Silenor Isiza Ukugcina Ubuthongo Ngezinyathelo Eziphansi
Isidakamizwa sezokwelapha Silenor (doxepin) siyisidakamizwa esicindezelayo i-tricyclic esetshenziswa futhi njengengqondo yokuqala nokugcina ubuthongo. Yamukelwa yi-FDA yokwelashwa kokushona ngo-March 2010.
I-Silenor yenziwa ngumkhiqizi njengendlela yokuhlukumezeka okungenakuhlukumeza futhi ayihlukaniswa njengezinto ezilawulwa yi-DEA. Njengoba kubonakala kunokuntuleka kokuhlukumezeka, kungase kube yindlela enhle kulabo abathintekayo ngokuba umlutha wokulala amaphilisi.
Ukusetshenziswa
Silenor ingasetshenziswa ngokuphumelelayo ukuphatha izimpawu zokuntula ukulala noma ukulala okungavamile . Kuyasiza ukuqalisa nokugcina ubuthongo ngokubangela ukulala. Ngamazinga aphezulu, kusetshenziselwa ukuphatha ukukhathazeka nokucindezeleka.
Indlela Esebenza ngayo
Ayaziwa kahle ukuthi uSilenor usebenza kanjani. Kucatshangwa ukuthi kusebenza kuma-neurotransmitters, okuyizithunywa zamakhemikhali ngaphakathi kwengqondo. Ivumela i-neurotransmitter ethile ebizwa ngokuthi i-histamine ekwakheni izikhala phakathi kwamaseli we-nerve ngokuvimbela ukufika kwayo kumasethini aseduzane.
Ngubani Okungafanele Awusebenzise?
Abantu abasha abangaphansi kweminyaka engama-25 ubudala akufanele basebenzise le mithi ngoba kukhona ingozi eyengeziwe yokuzibulala kulabo abanenkinga enkulu kanye nezinye izifo zengqondo. Silenor kufanele futhi ingasetshenziswanga uma uphila kusuka ekuhlaselweni kwenhliziyo yakamuva. Uma une glaucoma noma ubunzima bokugcina umchamo, kutuswa ukuthi ungasebenzisi le mithi.
Silenor kufanele isetshenziswe ngokucophelela uma unesifo senhliziyo, ukugunwa, izinkinga ze-thyroid, isifo sikashukela, isifo se-asthma, isifo se-Parkinson, izinkinga zesibindi, noma asebekhulile.
Ukuthula kungenzeka futhi akufanelekile uma une-bipolar isifo noma i-schizophrenia, noma uma usengozini yokuzibulala.
Silenor kufanele igwenywe uma ukhulelwe noma uncelisa.
Silenor inekhono lokusebenzisana nezinye izidakamizwa eziningi, ngakho imithi yakho kufanele ibuyekezwe ngokucophelela ngumhlinzeki wakho wokunakekelwa kwezempilo ngaphambi kokuqala ukuthatha u-Silenor.
Ukuyeka imithi ngokuzumayo kufanele kugwenywe.
Okuqhamuka uma udla imishanguzo
Kunemiphumela emibi eminingi engase ibe yimuphi umuthi. Yize umuntu engeke alindeleke ukuthi abe nemiphumela emibi kakhulu - futhi kungenzeka ukuthi angenayo noma yimuphi - okunye okungahle kwenzeke nge-Silenor kufaka:
- Ukulala
- Umlomo omile
- Isizungu
- Ukuqokwa
- Umbono ophundlekile
- I-palpitations yenhliziyo
- Ukushaya kwenhliziyo okusheshayo
- I-Incontinence
- Ukwandisa ukudla
- Ukudabuka noma ukuhlanza
- Ukuphunga
- Ukungabi namandla
- Ukukhathazeka nokudideka
- Ukuphumula
- Ukungalali
- Ukukhathazeka noma ukukhathazeka
- Ukugcinwa kwe-Urinary noma imvamisa
- Rash noma imifantu
- Isikhumba esinamahloni
- Inzuzo yesisindo
- Shintsha isifiso sobulili
- Ukungabi namandla
- Ukwandiswa kwezicubu zesisu noma ukukhishwa kwamanzi
- Ukwesaba (shakiness)
- Izinguquko emazingeni egazi le-glucose
- Ubumbulu noma ukubetha
- Ukuzwela ukukhanya
Ngokusetshenziswa kwanoma imuphi umuthi, kukhona nezingozi zemiphumela emibi kakhulu. Lokhu kwenzeka okungavamile kakhulu. Uma usebenzisa iSilenor, lokhu kungafaka:
- I-Orthostatic hypotension (umfutho wegazi ophansi uma umile)
- I-hypertension (i-high blood pressure)
- Ukuphelelwa amandla
- Izinhliziyo ezingavamile
- Isifo senhliziyo
- Isibungu
- Ukuzizwa
- Izimpawu ze-Extrapyramidal
- I-Tardive dyskinesia
- I-Hypomania / i-mania
- Kunzima ukuhamba
- Ukucindezela kweso kwanda
- Ukuvinjelwa kwesisu
- Igazi elingavamile libala
- Ama-hallucinations
- Ukucindezeleka kwengqondo
- Ukucindezeleka okukhulu
- Imicabango yokuzibulala
- I-hepatitis (ukuvuvuka kwesibindi)
- SIADH
- Ukushisa komzimba okwandisiwe
Ukuqapha Ukuphepha
Njengoba kuphawuliwe ngenhla, abantu abathile kufanele basebenzise uSilen ngokuqapha noma cha. Ezimweni ezingavamile, imithi ingathinta inhliziyo yakho yomculo, okwenza i- QT isongezwe . Ngakho-ke, kufanele uthole i-electrocardiogram eyisisekelo (ECG) ngaphambi kokuqala u-Silenor ukukhomba noma iyiphi ingozi nokuvimbela izinkinga ezifana nokuguga noma ukufa okungazelelwe.
Kubalulekile ukuthi uhlolwe udokotela wakho njengoba kuqaliswa imithi noma ushintsho kumthamo wenziwa. Ngokuyinhloko, izimpawu zokuzibulala noma izinguquko ezingavamile ekuziphatheni kufanele zibukwe.
Imithi akufanele ivele imiswe njengoba nje izobangela izimpawu zokuhoxiswa. Uma uhlangabezana nanoma yikuphi ubunzima, kufanele uxhumane eduze nomhlinzeki wakho wezempilo oyinhloko.
Imithombo:
"I-Doxepin." I-Epocrates Rx Pro. Inguqulo 3.3, 2010. Epocrates, Inc. San Mateo, California.