Ramba Uchichenjerera Kunyanya Kana Une Bipolar Disorder
MunaJune naJuly we2012, Zvokudya uye Drug Administration (FDA) zvakabvumira maviri matsva ekurasikirwa kwemishonga, Belviq (lorcaserin) uye Qsymia (phentermine / topiramate). Kune vanhu vakawana uremu pamishonga yepfungwa, mishonga iyi inogona kuratidzika inonakidza, asi muchokwadi, pane zvimwe zvingwarira zvinokosha.
Kuchenjerera NaBelviq naKyysmia
Chimwe chezvinhu zviviri izvi zvinopesana nekunyanya kukwegura zvinodhaka zvinogona kuva nemigumisiro yakaipa kune vanhu vane mafungiro uye matambudziko ekurara, uye kune zvimwe zvingangove zvichishungurudza nemishonga yepfungwa.
Kana uri kutora mishonga yepfungwa, sarotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic vanodzvinyirira (TCAs), Wellbutrin (bupropion), monoamine oxidase inhibitors (MAOIs), lithium kana antipsychotics, zvinokosha zvikuru kuti iwe unoshanda zvakasimba uye pamwe nekubatana nevarapi vanorayira zvose zvepfungwa dzako nekurema kurasikirwa mishonga.
Maitiro aBelviq Anoshanda
Iyi mishonga inoshanda pane serotonin , neurotransmitter yakave yakabatanidzwa mukuora mwoyo. Sezvo mishonga yakawanda yemapfungwa inoshandawo pane serotonin system, hazvishamisi kuti pane zvinogona kukonzerwa nemigumisiro yakakomba kana mishonga iyi ichibatanidzwa.
Kuchenjerera Paunotora Belviq
Serotonin syndrome uye neuroleptic marignant syndrome, zvose zvinogona kutyisa upenyu, zvinokwanisika nezvinodhaka zvinokonzera serotonin, saka kuwedzera Belviq kune mishonga inenge iripo kungagadzira kukura kana imwe yemamiriro aya zvichida.
Ngozi uye kuchengeteka kwaBelviq kana yakashandiswa nemimwe mishonga inokanganisa serotonin haina kuongororwa, asi iyo yakanyorwa ine nyevero ye "kushandisa zvakanyanyisa" paunotungamirira Belviq ne SSRIs, SNRIs, TCAs, Wellbutrin, MAOIs, antipsychotics, lithium uye wort John's wort.
Migumisiro Yechipfuva yeBelviq
Zvimwe zvinokonzerwa nemigumisiro yeBelviq dzinosanganisira:
- Chizutu
- Kuneta
- Headache
- Dry mouth
- Constipation
- Nausea
Izvozvo Qsymia Inoshanda Sei
Qsymia inosanganiswa nemishonga mbiri, phentermine, uye Topamax (topiramate). Topamax chirwere chinopesana nemapfupa dzimwe nguva chinoshandiswa sechimiro chetsika mu bipolar disorder. Phentermine yakashandiswa kubva muna 1959 muUnited States kwekanguva kwenguva yakareba kurapwa uye Topamax yava FDA yakagamuchirwa nekutambura kwekudzivirira uye migraine kudzivirira.
Nokuti varwere vakanga vari kutora Topamax kune iyo mamiriro ekurasikirwa, kuongororwa kwakaitwa pakubudirira kwaive mukurapa kuneta. Kusanganiswa kwezvinodhaka zviviri zviri pachena zviri kushanda zviri nani pamwechete pamwe chete, uye ndizvo zvakaita Qsymia.
Kuchenjerera Paunotora Qysmia
Kwemakore mashomanana apfuura, FDA yakada mishonga yose yeanticonvulsant kuti iite nyevero pamusoro pekuwedzera kwekuda kuzviuraya . Sezvo Qsymia iri neupiramate, iyo inonzi anticonvulsant, mukuru wehurumende anorondedzera ruzivo rwechirwere ane chirevo chokuti Qsymia inogona kukonzera kushungurudzika kwemanzwiro. Izvo zvinonyanya kuipa kune vanhu vane nhoroondo yekuora mwoyo nokuti zvinogona kuita kuti kuora mwoyo kudzoke kana zvimwe zvinetso zvepfungwa kuti zvikure.
Inotaurawo kuti kana zviratidzo zvisingaendi kana kuti zvinotambudza, Qysmia inofanira kuderedzwa kana kumira.
Kana iwe uchizvipira kuzvipira kana maitiro, Qysmia inofanira kumira pakarepo. Izvowo haifaniri kutorwa kana iwe une nhoroondo yekufunga kuzviuraya kana kuedza.
Dzimwe Manyevero Pamusoro peKyysmia
Zvimwe nyaya dzinogona kuwedzera:
- Matambudziko apo Qsymia inotorwa pamwe ne benzodiazepines , rudzi rwemishonga inopesana nekuzvidya mwoyo uye mishonga yekurwisa, kana mamwe mishonga yokurara.
- Qsymia haifaniri kutorwa panguva kana mukati memazuva gumi nemasere ekudzivisa chero MAOI inodzvinyirira .
- Kuchengetedza kunodiwa kana uchitora ichi chirwere ne anticonvulsant mood stabilizer, kunyanya carbamazepine uye valproate.
Migumisiro Yechikamu yeKysmia
Zvimwe zvinokonzerwa nemigumisiro yeKysmia inosanganisira:
- Chizutu
- Dry mouth
- Dambudziko rokurara
- Bvisa uye kunhuwa kunoshanduka
- Tingling
Icho Chinonyanya Kuenderana neBelviq, Qsymia, uye Matambudziko eMaod
Hazvigoneki kune vanhu vane bipolar disorder kana kuora mwoyo kukuru kunobatwa nemumwe wemishonga iyi, asi kunyatsotarisa kuongorora kunokosha. Upenyu-kutyisidzira zvikanganiso zvinogoneka. Mune zvimwe zviitiko, nguva dzose kuongororwa ropa kunorudzirwa.
Shingai nevatori vako pedyo kana Belviq kana Qsymia inorayirwa iwe, uye iva nechokwadi chekuti unovaudza pamusoro pekuchinja kupi zvako mumanzwiro, kurara, kuzvidya mwoyo, kunetseka kana utano hwepanyama. Kurasikirwa uremu hakubatsiri matambudziko makuru ehutano anokwanisa kuitika kana uchishandisa mishonga iyi.
Sources:
US Food and Drug Administration: Yakagadzirwa Label yeBelviq. 27 June 2012.
US Food and Drug Administration: Yakagadzirwa Label yeKsymia. 17 Mbudzi 2012.
"Kurasikirwa kwehuremu: Kurasikirwa Kwokurasikirwa Kwemishonga." Mayo Clinic (2015).
Shin, JH, & Gadde, KM (2013). Clinical utility ye phentermine / topiramate (QsymiaTM) kusanganiswa kwekurapa kuneta. Chirwere cheshuga, Metabolic Syndrome nekuderera: Target uye Therapy , 6 , 131-139.