Maererano neU.S. Food and Drug Administration, kune ngozi yakanyanya ye serotonin syndrome semugumisiro wokubatanidza serotonin reuptake inhibitors (SSRIs) uye kusarudza serotonin norepinephrine reuptake inhibitors SSNRIs nemigraine misoro yemishonga inonzi triptans.
Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs)
Zvinotendwa kuti uropi huine mazana emarudzi akasiyana-siyana emakemikari (neurotransmitters) anoshanda senhengo dzekukurukura pakati pemakemikisi akasiyana-siyana.
Serotonin inonzi neurotransmitter iyo inokosha pakuronga mabasa akasiyana siyana emuviri uye manzwiro. Low serotonin mazinga akabatanidzwa mukuora mwoyo nekuzvidya mwoyo.
SSRIs inhibit the reuptake ye serotonin muuropi. Reuptake inzira inoshandiswa neurotransmitters muuropi uye inoshandiswa kana kushandiswa zvakare kana kushandiswa zvakare kuti ishandiswe munguva yemberi. Izvi zvinokonzera kuwedzera kwemazinga e serotonin, zvichiguma nekuvandudza mafungiro, kuderedza kushungurudzika uye kuvharwa kwekutya . SSRIs inonzi inotanga kurapwa kwemutsara wekutya chirwere uye inosanganisira:
Sarudzo yeSerotonin-Norepinephrine Reuptake Inhibitors (SSNRIs)
SSNRIs inodzivisa kubvisazve sarotonin uye norepinephrine muuropi. Norepinephrine isakemikari messenger muuropi iyo inokurudzira kurara uye kungwarira. Zvinotendwa kuti zvakabatana nehondo-kana-kupoteredzwa kupindurwa.
SSNRIs inosanganisira:
- Cymbalta (duloxetine)
- Effexor, Effexor XR (venlafaxine)
Triptans
Triptans ikirasi yemishonga inowanzoshandiswa kurapa migraine kana masumbu emusoro. Vanoshanda pane serotonin receptors muuropi, zvichidaro zvinokonzera serotonin mazinga.
Mienzaniso yee triptans inosanganisira:
- Amerge (naratriptan)
- Axert (almotriptan)
- Frova (frovatriptan)
- Imitrex (sumatriptan)
- Maxalt naMaxalt-MLT (rizatriptan)
- Relpax (eletriptan)
- Zomig neZomig ZMT (zolmitriptan)
Mukuwedzera kune mishonga inowanikwa muDAA mazano, mamwe mishonga inobatanidza nekuchinja kwemazinga e serotonin muuropi, kuwedzera ngozi ye serotonin syndrome.
Tricyclic Anodzvinyirira
Tricyclic antidepressants (TCAs) inonzi mazita emishonga iyi "" zvitatu zvine mhete "mashemi. Kusati kwasvika maSRRIs ekupera kwema1980, maTCA aiva mushonga wekusarudza kurapwa kukuru kwekuora mwoyo , chirwere chinotyisa uye zvimwe zvinetso zvekuzvidya mwoyo. TCAs dzinoshandiswawo kubata mamwe marwadzo syndromes uye nocturnal enuresis (bedwetting). Zvinotendwa kuti TCA dzinoshanda kuwedzera mazinga e norepinephrin uye serotonin muuropi.
Mienzaniso yeTCAs inosanganisira:
- Elavil (amitriptyline)
- Tofranil (imipramine)
- Sinequan (doxepin)
- Anafranil (clomipramine)
Monoamine Oxidase Inhibitors (MAOIs)
MAOI ikirasi yevanhu vanodzvinyirirwa vanotenda kuti inowedzera norepinephrine, serotonin uye dopamine muuropi. Iyo inoshanda pakurapa kwekutambudzika kukuru kwepfungwa, panic disorder nezvimwe zvinetso zvekuzvidya mwoyo. Nemhaka yekubatana kunogona kutyisa nezvimwe zvekudya, zvinwiwa nezvimwe zvinodhaka, MAOIs inowanzoonekwa sekupedzisira kurapa.
Mienzaniso yeMaOIs inosanganisira:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
- Marplan (isocarboxazid)
- Emsam (selegiline)
Zvimwe Zvirwere Zvinopesana
Mienzaniso yevamwe vanodzvinyirira inosanganisira:
- Wellbutrin (bupropion)
- Desyrel (trazadone)
Zvimwe zveMapiriniti Mishonga
- BuSpar (buspirone)
- Eskalith (lithium)
Analgesics (Pain Killers)
- Codeine
- Fentanyl
- Tramadol
Antibiotic / Antiretroviral Mishonga
- Zyvox (linezolid)
- Norvir (ritonavir)
Mishonga yemishonga / Dietary Supplements
- Hypericum Perforatum (St. John's Wort)
- Ginseng / Panax
Migwagwa
- Amphetamines
- Cocaine
- LSD (lysergic acid diethylamide)
Urongwa urwu haruna kutarisirwa kuva wese-kusanganisira. Kuti urege kukura mukana wako wekuvandudza serotonin syndrome, udza chiremba wako nezvezvose zvinodhaka uye zvekudya zvinowedzera.
Kana iwe ukatanga zviratidzo zve serotonin syndrome, tsvaka rubatsiro rwekurapa.
Sources:
> Prator, Bettina C. "Serotonin Syndrome." Nyaya yeNeuroscience Nursing . April 2006. 38 (2): 102-105.
> US Food and Drug Administration. Zvichida Upenyu-Hunopisa Serotonin Syndrome neKushandiswa Kwakasiyana kweSSSRIs kana SNRIs uye Triptan Mishonga. July 19, 2006.