I-Amitriptyline - Ukusebenzisana kweziMbane eziMandla
I-Amitriptyline iyisithako esisebenzayo kuhlobo lwamachiza axhatshazayo olwalubekwe ngamanye amaxesha kubantu abaneentlungu ezingapheliyo. Umthamo wokusetyenziswa (obizwa ngokuba yi "off off-label"), ngokuqhelekileyo kuncinci kakhulu kuneli dosi enikezelwe ukuxinezeleka. U-Amitriptyline okwangoku ufumaneka kuphela kwifom yesiqhelo; e-US, ngaphambili yayenziwe ngu-AstraZenceca phantsi kwegama lophawu u-Elavil, kodwa u-Elavil uphelile.
Ukuba uthatha amanye amachiza ngaphezu kwe-amitriptyline, kufuneka uxoxe nabo ngokucacileyo ngokugqithisa ugqirha. Ngokwe-website ye-Drugs.com, izidakamizwa ezingaphezu kwe-2000 zingasebenzisana ne-amitriptyline, ukudala amandla angaphezu kwama-500 kunye no-1400 ukusebenzisana ngokulinganayo.
Idibeneyo: I- Adjuvant Pain Medication
Xoxa ngezinye iidakamizwa kunye noDokotela wakho ngaphambi kokuthatha i-Amitriptyline
Xa unencoko ebalulekileyo nodokotela wakho, qiniseka ukuba ungakhankanyi nje eminye imimiselo kunye nebalawuli ozithathayo, kodwa izinto zokuzonwabisa, izithako kunye / okanye izondlo zokutya, ngokunjalo.
Olu luhlu lulandelayo lunokukucinga ukuba ungathini kumgqirha wakho ngaphambi kokuba uthathe i-amitriptyline. (Qaphela: oku akunjalo noluhlu olupheleleyo.)
- Mxelele malunga nokusela kwakho kotywala. Utywala ngokudibanisa ne-amitriptyline ngumngcipheko owaziwayo wokusebenzisana kwezidakamizwa ngokulinganayo; Imiphumo engabonakaliyo ibandakanyeka iintliziyo, ukulala, ukudideka, ukuphazamiseka, ukuhlanza, umbono obonakalayo, ukuxhatshazwa kunye nokunye.
- Chaza nayiphi na isongezelelo semithi oyithandayo. Ngokomzekelo, iSt. John's Wort, imithi yonyango esetyenziswe ngabanye ukunyamezela ukuxinezeleka okulula. Ukuyifumana kunye ne-amitriptyline kunokuchaphazela ukusebenza kwesibindi.
- Yibonakaliswe ngogqirha wakho malunga naluphina usebenzise iziyobisi ezingekho mthethweni. Njengamanye amayeza anqunyiwe, phezu kweziyobisi kunye neyeza zokutya, xa i-amitriptyline idibanisa nezinto ezingekho mthethweni, umphumo unokulimaza impilo yakho.
Qiniseka ukuba uxelele ugqirha wakho ukuba usebenzisa i-MAO inhibitor. I-MAO inhibitors ziquka i-furazolidone (i-Furoxone), i-isocarboxazid (i-Marplan), i-phenelzine (i-Nardil), i-rasagiline (i-Azilect), i-selegiline (i-Eldestry, i-Emsam, i-Zelapar), okanye i-tranylcypromine (i-Parnate). Qaphela: i-MAO inhibitors akufanele ithathwe kunye ne-amitriptyline.
- Chaza nantoni na oyithathayo ukudandatheka okanye ezinye izinto zempilo yengqondo, kubandakanywa izilwanyana zokutya kunye ne-SSRIs.
- Mxelele ukuba usebenzisa naziphi na iziyobisi eziye zacinywa. Ezinye zala machiza zingaba yingozi kakhulu empilweni yakho, ingakumbi xa ithathwa ngokudibanisa ne-amitriptyline.
Ngezantsi kwetafile kuluhlu oluqhelekileyo (kodwa alukho kuphela) amayeza asetyenziswayo anokukwazi ukusebenzisana okukhulu kwezidakamizwa xa kuhlanganiswe ne-amitriptyline. Intsebenziswano enkulu yezidakamizwa ichazwa njengenye enye ingozi yokuthatha amayeza amayeza angaphezu kweenzuzo zokwenza njalo.
Igama loGeneric Igama lebrand Citalopram Celexa Duloxetine Cymbalta Cyclobenzaprine Flexeril Fluxoetine Prozac Topamax Topiramate Tramadol Ultram Sertraline Zoloft Trazodone Desyrel Ngaphantsi kwetafile kuluhlu oluqhelekileyo (kodwa alukho kuphela) amayeza asetyenziswayo anokukwazi ukusebenzisana kwezidakamizwa ngokulinganayo xa kuhlanganiswe ne-amitriptyline. Ukusebenzisana kwezidakamizwa eziqhelekileyo ngokuqhelekileyo kuvunyelwe kuphela kwiimeko ezizodwa.
| Igama loGeneric | Igama lebrand |
|---|---|
| Pregabalin | ELyrica |
| Levothyroxine | Synthroid |
| Alprazolam | Xanax |
- Ezinye izinto ozozikhankanya ugqirha ngaphambi kokuba uthathe i-amitriptyline zibandakanya: i-Antacids, iipilisi zokulawula ukuzalwa kunye namahomoni wesifazane, ukutya kwamagilebhisi kunye / okanye i-juli ye-grapefruit, i-kaolin okanye i-pectin izidakamizwa okanye izidlo zokutya, izihlunu ze-muscle (oko kukuthi, i- cyclobenzaprine ), kunye neyeza zamathambo ezinyango , njenge-morphine, i-codeine, okanye i-tramadol.
Ukusebenzisana kwezidakamizwa okwandisa i-Amitriptyline yamanqanaba eGazi
Okunye ukusebenzisana phakathi kwe-amitriptyline kunye nezinye iziyobisi kunokuphakamisa inani le-amitriptyline egazini lakho, mhlawumbi elikhokelela kwimiphumo engaphezulu.
Nalu uluhlu oluthile lwamachiza anokunxibelelana ne-amitriptyline ngale ndlela:
- iziyobisi ezithathiweyo ngenxa yesimo senhliziyo esingaqhelekanga , kunye nezinye iilwimi zonyango
- i-disulfiram , unyango olusetyenziswa ekuncediseni abantu abanxilisayo ukuphepha ukusela
- i-atropine, i-phenobarbital , kunye neziyobisi ezifanayo
- igazi elincinci , njenge-Warfarin
- bromocriptine
- i-cimetidine , i-heartburn / isilly medication, kunye ne-metoclopramide
- uxinzelelo lwegazi lwe-clonidine , kunye ne-labetalol
- i-delavirdine, kunye nezinye iziyobisi ezisetyenziselwa ukusulela unyango lwe-HIV
- i-diphenoxylate , isifo sohudo
- iziyobisi ze-chemotherapy imatinib kunye ne-procarbazine
- Imishanguzo ka-Parkinson , njenge-levodopa
- Imithi ye-Alzheimer , efana ne-factpezil, galantamine, ne-tacrine
- ukuxhonywa nokunyanga
- i antibiotics
- i-hormone ye-thyroid , njenge-levothyroxine
- Imithi ye-SSRI
Njengoko ubona, uluhlu lweentlobo zokusebenzisana kweziyobisi kunye ne-amitriptyline lide lide. Enyanisweni, le nto ayikho kufuphi nohlu olupheleleyo. Njengoko ndikhankanywe ekuqaleni kweli nqaku, iwebhusayithi yeDrugs.com ithi izidakamizwa ezingaphezu kwe-2000 kunye namagama e-brand zingasebenzisana ne-amitriptyline. Yingakho ndiyimfuneko ukuba uxoxe ngamanye amayeza kunye nogqirha wakho kwaye ungathembeli kuphela kwiinkcukacha kule nqaku.
Xa uzalisekile kwaye uyinyanisekile ngogqirha wakho malunga neminye imithi oyithathayo, unokumncedisa ekufumaneni ukuba i-amitriptyline yinto ekhuselekileyo neyisebenzayo yokulawula ubuhlungu bakho obungapheliyo.
Imithombo:
I-Drugs.com I-Amitriptyline yeDrug Interaction. Website yeDrugs.com. Kufumaneka ngoJuni 2015. http://www.drugs.com/drug-interactions/amitriptyline.html
Drugs.com. Elavil. Website yeDrugs.com. Ufikelele ngoJuni 2015. http://www.drugs.com/elavil.html">http://www.drugs.com/elavil.htm l
Hochadel, M, PharmD, BCPS, uMlawuli oyiNtloko, uTomas, W, Greider, K. Isikhokelo se-AARP kwiipilisi. Umgangatho weGolide. Tampa Florida 2006
MedlinePlus. I-Amitriptyline i-NIH US National Library of Medicine. Epreli 2015 http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682388.html#brand-name-1
MedlinePlus. Wort St. John's wort. I-Library ye-NIH yaseNational US yeMithi. Epreli 2015 http://www.nlm.nih.gov/medlineplus/druginfo/natural/329.html
MedlinePlus. Thioridazin. I-Library ye-NIH yaseNational US yeMithi. Kuhlaziywa ngoMeyi 2011. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682119.html