I-Amitriptyline - Ukusebenzisana Kokudakwa Kwezidakamizwa
I-Amitriptyline iyisithako esisebenzayo kuhlobo lwemithi elwa no-depressant ngezinye izikhathi eqondiswe kubantu abanezinhlungu ezingapheli ezinqolobaneni. Umthamo walokhu kusetshenziselwa (okubizwa ngokuthi "off-label echaza"), ngokuvamile uphansi kakhulu kunomthamo onikelwe ukucindezeleka. U-Amitriptyline okwamanje utholakala kuphela kwifomu elijwayelekile; e-US, ngaphambili yenziwe yi-AstraZenceca ngaphansi kwegama elithi Elavil, kodwa u-Elavil usuvele eseqedile.
Uma uthatha ezinye izidakamizwa ngaphezu kwe-amitriptyline, kufanele uxoxe ngazo ngokuningiliziwe ngodokotela wakho ochaza. Ngokusho kwe-website ye-Drugs.com, izidakamizwa ezingaphezu kuka-2000 zingase zihlanganyele no-amitriptyline, zenze okungenzeka ukuthi kube nokusebenzisana okukhulu okungaphezu kuka-500 no-1400.
Okuhlobene: Imithi Ye-Adjuvant Pain
Xoxani nezinye izidakamizwa nodokotela wakho ngaphambi kokuthatha i-Amitriptyline
Uma unenkulumo ebalulekile nodokotela wakho, qiniseka ukuthi ungakhulumi nje kuphela eminye imiyalelo kanye nezibalo ozibambayo, kodwa izinto zokuzijabulisa, izithako ze-herbal kanye / noma ezokudla, futhi.
Uhlu olulandelayo lungakusiza ucabangele ukuthi ungathini kudokotela wakho ngaphambi kokuthatha amitriptyline. (Qaphela: lokhu akulona uhlu oluphelele.)
- Mtshele ngokudla kwakho utshwala. Utshwala oluhlangene no-amitriptyline yingozi engaziwayo yokusebenzisana kwezidakamizwa ngokulinganisela; Imiphumela emibi ingase ihlanganise izinhliziyo ezingalingani, ukulala, ukudideka, ukukhathazeka, ukuhlanza, umbono obonakalayo, ukugubha nokuningi.
- Tshela noma yiziphi izithako ezithinta ama-herbal ozithathayo. Ngokwesibonelo, i-St John's Wort, imithi ye-herbal esetshenziswa abanye ukuphatha ukucindezeleka okulula kuya kokulinganisela. Ukuyithatha ngokuhambisana ne-amitriptyline kungathinta ukusebenza kwesibindi.
- Yiba obala nodokotela wakho mayelana nanoma yikuphi ukusetshenziswa kwezidakamizwa ezingekho emthethweni lapho uhlanganyela khona. Njengeminye imithi enqunyiwe, phezu kwezidakamizwa eziphikisanayo nezithako zokudla, uma i-amitriptyline ihambelana nezinto ezingekho emthethweni, umphumela ungalimaza impilo yakho.
Qiniseka kakhulu ukuthi utshele udokotela wakho uma ususebenzise i-MAO inhibitor. Ama-inhibitors ama-MAO ahlanganisa i-furazolidone (i-Furoxone), isocarboxazid (Marplan), i-phenelzine (i-Nardil), i-rasagiline (i-Azilect), i-selegiline (i-Eldestry, i-Emsam, i-Zelapar), noma i-tranylcypromine (i-Parnate). Qaphela: i-MAO inhibitors akufanele ithathwe nge-amitriptyline.
- Yisho noma yini oyithathayo ukucindezeleka noma ezinye izinkinga zempilo yengqondo, kuhlanganise nezithako ze-herbal and dietary, nama-SSRIs.
- Mtshele ukuthi usebenzisa noma yiliphi izidakamizwa eziye zavalwa. Ezinye zalezi zidakamizwa zingaba yingozi kakhulu empilweni yakho, ikakhulukazi uma ithathwa ngokuhambisana ne-amitriptyline.
Ngaphansi kwetafula uhlu lwezidakamizwa ezivame kakhulu (kepha hhayi kuphela) ezisetshenziselwa ukusebenzisana okukhulu kwezidakamizwa uma zihlangene ne-amitriptyline. Ukusebenzisana okukhulu kwezidakamizwa kuchazwa njengenye lapho izingozi zokuthatha imithi emibili zidlula izinzuzo zokwenza kanjalo.
Igama elijwayelekile I gama le-brand I-Citalopram Celexa I-Duloxetine I-Cymbalta Cyclobenzaprine I-Flexeril Fluxoetine I-Prozac I-Topamax I-Topiramate I-Tramadol Ultram I-Sertraline Zoloft I-Trazodone Desyrel Ngaphansi kwetafula uhlu lwezidakamizwa ezivame kakhulu (kepha hhayi kuphela) ezisetshenziselwa ukusebenzisana okulinganayo kwezidakamizwa uma zihlangene ne-amitriptyline. Ukusebenzisana kwezidakamizwa ezijwayelekile ngokuvamile kuvunyelwe kuphela ezimweni ezikhethekile.
| Igama elijwayelekile | I gama le-brand |
|---|---|
| I-Pregabalin | Lyrica |
| Levothyroxine | I-Synthroid |
| I-Alprazolam | Xanax |
- Ezinye izinto ongakutshela udokotela wakho ngaphambi kokuba uthathe amitriptyline zibandakanya: Ama-Antacids, amaphilisi okulawula ukuzalwa kanye namahomoni wesifazane, ukudla kwamagilebhisi kanye / noma isiphuzo se-grapefruit, i-kaolin noma i-pectin, amaphilisi okulala, ama-antihistamine nezinye imithi yokwelashwa, imithi yokushisa nokushisa, isisindo somzimba izidakamizwa noma ukucindezela ukudla, imisipha yokuphumula (okungukuthi, i- cyclobenzaprine ), kanye nemithi yokwelapha imithi , njenge-morphine, i-codeine, noma i-tramadol.
Ukusebenzisana kwezidakamizwa okwandisa Amitriptyline Blood Levels
Okunye ukuxhumana phakathi kwe-amitriptyline nezinye izidakamizwa kungakhuphula inani le-amitriptyline egazini lakho, okungenzeka liholele emiphumeleni yocala ekhuphukile.
Nasi uhlu oluthile lwemithi engase ixoxane no-amitriptyline ngalendlela:
- izidakamizwa ezithathwe ngenhliziyo , kanye neminye imithi yezinhliziyo
- i-disulfiram , imithi esetshenziselwa ukusiza abantu abanokudakwa ngokweqile ukugwema ekuphuzeni
- i-atropine, i-phenobarbital , nezidakamizwa ezifanayo
- igazi elincane , njenge-Warfarin
- i-bromocriptine
- i-cimetidine , i-heartburn / i-ulcer imithi, kanye ne-metoclopramide
- ukucindezeleka kwegazi clonidine , kanye ne-labetalol
- i-delavirdine, kanye nezinye izidakamizwa ezisetshenziselwa ukwelashwa nge-HIV
- i-diphenoxylate , imishanguzo yesifo sohudo
- imithi ye-chemotherapy i- imatinib ne-procarbazine
- Imithi kaParkinson , njenge-levodopa
- Imithi ye-Alzheimer , efana ne-factpezil, i-galantamine, ne-tacrin
- imithi yokuphuza nokuthumba
- amanye ama-antibiotic
- amahomoni wegciwane , njenge-levothyroxine
- Imithi ye-SSRI
Njengoba ubona, uhlu lwezokuxhumana kwezidakamizwa no-amitriptyline lungude kakhulu. Eqinisweni, lokhu akusikho eduze kohlu oluphelele. Njengoba ngishilo ekuqaleni kwalesi sihloko, iwebhusayithi ye-Drugs.com ithi izidakamizwa ezingaphezu kuka-2000 namagama wegama angakwazi ukuxhumana no-amitriptyline. Yingakho ngibalulekile ukuba uxoxe nodokotela wakho ngeminye imithi yakho hhayi kuphela ukuthembela kolwazi olukulesi sihloko.
Ngokwenza kahle futhi uthembele nodokotela wakho mayelana neminye imithi oyithathayo, ungamsiza ekunqumeni ukuthi i-amitriptyline iyisinqumo esiphephile futhi esisebenzayo sokuphatha ubuhlungu bakho obubuyela emuva.
Imithombo:
Ukusebenzisana kwezidakamizwa ze-Amitriptyline. Iwebhusayithi yeDrugs.com. Ifinyelele ngoJuni 2015. http://www.drugs.com/drug-interactions/amitriptyline.html
Drugs.com. Elavil. Iwebhusayithi yeDrugs.com. Ifinyelele ngoJuni 2015. http://www.drugs.com/elavil.html">http://www.drugs.com/elavil.htm l
UHochadel, M, PharmD, BCPS, uMqondisi oyiNtloko, uThomas, W, Greider, K. Umhlahlandlela we-AARP wePhilisi. Standard Gold. I-Tampa Florida 2006
I-MedlinePlus. I-Amitriptyline i-NIH US National Library of Medicine. April 2015 http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682388.html#brand-name-1
I-MedlinePlus. Wort St. John's wort. I-NIH US National Library of Medicine. April 2015 http://www.nlm.nih.gov/medlineplus/druginfo/natural/329.html
I-MedlinePlus. Thioridazin. I-NIH US National Library of Medicine. Kugcine ukubuyekezwa ngoMeyi 2011. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682119.html