Silenor Unceda Ukugcina Ubuthongo Ngamaqondo Aphantsi
Isizabisi seyeza (Silenor) (doxepin) si-anti-depressant tricyclic esetyenziswe njengento yokuxhomekeka ukuqala nokugcina ubuthongo. Yavunywe yi-FDA kwonyango yokungabikho ngo-Matshi 2010.
I-Silenor iqhutywe ngumenzi njengento engeyiyo yokuhlukumeza ukungazinzi kwaye ayikwahlulwa njengezinto ezilawulwa yi-DEA. Njengoko kubonakala kukho ukungabikho kokusetyenziswa kakubi kweziyobisi, kungenokuba yinto enhle kubantu abachaphazelekayo ngokuba ngumlutha wokulala neepilisi.
Ukusetyenziswa
Silenor ingasetyenziswa ngokufanelekileyo ukuphatha iimpawu zokungazinzi okanye ukulala . Kunceda ukuqalisa nokugcina ubuthongo ngokubangela ukulala. Kwimilinganiselo ephezulu, isetyenziselwa ukuphatha uxhalaba kunye nokuxinezeleka.
Ingaba isebenza kanjani
Ayaziwa kakuhle indlela uSilenor esebenza ngayo. Kukholelwa ukuba usebenze kwi-neurotransmitters, ezizithunywa zeemichiza ngaphakathi kwengqondo. Ivumela i-neurotransmitter ethile ebizwa ngokuba yi-histamine ekwakheni kwizikhala phakathi kweeseli zesisongulu ngokukhubaza ukufunyanwa kwayo kwiiseli eziseduze.
Ngubani ongafanelanga ukuyisebenzisa
Ulutsha olungaphantsi kweminyaka engama-25 ubudala alufanele lusetyenzise le nyilisi njengoko kukho ingozi eyingozi yokuzibulala kulabo abanexinzelelo olukhulu kunye nezinye iingxaki zengqondo. Silenar akufanele isetyenziswe ukuba uyaphuma kwisifo senhliziyo esandula. Ukuba unayo i-glaucoma okanye ubunzima bokugcinwa kwamanzi, kuyacetyiswa ukuba ungayisebenzisi le mayeza.
Silenor kufuneka isetyenziswe ngokuqhekeza ukuba unesifo senhliziyo, ukuxhamla, iingxaki ze-thyroid, isifo sikashukela, isifo se-asthma, isifo se-Parkinson, iingxaki zesibindi, okanye ukhulile.
Silenor kungenzeka ukuba akufanelekanga ukuba une-bipolar disease okanye i-schizophrenia, okanye ukuba usengozini yokuzibulala.
Silenor kufuneka igwenywe ukuba ukhulelwe okanye uncelise.
U-Silenor unako ukusebenzisana nezinye iziyobisi ezininzi, ngoko imichiza yakho kufuneka ihlaziywe ngenyameko ngumboneleli wakho wezempilo ngaphambi kokuba uqale ukuthabatha iSilenor.
Ukuyeka imithi ngokukhawuleza kufuneka kugwenywe.
Imiphumela
Kukho imiphumo emininzi yemiphumo yonyango. Nangona umntu akanakulindelwa ukuba abe nemiphumo emibi - kwaye akunakwenzeka ukuba ayinayo nayiphi na enye - enye enokuthi ivele ngokuqhelekileyo nge-Silenor ibandakanya:
- Ukulala
- Umlomo omile
- Utywala
- Ukutyunjwa
- Umbono ongezantsi
- Iintliziyo zentlungu
- Iqondo lentliziyo ekhawulezayo
- Ukungena
- Ukwandisa ukutya
- Isihlunu okanye ukuhlanza
- Ukuxela
- Ubuthathaka
- Ukuphazamiseka nokudideka
- Ukungabi naso
- Ukungabikho
- Ukuxhalabisa okanye ukuxhalabisa
- Ukugcinwa kwee-Urinary okanye ubude
- Rash okanye imifuno
- Isikhumba esikhulayo
- Ukutyeba kwakho
- Shintsha kwisifiso sesondo
- Ukungabi namandla
- Ukwandiswa kwezicubu zesisu okanye ukukhutshwa kwamathambo
- Ukugubha (ukutshintsha)
- Utshintsho kwizinga le-glucose yegazi
- Ubungqina okanye ukubetha
- Ukuqonda ukukhanya
Xa kusetyenziswe nasiphi na iziyobisi, kukho iingozi zemiphumo emibi. Ezi zenzeka ngokungaqhelekanga. Xa usebenzisa iSilenor, ezi ziquka:
- I-Orthostatic hypotension (uxinzelelo oluphantsi lwegazi xa limi)
- Uxinzelelo oluphezulu (uxinzelelo lwegazi oluphezulu)
- Ukutyhafa
- Iimpawu zentliziyo ezingavamile
- Ukuhlaselwa yintliziyo
- Stroke
- Ukuxhamla
- Izimpawu ze-Extrapyramidal
- Tardive dyskinesia
- Hypomania / mania
- Unzima ukuhamba
- Ukunyuka kwamehlo
- Isithintelo somzimba
- Igazi elingaqhelekanga libala
- Hallucinations
- Ukunyanzeliswa kwengqondo
- Ukuxinezeleka
- Iingcamango zokuzibulala
- I-hepatitis (ukuvutha kwesibindi)
- SIADH
- Ukwanda kweqondo lomzimba
Iinkcukacha zokukhusela
Njengoko kuphawuliwe ngasentla, abantu abathile kufuneka basebenzise uSilen ngokulumkisa okanye kungekhona. Kwiimeko ezinqabileyo, amayeza angathintela intliziyo yakho, isenza i- QT isongeze . Ngoko ke, kufuneka ufumane i-electrocardiogram (ECG) isiseko sokuqala ngaphambi kokuba uqalise u-Silenor ukufumanisa nayiphi na umngcipheko kunye nokukhusela iingxaki ezinjengokuphazamiseka okanye ukufa ngokukhawuleza.
Kubalulekile ukuba uhlolwe ngugqirha wakho njengoko unyango luqalisiwe okanye utshintsho kwi dose zenziwe. Ngokukodwa, iimpawu zokuzibulala okanye ukutshintsha okungaqhelekanga ekuziphatheni kufuneka zijongwe.
Amachiza akufanele akhiwe ngokukhawuleza njengoko kuya kubangela iimpawu zokuyeka. Ukuba ufumana ubunzima, kufuneka ube kunye nobudlelwane obusondeleyo nomboneleli wezempilo oyintloko.
Imithombo:
"Doxepin." Epocrates Rx Pro. Isiqendu 3.3, 2010. Epocrates, Inc. I-San Mateo, California.