Amitriptyline yog ib qho tshuaj antidepressant los ntawm ib pawg neeg ntawm tricyclic compounds. Nws muaj calming, analgesic, antihistamine, hypnotic, antiulcer nyhuv. Feem ntau cov tshuaj no yog tshuaj rau kev nyuaj siab ntawm ntau yam kab mob, paj hlwb, kev puas siab ntsws thiab lwm cov kev mob ntsws.
Cov ntsiav tshuaj Amitriptyline muaj hwj chim txaus los tsim cov kev mob hauv lub cev. Ntxiv nrog rau qhov zoo ntawm cov tshuaj no, uas tau ua tiav sai txaus, muaj ntau tus neeg mob cim qhov mob ntawm ntau yam kev phiv thaum nws siv. Feem ntau, cov kev phiv tshwm sim tsuas yog 1 mus rau 2 hnub tom qab pib tshuaj kho. Xav txog dab tsi yog qhov tshwm sim los ntawm Amitriptyline, vim li cas lawv tshwm sim, thiab cov neeg kho mob nrog txoj kev siv yeeb tshuaj no raug txwv.
Lwm cov teebmeem ntawm Amitriptyline
Feem ntau, qhov tshwm sim ntawm cov kev mob tshwm sim ntawm Amitriptyline yog txuam nrog nws cov overdose (qhov ntau tshaj plaws ntawm cov tshuaj yog txhua tus neeg). Tsis tas li ntawd, lawv tuaj yeem cuam tshuam txog qhov tseeb thaum siv cov tshuaj yeeb dej cawv hloov tus cwj pwm mus zaum thiab sawv ntsug (tag nrho cov taw yuav tsum txuam). Kev tsis zoo yog los ntawm kev sib koom tes ntawm Amitriptyline nrog lwm cov tshuaj. Ntawm lawv yog:
- monoamine oxidase inhibitors;
- antipsychotics;
- anticoagulants;
- glucocorticoids, thiab lwm yam.
Ntawm cov kev mob tshwm sim ntawm Amitriptyline peb pom cov hauv qab no:
1. Los ntawm sab hauv lub plab system:
- mob plab;
- heartburn ;
- xeev siab;
- ntuav;
- jaundice vim muaj teebmeem tshwm sim nyob rau hauv txoj kev tiv thaiv biliary;
- quav mob;
- cov kev hloov hauv kev xaav ntawm saj;
- impaired daim siab kev ua haujlwm.
2. Los ntawm cov kab mob hauv lub plawv thiab lub cev hematopoiesis:
- lub plawv tsis ua haujlwm;
- poob ntshav siab;
- kiv taub hau;
- cuam tshuam ntawm kev kho mob ntawm lub plawv;
- cov kev hloov hauv cov feem pua ntawm erythrocytes, leukocytes thiab platelets;
- hloov hauv electrocardiogram.
3. Los ntawm ob sab ntawm lub paj hlwb:
- kev xav pom;
- lethargy;
- tsaus muag;
- nkees nkees lossis insomnia;
- qhov tshwm sim ntawm kev tuav tswj ntawm tes thiab taw;
- tsis meej pem ntawm kev xav;
- trembling ntawm lub taub hau thiab ceg;
- mob taub hau;
- kev sib ceg;
- yawning;
- mob qaug dab peg;
- txo qis thiab nce siab ntawm kev chim siab.
4. Ntawm ib feem ntawm qhov kev ua haujlwm hauv lub cev:
- kev hloov hauv kev sib deev muaj siab;
- hloov piam thaj cov ntsiab lus;
- txo cov ntsiab lus ntawm sodium ions;
- o loj ntawm qog cov qog.
5. Lwm cov kev mob tshwm sim, nrog rau cov uas cuam tshuam nrog tshuaj kho ntawm cov tshuaj:
- ntau yam kev ua xua tshwm sim (angioedema, pob khaus, khaus, thiab lwm yam);
- nce siab hauv siab;
- tsis pom kev;
- qhov ncauj qhuav;
- suab nrov hauv pob ntseg ;
- poob plaub hau;
- kub cev;
- nquag tso zis, thiab lwm yam.
Amitriptyline thiab cawv
Tsis pub muaj cawv haus tau thaum noj tshuaj no. Kev sib koom tes ntawm amitriptyline thiab cawv muaj kev nyuab siab rau lub hauv nruab nrab hauv lub paj hlwb, thiab nrog kev nyuaj siab ntawm qhov chaw ntawm kev ua pa, nws tuaj yeem ua rau kev tuag thiab kev tuag.
Contraindications rau noj Amitriptyline:
- cev xeeb tub thiab lactation;
- lub plawv tsis ua haujlwm nyob rau theem ntawm decompensation;
- myocardial infarction (mob ua xua thiab rov qab);
- ntshav siab;
- ua txhaum ntawm kev siv dag siv hlau;
- mob theem ntawm peptic ulcer;
- daim siab thiab lub raum kab mob hauv lub caij nyoog;
- weakening lub suab ntawm cov phab ntsa ntawm lub zais zis;
- ib qho kev khaus ntawm ib txoj hnyuv.