Mishonga inorayirirwa inowanzoshandiswa kurapa chirwere chinotyisa. Kunyanya kunetseka nemishonga kunowanzotarisirwa kubatsira kubatsira kuderedza zviratidzo zvekutya chirwere. Cymbalta ( duloxetine ) nderimwe rudzi rwevanorwara nehutachiona hunowanzotarisirwa kune vanotya chirwere chinotyisa.
Cymbalta chii?
Cymbalta imishonga inowanikwa mune rimwe boka revanhu vanorwisa zvinodhaka rinonzi serotonin uye norepinephrine reuptake inhibitors ( SNRIs ).
Pakutanga kushandiswa kugadzirisa zvirwere zvepfungwa, kufanana nekuora mwoyo uye bipolar disorder , SNRIs yakazowanikwa pakupedzisira kurapa kwakakosha kwekushungurudzika kwepfungwa, zvakadai sepenic disorder, mafibias chaiwo, kushungurudzika kunokonzera kushungurudza ( OCD ), kushungurudzika kwevanhu munzanga ( SAD ), uye agoraphobia .
Uyezve, mishonga iyi inorayirwa kuti irapwe dzimwe hutano hwepfungwa dzakadai sekugadzikana kwepfungwa kunetseka ( PTSD ) uye zvinetso zvekudya. SNRIs inogonawo kubudirira pakurapa kurwadziwa kunosangana nedzimwe mamiriro ezvehutano zvakadai se fibromyalgia uye chisingaperi chinopera simba (CFS).
SNRIs inonzi inochengetedzwa uye yakagadzirisa nzira yekubata chirwere chinotyisa. Vanowanzova nemigumisiro shomanana kupfuura mamwe maitiro evanhu vanodzvinyirira. Nokuda kwezvikonzero izvi, SNRIs dzakaramba dzichikura pakuzivikanwa kwekurapa mafungiro evanhu uye kushungurudzika. Kunze kweCymbalta, imwe SNRIS yakawanda inosanganisira Effexor (venlafaxine) uye Pristiq ( desvenlafaxine ).
Kombalta Inobata Sei Nhamo Dambudziko?
Neurotransmitter maikemikari anowanzoitika ari muuropi. Aya makemikari vatumwa vane basa rekutumira mashoko mukati meuropi uye hunoita mabasa akawanda ehuviri. Zvinofungidzirwa kuti kusaenzana mune zvimwe zvevaya vanokonzerwa neurotransmitter zvinogona kutungamirira kumagariro evanhu uye kushungurudzika.
Cymbalta inoshanda kuunza kuenzanirana kumashure neurotransmitters serotonin uye norepinephrine. Zvose izvi zvemikemikari nhume dzinosangana nekutya chirwere. Serotonin inobatanidzwa mukugadzirisa mafungiro uye kurara uye norepinephrine inoronga kurwisana-kana-kupopotedzana kudzvinyirira uye kugadzikana kunetseka. Cymbalta inogona kugadzirisa hutano nekudzivirira masero europi achikurumidzira kunwa idzi neurotransmitters. Nokudzosa kuenzanirana kumashure aya eurotransmitters, Cymbalta inogona kubatsira kuderedza kushungurudzika, kuderedza kutya kwekutya, nekuvandudza mafungiro.
Migumisiro Yechiri
Zvose zvinorayirwa mishonga ine mikana yemigumisiro uye Cymbalta haisi iyo. Zvose zvinowanzoitika zveCymbalta zvinosanganisira:
- Nausea kana kurutsa
- Dry mouth
- Kukurova uye kuneta
- Headaches
- Kuita zvepabonde-migumisiro
- Kuwedzera kutya
- Kushungurudza maronda kana kurwadziwa mumimba
- Matambudziko okurara
Iwe unogona kuwana zvimwe, hapana, kana zvose zvezvikamu zvemigumisiro. Zvose zvinokanganisa zvinowanzosiyana kune vanhu vakasiyana. Kazhinji, idzi migumisiro yemigumisiro ichapedza nguva kana muviri wako uchichinja kutora Cymbalta. Iva nechokwadi kuti ubvunze chiremba wako kana iwe uine zvinetso zvisingaratidziki kuenda kana kuipa. Zviremera zvinokonzerwa nezvinokonzerwa nezvinodhaka zvinogona kuitikawo kana uchitora Cymbalta.
Bvunza chiremba wako kana pharmacy nokukurumidza kana iwe uchinzwa nemigumisiro yekurutsira, kuzvimba mumuromo, rurimi, uye chiso, kuputika, mikoko, kana kuoma kufema.
Ko Cymbalta Inotora Rini Kubata Kushanda?
Usatarisira kuti Cymbalta inobata zviratidzo zvekutya chirwere . Iwe unogona kuona kuvandudzwa mukati memazuva ekutanga kusvika mavhiki ekutora mishonga iyi. Zvisinei, zvinogona kutora kusvika kumwedzi inoverengeka kuti zviwane zvakakwana zvinobatsira zveCymbalta. Iwe unogona kupiwa kupa mishonga yako nguva yakati usati wasarudza kana iri kukushandira iwe.
Precautions
Black Box Warning. Muna 2007, Chakudya uye Drug Administration (FDA) yakasarudza kuisa nyevero kune SNRIs nezvimwe zvinodhaka.
Inonzi inozivikanwa sebhokisi dema , FDA inonyevera kuti mishonga iyi inogona kukonzera kuzviuraya nemabasa. Vechidiki nevakuru vechidiki vakawanikwa vari kunyanya pangozi yemigumisiro iyi yakaipa. Kunyora vanachiremba vanofanira kushandisa nekuchenjerera uye kunyatsocherechedza avo vanotora SNRIs kuti vashandise mafungiro uye kuzviuraya.
Doro Rinoshandiswa. Kunyanya kunwa doro panguva yekutora Cymbalta hakurudzirwi. Doro inoshandiswa inokonzera mungozi yekuwedzera kuora kweCymbalta, iyo inogona kuita kuti ibudirire.
Special Populations. Vakwegura uye vakadzi vanoyamwisa vanofanira kubvunza chiremba wavo nezvekutora Cymbalta pavanenge vane pamuviri kana vacheche, sezvo zvichibvira kupfuudza mushonga uyu kumwana. Vanhu vakuru vakwegura vanofanirawo kukurukura kubudirira uye kubatwa kwekutora Cymbalta pamwe nekuraira chiremba, sezvo vanhu vakuru vakanyanya kutyisirwa kuve nemigumisiro yeCymbalta.
Cherechedza: Mashoko akataurwa apa anoreva kuva muongororwo wekushandiswa kweCymbalta yekutya chirwere. Zvose zvinowanikwa munyaya ino hazvirevi zvese zvinogona kuitika, zvakadai semigumisiro yemigumisiro yakaipa, zvingwarira, uye zvinopesana. Nguva dzose bvunzurudza mushandi wako wezvechiremba pamusoro pemibvunzo ipi neipi / kana zvinetso zvaunogona kuva nazvo pamusoro peCymbalta yako mishonga.
Sources:
Dell'Osso, B., Buoli, M., Baldwin, DS, & Altamura, A. (2010). Serotonin norepinephrine reuptake inhibitors (SNRIs) mune zvinetso zvekuzvidya mwoyo: kuongorora kwakakwana kwechirwere chechirwere. Human Psychopharmacology: Clinical uye Ongororo , 25 (1), 17-29.
Silverman, Harold M. (2012). Pill Book. 15th ed. New York, NY: Bantam Mabhuku.