Ka Sehloohong >> Boitsebiso Ba Lithethefatsi >> Litla-morao tsa Trintellix, likamano, le mokhoa oa ho li qoba

Litla-morao tsa Trintellix, likamano, le mokhoa oa ho li qoba

Litla-morao tsa Trintellix, likamano, le mokhoa oa ho li qobaBoitsebiso ba Lithethefatsi

Litla-morao tsa Trintellix | Boima ba 'mele | Ho ikhula | Litla-morao li nka nako e kae? | Litemoso | Litšebelisano | Mokhoa oa ho qoba litla-morao





Trintellix (motsoako o sebetsang: vortioxetine) ke sethethefatsi se fanoang ke ngaka se phekolang lefu le leholo la khatello ea maikutlo (MDD). Vortioxetine, sesebelisoa se sebetsang ho Trintellix, e lekanya serotonin bokong, e ka thusang ho ntlafatsa maikutlo, mohopolo lets'ebetso ea kelelloho ba nang le khatello ea maikutlo. Trintellix ke meriana e sebetsang, empa e kanna ea se be meriana e nepahetseng bakeng sa motho e mong le e mong ka lebaka la litlamorao tse ka bang teng.



E RELATED: Ithute ho eketsehileng ka Trintellix | Fumana litheolelo tsa Trintellix

Litla-morao tse tloaelehileng tsa Trintellix

Litla-morao tse tloaelehileng tsa Trintellix ke:

  • Ho nyekeloa
  • Letšollo
  • Molomo o omileng
  • Botsoa
  • Ho sokela
  • Ho hlatsa
  • Ho ruruha ka mpa
  • Litoro tse sa tloaelehang
  • Ho hlohlona
  • Ho se sebetse ka thobalano

Ho otsela ha ho tsejoe e le litla-morao tse tloaelehileng tsa vortioxetine. Sebakeng seo, vortioxetine e ka ntlafala linako tsa ho robala le ho thusa ho fokotsa ho otsela mots'eare.



Trintellix boima bo fetoha

Ho imeloa kelellong, haholo-holo serotonin reuptake inhibitors (SSRIs), e tsebahala ka ho amahanngoa leboima ba 'mele, empa hore na ba hlile baka boima ba 'mele bo hole le itseng . Ka lehlakoreng le leng, Trintellix e bonahala e na le litlamorao tse fokolang boima ba 'mele. Ka lithuto tsa bongaka e ileng ea latela bakuli ho feta likhoeli tse tšeletseng, Trintellix, eo ka nako eo a neng a bitsoa Brintellix, e ne e se na litlamorao tse kholo boima ba 'mele. Hamorao thuto ea selemo kaofela , leha ho le joalo, ho bonts'itse bakuli ba fumane karolelano ea ponto e le 'ngoe (1) ha ba le Trintellix. Hoo e ka bang karolo ea 18 lekholong ea bankakarolo ba ithutang ho nka Trintellix ba fumane kapa ba lahleheloa ke 7% ea boima ba bona ba mantlha qalong ea thuto. Trintellix, ka hona, ha e na phello e tlase boima ho feta tse ling tse loantšang khatello ea maikutlo, empa liphetoho tsa boima li ka khonahala mme li tla fapana ka motho.

Ho tlosoa ha Trintellix

Joalo ka meriana eohle e amang serotonin bokong, Trintellix ha ea lokela ho emisoa ka tšohanyetso. Le ha sethethefatsi se sa lemalle, lethal dose le lokela ho fokotseha butle ho feta libeke tse 'maloa pele le emisa ho thibela matšoao a ho khaotsa. Matšoao a tloaelehileng a ho khaotsa ho Trintellix ke:

  • Ho nyekeloa
  • Ho fufuleloa
  • Moferefere
  • Ho teneha
  • Botsoa
  • Ho tšoenyeha
  • Pherekano
  • Ho hlobaela

Ho khaotsa matšoao a lefu ho ka nka lihora tse 'maloa ho isa ho matsatsi a mararo ho hlaha mme e ka phehella beke e le 'ngoe kapa tse peli. Hangata, matšoao ana a rarolla ntle le kalafo bekeng e le 'ngoe ho isa ho tse peli.



Litla-morao tse tebileng tsa Trintellix

Trintellix e ka baka litla-morao tse tebileng ho kenyelletsa:

  • Menahano ea ho ipolaea le boits'oaro
  • Lefu la Serotonin
  • Mathata a ho tsoa mali
  • Mania kapa hypomania ho bakuli ba nang le lefu la ho ferekana kelellong
  • Glaucoma e koaloang ke Angle
  • Maemo a tlase a sodium
  • Liketso tse matla tsa alejiki, ho kenyelletsa anaphylaxis kapa angioedema

Ho ipolaea

Trintellix e tla le tlhokomeliso ea lebokose le letšo la FDA hore bana, bacha le bacha ba kotsing e kholo ea menahano le boits'oaro ba ho ipolaea. Ha ba nka Trintellix, bakuli ba banyenyane ba lokela ho beoa leihlo haufi-ufilipontšo tsa ho ipolaeajoalo ka:

  • Menahano kapa litlhaloso ka ho ipolaea
  • Boiteko ba ho ipolaea
  • Maikutlo a sa tloaelehang a fetoha
  • Khalefo, ho teneha kapa bohale
  • Ho tsitsinyeha kapa ho hloka botsitso
  • Ho tepella maikutlo ho hocha kapa ho mpefala
  • Matšoenyeho a macha kapa a ntseng a mpefala
  • Ho tšoha
  • Boitšoaro bo sa tloaelehang
  • Boitšoaro ba ho ipeha kotsing kapa litšusumetso tse kotsi

Lefu la Serotonin

Ho imeloa kelellong joaloka vortioxetine ho ka baka lefu la serotonin, boemo bo ka bang kotsi bo bakoang ke serotonin e ngata bokong. Khaotsa Trintellix hang-hang 'me u batle tlhokomelo ea bongaka ka matšoao a serotonin syndrome, a kang:



  • Moferefere
  • Litlelase
  • Tahlehelo ea khokahano
  • Ho tsitsinyeha ha mesifa
  • Matšoao a thata
  • Ho otla ha pelo kapele
  • Khatello ea mali e phahameng kapa e tlase
  • Ho fufuleloa
  • Feberu
  • Ho nyekeloa kapa ho hlatsa
  • Pherekano
  • Maemo a fetoha
  • Letšollo
  • Ho oa

Low sodium sodium

Lithethefatsi tsa Serotonergic tse kang vortioxetine li ka baka SIADH, bothata ba hormone e laolang ho felisoa ha 'mele ka metsi le li-electrolyte' meleng. SIADH le eona e ka etsa hore letsoai (sodium) e maling e oele, e leng boemo bo bitsoang hyponatremia. Sodium ea mali e tlase e ka ba boemo bo bobe ba bongaka bo ka bang kotsi, kahoo batla tlhokomelo ea bongaka ka matšoao a hyponatremia ho kenyelletsa:

  • Pherekano
  • Ho lahleheloa ke mohopolo
  • Ho opeloa ke hlooho
  • Ho nyekeloa
  • Ho thata ho tsepamisa mohopolo
  • Ho se tsitse
  • Litlelase
  • Ho akheha
  • Ho oa
  • Ja

Glaucoma e koaloang ke Angle

Glaucoma e koaloang ke Angle e ka etsahala ka tšohanyetso mme ea baka tahlehelo ea pono kapa bofofu ka lihora kapa matsatsi a 'maloa feela. Ho etsahala ha sistimi ea drainage ea leihlo e lipakeng tsa iris le cornea e koetsoe, e etsa hore mokelikeli o bokellane kapele ka har'a leihlo. Sheba matšoao a kang:



  • Bohloko ba mahlo
  • Pono ea fetoha
  • Mahlo a makhubelu kapa a ruruhileng
  • Ho opeloa ke hlooho

Batho ba nang le likhutlo tse tšesaane lipakeng tsa iris le cornea ba kotsing haholo ea ho ba le glaucoma ea ho koala angle. Ho fumanoa li-angles tse moqotetsane ho ka etsoa nakong ea tlhahlobo e tloaelehileng ea mahlo. Li-angles tse moqotetsane lia phekoloa ka ho buuoa.

Litla-morao tsa Trintellix li nka nako e kae?

Litla-morao tse tloaelehileng tsa Trintellix ke tsa nakoana 'me hangata li tla fela matsatsing a' maloa ka mor'a hore moriana o khaotse. Litla-morao tse matla li ka nka nako ho li rarolla. Maemong a bonolo a lefu la serotonin a rarolla matsatsi a mabeli ho isa ho a mararo ho tlohela meriana, empa linyeoe tse matla li hloka tlhokomelo ea bongaka hanghang. Maemong a nang le matšoao a sodium e tlase ea mali, Trintellix e lokela ho emisoa mme mofani oa tlhokomelo ea bophelo o lokela ho ikopanya. Maemo a matla a maemo a tlase a mali a sodium a ka hloka ho kena sepetlele.



Litlhaloso le litemoso tsa Trintellix

Trintellix e kanna ea se be meriana e nepahetseng bakeng sa motho e mong le e mong. Ka mabaka a fapaneng, batho ba bang ba kanna ba se khone ho noa meriana ha ba bang ba ka hloka ho ba hlokolosi pele ba e qala.

Maloetse

Mang kapa mang ea nang le phepo e matla ho Trintellix ha a lokela ho noa meriana.



MAO inhibitors

Batho ba nkang monoamine oxidase inhibitors (MAOIs), sehlopha sa litlhare tse kenyelletsang mefuta e meng ea lithibela-mafu, lithibela-mafu, kapa lithethefatsi tse alafang lefu la Parkinson, ba ke ke ba fuoa Trintellix ho fihlela ba emisitse ho nka MAO inhibitors bonyane matsatsi a 14.

Li-metabolism tse futsanehileng

Batho ba bang ha ba senye vortioxetine hantle haholo. Moriana ona o lula nako e teletsana 'meleng maemong a holimo, o eketsa kotsi ea litla-morao. Ka lehlohonolo, batho ba ka hlahlojoa ka liphatsa tsa lefutso. Li-metabolism tse futsanehileng li tla fokotsoa ho tekanyo e phahameng ea letsatsi le letsatsi ea li-milligram tse 10 (mg).

Bana

Trintellix ke FDA e lumelletsoeng ho sebelisoa ho batho ba baholo ba lilemo li 18 le ho feta. Trintellix ha e so tsejoe e le e bolokehileng kapa e sebetsang ho bana.

Batho ba baholo

Litekong tsa bongaka , Trintellix e bontšitsoe e sebetsa hantle ebile e sireletsehile ho bakuli ba fetang lilemo tse 65. Ha ho hlokahale hore ho be le phetoho ea tekanyetso.

Bokhachane le ho anyesa

Ha ho na lipatlisiso tse lekaneng kapa tlhaiso-leseling e lekanyang hore Trintellix e bolokehile ho e nka nakong ea bokhachane. Batho ba imeng kapa ba nahanang ho ima ba lokela ho batla boeletsi ho tsa bongaka pele ba qala kapa ba emisa Trintellix.

Ka mokhoa o ts'oanang, ha ho na lipatlisiso tse lekaneng kapa tlhahisoleseling ea hore na Trintellix e fetela lebeseng la matsoele kapa e ama lesea le anyesang. Lebenkele la Lithethefatsi le Lactation (Laeborari ea Naha ea Bongaka) hoke tla u bona hamorao bo-mme ba ntseng ba nka Trintellix ho fetolela liphekolo tse ling pele ba anyesa lesea. Mokhoa o mong ke ho fumana mokhoa o mong oa ho fepa lesea.

Litšebelisano tsa Trintellix

Trintellix e na le litšebelisano tse 'maloa tsa lithethefatsi tse ka bakang litlamorao tse fapaneng.

Trintellix le MAO inhibitors

Trintellix ha ea lokela ho nkoa ka monoamine oxidase inhibitors (MAOIs). Ho kopanya Trintellix le MAO inhibitor ho ka baka lefu la serotonin. Lithethefatsi tsena li kenyelletsa:

  • Parnate (tranylcypromine)
  • Marplan (isocarboxazid)
  • Nardil (COM) phenelzine )
  • Zyvox (linezolid)
  • Sivextro (tedizolid)
  • Emsam (selegiline)
  • Xadago (safinamide)
  • Liente tsa methylene putsoa

Lithethefatsi tsa Trintellix le serotonergic

Lithethefatsi tse phahamisang maemo a serotonin li bitsoa serotonergic lithethefatsi. E meng ea meriana ena e na le phello e kholo serotonin, ha e meng e sena eona. Kotsi ea lefu la serotonin e tlase haholo empa ea eketseha ha lithethefatsi tse peli kapa ho feta tsa serotonergic li nkuoa hammoho. Ka lebaka lena, ho kopanya lithethefatsi tse ling tsa serotonergic le Trintellix e lokela ho qojoa. Tsena li kenyelletsa:

  • Ho imeloa kelellong joalo ka
    • Tricyclic ho imeloa kelellong
    • SSRIs (serotonin reuptake inhibitors e khethiloeng), joalo ka citalopram, paroxetine, sertraline, kapa fluoxetine
    • SNRIs (serotonin e khethollang le norepinephrine reuptake inhibitors), joalo ka duloxetine kapa venlafaxine
    • Wellbutrin (bupropion)
  • Meriana ea ho tšoenyeha joalo ka buspirone
  • Litšusumetso
  • Lithethefatsi tse phekolang kapa tse thibelang ho nyekeloa ke pelo
  • Meriana ea khohlela e nang le dextromethorphan
  • Meriana ea migraine ho kenyelletsa li-triptan le lithethefatsi tse ergot
  • Li-opioids joalo ka tramadol kapa fentanyl
  • Lithibela-mafu
  • Li-anticonvulsants tse kang carbamazepine kapa phenytoin
  • Meriana ea Parkinson
  • Lithium
  • Litlama tsa litlama joalo ka St. John's wort, tryptophan, kapa Yohimbe

Trintellix le li-thinner tsa mali (li-anticoagulants)

Trintellix e phahamisa kotsi eamathata a ho tsoa mali, kahoo kalafo e tla hloka ho beoa leihlo haeba motho a noa li-thinner tsa mali, joalo ka warfarin kapa Plavix (clopidogrel). Lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID), joalo ka aspirin le ibuprofen, le tsona li kena-kenana le ho koala mali, ka hona li lokela ho sebelisoa hanyane ha ho nkuoa Trintellix. Lithethefatsi tse ling tsa anticancer li boetse li hlahisa kotsi ea ho tsoa mali ha e nkuoa le Trintellix. Qetellong, li-steroids li ka baka tšollo ea mali ka mpeng. Kotsi ea mathata a tsoang mali ea eketseha ha meriana ena e nooa le Trintellix.

Batho ba bangata ha ba tsebe hore mefuta e meng e tsebahalang ea lijo le litlama e kena-kenana le ho koala mali, ka hona, le tsona li lokela ho sebelisoa hanyane ha li nka Trintellix. Li kenyeletsa:

  • Konofole
  • Ginkgo
  • Oli ea krill
  • O bone palmetto
  • Makhapetla a moluoane

Trintellix le diuretics

Trintellix e phahamisa kotsi ea maemo a tlase a sodium maling. Diuretics (lipilisi tsa metsi) li ka kenya letsoho bothateng ka ho eketsa ho tsoa ha sodium. Phekolo e nang le diuretics e ka hloka ho beoa leihlo kapa ho fetoloa. Lithethefatsi tsa Sulfonylurea, tse laetsoeng ho laola tsoekere maling ho bakuli ba nang le mofuta oa 2 lefu la tsoekere, li tla hape eketsa kotsi ea sodium tlaase bathong ba nkang Trintellix.

Lithethefatsi tse fokotsang katleho ea Trintellix

Lithethefatsi tse ling li potlakisa metabolism ea 'mele ea vortioxetine, e fokotsa ts'ebetso ea eona. Tsena li kenyelletsa:

  • The lithibela-mafu rifampin, rifapentine, rifamycin, rifaximin le rifabutin
  • Mefuta e itseng ea Lithethefatsi tse thibelang likokoana-hloko
  • Mefuta e meng ea lithethefatsi tse loantšang likokoana-hloko
  • Li-barbiturates tse kang butalbital le butabarbital

Ha u noa lithethefatsi tsena, tekanyetso ea Trintellix e kanna ea hloka ho eketsoa.

Lithethefatsi tse eketsang litla-morao tsa Trintellix

Lithethefatsi tse ling li liehisa metabolism ea 'mele ea vortioxetine, e eketsa sekhahla le ho tiea ha litlamorao tse ka bang teng. Tsena li kenyelletsa:

  • Ba bang ho imeloa kelellong joaloka Wellbutrin (bupropion), Paxil (paroxetine), kapa Prozac (fluoxetine)
  • Meriana e meng e phekolang ho otla ha pelo ka tsela e sa tloaelehang joalo ka quinidine

Mofani oa tlhokomelo ea bophelo a ka hloka ho fokotsa lethal dose ea Trintellix ka halofo ea ha a nooa ka meriana ena.

Trintellix le joala

Ha ho na bopaki ba ho noa joala ho ka baka mathata a mang ha o ntse o nka vortioxetine. Leha ho le joalo, moetsi o eletsa batho ka bomong hore ba qobe ho noa joala ha ba ntse ba nka Trintellix.

Mokhoa oa ho qoba litla-morao tsa Trintellix

Ha se motho e mong le e mong ea nkang Trintellix ea tla ba le litla-morao. Bakeng sa ba li etsang, litla-morao hangata li tla ba nyane. Ho na le, leha ho le joalo, mekhoa e 'maloa ea ho fokotsa kotsi ea litla-morao:

1. Nka Trintellix joalokaha ho laetsoe

Nka tekanyo e behiloeng, hangata 5 ho isa ho 20 mg hang ka letsatsi. Se ke oa noa moriana o eketsehileng, khaola lethal dose, kapa oa tlola letsatsi kapa a mabeli. Trintellix e ka nkoa ka lijo kapa ka mpeng e se nang letho.

2. Se ke oa emisa ho nka Trintellix ka tšohanyetso

Qoba ho emisa Trintellix hang-hang. Ho ka ba le litla-morao. Haeba moriana o bonahala o sa sebetse kapa litla-morao li le thata ho li nka, bua le ngaka e fanang ka litlatsetso, rakhemisi, kapa setsebi se seng sa tlhokomelo ea bophelo mabapi le ho fetola lethal dose kapa ho fetohela moriana o mocha. Haeba ho lumellanoe hore meriana e lokela ho emisoa, tsela e molemohali ke ho fokotsa tekano ho latela litaelo tsa mofani oa tlhokomelo ea bophelo.

3. Se ke oa fetoa ke litekanyetso

Joalo ka li-anti-depressing tsohle, batho ba fumana melemo e fokolang ea meriana haeba ba hloloheloa litekanyetso. Haeba litekanyetso tse ngata haholo li fetoa ka tatellano, matšoao a boemo ba kalafo a ka khutla. Hoa thusa ho boloka tlaleho ea meriana, ho sebelisa app app, ho hloma lebokose la lipilisi la matsatsi a supileng, kapa ho beha alamo bakeng sa tekanyetso ea letsatsi ka leng.

4. Bolella ngaka ka maemo ohle a bongaka

Ho arolelana nalane e felletseng ea bongaka ho ka thusa ho thibela litla-morao. Pele o qala Trintellix, bolella ngaka ea hau haeba u bile le tse latelang:

  • Nalane ea ho oela
  • Mathata afe kapa afe a nang le sodium e tlase
  • Mathata afe kapa afe a tsoang mali
  • Mania kapa lefu la ho ferekana kelellong
  • Glaucoma

Hape etsa bonnete ba hore u joetsa ngaka ka boimana, booki kapa merero efe kapa efe ea ho ima kapa ho anyesa ngoana.

5. Bolella ngaka ka meriana eohle e nooang

Trintellix e na le litlamorao tse 'maloa ka lebaka la ho sebelisana ha lithethefatsi. Bolella ngaka e u khethang ka kaofela meriana le litlatsetso tseo u li nkang, haholoholo:

  • Meriana e phekolang maikutlo, matšoenyeho, psychosis, kapa mafu a mang a kelello
  • MAO inhibitors
  • Li-thinner tsa mali
  • Li-diuretics
  • Meriana ea migraine
  • Meriana ea bohloko e kang li-opioid kapa li-NSAID
  • Li-anticonvulsants
  • Rifampicin
  • Quinidine
  • Meriana eohle eo u e rekang, litlatsetso le litlhare tsa litlama tseo u li nkang, haholo-holo setereke sa St. John's le tryptophan

Haeba o sa tiisehe ka sethethefatsi, ngaka, setsebi sa meriana, kapa mofani e mong oa tlhokomelo ea bophelo a ka u thusa ho se khetholla. Haeba u noa meriana e 'meli kapa ho feta eo u e fuoang ke ngaka, boloka lethathamo la meriana ena kaofela. Itokisetse ho sheba lenane leo ha u bua le setsebi sa tlhokomelo ea bophelo.

Lisebelisoa: