Amitriptyline - Harkokin Ciniki na Drug
Amitriptyline shi ne mai aiki a cikin wani nau'i na maganin da ba shi da magunguna wanda wasu lokuta aka umarta wa mutanen da ke fama da ciwo mai tsanani. Sakamakon wannan amfani (wanda ake kira "lakabin kashe-laka"), yana da yawa fiye da kashi da aka ba don rashin ciki. Amitriptyline a halin yanzu yana samuwa a cikin nau'i nau'i; a Amurka, an yi AstraZenceca a baya a karkashin sunan suna Elavil, amma Elavil yanzu an katse shi.
Idan kuna shan wasu magunguna banda amitriptyline, ya kamata ku tattauna su daki-daki tare da likitan ku. Bisa ga shafin yanar gizo na Drugs.com, fiye da kwayoyi 2000 na iya yin hulɗa tare da amitriptyline, samar da damar samun fiye da 500 da manyan ayyuka 1400.
Related: Adjuvant Pain Magunguna
Tattauna da sauran likita tare da likitanku kafin yin Amitriptyline
Idan kana da wannan muhimmin tattaunawa tare da likitanka, ka tabbata ka ambaci ba kawai wasu takardun umarni ba kuma a kan lissafin da kake ɗauka, amma abubuwa na wasanni, kayan lambu da / ko abincin abinci, haka ma.
Jerin da zai biyo baya zai iya sa ka tunanin abin da za ka fada wa likitanka kafin ka ɗauki amitriptyline. (Lura: wannan ba ta zama cikakke jerin ba.)
- Ka gaya mata game da abincin giya. Barasa a hade tare da amitriptyline shine haɗarin haɗari don hulɗar miyagun kwayoyi; Abubuwan da za a iya haifar da halayen sun haɗu da ƙananan zuciya, damuwa, rikice-rikice, tashin hankali, zubar da jini, hangen nesa, kullun da sauransu.
- Yi la'akari da kowane kayan lambu da za ku ci. St. John's Wort, alal misali, magani ne na wasu don magance rashin tausayi da matsakaici. Yin amfani da shi tare da amitriptyline na iya rinjayar aikin hanta.
- Yi muni da likitanku game da duk wani amfani da miyagun ƙwayoyi da ba bisa ka'ida ba. Kamar yadda wasu magungunan likita, a kan magungunan magungunan da magunguna ko kayan abincin na abinci, lokacin da amitriptyline yayi hulɗa da abubuwan haram, sakamakon zai iya cutar da lafiyar ku.
Ka tabbata ka gaya wa likitanka idan ka yi amfani da maɓallin MAO. Ma'aikatan MAO sun haɗa da furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), ko tranylcypromine (Parnate). Lura: Ma'aikatan MAO ba za a ɗauki su tare da amitriptyline ba.
- Yi la'akari da duk abin da ka dauka don rashin ciki ko wasu al'amurran kiwon lafiya na tunanin mutum, ciki har da na kayan lambu da na abinci, da kuma SSRIs.
- Ka gaya mata idan kana amfani da duk wani miyagun ƙwayoyi da aka katse. Wasu daga cikin wadannan kwayoyi zasu iya zama matukar damuwa ga lafiyarka, musamman idan an dauki su tare da amitriptyline.
Da ke ƙasa akwai lissafi wanda ya fi dacewa (amma ba kawai) magunguna da aka yi amfani da su suna da damar haɗin magungunan miyagun ƙwayoyi idan an haɗa su tare da amitriptyline. Maɗaukakiyar magungunan miyagun ƙwayoyi an bayyana shi ne wanda ɗayan ƙalubalen shan magani biyu ya fi ƙarfin yin haka.
Sunan jinsin Brand Name Citalopram Turanci Duloxetine Cymbalta Cyclobenzaprine Flexeril Fluxoetine Prozac Topamax Topiramate Tramadol Ultram Sertraline Zoloft Trazodone Desyrel Da ke ƙasa akwai lissafin da aka fi amfani da shi (amma ba kawai) maganin da ke amfani da su ba na da damar yin hulɗa da miyagun ƙwayoyi masu tsayi lokacin haɗuwa tare da amitriptyline. Ana yin izinin hulɗar magungunan miyagun ƙwayoyi kawai a yanayi na musamman.
| Sunan jinsin | Brand Name |
|---|---|
| Pregabalin | Lyrica |
| Levothyroxine | Synthroid |
| Alprazolam | Xanax |
- Sauran abubuwa da za a ambaci likitanku kafin daukar amitriptyline sun hada da: Antacids, maganin kwayoyin haihuwa da kuma hormones mata, cin ganyayyaki da / ko ruwan 'ya'yan inabi, kaolin ko pectin, kwayoyin barci, maganin antihistamines da sauran magunguna, magungunan sanyi da mura, asarar nauyi da magungunan magungunan ƙwayoyi, masu shayarwa na muscle (watau cyclobenzaprine ), da magungunan magani , kamar morphine, codeine, ko tramadol.
Harkokin Drug da ke Yarda Ƙara Hanyoyin Tsarin Amitriptyline
Wasu hulɗa tsakanin amitriptyline da sauran kwayoyi na iya kara yawan adadin amitriptyline a cikin jininka, wanda zai yiwu ya haifar da haɓaka tasiri.
Ga jerin jerin magungunan da zasu iya hulɗa tare da amitriptyline ta wannan hanya:
- da magungunan da aka dauka don ƙwayar zuciya , da kuma sauran magunguna
- disulfiram , magani da ake amfani dashi don taimaka wa mutane da shan giya ya guje wa shan
- atropine, phenobarbital , da kuma irin kwayoyi
- yan jini , kamar Warfarin
- bromocriptine
- cimetidine , maganin ƙwayar ƙwayar zuciya da ciwon ƙwayar ƙwayar zuciya, kazalika da metoclopramide
- hawan jini clonidine , da labetalol
- delavirdine, da sauran kwayoyi da ake amfani dasu don magance cutar HIV
- diphenoxylate , maganin zawo
- da magungunan ilimin chemotherapy da imatinib da procarbazine
- Magunguna na Parkinson , kamar levodopa
- Alzheimer magunguna , kamar su donepezil, galantamine, da tacrine
- epilepsy da kuma janye magani
- wasu maganin rigakafi
- thymon hormones , kamar levothyroxine
- Magunguna SSRI
Kamar yadda kake gani, lissafin hanyoyin hulɗa da miyagun ƙwayoyi da amitriptyline yana da tsawo. A gaskiya ma, wannan batu kusa da cikakken jerin. Kamar yadda na ambata a farkon wannan labarin, shafin yanar gizo na Drugs.com ya ce fiye da kwayoyi 2000 da sunayen sunaye zasu iya hulɗa tare da amitriptyline. Abin da ya sa nake da muhimmanci ku tattauna wasu magungunan ku da likitanku kuma ba kawai ku dogara da bayanin da ke cikin wannan labarin ba.
Ta kasancewa mai kyau da gaskiya tare da likita game da wasu magunguna da kake dauka, zaka iya taimakawa wajen tantance idan amitriptyline yana da lafiya da kuma tasiri mai kyau domin sarrafawa na ciwo mai tsanani.
Sources:
Drugs.com Amitriptyline Drug Interaction. Drugs.com yanar gizon. Samun shiga Yuni 2015. http://www.drugs.com/drug-interactions/amitriptyline.html
Drugs.com. Elavil. Drugs.com yanar gizon. Samun shiga Yuni 2015. http://www.drugs.com/elavil.html">http://www.drugs.com/elavil.htm l
Hochadel, M, PharmD, BCPS, Edita, Thomas, W, Greider, K. AARP Guide to Pills. Gold Standard. Tampa Florida 2006
MedlinePlus. Amitriptyline NIH US National Library of Medicine. Afrilu 2015 http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682388.html#brand-name-1
MedlinePlus. St John wort. NIH US National Library of Medicine. Afrilu 2015 http://www.nlm.nih.gov/medlineplus/druginfo/natural/329.html
MedlinePlus. Thioridazin. NIH US National Library of Medicine. Mayu na karshe Mayu 2011. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682119.html