Esketamine Nihi Taria

Toka Te Manawa

• I mua i te whakamahi i te rehu nasal esketamine,
• Ko te rehu nasal Esketamine ka raru pea. Korerohia atu ki to taakuta mena he kino enei tohu kaore ranei e haere atu:

Ma te whakamahi i te rehu nasal esketamine ka ai he whakaipoipo, hemo, he tupapaku, he manukanuka, he ahua hurihuri, he kare ranei i motuhia mai i to tinana, o whakaaro, o te kare, o te waahi me te waa. Ka whakamahia e koe he rehu nasal esketamine ki to whare hauora, engari ma te taakuta koe e tirotiro i mua, i te waa, me te 2 haora pea i muri i to maimoatanga. Me whakamahere koe ma tetahi kaitiaki, ma tetahi mema ranei o to whanau e kawe i a koe ki te kaainga i muri i to whakamahi i te esketamine. I muri i to whakamahinga i te rehu nasal esketamine, kaua e peera i te motuka, mahi i nga miihini, ki te mahi ranei i tetahi mea e hiahia ana koe kia mataara tae noa ki te ra i muri mai i te moe o te po. Korero atu ki to taakuta i tenei wa mena he tino ngenge koe, hemo, he mamae o te uma, he manawa poto, he ohorere nui o te upoko, ka rereke te tirohanga, ka ru te wiri o tetahi waahanga o te tinana, o te awhi ranei.

Ko te Esketamine pea he mahinga-hanga. Korerohia ki to taakuta mena kei te inu koe tetahi atu o to whanau ranei kua inu koe i te nui o te waipiro, te whakamahi, kua roa ranei te whakamahi i te raau taero, kua nui ranei te whakamahi i nga rongoa whakahaunga

He iti noa nga tamariki, taiohi, me nga taiohi pakeke (tae atu ki te 24 tau te pakeke) i mau ki nga antidepressants ('nga kaiwhakauru i te wairua') i nga wa o nga rangahau haumanu i riro hei whakamomori (e whakaaro ana mo te whara, te patu ranei i a koe ano, te whakamahere ranei kia ngana ranei ki te mahi. Ko nga tamariki, taiohi, me nga taiohi pakeke e tango ana i nga antidepressants hei whakaora i te pouri, i etahi atu mate hinengaro ranei ka kaha ke te mate whakamomori i nga tamariki, taiohi, me nga taiohi pakeke kaore e tango i nga antidepressants ki te whakaora i enei ahuatanga. Heoi, kaore nga tohunga i te mohio mo te nui o te tuponotanga nei me te nui o te whakaaro ki te whakatau mena ka uru te tamaiti, te taiohi ranei ki te rongoa rongoa rongoa mate. Kia tamariki kaore whakamahia te esketamine.

Kia mohio koe ka rereke to hauora hinengaro i nga huarahi ohorere ka whakamahi koe i te esketamine me etahi atu antidepressants ahakoa he pakeke ake koe i te 24 tau. Ka mate pea koe i te whakamomori, ina koa i te tiimatanga o te maimoatanga me nga wa katoa ka rereke to horopeta. Koe, to whanau, to kaitiaki ranei me waea tonu ki to taakuta mena ka kite koe i etahi o nga tohu e whai ake nei: he pouri hou, he pouri ranei; e whakaaro ana koe mo te whara, te patu ranei i a koe ano, te whakamahere ranei, te ngana ranei kia pera; tino āwangawanga; whakaohooho whakaeke riri; te uaua ki te moe, ki te moe ranei; whanonga pukuriri; pukuriri; mahi me te kore whakaaro; tino noho humarie; me te ihiihi rerekē. Kia mahara kei te mohio to whanau, to kai-tiaki ranei, ko ngahea nga tohu e paarua ana kia karanga ratou ki te taakuta mena kaore e taea e koe te rapu maimoatanga maau ake.

Na te raru o tenei rongoa, ka waatea anake te esketamine ma te kaupapa tohatoha motuhake. He hotaka e kiia ana ko te hotaka Aromautanga Spravato Risk Evaluation and Mitigation Strategies (REMS). Koe, to taakuta, me to rongoā me whakauru ki te kaupapa Spravato REMS i mua i to whiwhinga ki tenei rongoa. Ka whakamahia e koe te rehu nasal esketamine i roto i te whare hauora i raro i te tirohanga a te taakuta, o tetahi atu tohunga ngaio ranei.

Purihia nga wa katoa ki to taakuta me te taiwhanga. Ka tirotirohia e to taakuta to toto i mua atu i te 2 haora pea i muri i to whakamahinga i te esketamine i ia waa.

Ka hoatu e to taakuta, o te kaimai rongoa ranei ki a koe te pepa korero manawanui a te kaihanga (Aratohu Rongoa) ka tiimata ana koe i te maimoatanga me te esketamine me ia wa ka whakakii ano koe i to whakahaunga. Pānuihia nga korero ka ui atu ki to taakuta, ki te kaimuku ranei mena he paatai ​​taau. Ka taea hoki e koe te toro atu ki te Paetukutuku Kai me te Whakahaumaru Taonga (FDA) paetukutuku, ki te paetukutuku ranei a te kaihanga ki te tiki mai i te Aratohu Maakuta.

Ko te rehu nasal Esketamine e whakamahia ana me tetahi atu rongoa antidepressant, ka tangohia e te waha, hei whakahaere i te pouri-kore-aukati (TRD; pouri kaore e pai ake me te maimoatanga) i roto i nga pakeke. Ka whakamahia hoki me tetahi atu rongoa antidepressant, ka tangohia e te mangai, ki te hamani i nga tohu pouri o te pakeke me te mate whakapouri nui (MDD) me nga whakaaro whakamomori, mahi ranei. Ko te Esketamine kei roto i te akomanga o nga rongoā e kiia nei ko te NMDA kaiwhiwhi kaitautoko. Ka mahi ma te whakarereke i nga mahi o etahi matū taiao i roto i te roro.

Ko te Esketamine he rongoa (wai) hei rehu ki te ihu. Mo te whakahaere i te mate pouri-aukati, ka rehu tonu ki te ihu e rua i te wiki i nga wiki 1-4, kotahi wiki ia wiki 5-8, ka kotahi i te wiki kotahi wiki ia wiki 2 i te wiki 9 me tua atu. Mo te whakamaimoa i nga tohu pouri o te hunga pakeke he mate porearea nui me nga whakaaro whakamomori he mahi ranei, ka rehuatia ki te ihu e rua i te wiki tae atu ki te 4 wiki. Me whakamahi te Esketamine ki tetahi whare hauora.

Kaua e kai mo te iti rawa i te 2 haora inu waipiro ranei mo te iti rawa 30 meneti i mua i te whakamahi i te rehu nasal esketamine.

Ko ia taputapu rehu ihu e whakarato ana i nga pupuhi e 2 (kotahi rehu mo ia pongaponga). E rua nga ira matomato kei runga i te taputapu e kii ana ki a koe kua ki tonu te rehu ihu, kotahi te ira otaota e kii ana kua whakamahia te rehu kotahi, kaore he ira kaakaariki e tohu ana i whakamahia te rongoa katoa o te 2 rehu.

Ka tohua pea tenei rongoa mo etahi atu whakamahinga; pātai atu ki to taakuta, ki to taakuta rongoa ranei mo etahi atu korero.

I mua i te whakamahi i te rehu nasal esketamine,

• korero atu ki to taakuta me to taakuta rongoā mena kei te mate koe i te esketamine, ketamine, tetahi atu rongoa, tetahi atu ranei o nga kai kei roto i te esketamine nasal spray. Patai ki to taakuta rongoa, tirohia ranei te Aratohu Maimoatanga mo te raarangi o nga kai.
• korero atu ki to taakuta me te kaitao rongoa he aha atu nga rongoa rongoa me nga kore rongoa, huaora, taapiringa kai, me nga hua otaota e tango ana koe, e whakaaro ana koe ki te tango Kia mahara ki te whakahua i enei e whai ake nei: amphetamines, rongoa mo te manukanuka, armodafinil (Nuvigil), aukati MAO penei i te phenelzine (Nardil), te procarbazine (Matulane), te tranylcypromine (Parnate), me te selegiline (Eldepryl, Emsam, Zelapar); etahi atu rongoa mo te mate hinengaro, methylphenidate (Aptension, Jornay, Metadate, me etahi atu), modafanil, opioid (narcotic) rongoa mo te mamae, nga rongoa mo te hopu, nga mea whakarokiroki, nga pire moe, me nga kaiwhakamarie. Korero atu ki to taakuta mena i tango tata koe i enei rongoa.
• Mena kei te whakamahi koe i te corticosteroid nasal pēnei i te ciclesonide (Alvesco, Omnaris, Zetonna) me te mometasone (Asmanex) te whakahekeheke o te ihu ranei penei i te oxymetazoline (Afrin) me te phenylephrine (Neosynephrine), whakamahia kia 1 haora i mua i te whakamahinga o te rehu nasal esketamine.
• korero atu ki to taakuta mena he mate toto to to te roro, te uma, te puku, nga ringaringa me nga waewae ranei. he huringa arteriovenous (he hononga rereke i waenga i o uaua me o uaua); he toto ranei kei roto i to roro. Ka kii pea to taakuta ki a koe kaua e whakamahi i te rehu nasal esketamine.
• korero atu ki to taakuta mena kua pa atu koe ki te whiu, te mate o te ngakau, te whara o te roro, tetahi ahuatanga ranei e piki ai te kaha o te roro. Korero atu ki to taakuta mena kei te kite koe, kei te rongo koe, kei te rongo ranei koe i nga mea kaore i reira; whakapono ranei ki nga mea kahore pono. Ano hoki, korero atu ki to taakuta mena kua pa atu koe ki te mate manawa ngoto o te ngakau, te ngoikore o te ngakau, te takawhita (toto toto nui), te puhoi o te manawa o te manawa ranei, te manawa poto, te mamae o te uma, te ate ranei te mate manawa ranei.
• korero atu ki to taakuta mena kei te hapu koe, kei te whakaaro ranei koe kia hapu. Mena kua hapu koe i te wa e whakamahia ana te rehu nasal esketamine, waea tonu ki to taakuta. Ko te rehu nasal Esketamine ka whara i te kopu.
• korero atu ki to taakuta mena kei te whangai u koe. Kaua e whangai i a koe e whakamahi ana i te rehu nasal esketamine.
• Mena kei te poka koe, tae atu ki te taatai ​​niho, mea atu ki te taote, ki te taote niho ranei kei te whakamahia e koe te rehu nasal esketamine.

Engari ki te kore e kiia atu e to taakuta, kia mau tonu to kai.

Mena ka ngaro i a koe tetahi waahi whakamaimoa whakapaa atu ki to taakuta tonu ki te whakarite i tetahi waa. Mena ka ngaro koe i tetahi maimoatanga ka kino rawa atu to pouri, akene me huri ke to taakuta i to horopeta, i to raupapa maimoatanga ranei.

Ko te rehu nasal Esketamine ka raru pea. Korerohia atu ki to taakuta mena he kino enei tohu kaore ranei e haere atu:

• he maha, he akiaki, he wera, he mimi mamae ranei
• kōroke
• korere
• mangai maroke
• whakapairuaki
• ruaki
• te uaua ki te whakaaro, ki te haurangi ranei
• ānini
• he rereke te reka o te konganuku ranei i roto i te mangai
• raru o te ihu
• riri korokoro
• nui haere te werawera

Ko etahi o nga awangawanga ka nui pea. Mena kua pa ki a koe etahi o nga tohu kua whakarārangitia i TE WARATANGA PONO, waea atu ki to taakuta, ki te tuku whakaora whakaora ranei.

Ko te rehu nasal Esketamine ka raru ke atu. Karangahia to taakuta mena he raru rereke koe i te whakamahi i tenei rongoa.

Mena kua pa ki a koe he raru kino, ka tukuna e koe, to taakuta ranei te ripoata ki te kaupapa Tuku Korero Kaupapa Hauora a te Whakahaerenga Tika me te Taonga Taonga (FDA) i runga i te ipurangi (http://www.fda.gov/Safety/MedWatch), waea atu ranei ( 1-800-332-1088).

Mena he nui rawa te waipiro, waea atu ki te awhina awhina paihana i te 1-800-222-1222. E waatea ana nga korero i runga ipurangi i te https://www.poisonhelp.org/help. Mena kua hinga te patunga, kua hemo ia, kua raru tana manawa, kaore ranei e taea te whakaoho, waea atu ki nga ratonga ohorere i te 911.

He mea nui ki a koe kia mau ki te raarangi tuhi o nga raau rongoa katoa me nga kore rongoa (kore-i runga i te kaareti) e tango ana koe, me nga hua pera i te huaora, te kohuke, etahi atu taapiri kai ranei. Me mau e koe tenei raarangi i ia wa ka toro atu koe ki te taakuta mena ka uru koe ki te hohipera. He mea nui ano hoki nga korero hei kawe atu maau ka pa he mate ohorere.

• Spravato^®