inaad ka hadashaa halista iyo faa iidooyinka aan la daweyn karin xaaladaada. Waa inaad ogaataa inaad yeelato murugo ama cudur kale oo maskaxeed inay si weyn u kordhineyso halista ah inaad is disho. Khatartani waa mid ka sii sareysa haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu leeyahay ama uu weligiis ku dhacay cudurka laba-cirifoodka (niyadda oo isu beddela niyad jab ama farxad aan caadi ahayn) ama mania (frenzied, mood aan caadi ahayn ku faraxsan) ama aad ka fikirtay ama isku dayday inaad is disho. Kala hadal dhakhtarkaaga xaaladaada, astaamahaaga, iyo taariikhdaada caafimaad ee shaqsiyeed iyo tan qoys. Adiga iyo dhakhtarkaaga ayaa go'aansan doona nooca daaweynta ee kugu habboon.

Fluoxetine (Prozac) waxaa loo isticmaalaa in lagu daaweeyo niyad-jabka, jahwareerka qasabka ah (fikradaha dhibta leh ee aan ka bixi doonin iyo baahida loo qabo in lagu sameeyo ficilada qaarkood iyo in ka badan), qaar ka mid ah dhibaatooyinka cunnada, iyo weerarada argagaxa (lama filaan ah, weeraro lama filaan ah oo cabsi badan leh) oo aad ka walwasho weerarradan). Fluoxetine (Sarafem) waxaa loo isticmaalaa in lagu yareeyo astaamaha cudurka dysphoric premenstrual disorder, oo ay ku jiraan isbeddellada niyadda, xanaaqa, dibbiro, iyo damqashada naasaha. Waxaa sidoo kale loo isticmaalaa olanzapine (Zyprexa) si loogu daaweeyo niyad-jabka oo aan ka jawaabin daawooyinka kale iyo dhacdooyinka niyad-jabka ee dadka qaba laba-cirifoodka I (cudurka manic-depressive; cudur sababa dhacdooyinka niyad-jabka, dhacdooyinka mania, iyo kuwa kale niyadda aan caadiga ahayn). Fluoxetine waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'serotonin reuptake inhibitors' (SSRIs). Waxay ku shaqeysaa iyadoo la kordhinayo xaddiga serotonin, walax dabiici ah oo maskaxda ku jirta oo gacan ka geysata ilaalinta isku dheelitirka maskaxda.

Fluoxetine (Prozac) waxay u timaadaa sidii kaabsul, kiniin, dib-u-sii-deyn (sii deynta daawada xiidmaha) kaabsol, iyo xalka (dareeraha) afka lagu qaato. Fluoxetine waa la qaadan karaa ama ha la cunin. Fluoxetine (Sarafem) waxay u timaadaa sidii kaabsol uu afka ku qaato. Kaabsoolka 'Fluoxetine' (Prozac), kaniiniyada, iyo dareeraha ayaa badanaa la qaataa hal mar maalintii subaxa ama laba jeer subaxdii iyo duhurkii. Kaabsoosha 'Fluoxetine' oo dib loo sii daayo waxaa badanaa la qaataa hal mar usbuucii. Fluoxetine (Sarafem) waxaa badanaa la qaataa hal mar maalintii, ama maalin kasta oo bisha ah ama maalmo cayiman oo bisha ah. Qaado fluoxetine qiyaastii isku waqti (iskuda) maalin kasta. 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 fluoxetine sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Wada liq kaabsallada dib-u-dhigaya oo dhan; ha gooyin, ha burburin, ama ha calalin.

Dhakhtarkaagu wuxuu kugu bilaabi karaa qadar yar oo ah fluoxetine wuxuuna si tartiib tartiib ah u kordhiyaa qiyaastaada.

Waxay qaadan kartaa 4 ilaa 5 toddobaad ama ka badan ka hor intaadan dareemin faa'iidada buuxda ee fluoxetine. Sii wad inaad qaadato fluoxetine xitaa haddii aad caafimaad qabtid. Ha u joojin qaadashada fluoxetine adigoon la hadlin dhakhtarkaaga. Haddii aad si lama filaan ah u joojiso qaadashada fluoxetine, waxaad la kulmi kartaa astaamaha ka-noqoshada sida isbeddellada niyadda, xanaaqa, kacsanaanta, wareerka, kabuubyo ama xanaaqa gacmaha ama cagaha, walwal, dhidid, jahwareer, madax xanuun, daal, iyo hurdo la'aan ama hurdo la'aan. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada.

Fluoxetine sidoo kale mararka qaarkood waxaa loo isticmaalaa in lagu daaweeyo khamriga, khalkhalka feejignaanta, cilladaha shakhsiyaadka xuduudaha, cilladaha hurdada, madax xanuun, cudurada maskaxda, jahwareerka ka dhasha posttraumatic, Tourette's syndrome, buurnida, dhibaatooyinka galmada, iyo cabsida. Kala hadal dhakhtarkaaga khataraha suurtagalka ah ee u isticmaalka daawadan xaaladdaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada fluoxetine,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay fluoxetine, daawooyin kale, ama wax kasta oo ka mid ah waxyaabaha ku jira diyaarinta fluoxetine. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanaysid pimozide (Orap), thioridazine, ama monoamine oxidase (MAO) inhibitor sida isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) , iyo tranylcypromine (Parnate), ama haddii aad joojisay qaadashada monoamine oxidase inhibitor ah 2-dii toddobaad ee la soo dhaafay. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan fluoxetine. Haddii aad joojiso qaadashada fluoxetine, waa inaad sugtaa ugu yaraan 5 toddobaad ka hor intaadan bilaabin inaad qaadato thioridazine ama monoamine oxidase inhibitor.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo daawooyinka aan dhakhtar qorin iyo fiitamiinada aad qaadaneyso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: alprazolam (Xanax); amiodarone (Pacerone, Nexterone); antibiyootikada qaarkood sida erythromycin (E.E.S, Eryc, Ery-tab), gatifloxacin, moxifloxacin (Avelox), iyo sparfloxacin (oo aan hadda laga heli karin Mareykanka, Zagam); amphetamines sida amphetamine (in Adderall), dextroamfetamine (Dexedrine, Dextrostat, in Adderall), iyo methamphetamine (Desoxyn); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); dawada lidka diiqadda (wiishka niyadda) sida amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine (Sur); asbiriin iyo dawooyinka kale ee nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); buspirone; clopidogrel (Plavix); diazepam (Valium); digoxin (Lanoxin); durayaasha ('kaniiniyada biyaha'); dolasetron (Anzemet); fentanyl (Duragesic, Lazanda, Subsys, kuwa kale); flecainide (Tambocor); insulin ama daawooyinka afka laga qaato ee sonkorowga; lithium (Lithobid); daawooyinka walwalka iyo cudurka Parkinson; daawooyinka cudurada maskaxda sida chlorpromazine, clozapine (Clozaril, Versacloz), droperidol (Inapsine), haloperidol (Haldol), iloperidone (Fanapt), iyo ziprasidone (Geodon); methadone (Methadose); daawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), iyo zolmitriptan (Zomig); pentamidine (Pentam); quinidine (oo ku taal Nuedexta); procainamide; daawooyinka qalalka sida carbamazepine (Epitol, Tegretol, Teril) iyo phenytoin (Dilantin, Phenytek); dajiya; kaniiniyada hurdada; kuwa xakameynaya serotonin-reuptake kale sida citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra), ama fluvoxamine (Luvox); serotonin-norepinephrine reuptake inhibitors (SNRI) daawooyinka desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), iyo venlafaxine; sotalol (Betapace, Sorine); tramadol (Ultram); dejiyeyaasha; iyo vinblastine (Velban). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga waxa nafaqada ah iyo waxyaabaha dhirta ka soo baxa ee aad qaadato, gaar ahaan waxyaabaha ay ku jiraan St. John’s wort ama tryptophan.
• u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu leeyahay ama uu waligiis soo maray qadar dheeri ah oo QT ah (dhibaato wadnaha oo dhif ah oo u horseedi karta garaaca wadnaha oo aan joogto ahayn, suuxdin, ama dhimasho lama filaan ah). Sidoo kale u sheeg dhakhtarkaaga haddii dhiiggaagu ku jiro heer hoose oo ah macdanta macdanta ama magnesium ama lagu daaweynayo teknolojiyada (habka loo isticmaalo ceebaha yar yar ee korantada ee maskaxda looga daweynayo cudurrada maskaxda qaarkood). U sheeg dhakhtarkaaga haddii aad dhawaan wadno xanuun ku qabatay iyo haddii aad isku aragtay ama aad waligaa wadnaha istaagtay, kaadi macaan, suuxdin, ama beer ama cudur wadne.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, gaar ahaan haddii aad ku jirto bilihii ugu dambeeyay ee uurkaaga, ama haddii aad qorsheyneyso inaad uur yeelato ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanaysid fluoxetine, wac dhakhtarkaaga. Fluoxetine waxay dhibaato ku keeni kartaa dhalaanka kadib dhalmada haddii la qaato inta lagu jiro bilaha ugu dambeeya ee uurka.
• waa inaad ogaataa in fluoxetine ay kaa dhigi karto mid hurdo badan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• Xusuusnow in aalkoladu ku dari karto dawada ay keento dawada.
• waa inaad ogaataa in fluoxetine ay sababi karto glaucoma-xiritaanka-xagasha (xaalad ah in dareeraha si lama filaan ah u xirmo oo uusan awoodin inuu ka baxo isha taasoo keeneysa dhakhso, koror aad u daran ee cadaadiska indhaha taasoo u horseedi karta lumis araga). Kala hadal dhakhtarkaaga baaritaanka indhaha ka hor intaadan bilaabin qaadashada daawadan. Haddii lallabbo, isha xanuun, isbeddello aragga, sida inaad ku aragto faraantiyo midabbo leh nalalka, iyo barar ama casaan isha ku wareegsan, wac dhakhtarkaaga ama u hesho daaweyn caafimaad oo deg-deg ah isla markiiba.

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Fluoxetine waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• gariirid
• walaac
• dhibaato xagga hurdada ama hurdada ah
• lallabbo
• shuban
• afka qalalan
• laabjeex
• hamaansasho
• daciifnimo
• gariir aan la koontarooli karin qayb ka mid ah jirka
• cunto xumo
• miisaanka oo yaraada
• isbeddelada kufsiga galmada ama awoodda
• dhidid badan
• madax xanuun, jahwareer, daciifnimo, feejignaan la'aan, ama dhibaatooyinka xusuusta

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ama kuwa ku taxan DIGNIIN MUHIIM AH ama taxaddarro gaar ah, wac dhakhtarkaaga isla markiiba:

• finan
• finan ama finan yaryar
• cuncun
• qandho
• kalagoys xanuun
• barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• neefsashada ama wax liqidda oo ku adkaata
• kacsan, qandho, dhidid, jahwareer, wadno garaac dhakhso ah ama aan caadi ahayn, gariirid, muruq adag ama qallooc, mala-awaal, iskuxirnaan la'aan, lallabbo, matag, ama shuban
• dhakhso, gaabis, ama wadno garaac aan caadi ahayn
• neefta oo ku qabata
• wareer ama miyir beelid
• qalal
• dhiigbax aan caadi ahayn ama nabar

Fluoxetine waxay yareyn kartaa rabitaanka cuntada waxayna sababi kartaa culeyska carruurta. Dhakhtarka ilmahaaga ayaa si taxaddar leh u ilaalin doona koritaankiisa. La hadal dhakhtarka ilmahaaga haddii aad wax ka welwelsan tahay koritaanka ilmahaaga ama culayskiisa inta uu qaadanayo daawadan. Kala hadal dhakhtarka ilmahaaga halista ay leedahay in fluoxetine la siiyo ilmahaaga.

Fluoxetine 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, kuleylka xad-dhaafka ah, iyo qoyaanka (ha ku jirin musqusha).

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

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.

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 kuwa soo socda:

• fadhiidnimo
• jahwareer
• jawaab celin la'aan
• gariirid
• gariir aan la koontarooli karin qayb ka mid ah jirka
• dawakhaad
• degdeg ah, aan caadi ahayn, ama garaaca wadnaha
• aragga wax ama maqalka codad aan jirin (hallucinating)
• qandho
• miyir beelid
• miyir beelid (miyir beelid muddo ah)

Dhammaan ballamaha la dhig dhakhtarkaaga.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lugta leh methylene blue), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso fluoxetine.

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.

• Prozac^®
• Prozac^® Toddobaadle ah
• Rapiflux^®
• Sarafem^®
• Is-xakameyn^®

• Symbyax^® (oo ay kujiraan Fluoxetine, Olanzapine)