Amitriptyline - Kuyanjana kwa Mankhwala Osakaniza
Amitriptyline ndi mankhwala opangira mankhwala omwe amatsutsidwa nthawi zina kwa anthu omwe amamva kupweteka kwapweteka kwanthawi yaitali. Mlingo wa ntchitoyi (umene umatchedwa "off-label akufotokozera"), ndi wochepa kwambiri kuposa mlingo woperekedwa chifukwa cha kuvutika maganizo. Amitriptyline panopa ilipo mu fomu yachibadwa; ku US, idapangidwa kale ndi AstraZenceca pansi pa dzina lakuti Elavil, koma Elavil wasiya.
Ngati mukugwiritsa ntchito mankhwala ena kuwonjezera pa amitriptyline, muyenera kukambirana nawo mwatsatanetsatane ndi momwe mukufotokozera dokotala. Malinga ndi webusaiti yathu ya Drugs.com, mankhwala opitirira 2000 angagwirizanane ndi amitriptyline, kupanga mwayi woposa ma 500 mgwirizano ndi 1400.
Zokhudzana ndi: Mankhwala Opweteka Adjuvant
Kambiranani za mankhwala ena ndi Dokotala Musanayambe Amitriptyline
Mukakhala ndi kukambirana kofunika ndi dokotala, onetsetsani kuti simunatchule malamulo ena okha komanso pazinthu zomwe mumazitenga, koma zinthu zosangalatsa, zitsamba komanso / kapena zakudya zowonjezera.
Mndandanda wotsatirawu ukhoza kukupangani inu kuganizira zomwe munganene kwa dokotala musanatenge amitriptyline. (Zindikirani: izi sizikutanthauza mndandanda wambiri.)
- Muuzeni za kumwa mowa wanu. Mowa palimodzi ndi amitriptyline ndi chidziwitso chodziŵika cha kugwirizanitsa mankhwala moyenera; Zotsatira zowonjezereka zimaphatikizapo ziphuphu zosafunikira, kugona, chisokonezo, kusokonezeka, kusanza, kuona bwino, kugunda ndi zina zambiri.
- Tchulani zitsamba zilizonse zowonjezerani kuti mutenge. Mwachitsanzo, St. John's Wort, ndi mankhwala amchere omwe amagwiritsidwa ntchito ndi ena kuti athetse kuvutika maganizo. Kutenga izo pamodzi ndi amitriptyline kungakhudze chiwindi chanu kugwira ntchito.
- Dziwani momasuka ndi dokotala wanu za mankhwala osokoneza bongo omwe mumagwiritsa ntchito. Monga momwe zilili ndi mankhwala ena operekedwa, pa mankhwala osokoneza bongo ndi mankhwala odyetsa zitsamba kapena zakudya, pamene amitriptyline ikukhudzana ndi zinthu zoletsedwa, zotsatirazi zingasokoneze thanzi lanu.
Onetsetsani kuuza dokotala wanu ngati mwagwiritsira ntchito MAO inhibitor. MAO inhibitors ndi furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Dziwani: MAO inhibitors sayenera kutengedwa ndi amitriptyline.
- Tchulani chilichonse chomwe mumatenga pofuna kuvutika maganizo kapena matenda ena, kuphatikizapo zowonjezera zitsamba ndi zakudya, ndi SSRIs.
- Muuzeni ngati mukugwiritsa ntchito mankhwala aliwonse omwe achotsedwa. Zina mwa mankhwalawa zingakhale zoopsa kwambiri ku thanzi lanu, makamaka ngati zimagwirizanitsidwa ndi amitriptyline.
M'munsimu pali gome lomwe limatchulidwa mankhwala omwe amapezeka kwambiri (koma osati okhawo) omwe amatha kugwiritsira ntchito mankhwala osokoneza bongo akakhala ndi amitriptyline. Kulumikizana kwakukulu kwa mankhwala kumatanthauzira ngati chimodzi mwa zomwe ziopsezo za kumwa mankhwalawa onse zimaposa phindu la kuchita zimenezo.
Dzina lachibadwa Dzina lajambula Kitalopram Celexa Duloxetine Chimbalta Cyclobenzaprine Flexeril Fluxoetine Prozac Topamax Topiramate Tramadol Ultram Sertraline Zoloft Trazodone Desyrel Pansipa pali gome lomwe limatchulidwa mankhwala omwe amapezeka kwambiri (koma osati okhawo) omwe amatha kugwiritsira ntchito mankhwala osokoneza bongo akakhala ndi amitriptyline. Kugwiritsa ntchito mankhwala osokoneza bongo nthawi zambiri kumaloledwa kokha pokhapokha.
| Dzina lachibadwa | Dzina lajambula |
|---|---|
| Pregabalin | Lyrica |
| Levothyroxine | Synthroid |
| Alprazolam | Xanax |
- Dokotala wina asanatenge amitriptyline ndi awa: Antacids, mapiritsi oletsa kubadwa ndi mahomoni aakazi, kudya zipatso za mphesa ndi / kapena madzi a mphesa, kaolin kapena pectin, mapiritsi ogona, antihistamines ndi mankhwala ena opatsirana, kutentha kwa chimfine ndi chimfine. mankhwala osokoneza bongo kapena chilakolako chofuna kudya, kupuma kwa minofu (ie, cyclobenzaprine ), ndi mankhwala opweteka , monga morphine, codeine, kapena tramadol.
Kuyanjana kwa Mankhwala Owonjezera Mankhwala Amitriptyline Amagazi A Magazi
Kuyanjana pakati pa amitriptyline ndi mankhwala ena akhoza kukweza kuchuluka kwa amitriptyline m'magazi anu, mwinamwake kuwatsogolera ku zotsatira zoonjezereka.
Pano pali mndandanda wa mankhwala omwe angagwirizane ndi amitriptyline motere:
- mankhwala osokoneza bongo , komanso mankhwala ena amtima
- disulfiram , mankhwala omwe amathandiza anthu omwe amamwa mowa mwauchidakwa kupewa kumwa
- atropine, phenobarbital , ndi mankhwala ofanana
- magazi , monga Warfarin
- bromocriptine
- cimetidine , mankhwala opweteka / zilonda, komanso metoclopramide
- kuthamanga kwa magazi clonidine , komanso labetalol
- delavirdine, komanso mankhwala ena ogwiritsidwa ntchito pochiza HIV
- diphenoxylate , mankhwala otsekula m'mimba
- mankhwala a chemotherapy imatinib ndi procarbazine
- Mankhwala a Parkinson , monga levodopa
- Mankhwala a Alzheimer , monga accomplishedpezil, galantamine, ndi tacrine
- mankhwala a khunyu ndi kulandira
- maantibayotiki ena
- mahomoni a chithokomiro , monga levothyroxine
- Mankhwala a SSRI
Monga momwe mukuonera, mndandanda wa zothetsera mankhwala ndi amitriptyline ndi wokongola kwambiri. Ndipotu, izi zilibe pafupi ndi mndandanda wathunthu. Monga ndanenera kumayambiriro kwa nkhaniyi, webusaiti ya Drugs.com imanena kuti zoposa 2000 mankhwala ndi mayina amtundu angayanjane ndi amitriptyline. Ndicho chifukwa chake nkofunika kuti mukambirane za mankhwala ena ndi dokotala wanu osati kungodalira zomwe zili m'nkhaniyi.
Mwa kuwonetsetsa bwino ndi dokotala wanu za mankhwala ena omwe mumatenga, mukhoza kumuthandiza kudziwa ngati amitriptyline ndi njira yabwino komanso yothandiza yosamalira ululu wanu wammbuyo.
Zotsatira:
Drugs.com Amitriptyline Mankhwala Osokoneza Bongo. Webusaiti ya Drugs.com. Idapezeka mu June 2015. http://www.drugs.com/drug-interactions/amitriptyline.html
Drugs.com. Elavil. Webusaiti ya Drugs.com. Idapezeka mu June 2015. http://www.drugs.com/elavil.html">http://www.drugs.com/elavil.htm l
Hochadel, M, PharmD, BCPS, Mkonzi Wamkulu, Thomas, W, Greider, K. Buku la AARP Guide kwa mapiritsi. Standard Gold. Tampa Florida 2006
MedlinePlus. Amitriptyline NIH US National Library of Medicine. April 2015 http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682388.html#brand-name-1
MedlinePlus. Wort John's wort. Library ya National Medicine ya NIH US. April 2015 http://www.nlm.nih.gov/medlineplus/druginfo/natural/329.html
MedlinePlus. Thioridazin. Library ya National Medicine ya NIH US. Idasinthidwa komaliza mu Meyi 2011. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682119.html