Kana uine nhengo yemhuri yakwegura kana shamwari inobatwa neAlzheimer's, vascular dementia, kana rumwe rudzi rwekushaya mungozo, angave ari kutarisana nehutano hwehutano hwepfungwa, nekunyengedza, nekufungidzira, uye kugamuchira mishonga inopesana nehutachiona kuti itarise zviratidzo izvi. Zvakakosha kuziva kuti kana vanachiremba vane sarudzo yekushandisa madhiragi aya muvanhu vakwegura vane demoentiki, varwere vanopinda nhengo dzinouya nebhokisi dema rinonyeverwa nevanhu ava zvakananga.
Muna 2008, US Food and Drug Administration (FDA) yakarayira kuti vashandisi vezvinodhaka zvekare vanowedzera mabhokisi ekutsvaira mabhokisi uye kuisa ruzivo nekuda kwekubatana kwakawanikwa pakati pe antipsychotics uye kuwedzera kwehutano hwekufa kune vakwegura vane chirwere chemagariro evanhu.
Antipsychotic Drug Black Box Warning
Iri ndiro rugwaro rwakakwana rwekuyeverwa:
"CHENYAMISO: Kuwedzerwa kwehutano muhutano hwevanhu vakwegura vane dhementia-inofanirana nehupfungwa
Varwere vakwegura vane chirwere chepfungwa chinokonzera kuora mwoyo kwemazuva ano vanorapwa nemishonga inorwisa antipychotic vari pangozi yekufa. Kuongororwa kwemiedzo ye-placebo-controlled-17 (maitiro emasvondo gumi), kunyanya muvarwere vanotora majoka anypical antipsychotic, vakaratidza dambudziko rekufa muvarwere vanopindwa muropa nezvinodhaka kubva pakati pei 1.6 ne1,7 nguva panjodzi yekufa mune varwere vanobata panzvimbobo. Pamusoro pemutambo wevhiki 10 unochengetedzwa, chiyero chekufa muvarwere vanopindwa mishonga yemishonga chaive ne4,5%, zvichienzaniswa nechiyero che2,6% muboka re placebo. Kunyange zvazvo zvikonzero zvekufa zvaive zvakasiyana, dzakawanda zvekufa zvakaratidzika kuva yemwoyo (semuenzaniso, mwoyo kusakundikana, kufa kamwe kamwe) kana zvirwere (semuenzaniso, pneumonia) mune zvakasikwa. Zvidzidzo zveEpervervational zvinoratidza kuti, zvakafanana neyemajoka ekurapa anticychotic, kurapwa nemishonga inoratidzira antipsychotic inogona kuwedzera kufa. Izvo zviwanikwa izvo kuwanikwa kwekuwedzera kwekufa mune zvidzidzo zvekucherechedza zvinogona kuonekwa kune chirwere chinopesana nehutachiona kunze kwechimwe chimiro (s) chevarwere hachisi pachena. [DRUG BRAND NAME (zita rinodhaka remishonga)] haritenderwi kurapwa kwevarwere vane chirwere chepfungwa chinokonzerwa nehutementi. "
* Nguva yakatarwa inoreva kuti yakareba yakareba yeidzo miedzo yakashandiswa yaiva mavhiki gumi.
Antipsychotic Mishonga Inoteerera Iyi Yenyevero
Izvo zvinopesana nehutachiona zvinotakura iyi nyevero yebhokisi bhokisi dzinosanganisira zvose atypical (yechipiri-chizvarwa) antipsychotics uye yekare (typical generation) antipsychotics , kusanganisira:
Atypical Antipsychotics
- Abilify (aripiprazole)
- Clozaril (clozapine) (yakazara mazita emusiku nyevero yeClozaril )
- Geodon (ziprasidone)
- Invega (paliperidone)
- Risperdal (risperidone)
- Seroquel (quetiapine)
- Zyprexa (olanzapine)
- Symbyax (olanzapine uye fluoxetine) (Zyprexa plus Prozac)
Typical Antipsychotics
- Compro (prochlorperazine)
- Haloperidol (inozivikanwawo seHaldol, asi haisati yatengeswa pasi pezita racho)
- Loxapine (anozivikanwawo seLoxitane, asi haasisiri kutengeswa pasi pezita racho)
- Thioridazine (anozivikanwawo seMellaril, asi haasisiri kutengeswa pasi pezita racho)
- Molindone (anozivikanwawo seMoban, asi haasisiri kutengeswa pasi pezita racho)
- Navane (thiothixene)
- Orap (pimozide)
- Fluphenazine (inozivikanwawo seProlixin, asi haisati yatengeswa pasi pezita racho)
- Trifluoperazine (inozivikanwa seStezinezine, asi haisati yatengeswa pasi pezita racho)
- Chlorpromazine (inozivikanwawo seTrazine, asi haisati yatengeswa pasi pezita racho)
- Perphenazine (anonziwo Trilafon, asi haasisiri kutengeswa pasi pezita racho)
Chikonzero Nei Mishonga Iyi Ichishandiswa
Mafungiro uye kushungurudzika muhutano hwemararamiro mamiriro ezvinhu anokonzera kushungurudzika kukuru kuvarwere nemhuri uye inogona kukurumidzira kushanda mune vamwe varwere. Nokuti pane nhamba shoma yemishonga inogona kubata chirwere ichi mumamiriro ezvinhu aya, chiremba wako waunoda angaramba achishandisa imwe kana kuti mamwe maitiro ekurapa anoteya chikwata chinotakura iri bhokisi dema rinonyevera.
Mune mamiriro ezvinhu akadai, chiremba achaona kana zvingave zvakakosha zvekushandisa mishonga (s) yakakura kudarika ngozi dzinobatanidzwa.
> Kwakabva:
> Centers for Medicare & Medicaid Services. Atypical Antipsychotic Mishonga: Shandisa Vanhu Vakuru . Dhipatimendi reUnited Health Health and Human Services. Yakabudiswa 2015.