Mirtazapine

Zoo Siab

• Ua ntej noj mirtazapine,
• Mirtazapine yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
• Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais los no lossis cov uas teev rau hauv seem ceebtoom lossis ceeb toom tshwj xeeb, hu rau koj tus kws kho mob tam sis lossis nrhiav kev kho mob kub ceev:

Cov menyuam yaus, cov tub ntxhais hluas, thiab cov neeg laus (txog 24 xyoos) uas tau siv tshuaj tiv thaiv kev ntxhov siab (xws li lub siab lub ntsws) xws li mirtazapine thaum kev tshawb fawb soj ntsuam tau dhau los tua tus kheej (xav txog kev ua phem lossis tua tus kheej lossis npaj lossis npaj lossis sim ua li ntawd )). Cov menyuam yaus, cov tub ntxhais hluas, thiab cov neeg laus hluas uas siv tshuaj tiv thaiv kab mob los kho kev nyuaj siab lossis lwm yam kev mob hlwb yuav dhau los ua kev tua tus kheej dua li menyuam yaus, cov hluas thiab cov neeg laus uas tsis siv tshuaj tiv thaiv kab mob los kho cov mob no. Txawm li cas los xij, cov kws tshaj lij tsis paub meej tias qhov kev pheej hmoo no yuav loj npaum li cas thiab nws yuav tsum txiav txim siab ntau npaum li cas hauv kev txiav txim siab seb tus menyuam lossis tub ntxhais hluas yuav tsum siv tshuaj tiv thaiv kab mob. Cov menyuam yaus hnub nyoog qis dua 18 xyoo yuav tsum tsis txhob nquag noj mirtazapine, tab sis qee kis, tus kws kho mob yuav txiav txim siab tias mirtazapine yog cov tshuaj zoo tshaj plaws los kho tus menyuam qhov mob.

Koj yuav tsum paub tias koj lub paj hlwb yuav hloov txoj hauv kev uas tsis tau xav txog thaum koj noj mirtazapine lossis lwm yam tshuaj tiv thaiv kev ntxhov siab txawm tias koj laus los tshaj 24 xyoos. Koj tuaj yeem ua tus kheej tua tus kheej, tshwj xeeb tshaj yog thaum pib kho koj thiab txhua lub sijhawm uas koj cov koob tshuaj tau nce lossis txo qis. Koj, koj tsev neeg, lossis koj cov neeg saib xyuas yuav tsum hu rau koj tus kws kho mob tam sim ntawd yog tias koj pom muaj cov tsos mob hauv qab no: kev nyuaj siab tshiab lossis zuj zus; xav txog kev ua kom raug mob lossis tua koj tus kheej, lossis npaj lossis sim ua; txhawj xeeb tshaj plaws; kev ntxhov siab; ceeb tawm tsam; teeb meem tsis tsaug zog los yog pw tsaug zog; tus cwj pwm tsis txaus ntseeg; kev chim siab; tsis ua zoo xav; kev nyob tsis tswm zoo; thiab frenzied tsis meej zoo siab. Nco ntsoov tias koj tsev neeg lossis cov neeg zov menyuam paub tias cov tsos mob twg yuav yog tus mob hnyav yog li lawv tuaj yeem hu kws kho mob yog tias koj tsis tuaj yeem nrhiav kev kho koj tus kheej.

Koj tus neeg saib xyuas kev noj qab haus huv yuav xav ntsib koj ntau zaus thaum koj tab tom noj mirtazapine, tshwj xeeb yog thaum pib kho koj. Nco ntsoov khaws txhua qhov sijhawm teem mus ntsib kws kho mob nrog koj tus kws kho mob.

Tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Phau Ntawv Qhia Txog Tshuaj Kho Mob) thaum koj pib kho mirtazapine. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj tseem tuaj yeem tau txais Kev Qhia Txog Tshuaj Kho Mob los ntawm FDA lub vev xaib: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Txawm hais tias koj lub hnub nyoog li cas, ua ntej koj siv tshuaj tiv thaiv kab mob siab, koj, koj niam koj txiv, lossis koj tus kws saib xyuas mob yuav tsum tham nrog koj tus kws kho mob txog cov kev pheej hmoo thiab cov txiaj ntsig ntawm kev kho koj tus mob nrog kev tiv thaiv kab mob los yog nrog lwm cov kev kho mob. Koj yuav tsum tau tham txog cov kev pheej hmoo thiab cov txiaj ntsig tsis tau kho koj tus mob. Koj yuav tsum paub tias muaj kev nyuaj siab lossis lwm tus neeg mob hlwb hnyav heev ua rau koj muaj kev phom sij. Qhov kev pheej hmoo no yuav muaj ntau dua yog tias koj lossis ib tus neeg hauv koj tsev neeg muaj lossis puas tau muaj kev puas siab puas ntsws bipolar (lub siab uas hloov los ntawm kev nyuaj siab mus rau kev zoo siab uas tsis txaus siab) lossis mania (ua kev npau taws, xav tsis thoob mus ob peb vas sab) lossis tau xav txog lossis sim tua tus kheej. Tham nrog koj tus kws kho mob txog koj tus mob, cov tsos mob, thiab koj tus kheej li keeb kwm kho mob thiab tsev neeg. Koj thiab koj tus kws kho mob yuav txiav txim siab seb hom kev kho mob twg yog qhov zoo rau koj.

Mirtazapine yog siv los kho kev nyuaj siab. Mirtazapine yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua tshuaj tiv thaiv kev nyuaj siab. Nws ua haujlwm los ntawm kev nce qee yam kev ua hauv lub hlwb kom ua kom lub hlwb sib npaug.

Mirtazapine los ua ib ntsiav tshuaj thiab ua rau lub ntsiav tshuaj tsis huv los noj ntawm qhov ncauj. Feem ntau nws yuav noj ib hnub ib zaug thaum yuav mus pw. Nws tuaj yeem noj nrog lossis tsis muaj zaub mov. 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 mirtazapine raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Txhawm rau noj mirtazapine ntsiav tshuaj ua kom tsis zoo, qhib lub pob rau pob ntsej muag nrog txhais tes qhuav thiab muab cov ntsiav tshuaj tso rau ntawm koj tus nplaig. Cov ntsiav tshuaj yuav yaj tawm ntawm tus nplaig thiab tuaj yeem nqos nrog qaub ncaug. Tsis muaj cov dej xav tau nqos cov ntsiav tshuaj tsis zoo. Thaum cov tshuaj tshem tawm los ntawm cov hlwv pob, nws tsis tuaj yeem khaws cia. Tsis txhob sib cais mirtazapine ntsiav tshuaj ua kom tsis zoo.

Nws yuav siv sijhawm ntev li ob peb asthiv lossis ntev dua rau koj pom tias muaj txiaj ntsig zoo ntawm mirtazapine. Txuas ntxiv noj mirtazapine txawm hais tias koj tus kheej yuav xis neej. Tsis txhob tsum noj mirtazapine yam tsis tham nrog koj tus kws kho mob. Koj tus kws kho mob tej zaum yuav txo qhov tshuaj tsawg zuj zus.

Cov tshuaj no qee zaum sau tseg rau lwm qhov kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj mirtazapine,

• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau mirtazapine, lwm yam tshuaj, lossis ib yam ntawm cov khoom xyaw hauv mirtazapine ntsiav tshuaj lossis cov ntsiav tshuaj tawg. Nug koj tus kws kho mob lossis kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
• qhia koj tus kws kho mob yog tias koj noj tshuaj monoamine oxidase (MAO) inhibitor xws li isocarboxazid (Marplan), linezolid (Zyvox), methylene xiav, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), thiab tranylcypromine (Parnate) lossis koj tau tso tseg tsis noj MAO inhibitor hauv 14 hnub dhau los. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj tshuaj mirtazapine. Yog tias koj tsum tsis noj mirtazapine, koj yuav tsum tos tsawg kawg 14 hnub ua ntej koj pib noj MAO inhibitor.
• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj tias yam tshuaj twg thiab cov ntawv yuav tshuaj, cov vitamins, thiab cov khoom noj muaj txiaj ntsig koj noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: anticoagulants ('ntshav thinners') xws li warfarin (Coumadin, Jantoven); Cov tshuaj tiv thaiv kab mob xws li amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), thiab trimipramine; qee yam antifungals xws li ketoconazole (Nizoral); buspirone; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, lwm yam); cimetidine (Tagamet); diazepam (Valium); erythromycin (E.E.S., E-mycin, Erythrocin); fentanyl (Abstral, Actiq, Fentora, Onsolis, lwm tus); lithium (Eskalith, Lithobid); cov tshuaj noj rau mob taub hau xws li almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), thiab zolmitriptan (Zomig); ib co tshuaj kho kab mob HIV; tshuaj rau kev ntxhov siab thiab qaug dab peg; nefazodone; phenytoin (Dilantin); phom phom (Rimactane, Rifadin, hauv Rifater, hauv Rifamate); cov tshuaj ua kom nqus; xaiv serotonin reuptake inhibitors (SSRIs) xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), thiab sertraline (Zoloft); xaiv serotonin thiab norepinephrine reuptake inhibitors (SNRIs) xws li desvenlafaxine (Pristiq), duloxetine (Cymbalta), thiab venlafaxine (Effexor); pw tsaug zog tshuaj; tramadol (Ultram); 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.
• qhia rau koj tus kws kho mob tias yam tshuaj ntsuab koj noj, tshwj xeeb tshaj yog St. John lub wort thiab tryptophan.
• qhia rau koj tus kws kho mob yog tias koj tau lossis tau muaj mob plawv tas li, mob ntshav siab tsawg, mob plawv, raum, lossis mob siab, 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 mirtazapine, hu rau koj tus kws kho mob.
• yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj mirtazapine.
• koj yuav tsum paub tias cov tshuaj no yuav ua rau koj tsaug zog. Tsis txhob tsav tsheb los sis siv lub tshuab ua haujlwm kom txog thaum koj paub tias cov tshuaj no cuam tshuam rau koj li cas.
• Nco ntsoov tias dej cawv tuaj yeem ntxiv rau kev qaug zog uas tshwm sim los ntawm cov tshuaj no.
• yog tias koj muaj phenylketonuria (PKU, ib qho mob muaj txiaj ntsig uas txoj kev noj haus tshwj xeeb yuav tsum tau ua raws li kev tiv thaiv kom tsis txhob mob hlwb), koj yuav tsum paub tias cov tshuaj ntsiav tsis zoo ntawm lub ncauj muaj aspartame uas ua rau phenylalanine.
• koj yuav tsum paub tias mirtazapine yuav ua rau lub qhov muag qhib lub ntsej muag (ib qho mob uas cov dej ntws tawm sai thiab tsis tuaj yeem tawm ntawm lub qhov muag ua rau muaj qhov nrawm nrawm nrawm rau qhov muag uas yuav ua rau tsis pom kev). Tham nrog koj tus kws kho mob txog kev kuaj qhov muag ua ntej koj pib noj cov tshuaj no. Yog tias koj xeev siab, mob qhov muag, hloov qhov muag pom kev, xws li pom cov xim ib ncig ntawm lub teeb, thiab o lossis ua pob liab vog lossis ncig ncig lub qhov muag, hu rau koj tus kws kho mob lossis mus kho mob sai sai.

Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.

Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Mirtazapine yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

• tsaug zog
• kiv taub hau
• kev ntxhov siab
• tsis meej pem
• nce phaus thiab qab los noj mov
• qhov ncauj qhuav
• cem quav
• xeev siab
• ntuav

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais los no lossis cov uas teev rau hauv seem ceebtoom lossis ceeb toom tshwj xeeb, hu rau koj tus kws kho mob tam sis lossis nrhiav kev kho mob kub ceev:

• Cov tsos mob khaub thuas zoo li mob khaub thuas, kub ib ce, ua daus no, mob caj pas, qhov ncauj tawm, lossis lwm yam cim ntawm kev kis
• mob hauv siab
• lub plawv dhia ceev
• qaug dab peg

Mirtazapine tuaj yeem ua lwm yam phiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum koj tseem 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 ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

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

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.

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.

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj sim kuaj xyuas koj cov lus teb rau mirtazapine.

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.

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