Wellbutrin inorwisa mishonga inopesana nemanzwiro ayo dzimwe nguva inorayirwa kuti iite zviratidzo zveHDH.
Wellbutrin inogona kurongerwa pamwe chete nemishonga inokurudzira, yakadai seAdderall kana Ritalin, kana munhu ane ADHD uye mamiriro ezvinhu aripo ekuodzwa mwoyo, kana kuti inogona kurongerwa seimwe mishonga yekuedza uye kugadzirisa mamiriro maviri acho.
Mishonga inogutsa ndeyekutanga yehutano sezvo ivo vanozivikanwa kuti ndivo mishonga inoshanda zvikuru mukuderedza zviratidzo zveAADH zvakadai sokusava nehanya, kusagadzikana, uye kutadza.
Non-stimulant mishonga ndeyechipiri mutsara ekurapwa kweAIDS. Wellbutrin, Strattera uye Clonidine mienzaniso yekusagadzirisa mishonga yemishonga yekurapa ADHD.
Sei Uchitora Mushonga Wechipiri Mushonga?
Kana zvinokurudzira zvizivikanwa kuti ndizvo zvakanyanya kurapwa, nei mumwe munhu angatora mishonga yechipiri? Pane zvikonzero zvitatu zvinowanzoita kuti munhu anogara neAdHD angarongedzerwa mutsara wechipiri:
- Haasi munhu wose anotora mishonga inokurudzira anowana zororo pamatambudziko avo eDHD. Kana izvi zviri izvo iwe kana kuti waunoda, chiremba wako achaongorora mishonga yechipiri yemishonga pamwe newe.
- Iwe unogona kusakwanisa kutsungirira mishonga inokurudzira uye unogona kuva nemigumisiro yakakomba.
- Dzimwe nguva pane hutano hwehutano hunoita kuti kushandiswa kwemishonga inokurudzira kunetseke. Somuenzaniso, mamiriro emwoyo, kushungurudzika kwehope, nhoroondo yekudhakwa , uye mamwe mamiriro ezvinhu epfungwa sezvinonzi bipolar disorder.
The History of Wellbutrin
Wellbutrin ndiro zita rekutengeserana kwezvinodhaka bupropion. Yakagamuchirwa neRDA kuti iite chirwere chokuderera muna 1985. Kubvira muna 1986 kusvikira muna 1989 yakabviswa pamusika nekuda kwehutano hwekuwirwa nechirwere chekufa. Izvo zvakakonzerwa zvakawanikwa kuti zvakaenzana nehana, naizvozvo apo Wellbutrin akadzokera kumusika muna 1989 chiremba chakanyanya chakaderedzwa.
Wellbutrin SR, shanduro yakasunungurwa-shanduro, yakagamuchirwa muna 1996, uye Wellbutrin XL, iyo yakabudiswa yakasunungurwa, muna 2003. Muna 2006 yakatanga kuva mishonga inogamuchirwa kubata chirwere chemazuva-sective (SAD).
Iyo FDA haina kubvumidza Wellbutrin pakurapa ADHD. Kunyange zvakadaro, inorayirwa navanachiremba sevhesi yekodzero yekurapa.
Tsvakurudzo paWelbutrin yeAdHD iri kuitwa. Semuenzaniso, kumwe kuongorora kwakawana kuti zvakaderedza zviratidzo zve ADHD kana zvichienzaniswa ne placebo. Zvimwe zvidzidzo pamusoro pekubudirira kweWelbutrin mukubatsira zviratidzo zveDHD kune vanhu vakuru vave vachivimbisa.
Dose neMafomu
Wellbutrin inouya mumafomu matatu:
- Wellbutrin
- Wellbutrin SR (sustained-release)
- Wellbutrin XL (yakawedzerwa kusunungurwa)
Kazhinji Wellbutrin XL inorayirwa yeAdHD kuitira kuti mishonga inoshanda zuva rese uye kuvepo kwemigumisiro yakaderedzwa.
Chiitiko chezuva nezuva cheumwe munhu ane makore gumi nemaviri kana kupfuura ndeye 3 kusvika ku6 mg pamakilogiramu ejeri rehumwe hwezuva nezuva, kunyange zvazvo chiyero chokutanga chinowanzopera.
Kusiyana nemishonga inokurudzira, iyo inotanga kushanda mukati meawa imwe chete, Wellbutrin (sevamwe vanoora mwoyo) inogona kutora mazuva anenge 3-7 usati waona zvikomborero.
Mukuwedzera, zvinogona kutora vhiki 4-6 kusvika pakuzara. Izvi zvinoreva kuti zvinogona kutora mavhiki mashomanana kuti uwane chirongwa chakarurama chekurapa iwe kana mwana wako.
Chii Chinonzi Kusiyanisa pakati peXL na SR?
Zvese Wellbutrin SR uye Wellbutrin XL ndiyo nguva yakasunungurwa yokusununguka mafungiro. Izvi zvinoreva kuti chirwere ichi chinononoka kubudiswa mumuviri kwemaawa akawanda, uye kune kuwirirana kwechirwere muropa.
Rutsigiro Rwakasunungurwa Rudzikinuro runotora maawa gumi nemaviri uye runotorwa kaviri pazuva, nepo XL version inotora maawa makumi maviri nemana uye inotorwa kamwe chete pazuva. Kutora iyo XL version zvinowanzoreva kuti zviri nani kutarisana nemoyo murefu sezvo pane mukana muduku wekushaya chirwere.
Wellbutrin Basa Sei?
Wellbutrin inonzi norepinephrine uye dopamine reuptake inhibitor (NDRI), uye inoshanda nekuchengeta maurotransmitter norepinephrine uye dopamine inowanikwa kuongorori dzeuropi kwenguva refu. Izvi zvinobatsira kuvandudza maitiro, kutarisa, nezvimwe zviratidzo zveDHD.
Sezvo Wellbutrin isingabatsiri serotonin, inoshanda zvakasiyana nedzimwe dzakawanda dzinodhaka mwoyo. Semuenzaniso, sarotonin reuptake inhibitors (SSRIs) inosarudza sarotonin asi tricyclic vanodzvinyirira [TCAs] inowedzera norepinephrin uye serotonin mazinga pamwe nekudzivirira acetylcholine iyo inogona kutungamirira kumigumisiro yechirwere. Monoamine oxidase inhibitors (MAOIs) -kutanga kuora mwoyo-kuwedzera norepinephrine, serotonin, uye dopamine nekudzivisa enzyme monoamine oxidase.
Migumisiro Yechiri
Zvimwe zvinokonzerwa nemigumisiro zvinosanganisira kushungurudzika, kufara, kushungurudzika, kuwedzera motokari yekuita, kusuruvara, kutengesa, kudengenyeka, tsvina, muromo wakaoma, misoro, uye kunyorera. Panewo mungozi inogona kuwedzera kukunda muvanhu vanopinda kwavari kana vane nhoroondo yezvinetso zvekudya.
Wellbutrin inzvimbo yeC C inodhaka, zvinoreva kuti inofungidzirwa kusachengeteka kutora panguva yekudzivirira kana yekuyamwisa. Zvakakosha kutaura nachiremba wako kana uri pamuviri kana kuronga kuva nepamuviri.
Black Box Warning
Dhiyabhorosi inoisa bhokisi rakasvibira pamamwe mabhii ezvinodhaka zvemishonga kuti aise pfungwa kune ngozi ipi zvayo yakakomba kana yehupenyu yaunoda kuziva.
Wellbutrin, kufanana nedzimwewo zvirwere zvinotapukisa, anotakura bhokisi rakasvibiswa kuti inogona kuwedzera mungozi yekuzviuraya kana kuti kuita kune vana, vechidiki, uye vechidiki. Zvakakosha kutaura nachiremba wako kuti ukurukure zvinobatsira zvichienderana nezvengozi dzemishonga iyi uye kuramba uri pedyo navo pavanotora Wellbutrin. Mukuwedzera, vabereki nevatarisiri vanokurudzirwa kuti varambe vachiona nezvese zvingave zvichichinja mufambiro wemwana wavo.
Will Wellbutrin Ndibatsirei Kuti Ndirege Kusvuta?
Wellbutrin naZyban mabhizimisi maviri echirwere. Wellbutrin yakagamuchirwa neRDA sechirwere chinopesana, uye Zyban yakabvumirwa kubatsira vanhu kuti varege kusvuta. Kana iwe ukasvuta fodya uye inorayirwa Wellbutrin, ungaona kuti inoshandawo sekusvuta kusvuta zvinodhaka. Haina nicotine; zvisinei, vamwe vanoputa vanoshuma kuti rinobvisa kufarira kwavo kana chido chekusvuta.
Shoko Rinobva
Kunyange zvazvo Wellbutrin isiri iyo mishonga yokutanga yeAIDS, inogona kubatsira mukurapa zviratidzo zveHADH, kunyanya kana uine hukama huripo hwekuora mwoyo nekuzvidya mwoyo. Inogona kurongedzerwa mukubatanidzwa nemamwe mishonga yeHDH kana kuti sarudzo-oga.
Kana iwe uchifarira Wellbutrin sechikamu chekurapa kwako ADHD, kurukura naye nechiremba wako. Vachakwanisa kukubatsira kuti uone kana ichi chakanaka iwe.
> Sources:
Hamedi, M., M. Mohammdi, A. Ghaleiha, Z.Keshavarzi, M. Jafarnia, R. Keramatfar uye al-2014 Bupropiyona Mumakore Okuwedzera Kutarisira-Kukanganisa / Kukanganisa Kwemusoro: Chidzidzo chisinganzwisisiki, chakafuridzirwa. Acta Medica Iranica 52 (9): 675-680
Maneeton, N., B. Maneeton, M. Srisurapanont, uye SD Martin. 2011 Bupropion kuvanhu vakuru vane hanya-kushaya simba kwehutano hwehutano. Meta-kuongororwa kwemigwagwa ye-placebo-controlled controlled randomi. Psychiatry uye Clinical Neuroscience 65 (7): 611-617