Doxepin (Insomnia)
Zoo Siab
- Ua ntej noj cov doxepin (Silenor),
- Doxepin (Silenor) tuaj yeem ua phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:
Doxepin (Silenor) yog siv los kho lub cev tsis tsaug zog (nyuaj ua kom tsaug zog lossis pw tsaug zog) hauv cov neeg muaj teeb meem pw tsaug zog. Doxepin (Silenor) nyob hauv chav kawm ntawm cov tshuaj hu ua tricyclic antidepressants. Nws ua haujlwm los ntawm kev ua haujlwm qeeb hauv lub hlwb kom cia pw tsaug zog.
Doxepin kuj tseem muaj tshuaj ntsiav thiab kua los kho kev ntxhov siab thiab ntxhov siab. Cov monograph no tsuas yog muab cov ntaub ntawv hais txog doxepin (Silenor) rau kev tsis nco qab. Yog tias koj tab tom siv cov tshuaj no rau kev ntxhov siab lossis ntxhov siab, nyeem cov monograph txoj cai doxepin (kev nyuaj siab, ntxhov siab).
Doxepin (Silenor) los ua ib ntsiav tshuaj noj ntawm qhov ncauj. Nws feem ntau noj ib zaug ib hnub, hauv 30 feeb ntawm lub sijhawm mus pw. Tsis txhob noj doxepin (Silenor) tsis pub dhau 3 teev ntawm ib pluas noj. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj doxepin (Silenor) raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.
Koj yuav pw tsaug zog sai sai tom qab koj noj doxepin (Silenor) thiab tseem yuav tsaug tsaug zog qee lub sijhawm tom qab koj noj tshuaj. Npaj pw tam sim tom qab koj noj doxepin (Silenor) thiab pw hauv 7 txog 8 teev. Tsis txhob noj doxepin (Silenor) yog tias koj tsis tuaj yeem mus pw tam sim ntawd thiab pw tsaug zog ntev li 7 txog 8 teev tom qab siv cov tshuaj.
Koj yuav tsum pib pw tsaug zog zoo dua nyob rau thawj ob peb hnub ntawm kev kho mob nrog doxepin (Silenor). Yog tias koj pw tsaug zog tsis zoo nyob hauv 7-10 hnub, lossis mob heev dua hu rau koj tus kws kho mob.
Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (phau Qhia Tshuaj) thaum koj pib kho nrog doxepin (Silenor) thiab txhua zaus koj rov ntim tshuaj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib zaub mov thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kom tau Phau Ntawv Qhia Tshuaj.
Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.
Ua ntej noj cov doxepin (Silenor),
- qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau doxepin (Silenor), amoxapine, loxapine, lwm yam tshuaj, lossis lwm yam tshuaj hauv doxepin (Silenor) ntsiav tshuaj. Nug koj tus kws muag tshuaj lossis tshawb xyuas Phau Ntawv Qhia Tshuaj Kho Mob rau cov npe ntawm cov khoom siv.
- qhia rau koj tus kws kho mob yog tias koj noj tshuaj monoamine oxidase (MAO) inhibitor xws li isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), thiab tranylcypromine (Parnate), lossis yog tias koj tau txiav tsis noj MAO inhibitor. 14 hnub dhau los. Kuj qhia koj tus kws kho mob yog tias koj noj lossis tau txais methylene xiav (Provayblue) lossis linezolid (Zyvox). Koj tus kws kho mob yuav qhia koj kom tsis txhob noj cov doxepin. Yog tias koj tsum tsis noj cov doxepin, koj yuav tsum tos tsawg kawg 14 hnub ua ntej koj pib noj MAO inhibitor.
- qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: cimetidine (Tagamet); tshuaj rau hnoos, mob khaub thuas, lossis ua xua; quinidine (hauv Nuedexta); cov tshuaj ua kom nqus; xaiv serotonin reuptake inhibitors (SSRIs) xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, hauv Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), thiab sertraline ; lwm cov tshuaj tsaug zog; tolazamide; thiab tranquilizers. Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv. Ntau lwm cov tshuaj kuj tuaj yeem cuam tshuam nrog doxepin (Silenor), yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no.
- qhia rau koj tus kws kho mob yog tias koj muaj lossis tau muaj mob qa ntshav uas tsis tau kho, lossis tso zis cia (tsis tuaj yeem tso zis ib pliag lossis tag nrho). Koj tus kws kho mob yuav hais kom koj tsis txhob noj cov doxepin (Silenor).
- qhia rau koj tus kws kho mob yog tias koj tau lossis tau haus cawv ntau dhau lawm, siv tshuaj hauv kev, lossis cov tshuaj siv ntau dhau. Kuj qhia koj tus kws kho mob yog tias koj tau lossis muaj kev puas siab dua, mob hlwb, tua tus kheej, pw tsaug zog (pw tsaug zog uas ua rau kev ua pa tawm mus ib ntus thaum pw tsaug zog), lossis mob raum lossis mob siab.
- qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj cev xeeb tub thaum noj cov doxepin (Silenor), hu rau koj tus kws kho mob.
- koj yuav tsum paub tias doxepin (Silenor) tuaj yeem ua rau koj nkees nkees. Tsis txhob tsav tsheb, tsav tsheb cav, lossis ua lwm yam kev phom sij thaum hmo ntuj tom qab noj doxepin (Silenor). Tsis txhob tsav tsheb los yog siv tshuab ua haujlwm rau hnub tom ntej kom txog thaum koj paub tias cov tshuaj no cuam tshuam rau koj li cas.
- koj yuav tsum paub tias cawv tuaj yeem ntxiv rau kev qaug zog uas tshwm sim los ntawm cov tshuaj no. Tsis txhob haus cawv thaum koj noj cov doxepin (Silenor).
- koj yuav tsum paub tias qee cov neeg uas coj doxepin (Silenor) tau tawm ntawm lub txaj thiab tsav lawv lub tsheb, npaj thiab noj zaub mov, muaj kev sib deev, hu xov tooj, tau pw-taug kev, lossis tau koom nrog lwm yam thaum tsis tsaug zog siab. Tom qab lawv sawv, cov neeg no feem ntau tsis nco qab qhov lawv tau ua. Hu rau koj tus kws kho mob tam sim ntawd yog tias koj pom tias koj tau tsav tsheb los yog ua lwm yam txawv txawv thaum koj pw.
Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.
Doxepin (Silenor) yuav tsum tau noj xwb thaum mus pw. Yog tias koj tsis tau noj doxepin (Silenor) ua ntej koj mus pw thiab koj muaj teeb meem tsaug zog, koj tuaj yeem siv doxepin (Silenor) yog tias koj yuav tau pw hauv txaj tsawg kawg yog 7 txog 8 teev tom qab. Tsis txhob noj ob npaug ntawm doxepin (Silenor) ua rau tsis nco qab noj.
Doxepin (Silenor) tuaj yeem ua phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- xeev siab
- kiv taub hau
Doxepin (Silenor) tuaj yeem ua lwm yam phiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.
Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).
Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws hauv chav tsev kub thiab deb ntawm lub teeb, thiab tshaj cua sov thiab noo noo (tsis nyob hauv chav dej).
Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.
Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org
Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.
Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:
- lub plawv khiav ceev
- zoo siab ntxhov siab, tsis meej, los yog nkees
- teeb meem kev xav tsis tau
- qaug dab peg
- leeg khov kho
- ntuav
- nce hauv me tub kawm ntawv qhov loj me
- ua kom pom kev (pom tej yam lossis hnov cov suab uas tsis muaj)
- ua npaws
- txias lub cev kub
- tsis nco qab (tsis nco qab rau lub sijhawm ib ntus)
Khaws tag nrho cov kev teem caij ntsib nrog koj tus kws kho mob.
Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.
Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.
- Ntxoov Ntxoo®