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Imiphumela emibi yakwaCelexa nokuthi ungayibalekela kanjani

Imiphumela emibi yakwaCelexa nokuthi ungayibalekela kanjaniInfo Info Celexa isetshenziselwa ukwelapha ukudangala kubantu abadala. Ingasetshenziswa futhi ngaphandle kwelebula ukwelapha ezinye izimo.

UCelexa okuqhamuka uma udla imishanguzo | Imiphumela emibi kakhulu | Imiphumela emibi ihlala isikhathi esingakanani? | Izexwayiso | Ukusebenzisana | Ungayigwema kanjani imiphumela emibi





UCelexa, eyaziwa ngegama layo elijwayelekile,ubathe(nomai-citalopram hydrobromide), kuyintoI gama le-brandumuthi kadokotela osetshenziselwa ukwelapha abantu abadala abanokudangala (ukucindezeleka okukhulu).Itfuthi ingasetshenziswa ngaphandle kwelebula ukwelapha ezinye izimo ezinjengezijwayelekileukukhathazeka, ukuphazamiseka okuphoqelela ngokweqile ,ukuphazamiseka kwesifo, Ezomphakathiukukhathazeka, noma ukuphazamiseka kwangaphambi kokuya esikhathini.UCelexaivame ukusetshenziswa ngokuhlanganiswa nokwelulekwa nguimpilo yengqondoochwepheshe.



UCelexaivunywa yiI-FDA(kepha hhayi ezinganeni) futhi iyingxenye yesigaba se-imishanguzokubizweAma-SSRIs(i-serotonin reuptake inhibitors ekhethiwe).Ama-SSRIssebenza ngokwandisa amazinga e-serotonin ebuchosheni, okusiza izimpawu zokudangala.

Qhubeka ufunde ukuze ufunde ngeokuqhamuka uma udla imishanguzo, izixwayiso, futhiukuxhumana kwezidakamizwayeUCelexa.

Imiphumela emibi ejwayelekile kaCelexa

Njenganoma imuphi umuthi, kukhona amathuba okuthiimiphumela emibinge UCelexa .UCelexakungathatha amasonto ambalwa ukuzizwa sengathi iyasebenza — ayisebenzi ngokushesha. Ngemuva kokuthathaUCelexansuku zonke amasonto ambalwa, iziguli ngokuvamile zibona ukuthuthuka kwezimpawu ze ukudana . Iziguli zingabona ukuthuthuka kwemizwelo, amandla, isifiso sokudla, nokulala, ngokwesibonelo.



Eziningi ze-imiphumela emibi ejwayelekileyakwaCelexa imnene futhi ijwayele ukuhamba njengoba umzimba uvumelana nomuthi. Umaokuqhamuka uma udla imishanguzozinenkinga noma azihambi, xhumana nochwepheshe wakho wezokunakekelwa kwempilo ukuze utholeiseluleko sezokwelapha.

Nalu uhlu lwezinto ezivame kakhuluimiphumela emibi engaba khona ye-citalopram(UCelexa):

  • Izinkinga zesisu ezifana nesicanucanu, ukuhlanza, isilungulela, ubuhlungu besisu,ukuqunjelwa, noma isifo sohudo
  • Umlomo owomile
  • Ukozelanomaukukhathala
  • Ukuqwasha (inkinga yokulala)
  • Ukujuluka
  • Ukuthuthumela
  • Ezocansiukungasebenzi(ukungabi namandla, izinkinga zokujula, noma i-libido ephansi)
  • Izimpawu ezinjengezomkhuhlane
  • Ukwehla kwesifiso sokudla
  • Ukukhathazeka
  • Ukuyaluza
  • Amajaqamba okuya esikhathini
  • Isiyezi
  • Ukuzamula

Izinguquko zesisindo

I-SSRIimithi ihlotshaniswa nokulahleka kwesifiso kanye nokwehlisa isisindo. Kodwa-ke, i- Imininingwane yomkhiqizi isho kokubili ukwehla kwesisindo nokukhula kwesisindo njengokuvamileokuqhamuka uma udla imishanguzo. Imininingwane futhi ithi ezifundweni, abantu abathatheUCelexailahlekelwe cishe iphawundi elilodwa, uma kuqhathaniswa nalabo abathathe i-i-placebo.



Uma uthathaUCelexafuthi uqaphele izinguquko ekudleni noma isisindo, thintana nommeli wakho.

Imiphumela emibi kaCelexa

UCelexa, okungajwayelekile, kungadala ezinye zibe nzimaokuqhamuka uma udla imishanguzo. Uma unenye yaleziokuqhamuka uma udla imishanguzo, funa usizo lwezokwelashwa zisuka nje.Imiphumela emibi kakhulufaka:

  • Imicabango yokuzibulalanoma ukuziphatha
  • Ukuqinayokudangala
  • I-Mania noma i-hypomania
  • ECG /isigqi senhliziyoizinguquko
  • Ukopha
  • Ukuvalwa kwe-engelai-glaucoma
  • Ukuquleka
  • Amaleveli aphansi e-sodium ahlotshaniswa ne-SIADH (i-syndrome ye-secretion ye-antidiuretic engalungile
  • I-Priapism (ukwakhiwa isikhathi eside)
  • Izimpawu ze-Extrapyramidal (ukunyakaza kwemisipha okungazibandakanyi)
  • Izimpawu zokuhoxauma kumiswe ngokungazelelwe
  • Isifo se-Serotonin
  • I-Anaphylaxis

Imicabango yokuzibulalanokuziphatha

Konkeimishanguzo, kufaka phakathiUCelexa, ube ne- isixwayiso sebhokisi elimnyama . Isexwayiso sebhokisi elimnyama yisixwayiso esiqine kakhulu esidingwa yiI-FDA.Izidambisikungakhuphula ubungozi beimicabango yokuzibulalanokuziphatha. Lokhu kuvame ukwenzeka ezinganeni, ebusheni, naseabantu abadala abasebashakuze kufike eminyakeni engama-24. Kodwa-ke, noma yisiphi isiguli esithatha i-i-antidepressantkufanele ihlolwe kakhulu ngokushintsha kwemizwa noma kokuziphatha futhiimicabango yokuzibulalanoma ukuziphatha. Imindeni nabanakekeli kufanele babheke isiguli futhi babike noma yiluphi ushintsho kummeli.



Isifo se-Serotonin

Isifo se-Serotonin yisimo esisongela impilo esibangelwa ukwakheka kwe-serotonin. Izimpawu zingahluka kusuka kokuncane kuya kokubi futhi zifaka isicanucanu, isifo sohudo, ukudideka, ukuthuthumela, ukuqina kwemisipha, futhi ezimweni ezimbi kakhulu, kungadala ukushisa okukhulu, ukuquleka, ukushaya kwenhliziyo okungajwayelekile, nokuquleka. Uma unanoma iyiphi yalezi zimpawu, thola ukwelashwa okuphuthumayo ngokushesha.

Imiphumela emibi yezocansi

Imiphumela emibi yezocansikungenzeka ngeI-SSRIukwelashwa (noma kungahle kuhlotshaniswe nesimo sengqondo). Yize izehlakalo zehluka, kuyinto okufanele uyiqapheleUCelexaukwelashwa.



Ku- izifundo ngokuqhathanisaUCelexaukui-placebo:

  • 6.1% wabantu abathatheUCelexababe ne-ejaculation engavamile, uma kuqhathaniswa ne-1% yabantu abathathe i-i-placebo
  • 3.8% wabantu abathatheUCelexainciphise i-libido, uma kuqhathaniswa nabantu abangaphansi kuka-1% abathathe i-i-placebo
  • 2.8% wabantu abathatheUCelexaukungabi namandla, uma kuqhathaniswa nabantu abangaphansi kuka-1% abathathe i-i-placebo
  • I-Priapism (ukwakheka isikhathi eside) ihlotshaniswe nazo zonke izidakamizwa kuI-SSRIisigaba

Izinkinga zocansi ezihlobeneUCelexakungathinta nabesifazane, futhi. Ezigulini zesifazane ezithatheUCelexa, I-1.3% ibike ukwehla kwe-libido, kwathi i-1.1% yabika ukungakwazi ukufinyelela kwi-orgasm.



Imininingwane yomkhiqizi ithi izilinganiso ezinokwethenjelwa zombili izehlakalo nobukhulu beimiphumela emibi yocansiKunzima ukuqoqa ngoba izinkinga zocansi ziyisihloko okunzima ukuxoxwa ngaso. Ngenxa yalokhu, ukulinganisela kungabukela phansi izehlakalo zangempela. Azikho izivivinyo ezakhiwe ngokwanele ezifundileUCelexanezinkinga zocansi.

Uma uthathaUCelexafuthi ubeimiphumela emibi yocansi, xoxa ngazo nodokotela wakho.



Kakhuluukusabela okweqile

Kakhuluukusabela okweqileukuUCelexaakuvamile. Kodwa-ke, uma unezimpawu ze-anaphylaxis — ezinjengezinyosi, ukuphefumula kanzima, noma ukuvuvukala kobuso, izindebe, noma ulimi — funa ukwelashwa okuphuthumayo ngokushesha.

Kwenze isikhathi esingakananiUCelexa okuqhamuka uma udla imishanguzookokugcina?

Kubantu abaningi,okuqhamuka uma udla imishanguzozivame ukuhlala amasonto ambalwa njengoba umzimba wakho ujwayelaUCelexa.

Umaokuqhamuka uma udla imishanguzoziyaqhubeka noma ziyinkinga, thintana nodokotela wakho, onganquma ukuthi ushintsho lomthamo noma omunye umuthi ungafaneleka yini. Ungayeki ukuthathaUCelexauwedwa uze ukhulume nodokotela wakho, ngubani ongakweluleka ngohlelo lokuthwebula uma udinga ukuyeka ukulithatha.

UCelexaukuphikisana nezixwayiso

Imikhawulo

UCelexaayifanele wonke umuntu. Lapho nixoxaUCelexane- yakhoumhlinzeki wokunakekelwa kwezempilo, qiniseka ukubatshela nganoma iyiphiizimo zezokwelaphaungahle ube nayo.

UCelexakuyaphikiswa kubantu:

  • Thatha uhlobo lwei-antidepressanteyaziwa ngokuthi i-MAOI (i-monoamine oxidaseinhibitor), noma uthathe i-MAOI kungakapheli izinsuku eziyi-14 kusukelaUCelexa
  • Bayathathapimozide,umugqa, noma ngemithambo eluhlaza okwesibhakabhaka emthanjeni
  • Ingabe iguliswa yi-UCelexanoma yisiphi isithako esingasebenzi kuumuthi kadokotela

UCelexafuthi akufanele isetshenziswe kubantu:

  • Unokungajwayelekile okungalungile kwe-electrolyte
  • Ngabeisigqi senhliziyoizinkinga ezifanaUkwandiswa kwe-QTnoma i-ventricular arrhythmia
  • Iba ne-bradycardia (slowisilinganiso senhliziyo)
  • Ngibe nesikhathi sakamuvaisifo senhliziyo
  • Yiba nokuhluleka kwenhliziyo okuxinekile

UCelexakufanele isetshenziswe ngokuqapha kubantu:

  • Unomlando weisigqi senhliziyoizinkinga
  • Basengozini yokungajwayelekile kwe-electrolyte (udokotela wakho uzoqapha amalebhu anjengei-potassiumfuthii-magnesium)
  • Sebenzisa eminye imithi edala ukucindezeleka kwe-CNS (central system system)
  • Sebenzisa utshwala
  • Ingabe ama-CYP2C19 metabolizers ampofu
  • Bangaphansi kweminyaka engu-25 ubudala
  • Ngabantu abadala asebekhulile
  • Ingabe ukhulelwe, ikakhulukazi ku-trimester yesithathu
  • Unenkinga yesibindi
  • Yiba nomlando we-mania noma i-hypomania (UCelexaayivunyelwe ukusetshenziswa ku-ukuphazamiseka kwengqondo okuguquguqukayoIziguli kufanele zihlolweukuphazamiseka kwengqondo okuguquguqukayongaphambi kokuthathaUCelexa)
  • Yiba nokuvalwa kwe-engelii-glaucoma
  • Yiba nomlando wokuquleka
  • Aphelelwe amanzi emzimbeni.

Tshela udokotela wakho uma ukhulelwe, uhlela ukukhulelwa, nomaukuncelisa ibele.

Ama-neonates abekade evezwe kokunyeimishanguzo, kufaka phakathiUCelexa, phakathi ne-trimester yesithathu yokukhulelwa, babe nezinkinga eziholela ekulalisweni isikhathi eside ezibhedlela, okudinga ukusuthiswa kwamashubhu nosizo lokuphefumula. Ama-neonates adalulweAma-SSRIsekukhulelweni nakho kungaba ne-ingozi eyengeziweye-PPHN (umfutho ophakeme wegazi ophezulu wamaphaphu womntwana osanda kuzalwa).

Ukuhoxa

YizeUCelexaayihlukaniswa njenge- into elawulwayo , namanje akufanele kumiswe isigubhukane. Uma udinga ukuyeka ukuthathaUCelexa, ungayeki nje ukuwuthatha — cela udokotela wakho uhlelo lokuthwebula, ukuze uyeke kancane ukuphuza umuthi amasonto ambalwa. Ukuyeka ngokungazelelwe ii-antidepressant, njengeUCelexa, kungadalaizimpawu zokuhoxa. Izimpawu zokuhoxa ngokuvamile zixazulula zodwa kepha kwesinye isikhathi zingaba nzima. Izimpawu zokuhoxa zifaka:

  • Ukuthukuthela
  • Ukushintsha kwemizwelo (okungaba namandla kakhulu)
  • Ukuyaluza
  • Isiyezi
  • Ukushaqeka kukagesi
  • Ukukhathazeka
  • Ukudideka
  • Ubuhlungu bekhanda
  • Imikhuba emibi
  • Ukuqwasha
  • I-Hypomania

Ukweqisa ngokweqile

Lapho uthathaUCelexa, Landela imiyalo yokulandelwa enikezwe uchwepheshe wakho wezokunakekelwa kwempilo. Umenzi uncoma ukuthathaUCelexakanye nsuku zonke, ekuseni noma kusihlwa.

Noma izimo zomuntu ngamunye ziyehluka,UCelexaivame ukuqala ngomthamo ophansi futhi inyuke kancane uma kudingeka, ngaphansi kweso elibukhali likadokotela wakho.

Imithamo engaphezu kuka-40 mg ngosuku yilezi akunconyiwe ngenxa yobungozi beUkwandiswa kwe-QT(ukuphazamiseka kukagesi kwenhliziyo), futhi ngoba izifundo zokusebenza kahle azikhombisanga ukuthi imithamo engaphezulu kwama-40 mg nsuku zonke yayisebenza.

Umthamo omkhulu ophakanyisiwe ngu-20 mg ngosuku ku:

  • Abantu abadala abaneminyaka engaphezu kwengu-60 ubudala
  • Iziguli ezinezinkinga zesibindi
  • Iziguli ezimpofu ze-CYP2C19 metabolism
  • Iziguli ezithatha i-cimetidine noma enye i-CYP2C19 inhibitor

Abantu abanezinkinga zezinso ezinobumnene noma ezilinganiselwe abadingi ukulungiswa komthamo. Noma kunjalo,UCelexakufanele isetshenziswe ngokuqaphaeziguliningezinkinga ezinzima zezinso.

UCelexaukuxhumana

Ngaphambi kokuthathaUCelexa, tshela udokotela wakho ngayo yonke imithi oyiphuzayo, kufaka phakathiimishanguzo kadokotela,phezu kwekhawunta(OTC) imithi, namavithamini noma izithako zokudla.UCelexaunezinyeukuxhumana kwezidakamizwaukwazi:

  • Ama-anti-depressants e-MAOI : I-MAOI (i-monoamine oxidaseisivimbeli)imishanguzoakufanele ithathwe zingakapheli izinsuku eziyi-14 kusukelaUCelexangenxa yobungozi beisifo se-serotonin. Izibonelo zama-MAOIs zifaka phakathiphenzi,umagazine,sibongile, futhiisocarboxazid.
  • Ezinye izidakamizwa ezandisa i-serotonin: UCelexakwandisa amazinga e-serotonin, futhi ingaxhumana neminye imithi ekhulisa i-serotonin, ibangeleisifo se-serotonin. Le mithi ifaka nezinyeimishanguzo elwa nokudangala, ama-triptans we-migraine, lithium ,sdudlamin, imithi yezinhlungu ze-opioid (njenge bhabha ),ISt. John's Wort, kanye ne-dextromethorphan (okokunciphisa ukukhwehlela okudumile okutholakala kokukhwehlela okuningi nemikhiqizo ebandayo, yomibili imishanguzo kanye ne-OTC)
  • Ukudangala kwe-CNS : Izidakamizwa ezehlisa ijubane uhlelo oluphakathi lwezinzwa, njengokudambisa imizwa, izidambisi, nemithi yokulala, kufanele zisetshenziswe ngokuqapha kubantu abathathaUCelexa.
  • Utshwala : Gwema utshwala ngenkathi uthathaUCelexa.
  • Ama-NSAID kanye ne-thinner yegazi: Izidakamizwa ezingezona ukuvuvukala(njengeibuprofen, i-aspirin, ne-umabhebhana) kanye nabanciphisi begazi (njengewarfarin) kungakhuphula ingozi yokuphuma kwegazi lapho kuthathwa ngayoUCelexa.

Lolu akulona uhlu oluphelele lwe-ukuxhumana kwezidakamizwa, nokunyeukuxhumana kwezidakamizwakungenzeka. Xhumana nodokotela wakho ukuthola uhlu olugcwele lwe-ukuxhumana kwezidakamizwa.

Ungakugwema kanjaniUCelexa okuqhamuka uma udla imishanguzo

  1. Isikali : Landela imiyalo efanele yokuphuza njengoba unikezwe udokotela wakho. Umthamo wokuqala uyahluka ngokuya ngomlando wakho wezokwelapha. ThathaUCelexakanye nsuku zonke njengokuyalelwa, noma ngaphandle kokudla. Uma uphuthelwa umthamo, wuthathe ngokushesha lapho ukhumbula. Uma sekusondele isikhathi somthamo wakho olandelayo, weqa umthamo ongabanjwanga uthathe umthamo wakho ojwayelekile ngesikhathi esijwayelekile — ungaphindi kabili. Ubude bokwelashwa ngeUCelexaziyahlukahluka. Okwakhoumhlinzeki wokunakekelwa kwezempiloingakweluleka ngobude bokwelashwa okufanele wena. Ungaguquli umthamo wakho noma uyeke ukuthatha imishanguzo yakho ngaphandle kokuthi udokotela wakho akunikeze imiyalelo ethile yokuthi ungakwenza kanjani lokho.
  2. Umlando wezokwelapha : Xoxa nganoma yikuphiizimo zezokwelaphanomlando nodokotela wakho, ngakho-ke anganquma ukuthi ngabeUCelexaiphephile kuwe.
  3. Ukusebenzisana : NgobaUCelexainamandlaukuxhumana kwezidakamizwa, qiniseka ukuthi ubuyekeza yonke imishanguzo oyiphuzayo nommeli wakho. Lokhu kufaka phakathi incwadi kadokotela, i-OTC, nanoma yimaphi amavithamini noma izithako zokudla ozithathayo. Noma nini lapho uphuza umuthi omusha (incwadi kadokotela nomaOTC), Buza udokotela wakho noma usokhemisi ukuthi kuphephile yini ukuhamba nakhoUCelexa. Gwema utshwala lapho uthathaUCelexa.
  4. Khulumisanani : Khuluma nodokotela wakho kanye / noma usokhemisi. Uma uhlangabezana nobumneneokuqhamuka uma udla imishanguzo, yakhoumhlinzeki wokunakekelwa kwezempiloangakwazi ukukunikeza amathiphu wokuzigwema. Gcina iphephabhuku nganoma iyiphiokuqhamuka uma udla imishanguzonokuthi yini ebasizayo. Isibonelo, umaUCelexakukwenza ukhathele, ungazama ukuyithatha ngesikhathi sokulala. Uma unayoimiphumela emibi kakhulu, tshela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lapho kudingeka.
  5. Funda Umhlahlandlela Wezokwelapha : Uma ugcwalisa noma ugcwalisa kabusha i-UCelexaincwadi kadokotela, uzothola umhlahlandlela wemithi. Lo mhlahlandlela ubuyekezaokuqhamuka uma udla imishanguzonezixwayiso. Funda umhlahlandlela njalo lapho ugcwalisa incwadi kadokotela, ezosiza ukugcina imininingwane ebalulekile mayelana nayoUCelexakusha emqondweni wakho.